(1 reviews)Author: Andrew Gumley
ISBN : 9780470021842
Buy New from $77.97
—Anthony P. Morrison, Professor of Clinical Psychology, University of Manchester, UK
Over the past decade our understanding of the experience of psychosis has changed dramatically. As part of this change, a range of psychological models of psychosis and associated interventions have developed.
Staying Well After Psychosis presents an individually based psychological intervention targeting emotional recovery and relapse prevention. This approach considers the cognitive, interpersonal and developmental aspects involved in recovery and vulnerability to the recurrence of psychosis.
Andrew Gumley and Matthias Schwannauer provide a framework for recovery and staying well that focuses on emotional and interpersonal adaptation to psychosis. This practical manual covers, in detail, all aspects of the therapeutic process of Cognitive Interpersonal Therapy, including:
- Taking a developmental perspective on help seeking and affect regulation.
- Supporting self-reorganisation and adaptation after acute psychosis.
- Understanding and treating traumatic reactions to psychosis.
- Working with humiliation, entrapment, loss and fear of recurrence appraisals during recovery.
- Working with cognitive interpersonal schemata.
- Developing coping in an interpersonal context.
Clinical psychologists, psychiatrists and mental health professionals will find this innovative treatment manual to be a valuable resource in their work with adults and adolescents. This book will also be of interest to lecturers and students of clinical psychology and mental health.
- Hardcover: 308 pages
- Publisher: Wiley; 1 edition (March 16, 2006)
- Language: English
- ISBN-10: 0470021845
- ISBN-13: 978-0470021842
- Product Dimensions: 0.9 x 6.3 x 8.9 inches
- Shipping Weight: 1.2 pounds (View shipping rates and policies)
Staying Well After Psychosis: A Cognitive Interpersonal Approach to Recovery and Relapse Prevention
Preface.
Foreword.
Acknowledgements.
PART I: THEORETICAL OVERVIEW OF STAYING WELL AFTER PSYCHOSIS.
1. Current Perspectives on Relapse, Relapse Detection and Prevention.
Introduction.
Psychological Therapies and Relapse Prevention.
Affect, Meaning and Relapse.
A Cognitive Behavioural Model of Early Signs and Relapse.
Antipsychotic Medication and Relapse.
Implications For Staying Well After Psychosis.
2. Attachment Theory, Self-Regulation and Psychosis.
Introduction.
Patterns of Attachment.
Attachment Theory and Later Psychopathology.
Stability of Attachment Organisation.
Attachment Organisation and Psychosis.
3. Psychological Factors in Vulnerability and Transition to Relapse.
Introduction.
The Interpersonal Context.
The Wider Social Context of Psychosis.
Significant Life Events.
Trauma.
Interpersonal Coping.
Appraisals of Psychosis and Emotional Distress.
Conclusions.
PART II: OVERVIEW OF STRUCTURE, STYLE AND ORGANISATION OF THERAPY.
4. Overview Of Staying Well After Psychosis.
Introduction.
Primary and Secondary Outcomes.
Assessment.
Structure of Therapy.
Style of Therapy.
Basic Elements of the Therapeutic Stance.
General Outline of Therapy Sessions.
Service Model.
5. Strategies For Engagement and Formulation.
Attachment Organisation, Recovery and Distress.
Validation.
The Evolution of Therapeutic Discourse.
Case Formulation.
Case Formulation in SWAP.
Conclusions.
PART III: SPECIFIC COGNITIVE AND INTERPERSONAL STRATEGIES FOR RECOVERY ANDRELAPSE PREVENTION AFTER PSYCHOSIS.
6. Reorganisation Of The Self In Recovery: Working With Humiliation, Entrapment and Loss.
Introduction.
Bowlby On Loss.
Clinical Interventions and Techniques.
Conclusions.
7. Working With Interpersonal Distrust: Developing a Conceptualisation of the Paranoid Mind.
Introduction.
Paranoia as an Interpersonal Threat Response.
The Paranoid Mind is Concerned with External Personal Threat.
The Paranoid Mind Makes Decisions Quickly.
The Paranoid Mind is Strategically Deployed.
Attachment and Paranoia.
Problems With The Term Paranoia.
Working With The Personal Distress of the Paranoid Mind.
Awareness of Paranoid Mind.
Benefits and Costs of Paranoid Mind.
Development of Alternative Interpersonal Strategies.
Conclusions.
8. Working With Traumatic Reactions to Psychotic Experiences.
Introduction .
Psychosis as a Traumatic Event.
Trauma Theory.
Assimilation and Accommodation.
Exploring Traumatic Reactions.
Explaining Traumatic Reactions.
Exploring Meaning Within Traumatic Memories and Imagery.
Contrasting Experiences of Psychosis and PTSD.
Conclusions.
9. Interpersonal Strategies.
Introduction.
The Social Environment.
Interpersonal Environments as a Basis for Psychological Intervention.
The Role of Interpersonal Anxieties and Social Withdrawal.
Areas of Interpersonal Difficulties.
Working With Interpersonal Sensitivity.
Conclusions.
10. Working With Underlying Schema And Core Beliefs.
Introduction.
Early Parental Loss and Psychopathology.
Childhood Abuse and Neglect.
Psychological Sequelae of Childhood Abuse and Neglect.
Unresolved Attachment Status.
Early Childhood Trauma and Psychosis.
Trauma, Dissociation and Schizotypy.
Schema and Internal Working Models.
Identifying Schema.
Schema and Behaviour Relationships.
Core Belief Change Strategies in Cognitive Therapy.
Working With Underdeveloped Strategies.
Conclusions.
11. Awareness, Intrusiveness and Fear of Relapse.
Introduction.
Phenomenology of Relapse.
Subjective Experiences and Psychosis.
Appraisals and Relapse.
Awareness, Intrusiveness and Fear.
CBT and Relapse Prevention.
Exploring Experiences of Relapse.
Explaining Beliefs.
Early Signs Monitoring.
The Initial Interview for Targeted CBT.
Testing The Formulation.
Decatastrophising Relapse.
Contracting Intervention.
Subsequent Sessions.
Identifying the Most Emotionally Salient Beliefs.
Introducing Flexibility into Beliefs.
Transforming Beliefs.
Testing Transformed Beliefs.
Conclusions.
12. Conclusions.
Introduction.
Overview of the Treatment Manual.
Therapist Training.
Therapeutic Context.
Appendix I: Fear of Recurrence Scale (FoRSe) Questionnaire.
Appendix II: Diagrammatical kFormulation of Early Signs.
Bibliography.
Index.
So few books are out there for families with loved ones who have suffered a psychotic episode, that I started with this book out of desperation. It was a very difficult read for the lay person, but I did come away with some valuable statistics, and at least a general idea of what our family is up against.By Lady Carrie
I learned the probabilities of relapse; the signs of illness and impending relapse; and I learned what patients and their families often feel and experience as a result of psychosis. It did help me think compassionately towards myself as I have been very overwhelmed and depressed as a primary care provider for an elderly sufferer with late- life onset (first episode).
The book was written by psychiatrists practicing in the UK. The language is not only very clinical, but a bit foreign to this American reader. The book does talk about cognitive treatment strategies for patients, but it was so difficult to read that as a lay person I didn't gain a whole lot from those sections of the book.
I rated it five star for its well documented research content and statistical information. However, I do feel the title should have included "Clinician's Guide / Handbook," or something like that, rather than seeming to appeal to the sufferer. At no point in the book does it even talk to the sufferer directly.
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