Staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention
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Format: | Buch |
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Chichester [u.a.]
Wiley
2008
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300 | |a XVI, 287 S. |b graph. Darst. | ||
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650 | 2 | |a Psychotic Disorders |a therapy | |
650 | 2 | |a Psychotic Disorders |a prevention & control | |
650 | 2 | |a Recurrence |a prevention & control | |
650 | 2 | |a Cognitive Therapy |a methods | |
650 | 4 | |a Cognitive Therapy |a methods | |
650 | 4 | |a Psychotic Disorders |a prevention & control | |
650 | 4 | |a Psychotic Disorders |a therapy | |
650 | 4 | |a Recurrence |a prevention & control | |
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adam_text | CONTENTS
About the Authors
....................................... ix
Preface
................................................ xi
Foreword by Max Birchwood
.............................. xv
Acknowledgements
...................................... xvii
PART I THEORETICAL OVERVIEW
...................... 1
1
Current Perspectives on Relapse, Relapse Detection and
Prevention
........................................ 3
Introduction
........................................ 3
Psychological Therapies and Relapse Prevention
........... 4
Affect, Meaning and Relapse
........................... 18
A Cognitive Behavioural Model of Early Signs and Relapse
. . 23
Antipsychotic Medication and Relapse
................... 27
Implications for Staying Well after Psychosis
.............. 32
2
Attachment Theory, Self-regulation and Psychosis
......... 34
Introduction
........................................ 34
Patterns of Attachment
................................ 36
Attachment Theory and Later Psychopathology
............ 38
Stability of Attachment Organisation
..................... 42
Attachment Organisation and Psychosis
.................. 43
3
Psychological Factors in Vulnerability and Transition to
Relapse
.......................................... 47
Introduction
........................................ 47
The Interpersonal Context
............................. 48
The Wider Social Context of Psychosis
................... 54
Significant Life Events
................................ 56
Trauma
............................................ 57
Interpersonal Coping
................................. 59
vi
CONTENTS
Appraisals of Psychosis and Emotional Distress
............ 62
Conclusions
......................................... 63
PART II OVERVIEW OF STRUCTURE, STYLE AND
ORGANISATION OF THERAPY
.......................... 65
4
Overview of Principles and Procedures
.................. 67
Introduction
........................................ 67
Primary and Secondary Outcomes
....................... 67
Assessment
......................................... 68
Structure of Therapy
.................................. 73
Style of Therapy
..................................... 75
Basic Elements of the Therapeutic Stance
................. 79
General Outline of Therapy Sessions
..................... 79
Service Model
....................................... 84
5
Strategies for Engagement and Formulation
.............. 86
Introduction
........................................ 86
Attachment Organisation, Recovery and Distress
........... 86
Validation
.......................................... 91
The Evolution of Therapeutic Discourse
.................. 95
Case Formulation
.................................... 97
Case Formulation in SWAP
............................ 99
Conclusions
......................................... 102
PART III SPECIFIC COGNITIVE AND INTERPERSONAL
STRATEGIES FOR RECOVERY AND RELAPSE PREVENTION
AFTER PSYCHOSIS
..................................... 103
6
Reorganisation of the Self in Recovery: Working with
Humiliation, Entrapment and Loss
.................... 105
Introduction
........................................ 105
Life Events and their Dimensions
....................... 106
Bowlby on Loss
..................................... 109
Clinical Interventions and Techniques
....................
Ill
Conclusions
......................................... 122
7
Working with Interpersonal Distrust: Developing a
Conceptualisation of the Paranoid Mind
............... 124
Introduction
........................................ 124
Paranoia as an Interpersonal Threat Response
............. 124
The Paranoid Mind is Strategically Deployed
.............. 126
CONTENTS
vii
Attachment and Paranoia.............................. 126
Problems
with the Term
Paranoia ...................... 128
Working with the Personal Distress of the Paranoid Mind
.... 129
Awareness of the Paranoid Mind
........................ 132
Development of an Accepting Rationale for Paranoia as a
Response
......................................... 133
Benefits and Costs of the Paranoid Mind
................. 135
Development of Alternative Interpersonal Strategies
........ 137
Conclusions
......................................... 138
8
Working with Traumatic Reactions to Psychotic
Experiences
....................................... 140
Introduction
........................................ 140
Psychosis as a Traumatic Event
......................... 141
Trauma Theory
...................................... 144
Assimilation and Accommodation
....................... 147
Exploring Traumatic Reactions
......................... 150
Explaining Traumatic Reactions
......................... 152
Exploring Meaning within Traumatic Memories and Imagery
. 154
Contrasting Experiences of Psychosis and PTSD
........... 158
Conclusions
......................................... 160
9
Interpersonal Strategies
.............................. 161
Introduction
........................................ 161
The Social Environment
............................... 161
Interpersonal Environments as a Basis for Psychological
Intervention
....................................... 165
The Role of Interpersonal Anxieties and Social Withdrawal
... 167
Areas of Interpersonal Difficulties
....................... 173
Working with Interpersonal Sensitivity
................... 177
Conclusions
......................................... 181
10
Working with Underlying Schemata and Core Beliefs
...... 182
Introduction
........................................ 182
Early Parental Loss and Psychopathology
................. 182
Childhood Abuse and Neglect
.......................... 183
Psychological Sequelae of Childhood Abuse and Neglect
.... 183
Unresolved Attachment Status
.......................... 185
Early Childhood Trauma and Psychosis
.................. 186
Trauma, Dissociation and Schizotypy
.................... 187
Schemata and Internal Working Models
.................. 189
Identifying Schemata
................................. 192
Schemata and Behaviour Relationships
................... 193
Core Belief Change Strategies in Cognitive Therapy
......... 195
viii CONTENTS
Working with Underdeveloped Strategies
................. 196
Conclusions
......................................... 201
11
Awareness, Intrusiveness and Fear of Relapse
............ 202
Introduction
........................................ 202
Phenomenology of Relapse
............................ 202
Subjective Experiences and Psychosis
.................... 203
Appraisals and Relapse
............................... 205
Awareness, Intrusiveness and Fear
...................... 206
Cognitive Behavioural Therapy (CBT) and Relapse
Prevention
........................................ 209
Exploring Experiences of Relapse
....................... 210
Explaining Beliefs
.................................... 212
Early Signs Monitoring
................................ 213
The Initial Interview for Targeted CBT
................... 214
Testing the Formulation
............................... 215
Decatastrophising Relapse
............................. 215
Contracting Intervention
.............................. 216
Subsequent Sessions
.................................. 216
Introducing Flexibility into Beliefs
....................... 218
Transforming Beliefs
.................................. 219
Testing Transformed Beliefs
............................ 221
Conclusions
......................................... 222
12
Conclusion
......................................... 224
Introduction
........................................ 224
Overview of the Treatment Manual
...................... 224
Therapist Training
................................... 229
Therapeutic Context
.................................. 229
Appendix I Fear of Recurrence Scale (FoRSe) Questionnaire
.... 231
Appendix II Diagrammatical Formulation of Early Signs
....... 233
Bibliography
............................................ 235
Index
................................................. 283
|
adam_txt |
CONTENTS
About the Authors
. ix
Preface
. xi
Foreword by Max Birchwood
. xv
Acknowledgements
. xvii
PART I THEORETICAL OVERVIEW
. 1
1
Current Perspectives on Relapse, Relapse Detection and
Prevention
. 3
Introduction
. 3
Psychological Therapies and Relapse Prevention
. 4
Affect, Meaning and Relapse
. 18
A Cognitive Behavioural Model of Early Signs and Relapse
. . 23
Antipsychotic Medication and Relapse
. 27
Implications for Staying Well after Psychosis
. 32
2
Attachment Theory, Self-regulation and Psychosis
. 34
Introduction
. 34
Patterns of Attachment
. 36
Attachment Theory and Later Psychopathology
. 38
Stability of Attachment Organisation
. 42
Attachment Organisation and Psychosis
. 43
3
Psychological Factors in Vulnerability and Transition to
Relapse
. 47
Introduction
. 47
The Interpersonal Context
. 48
The Wider Social Context of Psychosis
. 54
Significant Life Events
. 56
Trauma
. 57
Interpersonal Coping
. 59
vi
CONTENTS
Appraisals of Psychosis and Emotional Distress
. 62
Conclusions
. 63
PART II OVERVIEW OF STRUCTURE, STYLE AND
ORGANISATION OF THERAPY
. 65
4
Overview of Principles and Procedures
. 67
Introduction
. 67
Primary and Secondary Outcomes
. 67
Assessment
. 68
Structure of Therapy
. 73
Style of Therapy
. 75
Basic Elements of the Therapeutic Stance
. 79
General Outline of Therapy Sessions
. 79
Service Model
. 84
5
Strategies for Engagement and Formulation
. 86
Introduction
. 86
Attachment Organisation, Recovery and Distress
. 86
Validation
. 91
The Evolution of Therapeutic Discourse
. 95
Case Formulation
. 97
Case Formulation in SWAP
. 99
Conclusions
. 102
PART III SPECIFIC COGNITIVE AND INTERPERSONAL
STRATEGIES FOR RECOVERY AND RELAPSE PREVENTION
AFTER PSYCHOSIS
. 103
6
Reorganisation of the Self in Recovery: Working with
Humiliation, Entrapment and Loss
. 105
Introduction
. 105
Life Events and their Dimensions
. 106
Bowlby on Loss
. 109
Clinical Interventions and Techniques
.
Ill
Conclusions
. 122
7
Working with Interpersonal Distrust: Developing a
Conceptualisation of the Paranoid Mind
. 124
Introduction
. 124
Paranoia as an Interpersonal Threat Response
. 124
The Paranoid Mind is Strategically Deployed
. 126
CONTENTS
vii
Attachment and Paranoia. 126
Problems
with the Term
'Paranoia' . 128
Working with the Personal Distress of the Paranoid Mind
. 129
Awareness of the Paranoid Mind
. 132
Development of an Accepting Rationale for Paranoia as a
Response
. 133
Benefits and Costs of the Paranoid Mind
. 135
Development of Alternative Interpersonal Strategies
. 137
Conclusions
. 138
8
Working with Traumatic Reactions to Psychotic
Experiences
. 140
Introduction
. 140
Psychosis as a Traumatic Event
. 141
Trauma Theory
. 144
Assimilation and Accommodation
. 147
Exploring Traumatic Reactions
. 150
Explaining Traumatic Reactions
. 152
Exploring Meaning within Traumatic Memories and Imagery
. 154
Contrasting Experiences of Psychosis and PTSD
. 158
Conclusions
. 160
9
Interpersonal Strategies
. 161
Introduction
. 161
The Social Environment
. 161
Interpersonal Environments as a Basis for Psychological
Intervention
. 165
The Role of Interpersonal Anxieties and Social Withdrawal
. 167
Areas of Interpersonal Difficulties
. 173
Working with Interpersonal Sensitivity
. 177
Conclusions
. 181
10
Working with Underlying Schemata and Core Beliefs
. 182
Introduction
. 182
Early Parental Loss and Psychopathology
. 182
Childhood Abuse and Neglect
. 183
Psychological Sequelae of Childhood Abuse and Neglect
. 183
Unresolved Attachment Status
. 185
Early Childhood Trauma and Psychosis
. 186
Trauma, Dissociation and Schizotypy
. 187
Schemata and Internal Working Models
. 189
Identifying Schemata
. 192
Schemata and Behaviour Relationships
. 193
Core Belief Change Strategies in Cognitive Therapy
. 195
viii CONTENTS
Working with Underdeveloped Strategies
. 196
Conclusions
. 201
11
Awareness, Intrusiveness and Fear of Relapse
. 202
Introduction
. 202
Phenomenology of Relapse
. 202
Subjective Experiences and Psychosis
. 203
Appraisals and Relapse
. 205
Awareness, Intrusiveness and Fear
. 206
Cognitive Behavioural Therapy (CBT) and Relapse
Prevention
. 209
Exploring Experiences of Relapse
. 210
Explaining Beliefs
. 212
Early Signs Monitoring
. 213
The Initial Interview for Targeted CBT
. 214
Testing the Formulation
. 215
Decatastrophising Relapse
. 215
Contracting Intervention
. 216
Subsequent Sessions
. 216
Introducing Flexibility into Beliefs
. 218
Transforming Beliefs
. 219
Testing Transformed Beliefs
. 221
Conclusions
. 222
12
Conclusion
. 224
Introduction
. 224
Overview of the Treatment Manual
. 224
Therapist Training
. 229
Therapeutic Context
. 229
Appendix I Fear of Recurrence Scale (FoRSe) Questionnaire
. 231
Appendix II Diagrammatical Formulation of Early Signs
. 233
Bibliography
. 235
Index
. 283 |
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id | DE-604.BV035062330 |
illustrated | Illustrated |
index_date | 2024-09-19T15:27:00Z |
indexdate | 2024-09-27T16:20:28Z |
institution | BVB |
isbn | 9780470021842 9780470021859 |
language | English |
oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016731159 |
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spellingShingle | Gumley, Andrew Schwannauer, Matthias Staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention Psychotic Disorders therapy Psychotic Disorders prevention & control Recurrence prevention & control Cognitive Therapy methods Kognitive Psychotherapie (DE-588)4164472-4 gnd Psychose (DE-588)4047734-4 gnd |
subject_GND | (DE-588)4164472-4 (DE-588)4047734-4 |
title | Staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention |
title_auth | Staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention |
title_exact_search | Staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention |
title_exact_search_txtP | Staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention |
title_full | Staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention Andrew Gumley and Matthias Schwannauer |
title_fullStr | Staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention Andrew Gumley and Matthias Schwannauer |
title_full_unstemmed | Staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention Andrew Gumley and Matthias Schwannauer |
title_short | Staying well after psychosis |
title_sort | staying well after psychosis a cognitive interpersonal approach to recovery and relapse prevention |
title_sub | a cognitive interpersonal approach to recovery and relapse prevention |
topic | Psychotic Disorders therapy Psychotic Disorders prevention & control Recurrence prevention & control Cognitive Therapy methods Kognitive Psychotherapie (DE-588)4164472-4 gnd Psychose (DE-588)4047734-4 gnd |
topic_facet | Psychotic Disorders therapy Psychotic Disorders prevention & control Recurrence prevention & control Cognitive Therapy methods Kognitive Psychotherapie Psychose |
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