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Du er her: Psykologtidsskriftet  Utgave 5-2007  Artikkel
Vitenskap og psykologi / Fagartikkel
Tidsskrift for Norsk Psykologforening, Vol 44, nummer 5, 2007, side 562-572

Techniques in Cognitive Behavioural Therapy: Using Normalising in Schizophrenia

Robert Dudley

South of Tyne Early Intervention in Psychosis Service, Northumberland Tyne and Wear Mental Health NHS Trust, United Kingdom

Doctorate of Clinical Psychology, Ridley Building, Newcastle University, Newcastle, United Kingdom

Caroline Bryant

School of Neurology, Neurobiology and Psychiatry, Newcastle University, Royal Victoria Infirmary, Richardson Road, Newcastle- Upon-Tyne, Tyne And Wear, United Kingdom

Katherine Hammond

School of Neurology, Neurobiology and Psychiatry, Newcastle University, Royal Victoria Infirmary, Richardson Road, Newcastle- Upon-Tyne, Tyne And Wear, United Kingdom

Ronald Siddle

Department of Psychiatry, University of Manchester, Withington Hospital, Manchester

David Kingdon

Department of Psychiatry, University of Southampton, Royal South Hampshire Hospital, Brinton's Lane, Southampton, Hampshire.

Douglas Turkington

School of Neurology, Neurobiology and Psychiatry, Newcastle University, Royal Victoria Infirmary, Richardson Road, Newcastle- Upon-Tyne, Tyne And Wear, United Kingdom

Normalising is a main factor predicting a good clinical outcome when it is linked to other formulation techniques such as tracing the antecedents of breakdown, decatastrophising schizophrenia and education about illness.

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ABSTRACT

ABSTRACT

The history and use of normalising psychotic symptoms is described. The relative importance of normalising as a technique in cognitive behavioural therapy for schizophrenia has not been investigated. A logistic regression is undertaken on those patients with a good clinical outcome (50% improvement) in overall symptoms to identify the roles of the various components of cognitive behavioural therapy. Normalising as part of the broader process of formulation was the only significant predictor of good outcome. When normalising is linked to other formulation techniques such as tracing the antecedents of breakdown, decatastrophising schizophrenia and education about illness, it is seen to be the main factor predicting a good clinical outcome. Normalising techniques should be widely used and taught to front line clinicians who are treating patients with schizophrenia.

Keywords: normalisation, psychosis, schizophrenia, cognitive behavioral therapy

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