© 2013 – Routledge
For professionals working with people who experience severe psychosis, increasing empirical evidence for the benefits of psychotherapy for psychosis has been especially welcome. Given the limitations of medication-only approaches and the need for an expanded perspective, including for those diagnosed with schizophrenia, Surviving, Existing, or Living takes a fresh look at severe psychosis, offering a heuristic model for understanding psychosis along a continuum of severity, from the extreme experience of acutely impairing psychosis to a more enriched life experience.
Pamela Fuller emphasizes that facilitating recovery from psychosis requires appropriately and effectively matching the type and timing of interventions to client readiness and capabilities. The need to consider each individual according to which of three primary issues/phases preoccupy the person with psychosis is essential for tailoring treatment. She identifies these phases as:
Surviving Phase – preoccupation with survival
Existing Phase – preoccupation with restriction of life experiences in order to cope
Living Phase – preoccupation with quality of life and relationships
Surviving, Existing, or Living examines the rationale for these three phases, and provides details of phase-specific treatment interventions as well as a 'how to' guide for facilitating engagement and for determining 'what to do when,' including with those experiencing acute, severe psychosis. Rich clinical case examples are provided to highlight concepts and the types of interventions. Trauma-specific and group interventions for psychosis are also described, as well as ways to foster resilience in the professional who works with individuals with psychosis.
Surviving, Existing, or Living offers a detailed guide to help individuals experiencing psychosis move from suffering to recovery, beyond surviving or existing toward more fully living. The book will be essential reading for professionals in the fields of psychology, psychiatry, counseling, medicine, social work, nursing, occupational, recreational, and vocational therapies, experience-based experts, and students.
Introduction. The Three Phases of Severe Psychosis: Surviving, Existing, and Living. The Surviving Phase: Characteristics and Care. The Existing Phase: Characteristics and Care. The Living Phase: Characteristics and Care. Incorporating Trauma Treatment Into Care for Psychosis. Phase-Specific Group Therapies. Building the Clinician’s Psychological Stamina. Conclusions and Future Directions. References.
The ISPS (the International Society for the 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 is now turning again. There is a welcome international resurgence of interest in a range of psychological factors in psychosis that have considerable explanatory power and also distinct therapeutic possibilities. Governments, professional groups, users and carers are increasingly expecting interventions that involve more talking and listening. Many now regard skilled practitioners in the main psychotherapeutic modalities as important components of the care of the seriously mentally ill.
The ISPS is a global society. It is composed of an increasing number of groups of professionals, family members, those with vulnerability to psychosis and others, who are organised at national, regional and more local levels around the world. Such persons recognise the potential humanitarian and therapeutic potential of skilled psychological understanding and therapy in the field of psychosis. Our members cover a wide spectrum of approaches from psychodynamic, systemic, cognitive, and arts therapies to the need-adaptive approaches, group therapies and therapeutic institutions. We are most interested in establishing meaningful dialogue with those practitioners and researchers who are more familiar with biological based approaches. Our activities include regular international and national conferences, newsletters and email discussion groups in many countries across the world.
One of our activities is in the field of publication. Routledge have recognised the importance of our field, publishing Psychosis: Psychological, Social and Integrative Approaches. The journal complements Routledge's publishing of the ISPS book series which started in 2004. The books aim to cover many topics within the spectrum of the psychological therapies of psychosis and their application in a variety of settings. The series is intended to inform and further educate a wide range of mental health professionals as well as those developing and implementing policy.
Some of the books will be controversial and certainly our aim is to develop and change current practice in some countries. Other books will also promote the ideas of clinicians and researchers well known in some countries but not familiar to others. Our overall intention is to encourage the dissemination of existing knowledge and ideas, promote healthy debate, and encourage more research in a most important field whose secrets almost certainly do not all reside in the neurosciences.