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The future of cognitive–behavioural therapy for psychosis: not a quasi-neuroleptic

Birmingham Early Intervention Service, Birmingham and Solihull Mental Health Trust, Birmingham

PETER TROWER, PhD

School of Psychology, University of Birmingham, Birmingham, UK

Correspondence: Professor Max J. Birchwood, Director, Birmingham Early Intervention Service, Birmingham and Solihull Mental HealthTrust, Harry Watton House, 97 Church Lane, Aston, Birmingham B6 5UG, UK. E-mail: m.j.birchwood.20{at}bham.ac.uk

Declaration of interest None.

Summary Some 20 trials of cognitive – behavioural therapy (CBT) for psychosis have re-established psychotherapy as a credible treatment for psychosis. However, it is not without its detractors and problems, including uncertainty about the nature of its active ingredients. We believe that the way forward is to abandon the neuroleptic metaphor of CBT for psychosis and to develop targeted interventions that are informed by the growing understanding of the interface between emotion and psychosis.

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