Understanding Psychosis

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.

Offering an understanding of postpartum psychosis, this riveting book explains what happens and why during this temporary and dangerous disorder that develops for some women rapidly after childbirth. Most of us are familiar with the baby blues, a passing sadness that strikes 50 to 75 percent of new mothers after delivery. And most of us understand postpartum depression, a sadness post-delivery that lingers for weeks or months for an estimated one in every 10 new mothers. But a more serious form of disorder that strikes up to one in every 500 is postpartum psychosis - triggering severe agitation, confusion, insomnia, hallucinations, delusions, mania, and possible thoughts of suicide or murder. Every year, women in the United States and around the world kill their babies, children, and themselves as a result of this mental illness. Here, author Twomey, an official with Postpartum Support International, gives us insight into the psychological, personal, medical, legal, and historical perspectives on this little-understood mental illness, which is both preventable and treatable. While most women who suffer postpartum psychosis eventually recover without harming anyone, they most often do so in silence. Paranoia is a common symptom, explains Twomey, and that moves women to hide their symptoms from everyone around them. The woman can hence appear normal, but be putting both herself and her baby at risk. We can prevent and treat this, but we need to recognize it by better screening of women postpartum, says Twomey.

Today most of us accept the consensus that madness is a medical condition: an illness, which can be identified, classified and treated with drugs like any other. In this ground breaking and controversial work Richard Bentall shatters the myths that surround madness. He shows there is no reassuring dividing line between mental health and mental illness. Severe mental disorders can no longer be reduced to brain chemistry, but must be understood psychologically, as part of normal behaviour andhuman nature. Bentall argues that we need a radically new way of thinking about psychosis and its treatment. Could it be that it is a fear of madness, rather than the madness itself, that is our problem?

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.

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.

The new edition of this popular handbook has been thoroughly updated to include the latest data concerning treatment of first-episode patients. Drawing from their experience, the authors discuss the presentation and assessment of the first psychotic episode and review the appropriate use of antipsychotic agents and psychosocial approaches in effective management. This is an authoritative text written by a team of highly respected authors for psychiatrists, neurologists, primary care practitioners and health care professional working in psychiatry. Drawing from their experience, the presentation and assessment of the first psychotic episode are discussed, details regarding antipsychotic drugs and their appropriate use are reviewed and psychosocial approaches are examined. The resulting book offers a concise and valuable guide to those wishing to review the latest proposals for the treatment of first-episode psychosis supported by up-to-date references, in a single publication.

Bringing together a number of pioneering thinkers and workers ni the field of psychosis, this book provides an interrogation of 'official theories' surrounding schizophrenia and examines the range of ways in which psychosis can be thought about and worked with. The first part of the book, which deals with the meaning of psychosis, presents papers on the development of psychosis from historical, social, theoretical and emotional perspectives. It explains current psychoanalytical ideas of the meaning of psychosis and looks at the ways in which psychoanalytic theorists have found meaning in the commuications of psychotic patients. The more clinically oriented papters in the second part of the book focus on the treatment of psychosis. These describe ongoing work in therpeutic settings with people diagnosed as being schizophrenic, as well as the effects on staff working with psychotic patients. This is an encouraging and stimulating book for students and professionals int he field of psychosis, who often feel isolated in their efforts to understand their patients.

This book offers a new approach to understanding and treating psychotic symptoms using Cognitive Behavioural Therapy (CBT). CBT for Psychosis shows how this approach clears the way for a shift away from a biological understanding and towards a psychological understanding of psychosis. Stressing the important connection between mental illness and mental health, further topics of discussion include: the assessment and formulation of psychotic symptoms how to treat psychotic symptoms using CBT CBT for specific and co-morbid conditions CBT of bipolar disorders. This book brings together international experts from different aspects of this fast developing field and will be of great interest to all mental health professionals working with people suffering from psychotic symptoms.