When a schizophrenic individual is subjected to minor traumas, the hurt to their self-esteem may be neutralized by having built up resilience in the form of a number of positive beliefs about themselves.
When individuals approach a task that seems formidable and challenging, clinicians can influence the meanings attached to the task by being supportive and encouraging.
Recovery Oriented Cognitive Therapy (CT-R) is a treatment approach designed to promote empowerment, recovery, and resiliency in individuals with serious mental health conditions.
Years ago I asked many of the individuals whom I treated. “What accounted for your improvement in treatment?” Not infrequently, instead of attributing their improvement to the therapeutic strategies, they would often reply “You believed in me.”
Once motivation is identified as a target mechanism of change, the big question is how to increase the individuals’ motivation and effort to engage in the activities that will restore them to mental health.