Exploring change processes in compassion focused therapy in psychosis: Results of a feasibility randomized controlled trial

British Journal of Clinical Psychology

Volumn 52, Issue 2, 2013, Pages 199-214

  Braehler, Christine ^a,b   Gumley, Andrew ^a,b   Harper, Janice ^a   Wallace, Sonia ^a,b   Norrie, John ^c   Gilbert, Paul ^d  

^a NHS AYRSHIRE AND ARRAN   (United Kingdom)

^b UNIVERSITY OF GLASGOW   (United Kingdom)

^c UNIVERSITY OF ABERDEEN   (United Kingdom)

^d UNIVERSITY OF DERBY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEPRESSION; EMPATHY; FEASIBILITY STUDY; FEMALE; GROUP THERAPY; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; PROSPECTIVE STUDY; PSYCHOLOGICAL ASPECT; PSYCHOSIS; PSYCHOTHERAPY; RANDOMIZED CONTROLLED TRIAL; SCHIZOPHRENIA; SELF REPORT; SINGLE BLIND PROCEDURE; TREATMENT OUTCOME; DEPRESSIVE DISORDER; PROCEDURES; PSYCHOLOGY; PSYCHOTIC DISORDERS;

ADULT; DEPRESSION; DEPRESSIVE DISORDER; EMPATHY; FEASIBILITY STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; PSYCHOTHERAPY; PSYCHOTHERAPY, GROUP; PSYCHOTIC DISORDERS; SCHIZOPHRENIA; SELF REPORT; SINGLE-BLIND METHOD; TREATMENT OUTCOME;

EID: 84877768977     PISSN: 01446657     EISSN: 20448260     Source Type: Journal    
DOI: 10.1111/bjc.12009     Document Type: Article

References (65)

1. Barnard, L. K., &, Curry, J. F., (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15 (4), 289-303. doi: 10.1037/a0025754
2. Beck, A. T., Steer, R. A., &, Brown, G. K., (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: The Psychological Corporation.
3. Belsky, J., &, Pluess, M., (2009). Beyond diathesis stress: Differential susceptibility to environmental influences. Psychological Bulletin, 135 (6), 885-908. doi: 10.1037/a0017376
4. Berry, K., Barrowclough, C., &, Wearden, A., (2008). Attachment theory: A framework for understanding symptoms and interpersonal relationships in psychosis. Behaviour Research and Therapy, 46 (12), 1275-1282. doi: 10.1016/j.brat.2008.08.009
5. Birchwood, M., Gilbert, P., Gilbert, J., Trower, P., Meaden, A., Hay, J.,., Miles, J. N. V., (2004). Interpersonal and role-related schema influence the relationship with the dominant 'voice' in schizophrenia: A comparison of three models. Psychological Medicine, 34 (08), 1571-1580. doi: 10.1017/S0033291704002636
6. Birchwood, M., Mason, R., MacMillan, F., &, Healy, J., (1993). Depression, demoralization and control over psychotic illness: A comparison of depressed and non-depressed patients with a chronic psychosis. Psychological Medicine, 23 (02), 387-395. doi: 10.1017/S0033291700028488
7. Birchwood, M., Meaden, A., Trower, P., Gilbert, P., &, Plaistow, J., (2000). The power and omnipotence of voices: Subordination and entrapment by voices and significant others. Psychological Medicine, 30 (02), 337-344.
8. Birchwood, M., Trower, P., Brunet, K., Gilbert, P., Iqbal, Z., &, Jackson, C., (2007). Social anxiety and the shame of psychosis: A study in first episode psychosis. Behaviour Research and Therapy, 45 (5), 1025-1037. doi: 10.1016/j.brat.2006.07.011
9. Braehler, C., Harper, J., &, Gilbert, P., (2013). Compassion Focused Group Therapy for Recovery after Psychosis. In, C. Steel, (Ed.), Cognitive behaviour therapy for schizophrenia: Evidence based Interventions and future directions (pp. 236-266). Chichester: Wiley.
10. Cozolino, L., (2007). The neuroscience of human relationships: Attachment and the developing brain. New York: Norton.
11. Depue, R. A., &, Morrone-Strupinsky, J. V., (2005). A neurobehavioral model of affiliative bonding. Behavioral and Brain Sciences, 28, 313-395. doi: 10.1017/S0140525X05000063
12. Dozier, M., (1990). Attachment organization and treatment use for adults with serious psychopathological disorders. Development and Psychopathology, 2 (01), 47-60. doi: 10.1017/S0954579400000584
13. Dunbar, R. I. M., &, Shultz, S., (2010). Bondedness and sociality. Behaviour, 147 (7), 775-803. doi: 10.1163/000579510x501151
14. Fonagy, P., Gergely, G., Jurist, E., &, Target, M., (2002). Affect regulation, mentalization and the development of the self. London: Karnac Books.
15. Fowler, D., Freeman, D., Smith, B., Kuipers, E., Bebbington, P., Bashforth, H.,., Garety, P., (2006). The Brief Core Schema Scales (BCSS): Psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychological Medicine, 36, 749-759. doi: 10.1017/S0033291706007355
16. Frame, L., &, Morrison, A. P., (2001). Causes of posttraumatic stress disorder in psychotic patients. Archives General Psychiatry, 58, 305-306.
17. Freeman, D., Dunn, G., Garety, P., Weinman, J., Kuipers, E., Fowler, D.,., Bebbington, P., (2012). Patients' beliefs about the causes, persistence and control of psychotic experiences predict take-up of effective cognitive behaviour therapy for psychosis. Psychological Medicine, FirstView, 1-9. doi: 10.1017/S0033291712001225
18. Freeman, D., &, Garety, P. A., (2003). Connecting neurosis and psychosis: The direct influence of emotion on delusions and hallucinations. Behaviour Research and Therapy, 41 (8), 923-947. doi: 10.1016/S0005-7967(02) 00104-3
19. Gilbert, P., (2000). Social mentalities: Internal 'social' conflicts and the role of inner warmth and compassion in cognitive therapy. In, P. Gilbert, (Ed.), Genes on the couch: Explorations in evolutionary psychotherapy (pp. 118-150). Hove, UK: Brenner-Routledge.
20. Gilbert, P., (2010). Compassion-focused therapy: Distinctive features (CBT distinctive features). London: Routledge.
21. Gilbert, P., &, Andrews, B., (1998). Shame: Interpersonal behavior, psychopathology, and culture. Oxford: Oxford University Press.
22. Gilbert, P., Birchwood, M., Gilbert, J., Trower, P., Hay, J., Murray, B.,., Miles, J. N. V., (2001). An exploration of evolved mental mechanisms for dominant and subordinate behaviour in relation to auditory hallucinations in schizophrenia and critical thoughts in depression. Psychological Medicine, 31, 1117-1127. doi: 10.1017/S0033291701004093
23. Gilbert, P., McEwan, K., Matos, M., &, Rivis, A., (2011). Fears of compassion: Development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice, 84 (3), 239-255. doi: 10.1348/147608310x526511
24. Gilbert, P., McEwan, K., Mitra, R., Franks, L., Richter, A., &, Rockliff, H., (2008). Feeling safe and content: A specific affect regulation system? Relationship to depression, anxiety, stress, and self-criticism. The Journal of Positive Psychology, 3 (3), 182-191. doi: 10.1080/17439760801999461
25. Gilbert, P., &, Procter, S., (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy, 13 (6), 353-379. doi: 10.1002/cpp.507
26. Green, M. J., &, Phillips, M. L., (2004). Social threat perception and the evolution of paranoia. Neuroscience & Biobehavioral Reviews, 28 (3), 333-342. doi: 10.1016/j.neubiorev.2004.03.006
27. Gumley, A., (2011). Metacognition, affect regulation and symptom expression: A transdiagnostic perspective. Psychiatry Research, 190 (1), 72-78. doi: 10.1016/j.psychres.2011.09.025
28. Gumley, A., Braehler, C., Laithwaite, H., MacBeth, A., &, Gilbert, P., (2010a). A Compassion focussed model of recovery after psychosis. International Journal of Cognitive Psychotherapy, 3 (2), 186-201. doi: 10.1521/ijct.2010.3.2.186
29. Gumley, A., Braehler, C., Laithwaite, H., MacBeth, A., &, Gilbert, P., (2010b). Narrative Recovery Style Scale, Unpublished Manuscript.
30. Gumley, A., &, Park, C., (2010). Relapse prevention and early psychosis. In, P. French, D. Shiers, M. Reed, &, M. Rayn, (Eds.), Promoting recovery in early psychosis: A practice manual (pp. 157-167). Chichester: Wiley-Blackwell.
31. Gumley, A., &, Schwannauer, M., (2006a). The Fear of Recurrence Scale (FORSE) Questionnaire. Appendix I. Staying well after psychosis: A cognitive interpersonal approach to recovery and relapse prevention. Chichester, UK: John Wiley & Sons, Ltd.
32. Gumley, A., &, Schwannauer, M., (2006b). Staying well after psychosis: A cognitive interpersonal approach to recovery and relapse prevention. Chichester, UK: John Wiley & Sons Ltd.
33. Guy, W., (1976). Clinical global impression. ECDEU assessment manual for psychopharmacology. Rockville, MD: National Institute of Mental Health.
34. Hacker, D., Birchwood, M., Tudway, J., Meaden, A., &, Amphlett, C., (2008). Acting on voices: Omnipotence, sources of threat, and safety-seeking behaviours. British Journal of Clinical Psychology, 47 (2), 201-213. doi: 10.1348/014466507x249093
35. Hofmann, S. G., Grossman, P., &, Hinton, D. E., (2011). Loving-kindness and compassion meditation: Potential for psychological interventions. Clinical Psychology Review, 31 (7), 1126-1132. doi: 10.1016/j.cpr.2011.07.003
36. Johnson, D. P., Penn, D. L., Fredrickson, B. L., Kring, A. M., Meyer, P. S., Catalino, L. I., &, Brantley, M., (2011). A pilot study of loving-kindness meditation for the negative symptoms of schizophrenia. Schizophrenia Research, 129 (2), 137-140. doi: 10.1016/j.schres.2011.02.015
37. Kanas, N., (1996). Group therapy for schizophrenic patients. Washington, DC: American Psychiatric Press.
38. Kelly, A., Zuroff, D., Leybman, M., &, Gilbert, P., (2012). Social safeness, received social support, and maladjustment: Testing a tripartite model of affect regulation. Cognitive Therapy and Research, 1-12. doi: 10.1007/s10608-011-9432-5
39. Kirsch, P., Esslinger, C., Chen, Q., Mier, D., Lis, S., Siddhanti, S., &, Meyer-Lindenberg, A., (2005). Oxytocin modulates neural circuitry for social cognition and fear in humans. Journal of Neuroscience, 25 (49), 11489-11493. doi: 10.1523/jneurosci.3984-05.2005
40. Kumari, V., Fannon, D., Peters, E. R., ffytche, D. H., Sumich, A. L., Premkumar, P.,., Kuipers, E., (2011). Neural changes following cognitive behaviour therapy for psychosis: A longitudinal study. Brain, 134 (8), 2396-2407. doi: 10.1093/brain/awr154
41. Laithwaite, H., O'Hanlon, M., Collins, P., Doyle, P., Abraham, L., Porter, S., &, Gumley, A., (2009). Recovery after psychosis (RAP): A compassion focused programme for individuals residing in high security settings. Behavioural and Cognitive Psychotherapy, 37 (05), 511-526. doi: 10.1017/S1352465809990233
42. LeDoux, J., (1998). Fear and the brain: Where have we been, and where are we going? Biological Psychiatry, 44 (12), 1229-1238.
43. Liotti, G., (2010). Attachment and dissociation. In, P. F. D. J. A. O'Neil, (Ed.), Dissociation and the dissociative disorders: DSM-V and beyond (pp. 53-66). London: Routledge.
44. Liotti, G., &, Gumley, A. I., (2009). An attachment perspective on schizophrenia: Disorganized attachment, dissociative processes, and compromised mentalisation. In, M. D. A. Moskowitz, &, I Schaefer, (Eds.), Dissociation and psychosis: Converging perspectives on a complex relationship (pp. 117-128). Chichester: John Wiley & sons Ltd.
45. Longe, O., Maratos, F. A., Gilbert, P., Evans, G., Volker, F., Rockliffe, H., &, Ribbon, G., (2010). Having a word with yourself: Neural correlates of self-criticism and self-reassurance. Neuroimage, 14 (2), 1849-1856. doi: 10.1016/j.neuroimage.2009.09.019
46. Lysaker, P. H., Lancaster, R. S., &, Lysaker, J. T., (2003). Narrative transformation as an outcome in the psychotherapy of schizophrenia. Psychology and Psychotherapy: Theory, Research and Practice, 76 (3), 285-299. doi: 10.1348/147608303322362505
47. Mayhew, S., &, Gilbert, P., (2008). Compassionate mind training with people who hear malevolent voices: A case series report. Clinical Psychology and Psychotherapy, 15, 113-138.
48. McGlashan, T. H., (1987). Recovery style from mental illness and long-term outcome. The journal of nervous and mental disease, 175 (11), 681-685. doi: 10.1097/00005053-198711000-00006
49. Medical Research Council. (2006). Developing and evaluating complex interventions: new guidance. Retrieved from: http://www.mrc.ac.uk/ complexinterventionsguidance
50. Mikulincer, M., &, Shaver, P. R., (2007). Attachment in adulthood: Structure, dynamics, and change. New York: Guildford.
51. Myin-Germeys, I., &, van Os, J., (2007). Stress-reactivity in psychosis: Evidence for an affective pathway to psychosis. Clinical Psychology Review, 27 (4), 409-424. doi: 10.1016/j.cpr.2006.09.005
52. Nairn, R., (1999). Diamond mind. Boston & London: Shambala.
53. Neff, K. D., &, Germer, C. K., (in press). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology.
54. NIHR. (2010). National Institute for Health Research-Glossary. Retrieved from: http://www.netscc.ac.uk/glossary/#glos6
55. Panksepp, J., (1998). Affective neuroscience: The foundations of human and animal emotions. New York: Oxford University Press.
56. Richardson, W. S., Wilson, M. C., Nishikawa, J., &, Hayward, R. S., (1995). The wellbuilt clinical question: A key to evidence-based decisions. American College of Physicians Journal Club, 123, A12-A13.
57. Rockliff, H., Gilbert, P., McEwan, K., Lightman, S., &, Glover, D., (2008). A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focsed imagery. Clinical Neuropsychiatry, 5, 132-139.
58. Segal, Z. V., Williams, J. M. G., &, Teasdale, J. D., (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.
59. Spinhoven, P., &, van der Does, A., (1999). Thought suppression, dissociation and psychopathology. Personality and Individual Differences, 27, 877-886. doi: 10.1016/S0191-8869(99)00037-9
60. SPSS 17 (2007). SPSS Base 17.0 User's Guide. SPSS Inc: Chicago, IL, US.
61. Tait, L., Birchwood, M., &, Trower, P., (2003). Predicting engagement with services for psychosis: Insight, symptoms and recovery style. British Journal of Psychiatry, 182, 123-128. doi: 10.1192/bjp.02.252
62. Tyrrell, C., &, Dozier, M., (1997). The role of attachment in therapeutic process and outcome for adults with serious psychiatric disorders. Paper presented at the Biennial Meeting of Society for Research in Child Development. Washington, DC.
63. Watson, D., Clark, L. A., &, Tellegen, A., (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54 (6), 1063-1070. doi: 10.1037/0022-3514.54.6.1063
64. White, R. G., &, Gumley, A. I., (2009). Post-psychotic posttraumatic stress disorder: Associations with fear of recurrence and intolerance of uncertainty. Journal of Nervous and Mental Disease, 197 (11), 841-849. doi: 10.1097/NMD.0b013e3181bea625
65. World Health Organization (WHO). (2010). International Classifications of Diseases (ICD-10). Retrieved from: http://www.who.int/classifications/icd/en/