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Impairments in mentalizing - the capacity to utilize mental state information to understand oneself and others - have consistently been identified across the developmental continuum of psychosis expression, from the premorbid and prodromal stages to its clinical forms. Mentalizing difficulties in psychosis have been investigated using an array of different methodologies, including novel experimental tasks, narrative assessments, self-report measures, as well as neuroscientific and computational methods. These studies have primarily examined how mentalizing disturbances relate to symptom dimensions and functional outcomes in clinical samples, as well as the transition to clinical psychosis among those who are at increased risk. More recently, clinical adaptations of mentalization-based treatments (MBT) and other psychotherapeutic approaches with a focus on supporting people suffering with psychosis reflect on their own and others’ mental states, such as Metacognitive Reflection and Insight Therapy (MERIT), have been reported in the literature.
Attachment Theory and Psychosis: Current Perspectives and Future Directions is the first book to provide a practical guide to using attachment theory in the assessment, formulation and treatment of a range of psychological problems that can arise as a result of experiencing psychosis. Katherine Berry, Sandra Bucci and Adam N. Danquah, along with an international selection of contributors, expertly explore how attachment theory can inform theoretical understanding of the development of psychosis, psychological therapy and mental health practice with service users with psychosis. In the first section of the book, contributors describe the application of attachment theory to the understanding of paranoia, voice-hearing, negative symptoms, and relationship difficulties in psychosis. In the second section of the book, the contributors consider different approaches to working therapeutically with psychosis and demonstrate how these approaches draw on the key principles of attachment theory. In the final section, contributors address individual and wider organisation perspectives, including a voice-hearer perspective on formulating the relationship between voices and life history, how attachment principles can be used to organise the provision of mental health services, and the influence of mental health workers’ own attachment experiences on therapeutic work. The book ends by summarising current perspectives and highlighting future directions. Written by leading mental health practitioners and researchers, covering a diverse range of professional backgrounds, topics and theroetical schools, this book is significant in guiding clinicians, managers and commissioners in how attachment theory can inform everyday practice. Attachment Theory and Psychosis: Current Perspectives and Future Directions will be an invaluable resource for mental health professionals, especially psychologists and other clinicians focusing on humanistic treatments, as well as postgraduate students training in these areas.
Deficits in social cognition and metacognition in schizophrenics makes it difficult for them to understand the speech, facial expressions and hence emotion and intention of others, as well as allowing little insight into their own mental state. These deficits are associated with poor social skills, fewer social relationships, and are predictive of poorer performance in a work setting. Social Cognition and Metacognition in Schizophrenia reviews recent research advances focusing on the precise nature of these deficits, when and how they manifest themselves, what their effect is on the course of schizophrenia, and how each can be treated. These deficits may themselves be why schizophrenia is so difficult to resolve; by focusing on the deficits, recovery may be quicker and long lasting. This book discusses such deficits in early onset, first episode, and prolonged schizophrenia; how the deficits relate to each other and to other forms of psychopathology; how the deficits affect social, psychological, and vocational functioning; and how best to treat the deficits in either individual or group settings. - Summarizes the types of social cognitive and metacognitive deficits present in schizophrenia - Discusses how deficits are related to each other and to other forms of psychopathology - Describes how deficits impact function and affect the recovery process - Provides treatment approaches for these deficits
A Bestseller Attachment Theory shows scientifically how our earliest relationships with our mothers influence our later relationships in life. This book offers an excellent introduction to the findings of attachment theory and the major schools of psychoanalytic thought. "The book every student, colleague, and even rival theoretician has been waiting for. With characteristic wit, philosophical sophistication, scholarship, humanity, incisiveness, and creativity, Fonagy succinctly describes the links, differences, and future directions of his twin themes. [His book] is destined to take its place as one of a select list of essential psychology books of the decade." -Jeremy Holmes, Senior Lecturer in Psychotherapy, University of Exeter "Extraordinary--an invaluable resource for developmental psychoanalysis." -Joy D. Osofsky, Professor, Louisiana State University
This book intends to open the debate between three main aspects of clinical practice: psychotherapy (including psychological and philosophical influences), neurobiology and pharmacology. These three main themes are clinically applied in what we call the “Intervention Triangle”. The book will first focus on epistemologically distinct frameworks and gradually attempt to consider the integration of these three fundamental vertexes of practice. These vertexes are substantially unbalanced in the mental health field, and thus, this book tries to make sense of this phenomenon. Unique in its interdisciplinary and comprehensive view of mental health problems and approaches, this book offers a new perspective on unidisciplinary integration that previous publications have not considered. As an innovative contribution to its field, this volume will be particularly relevant to practitioners working towards integrative frameworks. It will also be of interest to students, clinicians and researchers, in particular, those working in psychology, medicine, psychiatry, philosophy, social work, and pharmacy.
What is 'mentalization'? How can this concept be applied to clinical work with children, young people and families? What will help therapists working with children and families to 'keep the mind in mind'? Why does it matter if a parent can 'see themselves from the outside, and their child from the inside'? Minding the Child considers the implications of the concept of mentalization for a range of therapeutic interventions with children and families. Mentalization, and the empirical research which has supported it, now plays a significant role in a range of psychotherapies for adults. In this book we see how these rich ideas about the development of the self and interpersonal relatedness can help to foster the emotional well-being of children and young people in clinical practice and a range of other settings. With contributions from a range of international experts, the three main sections of the book explore: • the concept of mentalization from a theoretical and research perspective • the value of mentalization-based interventions within child mental health services • the application of mentalizing ideas to work in community settings. Minding the Child will be of particular interest to clinicians and those working therapeutically with children and families, but it will also be of interest to academics and students interested in child and adolescent mental health, developmental psychology and the study of social cognition.
Social cognition refers to the capacity to think about others' thoughts, intentions, feelings, attitudes and perspectives. It has been shown that many children with psychiatric disorders have problems in social cognition. In this book, leaders in the fields of developmental psychopathology examine social cognition across a wide range of disorders.
The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5® categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking. Noteworthy features include the following: Content is organized according to DSM-5® categories to make for rapid retrieval of relevant treatment information for the busy clinician. Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient. Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text. Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5® world.
This must-have reference is a unique exploration of how the individual notion of 'self' and related constructs, such as early schemas and attachment styles, impact on psychopathology, psychotherapy processes and treatment outcomes for psychological disorders across DSM-5, such as depression, bipolar and schizophrenia spectrum disorders, anxiety and trauma, eating disorders, obsessive-compulsive and related disorders, autism, personality disorders, gender identity disorder, dementia and somatic problems such as chronic fatigue syndrome. It discusses the role of the concept of self in a wide range of existing theoretical and treatment frameworks, and relates these to real-life clinical issues and treatment implications. Emphasizing the importance of integrating an awareness of self constructs into evidence-based conceptual models, it offers alternative practical intervention techniques, suggesting a new way forward in advancing our understanding of psychological disorders and their treatment.
Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.