2. the appearance and course
of psychoanalytically oriented treatments, as well as cognitively
and interpersonally based
treatments are detailed. Evidence supporting these approaches
and remaining questions for
research are discussed.
Keywords
schizophrenia, recovery, psychotherapy, psychosis
Recent reviews have suggested that contrary to long-standing
pessimistic views, most people with
schizophrenia do not experience lifelong dysfunction. Instead,
most with this condition move
meaningfully toward or achieve recovery over the course of
their lives (Bellack, 2006; Lysaker &
Buck, 2008; Silverstein, Spaulding, & Menditto, 2006). They
may not only experience improve-
ments with regard to symptoms or function, but also positive
changes in how persons think about
and experience themselves as individual human beings in the
world (Resnick, Rosenheck, &
Lehman, 2004; Roe, 2001; Silverstein & Bellack, 2008). As a
result of growing awareness of this
possibility, interest has arisen in whether some forms of
psychotherapy could play an important
role in treatment. Given literature suggesting psychotherapy
may help a wide range of people
without psychosis to develop both a richer sense of self and a
more adaptive self-concept
(Hermans & Dimaggio, 2005), it is now asked whether it could
do the same for many with schizo-
phrenia and thereby uniquely promote recovery (Lysaker &
Lysaker, 2008).
3. To explore this question and a wide range of related concerns,
this issue of Clinical Case Stud-
ies is devoted to case studies of the processes by which
individual psychotherapy can promote
recovery. Therapies which range from office to community
based and from existential to
1Indiana University School of Medicine
2University of Medicine and Dentistry of New Jersey,
Piscataway
Corresponding Author:
Paul H. Lysaker, 1481 West 10 street, Indiana University
School of Medicine, Indianapolis, IN 46202
Email: [email protected]
418 Clinical Case Studies 8(6)
metacognitive to cognitive behavioral are presented with the
unifying question of how they are
able to promote wellness. Before beginning with the first,
however, it seems important to note
that any advancement in this area should be considered in the
context of the long and controver-
sial past of the psychotherapy of schizophrenia, a past which,
almost as much as any, contains a
range of of conflicting scientific claims and emotional ladden
debates. To provide a framework
for considering how to think about contemporary developments
in schizophrenia, the current
article first offers a brief overview of the history of the
psychotherapy of schizophrenia and then
highlights some of the continuing points of contention.
4. The History of the Psychotherapy of Schizophrenia
Often overlooked is that one of the first clinicians to seriously
advocate for individual psycho-
therapy for people with schizophrenia was Jung (1907/1960).
Jung (1907/1960, 1939/1960,
1958) treated many hospitalized and significantly ill patients in
the early part of the 20th century
and contrary to the zeitgeist, argued that persons with
schizophrenia could accept and benefit
from a psychotherapy with certain modifications. Jung
suggested that even the most profoundly
disturbed aspects of illness were connected in some meaningful
way to the life history and self-
concept of the patient. As such Jung asserted that much of the
work of therapy necessarily
involved increasing the patient’s understanding of his or her
self-concept.
Initially though, Jung was alone in this pursuit, as Freud (1957)
had firmly announced that
psychoanalysis with people with schizophrenia was impossible
given that persons with schizo-
phrenia could not form a proper attachment to a therapist. And
psychotherapy for schizophrenia
briefly then vanished more or less once Jung left the Burghölzli
and with a few notable excep-
tions (Fierz, 1991; Perry, 2005), abandoned his interest in
schizophrenia.
In the 1930s and 40s, however, interest in the psychotherapy of
schizophrenia suddenly
appeared in a range of different settings. Psychoanalysts such as
Fromm-Reichmann (1954),
Hill (1957), Searles (1965), and Sullivan (1962) all produced
reports which contended that
meaningful intimate bonds with persons with schizophrenia
5. could emerge in therapy. They
noted patients with this condition were often eager for treatment
and could utilize the bonds that
formed with therapists as the basis of a movement toward
health. These and other authors pro-
duced a wealth of compelling anecdotal reports suggesting that
persons with schizophrenia
could accept and embrace psychotherapy as a means to make
sense of their lives in a holistic
manner they otherwise could not. Psychotherapy thus emerged
as a treatment that might thereby
help them develop both a healthier sense of themselves as
beings in the world and richer experi-
ences of daily life. As an illustration here is a quote from a
person with schizophrenia about
their experience of psychotherapy offered by Hayward and
Taylor (1956):
Meeting you made me feel like a traveler who’s been lost in a
land where no speaks his
language. Worst of all, the traveler doesn’t even know where he
should be going. He feels
completely lost and helpless and alone. Then suddenly he meets
a stranger who can speak
English. . . it feels so much better to be able to share the
problem. . . If you are not alone
you don’t feel hopeless any more. Somehow it gives you life
and a willingness to fight
again. (p. 221)
While this literature produced a series of interesting though
sometimes fantastic theories of
the subjective experience of psychosis and its antecedents, there
was little scientific evidence
supporting its efficacy. As reviewed in a range of sources,
controlled trials failed to find
6. significant benefits for psychoanalytic psychotherapy (Drake &
Sederer, 1986). For instance, in
what was referred to as the Boston Psychotherapy Study, more
than 160 adults with schizophrenia
Lysaker and Silverstein 419
were randomly assigned to receive exploratory insight oriented
therapy or a reality based
supportive psychotherapy (Gunderson et al., 1984). Extensive
efforts were devoted to the
training of therapists, the selection of appropriate participants,
assessment procedures and
methods. Nevertheless, the most notable result was a drop rate
of just more than 40% six months
after assigned to treatment and a drop rate of nearly 70% two
years following that. More detailed
analyses of the results of those who remained in the study
revealed some improvements in
insight as well as improvements in negative symptoms among
participants assigned to the more
skilled therapists (Glass et al., 1989; Gunderson et al., 1984).
Beyond the findings of the Boston psychotherapy study, another
blow was simultaneously
dealt to the credibility of at least some psychoanalytic
treatments for schizophrenia. In particular,
a range of approaches to the psychotherapy were based on the
idea that schizophrenia is primar-
ily caused by pathological family dynamics (e.g., Karon 2003).
Psychotherapy, according to this
view was the treatment of choice as it alone could repair the
damage done by caretakers to their
children by too great, too little, or too confusing levels of
7. involvement. Research, however, indi-
cated that schizophrenia was instead a genetically influenced,
neurobiological brain disorder
involving distortion of basic human experience, one that could
well develop regardless of family
dynamics. Beyond pointing to the reality that families had been
generically blamed without any
basis, the issue here was raised of whether there was anything at
all psychotherapy could offer,
that is, beyond general human support. Drake and Sederer
(1986), for instance likened some
psychotherapies of schizophrenia to the pouring of burning oil
over wounds, a medical practice
that went for centuries without any medical basis. Nevertheless,
when surveyed, 60% of men-
tally ill persons and their families indicated that they were
interested in psychotherapy, a rate that
possibly echoes the finding that three in five participants
remained in the Boston study at 6
months (Coursey, Keller, & Farrell, 1995; Hatfield, Gearon, &
Coursey, 1996).
Following this, and concurrent with the recognition of recovery
as a likely outcome of schizo-
phrenia, a range of new possible rationales for psychotherapy
for schizophrenia have been raised
as well as empirical support for the efficacy of psychotherapy.
Perhaps most prominent among
these involve cognitive behavior therapy (CBT). Originally
created to address depression, the
use of CBT has steadily expanded to address schizophrenia and
other psychotic disorders (Rector
& Beck, 2002). Treatment from this perspective has stressed
that the neurobiological processes
of schizophrenia interact with social, developmental, and
psychological factors resulting in mal-
8. adaptive beliefs about the self, and tendencies to attribute
malicious intentions to others in an
overly rigid manner. CBT thus helps to correct those beliefs
through a systematic, collaborative
process of belief examination and prediction of the
consequences of behaviors and events. Evi-
dence supporting its efficacy includes controlled trials showing
that persons with schizophrenia
are willing to attend CBT and that CBT can reduce
dysfunctional cognitions, leading to reduc-
tions in positive and negative symptoms, and improvements in
psychosocial function (Drury,
Birchwood, Cochrane, & MacMillian, 1996; Gumley et al.,
2003; Lysaker, Davis, Bryson, &
Bell, 2009; Pilling et al., 2002; Sensky et al., 2000).
Diverging slightly from this line of thought, Chadwick (2006)
developed Person-Based
Cognitive Therapy for distressing psychosis, in an effort to
move from a symptom-focused to
a person-focused therapy. Person-Based Cognitive Therapy is an
integrative form of treatment
which draws on cognitive theory, mindfulness, client centered
principles, and a social–
developmental perspective which understands language as a
socially available tool which
persons use to make meaning of their daily activities. This
approach uses cognitive and expe-
riential techniques for working with pervasively negative self
schemata and promoting
self-acceptance and self-awareness. In parallel, case studies by
other authors, have also sug-
gested cognitive behavior therapy for psychosis can address the
personal meaning of symptoms
and psychosocial dilemmas (Davis & Lysaker, 2005;
Silverstein, 2007).
9. 420 Clinical Case Studies 8(6)
Interest has also increased in using a modified form of
psychoanalytic therapy for people with
schizophrenia. Bachmann, Resch, and Mundt (2003), has
suggested that psychoanalytic psycho-
therapy for people with schizophrenia may beneficially foster
an experience of the self and the
therapist as two separate people that share a relationship,
leading to the stabilization of a sense
of personal identity, and the integration of the psychotic
experience. Some evidence suggests that
such an approach can be helpful, at least for people who are
more clinically stable at the outset
of treatment (Hauff et al., 2002). Rosenbaum et al. (2005) have
also indicated that among more
than 560 first episode patients, those who received supportive
individual psychodynamic psy-
chotherapy or an integrated treatment had better overall
functional outcomes after 1 year of
treatment than those who received treatment as usual.
At perhaps an even larger holistic level, attention has turned to
whether psychotherapy might
promote recovery by helping some with schizophrenia develop a
richer sense of personal identity
as embedded with that person’s unique personal history or
narrative (France & Uhlin, 2006;
Lysaker, Buck, & Roe 2007; Silverstein et al., 2006). Beyond
exploring the validity of a particu-
lar conclusion or response to a particular symptom,
psychotherapy has been suggested as
something that could, as it does for many others (Adler,
10. Skalina, & McAdams, 2008; Neimeyer
& Raskin, 2000), represent a place where persons develop richer
and more layered stories about
who they are in the present, the person they have been across
the course of their life and what is
possible in the future for them. A deepened personal narrative
might then naturally be an oppor-
tunity for experience of oneself as an active agent who prevails
in the face of adversity. Providing
some support for this possibility are case studies suggesting that
improvements in the richness of
personal narratives may result during the course of individual
psychotherapy of persons with
schizophrenia and may be linked with other indicators of
recovery (Lysaker, Davis, Jones,
Strasburger, & Hunter, 2007; Lysaker et al., 2005), that self
concept is a meaningful predictor of
outcome in both first episode (Harder, 2006) and more advanced
phases of illness (Lysaker,
Buck, Hammoud, Taylor, & Roe, 2006). Finally, in the face of
evidence that many with schizo-
phrenia experience difficulties with metacognition, or thinking
about thinking (Brune, 2005;
Lafargue & Frank, 2009; McGlade et al., 2008; Stratta et al.,
2007), others have suggested that
psychotherapy could promote recovery by helping persons to
develop metacognitive capacity
(Lysaker, Buck, & Ringer, 2007). Just as psychotherapy has
been found to promote metacogni-
tion in persons who do not suffer from psychosis (Bateman &
Fonegy, 2001; Choi-Kain &
Gunderson, 2008; Dimaggio, Semerari, Carcione, Nicolò, &
Procacci, 2007), could it be tailored
to help persons with schizophrenia make better sense of their
own mental states and the mental
states of others and thereby evolve a complex storied
11. understanding of one’s life? Evidence of
this possibility includes some case studies (Lysaker et al., 2007)
suggesting that psychotherapy
interventions can be used to target metacognitive capacity as
well as empirical studies suggesting
that metacognitive deficits indeed limit personal narrative
beyond the effects of other aspects of
psychopathology and social factors such as stigma (Corcoran &
Frith, 2003; Lysaker, Buck,
Taylor, & Roe, 2008).
Summary and Questions
In summary, the history of the psychotherapy of schizophrenia
contains a series of different
epochs. Most recently we have observed a rise in possible
rationales for how psychotherapy
could promote recovery. These include approaches which
address a wide array of phenomenon,
some at the level of symptoms and others at the level of
personal narrative and the quality of
self-experience. Many questions however, remain. Whereas the
efficacy of symptom-focused
approaches are supported in part by randomized trials, more
holistic approaches are still develop-
ing and awaiting more rigorous testing. Beyond that it remains
to be articulated to what extent
Lysaker and Silverstein 421
the emerging cognitive, dynamic, interpersonal, and
phenomenological approaches differ from
one another. Are there key principles which might unite these in
some ways? Do they approach
the issue of recovery in fundamentally different ways? Is it
12. possible that each may be appropriate
for some but not all with schizophrenia? We hope that in the
following set of case studies the
detailed descriptions of the psychotherapy processes may
provide some partial answers to these
questions and push further the development of interventions
which assist persons with schizo-
phrenia to achieve and sustain recovery.
Declaration of Conflicting Interests
The authors declared that they had no conflicts of interests with
respect to their authorship or the publica-
tion of this article.
Funding
The authors received no financial support for the research
and/or authorship of this article.
References
Adler, J. M., Skalina, L. M., & McAdams, D. P. (2008). The
narrative reconstruction of psychotherapy and
psychological health. Psychotherapy Research, 12, 1-16.
Bachmann, S., Resch, F., & Mundt, C. (2003). Psychological
treatment for psychosis: History and over-
view. Journal of the American Academy of Psychoanalysis and
Dynamic Psychiatry, 31, 155-176.
Bateman, A., & Fonegy, P. (2001). Treatment of borderline
personality disorder with psychoanalytically
oriented partial hospitalization: An 18 month follow up.
American Journal of Psychiatry, 158, 36-42.
13. Bellack, A. S. (2006). Scientific and consumer models of
recovery in schizophrenia: Concordance, con-
trasts and implications Schizophrenia Bulletin, 32, 432-442.
Brune, M. (2005). Theory of mind in schizophrenia: A review of
the literature. Schizophrenia Bulletin, 31,
21-42.
Chadwick, P. (2006). Person-based cognitive therapy for
distressing psychosis. New York: John Wiley.
Choi-Kain, L. W., & Gunderson J. G. (2008). Mentalization:
Ontogeny, assessment and application in the
treatment of borderline personality disorder. American Journal
of Psychiatry, 165, 1127-1135.
Corcoran, R., & Frith, C. D. (2003). Autobiographical memory
and theory of mind: Evidence of a relation-
ship in schizophrenia. Psychology Medicine, 33, 897-905.
Coursey, R. D., Keller, A. B., & Farrell, E. W. (1995).
Individual psychotherapy and persons with serious
mental illness: The clients perspective. Schizophrenia Bulletin,
21, 283-301.
Davis, L. W., & Lysaker, P. H. (2005). Cognitive behavioral
therapy and functional and metacognitive out-
comes in schizophrenia: A single case study. Cognitive and
Behavioral Practice, 12, 468-478.
Dimaggio, G., Semerari, A., Carcione, A., Nicolò, G., &
Procacci, M. (2007). Psychotherapy of personality
disorders. London: Bruner Routledge.
Drake, R. E., & Sederer, L. I. (1986). The adverse effects of
intensive treatment of schizophrenia. Compre-
14. hensive Psychiatry, 27, 313-326.
Drury, V., Birchwood, M., Cochrane, R., & MacMillian, F.
(1996). Cognitive therapy and recovery from
acute psychosis: A controlled trial. British Journal of
Psychiatry,169, 593-601.
Fierz, H. K. (1991). Jungian Psychiatry. Einsiedeln,
Switzerland: Daimon Verlag (original works published
1963 and 1982).
France, C. M., & Uhlin, B. D. (2006). Narrative as an outcome
domain in psychosis. Psychology and
Psychotherapy-Theory Research and Practice, 79, 53-67.
Freud, S. (1957). Neurosis and psychosis (A. Strachev & J.
Strachev, Trans.). Collected papers, Vol. II.
London: Hogarth Press.
Fromm-Reichmann, F. (1954). Psychotherapy of schizophrenia.
American Journal of Psychiatry, 111,
410-419.
422 Clinical Case Studies 8(6)
Glass, L. L., Katz, H. M., Schnitzer, R. D., Knapp, P. H., Frank,
A. F., & Gunderson, J. G. (1989). Psycho-
therapy of schizophrenia: An empirical investigation of the
relationship of process to outcome. American
Journal of Psychiatry, 146, 603-608.
Gumley, A., O’Grady, M., McNay, L., Reilly, J., Power, K., &
Norrie, J. (2003). Early intervention for
relapse in schizophrenia: Results of a 12-month randomized
15. controlled trial of cognitive behavioural
therapy. Psychological Medicine, 33, 419-431.
Gunderson, J. G., Frank A. F., Katz, H. M., Vannicelli, M. L.,
Frosch, J. P., & Knapp, P. H. (1984). Effects
of psychotherapy in schizophrenia: II. Comparative outcome of
two forms of treatment. Schizophrenia
Bulletin, 10, 564-598.
Harder, S. (2006). Self-image and outcome in first-episode
psychosis. Clinical Psychology and Psycho-
therapy, 13, 285-296.
Hatfield, A. B., Gearon, J. S., & Coursey, R. D. (1996). Family
member’s rating of the use and value of
mental health services: Results of a nation NAMI survey.
Psychiatric Services, 47, 825-831.
Hauff, E., Varvin, S., Laake, P., Melle, I., Vaglum, P., & Friis,
S. (2002). Inpatient psychotherapy compared
with usual care for patients who have schizophrenic psychoses.
Psychiatric Services, 53, 471-473.
Hayward, M. L., & Taylor, J. E. (1956). A schizophrenic patient
describes the action of intensive psycho-
therapy. Psychiatric Quarterly, 30, 211-248.
Hermans, H. J. M., & Dimaggio, G. (2005). The dialogical self
in psychotherapy. London: Brunner-
Routledge.
Hill, L. B. (1957). Psychotherapy of a schizophrenia. American
Journal of Psychoanalysis, 17, 99-109.
Jung, C. G. (1907/1960). The psychology of dementia
praecox:1-151. In C. G. Jung (Ed.), The psychology
16. of dementia praecox (Vol. 8, The Collected Works of C. G.
Jung). Princeton: Princeton University Press
(original work published in 1907).
Jung, C. G. (1939/1960). On the psychogenesis of
schizophrenia:155-171. In C. G. Jung (Ed.), The psychol-
ogy of dementia praecox (Vol. 8, The Collected Works of C. G.
Jung). Princeton: Princeton University
Press (original work published 1939).
Jung, C. G. (1958). Schizophrenia:178-193.. In C. G. Jung
(Ed.), The psychology of dementia praecox (Vol.
8, The Collected Works of C. G. Jung). Princeton: Princeton
University Press (original work published
1958).
Karon, B. P. (2003). The tragedy of schizophrenia without
psychotherapy. Journal of the American Acad-
emy of Psychoanalysis and Dynamic Psychotherapy, 31, 89-118.
Lafargue, G., & Franck, N. (2009). Effort awareness and sense
of volition in schizophrenia. Consciousness
and Cognition, 18, 277-89.
Lysaker, P. H., & Buck, K. D. (2008). Is recovery from
schizophrenia possible? An overview of concepts,
evidence, and clinical implications. Primary Psychiatry, 15, 60-
65.
Lysaker, P. H., Buck, K. D., Hammoud, K., Taylor, A. C., &
Roe, D. (2006). Associations of symptom
remission, psychosocial function and hope with qualities of self
experience in schizophrenia: Compari-
sons of objective and subjective indicators of recovery.
Schizophrenia Research, 82, 241-249.
17. Lysaker, P. H., Buck, K. D., & Ringer, J. (2007). The recovery
of metacognitive capacity in schizophre-
nia across thirty two months of individual psychotherapy: A
case study. Psychotherapy Research, 17,
713-720.
Lysaker, P. H., Buck, K. D., & Roe, D. (2007). Psychotherapy
and recovery in schizophrenia: A proposal of
critical elements for an integrative psychotherapy attuned to
narrative in schizophrenia. Psychological
Services, 4, 28-37.
Lysaker, P. H., Buck, K. D., Taylor, A. C., & Roe, D. (2008).
Associations of metacognition, self stigma and
insight with qualities of self experience in schizophrenia.
Psychiatry Research, 157, 31-38.
Lysaker, P. H., Davis, L. D., Bryson, G. J., & Bell, M. D.
(2009). Effects of cognitive behavioral therapy
on work outcomes in vocational rehabilitation for participants
with schizophrenia spectrum disorders.
Schizophrenia Research, 107, 186-191.
Lysaker and Silverstein 423
Lysaker, P. H., Davis, L. D., Eckert, G. J., Strasburger, A.,
Hunter, N., & Buck., K. D. (2005). Changes in
narrative structure and content in schizophrenia in long term
individual psychotherapy: A single case
study. Clinical Psychology and Psychotherapy, 12, 406-416.
Lysaker, P. H., Davis, L. W., Jones, A. M., Strasburger, A. M.,
& Hunter, N. L. (2007). The interplay of
relationship and technique in the long-term psychotherapy of
18. schizophrenia: A single case study. Coun-
selling and Psychotherapy Research, 7, 79-85.
Lysaker, P. H., & Lysaker, J. T. (2008). Schizophrenia and the
fate of the self. Oxford, UK: Oxford Univer-
sity Press.
McGlade, N., Behan, C., Hayden, J., O’Donoghue, T., Peel, R.,
Haq, F., et al. (2008). Mental state decod-
ing v. mental state reasoning as a mediator between cognitive
and social function in psychosis. British
Journal of Psychiatry, 193, 77-78.
Neimeyer, R. A., & Raskin, J. D. (2000). Constructions of
disorder: Meaning-making frameworks for psy-
chotherapy. Washington, DC: APA.
Perry, J. W. (2005). The far side of madness (2nd ed.). Putnam,
CT: Spring (first edition published 1974).
Pilling, S., Bebbington, P., Kuipers, E., Garety, P., Geddes, J.,
Orbach, G., et al. (2002). Psychological
treatments in schizophrenia: I. Meta-analysis of family
intervention and cognitive behaviour therapy.
Psychological Medicine, 32, 763-782.
Rector, N. A., & Beck, A. T. (2002). Cognitive therapy for
schizophrenia: From conceptualization to inter-
vention. Canadian Journal of Psychiatry, 47, 39-48.
Resnick, S. G., Rosenheck, R. A., & Lehman, A. F. (2004). An
exploratory analysis of correlates of recov-
ery. Psychiatric Services, 55, 540-547.
Roe, D. (2001). Progressing from patienthood to personhood
across the multidimensional outcomes in
19. schizophrenia and related disorders. Journal of Nervous and
Mental Disease, 189, 691-699.
Rosenbaum, B., Valbak, K., Harder, S., Knudsen, P., Køster, A.,
Lajer, M., et al. (2005). The Danish National
schizophrenia project: Prospective, comparative longitudinal
treatment study of first-episode psychosis.
British Journal of Psychiatry, 186, 394-399.
Searles, H. (1965). Collected papers of schizophrenia and
related subjects. New York: International
Universities Press.
Sensky, T., Turkington, D., Kingdom, D., Scott, J. L., Scott, J.,
Siddle, R., et al. (2000). A randomized
controlled trial of cognitive behavioral therapy for persistent
symptoms in schizophrenia resistant to
medication. Archives of General Psychiatry, 57, 165-172.
Silverstein, S. M. (2007). Integrating Jungian and self-
psychological perspectives within cognitive-
behavior therapy for a young man with a fixed religious
delusion. Clinical Case Studies, 6, 263-276.
Silverstein, S. M., & Bellack, A. S. (2008). A scientific agenda
for the concept of recovery as it applies to
schizophrenia. Clinical Psychology Review, 28, 1108-1124.
Silverstein, S. M., Spaulding, W. D., & Menditto, A. A. (2006).
Schizophrenia: Advances in evidence-based
practice. Cambridge, MA: Hogrefe & Huber.
Stratta, P., Riccardi, I., Mirabilio, D., Di Tommaso, S.,
Tomassini, A., & Rossi, A. (2007). Exploration of
irony appreciation in schizophrenia: A replication study on an
Italian sample. European Archives of
20. Psychiatry and Clinical Neuroscience, 257, 337-339.
Sullivan, H. S. (1962). Schizophrenia as a human process. New
York: Norton.
Bio
Paul H. Lysaker is a clinical psychologist at the Roudebush VA
Medical Center and Associate Professor of
Clinical Psychology at the Indiana University School of
Medicine. His ongoing research concerns the role
of metacognitive deficits in schizophrenia and
psychotherapeutic interventions aimed at improving func-
tion among persons with severe mental illness.
Title
ABC/123 Version X
1
Dissociative and Somatic Symptom and Related Disorders
CCMH/548 Version 5
1
University of Phoenix Material
Dissociative and Somatic Symptom and Related Disorders
Complete the following table by choosing three to five disorders
that fall under the dissociative and/or somatic symptom and
related disorder catergories.
Disorder
Diagnostic criteria
Behavioral sypmtoms