Early Detection and Cognitive Therapy for People at High Risk of Developing Psychosis

Paul French is co-ordinator of a specialist clinical team based at Bolton, Salford & Trafford Mental Health Trust offering cognitive interventions for people who are considered at high risk of developing psychosis. He has worked in mental health since 1989 and has always been interested in the provision of services for people with psychosis having worked in a variety of inpatient and community settings. More recently, he has developed a research interest in working with people at high risk of developing psychosis.Hehas published a number of articles relating to early psychosis and particularly the provision of psychological interventions in early psychosis. Anthony P. Morrison is a reader in psychology at the University of Manchester and is also programme co-ordinator for a specialist programme of care for people with early psychosis in Bolton, Salford & Trafford Mental Health Trust. He has published a number of articles on cognitive therapy for psychosis and experimental studies of cognitive processes in psychosis. He has been involved in a number of treatment trials for cognitive therapy for psychosis and has a special interest in the cognitive theory of and therapy for hearing voices. More recently, he has developed a research interest in working with people at high risk of developing psychosis and the links between trauma and psychosis. He was awarded the May Davidson Award 2002 for his contributions to clinical psychology.

• List of Figures and Appendices viiAbout the Authors ixForeword by Max Birchwood xiIntroduction xiiiAcknowledgements xviiPart I: Background 11 The Importance of Early Recognition 32 How to Identify At-Risk Groups 93 Which Prevention Strategy to Adopt 23Part II: Cognitive Therapy for Prevention of Psychosis 274 Why Cognitive Therapy? 295 Engagement 376 Theory, Assessment and Formulation 45Part III: Change Strategies 557 Normalisation 578 Generating and Evaluating Alternative Explanations 659 Safety Behaviours 7510 Metacognitive Beliefs 8711 ‘I Am Different’ and Other Core Beliefs 9312 Social Isolation 10113 Relapse Prevention 11114 Conclusions 117Appendices 121References 135Index 143

“…an easy to read guide…” (Behavioural & Cognitive Psychology, Vol. 33 2005) "...well researched, well written and easily understood...of interest to all who work with high-risk adolescents and young adults..." (Intl Jnl of Clinical Practice, June 2004)"...extremely interesting and highly readable..." (Mental Health Today, September 2004)"Strong stuff...[the authors] offer some well-researched loyalty truths" (Daily Telegraph, 22nd November 2005)"...an excellent introduction...illuminating but concise..." (BACP, December 2005)