Expanding Traditional Paradigms: An Integrative Approach to the Psychotherapeutic Treatment of Psychosis

The psychiatric treatment of individuals experiencing psychosis often follows the traditional medical model, focusing on symptom management, risk reduction, psychopharmacology, and stabilization. Frequently, this focus fails to integrate various psychological approaches to the unique personal narratives, the diverse cultures, and the person-centered needs of the individual. Though some individuals with psychotic disorders are helped by psychotropic medications, many experience limited benefit with respect to their psychotic symptoms, yet struggle with distressing side effects (Lencer et al., 2011; Leucht et al., 2009). Notably, there are psychological approaches, such as cognitive-behavioral therapy, that are evidence-based treatments for the experience of psychosis, which should be considered as treatment planning is developed (Turkington et al., 2008). Additionally, other approaches such as psychodynamic therapy have also shown some positive outcomes with people with psychosis (Karon & Vandenbos, 2004) and offer additional therapeutic value to the complexity of the treatment of psychosis. Therefore, integration of psychodynamic and cognitive-behavioral approaches may be most beneficial. In addition, other integrative components should consider that many individuals with severe mental illness have dealt with stigma, oppression, and marginalization both in society and in the mental health system. We offer an integrative approach to the treatment of the experience of psychosis, with both cognitive-behavioral and psychodynamic foundations, as well as recovery-oriented care concepts, cultural implications, and the personal narratives of each individual. Expandiendo los paradigmas tradicionales: un enfoque integrador para el tratamiento psicoterapéutico de la psicosis El tratamiento psiquiátrico de las personas que experimentan psicosis a menudo sigue el modelo medico tradicional, centrándose en el tratamiento de los síntomas, las reducción del riesgo, la psicofarmacología y la estabilización. Con frecuencia, este enfoque no logra integrar varios enfoques psicológicos a las narrativas personales únicas, las diversas culturas y las necesidades del individuo centradas en la persona. Aunque algunos individuos con trastornos psicóticos son ayudados per medicamentos psicotrópicos, muchos experimentan un beneficio limitado con respecto a sus síntomas psicóticos, pero luchan con los efectos secundarios angustiosos (Lencer et al., 2001; Leucht et al., 2009). En partic