Seishin Igaku Volume 60, Issue 6 (June 2018)

Cognitive Behavioral Therapy Focused on the Thought Processes of Schizophrenic Patients: A motivational attempt at convergent thinking Atsuhiro Mikami 1,2 , Naomi Inoue 1 , Tomoyuki Funatogawa 1 , Taijyu Yamaguchi 1 , Naoyuki Katagiri 1 , Naohisa Tsujino 1,2 , Takahiro Nemoto 1 , Masafumi Mizuno 1 1Department of Neuropsychiatry, Toho University School of Medicine, Tokyo, Japan 2Department of Psychiatry, Saiseikai Yokohamashi Tobu Hospital Keyword: Cognitive behavioral therapy , Incoherence , Schizophrenia , Convergent thinking motivation pp.673-679
Published Date 2018/6/15
  • Abstract
  • Look Inside
  • Reference

 In treating schizophrenia, it is imperative to comprehensively use cognitive behavioral therapeutic approaches, among others, and not be limited to pharmacotherapy treatments alone. Notably, in the realm of cognitive behavioral therapy for the treatment of schizophrenia, many studies have reported the presence of abnormal thought content. Moreover, schizophrenic patients suffering from thought flow cessation, disturbing thoughts, and poor awareness of the illness they carry, poorly benefit from the effects of pharmacotherapy, and improvements in thought processes, in order to correct or change abnormal thought content, are rather difficult. Here, we report a case of a schizophrenic patient with whom bidirectional communication was not possible because of thought disturbances. In this case, cognitive behavioral therapeutic approaches were used to change thinking patterns, independent of thought content, to achieve a convergence of incoherent thought flow(“motivational convergent thinking”) and a subsequent reconstruction of this flow, resulting in an improvement of the abnormal thought disturbances characteristic of schizophrenia.

Copyright © 2018, Igaku-Shoin Ltd. All rights reserved.


60巻6号 (2018年6月)
電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院