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Working with People at High Risk of Developing Psychosis. A Treatment Handbook

  • ID: 2325084
  • Book
  • December 2005
  • Region: Global
  • 206 Pages
  • John Wiley and Sons Ltd
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Today the importance of early detection and intervention for psychosis is clearly recognized by researchers, clinicians and policy makers alike. Ethical dilemmas associated with preventative approaches have led to the development of a range of psychological interventions that are likely to be more acceptable to service users and their families.

Working with People at High Risk of Developing Psychosis is unique in that it focuses on the needs of those in the pre–psychotic phase of the illness and the specific challenges that working with this at risk group poses for the clinician. An international team of expert editors and contributors explore the identification of individuals at high risk of developing psychosis and provide an overview of many of the psychological treatment approaches. Key issues addressed include:

- detection strategies for finding cases at high–risk
- assessment and formulation
- selection of appropriate treatment targets
- intervention with attenuated symptoms and brief psychotic episodes
- stress management
- substance use
- working with families
- group therapy

This practical treatment handbook will be an invaluable resource for all qualified and trainee clinicians working with at risk clients. It will also be of interest to academic psychologists and students of clinical psychology.
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About the Editors ix

List of Contributors x

Foreword xii

Acknowledgements xiii

Chapter 1 Introduction 1
Shôn Lewis

Chapter 2 Identification of the Population 7
Alison R. Yung

Chapter 3 Assessment and Developing a Formulation 25
Shona M. Francey and Henry J. Jackson

Chapter 4 Engagement and the Therapeutic Alliance 41
Jean Addington and David Penn

Chapter 5 Assessing and Managing Stress 53
Lisa Phillips

Chapter 6 Treatment Targets in the Pre–psychotic Phase 75
Paul Patterson, Amanda Skeate and Max Birchwood

Chapter 7 Substance Use and the At Risk Period 93
Steven Leicester

Chapter 8 Addressing Attenuated Symptoms in At Risk Clients 111
Samantha E. Bowe, Paul French and Anthony P. Morrison

Chapter 9 Brief Limited Intermittent Psychotic Symptoms (BLIPS): A Cognitive Behavioural Approach to Formulation and Intervention 129
Andrew I. Gumley

Chapter 10 Working with Families Following the Diagnosis of an At Risk Mental State 153
April A. Collins and Jean Addington

Chapter 11 Group Therapy for People at High Risk of Developing Psychosis 169
Andreas Bechdolf, Verena Veith and Joachim Klosterkötter

Chapter 12 Future Challenges 181
Anthony P. Morrison, Shona M. Francey and Jean Addington

Index 187

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Jean Addington
Shona Francey
Anthony P. Morrison
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