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Jérôme Favrod

Publications and source records attributed to Jérôme Favrod.

9 recordsLinked to original sources
PubMed2006

A card game for the treatment of delusional ideas: a naturalistic pilot trial.

BACKGROUND: "Michael's game" is a card game which aims at familiarizing healthcare professionals and patients with cognitive behavioral therapy of psychotic symptoms. This naturalistic study tests the feasibility and the impact of the intervention in various naturalistic settings. METHOD: Fifty five patients were recruited in seven centers. They were assessed in pre and post-test with the Peters Delusion Inventory--21 items (PDI-21). RESULTS: Forty five patients completed the intervention significantly reducing their conviction and preoccupation scores on the PDI-21. CONCLUSION: This pilot study supports the feasibility and effectiveness of "Michael's game" in naturalistic setting. Additional studies could validate the game in a controlled fashion.

Adult↗
PubMed2006

A first step toward cognitive remediation of voices: a case study.

Several studies have shown that source-monitoring errors are related to verbal hallucinations in schizophrenia. An exploratory pilot study has been carried out to investigate the possibility of training patients in how to avoid errors in source-monitoring. One patient with paranoid schizophrenia and persistent thought insertions was trained for 6 hours to use mnemonic techniques to compensate specific deficits in source-monitoring. Results show that the patient was able to improve his performance and maintain the acquired progress at a 1-month follow-up assessment. These preliminary results are interesting for developing a larger controlled study of cognitive remediation of source-monitoring deficits.

Adult↗
PubMed2004

[For a logic of the psychotic experience].

The psychotic experience is often seen as qualitatively different from normality. Empirical data show that psychotic symptoms have to be described on a continuum between normality and psychosis. A model of construction of delusional ideas starting from making sense of perceptual aberrations integrating reasoning styles, personal and cultural variables is presented. This model also show how delusional ideas are maintained through bias of selection and behaviors associated with delusional ideas which are naturally reinforced in natural environments. Cognitive-Behavior Therapy (CBT) for psychotic symptoms is a validated psychological set of techniques useful to treat persistent psychotic symptoms. CBT is presented as a five steps intervention including: engagement and assessment, education and normalization of psychotic symptoms, verbal questioning of evidences supporting the beliefs, reality testing and consolidation.

Behavior Therapy↗
PubMed2004

[Psychosocial rehabilitation at the dawn of the 21st century: III: Interdisciplinary evaluation method and bio-psycho-social schedule].

During the past 20 years, therapeutic and rehabilitative modalities in the field of psychosocial rehabilitation have been diversified in becoming more specific. We have the possibility to offer individualized rehabilitation programs as well as in the general field of socio-professional goals as in the clinical field according to the patients' needs and personal assets. The content of these programs associates various forms of specialized medical and paramedical services. The indications are established trough a careful assessment. The rehabilitation unit of the University Department of Psychiatry in Lausanne has developed a multidisciplinary assessment method based on the bio-psychosocial integrative model and the vulnerability-stress model in integrating the level of experience of Wood for the analysis of the psychosocial functioning. This results in a structured assessment program, which leads to a multidisciplinary comprehensive assessment (difficulties versus adaptative resources).

Humans↗
PubMed2004

[Recovering from schizophrenia: an intervention model].

Outcome studies show that schizophrenia improves with the action of time. A minority of patients will be completely release from the illness. However the others will keep on suffering from the illness or its consequences. The aim of this paper is to put forward a psychological recovery model. The model is built from the experience of people who describe themselves as recovered from schizophrenia. Common elements of various patients' accounts and qualitative studies show that recovery is a step-by-step process. The recognition of these different steps should allow clinicians to provide more specifically psychosocial treatments validated to enable patients to go faster from one step to the other.

Humans↗
PubMed2004

[Cognitive-behavioral therapy for auditory hallucinations resistant to neuroleptic treatment].

The aim of this study is to test the feasibility and the efficacy of a cognitive and behavior therapy manual for auditory hallucinations with persons suffering from schizophrenia in a French-speaking environment and under natural clinical conditions. Eight patients met ICD-10 criteria for paranoid schizophrenia, 2 for hebephrenic schizophrenia and 1 for schizoaffective disorder. All were hearing voices daily. Patients followed the intervention for 3 to 6 months according to their individual rhythms. Participants filled up questionnaires at pre-test, post-test and three months follow-up. The instruments were the Belief About Voice Questionnaire--Revised and two seven points scales about frequency of hallucinations and attribution of the source of the voices. Results show a decrease of voices' frequency and improvement in attributing the voices rather to an internal than to an external source. Malevolent or benevolent beliefs about voices are significantly decreased at follow-up as well as efforts at coping with hallucinations. Results should be interpreted with caution because of the small number of subjects. The sample may not be representative of patients with persistent symptoms since there is an over representation of patients with benevolent voices and an under representation of patients with substance misuse.

Adult↗
PubMed2002

[Psychiatric rehabilitation in a French-speaking setting: current practices, future challenges].

This paper aims to assess current interventions in psychiatric rehabilitation in the French-speaking world and to discuss future developments. We review examples of policies and practices in Quebec and Europe and discuss the role and involvement of professionals; namely, the psychiatrists and the nursing staff. We also present different rehabilitation strategies and techniques used in the French-speaking world, such as case management, social-skills training, cognitive therapies for psychotic symptoms, family interventions, and return-to-work interventions. In conclusion, we invite psychiatrists to play a more active role in rehabilitation. We recommend the creation of small, specialized units closely linked to the needs of clients, and we propose to integrate social and medical interventions, rather than opposing them.

Case Management↗