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Cognitive Behavioural Therapy and Family Interventions for Psychosis Helen Healy, David Reader and Kenny Midence INTRODUCTION Psychosocial treatments for schizophrenia are not new in the research literature. Psychological treatments have been previously used in the treatment of schizophrenia. For example in terms of behaviour therapy, operant approaches such as token economy programmes were used in the 1960s and 1970s to improve the behaviour of patients in long stay hospitals. However, the evidence suggests that the clinical gains were limited and did not generalise beyond the therapeutic setting and also did not address delusional convictions (Alford 1986; Himadi et al 1991). Other psychological treatments for schizophrenia can be traced to early work devoted to studying the impact of the social environment on mental illness. A plethora of early studies focused on the role of the family environment in the maintenance of schizophrenia which in turn led to the concept of expressed emotion (Brown et...

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