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THE CASE STUDY GUIDE TO COGNITIVE BEHAVIOUR THERAPY OF PSYCHOSIS - PART 7

Đầu kinh nghiệm • qua đạt được anh Năm năm (hiện đang sống tại Mỹ) • cha nghiêm ngặt; Jane nhớ resenting ông • Bỏ lỡ rất nhiều trường học do bệnh lý • 13 tuổi: tên gọi (nội dung không rõ) và bắt nạt • 16 cũ năm: chuyến đi tới London (uống tăng vọt) • 17 tuổi: giả định lạm dụng có thể rối loạn chức năng và ảo tưởng | 142 COGNITIVE BEHAVIOUR THERAPY FOR PSYCHOSIS Early experiences Negative automatic thoughts Over-achieving brother There s something wrong with Five years older me weirdo now living in America People are after me Strict father Jane remembers People look and laugh at me resenting him Something s going to happen Missed a lot of school due to to me physical illness Nobody likes me 13 years old name calling I am going to die content unknown and I am goíng to eelapse bullying Behaviour 16 years old trip to London Withdrawal drink spiked Avoidance 17 years old possible abuse Closes blinds stays away from Dysfunctional assumptions windows and delusions f Drinking I have to please people or I will f Lethargy get hurt ịMotivation If things go wrong it s my fault Emotion If I don t meet other people s Depression standards I ama failure Anxiety Critical incidents Emotionless Thyroid problems Frightened Leaving home Group home Physiological Father-like figure at sheltered ịSleep accommodation f Appetite Anxiety type symptoms Figure 11.1 Cognitive formulation. lethargy and a general lack of motivation. Her parents always highlighted this as her main problem. Themes While completing the above assessments and the cognitive formulation a number of themes became evident Resentment initially success of sister and firmness of father and then being under control of father-like figure in group home. Rejection by father and friends at time of need. Acceptance the need to be accepted by the above. MANAGING EXPECTATIONS 143 Failure to meet her own and her families expectations. Blame blaming herself for events prior to her first episode of psychosis. Responsibility for the events prior to his first episode of psychosis. Dysfunctional assumptions Jane s dysfunctional assumptions all stemmed from the themes above with a strong emphasis on responsibility failure and blame. This has been hypothesised to stemfromher early childhood experiences with both her family and her school friends. .