Psychotherapy for psychosis : integrating cognitive-behavioral and psychodynamic treatment / Michael Garrett.

Format:

Book

Author/Creator:

Garrett, Michael Tlanusta, 1970- author.

Contributor:

ProQuest ebook central.

John Morgan Society Fund.

Language:

English

Subjects (All):

Psychoses--Treatment.

Psychoses.

Psychotherapy.

Psychotic Disorders--therapy.

Medical Subjects:

Psychotic Disorders--therapy.

Physical Description:

1 online resource (xiv, 354 pages.)

Place of Publication:

New York : The Guilford Press, [2019]

System Details:

text file

Contents:

1 Essential Problems in Psychosis and Basic Definitions p. 17

Some Basic Definitions of Reality p. 19

Jamel's Experience of Reality p. 20

Literal Falsity and Figurative Truth p. 22

Approaching Jamel in CBTp Mode p. 24

2 Biological and Psychological Models of Psychosis p. 27

The Pathogenesis of Psychosis p. 28

Current Biological Theories of Psychosis p. 35

Attachment Styles and Early Relationships p. 43

A Phenomenological Psychodynamic Model of Psychosis p. 48

The Self as a Primal Perceiver p. 52

Effects of Biologically Weakened Boundaries on Psychodynamic Processes p. 54

3 Psychosis: An Autobiographical Play Staged in the Real World p. 58

Psychoanalytic Object Relations Theory: The Script p. 60

Persecutory Psychological Objects p. 64

Psychological Objects in Ordinary Development p. 69

The Play of Ordinary Children, Fairy Tales, and Delusions p. 76

Trauma Lifts the Curtain on Opening Night p. 80

4 Disturbances of Figurative Language, Concrete Metaphors, and Delusional Identities p. 84

Loose Associations p. 84

Making Sense of Language in Psychosis p. 85

A Continuum of Metaphor p. 87

Metaphor and Affect p. 89

Psychotic Symptoms as Apt Metaphors p. 95

Part II Psychotherapy Technique

5 Treatment Overview and Patient Selection p. 99

Patient Selection p. 103

Negative Symptoms p. 105

Thought Disorder p. 107

6 Engaging the Patient p. 110

Establishing Rapport p. 111

Practical Particulars of the Initial Meeting p. 115

Retreat from Reality and Informed Consent p. 116

Naming the Diagnosis p. 119

Confidentiality p. 119

Clarity of Communication p. 120

Reassurance p. 120

7 Eliciting the Patient's Story p. 122

Constructing a Timeline p. 122

Understanding the Evidentiary Chain p. 124

Encouraging Doubt about Delusional Ideas p. 126

Identifying What Most Distresses the Patient p. 128

Daily Life and Affirming the Ordinary p. 129

Defining Problems and Setting Goals p. 130

8 Discussing Reality with a Psychotic Person p. 133

Finessing the Reality Question p. 134

Psychotic Symptoms as Tertiary Psychic Reality p. 135

Understanding Psychotic Patients' Sense of Reality p. 137

Conversation with Melody p. 143

9 Assessing Coping Strategies and Introducing Three CBTp Models p. 148

Coping Mechanisms and Maintaining Hope p. 148

Coping with Delusions p. 150

Coping with Voices p. 152

Introducing the CBTp Phase p. 154

10 Working CBTp and Psychodynamic Formulations p. 160

Defining the Working Formulation p. 160

The CBTp Component p. 160

The Psychodynamic Component p. 163

Paired Psychodynamic and CBTp Working Formulations p. 164

Edison's Working Formulation p. 165

Upala's Working Formulation p. 167

Starting to Examine the Core Delusion p. 169

11 Working with Voices and Other CBTp Techniques p. 179

Voices as Messengers from Within p. 179

Discikssing Explanations for Voices with Patients p. 181

CBTp Toolbox of Techniques p. 186

12 Challenging Delusions p. 194

Alternative Explanations p. 194

CBTp and Psychodynamic Technique p. 197

Bearing Witness to Altered States of Consciousness p. 199

Blending CBTp, Empathy, and Psychodynamic Technique p. 202

13 Psychodynamic Interpretation of Psychotic Symptoms p. 207

Bringing Thoughts, Feelings, Fantasies, and Memories to Mind p. 208

Nonpsychotic Mediating Defenses p. 210

Affect Regulation p. 219

Translating Altered Perceptions into Thoughts and Feelings p. 221

Deep Vertical Splits in the Psyche p. 223

Disavowing the Feeling That the Psychotic Experience Is Real p. 224

Psychotic Symptoms Appear to Exceed the Capacity of the Person's Imagination p. 226

Psychodynamic Interpretation of Psychotic Symptoms in an Object-Related Frame p. 227

Developments in the Later Phases of Psychotherapy p. 233

Long-Term Outcomes of Psychotherapy p. 235

14 The Case of Ariel p. 239

Ariel: The CBT Phase p. 241

The Psychodynamic Phase p. 255

15 The Cases of Asha and Kasper p. 265

Asha: The Woman Who Was Never Hospitalized Again p. 265

Kasper: The Man Who Murdered His Father and Sister p. 271

Part III Psychotherapy for Psychosis in the Public Sector

16 Current Clinical Conditions in Public Mental Health p. 287

The Current State of Affairs p. 288

A Role for Psychotherapy in the Public Sector p. 294

17 A Template for Ambitious Psychotherapy in the Public Sector p. 304

Training p. 305

Obstacles to Reform p. 307

Supervision p. 321

Maintaining Hope in Providers p. 323.

Notes:

Includes bibliographical references and index.

Electronic reproduction. Ann Arbor, MI Available via World Wide Web.

Description based on print version record.

Local Notes:

Acquired for the Penn Libraries with assistance from the John Morgan Society Fund.

ISBN:

9781462540631

1462540635

Publisher Number:

99982008173

Access Restriction:

Restricted for use by site license.