Therapeutic Communities for Psychosis: Philosophy, History and Clinical Practice, 1st Edition (Hardback) book cover

Therapeutic Communities for Psychosis

Philosophy, History and Clinical Practice, 1st Edition

Edited by John Gale, Alba Realpe, Enrico Pedriali


296 pages | 8 B/W Illus.

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Paperback: 9780415440547
pub: 2008-05-23
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pub: 2016-02-09
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Therapeutic Communities for Psychosis offers a uniquely global insight into the renewed interest in the use of therapeutic communities for the treatment of psychosis, as complementary to pharmacological treatment. Within this edited volume contributors from around the world look at the range of treatment programmes on offer in therapeutic communities for those suffering from psychosis.

Divided into three parts, the book covers:

  • the historical and philosophical background of therapeutic communities and the treatment of psychosis in this context
  • treatment settings and clinical models
  • alternative therapies and extended applications.

This book will be essential reading for all mental health professionals, targeting readers from a number of disciplines including psychiatry, psychology, social work, psychotherapy and group analysis.

Table of Contents

Hinshelwood, Foreword. Part I: Historical Background and Philosophical Context. Kennard, View of the Evolution of Therapeutic Communities for People Suffering from Psychosis. Kipp, The American Contribution to Therapeutic Community for People with Psychosis and a Reflection on Current Milieu Treatment in the United States. Pedriali, The Decline and Re-launch of the Therapeutic Community. Gale, Exegesis, Truth and Tradition: A Hermeneutic Approach to Psychosis. Kapur, Applying Bion’s Concept of Psychotic Personality to Staff and Patients. Moutsou, When Philosophy Meets Practice: Setting Up a PA Community Household. Black, Psychosis and the Community of the Question: Training Therapists in Therapeutic Community. Part II: Treatment Settings and Clinical Models. Davenport, The Therapeutic Community Approach in Forensic Settings. Vassilev, Groshkova, Jenkov, The Treatment of Substance Use and Mental Health Problems in Bulgaria. Mannu, Soscia, Drug Treatment as a Tool in Therapeutic and Rehabilitative Programmes in Communities for People Suffering From Schizophrenic Disorders. Fergusson, Realpe, Consent, Accountability and the Future of Therapeutic Communities in the Light of Accompanied Self-rehabilitation: The Chemical Asylum and the Right to be Socially Sanctioned. Gomez, Sanchez Espana, An Exploration of the Term Autonomy: Attitudes and Philosophy for a Modern Concept in Mental Health. Schonfield, Navaratnem, Holding Structures in a Crisis Centre: An Applied Psychoanalytical Model. Sassolas, Psychological Care in Therapeutic Communities. Nin Pratt, Madness, Persecution and Transference. Cechnicki, Bielanska, A Community Treatment Programme for People Suffering from Schizophrenia in Krakow. Part III: Alternative Therapies and Extended Applications. Sanchez Espana, Gale, Sanchez Suarez, Surrealism, Psychosis and the Therapeutic Community: A Window Onto the Mental Landscape. Naracci, The Multi-family Structured Therapeutic Community: Reflections on the Experience of the Therapeutic Community Tarsia, Italy. Chaudhry, Niaz, Suleman, The Farm House, Farooqabad, Sheikhupura, Pakistan. Beilanska, Cechnicki, Drama Therapy in a Community Treatment Programme. Psarraki, Psychodrama and the Psychotic Member. Wallenberg Pachaly, New Visions in the Long Term Outpatient Therapy of Psychosis: The Therapeutic Community within the Community. Gale, Sanchez Espana, Evidence for the Effectiveness of Therapeutic Community Treatment of the Psychoses.

About the Editors

John Gale is CEO of Community Housing and Therapy, a mental health charity specialising in therapeutic communities. He is a board member of ISPS UK, and was development editor and deputy editor of the journal Therapeutic Communities.

Alba Realpe is the deputy manager at Mount Lodge, a therapeutic community in Eastbourne, run by Community Housing and Therapy.

Enrico Pedriali is a physician, clinical psychologist, psychoanalytic psychotherapist and consultant in mental health institutions. He is a group analyst and past President of the Italian Association of Therapeutic Communities.

About the Series

The International Society for Psychological and Social Approaches to Psychosis Book Series

ISPS (The International Society for Psychological and Social Approaches to Psychosis) has a history stretching back more than five decades, during which it has witnessed the relentless pursuit of biological explanations for psychosis. This tide has been turning in recent years and there is growing international interest in a range of psychological, social and cultural factors that have considerable explanatory traction and distinct therapeutic possibilities. Governments, professional groups, people with personal experience of psychosis and family members are increasingly exploring interventions that involve more talking and listening. Many now regard practitioners skilled in psychological therapies as an essential component of the care of people with psychosis.

A global society active in at least twenty countries, ISPS is composed of a diverse range of individuals, networks and institutional members. Key to its ethos is that individuals with personal experience of psychosis, and their families and friends, are fully involved alongside practitioners and researchers, and that all benefit from this collaboration.

ISPS’s core aim is to promote psychological and social approaches to understanding and treating psychosis. Recognising the humanitarian and therapeutic potential of these perspectives, ISPS embraces a wide spectrum of therapeutic approaches from psychodynamic, systemic, cognitive, and arts therapies, to need-adapted and dialogical approaches, family and group therapies and residential therapeutic communities. A further ambition is to draw together diverse viewpoints on psychosis and to foster discussion and debate across the biomedical and social sciences, including establishing meaningful dialogue with practitioners and researchers who are more familiar with biological-based approaches. Such discussion is now increasingly supported by empirical evidence of the interaction of genes and biology with the emotional and social environment especially in the fields of trauma, attachment, social relationships and therapy.

Ways in which ISPS pursues its aims include international and national conferences, real and virtual networks, and publication of the journal Psychosis. The book series is intended to complement these activities by providing a resource for those wanting to consider aspects of psychosis in detail. It now also includes a monograph strand primarily targeted at academics. Central to both strands is the combination of rigorous, in-depth intellectual content and accessibility to a wide range of readers. We aim for the series to be a resource for mental health professionals of all disciplines, for those developing and implementing policy, for academics in the social and clinical sciences, and for people whose interest in psychosis stems from personal or family experience. We hope that the book series will help challenge excessively biological ways of conceptualising and treating psychosis through the dissemination of existing knowledge and ideas and by fostering new interdisciplinary dialogues and perspectives.

For more information about ISPS, email or visit our website,  

For more information about the journal Psychosis visit

Learn more…

Subject Categories

BISAC Subject Codes/Headings:
PSYCHOLOGY / Psychotherapy / General