TY - JOUR
T1 - Trauma therapies for psychosis
T2 - A state-of-the-art review
AU - Hardy, Amy
AU - Keen, Nadine
AU - van den Berg, David
AU - Varese, Filippo
AU - Longden, Eleanor
AU - Ward, Thomas
AU - Brand, Rachel M.
N1 - Funding Information:
This review represents independent research part funded by the NIHR including the Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. EL was funded by a National Institute for Health Research (NIHR) Development and Skills Enhancement Award (NIHR301598). FV was funded by a NIHR Advanced Fellowship award (NIHR300850). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
Publisher Copyright:
© 2023 The Authors. Psychology and Psychotherapy: Theory, Research and Practice published by John Wiley & Sons Ltd on behalf of The British Psychological Society.
PY - 2023
Y1 - 2023
N2 - Background: Traumatic events, particularly childhood interpersonal victimisation, have been found to play a causal role in the occurrence of psychosis and shape the phenomenology of psychotic experiences. Higher rates of post-traumatic stress disorder (PTSD) and other trauma-related mental health problems are also found in people with psychosis diagnoses compared to the general population. It is, therefore, imperative that therapists are willing and able to address trauma and its consequences when supporting recovery from distressing psychosis. Method: This paper will support this need by providing a state-of-the-art overview of the safety, acceptability and effects of trauma therapies for psychosis. Results: We will first introduce how seminal cognitive-behavioural models of psychosis shed light on the mechanisms by which trauma may give rise to psychotic experiences, including a putative role for trauma-related emotions, beliefs and episodic memories. The initial application of prolonged exposure and eye movement and desensitation and reprocessing therapy (EMDR) for treating PTSD in psychosis will be described, followed by consideration of integrative approaches. These integrative approaches aim to address the impact of trauma on both post-traumatic stress symptoms and trauma-related psychosis. Integrative approaches include EMDR for psychosis (EMDRp) and trauma-focused Cognitive-Behavioural Therapy for psychosis (tf-CBTp). Finally, emerging dialogic approaches for targeting trauma-related voice-hearing will be considered, demonstrating the potential value of adopting co-produced (Talking with Voices) and digitally augmented (AVATAR) therapies. Conclusion: We will conclude by reflecting on current issues in the area, and implications for research and clinical practice.
AB - Background: Traumatic events, particularly childhood interpersonal victimisation, have been found to play a causal role in the occurrence of psychosis and shape the phenomenology of psychotic experiences. Higher rates of post-traumatic stress disorder (PTSD) and other trauma-related mental health problems are also found in people with psychosis diagnoses compared to the general population. It is, therefore, imperative that therapists are willing and able to address trauma and its consequences when supporting recovery from distressing psychosis. Method: This paper will support this need by providing a state-of-the-art overview of the safety, acceptability and effects of trauma therapies for psychosis. Results: We will first introduce how seminal cognitive-behavioural models of psychosis shed light on the mechanisms by which trauma may give rise to psychotic experiences, including a putative role for trauma-related emotions, beliefs and episodic memories. The initial application of prolonged exposure and eye movement and desensitation and reprocessing therapy (EMDR) for treating PTSD in psychosis will be described, followed by consideration of integrative approaches. These integrative approaches aim to address the impact of trauma on both post-traumatic stress symptoms and trauma-related psychosis. Integrative approaches include EMDR for psychosis (EMDRp) and trauma-focused Cognitive-Behavioural Therapy for psychosis (tf-CBTp). Finally, emerging dialogic approaches for targeting trauma-related voice-hearing will be considered, demonstrating the potential value of adopting co-produced (Talking with Voices) and digitally augmented (AVATAR) therapies. Conclusion: We will conclude by reflecting on current issues in the area, and implications for research and clinical practice.
KW - cognitive behaviour therapy
KW - dialogical therapy
KW - eye movement and desensitation and reprocessing
KW - post-traumatic stress
KW - psychosis
KW - trauma
KW - trauma therapy
UR - http://www.scopus.com/inward/record.url?scp=85173543335&partnerID=8YFLogxK
U2 - 10.1111/papt.12499
DO - 10.1111/papt.12499
M3 - Article
AN - SCOPUS:85173543335
SN - 1476-0835
JO - Psychology and Psychotherapy: Theory, Research and Practice
JF - Psychology and Psychotherapy: Theory, Research and Practice
ER -