Early clinical intervention in psychosis is now a major objective of mental health services and the development of specialist intervention services has greatly facilitated research on the early phases of this disorder. In this book, contributors provide a review of the neurobiological research in people at high risk of psychosis, focusing on the transition from being at a high risk state to their first episode. Contributors consider unaffected family members and twin studies as well as the individual’s data before and after the onset of the illness. The environmental factors that contribute to a psychotic episode are also examined. Vulnerability to Psychosis presents neurobiological findings in the context of what is now known about the psychopathology and cognitive impairments that are evident in people at high risk of psychosis. It will be essential reading for clinicians working with this client group, and will interest academics looking for state of the art information in this field.

This book postulates that the trigger of the psychotic condition is located in the basic processes which structure the first emotional relations. It presents some of the reasons why patients succumb to the attraction of a course doomed to result in the permanent derangement of their minds.

Handbook of Effective Psydwtherapy is the culmination of 15 years of personal interest in the area of psychotherapy outcome research. In my view, this is one of the most interesting and crucial areas in the field: it has relevance across disparate clinical disciplines and orientations; it provides a measure of how far the field has progressed in its efforts to improve the effectiveness of psychotherapeutic inter vention; and it provides an ongoing measure of how readily clinicians adapt to scientific indications in state-of-the-art care. Regrettably, as several of the chapters in this volume indicate, there is a vast chasm between what is known about the best available treatments and what is applied as the usual standard of care. On the most basic level there appears to be a significant number of clinicians who remain reluctant to acknowledge that scien tific study can add to their ability to aid the emotionally distressed. I hope that this handbook, with its many delineations of empirically supported treatments, will do something to remedy this state of affairs.

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.

H. HAFNER and W. F. GATTAZ Between 1891 and 1955, three founders of modern psychiatry, Emil Kraepelin (1856-1926), Karl Jaspers (1883-1969) and Kurt Schneider (1887-1967) lectured at the University of Heidelberg: Kraepelin for 12 years, Jaspers for over 25 years and Schneider for approximately 10 years. During this period they laid the foundations of descriptive psychopathology and modern classification and con tributed essentially to the development of our current thinking on schizophrenia. In 1986, on the occasion of the 600th anniversary of the University of Heidel berg, we held a symposium in memory of these three "giants of psychiatry" for which we chose the title "Search for the Causes of Schizophrenia". It was jointly organized by the Central Institute of Mental Health in Mannheim and the Department of Psychiatry of the University of Heidelberg. The intention was to meet one of the major challenges of current psychiatric research, namely the fact that since Kraepelin's masterly description of "Dementia praecox" (1894) and E. Bleuler's slightly different definition of schizophrenia (1911), we have made only insufficient advances in clarifying the aetiology of this frequent and still often dis abling mental disease.

Edited and written by true leaders in the field, Psychopathology provides comprehensive coverage of adult psychopathology, including an overview of the topic in the context of the DSM. Individual chapters cover the history, theory, and assessment of Axis I and Axis II adult disorders such as panic disorder, social anxiety, bipolar disorders, schizophrenia, and borderline personality disorder.

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.

Clinical Psychology, Third Edition offers an introduction to clinical psychology as it is operating on the ground – delivering clinical interventions, supervision, consultation, leadership, training and research, in rapidly changing health and care services. This new edition of Clinical Psychology brings together practitioners, researchers, and people who have used the services of clinical psychologists to explain how clinical psychologists work, the evidence that their work is based on, and how it can change peoples’ lives for the better. The book explains the core principles of clinical practice, as well as outlining the role of a clinical psychologist within a healthcare team. It covers issues involved in working with children and families, adult mental health problems, people with disabilities and physical health issues, and the use of neuropsychology. In this fully revised third edition, every chapter has been brought up to date with developments in research and practice, and chapters have been added regarding the important fields of working with autistic people and working with people in forensic mental health services. Given the popularity of clinical psychology for many undergraduate and graduate students, the contents of this text have been designed around teaching and learning features that can be used as the basis for an intermediate or advanced-level course that will allow students to learn both breadth and depth about clinical psychology.

Leading clinicians and researchers in the field of cognitive therapy for psychosis illustrate their individual approaches to the understanding of the difficulties faced by people with psychosis.