Jaargang 30 (2010)
Nummer: 4
Artikel: 247

Samenvatting

Cognitieve gedragstherapie (CGT) ter preventie van een psychose is een relatief nieuwe behandeling die bedoeld is om in risicogroepen het ontwikkelen van een psychose en uiteindelijk schizofrenie te voorkomen of uit te stellen. In dit artikel wordt de theorie achter deze behandeling beschreven en geïllustreerd met een casusbeschrijving. De CGT bij deze doelgroep is een combinatie van drie onderdelen: ten eerste formele CGT zoals deze ook wordt uitgevoerd bij angststoornissen, ten tweede metacognitieve training en ten derde een psycho-educatief deel, waarin normaliserende informatie wordt gegeven om het vormen van alternatieve verklaringen voor de catastrofale interpretaties te bevorderen en zo de angst te doen afnemen.

Summary

Cognitive behavioural therapy (CBT) in people with an at risk mental state for psychosis is a relatively new treatment approach meant to prevent or delay transition to psychosis and/or schizophrenia. The theory behind this treatment is reviewed and illustrated by a case report. CBT in this population is a combination of three parts: in the first place ordinary CBT comparable with CBT for anxiety disorders, in the second place metacognitive training and in the third place normalizing psycho-education to stimulate the formation of alternative instead of catastrophic interpretations in order to reduce anxiety.

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