Monday, September 8, 2008

Psychological Interventions in Early Psychosis: A Treatment Handbook [Hardcover]

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ISBN : 9780470844342
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Psychological Interventions in Early Psychosis provides a comprehensive overview of the emerging research and clinical evidence base for psychological treatments across the phases of early psychosis. Beginning with identified at-risk young people, the text continues through to those in acute and recovery phases, to the needs of patients with persistent symptoms.

This practical treatment handbook:
  • draws upon the expertise of several internationally recognised clinical and research programs
  • integrates reviews of the relevant research literature with illustrative case examples
  • covers critical issues for the clinician in focal chapters on suicide prevention, comorbid cannabis abuse, and family work
  • describes several modalities of treatment, such as multi-family psychoeducation, group work, psychodynamic and cognitive behavioural approaches.
Specialist early psychosis services are developing rapidly worldwide. Psychological Interventions in Early Psychosis will be an essential resource for clinicians and service leaders alike.
  • Hardcover: 304 pages
  • Publisher: Wiley; 1 edition (April 23, 2004)
  • Language: English
  • ISBN-10: 0470844345
  • ISBN-13: 978-0470844342
  • Product Dimensions: 0.8 x 6.4 x 9.8 inches
  • Shipping Weight: 1.4 pounds (View shipping rates and policies)

Psychological Interventions in Early Psychosis: A Treatment Handbook

About the Editors.


Contributors.


Foreword.


Preface.


1. An Overview of the Background and Scope for Psychological Interventions in Early Psychosis (Patrick D. McGorry).


2. Changing PACE: Psychological Interventions in the Prepsychotic Phase (Lisa J. Phillips and Shona M. Francey).


3. Cognitive-Behavioural Therapy for Acute and Recent-Onset Psychosis (Ron Siddle and Gillian Haddock).


4. Psychological Intervention in Recovery from Early Psychosis: Cognitively Oriented Psychotherapy (Lisa Henry).


5. The Dynamics of Acute Psychosis and the Role of Dynamic Psychotherapy (Johan Cullberg and Jan-Olav Johannessen).


6. Working with Families in the Early Stages of Psychosis (Jean Addington and Peter Burnett).


7. A Group Psychotherapeutic Intervention During Recovery From First-Episode Psychosis (Ashok K. Malla, Terry S. McLean and Ross M.G. Norman).


8. Cannabis and Psychosis: A Psychological Intervention (Kathryn Elkins, Mark Hinton and Jane Edwards).


9. The First Psychotic Relapse: Understanding the Risks, and the Opportunities for Prevention (John F.M. Gleeson).


10. Suicide Prevention in Early Psychosis (Paddy Power).


11. Psychological Treatment of Persistent Positive Symptoms in Young People with First-Episode Psychosis (Jane Edwards, Darryl Wade, Tanya Herrmann-Doig and Donna Gee).


12. Cognitive Therapy and Emotional Dysfunction in Early Psychosis (Max Birchwood, Zaffer Iqbal, Chris Jackson and Kate Hardy).


13. Principles and Strategies for Developing Psychosocial Treatments for Negative Symptoms in Early Course Psychosis (Paul R. Falzer, David A. Stayner and Larry Davidson).


14. Making Sense of Psychotic Experience and Working Towards Recovery (Rufus May).


15. Psychological Therapies: Implementation in Early Intervention Services (Gráinne Fadden, Max Birchwood, Chris Jackson and Karen Barton).


Index.

This book has multiple authors, so I will review each chapter individually.

Chapter 1: Background and overview.
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As with most multi-author books, the first chapters are the best ones. A psychotic prodrome is defined as a period of symptoms and increasing disability that occur before the onset of sufficient positive symptoms to allow the diagnosis of schizophrenia. The possibility of a psychotic disorder should be considered, the book says, in any young person who is becoming more socially withdrawn, performing more poorly for a sustained period, behaving in an unusual manner, or becoming more distressed or agitated and unable to explain why. Unfortunately the book does not detail the mental state findings than can be predicative of a psychotic disorder. Some practitioners experienced in early psychosis can recognise the risk of a psychotic disorder on video that is not apparent to general psychiatrists (I saw from personal experience at an APA course).

Throughout the book are references to maintaining morale and general psychological help, but this is not systematically gathered together, obliging the reader to cobble together their own list as they read: sense of self, self esteem, continuity of care, coping strategies, accurate empathy, education about psychosis and medication, CBT for symptoms and underlying schemas, improve adaptation, improve interpersonal relationships, assist the family, vocational recovery, reduce the risk of suicide and agression, prevent relapse, substance abuse, advocacy, hope.

The book points out that case management should follow the assertive model and that primary care and shared care should not be undertaken.
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