By Mohiuddin Ahmed, Charles M. Boisvert
This publication offers a psychotherapy intervention version known as Multimodal Integrative Cognitive Stimulation treatment (MICST). it really is grounded in details processing and cognitive stimulation options and operates out of a good psychology framework. This version, designed for team paintings with consumers with schizophrenia, could be simply adapted to operating with consumers in person treatment classes. the 3 center MICST staff actions comprise: 1) physique movement-mindfulness-relaxation (BMR); 2) cognitive stimulation utilizing staff discussions; and three) cognitive stimulation utilizing paper-pencil cognitive routines and self-reflection workouts. A bankruptcy is dedicated to every of those middle parts with genuine case vignettes to demonstrate ways in which those actions may be applied in medical perform. Homework options are integrated on the finish of every bankruptcy, dedicated to a center MICST team task and supplying feedback on how one can perform a number of abilities and workouts in among crew classes. additionally supplied are numerous handouts and worksheets that are used with clients.
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Extra info for Mind Stimulation Therapy: Cognitive Interventions for Persons with Schizophrenia
1 Relationship between brain–behavior functioning: a question of level of analysis imaging studies during pharmacotherapy and/or psychotherapy suggested a ‘top-down’ effect of psychotherapy in that modifying dysfunctional cognitive-emotional schemata lead to [sic] a reduction in dysfunctions of subcortical brain regions” (p. S11). While research continues to explore ways to improve the “targeted effects” of medication such as enhancing dopamine-related regulation in various brain regions, as well as exploring genetic factors and other vulnerability markers for schizophrenia, we believe that one of the primary research and treatment challenges is to develop more effective psychotherapy and therapeutic milieu interventions.
We believe that these basic universal thinking processes are not as easily accessible to persons who have schizophrenia, and that clients often do not have opportunities to exercise or stimulate these processes because of interference from ongoing psychiatric symptoms. As a result, atypical thinking processes that clients have developed for their individual adaptation become more pronounced. ” The MICST Model and Schizophrenia 21 MICST: From Psychopathology Reduction to Psychopathology Redirection Traditional medication management and psychological interventions have often identified symptom management or symptom elimination as a primary treatment goal.
Chapter 2 The MICST Model and Schizophrenia Historical Development of MICST The MICST model was developed as a group intervention model by the senior author (Mohiuddin Ahmed) at a state psychiatric inpatient facility, based on his prior experience providing individual therapy to persons with schizophrenia in a community mental health center. Subsequently, the MICST group model was implemented in a CMHC, which formed the basis of the first publication on the group model in the Community Mental Health Journal (Ahmed & Goldman, 1994).