What I have learned from CT-R II: The role of emotions

1.We have all observed that the individuals do not generally respond to positive events or positive interventions the way other people might. It is the thick crust of negativity and apathy that block out the stimuli that normal others would respond to. For example, individuals might be provided an opportunity to go on an outing. […]

The Importance of the Emotional Meaning of Positive Events in the Severely Mentally Ill

A recent paper (Seeman, 2017) demonstrated that positive life events do not necessarily have any impact on schizophrenia. For example, receiving notice of winning a lottery did not impact in any positive way on an individual with schizophrenia.What is the reason why positive events which would produce at least a positive affect in other people […]

overarching Lessons in CT-R

Dear All, Let me know whether or not you agree with the statements below. By the way, I saw only two or three responses to my previous delusions memo. Not a good record. Background: In working with the Montana group, Ellen has emphasized what we have long acknowledged. Namely, that our approach is cross-diagnostic (that […]

Concept of recovery

While the general description of Recovery focuses on worthwhile objectives such as purpose, productivity, making friends, rejoining family, etc., we believe that to implement these values, it is imperative to activate and maintain the adaptive mode. When this mode is energized and sustained, the individual can utilize his/ her judgment, make rational choices, adjust flexibly […]

Recovery and the Disease vs. Psychosocial Disorder: Concept of Schizophrenia

A person’s view of schizophrenia and recovery is often dependent on whether they view schizophrenia primarily as a disease or a disorder. The choice of concepts depends on the level of analysis. If one focuses on schizophrenia as a disease, then the various elements such as attenuationof connection from Prefrontal cortexto Amygdala, the thinning of […]

Explication of the Real CBT

There have been a number of criticisms of CBT, which has resulted in it’s being delivered poorly or therapists being disillusioned by it. I have listed below some of the criticisms or observations and my responses to them. CBT does not take into account the individual’s history and thus, fails to perceive the individual as […]

Resume of Recovery-Oriented CT (CT-R)

The delusions and apparently irrational thinking actually represent a translation or transformation of familiar beliefs and wishes. The trick is to back-translate or re-transform the delusions into their original, normal sounding beliefs. When this is done, it is possible then to understand the individual’s idiosyncratic behavior and unusual thinking patterns. The take home message is […]

What we have Learned from the Card-Sorting Experiment: Theory of Modes

We have all observed the rapid transformation of an individual from sitting in a corner with a towel over the head and uncommunicative, to an animated, joyful state, when participating in a stimulating activity, such as a birthday party or a talent show. In the card-sorting experiment, the individuals move through a series of intermediate […]

A New Way of Looking at Schizophrenia

Prevailing View: The individual has irrational beliefs and inappropriate or bizarre behavior.  These features are viewed as encrusted into the individual and affect the way he believes, behaves, and feels. Low-Functioning individuals with the negative symptoms are similarly seen as stuck at this level of functioning and, therefore, not amenable to very much change. A […]

The Term Disengagement

As you know, I favor the term “disengagement” in describing our chronic population, even though some are not a withdrawn-for example, the more combative individuals—are disengaged from other people (and in a broader sense from society). The disengagement is characterized by a) a more global loss of interest in the outside world and future goals, […]