An Integrative Perspective

By Johan Cullberg

© 2006 – Routledge

366 pages | 37 B/W Illus.

Purchasing Options:
Paperback: 9781583919934
pub: 2006-01-05
US Dollars$46.95
Hardback: 9781583919927
pub: 2006-01-05
US Dollars$135.00

e–Inspection Copy

About the Book

Psychoses provides a unique perspective on the challenges associated with understanding and treating psychoses, bringing together insights and developments from medicine and psychology to give a full and balanced overview of the subject.

Johan Cullberg draws on his extensive experience working with those suffering from first-episode psychosis to investigate issues including vulnerability factors, phases of psychosis, prevention, the potential for recovery and contemporary attitudes to psychosis. Particular attention is paid to how therapeutic interventions can either support or obstruct the ‘self-healing’ properties of many psychoses.

This sensitive and humane perspective on the nature and treatment of psychoses will be of interest to all mental health professionals interested in increasing their understanding and awareness of this subject.


'…it should be on the reading list of every counselling and psychotherapy training.' Penny Wigram, British Journal of Psychotherapy

'…essential reading for anyone working with psychotic clients.' Val Allen, Therapy Today

'I believe that this book would be an invaluable aid to any mental health professional who wants to have a broader understanding of psychosis.' - Mohammed Abouelleil Rashed, Journal of Mental Health

'Dr Cullberg's Psychoses: An Integrative Perspective is clearly the result of a lifetime of study and practice of treating patients with psychoses by an unconventionally intelligent and deeply compassionate psychiatrist. Mental health professionals and family members may benefit greatly from his comprehensive, refreshing and very human integration of knowledge on the psychoses.' - John R. Bola, PhD, The Journal of Nervous and Mental Disease

Table of Contents

McGorry, Foreword. Preface to the English Edition. Part I: The Psychotic Crisis and the Schizophrenic Disability. Reason - A Thin Veil Over Chaos. Losing Contact with Reality. The Concept of Psychosis. Delusions and Hallucinations. The Ego, the Self and Psychosis. Phases of Acute Psychosis. Neurobiological Vulnerability Factors. Psychodynamic Vulnerability Factors. Factors that Trigger Psychosis. Protective Factors. Psychotic Disorders I. Psychotic Disorders II. Autism Spectrum Disorders and Childhood Psychoses. Delirium, Confusion and Organic Psychosis. The Two Critical Periods in Psychosis and the Potential for Recovery. Cognitive Disorders and the Psychotic Thought Process. The Construction of the Identity of a 'Chronic Schizophrenic'. Towards a Bio-Psycho-Social Model of Psychoses. Part II: In Support of Recovery. Traditions of Thought in the History of Psychiatric Ideas. Attitudes in the Twentieth-century Treatment of Psychosis. The Requirements, Demands and Organisation of Treatment for Psychosis. The Assessment and Treatment of Patients with an Acute Psychotic Episode. Psychosis and Suicide. People with Long-term Psychosis in the Community. Pharmacological Treatment of Psychosis. Psychological Treatments of Psychosis. Preventing Psychosis. On Being a Relative. Epilogue. Appendix: Classification.

About the Author

Johan Cullberg is a former professor of psychiatry, now working with research on first-episode psychosis and as a clinical supervisor at several Stockholm hospitals. He is former chairman of the ISPS and has published extensively on the subject of psychosis.

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.

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Subject Categories

BISAC Subject Codes/Headings:
MEDICAL / Psychiatry / General
PSYCHOLOGY / Clinical Psychology
PSYCHOLOGY / Mental Health