Understanding Psychosis and Schizophrenia


Book Description

This report provides an overview of the current state of knowledge about why some people hear voices, experience paranoia or have other experiences seen as 'psychosis'. It also describes what can help. In clinical language, the report concerns the 'causes and treatment of schizophrenia and other psychoses'. In recent years we have made huge progress in understanding the psychology of what had previously often been thought of as a largely biological problem, an illness. Much has been written about the biological aspects: this report aims to redress the balance by concentrating on the psychological and social aspects, both in terms of how we understand these experiences and also what can help when they become distressing. We hope that this report will contribute to a fundamental change that is already underway in how we as a society think about and offer help for 'psychosis' and 'schizophrenia'. For example, we hope that in future services will no longer insist that service users accept one particular view of their problem, namely the traditional view that they have an illness which needs to be treated primarily by medication. The report is intended as a resource for people who work in mental health services, people who use them and their friends and relatives, to help ensure that their conversations are as well informed and as useful as possible. It also contains vital information for those responsible for commissioning and designing both services and professional training, as well as for journalists and policy-makers. We hope that it will help to change the way that we as a society think about not only psychosis but also the other kinds of distress that are sometimes called mental illness. This report was written by a working party mainly comprised of clinical psychologists drawn from the NHS and universities, and brought together by their professional body, the British Psychological Society Division of Clinical Psychology. This report draws on and updates an earlier one, Recent Advances in Understanding Mental Illness and Psychotic Experiences, which was published in 2000 and was widely read and cited. The contributors are leading experts and researchers in the field; a full listing with affiliations is given at the end of the report. More than a quarter of the contributors are experts by experience - people who have themselves heard voices, experienced paranoia or received diagnoses such as psychosis or schizophrenia. At the end of the report there is an extensive list of websites, books and other resources that readers might find useful, together with list of the academic research and other literature that the report draws on.




Understanding Psychosis


Book Description

Do psychotic disorders make sense? Are psychotic symptoms amenable to interpretation? Understanding Psychosis: A Psychoanalytic Approach takes the various pathways to psychotic illness outlined by psychoanalytic clinicians and scholars and integrates them into a model that allows a systematic assessment of relevant psychodynamic dimensions in the diagnosis of psychotic disorders, and which serves as a guide to psychotherapy with psychotically ill patients. Joachim Küchenhoff reviews and integrates various psychoanalytic concepts and theories about psychosis into a multi-dimensional psychodynamic model that allows an assessment and understanding of the patient’s subjective experience, objective psychological capabilities, and interpersonal resources. Küchenhoff helps the therapist to establish a basic attitude in working psychodynamically with patients and to understand the dynamics of the therapeutic relationship. Understanding Psychosis also addresses specific issues that can arise in work with clients experiencing psychosis, including understanding imminent crises or precursor states, elucidating semiotic qualities in seemingly negative symptoms, differentiating the psychotic and a non-psychotic part of the personality and providing a dynamic approach to the psychopharmacological treatment. Clinical vignettes and three detailed case reports are included in the book. Understanding Psychosis will be an essential guide for psychiatrists, psychotherapists and psychoanalysts working with patients experiencing psychosis. It will also be of use to psychologists, and academics and students of psychotherapy, psychiatry and psychoanalysis for psychosis.




Psychosis


Book Description

Bringing together a number of pioneering thinkers and workers ni the field of psychosis, this book provides an interrogation of 'official theories' surrounding schizophrenia and examines the range of ways in which psychosis can be thought about and worked with. The first part of the book, which deals with the meaning of psychosis, presents papers on the development of psychosis from historical, social, theoretical and emotional perspectives. It explains current psychoanalytical ideas of the meaning of psychosis and looks at the ways in which psychoanalytic theorists have found meaning in the commuications of psychotic patients. The more clinically oriented papters in the second part of the book focus on the treatment of psychosis. These describe ongoing work in therpeutic settings with people diagnosed as being schizophrenic, as well as the effects on staff working with psychotic patients. This is an encouraging and stimulating book for students and professionals int he field of psychosis, who often feel isolated in their efforts to understand their patients.




Understanding Schizophrenia


Book Description

Written by two physicians with decades of clinical and research experience in the field, this volume helps readers face schizophrenia by understanding what it is and how it is managed. Schizophrenia is a devastating illness that affects more than two million Americans. Written to help anyone who is faced with managing schizophrenia, whether as a patient, friend, or family member, this accessible book is an ideal first stop for practical, up-to-date information. It includes an overview of schizophrenic disorder and provides answers to common questions that arise at different phases of the illness. This brief and to-the-point guide focuses on dealing with many aspects of schizophrenia—complying with treatment, managing crises, being a caregiver, communicating with the care team, and coping skills. The book also provides practical approaches to common issues, such as financial support, housing, employment, interacting with the legal system, stress management, socialization, and negative emotions. Included are useful forms, lists, and a comprehensive collection of resources to access help and information. The goal of this book is to assist patients and their loved ones to effectively face schizophrenia, achieve maximal recovery, and enjoy a good quality of life.




Insight and Psychosis


Book Description

The insight a patient shares into their own psychosis is fundamental to their condition - it goes to the heart of what we understand 'madness' to be. Can a person be expected to accept treatment for a condition that they deny they have? Can a person be held responsible for their actions if those actions are inspired by their own unique perceptions and beliefs - beliefs that no-one else shares? The new edition of this unique book shows how we can better understand the patient's view of their illness, and provides valuable advice for all those involved in the treatment of mental illness.




Madness Explained


Book Description

A revised edition of Madness Explained, Richard Bentall's groundbreaking classic on mental illness In Madness Explained, leading clinical psychologist Richard Bentall shatters the modern myths that surround psychosis. Is madness purely a medical condition that can be treated with drugs? Is there a clear dividing line between who is sane and who is insane? For this revised edition, he adds new material drawing on the recent advances in molecular genetics, new studies of the role of environment in psychosis, and important discoveries on early symptoms preceding illness, among other important developments in our understanding. 'Madness Explained is a substantial, yet highly accessible work. Full of insight and humanity, it deserves a wide readership.' Sunday Times 'Will give readers a glimpse both of answers to their own problems, and to questions about how the mind works' Independent Magazine Richard P. Bentall holds a Chair in Experimental Clinical Psychology at the University of Manchester. In 1989 he received the British Psychological Society's May Davidson Award for his contribution to the field of Clinical Psychology.




Understanding Psychosis


Book Description

Severe mental illness afflicts many men and women throughout their lives, often without warning, and almost always with devastating results. This book takes a look at psychosis, and contends that although the delusions and hallucinations of the psychotic person are misguided and confused, they are understandable when viewed in the context of a person's life. Using real life examples, Capps covers the prevalence of psychotic illness; the long-range effects of deinstitutionalization on mentally ill persons, their families, and their communities; family members' responses to their mentally ill relative; rehabilitation and prevention approaches and methods; the nature of delusions and hallucinations; the delusional belief that one is someone else; and the realization of mental stability.




The Schizophrenia Spectrum


Book Description

An essential reference for assessing and treating people with schizophrenia spectrum disorders – now updated and even more comprehensive. The new edition of this highly acclaimed volume provides a fully updated and comprehensive account of the psychopathology, clinical assessment, and treatment of schizophrenia spectrum disorders. It emphasizes functional assessment and modern psychological treatment and rehabilitation methods, which continue to be under-used despite overwhelming evidence that they improve outcomes. The compact and easy-to-read text provides both experienced practitioners and students with an evidencebased guide incorporating the major developments of the last decade: the new diagnostic criteria of the DSM-5, introducing the schizophrenia spectrum and neurodevelopmental disorders, the further evolution of recovery as central to treatment and rehabilitation, advances in understanding the psychopathology of schizophrenia, and the proliferation of psychological and psychosocial modalities for treatment and rehabilitation.




The First Episode of Psychosis


Book Description

The First Episode of Psychosis is the ideal book for patients experiencing the frightening and confusing initial episode of psychosis, which often occurs during late adolescence or early adulthood, and which affects nearly 3% of all people over the course of their lifetime. The book covers a range of disorders, focusing on primary psychotic disorders such as schizophrenia and schizophreniform disorder, clearly describing symptoms, early warning signs, and treatment--information that is essential for patients and families faced with the challenges posed by psychosis. The book also discusses psychiatric evaluation, healthy lifestyle choices, and the stigma often associated with mental illnesses. Worksheets allow readers to keep records of symptoms to facilitate communication with care providers, and an extensive glossary clarifies the dizzying array of terms used by medical professionals. Optimistic, practical, and recovery-oriented, The First Episode of Psychosis will help patients and their families to take an active, informed role in their care to ensure the best possible prognosis.




Understanding and Caring for People with Schizophrenia


Book Description

This book challenges professional and public misconceptions of schizophrenia as an illness with intractable symptoms and inexorable mental deterioration, educating clinicians and researchers on the effectiveness of treatment to change the course of or prevent the onset of illness. The authors illustrate such effectiveness through fifteen case studies examining psychosis in diverse clients. These case studies are divided into the three phases of the illness—prodromal/clinical high risk, first-episode, chronic, and treatment-refractory—with accompanying analyses of the causes, symptoms, interventions and treatments. By depicting patients at different clinical stages of the illness, with accompanying explanations of how they got to that point, what might have been done to avoid – or has been done to achieve – this outcome, the reader will gain an appreciation of the nature of the illness and for the therapeutic potential of currently available treatments. Readers will learn about the various clinical aspects of schizophrenia and treatment including diagnosis, prognosis, clinical presentation, suicide risk, cognitive deficits, stigma, medication management, and psychosocial interventions.