Using normalising in cognitive behavioural therapy for schizophrenia
Normalisation is a central process within cognitive behavioural therapy (CBT) and not just CBT for psychosis. This is because CBT is based on the cognitive model which emphasises that the appraisal of an internal or external event determines emotion and behaviour. Normalising is used in CBT in a number of different ways. For instance, by drawing on the cognitive model we regard the distress arising from the experience as normal and understandable. Personal disclosure is also potent in the process of normalising. The mere act of labelling an individual with psychosis as mentally ill is linked with an increased perception of their unpredictability and dangerousness. Clinicians have been known to catastrophize the diagnosis of schizophrenia and so find it hard to communicate the diagnosis to the person directly, thus leaving them to find out by other means. Johns et al. investigated self-reported psychotic symptoms from the general public.