ABSTRACT

Recent advances in CBT for psychosis have often arisen through making connections across diagnoses. For instance, Morrison (2001) has investigated the overlap between intrusive thoughts and ego dystonic voices; both Morrison (2001) and Hemsley (1993) have highlighted the role of arousal in psychotic symptomotology, and Gilbert et al. (2001) have identi®ed connections between critical voices, negative automatic thoughts in depression, and social hierarchy. These are probably a sample of what is becoming a gathering trend. The examples of working with psychosis in the inpatient context given here further illustrate the way in which creative therapeutic approaches to psychosis can develop through cross-borrowing from CBT approaches originally developed for other diagnoses. Both examples represent therapy with people detained on the psychiatric intensive care unit (PICU), demonstrating that fruitful work can take place in this setting.