Motive-oriented therapeutic relationship building for patients diagnosed with schizophrenia

Frontiers in Psychology

Volumn 6, Issue , 2015, Pages

  Westermann, Stefan ^a   Cavelti, Marialuisa ^b   Heibach, Eva ^c   Caspar, Franz ^a  

^a UNIVERSITY OF BERN   (Switzerland)

^b University Hospital of Psychiatry and Psychotherapy   (Switzerland)

^c Private Psychotherapeutic Practice Heibach   (Germany)

Author keywords

case conceptualization; CBT; motive oriented therapeutic relationship; Plan Analysis; psychosis; schizophrenia; therapeutic relationship

Indexed keywords

EID: 85016094023     PISSN: None     EISSN: 16641078     Source Type: Journal    
DOI: 10.3389/fpsyg.2015.01294     Document Type: Article

References (68)

1. Bentall R. P. Corcoran R. Howard R. Blackwood N. Kinderman P. (2001). Persecutory delusions: a review and theoretical integration. Clin. Psychol. Rev. 21, 1143–1192. 10.1016/S0272-7358(01)00106-411702511
2. Berry K. Wearden A. Barrowclough C. (2007). Adult attachment styles and psychosis: an investigation of associations between general attachment styles and attachment relationships with specific others. Soc. Psychiatry Psychiatr. Epidemiol. 42, 972–976. 10.1007/s00127-007-0261-517932610
3. Brent B. K. (2015). A mentalization-based approach to the development of the therapeutic alliance in the treatment of schizophrenia. J. Clin. Psychol. 71, 146–156. 10.1002/jclp.2215025557537
4. Caspar F. (1995). Plan Analysis. Towards Optimizing Psychotherapy. Seattle: Hogrefe.
5. Caspar F. (2007). “Plan analysis,” in Handbook of Psychotherapy Case Formulations, 2nd Edn, ed. Eells T. D. (New York, NY: Guilford Press), 251–289.
6. Caspar F. (2011). “Plan analysis,” in Handbook of Psychotherapy Case Formulation, 2nd Edn, ed. Eells T. D. (New York: Guilford Press), 251–289.
7. Cavelti M. Rüsch N. Vauth R. (2014). Is living with psychosis demoralizing? Insight, self-stigma, and clinical outcome among people with schizophrenia across 1 year. J. Nerv. Ment. Dis. 202, 521–529. 10.1097/NMD.000000000000016024933416
8. Chadwick P. (2008). Person-Based Cognitive Therapy for Distressing Psychosis. Person-Based Cognitive Therapy for Distressing Psychosis, 1st Edn. (Chichester: John Wiley & Sons). 10.1002/9780470713075
9. Chue P. Lalonde J. K. (2014). Addressing the unmet needs of patients with persistent negative symptoms of schizophrenia: emerging pharmacological treatment options. Neuropsychiatr. Dis. Treat. 10, 777–789. 10.2147/NDT.S4340424855363
10. Dilks S. Tasker F. Wren B. (2013). Conceptualizing the therapist’s role in therapy in psychosis. Psychol. Psychother. 86, 315–333. 10.1111/j.2044-8341.2011.02061.x23955793
11. Elis O. Caponigro J. M. Kring A. M. (2013). Psychosocial treatments for negative symptoms in schizophrenia: current practices and future directions. Clin. Psychol. Rev. 33, 914–928. 10.1016/j.cpr.2013.07.00123988452
12. Epstein S. (1990). “Cognitive-experiential Self-theory,” in Handbook of Personality Theory and Research: Theory and Research, ed. Pervin L. (New York, NY: Guilford Publications, Inc.), 165–192.
13. Evans-Jones C. Peters E. Barker C. (2009). The therapeutic relationship in CBT for psychosis: client, therapist and therapy factors. Behav. Cogn. Psychother. 37, 527–540. 10.1017/S135246580999026919728901
14. Farrelly S. Brown G. Szmukler G. Rose D. Birchwood M. Marshall M. et al. (2014). Can the therapeutic relationship predict 18 month outcomes for individuals with psychosis? Psychiatry Res. 220, 585–591. 10.1016/j.psychres.2014.07.03225113923
15. Fine C. Gardner M. Craigie J. Gold I. (2007). Hopping, skipping or jumping to conclusions? Clarifying the role of the JTC bias in delusions. Cogn. Neuropsychiatry 12, 46–77. 10.1080/1354680060075059717162446
16. Flückiger C. Del Re A. C. Wampold B. E. Symonds D. Horvath A. O. (2012). How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis. J. Couns. Psychol. 59, 10–17. 10.1037/a002574921988681
17. Foster C. Startup H. Potts L. Freeman D. (2010). A randomised controlled trial of a worry intervention for individuals with persistent persecutory delusions. J. Behav. Ther. Exp. Psychiatry 41, 45–51. 10.1016/j.jbtep.2009.09.00119818953
18. Freeman D. Garety P. (2014). Advances in understanding and treating persecutory delusions: a review. Soc. Psychiatry Psychiatr. Epidemiol. 49, 1179–1189. 10.1007/s00127-014-0928-725005465
19. Freeman D. Garety P. A. Kuipers E. Fowler D. Bebbington P. E. L. B.-F. (2002). A cognitive model of persecutory delusions. Br. J. Clin. Psychol. 41, 331–347. 10.1348/01446650276038746112437789
20. Freeman D. Startup H. Pugh K. Mander H. Wingham G. Shirvell K. et al. (2015). Effects of cognitive behaviour therapy for worry on persecutory delusions in patients with psychosis (WIT): a parallel, single-blind, randomised controlled trial with a mediation analysis. Lancet Psychiatry 380, 1–9. 10.1016/S2215-0366(15)00039-5
21. Garety P. A. Kuipers E. Fowler D. Freeman D. Bebbington P. E. (2001). A cognitive model of the positive symptoms of psychosis. Psychol. Med. 31, 189–195. 10.1017/S003329170100331211232907
22. Gassmann D. Grawe K. (2006). General change mechanisms: the relation between problem activation and resource activation in successful and unsuccessful therapeutic interactions. Clin. Psychol. Psychother. 13, 1–11. 10.1002/cpp.442
23. Grawe K. Caspar F. Ambühl H. (1990). Die Berner Therapievergleichsstudie: Zusammenfassung und Schlussfolgerungen [The Bernese comparative treatment study: summary and conclusions]. Z. Klin. Psychol. 19, 362–376.
24. Grawe K. (2000). Psychologische Therapie [Psychological therapy], 2nd Edn. Göttingen: Hogrefe.
25. Gumley A. I. Taylor H. E. F. Schwannauer M. MacBeth A. (2014). A systematic review of attachment and psychosis: measurement, construct validity and outcomes. Acta Psychiatr. Scand. 129, 257–274. 10.1111/acps.1217223834647
26. Hartley S. Barrowclough C. Haddock G. (2013). Anxiety and depression in psychosis: a systematic review of associations with positive psychotic symptoms. Acta Psychiatr. Scand. 128, 327–346. 10.1111/acps.1208023379898
27. Hellener D. (1997). Typische Pläne bei Schizophrenen [Typical Plans of patients with schizophrenia]. Tübingen: Eberhard-Karls-Universität Tübingen.
28. Hillis J. D. Leonhardt B. L. Vohs J. L. Buck K. D. Salvatore G. Popolo R. et al. (2015). Metacognitive reflective and insight therapy for people in early phase of a schizophrenia spectrum disorder. J. Clin. Psychol. 71, 125–135. 10.1002/jclp.2214825557425
29. Huddy V. Reeder C. Kontis D. Wykes T. Stahl D. (2012). The effect of working alliance on adherence and outcome in cognitive remediation therapy. J. Nerv. Ment. Dis. 200, 614–619. 10.1097/NMD.0b013e31825bfc3122759940
30. Jackson C. Trower P. Reid I. Smith J. Hall M. Townend M. et al. (2009). Improving psychological adjustment following a first episode of psychosis: a randomised controlled trial of cognitive therapy to reduce post psychotic trauma symptoms. Behav. Res. Ther. 47, 454–462. 10.1016/j.brat.2009.02.00919361782
31. Johansen R. Iversen V. C. Melle I. Hestad K. A. (2013). Therapeutic alliance in early schizophrenia spectrum disorders: a cross-sectional study. Ann. Gen. Psychiatry 12, 14. 10.1186/1744-859X-12-1423656747
32. Jung E. Wiesjahn M. Rief W. Lincoln T. M. (2014). Perceived therapist genuineness predicts therapeutic alliance in cognitive behavioural therapy for psychosis. Br. J. Clin. Psychol. 54, 34–48. 10.1111/bjc.1205925040363
33. Kesting M.-L. Bredenpohl M. Klenke J. Westermann S. Lincoln T. M. (2013). The impact of social stress on self-esteem and paranoid ideation. J. Behav. Ther. Exp. Psychiatry 44, 122–128. 10.1016/j.jbtep.2012.07.01022960709
34. Klingberg S. Wittorf A. (2012). [Evidence-based psychotherapy of schizophrenic psychoses]. Nervenarzt 83, 907–918. 10.1007/s00115-012-3553-222733380
35. Kramer U. Berger T. Caspar F. (2009). Psychotherapeutic case conceptualization using plan analysis for bipolar affective disorder. J. Clin. Psychol. 65, 352–367. 10.1002/jclp.2055719226592
36. Kramer U. Berger T. Kolly S. Marquet P. Preisig M. de Roten Y. et al. (2011). Effects of motive-oriented therapeutic relationship in early-phase treatment of borderline personality disorder: a pilot study of a randomized trial. J. Nerv. Ment. Dis. 199, 244–250. 10.1097/NMD.0b013e3182125d1921451348
37. Kramer U. Berthoud L. Keller S. Caspar F. (2014). Motive-oriented psychotherapeutic relationship facing a patient presenting with narcissistic personality disorder: a case study. J. Contemp. Psychother. 44, 71–82. 10.1007/s10879-013-9249-5
38. Kvrgic S. Cavelti M. Beck E. M. Rüsch N. Vauth R. (2013). Therapeutic alliance in schizophrenia: the role of recovery orientation, self-stigma, and insight. Psychiatry Res. 209, 15–20. 10.1016/j.psychres.2012.10.00923200319
39. Lacro J. P. Dunn L. B. Dolder C. R. Leckband S. G. Jeste D. V. (2002). Prevalence of and risk factors for medication nonadherence in patients with schizophrenia: a comprehensive review of recent literature. J. Clin. Psychiatry 63, 892–909. 10.4088/JCP.v63n100712416599
40. Lecomte T. Laferrière-Simard M. C. Leclerc C. (2012). What does the alliance predict in group interventions for early psychosis? J. Contemp. Psychother. 41, 55–61. 10.1007/s10879-011-9184-2
41. Leucht S. Arbter D. Engel R. Kissling W. Davis J. (2008). How effective are second-generation antipsychotic drugs? A meta-analysis of placebo-controlled trials. Mol. Psychiatry 14, 429–447. 10.1038/sj.mp.400213618180760
42. Lincoln T. M. (2006). Kognitive Verhaltenstherapie der Schizophrenie. Göttingen: Hogrefe.
43. Lincoln T. M. Peter N. Schäfer M. Moritz S. (2010). From stress to paranoia: an experimental investigation of the moderating and mediating role of reasoning biases. Psychol. Med. 40, 169–171. 10.1017/S003329170999095X19671213
44. Lincoln T. M. Stahnke J. Moritz S. (2014). The short-term impact of a paranoid explanation on self-esteem: an experimental study. Cogn. Ther. Res. 38, 397–406. 10.1007/s10608-014-9600-5
45. Link B. G. Struening E. L. Neese-Todd S. Asmussen S. Phelan J. C. (2001). Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses. Psychiatr. Serv. 52, 1621–1626. 10.1176/appi.ps.52.12.162111726753
46. Lüllmann E. Lincoln T. M. (2013). The effect of an educating versus normalizing approach on treatment motivation in patients presenting with delusions: an experimental investigation with analogue patients. Schizophr. Res. Treat. 2013, 261587. 10.1155/2013/26158724260715
47. Lysaker P. H. Dimaggio G. (2014). Metacognitive capacities for reflection in schizophrenia: implications for developing treatments. Schizophr. Bull. 40, 487–491. 10.1093/schbul/sbu03824636965
48. Marwaha S. Broome M. R. Bebbington P. E. Kuipers E. Freeman D. (2014). Mood instability and psychosis: analyses of british national survey data. Schizophr. Bull. 2, 269–277. 10.1093/schbul/sbt14924162517
49. Mawson A. Cohen K. Berry K. (2010). Reviewing evidence for the cognitive model of auditory hallucinations: the relationship between cognitive voice appraisals and distress during psychosis. Clin. Psychol. Rev. 30, 248–258. 10.1016/j.cpr.2009.11.00620071062
50. Miller G. A. Galanter E. Pribram K. H. (1960). Plans and the Structure of Behavior. Holt, Rinehart and Winston. New York: Holt. 10.1037/10039-000
51. Moritz S. Woodward T. S. S. L. B.-M. (2006). A generalized bias against disconfirmatory evidence in schizophrenia. Psychiatry Res. 142, 157–165. 10.1016/j.psychres.2005.08.01616631258
52. Myers E. Startup H. Freeman D. (2011). Cognitive behavioural treatment of insomnia in individuals with persistent persecutory delusions: a pilot trial. J. Behav. Ther. Exp. Psychiatry 42, 330–336. 10.1016/j.jbtep.2011.02.00421367359
53. O’Driscoll C. Laing J. Mason O. (2014). Cognitive emotion regulation strategies, alexithymia and dissociation in schizophrenia, a review and meta-analysis. Clin. Psychol. Rev. 34, 482–495. 10.1016/j.cpr.2014.07.00225105273
54. Owens K. A. Haddock G. Berry K. (2013). The role of the therapeutic alliance in the regulation of emotion in psychosis: an attachment perspective. Clin. Psychol. Psychother. 20, 523–530. 10.1002/cpp.179322570312
55. Pfammatter M. Junghan U. M. Brenner H. D. (2006). Efficacy of psychological therapy in schizophrenia: conclusions from meta-analyses. Schizophr. Bull. 32(Suppl. 1), S64–S80. 10.1093/schbul/sbl03016905634
56. Priebe S. Richardson M. Cooney M. Adedeji O. McCabe R. (2011). Does the therapeutic relationship predict outcomes of psychiatric treatment in patients with psychosis? a systematic review. Psychother. Psychosom. 80, 70–77. 10.1159/00032097621196804
57. Salvatore G. Lysaker P. H. Gumley A. Popolo R. Mari J. Dimaggio G. (2012). Out of illness experience: metacognition-oriented therapy for promoting self-awareness in individuals with psychosis. Am. J. Psychother. 66, 85–106.22523795
58. Schmitt G. M. Kammerer E. Holtmann M. (2003). Improving medical students’ interactive competence. Psychother. Psychosom. Med. Psychol. 53, 390–398. 10.1055/s-2003-4217114528408
59. Svensson B. Hansson L. (1999). Therapeutic alliance in cognitive therapy for schizophrenic and other long-term mentally ill patients: development and relationship to outcome in an in-patient treatment programme. Acta Psychiatr. Scand. 99, 281–287. 10.1111/j.1600-0447.1999.tb07226.x10223431
60. Tait L. Birchwood M. Trower P. (2004). Adapting to the challenge of psychosis: personal resilience and the use of sealing-over (avoidant) coping strategies. Br. J. Psychiatry 185, 410–415. 10.1192/bjp.185.5.41015516550
61. Thewissen V. Bentall R. P. Oorschot M. Campo J. A. van Lierop T. van Os J. et al. (2011). Emotions, self-esteem, and paranoid episodes: an experience sampling study. Br. J. Clin. Psychol. 50, 178–195. 10.1348/014466510X50867721545450
62. Turner D. T. van der Gaag M. Karyotaki E. Cuijpers P. (2014). Psychological interventions for psychosis: a meta-analysis of comparative outcome studies. Am. J. Psychiatry 31, 697–704. 10.1176/appi.ajp.2013.1308115924525715
63. Westermann S. Kesting M.-L. Lincoln T. M. (2012). Being deluded after being excluded?—How emotion regulation deficits in paranoia-prone individuals impact on state paranoia during experimentally induced social stress. Behav. Ther. 43, 329–340. 10.1016/j.beth.2011.07.00522440069
64. Westermann S. Lincoln T. M. (2010). Using signal detection theory to test the impact of negative emotion on sub-clinical paranoia. J. Behav. Ther. Exp. Psychiatry 41, 96–101. 10.1016/j.jbtep.2009.10.00719931042
65. Westermann S. Lincoln T. M. (2011). Emotion regulation difficulties are relevant to persecutory ideation. Psychol. Psychother. 84, 273–287. 10.1348/147608310X52301922903869
66. Westermann S. Paulus F. M. Müller-Pinzler L. Krach S. (2013). Elaborative encoding during REM dreaming as prospective emotion regulation. Behav. Brain Sci. 36, 631–633; discussion 634–659. 10.1017/S0140525X1300146524304773
67. Wittorf A. Jakobi U. E. Bannert K. K. Bechdolf A. Müller B. W. Sartory G. et al. (2010). Does the cognitive dispute of psychotic symptoms do harm to the therapeutic alliance? J. Nerv. Ment. Dis. 198, 478–485. 10.1097/NMD.0b013e3181e4f52620611050
68. Wykes T. Steel C. Everitt B. Tarrier N. (2008). Cognitive behavior therapy for schizophrenia: effect sizes, clinical models, and methodological rigor. Schizophr. Bull. 34, 523–537. 10.1093/schbul/sbm11417962231