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Pankey & Hayes, 2003

APA Citation

Pankey, J., & Hayes, S. C. (2003). Acceptance and Commitment Therapy for psychosis. International Journal of Psychology and Psychological Therapy, 3, 311-328.

Publication Topic
ACT: Conceptual
Publication Type
Article
Language
English
Keyword(s)
psychosis, Acceptance and Commitment Therapy, Relational Frame Theory, schizofrenia, metaphor, developmentally disabled
Abstract

Although various pharmacological treatments are available for persons suffering with positive psychotic symptoms, these symptoms often continue to occur even when medications are taken. Traditional psychosocial methods such as family therapy and cognitive-behavioral alleviate symptoms in this population, but interventions are often lengthy and difficult. The present paper argues that directly targeting the reduction of psychotic symptoms could produce paradoxical effects, and instead argues the importance of acceptance, cognitive defusion, and valued action as coping methods. Acceptance and Commitment Therapy is described as much a method, and its outcomes with this population are briefly summarized. A short case on ACT with psychotic retarded person is presented as an example of the applicability of these methods to persons who are cognitively challenged.

Comments
Case study with a retarded psychotic person experiencing command hallucinations and multiple delusions. Believability drops dramatically over treatment but not frequency. Good functional improvement.