Behavioural and Cognitive Psychotherapy

Individual Cognitive Behavioural Therapy for Psychosis (CBTp): A Systematic Review of Qualitative Literature  *

Lisa Wooda1 c1, Eilish Burkea1 and Anthony Morrisona1

a1 Psychosis Research Unit, Prestwich Hospital, Manchester, UK


Background: Individual Cognitive Behaviour Therapy for psychosis (CBTp) is the first line recommended psychological intervention for adults diagnosed with schizophrenia. However, little is yet known about service users’ subjective experiences of CBTp. Aims: This study aimed to conduct a systematic review of qualitative literature to examine service user perspective of CBTp. Method: A thematic synthesis of qualitative studies examining service users’ experiences of CBTp was conducted. A total of six studies were included in the analysis. Results: Three superordinate themes were identified: therapeutic alliance; facilitating change; and challenges of applying CBTp. Conclusion: Overall, CBTp is a helpful and acceptable therapeutic approach to service users. Developing a collaborative therapeutic relationship is essential. The applications of CBTp can be problematic and the therapist and client need to work together to overcome these difficulties.

(Online publication December 05 2013)


  • Thematic synthesis;
  • psychosis;
  • cognitive behaviour therapy


c1 Reprint requests to Lisa Wood, Psychosis Research Unit, Greater Manchester West NHS Foundation Trust, Psychology Services, Prestwich Hospital, Manchester M25 3BL, UK. E-mail:


*  The authors recognize that the terms and language used in this paper are not universally endorsed. Where differences of opinion arose, the team decided to use the term that was endorsed by the majority, whilst also respecting the views of others.