Dear all,We have already demonstrated that by rejuvenating the individual, we are able to demonstrate improvement in their overall functioning, as well as in the positive and negative symptoms. A more refined approach, however, is based on the case formulation. This approach consists of developing, with the patient, experiential ways of reversing the negative attitudes. In standard cognitive therapy for example, we a variety of skills to disconfirm dysfunctional beliefs: treating each dysfunctional belief as a hypothesis by searching for the evidence, looking for alternative explanations, examining the logic between an observation and an inference, and checking the original observations. In recovery-oriented cognitive therapy, however, we rely on experiences to negate beliefs. For example, we attempted to neutralize the belief “I do not have the energy to do anything” by going for a walk; “I will fail at whatever I undertake” by engaging in a graduated set of challenges; “I can’t enjoy anything” by involving the individual in a birthday party and music.
As I have mentioned previously, the negative beliefs go with the decent into schizophrenia and the activation of the positive beliefs with the accent from schizophrenia. I would appreciate your thoughts on this formulation.