Should CBT target the social impairments associated with schizophrenia?

David L. Roberts, David L. Penn, Corinne Gather, Michael Otto, Donald C. Goff

Research output: Contribution to journalReview article

7 Scopus citations

Abstract

Adjunctive cognitive behavior therapy (CBT) has been found to reduce the impact of symptoms among individuals with schizophrenia; however, CBT has not been used to address the social deficits in this clinical population. The current article elaborates the rationale for targeting social functioning with CBT. These reasons include the following: (a) Social dysfunction is a core feature of schizophrenia that is not directly improved with medication; (b) Improved social functioning is a treatment goal of many patients with schizophrenia, and thus treatments designed to improve social functioning may increase treatment motivation and reduce attrition; (c) Adaptive social functioning is a critical component of mental and physical health; and (d) Social dysfunction appears to be responsive to psychosocial intervention. This article concludes with a description of functional cognitive behavior therapy (FCBT), a CBT intervention that has been developed with enhanced focus on social impairments.

Original languageEnglish (US)
Pages (from-to)255-264
Number of pages10
JournalJournal of Cognitive Psychotherapy
Volume18
Issue number3
DOIs
StatePublished - Jan 1 2004
Externally publishedYes

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology
  • Psychiatry and Mental health

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