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This book presents a psychotherapy intervention model called Multimodal Integrative Cognitive Stimulation Therapy (MICST). It is grounded in information processing and cognitive stimulation techniques and operates out of a positive psychology framework. This model, designed for group work with clients with schizophrenia, can be easily tailored to working with clients in individual therapy sessions. The three core MICST group activities include: 1) body movement-mindfulness-relaxation (BMR); 2) cognitive stimulation using group discussions; and 3) cognitive stimulation using paper-pencil cognitive exercises and self-reflection exercises. A chapter is devoted to each of these core areas with actual case vignettes to illustrate ways that these activities can be implemented in clinical practice. Homework recommendations are included at the end of each chapter, devoted to a core MICST group activity and providing suggestions on ways to practice various skills and exercises in between group sessions. Also provided are several handouts and worksheets which can be used with clients.
Using Diagrams in Psychotherapy presents the Visually Enhanced Therapy framework, a unique approach to communicating information in psychotherapy. The framework brings visual information processing principles and techniques into the practice of psychotherapy to help therapists communicate more effectively with clients. Replete with illustrations and therapist thought boxes designed to help readers translate theory to practice, the book presents visual strategies that enable clients to become more actively engaged in therapy sessions and to better retain information. This is a thorough, user-friendly resource with numerous diagrams and worksheets for implementing visually oriented interventions across a broad range of clients, clinical settings, and clinical problems.
Cognitive Enhancement in CNS Disorders and Beyond compiles a series of educational and thought-provoking chapters from the world's leading cognitive and clinical scientists to describe the latest research on cognitive impairments in a host of pathological conditions that affect CNS functioning, what treatments are available for these impairments, and how new treatments are being tested. This volume will benefit any investigators in cognitive science and clinical research, but is also accessible to non-experts. It advances the field toward the availability of cognitive enhancing drugs and devices that will benefit those who need them most and others who may feel that these techniques can help them to thrive. There has never been a time that we knew more about cognition and never a time when cognition was more important to the functioning of human beings than right now. Psychological science and cognitive neuroscience have become the most popular endeavor of students world wide, is the focus of attention of our greatest scientific accomplishments and the emphasis of many publications in the mainstream media. Since humans depend on cognitive abilities for survival, quality of life, and productivity, improving it has never been more important. Those with impairments in key aspects of cognition suffer dearly, as they are unable to obtain and retain information, unable to make sound decisions based upon the information at hand, and unable to plan future activities. The availability of pharmacological and behavioral interventions that can improve cognitive abilities and provide impaired individuals with the social, occupational and functional quality of life that the rest of us enjoy has potential far-reaching implications. Such interventions can also benefit those who want to boost current cognitive abilities to higher levels, perhaps as a means to hone skills in providing products for others or to gain an edge on competition. There has never been a book devoted solely to describing the latest cognitive science and neuroscience on the methods for enhancing cognition in healthy and unhealthy humans. Cognitive Enhancement in CNS Disorders and Beyond accomplishes exactly that in a straightforward and accessible manner.
Die Integrierte neurokognitive Therapie (INT) ist ein Gruppentherapieansatz, der erstmals alle Bereiche der MATRICS-Initiative des NIMH (National Institute of Mental Health, USA) in ein umfassendes Therapiekonzept integriert (MATRICS: Measurement and Treatment Research to improve Cognition in Schizophrenia). Diese Initiative definierte 11 neuro- und sozialkognitive Funktionsbereiche, die für schizophren Erkrankte relevant sind und deren Stärkung eines der wichtigsten Therapieziele sein muss. Die INT basiert auf den kognitiven Unterprogrammen des weitverbreiteten und umfassend evaluierten Integrierten psychologischen Therapieprogamms (IPT). Die INT ist ein ressourcen- und recovery-orientierter Ansatz, der auch die Verbesserung von Therapiemotivation und Selbstwahrnehmung zum Ziel hat. Der Fokus liegt konsequent auf der Gruppendynamik und dem Selbst- und Alltagsbezug der Patienten. Übergeordnetes Ziel ist die Erhöhung der Lebensqualität und -funktionalität und damit die Wiedereingliederung der Patienten in die Gesellschaft. Das vorliegende Manual - ... bietet dem Kliniker einen gut verständlichen Einstieg in die Behandlung von Neuro- und sozialen Kognitionen im Rahmen eines umfassenden und gut aufeinander abgestimmten Therapie- und Behandlungsangebots - ... beschreibt detailliert und gut strukturiert den Aufbau der INT in 4 Modulen - ... veranschaulicht mit zahlreichen Fallbeispielen das therapeutische Vorgehen auch in schwierigen Therapiesituationen - ... enthält umfangreiche und teilweise computergestützte Therapiematerialien, die sich patientenorientiert und vielfältig – auch im Einzelsetting – einsetzen lassen - ... thematisiert in kleineren Einheiten mögliche Indikationsstellungen, eine sorgfältige und individuell abgestimmte Therapieplanung („Fallkonzeption“) und Implementierung der INT Die INT wurde von Therapeuten und Patienten sehr gut angenommen und durch eine internationale, randomisierte Multicenterstudie in Deutschland, Österreich und der Schweiz erfolgreich evaluiert. Das Manual eignet sich hervorragend zur Vorbereitung und Durchführung von Therapiesitzungen.
This book provides a comprehensive review of new developments in the study of language processing and related neural networks in schizophrenia by addressing the complex link between psychopathology, language and evolution at different levels of analysis. Psychopathological symptoms in schizophrenia are mainly characterized by thought and language disorders, which are strictly intertwined. In particular, language is the distinctive dimension of human beings and is ontologically related to brain development. Although normal at the levels of segmental phonology and morphological organization, the speech of patients suffering from schizophrenia is often characterized by flattened intonation and word-finding difficulties. Furthermore, research suggests that the superior temporal gyrus and specific prefrontal areas which support language in humans are altered in people with schizophrenia. Brambilla and Marini bring together international contributors to explore the link between brain evolution and the psychopathological features of schizophrenia, with a focus on language and its neural underpinnings. Divided into three sections the book covers: • brain evolution and language phylogenesis • brain abnormalities in schizophrenia • psychopathology and schizophrenia. This theoretical approach will appeal to professionals including clinical psychologists, cognitive neuroscientists, neuropsychiatrists, neuropsychologists, neurolinguists, and researchers considering the links between brain evolution, language and psychopathology in schizophrenia.
The past two decades have seen rapid progress in new and less invasive ways to stimulate the brain to study and treat psychiatric disorders. This authoritative reference provides an introduction to this emerging field of brain stimulation in psychiatry. Eight recognized experts present the latest research and results -- and future challenges -- for new techniques to electrically stimulate the central nervous system, including transcranial magnetic stimulation (TMS), magnetic seizure therapy (MST), deep brain stimulation (DBS), and vagus nerve stimulation (VNS). This is the first book to both review these new techniques and place them in the context of existing somatic therapies in psychiatry. Unlike electroconvulsive therapy (ECT, the standard choice for patients with treatment-resistant depression), these breakthrough methods enable us to affect selectively higher cognitive processes and mood systems by electrically stimulating -- directly or indirectly -- focal regions of the cortex and subcortical structures in the brain. The effectiveness of TMS and MST (MST is a higher-dosage, convulsive form of magnetic stimulation) is being studied worldwide. Results are encouraging: TMS has been reported to reduce the frequency of auditory hallucinations when administered to brain regions that show abnormal hyperactivity during hallucinations, and both TMS and MST induce far less electricity and stimulate more focal cortical regions than ECT, thus incurring fewer cognitive side effects. Although DBS -- in which an electrode is implanted in a location relevant to the illness in question -- is more invasive than other modalities, it is able to reach deeper structures in a highly focal way, which may be important for illnesses like obsessive-compulsive disorder, whose circuitry relies heavily on subcortical structures. VNS is less invasive than DBS but more invasive than TMS or MST. Efficacy of VNS is uncertain. Improvement appears to build over time, and the hope is that months or years after implantation patients may show dramatic improvements. Claims of enhanced efficacy with time have never been tested directly, and controlled, randomized trials are needed to determine whether VNS has a role in the treatment of major depression. Its effects are limited to the neuroanatomical connectivity of the vagus nerve. Enriching our knowledge base in this exciting new field means more choices and therapeutic strategies for patients with conditions that resist conventional treatments. This fascinating work is a key reference for the promising future of brain stimulation in psychiatric treatment and is a "must read" for clinicians and residents alike.
Hallucinatory phenomena have held the fascination of science since the dawn of medicine, and the popular imagination from the beginning of recorded history. Their study has become a critical aspect of our knowledge of the brain, making significant strides in recent years with advances in neuroimaging, and has established common ground among what normally are regarded as disparate fields. The Neuroscience of Hallucinations synthesizes the most up-to-date findings on these intriguing auditory, visual, olfactory, gustatory, and somatosensory experiences, from their molecular origins to their cognitive expression. In recognition of the wide audience for this information among the neuroscientific, medical, and psychology communities, its editors bring a mature evidence base to highly subjective experience. This knowledge is presented in comprehensive detail as leading researchers across the disciplines ground readers in the basics, offer current cognitive, neurobiological, and computational models of hallucinations, analyze the latest neuroimaging technologies, and discuss emerging interventions, including neuromodulation therapies, new antipsychotic drugs, and integrative programs. Among the topics covered: Hallucinations in the healthy individual. A pathophysiology of transdiagnostic hallucinations including computational and connectivity modeling. Molecular mechanisms of hallucinogenic drugs. Structural and functional variations in the hallucinatory brain in schizophrenia. The neurodevelopment of hallucinations. Innovations in brain stimulation techniques and imaging-guided therapy. Psychiatrists, neurologists, neuropsychologists, cognitive neuroscientists, clinical psychologists, and pharmacologists will welcome The Neuroscience of Hallucinations as a vital guide to the current state and promising future of their shared field.

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