Written with clinicians in mind, this book demonstrates the use of Cognitive Behavior Therapy with individuals who are at risk of developing psychosis. Divided into three parts, the book opens with the background to the clinical trial including the rationale for the early intervention strategy, assessment strategies to identify "at risk" groups, and a review of prevention strategies. In Part II the focus is on the application of cognitive therapy for this group. Part III examines strategies for change, as well as specific issues including social isolation and relapse prevention.
Autorentext
Paul French is co-ordinator of a specialist clinical team based at Bolton, Salford & Trafford Mental Health Trust offering cognitive interventions for people who are considered at high risk of developing psychosis. He has worked in mental health since 1989 and has always been interested in the provision of services for people with psychosis having worked in a variety of inpatient and community settings. More recently, he has developed a research interest in working with people at high risk of developing psychosis.Hehas published a number of articles relating to early psychosis and particularly the provision of psychological interventions in early psychosis.
Anthony P. Morrison is a reader in psychology at the University of Manchester and is also programme co-ordinator for a specialist programme of care for people with early psychosis in Bolton, Salford & Trafford Mental Health Trust. He has published a number of articles on cognitive therapy for psychosis and experimental studies of cognitive processes in psychosis. He has been involved in a number of treatment trials for cognitive therapy for psychosis and has a special interest in the cognitive theory of and therapy for hearing voices. More recently, he has developed a research interest in working with people at high risk of developing psychosis and the links between trauma and psychosis. He was awarded the May Davidson Award 2002 for his contributions to clinical psychology.
Klappentext
"Can schizophrenia be prevented? French and Morrison, major investigators in the landmark study demonstrating that schizophrenia can be prevented, provide specific details about the adaptation of standard cognitive therapy to the treatment of individuals at high risk of developing this disorder. In a clear readable style, they guide the reader through the identification of high-risk individuals, crucial cognitive behavioral strategies and, above all, relapse prevention. This book is a must for clinicians dealing with high-risk adolescents and young adults."
Aaron T. Beck, M.D., University Professor of Psychiatry, University of Pennsylvania
"French and Morrison's theoretical framework is coherent and well articulated and brings to bear cognitive and interpersonal factors that we know to be active in established psychosis. The therapy they describe has been validated in a well controlled randomised trial showing that psychosis can be prevented, or at least delayed, in a substantial majority of those at risk of transition to psychosis."
Professor Max Birchwood, Director, Early Intervention Service, Northern Birmingham Mental Health Trust and University of Birmingham
This book will be of use to all qualified and trainee practitioners, such as clinical psychologists, psychiatrists, social workers, occupational therapists and nurses. It will also appeal to students, lecturers and researchers.
Inhalt
List of Figures and Appendices vii
About the Authors ix
Foreword by Max Birchwood xi
Introduction xiii
Acknowledgements xvii
Part I: Background 1
1 The Importance of Early Recognition 3
2 How to Identify At-Risk Groups 9
3 Which Prevention Strategy to Adopt 23
Part II: Cognitive Therapy for Prevention of Psychosis 27
4 Why Cognitive Therapy? 29
5 Engagement 37
6 Theory, Assessment and Formulation 45
Part III: Change Strategies 55
7 Normalisation 57
8 Generating and Evaluating Alternative Explanations 65
9 Safety Behaviours 75
10 Metacognitive Beliefs 87
11 'I Am Different' and Other Core Beliefs 93
12 Social Isolation 101
13 Relapse Prevention 111
14 Conclusions 117
Appendices 121
References 135
Index 143