Journal article

Cognitive intervention in early psychosis - preserving abilities versus remediating deficits

C Pantelis, C Wannan, CF Bartholomeusz, K Allott, PD McGorry

Current Opinion in Behavioral Sciences | Published : 2015

Abstract

Remediation strategies have focused on a deficits model to plan restorative interventions, with inconsistent results. Here, we propose that different trajectories require different approaches to optimise outcomes and prevent disability for individuals with psychoses. We propose that for functions that are preserved in early psychosis, targeted approaches focusing on strengths and factors conferring resilience are needed. Alternatively, for deficits apparent from illness onset, other approaches such as cognitive adaptation may be necessary. Based on the limited evidence to date, this also implies that treatments aiming to preserve functions must be instigated at the earliest prodromal stage o..

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