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.

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.

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.

From a psychiatric perspective, psychosis is generally viewed as a psychopathological and often incomprehensible mental disorder of biological cause. In his book, Brian Spittles argues that this represents a rather limited view, and that a psychospiritual investigation of psychosis may enable a better understanding of its nature and determinants. His aim is not to negate the discipline of psychiatry, but to demonstrate the viability and efficacy of incorporating psychospiritual considerations into psychosis research. Within these pages, Spittles challenges several core psychiatric beliefs, and calls for the discipline to extend its investigative parameters beyond the limited epistemological bounds of materialism. The book uses an open-ended heuristic approach that enables the systematic examination and critical appraisal of views on psychosis across the materialist-to-metaphysical spectrum. This is structured in four 'Focal Settings' that sequentially examine the construal of psychosis within different paradigms of psychospiritual understanding, which provide a historical overview of evolving understandings of psychosis within the tradition of psychiatry, in which psychospiritual matters are generally not considered.

Reviewing the breadth of current knowledge on schizophrenia, this handbook provides clear, practical guidelines for effective assessment and treatment in diverse contexts. Leading authorities have contributed 61 concise chapters on all aspects of the disorder and its clinical management. In lieu of exhaustive literature reviews, each chapter summarizes the state of the science; highlights key points the busy practitioner needs to know; and lists recommended resources, including seminal research studies, invaluable clinical tools, and more. Comprehensive, authoritative, and timely, the volume will enable professionals in any setting to better understand and help their patients or clients with severe mental illness.

The main principle behind cognitive behaviour therapy is that a client's emotional and behavioural disturbances are not determined by events, but by the way he or she views them. This book describes the clinical guidelines and detailed therapy procedures used in the practice of cognitive behaviour therapy for patients with schizophrenic disorders.

There is increasing recognition that emotional distress plays a significant part in the onset of psychosis, the experience of psychosis itself and in the unfolding of recovery that follows. This book brings together leading international experts to explore the role of emotion and emotion regulation in the development and recovery from psychosis. Psychosis and Emotion offers extensive clinical material and cutting-edge research with a focus on: the diverse theoretical perspectives on the importance of emotion in psychosis the interpersonal, systemic and organisational context of recovery from psychosis and the implications for emotional distress the implications of specific perspectives for promoting recovery from psychosis With thorough coverage of contemporary thinking, including psychoanalytic, cognitive, developmental, evolutionary and neurobiological, this book will be a valuable resource to clinicians and psychological therapists working in the field.

Practitioner-focused, essential reading for students of mental health, this dynamic book provides a critical overview of current issues in mental health practice. It offers concrete guidance on navigating and evaluating different approaches to mental health care, giving crucial space to approaches which put the service user at the heart of care provision and recovery. Tackling the complex and challenging, Understanding Mental Health: guides students through the landscape of mental health care through detailed case studies that situate practice and bring theory to life provides a thorough introduction to critical issues through sign-posted chapter aims, concept summaries and activities.

Assessing Psychosis: A Clinician’s Guide offers both a practical guide and rich clinical resource for a broad audience of mental-health practitioners seeking to sharpen their understanding of diagnostic issues, clinical concepts, and assessment methods that aid in detecting the presence of psychotic phenomena. Practicing psychiatrists, psychologists, social workers, and psychiatric nurses will find this a valuable resource for clinical practice, training, and teaching purposes.