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Tact in Psychology: Psychosis in Cognitive Behavioral Therapy

Cancelliere, Nicoletta (2025) Tact in Psychology: Psychosis in Cognitive Behavioral Therapy. Bachelor thesis, Psychology.

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Abstract

Knowing how to communicate effectively and make right decisions is fundamental to the outcomes of therapy, particularly in Cognitive Behavior Therapy (CBT) for psychosis. Clinicians are required to know how to deal in specific situations, which decisions to make, and ultimately how to help the patient. This requires tact, which refers to the sensitivity that therapists need to have in the situation and the techniques they engage in, for successful therapy outcomes. Method: This scoping review examines the roles of tact in seven psychotherapy manuals, identifying four key themes: therapeutic alliance, decision-making regarding delusions and hallucinations, medication adherence, and therapy adherence. Results: The findings show that while the manuals do provide therapeutic strategies to develop a strong relationship with the patient, deal effectively with the symptoms, and to help the client adhere to therapy and medication, they lack in addressing explicitly tactful practices. Furthermore, tactics for therapeutic alliance and how to deal with delusions and hallucinations are present across most manuals, whereas medication adherence is almost never discussed. Conclusion: These results highlight the need for more explicit guidelines for engaging with psychotic patients. The study contributes to the ongoing research on linking the gap between theoretical guidelines and real-world practice. Keywords: Tact, Cognitive Behavioral Therapy (CBT), Psychosis, Therapeutic Alliance, Decision-making, Clinical Communication

Item Type: Thesis (Bachelor)
Supervisor name: Derksen, M.
Degree programme: Psychology
Differentiation route: None [Bachelor Psychology]
Date Deposited: 07 May 2025 13:34
Last Modified: 07 May 2025 13:34
URI: http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/4875

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