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Informationen zum Autor Eric M. J. Morris is a chartered consultant clinical psychologist and the psychology lead for early intervention for psychosis at the South London and Maudsley NHS Foundation Trust, UK. Eric has been practising Acceptance and Commitment Therapy (ACT) for more than ten years, and researches mindfulness and acceptance interventions for psychosis at the Institute of Psychiatry, King's College London. Eric is a highly experienced trainer and supervisor in contextual cognitive behavioural therapies. Louise C. Johns is a chartered consultant clinical psychologist and coordinator of a specialist clinical service at the Maudsley Hospital, London, UK, offering psychological interventions for outpatients with psychosis. She is also an honorary lecturer at the Institute of Psychiatry, King's College London. Since qualifying as a clinical psychologist in 1998, she has worked in a clinical and research capacity in the field of psychosis. She has published over 50 articles on psychosis, covering development and psychopathology of symptoms, and cognitive behavioural treatments. She has led on the first UK funded studies to evaluate ACT for psychosis in group settings. Joseph E. Oliver is a clinical psychologist currently working in an early intervention programme for psychosis in South London, UK. He is also co-director of Contextual Consulting, an ACT based consultancy, offering contextual-CBT training, supervision and therapy. In addition to teaching and research supervision at King's College London's Institute of Psychiatry, he has active research interests in the use of ACT for psychosis, in group contexts and in its potential to enhance workplace well-being. Klappentext Emerging from cognitive behavioural traditions, mindfulness and acceptance-based therapies hold promise as new evidence-based approaches for helping people distressed by the symptoms of psychosis. These therapies emphasise changing the relationship with unusual and troublesome experiences through cultivating experiential openness, awareness, and engagement in actions based on personal values. In this volume, leading international researchers and clinicians describe the major treatment models and research background of Acceptance and Commitment Therapy (ACT) and Person-Based Cognitive Therapy (PBCT), as well as the use of mindfulness, in individual and group therapeutic contexts. The book contains discrete chapters on developing experiential interventions for voices and paranoia, conducting assessment and case formulation, and a discussion of ways to work with spirituality from a metacognitive standpoint. Further chapters provide details of how clients view their experiences of ACT and PBCT, as well as offering clear protocols based on clinical practice. This practical and informative book will be of use to clinicians and researchers interested in understanding and implementing ACT and mindfulness interventions for people with psychosis. Zusammenfassung 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. Inhaltsverzeichnis About the Editors xiv List of Contributors xvi Acknowledgements xix Foreword: Acceptance, Mindfulness and Psychotic Disorders: Creating a New Place to Begin xx 1 Introduction to Mindfulness and Acceptance-based Therapies for Psychosis 1 Joseph E. Oliver, Candice Joseph, Majella Byrne, Louise C. Johns and Eric M. J. Morris 1.1 Introduction to Psychosis 1 1.2 Interventions 2 1.2.1 Cognitive Behavioural Therapy 2 1.2.2 Developments in CBT: Contextual Approaches 3 1.2.3 Acceptance and Commitment Therapy 4 1.2.3.1 Open 5 1.2.3.2 Aware 6 1.2.3.3 ...
List of contents
About the Editors xiv
List of Contributors xvi
Acknowledgements xix
Foreword: Acceptance, Mindfulness and Psychotic Disorders: Creating a New Place to Begin xx
1 Introduction to Mindfulness and Acceptance-based Therapies for Psychosis 1
Joseph E. Oliver, Candice Joseph, Majella Byrne, Louise C. Johns and Eric M. J. Morris
1.1 Introduction to Psychosis 1
1.2 Interventions 2
1.3 Conclusion 8
2 Theory on Voices 12
Fran Shawyer, Neil Thomas, Eric M. J. Morris and John Farhall
2.1 Phenomenology 12
2.2 Mechanisms and Origins of Hearing Voices 13
2.3 Meaning Given to Voice Experience 14
2.4 Responses to Voices 15
2.5 Implications for the Role of Acceptance and Mindfulness in Voices 18
3 Emotional Processing and Metacognitive Awareness for Persecutory Delusions 33
Claire Hepworth, Helen Startup and Daniel Freeman
3.1 Introduction 33
3.2 Persecutory Delusions 33
3.3 Improving Treatments for Persecutory Delusions 34
3.4 Development of the Intervention 35
3.5 The EPMA Intervention 38
3.6 The EPMA Pilot Study 40
3.7 Case Study 41
3.8 Conclusion 42
4 Clinical Assessment and Assessment Measures 47
John Farhall, Fran Shawyer, Neil Thomas and Eric M. J. Morris
4.1 Introduction 47
4.2 Clinical Assessment 47
4.3 Assessment Measures 54
4.4 Conclusion 60
5 Acceptance and Commitment Therapy Case Formulation 64
Patty Bach
5.1 Introduction 64
5.2 Case Study 64
5.3 Case Formulation using the Inflexahex Model 70
5.4 Conclusion 73
6 Engaging People with Psychosis in Acceptance and Commitment Therapy and Mindfulness 76
Brandon A. Gaudiano and Andrew M. Busch
6.1 Introduction 76
6.2 Acceptance and Commitment Therapy 77
6.3 Functional Analytic Psychotherapy 78
6.4 Acceptance-based Methods and Techniques for Improving Engagement 79
6.5 Special Contexts and Issues 85
6.6 Case Study 88
6.7 Conclusion 90
7 Acceptance and Commitment Therapy for Voices 95
Neil Thomas, Eric M. J. Morris, Fran Shawyer and John Farhall
7.1 Introduction 95
7.2 Formulating how Voices are a Problem 95
7.3 Overall Considerations in Conducting ACT with Voices 96
7.4 Case Study 104
8 Acceptance and Commitment Therapy for Delusions 112
José Manuel García Montes, Marino Pérez Álvarez and Salvador Perona Garcelán
8.1 Introduction 112
8.2 Delusions as Ways of Making Contact with Experience 112
8.3 Intervention with ACT 115
8.4 Conclusion 125
9 Acceptance and Commitment Therapy for Emotional Dysfunction following Psychosis 129
Ross White
9.1 Introduction 129
9.2 Understanding Emotional Dysfunction following Psychosis 129
9.3 Emotional Dysfunction and Experiential Avoidance 130
9.4 An ACT Conceptualisation of Emotional Dysfunction following Psychosis 131
9.5 Treating Emotional Dysfunction following Psychosis 132
9.6 Conclusion 142
10 Person-based Cognitive Therapy for Distressing Psychosis 146
Lyn Ellett
10.1 Introduction 146
10.2 Zone of Proximal Development 146
10.3 Case Formulation in PBCT 150
10.4 Experiential Methods of Change 153
10.5 Conclusion 159
11 Spirituality: A New Way into Understanding Psychosis 160
Isabel Clarke
11.1 Introduction 160
11.2 Repositioning Psychosis and Spirituality: Recognition of the Two
