Back to Life, Back to Normality Cognitive Therapy, Recovery and Psychosis (Cambridge Clinical Guides) (2009) (PDF) by Douglas Turkington

Description

• Written specifically with sufferers and carers in mind, to help them understand and apply the basic concepts of cognitive therapy for psychosis. • Illustrates what it is like to have common psychosis and how people’s lives can be restored using therapy. • Increases understanding of how the psychosis started, and the factors that worsen symptoms or increase the likelihood of relapse. • Helps the sufferer learn how to control symptoms and delay or prevent relapse. • Includes features and exercises to help sufferers explore their own beliefs and feelings to reflect on the way they cope. • Helps carers know what to say and what to do. • Provides a resource for mental health professionals working with patients, to introduce the approach, support ongoing therapy and make the most efficient use of appointment time.

User’s Reviews

A concise and well-organised book which focusses in turn on precisely those areas which are likely to prove most problematic for individuals and their families. The emphasis is placed firmly on recovery and I liked the metaphors for susceptibility (the stress/vulnerability bucket, for example). On the downside it seems to me that this book avoids more complicated and enduring cases. The chapter on delusions seems to focus mainly on paranoia and would benefit, I think, from including more detail about other, perhaps more extreme experiences and distressing delusions. The book also seems to me to talk up the role of meds. To my mind the example of one individual gaining 3 stones whilst on Olanzapine then, after some work on her diet and over a period of 3 months, managing to lose a mere 4 pounds is not an optimistic or encouraging read. And, although Clozapine is mentioned for those who see little or no effect from other meds, there is no consideration given to those who, having failed to benefit, decide that medication is not for them. Someone who has already gained a lot of weight on Olanzapine and failed to benefit from another atypical anti-psychotic might not want to hear about another drug which comes with weight gain as a side effect. Overall impression – a good book for motivated individuals and their families, especially those with good insight and faith in the medical model. Well written and very clearly laid out. In my opinion, though, more challenging difficulties, especially in cases with poor insight, aren’t given sufficient depth or coverage. There is also very little detail on how to cope with or address the so-called negative symptoms. I am left to wonder whether any of the authors have actually lived with anyone with psychosis and fully understand the toll that these symptoms can take on a family. This book represents an excellent start but to my mind would benefit from much more detail and a more serious attempt to address the day-to day problems that are often experienced – low motivation, poor personal care, disrupted sleep patterns etc. Basic CBT & sleep hygiene represent the sort of approach I’d expect from a low intensity IAPT therapist, NOT professionals advising on serious mental illness. Although this book does set out with a cognitive approach, it’d have to be much more sophisticated to convince me that this really could work in all but the most straightforward cases.

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