Although histories of cognitive behaviour therapy have begun to appear, their use with people with psychosis diagnoses has received relatively little attention. In this article, we elucidate the conditions of possibility for the emergence of cognitive behaviour therapy for psychosis (CBTp) in England between 1982 and 2002. We present an analysis of policy documents, research publications and books, participant observation, and interviews with a group of leading researchers and senior policy actors. Informed by Derksen and Beaulieu’s articulation of social technologies, we show how CBTp was developed and stabilised through the work of a variety of overlapping informal, academic, clinical, professional, and policy networks. The profession of clinical psychology played a key role in this development, successfully challenging the traditional ‘division of labour’ where psychologists focused on ‘neurosis’ and left ‘psychosis’ to psychiatry. Following Abbott's systems approach to professions, we identify a number of historical factors that created a jurisdictional vulnerability for psychiatry while strengthening the jurisdictional legitimacy of clinical psychology in providing psychological therapies to service users with psychosis diagnoses. The National Institute for Health and Clinical Excellence played a significant role in adjudicating jurisdictional legitimacy, and its 2002 schizophrenia guidelines, recommending the use of psychological therapies, marked a radical departure from the psychiatric consensus. Our analysis may be of wider interest in its focus on social technologies in a context of jurisdictional contestation. We discuss the implications of our study for the field of mental health and for the relationship between clinical psychology and psychiatry.

尽管认知行为疗法的历史已经开始出现，但它们在精神病诊断患者中的应用却很少受到关注。在本文中，我们阐明了 1982 年至 2002 年间英国出现精神病认知行为疗法 (CBTp) 的可能性条件。主要研究人员和高级政策行动者。通过 Derksen 和 Beaulieu 对社会技术的阐述，我们展示了 CBTp 是如何通过各种重叠的非正式、学术、临床、专业和政策网络的工作发展和稳定的。临床心理学专业在这一发展中发挥了关键作用，成功挑战了传统的“分工”，即心理学家专注于“神经症”而将“精神病”留给精神病学。遵循雅培的专业系统方法，我们确定了许多历史因素，这些因素造成了精神病学的管辖脆弱性，同时加强了临床心理学在向精神病诊断服务用户提供心理治疗方面的管辖合法性。国家健康与临床卓越研究所在裁决司法管辖合法性方面发挥了重要作用，其 2002 年精神分裂症指南推荐使用心理疗法，标志着与精神病学共识的彻底背离。我们的分析可能会更广泛地关注在管辖权争议的背景下对社会技术的关注。