giáo dục kinh nghiệm và cung cấp một số nội dung khóa học. Tuy nhiên, mô hình chính cho công việc cá nhân với bệnh nhân và người sử dụng dịch vụ một cách rộng rãi theo trình tự vạch ra bởi Nelson (1997) và bao gồm tham gia, chiến lược đối phó, tâm lý giáo dục và thay đổi niềm tin. | 194 COGNITIVE BEHAVIOUR THERAPY FOR PSYCHOSIS educational experience and provide some of the course content. However the main model for individual work with patients and service users broadly follows the sequence outlined by Nelson 1997 and includes engagement coping strategies psycho-education and modification of beliefs. The teaching is timetabled and taught in the same order. ENGAGEMENT One of the difficulties for students already working in a professional capacity as they learn new skills can be the thought that much of their previous practice by implication must have been wrong. Not only is this incorrect as students come with a range of skills and have a wealth of experience to draw on but perhaps more importantly it can be quite demoralising. It is helpful to ask students to produce an inventory of their skills and experience to clarify what they can access both individually and as a group. Students are asked to develop collaborative relationships and often this will be with people already on their caseload. It needs to be acknowledged that it is quite difficult to change approach within an existing relationship. One of the barriers to this may be the beliefs held by staff often these are shared by the teamas a whole regarding working with a particular individual. The course teamask the students to adopt or adhere to two basic assumptions when working with people who are having distressing experiences or symptoms 1. Patients and service users are honest. 2. They are trying to cope with their experiences Fox Conroy 2000 Newell 1994 . The discussion that follows students being asked what they think about these assumptions is usually very lively. The initial response tends to be a list of examples drawn from their own practice illustrating the opposite. Gamble 2000 raises the issue of staff attitudes towards people with mental illness and acknowledges that few of us are immune from adopting a judging or critical approach at least at times. A large part of the .
