Social skills training for persons with schizophrenia

Abstract Schizophrenia is a serious mental illness often accompanied by impairments in functioning that can result from deficits in neurocognition and social cognition as well as negative symptoms (e.g., lack of motivation). Social skills training (SST) is a systematic approach to teaching interpersonal skills that is effective for improving functioning and negative symptoms among persons with schizophrenia. In SST, complex interpersonal skills are broken down into smaller skills, and taught using a structured format through a combination of modeling (clinician demonstration of skills in role plays), behavioral rehearsal (client practicing of skills in multiple role plays), positive and corrective feedback to shape learning of skills (reinforcement of successive approximations to targeted skill), and collaboratively developed home assignments to practice the skill outside of sessions. A wide range of skills can be taught with SST, such as skills for conversing with people, making friends and dating, pursuing leisure activities, interacting with healthcare providers, or dealing with social situations involving alcohol or drug use. Some programs aimed at improving social functioning in schizophrenia are based primarily on SST, whereas other programs may incorporate SST along with other therapeutic approaches, such as psychoeducation or cognitive behavioral therapy.