Psychotherapy of psychosis

Contents......Page 7
Contributors......Page 9
Foreword......Page 11
Acknowledgements......Page 14
Psychosis: fact or fiction?......Page 15
Psychotherapy for psychosis: (a) development......Page 19
Psychotherapy for psychosis: (b) current views and practice......Page 21
References......Page 23
Part I. Psychodynamic and psychoanalytic approaches to psychosis......Page 25
Psychosis, psychoanalysis and psychiatry......Page 27
Schizophrenia......Page 28
Manic–depressive psychosis......Page 35
Borderline personality and psychosis......Page 39
References......Page 40
The focal purpose of this chapter......Page 45
The translocation of content and context......Page 47
An emphasis on phenomenology rather than interpretation......Page 50
Aesthetic access to the hidden psychotic part......Page 51
Coherence between clinical categories and poetic parameters: descriptive phenomenology, psychodynamics and poiesis......Page 53
The dissolution of syntax......Page 54
Poiesis, the inner world and passionate syntax......Page 55
Important issues that defy transcription......Page 57
Poetic terms, energies and processes......Page 58
An after-dinner speech......Page 60
References......Page 61
Introduction. Diagnosis and aetiology......Page 63
Psychotic functioning compared with neurotic functioning......Page 65
Some implications for assessment and treatment......Page 67
The contribution of applied psychoanalytic psychotherapy to psychiatric services......Page 74
References......Page 76
5 Psychosis and groups......Page 77
Psychotic phenomena in groups......Page 80
Psychosis and the group context......Page 84
Psychosis and useful theories in group practice......Page 87
References......Page 89
6 Borderline phenomena in analytic groups......Page 91
Transference and countertransference considerations at the borderline......Page 94
Negotiation, mediation and other techniques......Page 99
A summary of basic points......Page 100
References......Page 101
Part II. Behavioural and cognitive approaches to psychosis......Page 103
Principles of designing a cognitive–behavioural management plan......Page 104
Recommended additional reading......Page 105
Cognitive–behavioural psychotherapy and non-schizophrenic psychoses......Page 107
Schizophrenia......Page 109
References......Page 124
8 Cognitive therapy of schizophrenia: collaborative and integrated approaches......Page 129
Continuities between ‘normality’ and schizophrenia......Page 131
Techniques used......Page 132
Schema-based techniques......Page 134
Depression and suicide......Page 139
Hallucinations......Page 140
References......Page 141
Inadequacy of pharmacological treatment......Page 144
Historical development of psychological treatments and interventions......Page 145
Recent developments in the psychological treatment of psychotic symptoms......Page 146
The Salford and Manchester projects......Page 147
Coping-strategy enhancement......Page 148
Evaluation: the Salford Symptom Project......Page 152
The Manchester Symptom Project......Page 155
References......Page 159
Part III. Systemic and family therapies......Page 163
12 Behavioural family therapy approaches to the treatment of schizophrenia......Page 195
The seven tasks of family sessions......Page 205
Common questions raised by therapists who are new to behavioural family therapy......Page 206
References......Page 209
Introduction and personal experience: the empathic capacity......Page 166
Diagnostic classification, labelling and the systemic perspective: ‘levels of abstraction’......Page 170
Definitions, theory so far and the specific application to psychosis......Page 171
History I: development of systemic theories (to about 1980)......Page 173
History II: from around 1980 to 1995......Page 176
Eclecticism and the reunion of the psychodynamic and the family/systemic......Page 178
References......Page 179
Editors’ comments......Page 183
Summary......Page 194
Schizophrenic mother and child......Page 192
Münchausen syndrome by proxy......Page 191
Postnatal depression......Page 189
The Cassel family unit......Page 187
Introduction......Page 184
Part IV. Integrative approaches to psychosis......Page 211
Technology and differentiation in medicine and psychotherapy......Page 213
The integrative model of Silvano Arieti......Page 214
The possibilities and problems of integration......Page 216
References......Page 218
The problem......Page 219
The preamble......Page 220
Characteristic dynamics of abuse......Page 221
Characteristic dynamics of psychosis......Page 226
Characteristic dynamics of institutions......Page 229
Implications for management......Page 232
References......Page 233
Introduction and aims......Page 234
Description of the project......Page 235
Clinical course......Page 240
Social networks and research method......Page 242
Results......Page 244
Conclusions......Page 248
Acknowledgement......Page 250
References......Page 251
Historical background......Page 252
The aims of the National Schizophrenia Project......Page 253
Organisation......Page 254
The new schizophrenic patients: new approaches and five-year follow-up......Page 255
The acute psychosis teams (APTs)......Page 257
Rehabilitation programme for the old long-stay schizophrenic patients......Page 258
Ten years after......Page 260
The follow-up of the long-stay patients......Page 263
Balanced deinstitutionalisation – is it possible?......Page 264
Schizophrenia and the health market......Page 266
References......Page 267
17 Meaning and madness. A narrative approach to psychopathology and treatment......Page 269
Story as a ubiquitous source of meaning and understanding......Page 272
Illness narratives......Page 273
A narrative approach to psychopathology......Page 274
Meaning of delusion......Page 275
The implications of a narrative approach to treatment......Page 280
Conclusions......Page 283
References......Page 284
Psychotherapy within a complex care plan......Page 286
Provision in the National Health Service......Page 287
Untitled......Page 290
Index......Page 291