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The British Journal of Psychiatry (2000) 177: 101-106
© 2000 The Royal College of Psychiatrists

PSYCHOTHERAPY PAPERS

Cognitive-behavioural techniques for general psychiatrists in the management of patients with psychoses{dagger}

DOUGLAS TURKINGTON, FRCPsych, Senior Lecturer

Department of Psychiatry, Royal Victoria Infirmary, Newcastle upon Tyne

DAVID KINGDON, MRCPsych

Royal South Hants Hospital, Southampton

Correspondence: Dr Douglas Turkington, FRCPsych, Senior Lecturer, Department of Psychiatry, Leazes Wing, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NEI 4LP

Declaration of interest None.

{dagger} See editorial, pp. 93-94, this issue.

Background Recent research progress showing the benefits of cognitive therapy in schizophrenia leaves the general psychiatrist unsure whether to attempt to use such techniques.

Aims To test whether cognitive-behavioural techniques are beneficial in the management of patients with schizophrenia in general psychiatric practice.

Method A randomised controlled study comparing the use of cognitive-behavioural techniques and befriending in schizophrenia.

Results Significant improvement in symptoms occurred in the group treated with cognitive-behavioural techniques but not in the befriending group. During the 6-month follow-up period the cognitive-behavioural group tended to have shorter periods in hospital.

Conclusions General psychiatrists could help their patients with schizophrenia by using cognitive-behavioural techniques. Such techniques are well within the capability of general psychiatrists, but their application would involve more of the consultant's time spent in direct contact with patients with psychoses.




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