CBT for psychosis: time for a fourth wave? (ISPS book series) (60 minute paper)
Caroline Cupitt
South London and Maudsley NHS Foundation Trust
Caroline Cupitt is Psychology Lead for the Early Intervention in Psychosis Service at South London and Maudsley NHS Foundation Trust. She has been working in psychosis services for more than twenty years and is both editor and contributor to a forthcoming book in the ISPS series, 'CBT for psychosis: process-oriented therapies and the third wave'.
Anne Cooke is Clinical Director at the Salomons Centre for Applied Psychology, Canterbury Christ Church University. She was editor of the BPS (2014) report ‘Understanding Psychosis and Schizophrenia: Why people sometimes hear voices, believe things that others find strange, or appear out of touch with reality, and what can help'.
Abstract
Given that we are now already many years into the development of third wave CBTp, it is interesting to speculate about the direction of a possible fourth wave. If the first took behaviour as its focus, the second cognition and... [ view full abstract ]
Given that we are now already many years into the development of third wave CBTp, it is interesting to speculate about the direction of a possible fourth wave. If the first took behaviour as its focus, the second cognition and the third process/emotion, it can be argued that as CBTp matures it is becoming more able to grasp the complexities of mental distress. The obvious next step would be to look outside the individual to consider the effect of society and our relationship to it in shaping experience. This would build on the evolution of the third wave, which has already begun to question the relevance of individual diagnosis. By positioning CBTp more fully within its social context, new and exciting possibilities for intervention open up.
Already within CBTp there is the idea that it is a ‘culturally unacceptable’ interpretation of an unusual experience which makes it distressing. Thus across cultures we find that unusual experiences are either valued or labelled mad in differing ways. The fear of ‘going crazy’ underlies a great deal of distress, not just in psychosis but also other more common mental health problems. It is perhaps surprising therefore that the idea of changing societal appraisals of unusual experience has not received more attention within CBT as a means to reduce individual distress. It is a natural extension of meta-cognition, as we move from considering an individual’s beliefs about their thoughts to their beliefs about society’s thoughts and to society's beliefs about the individual. If such beliefs and their associated attitudes are to change, professionals will need not only to adopt a wider focus but also to collaborate closely with people who have themselves experienced psychosis.
Authors
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Caroline Cupitt
(South London and Maudsley NHS Foundation Trust)
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Anne Cooke
(Canterbury Christ Church University)
Topic Areas
Individual cognitive behavioural therapies and related approaches , Society's impact on mental health , Other approaches to working for change
Session
SAB PCB » Papers:CBT (08:00 - Saturday, 2nd September, The Guild, Mountford Hall)
Presentation Files
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