Changing the Relationship to Psychosis


Acceptance and Commitment Therapy (ACT) is a form of Cognitive Behavioral Therapy that attempts to change the relationship to symptoms of psychosis rather than reduce or control them. This review of two previously published randomized trials of ACT found that ACT reduces rehospitalization at 4 months, an effect apparently mediated by the strength of subjects’ belief in psychoses, but not symptom-related distress. Results will appear in “Psychosis: Psychological, Social and Integrative Approaches.

Abstract → 

Related Items:
Believability of Hallucinations as a Potential Mediator of Their Frequency and Associated Distress in Psychotic Inpatients
Acceptance and Commitment Therapy for Generalized Social Anxiety Disorder: A Pilot Study
DBT, FAP, and ACT: How Empirically Oriented Are the New Behavior Therapy Technologies?


Mad in America hosts blogs by a diverse group of writers. These posts are designed to serve as a public forum for a discussion—broadly speaking—of psychiatry and its treatments. The opinions expressed are the writers’ own.


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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].