Psychotherapeutic Approaches to Schizophrenic Psychoses

Past, Present and Future

Edited by Yrjö O. Alanen, Manuel González de Chávez, Ann-Louise S. Silver, Brian Martindale

© 2008 – Routledge

424 pages | 4 B/W Illus.

Purchasing Options:
Paperback: 9780415440134
pub: 2009-05-28
US Dollars$49.95
Hardback: 9780415440127
pub: 2009-05-28
US Dollars$150.00

e–Inspection Copy

About the Book

Highly Commended in the Psychiatry category at the 2010 BMA Medical Book Awards!

Psychotherapeutic Approaches to Schizophrenic Psychoses brings together professionals from around the world to provide an extensive overview of the treatment of schizophrenia and psychosis.

Divided into three parts – past, present and future – the book begins by examining the history of the treatment of schizophrenia and psychosis, with reference to Freud, Jung, Harry Stack Sullivan and Adolf Meyer, amongst others.

Part two then takes a geographical look at treatment and its evolution in different parts of the world including the UK, USA, Northern Europe and Eastern Asia.

Finally, part three covers the range of interventions, from pharmacological treatments to psychoanalytic psychotherapy to CBT, with the aim of helping to shape the future integration of treatment.

With contributions from leading figures in the field, this book will provide a varied examination of treatment, and spark much-needed debate about its future. As such it will be essential reading for all mental health professionals, in particular those involved in psychiatry, psychology and psychotherapy.


"I am delighted to bring to the attention of psychiatrists and other mental health professionals across the world the work reflected in this book, as I am convinced that these approaches with their humanistic core have much to offer for upgrading person-centered clinical care for people experiencing psychoses."- Professor Juan E. Mezzich, M.D., Ph.D., President of the World Psychiatric Association

"A wonderful book that should be read by all professionals that deal with schizophrenia! As a necessary counterweight to the current biology-dominated and drug-centred practice, it offers an almost complete anthology of the worldwide developments of truly integrative psycho-socio-biological approaches and their psychotherapeutic consequences on the individual, familial and socio-environmental level." - Luc Ciompi, Professor Emeritus of Social Psychiatry, University of Basel, Switzerland.

"An extremely useful book and one that represents a growing interest in psychological and social approaches to improving the lives of individuals living with, and recovering from, the most severe and misunderstood of the serious mental illnesses--namely schizophrenia. As an encyclopedia of previous and current attempts to intervene in social and psychological ways in schizophrenia, [this book] is unparalleled." -Larry Davidson in PsycCRITIQUES, Vol. 54, December 2009

Table of Contents

Part I: The Past: Early History of the Treatment of Schizophrenic Psychoses and the Pioneers of the Psychotherapeutic Approach. Alanen, Can We Approach Schizophrenic Patients from a Psychological Basis? Chávez, Treatment of Psychoses Before the Twentieth Century. Alanen, The Schreber Case and Freud’s Double-edged Influence on the Psychoanalytic Approach to Psychosis. Hoffmann, The Burghölzli School: Bleuler, Jung, Spielrein, Binswanger and Others. Alanen, The Pioneering Work of Paul Federn. Silver, Pioneers of the Psychoanalytically Oriented Treatment of Psychosis in the USA. Part II: From Past to Present: World Developments from the 1940s to the Present. United States of America. Silver, Stedman, Psychodynamic Developments, 1940s to the Present. Great Britain. Jackson, The Contribution of Kleinian Innovations to the Treatment of Psychotic Patients. Kennard, Psychological Therapies for Schizophrenic Psychoses in the UK. German-speaking Central Europe. Hoffmann, The Development of Psychosis Psychotherapy in Switzerland. Mentzos, The Development of Psychosis Psychotherapy in Germany and Austria. France. Gaudilliére, Davoine, The Contribution of Some French Psychoanalysts to the Clinical and Theoretical Approaches to Transference in the Psychodynamic Treatment of Psychosis. Italy. Alessandrini, Di Giannantonio, The Psychiatric Care Reform Bill and Development of Psychotherapeutic Approaches. Northern Europe. Aaltonen, Alanen, Cullberg, Haugsgjerd, Levander, Rosenbaum, Developments in the Scandinavian Countries. Levander, Cullberg, Sweden: From Bjerre to the Parachute Project. Haugsgjerd, Norway: Wards for Intensive Psychotherapy. Rosenbaum, Denmark: Progress by Means of Project Work. Aaltonen, Alanen, Finland: Continuous Efforts to a Shared Space of Understanding. Eastern Europe. Bomba, Did the Iron Curtain Influence the Use of Psychotherapy in the Treatment of People Diagnosed as Having Schizophrenic Disorder? Eastern Asia. Chua, Developments in Eastern Asia: A Focus on Singapore. Huh, Taopsychotherapy in Korea. New Zealand: Geekie, Taitimu, Rook, Ang, Read, A History of Treatment Approaches to Psychosis. Part III: From Present to Future: Different Modalities of Treatment and Interventions. Koehler, Silver, Psychodynamic Treatment of Psychosis in the USA: Promoting Development Beyond Biological Reductionism. Stierlin, The Family in Schizophrenic Disorder: Systemic Approaches. Chávez, Group Psychotherapy and Schizophrenia. Dudley, Brabban, Turkington, Cognitive Behavioural Therapy for Psychosis. Hietala, Psychopharmacological Treatment and Psychotherapy in Schizophrenic Psychoses. Räkköläinen, Aaltonen, The Principles of Using and Not-using Neuroleptics in the Finnish Need-adapted Approach to the Treatment of Schizophrenic Psychoses. Larsen, Prevention and Early Intervention in Psychosis. Harding, McCrory, Psychotherapy and Rehabilitation: A Comparison Between Psychotherapeutic Approaches and Psychiatric Rehabilitation for Persons with Serious and Persistent Mental Illness. Aderhold, Soteria: A Treatment Model and a Reform Movement in Psychiatry. Whitaker, Deinstitutionalization and Neuroleptics: The Myth and the Reality. Alanen, Chávez, Silver, Martindale, Further Development of Treatment Approaches to Schizophrenic Psychoses: An Integrated View.

About the Editors

Yrjö O. Alanen is Emeritus Professor of Psychiatry at the University of Turku, Finland.

Manuel González de Chávez is Professor of Psychiatry, Complutense Madrid University, Spain.

Ann-Louise S. Silver is a psychoanalyst and Adjunct Professor of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, USA.

Brian Martindale is a Psychoanalyst and Consultant Psychiatrist at the Early Intervention in Psychosis Service, South Tyne and Wearside, Mental Health NHS Trust, UK.

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 fifty years during which it has witnessed the relentless pursuit of biological explanations for psychosis. The tide has been turning in recent years and there is a welcome international resurgence of interest in a range of psychological factors that have considerable explanatory power and therapeutic possibilities. Governments, professional groups, people with personal experience of psychosis and family members are increasingly expecting 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.

ISPS is a global society. It aims to promote psychological and social approaches both to understanding and to treating psychosis. It also aims to bring together different perspectives on these issues. ISPS is composed of individuals, networks and institutional members from a wide range of backgrounds and is especially concerned that those with personal experience of psychosis and their family members are fully involved in our activities alongside practitioners and researchers, and that all benefit from this. Our members recognise the potential humanitarian and therapeutic potential of skilled psychological understanding and therapy in the field of psychosis. ISPS embraces a wide spectrum of approaches from psychodynamic, systemic, cognitive, and arts therapies to need-adapted and dialogical approaches, family and group therapies and residential therapeutic communities.

We are also most interested in establishing meaningful dialogue with those practitioners and researchers who are more familiar with biological-based approaches. There is increasing empirical evidence for the interaction of genes and biology with the emotional and social environment, and there are important examples of the impact of life experiences in the fields of trauma, attachment, social relationships and therapy.

ISPS activities include regular international and national conferences, newsletters and email discussion groups. Routledge has recognised the importance of our field in publishing both the book series and the ISPS journal: Psychosis - Psychological, Social and Integrative Approaches with the two complementing one another. The series started in 2004 and by 2015 it contained 19 books and 2 monographs, with further publications in preparation. A wide range of topics are covered and we hope this reflects some success in our aim of bringing together a rich range of perspectives.

The book series is intended as a resource for a broad range of mental health professionals, as well as those developing and implementing policy and people whose interest in psychosis is at a personal level. We aim for rigorous academic standards and at the same time accessibility to a wide range of readers, and for the books to promote the ideas of clinicians and researchers who may be well known in some countries, but not so familiar in others. Our overall intention is to encourage the dissemination of existing knowledge and ideas, promote productive debate, and encourage more research in a most important field whose secrets certainly do not all reside in the neurosciences.

This series also includes a monograph strand, which consists of high-level academic texts aimed at researchers, academics and postgraduate students. Within the monograph strand the focus tends to be somewhat more conceptual, and less directly clinical, than in the main strand.

Learn more…

Subject Categories

BISAC Subject Codes/Headings:
PSYCHOLOGY / Clinical Psychology
PSYCHOLOGY / Psychopathology / Schizophrenia
PSYCHOLOGY / Psychotherapy / General