How can Cognitive Therapy Contribute to Treatment of Schizophrenia?

Emi Ikebuchi1j

1jDepartment of Psychiatry, Teikyo University School of Medicine

Since researches in the structure and the function of the brain of people with schizophrenia have developed, pharmachotherapy is presently the primary treatment for this disease. In addition to the pharmacotherapy, psycho-social treatments (family intervention, supported employment, living and communication skills training, cognitive-behavior-oriented psychotherapy for pharmachotherapy-resistant psychiatric symptoms, and so on) are also important. Because the target of each therapy is different, comprehensive psycho-social treatment is needed to keep the quality of the treatment. Herein, the evidence of the efficacy of social skills training and cognitive behavior therapy for schizophrenia is reported. In the context of individual psychotherapy for schizophrenia, cognitive therapy has been making some contributions : provides cooperation between therapists and patients with collaborative concepts and tools, offers intervention techniques targeting parmachotherapy-resistant psychotic symptoms, and gives tools and concepts that help the patients to develop insight of the disorder, disability, and self by using case formulation which helps them to compare her/his self-insight with psychiatric symptoms. Under the circumstances where community-based care is a major treatment, intensive cognitive behavior therapy is not commonly used. We suggest that this discrepancy should be solved by appropriately implementing both the master and the public models of cognitive behavior therapy.

Japanese Journal of Cognitive Terapy, 1 ; 33„Ÿ44, 2008

Key WordsFschizophrenia, cognitive behavior therapy, social skills training (SST), psycho-social treatment, psychotherapy