Skip to main content

The Application of FAP to Persons with Serious Mental Illness

  • Chapter
  • First Online:
The Practice of Functional Analytic Psychotherapy

Abstract

The prevalence of schizophrenia is similar to epilepsy and diabetes mellitus, showing a lifetime morbidity of about 1–1.5% of the general population (Anderson, Reiss, & Hogarty , 1986; Gottesman , 1991). According to these estimates, between four and six million people in the United States will at some point in their lifetimes experience an episode of schizophren ia (Anderson, Reiss, & Hogarty , 1986). While advancements in psychopharmacology have assisted in alleviating distressing symptoms associated with the disorder, a significant level of residual symptoms often remain that may vary in intensity over time and across individuals.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    The term “client” is used throughout this chapter to identify persons receiving services from mental health providers. The authors have chosen to use this identifier instead of “consumer” (which has gained wide-spread use) for several reasons, including the fact that the former term is preferred by the majority of individuals with whom the authors work. Second, the term “consumer” conveys a somewhat passive tone (it seems preferable to be a “producer”) and does not reflect the extent to which persons with serious mental illness play a vital role in their own recovery process and contribute to the welfare of others. Finally, for many persons with serious mental illness, there are often too few services and supports to choose from or consume. We acknowledge that labels can have a harmful impact, and hope that this explanation of language is helpful.

References

  • Anderson, C. M., Reiss, D. J., & Hogarty, G. E. (1986). Schizophrenia and the family. New York: Guilford Press.

    Google Scholar 

  • Atthowe, J. M., & Krasner, L. (1968). Preliminary report on the application of contingent reinforcement procedures (Token economy) on a “chronic” psychiatric ward. Journal of Abnormal Psychology, 73(1), 37–43.

    Article  PubMed  Google Scholar 

  • Bach, P., Gaudiano, B. A., Pankey, J., Herbert, J. D., & Hayes, S. C. (2005). Acceptance, mindfulness, values, and psychosis: Applying Acceptance and Commitment Therapy (ACT) to the chronically mentally ill. In R. A. Baer (Ed.), Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications (pp. 94–116). Burlington, MA: Elsevier.

    Google Scholar 

  • Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70(5), 1129–1139.

    Google Scholar 

  • Bach, P., & Moran, D. J. (2008). ACT in practice: Case conceptualization in acceptance and commitment therapy. Oakland, CA: New Harbinger Press.

    Google Scholar 

  • Baruch, D. E., Kanter, J. W., Busch, A. B., & Juskiewicz, K. (2009). Enhancing the therapy relationship in acceptance and commitment therapy for psychotic symptoms. Clinical Case Studies, 8, 241–257.

    Article  Google Scholar 

  • Bellack, A. S., Mueser, K. T., Gingerich, S., & Agresta, J. (1997). Social skills training for schizophrenia: A step-by-step guide. New York: Guilford Press.

    Google Scholar 

  • Brier, A., Schreiber, J. L., Dyer, J., & Pickar, D. (1991). National Institute of Mental Health longitudinal study of chronic schizophrenia: Prognosis and predictors of outcome. Archives of General Psychiatry, 48, 239–246.

    Article  Google Scholar 

  • Corrigan, P., & Lundin, R. (2001). Don’t call me nuts: Coping with the stigma of mental illness. Tinley Park, IL: Recovery Press.

    Google Scholar 

  • Dixon, M. R., Benedict, H., & Larsen, T. (2001). Functional analysis and treatment of inappropriate verbal behavior. Journal of Applied Behavior Analysis, 34, 361–363.

    Article  PubMed  Google Scholar 

  • Doherty, E. G. (1975). Labeling effects in psychiatric hospitalization. A study of diverging patterns of inpatients self-labeling processes. Archives of General Psychiatry, 32, 562–568.

    Article  PubMed  Google Scholar 

  • Eckman, T., Liberman, R. P., Wirshing, W., Lelord, F., & Hatcher, V. (1988). Symptom management trainer’s manual. Los Angeles, CA: UCLA Department of Psychiatry.

    Google Scholar 

  • Eells, T. D. (2000). Psychotherapy of schizophrenia. Journal of Psychotherapy Practice and Research, 9, 250–254.

    PubMed  Google Scholar 

  • Freud, S. (1905/1953). On Psychotherapy. In J. Strachey (Ed. & Trans.), The standard ed. of the complete psychological works of Sigmund Freud (Vol. 7, pp. 255–268). London, England: Hogarth Press. (Original work published 1905).

    Google Scholar 

  • Gaudiano, B. A., & Herbert, J. D. (2006). Acute treatment of inpatients with psychotic symptoms using acceptance and commitment therapy: Pilot results. Behaviour Research & Therapy, 44 (3), 415–437.

    Article  Google Scholar 

  • Gorman, J. M. (1996). The new psychiatry. New York: St. Martin’s Press.

    Google Scholar 

  • Gottesman, I. I. (1991). Schizophrenia genesis: The origins of madness. New York: Freeman.

    Google Scholar 

  • Hayes, S. C. (1993). Analytic goals and the varieties of scientific contextualism. In S. C. Hayes, L. J. Hayes, H. W. Reese, & T. R. Sarbin (Eds.), Varieties of scientific contextualism (pp. 11–27). Reno, NV: Context Press.

    Google Scholar 

  • Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.

    Google Scholar 

  • Holmes, E. P., Dykstra, T. A., Diwan, S., & River, P. (2003). Functional analytic rehabilitation: A contextual behavior approach to chronic distress. The Behavior Analyst Today, 4(1), 34–46.

    Google Scholar 

  • Kohlenberg, R. J., & Tsai, M. (1991). Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York: Plenum Publishing Corp.

    Book  Google Scholar 

  • Kopelowicz, A., & Liberman, R. P. (1998). Psychosocial treatments for schizophrenia. In P. E. Nathan & J. M. Gorman (Eds.), Treatments that work (pp. 190–221). London: Oxford University Press.

    Google Scholar 

  • Leff, J. P., Kuipers, L., Berkowitz, R., Eberlein-Vries, R., & Sturgeon, P. (1982). A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.

    Article  PubMed  Google Scholar 

  • Linehan, M. M. (1993). Cognitive behavioral treatment of borderline personality disorder. New York: Guilford Press.

    Google Scholar 

  • Smith, T. E., Liberman, R. P., & Kopelowicz, A. (2000). Schizophrenic disorders: Rehabilitation. In H. Helmchen, F. A. Henn, H. Lauter, and N. Sartorius (Eds.), Current concepts in psychiatry (pp. 1–42). Heidelberg: Springer.

    Google Scholar 

  • Tsai, M., Kohlenberg, R. J., Kanter, J. W., Kohlenberg, B., Follette, W. C., & Callaghan, G. M. (2008). A guide to functional analytic psychotherapy: Awareness, courage, love, and behaviorism. New York: Springer.

    Google Scholar 

  • Turkington, D., Kingdon, D., & Turner, T. (2002). Effectiveness of brief cognitive behavioral therapy intervention in treatment of schizophrenia. British Journal of Psychiatry, 180, 523–527.

    Article  PubMed  Google Scholar 

  • Vaughn, C. E., & Leff, J. P. (1976). The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125–137.

    Article  PubMed  Google Scholar 

  • Wallace, C. J., English, S. B., & Blackwell, G. A. (1990). Basic conversation skills trainer’s manual. Los Angeles, CA: UCLA Department of Psychiatry.

    Google Scholar 

  • Wallace, C. J., & Liberman, R. P. (1985). Social skills training for patients with schizophrenia: A controlled clinical trial. Psychiatry Research, 15(3), 239–247.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thane A. Dykstra .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC.

About this chapter

Cite this chapter

Dykstra, T.A., Shontz, K.A., Indovina, C.V., Moran, D.J. (2010). The Application of FAP to Persons with Serious Mental Illness . In: Kanter, J., Tsai, M., Kohlenberg, R. (eds) The Practice of Functional Analytic Psychotherapy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5830-3_12

Download citation

Publish with us

Policies and ethics