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11 results

  • Renaming ‘schizophrenia’: a step too far or not far enough?

  • ALISON BRABBAN, TONY MORRISON, JOHN READ
  • Journal:
    Psychological Medicine / Volume 43 / Issue 7 / July 2013
    Published online by Cambridge University Press:
    17 June 2013, pp. 1558-1560
    • Article
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  • Identifying Specific Interpretations and Use of Safety Behaviours in People with Distressing Visual Hallucinations: An Exploratory Study

  • Robert Dudley, Markku Wood, Helen Spencer, Alison Brabban, Urs P. Mosimann, Daniel Collerton
  • Journal:
    Behavioural and Cognitive Psychotherapy / Volume 40 / Issue 3 / May 2012
    Published online by Cambridge University Press:
    10 February 2012, pp. 367-375
    Print publication:
    May 2012

  • Background: Visual hallucinations (VH) are a common experience and can be distressing and disabling, particularly for people suffering from psychotic illness. However, not everyone with visual hallucinations reports the experience to be distressing. Models of VH propose that appraisals of VH as a threat to wellbeing and the use of safety seeking behaviours help maintain the distress. Aims: This study investigated whether people with distressing VH report threat appraisals and use safety behaviours. Method: The study utilized a single group descriptive design, in which 15 participants with psychosis and VH were asked questions in order to assess the content, distress, appraisals, and behaviours associated with visual hallucinations. Results: People who found visual hallucinations distressing (n = 13) held negative appraisals about those hallucinations and specifically saw them as a threat to their physical or psychological wellbeing. They also engaged in safety seeking behaviours that were logically related to the appraisal and served to maintain the distress. Conclusions: People with distressing VH regard them as a threat to their wellbeing and use safety seeking behaviours as a result of this perceived threat. These key processes are potential targets for treatments that will alleviate the distress associated with VH.

Back to Life, Back to Normality
  • Cognitive Therapy, Recovery and Psychosis
  • Volume 1
  • Douglas Turkington, David Kingdon, Shanaya Rathod, Sarah K. J. Wilcock, Alison Brabban, Paul Cromarty, Robert Dudley, Richard Gray, Jeremy Pelton, Ron Siddle, Peter Weiden
  • Published online:
    22 September 2009
    Print publication:
    12 March 2009
  • Written specifically with sufferers and carers in mind, to help them understand and apply the basic concepts of cognitive therapy for psychosis.Illustrates what it is like to have common psychosis and how people's lives can be restored using therapy.Increases understanding of how the psychosis started, and the factors that worsen symptoms or increase the likelihood of relapse.Helps the sufferer learn how to control symptoms and delay or prevent relapse.Includes features and exercises to help sufferers explore their own beliefs and feelings to reflect on the way they cope.Helps carers know what to say and what to do.Provides a resource for mental health professionals working with patients, to introduce the approach, support ongoing therapy and make the most efficient use of appointment time.

  • Early intervention in psychosis service and psychiatric admissions

  • Guy Dodgson, Kathleen Crebbin, Caroline Pickering, Emma Mitford, Alison Brabban, Roger Paxton
  • Journal:
    Psychiatric Bulletin / Volume 32 / Issue 11 / November 2008
    Published online by Cambridge University Press:
    02 January 2018, pp. 413-416
    Print publication:
    November 2008
    • Article
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      • Open access
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  • Aims and Method

    To investigate the effects of a standard National Health Service early intervention in psychosis service on bed days and engagement with services. We conducted a naturalistic before-and-after study comparing outcomes of individuals who received treatment from the service (n=75) with outcomes of individuals who presented to mental health services before the early intervention service was established and received treatment as usual (n=114).

    Results

    People treated by the early intervention in psychosis service had significantly fewer admissions (P < 0.001), readmissions (P < 0.001), total bed days (P < 0.01) and better engagement with services (P < 0.05).

    Clinical Implications

    An early intervention in psychosis service compliant with current British mental health policy led to reduced use of psychiatric bed days confirming recent findings elsewhere. This leads to major financial savings, easily justifying the initial cost of investment in the service.