| Description |
1 online resource |
| Contents |
1. Introduction to Mindfulness and Acceptance-based Therapies for Psychosis -- 1.1. Introduction to Psychosis -- 1.2. Interventions -- 1.2.1. Cognitive Behavioural Therapy -- 1.2.2. Developments in CBT: Contextual Approaches -- 1.2.3. Acceptance and Commitment Therapy -- 1.2.3.1. Open -- 1.2.3.2. Aware -- 1.2.3.3. Active -- 1.2.4. Mindfulness and Person-based Cognitive Therapy for Psychosis -- 1.3. Conclusion -- 2. Theory on Voices -- 2.1. Phenomenology -- 2.2. Mechanisms and Origins of Hearing Voices -- 2.3. Meaning Given to Voice Experience -- 2.4. Responses to Voices -- 2.4.1. Resistance -- 2.4.2. Engagement -- 2.5. Implications for the Role of Acceptance and Mindfulness in Voices -- 3. Emotional Processing and Metacognitive Awareness for Persecutory Delusions -- 3.1. Introduction -- 3.2. Persecutory Delusions -- 3.3. Improving Treatments for Persecutory Delusions -- 3.4. Development of the Intervention -- 3.5. The EPMA Intervention -- 3.6. The EPMA Pilot Study -- 3.7. Case Study -- 3.8. Conclusion -- 4. Clinical Assessment and Assessment Measures -- 4.1. Introduction -- 4.2. Clinical Assessment -- 4.2.1. Overview -- 4.2.1.1. Aims and Scope -- 4.2.1.2. General Principles -- 4.2.2. Structure and Methods of Assessment -- 4.2.2.1. Assessment Interwoven with Interventions -- 4.2.2.2. Use of Assessment Instruments -- 4.2.2.3. Role of Self-monitoring in Assessment -- 4.2.2.4. Goal Setting -- 4.2.3. A Guide to Clinical Assessment -- 4.2.3.1. The Problems Experienced by the Client -- 4.2.3.2. Understanding the Client -- 4.2.4. Assessing and Addressing Potential Barriers to and Risks Arising from Therapy -- 4.3. Assessment Measures -- 4.3.1. Issues in the Use of Self-report Measures -- 4.3.2. Mindfulness Measures -- 4.3.3. Measures of ACT Processes and Constructs -- 4.3.3.1. Acceptance and Action Questionnaire -- 4.3.3.2. The Voices Acceptance & Action Scale -- 4.3.3.3. Believability of Symptoms -- 4.3.3.4. Additional Measures -- 4.4. Conclusion -- 5. Acceptance and Commitment Therapy Case Formulation -- 5.1. Introduction -- 5.2. Case Study -- 5.2.1. Avoidance -- 5.2.2. Cognitive Fusion -- 5.2.3. Attachment to Content -- 5.2.4. Weak Self-knowledge, Dominating Concept of the Past or Feared Future -- 5.2.5. Lack of Values Clarity -- 5.2.6. Persistent Inaction, Impulsivity or Avoidance -- 5.3. Case Formulation using the Inflexahex Model -- 5.4. Conclusion -- 6. Engaging People with Psychosis in Acceptance and Commitment Therapy and Mindfulness -- 6.1. Introduction -- 6.1.1. Treatment Adherence and Engagement in Psychosis -- 6.2. Acceptance and Commitment Therapy -- 6.3. Functional Analytic Psychotherapy -- 6.4. Acceptance-based Methods and Techniques for Improving Engagement -- 6.4.1. Workability -- 6.4.2. Values Clarification -- 6.4.3. Acceptance and Mindfulness -- 6.4.4. Committed Action -- 6.4.5. The Therapeutic Relationship -- 6.5. Special Contexts and Issues -- 6.5.1. ACT Made Even Simpler -- 6.5.2. Involuntary Admission and Lack of Insight -- 6.5.3. Other Cognitive Behavioural Approaches for Psychosis -- 6.5.3.1. Traditional CBT -- 6.5.3.2. Motivational Interviewing -- 6.6. Case Study -- 6.6.1. Early Sessions (1-5) -- 6.6.2. Mid-treatment Sessions (6-15) -- 6.6.3. Late-treatment Sessions (16-20) -- 6.7. Conclusion -- 7. Acceptance and Commitment Therapy for Voices -- 7.1. Introduction -- 7.2. Formulating how Voices are a Problem -- 7.3. Overall Considerations in Conducting ACT with Voices -- 7.3.1. Sequence of Therapy -- 7.3.2. Acceptance: Letting Go of Struggle with Voices -- 7.3.2.1. Discussing Responses to Voices -- 7.3.2.2. Letting Go of Struggle -- 7.3.3. Defusion -- 7.3.4. Mindfulness: Present Moment and Self as Observer -- 7.3.5. Willingness: Values and Committed Action -- 7.4. Case Study -- 7.4.1. Current Mental-health Problems -- 7.4.2. Mental-health History -- 7.4.3. Relevant Background -- 7.4.4. Assessment and Formulation -- 7.4.5. ACT Case Formulation -- 7.4.6. The ACT Approach -- 7.4.6.1. Initial Phase (Sessions 1-3) -- 7.4.6.2. Mid-therapy (Sessions 4-7) -- 7.4.6.3. End Sessions (Sessions 8-10) -- 7.4.7. Outcomes -- 7.4.7.1. Psychotic Symptoms -- 7.4.7.2. Depression and Anxiety -- 7.4.7.3. Valued Action, Quality of Life and Social Functioning -- 7.4.7.4. Changes in Mindfulness towards Voices and Thoughts -- 7.4.8. Discussion |
|
8. Acceptance and Commitment Therapy for Delusions -- 8.1. Introduction -- 8.2. Delusions as Ways of Making Contact with Experience -- 8.2.1. Delusions as Active Forms of Experiential Avoidance -- 8.3. Intervention with ACT -- 8.3.1. Create a State of Creative Hopelessness -- 8.3.2. Clarify and Strengthen the Patient's Values -- 8.3.3. Suggest the Possibility that the Problem is Control -- 8.3.4. Create a Distance from Language -- 8.3.5. Help Create a Transcendental Sense of Self -- 8.3.6. Developing Willingness -- 8.4. Conclusion -- 9. Acceptance and Commitment Therapy for Emotional Dysfunction following Psychosis -- 9.1. Introduction -- 9.2. Understanding Emotional Dysfunction following Psychosis -- 9.3. Emotional Dysfunction and Experiential Avoidance -- 9.4. An ACT Conceptualisation of Emotional Dysfunction following Psychosis -- 9.5. Treating Emotional Dysfunction following Psychosis -- 9.5.1. Socialising the Individual to the ACT Model -- 9.5.2. Assessment and Formulation -- 9.5.2.1. Suffering List -- 9.5.2.2. Attempts to Solve Suffering -- 9.5.2.3. Valued Life Direction -- 9.5.2.4. Valued Action -- 9.5.3. Beyond Formulation: Progressing with the ACT Intervention -- 9.5.3.1. Showing Up to Distress -- 9.5.3.2. Defusion -- 9.5.3.3. Mindful Acceptance -- 9.5.3.4. Worries about Psychosis Recurring -- 9.5.4. Moving Beyond the ACT Intervention -- 9.6. Conclusion -- 10. Person-based Cognitive Therapy for Distressing Psychosis -- 10.1. Introduction -- 10.2. Zone of Proximal Development -- 10.2.1. Overview of the Zones of Proximal Development -- 10.2.1.1. Symptomatic Meaning -- 10.2.1.2. Relationship with Internal Experience -- 10.2.1.3. Schemata -- 10.2.1.4. Symbolic Self -- 10.2.1.5. Radical Collaboration (RC) -- 10.2.1.6. Acceptance -- 10.2.1.7. Metacognitive Insights -- 10.3. Case Formulation in PBCT -- 10.3.1. Symptomatic Meaning: ABC Formulation -- 10.3.2. Relationship with Internal Experience: Mindfulness-based Formulation of Distress -- 10.3.3. Negative and Positive Self-schema -- 10.4. Experiential Methods of Change -- 10.4.1. Symptomatic Meaning -- 10.4.1.1. Goodness of Fit ('Evidence') and Generating Alternative Symptomatic Meaning -- 10.4.1.2. Behavioural Experiments -- 10.4.1.3. Accepting Fixity -- 10.4.2. Relationship with Internal Experience -- 10.4.2.1. Rationale and Preparation for Mindfulness Practice -- 10.4.2.2. Overview of Mindfulness Meditation -- 10.4.2.3. Specific Adaptations of Mindfulness Practice -- 10.4.3. Working with Schemata -- 10.4.3.1. Two-chair Method -- 10.4.4. Symbolic Self -- 10.5. Conclusion -- 11. Spirituality: A New Way into Understanding Psychosis -- 11.1. Introduction -- 11.2. Repositioning Psychosis and Spirituality: Recognition of the Two Ways of Knowing -- 11.3. Research Basis -- 11.4. Spirituality and Mental Health -- 11.5. Clinical Approach: The Therapeutic Alliance -- 11.5.1. The What is Real and What is Not Approach -- 11.5.2. Schizotypy and 'Unshared Reality' -- 11.5.3. From Conceptualisation to Coping Strategies -- 11.5.4. Role of Mindfulness -- 11.6. Psychosis as a Spiritual Crisis -- 12. The Service User Experience of Acceptance and Commitment Therapy and Person-based Cognitive Therapy -- 12.1. Introduction -- 12.2. An Overview of Service User Involvement -- 12.3. The Importance of a Service User Perspective in Informing ACT and PBCT for Psychosis -- 12.4. A Service User Perspective on the Experience of ACT for Psychosis -- 12.4.1. Background -- 12.4.2. The Therapy -- 12.4.3. How the Therapy Helped -- 12.4.4. Conclusion -- 12.4.4.1. How I Felt before ACT Therapy -- 12.4.4.2. How I Feel after ACT Therapy -- 12.5. Summary of Qualitative Findings from PBCT Groups on Participant Experiences of Mindfulness Practice and What was Learned from these Studies -- 12.5.1. Acceptance of Voices -- 12.5.2. Development of Sense of Self beyond Voices -- 12.5.2.1. Relating to Voices -- 12.5.2.2. Relating to Self -- 12.5.2.3. Relating to Others -- 12.5.3. The Value and Challenges of Seeking Service User Views -- 12.6. Conclusion -- 13. Acceptance and Commitment Therapy for First-episode Psychosis -- 13.1. Introduction -- 13.2. Recovery from a First Episode of Psychosis -- 13.2.1. At-risk Mental States -- 13.3. Using ACT to Enhance Recovery from a First Episode of Psychosis -- 13.3.1. Assessment and Formulation -- 13.3.2. Being Aware and Present -- 13.3.3. Opening Up -- 13.3.4. Being Active -- 13.4. ACT in Different Modalities -- 13.4.1. Group Work -- 13.4.2. Working with Families and Carers -- 13.5. Case Study -- 13.6. Conclusion -- 14. Acceptance and Commitment Therapy for Psychosis in Acute Psychiatric Admission Settings -- 14.1. Introduction -- 14.2. Acute Psychosis and ACT Interventions -- 14.3. ACT in the Acute Psychiatric Admission Ward -- 14.4. Case Study -- 14.5. Convergence of Mindfulness/Metacognitive-based Cognitive Therapy Approaches -- 14.6. Reflections on Developing Systemic Applications of ACT -- 14.7. Conclusion -- 15. Developing Acceptance and Commitment Therapy for Psychosis as a Group-based Intervention -- 15.1. Introduction -- 15.2. A Six-session ACT-for-Psychosis Group Protocol -- 15.2.1. Session 1: Introducing the ACT Approach and Exploring the Workability of Current Strategies for Managing Distress -- 15.2.1.1. The Matrix -- 15.2.1.2. Between-session Task -- 15.2.2. Session 2: Exploring the Impact of the Struggle for Control and Introducing Willingness as an Alternative -- 15.2.2.1. Between-session Task -- 15.2.3. Session 3: Identifying Personal Valued Directions -- 15.2.3.1. The Ripple Exercise -- 15.2.3.2. Between-session Task -- 15.2.4. Session 4: Moving in Valued Directions -- 15.2.4.1. The Passengers-on-the-Bus Exercise -- 15.2.4.2. Between-session Task -- 15.2.5. Session 5: Continuing to Develop Self-as-Context and Willingness to Move towards Values -- 15.2.5.1. Between-session Task -- 15.2.6. Session 6: Summarising the Themes of the Course and Reviewing Experiences of the Work -- 15.2.7. Optional Follow-up Session -- 15.3. Case Study -- 15.4. Reflections on the Experience of Developing and Delivering the Groups -- 15.5. Other Protocols -- 15.5.1. ACT for Life Group -- 15.6. Conclusion -- 16. Group Person-based Cognitive Therapy for Distressing Psychosis -- 16.1. Introduction -- 16.2. Person-based Cognitive Therapy -- 16.2.1. Group PBCT -- 16.3. The Importance of the Group Process in PBCT -- 16.4. Facilitating a PBCT Group -- 16.4.1. Inclusion Criteria -- 16.4.2. The 12-week Programme -- 16.4.3. Mindfulness Practice in PBCT -- 16.4.4. Cognitive Therapy in PBCT -- 16.4.4.1. Session 2 -- 16.4.4.2. Session 3 -- 16.4.4.3. Session 4 -- 16.4.4.4. Session 5 -- 16.4.4.5. Session 6 -- 16.4.4.6. Session 7 -- 16.4.4.7. Session 8 -- 16.4.4.8. Session 9 -- 16.4.4.9. Session 10 -- 16.4.4.10. Session 11 -- 16.4.4.11. Session 12 -- 16.5. PBCT: An Integrated Model -- 16.6. Group PBCT: The Evidence -- 16.7. Conclusion |
|
1. Introduction to Mindfulness and Acceptance-based Therapies for Psychosis -- 2. Theory on Voices -- 3. Emotional Processing and Metacognitive Awareness for Persecutory Delusions -- 4. Clinical Assessment and Assessment Measures -- 5. Acceptance and Commitment Therapy Case Formulation -- 6. Engaging People with Psychosis in Acceptance and Commitment Therapy and Mindfulness -- 7. Acceptance and Commitment Therapy for Voices -- 8. Acceptance and Commitment Therapy for Delusions -- 9. Acceptance and Commitment Therapy for Emotional Dysfunction following Psychosis -- 10. Person-based Cognitive Therapy for Distressing Psychosis -- 11. Spirituality: A New Way into Understanding Psychosis -- 12. The Service User Experience of Acceptance and Commitment Therapy and Person-based Cognitive Therapy -- 13. Acceptance and Commitment Therapy for First-episode Psychosis -- 14. Acceptance and Commitment Therapy for Psychosis in Acute Psychiatric Admission Settings -- 15. Developing Acceptance and Commitment Therapy for Psychosis as a Group-based Intervention -- 16. Group Person-based Cognitive Therapy for Distressing Psychosis -- |
| Summary |
"This is the first volume to present a broad picture of theory and application for clinical approaches incorporating ACT and mindfulness in working with psychosis. It provides an overview and introduction to the subject, including a review of the evidence base. Clinical and practical applications are supported with case studies in both individual and group work, with an emphasis on utilizing these strategies in a clinical context. Addressed to practitioners, this book is idea for clinical and counseling psychologists, CBT therapists, and psychiatrists"--EBL |
| Bibliography |
Includes bibliographical references and index |
| Notes |
Print version record and CIP data provided by publisher |
| Subject |
Acceptance and commitment therapy.
|
|
Psychoses -- Treatment.
|
| Form |
Electronic book
|
| Author |
Johns, Louise C., editor
|
|
Morris, Eric M. J., editor
|
|
Oliver, Joseph E., editor
|
| LC no. |
2012047704 |
| ISBN |
1118499182 (electronic bk.) |
|
1118499190 (ePub) |
|
1118499247 (Adobe PDF) |
|
1118499255 (MobiPocket) |
|
1119950791 (paperback) |
|
1119950805 (cloth) |
|
1299241662 (ebk) |
|
9781118499184 (electronic bk.) |
|
9781118499191 (ePub) |
|
9781118499245 (Adobe PDF) |
|
9781118499252 (MobiPocket) |
|
9781119950790 (paperback) |
|
9781119950806 (cloth) |
|
9781299241664 (ebk) |
|
(cloth) |
|
