{"title":"We need more diversity and nuance in public accounts of psychosis treatment","authors":"Keith Gallagher","doi":"10.1080/17522439.2022.2063368","DOIUrl":"https://doi.org/10.1080/17522439.2022.2063368","url":null,"abstract":"ABSTRACT People with lived experience of psychosis now have more access than ever to share their own stories and learn about others’ via social media and public health campaigns. However, lived experience accounts that deal with race-based bias and inequity, ambivalent attitudes toward the biomedical illness model, or negative or harmful experiences of treatment remain less visible. Such accounts may help many who are experiencing psychosis to locate themselves in the narratives of others and access insights about recovery and navigating treatment which are currently absent. Future efforts to uplift diverse accounts of lived experience should involve people with lived experience as formal collaborators, make room for discussion of the shortcomings of treatment, and prioritize especially marginalized voices and perspectives.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47828732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critical psychiatry textbook","authors":"Tom Federn","doi":"10.1080/17522439.2022.2164605","DOIUrl":"https://doi.org/10.1080/17522439.2022.2164605","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46535634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Schizophrenia. An unfinished history","authors":"A. Homberg","doi":"10.1080/17522439.2022.2164344","DOIUrl":"https://doi.org/10.1080/17522439.2022.2164344","url":null,"abstract":"who have “survived” the treatment which they have received for their psychiatric disorder! All the assertions are impressively documented, though as a clinical social worker I am not at all competent to assess the validity of the many methodological analyses. I would like to conclude this review on a personal note by paraphrasing the famous folk singer Bob Dylan. How can the lives of such patients be in the palms of such apparent fools hands? To see them so badly mistreated couldn’t help but make me feel ashamed to be part of a profession involving the gross mistreatment of so-called psychiatric patients.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45750683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Georgina L Barnes, Richard Emsley, Philippa Garety, Amy Hardy
{"title":"Identifying victimisation profiles in people with psychosis and a history of childhood trauma: a latent class analysis.","authors":"Georgina L Barnes, Richard Emsley, Philippa Garety, Amy Hardy","doi":"10.1080/17522439.2021.2009903","DOIUrl":"https://doi.org/10.1080/17522439.2021.2009903","url":null,"abstract":"<p><strong>Background: </strong>People with psychosis experience higher rates of childhood victimisation compared to the general population, which may impact on mental health and recovery. This study aimed to identify childhood victimisation profiles in a clinical sample to inform recommendations for routine care.</p><p><strong>Methods: </strong>Participants were 146 adults (ages 19-65 years; M = 42.2) with schizophrenia-spectrum diagnoses reporting trauma. Childhood trauma was assessed using two retrospective measures, and a latent class analysis (LCA) was performed on four trauma types (sexual abuse, emotional abuse, physical abuse and neglect). Multinomial logistic regression investigated demographic differences between the classes.</p><p><strong>Results: </strong>Four distinct childhood trauma classes were identified: Emotional abuse/neglect (n = 29); physical abuse (n = 14); sexual abuse (n = 19); and poly-victimisation (n = 84). There were no differences between the classes in terms of age, ethnicity, relationship status, education or current employment (relative risk (RR) = 0.85-1.27, <i>p</i> > 0.05). Participants in the poly-victimisation class were significantly more likely to be female (RR = 0.22-0.28, <i>p</i> < 0.04).</p><p><strong>Discussion: </strong>Adults with psychosis, particularly females, are likely to report poly-victimisation in childhood. This highlights the need to comprehensively but concisely assess experiences of abuse and neglect in clinical care, in line with trauma-informed approaches.</p>","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9988302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9438267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aubrey M Moe, Heather M Wastler, Jacob G Pine, Nicholas J K Breitborde
{"title":"Metacognitive Skills Training and Computerized Cognitive Remediation among Individuals with First-Episode Psychosis: Influence on Social Cognition.","authors":"Aubrey M Moe, Heather M Wastler, Jacob G Pine, Nicholas J K Breitborde","doi":"10.1080/17522439.2022.2111595","DOIUrl":"10.1080/17522439.2022.2111595","url":null,"abstract":"<p><strong>Background: </strong>Metacognitive skills training (MST) is often integrated into cognitive remediation programs for psychosis. Social cognition - the mental processes underlying social perception and behavior - is robustly related to outcomes in psychosis and is increasingly addressed with targeted treatments. Though metacognition and social cognition are related constructs, little is known about how MST may influence social cognition among individuals with psychosis participating in broad-based, non-social cognitive remediation.</p><p><strong>Methods: </strong>Individuals with first-episode psychosis who completed six months of metacognitive remediation (MCR; n=12) were compared to a historical control group who received six months of computerized cognition remediation (CCR; n=10) alone (ClinicalTrials.gov Identifier NCT01570972).</p><p><strong>Results: </strong>Though individuals receiving MCR experienced gains in emotion processing and theory of mind, these changes were not significantly different when compared to individuals receiving CCR. MST did not contribute to social cognitive change in the context of CCR.</p><p><strong>Discussion: </strong>Though MST may be relevant to facilitating social cognitive gains within broader cognitive remediation programs for first-episode psychosis, these benefits are limited and may not exceed those conferred by standard cognitive remediation. Opportunities for investigation of other potential mechanisms of social cognitive response to interventions remain.</p>","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42465553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amy Langman-Levy, Louise Johns, Jasper Palmier-Claus, Catarina Sacadura, Ann Steele, Amanda Larkin, Elizabeth Murphy, Samantha Bowe, Anthony Morrison
{"title":"Adapting cognitive behavioural therapy for adolescents with psychosis: insights from the Managing Adolescent first episode in psychosis study (MAPS).","authors":"Amy Langman-Levy, Louise Johns, Jasper Palmier-Claus, Catarina Sacadura, Ann Steele, Amanda Larkin, Elizabeth Murphy, Samantha Bowe, Anthony Morrison","doi":"10.1080/17522439.2021.2001561","DOIUrl":"https://doi.org/10.1080/17522439.2021.2001561","url":null,"abstract":"<p><strong>Background: </strong>Onset of psychosis commonly occurs in adolescence, and long-term prognosis can be poor. There is growing evidence, largely from adult cohorts, that Cognitive Behavioural Therapy for Psychosis (CBTp) and Family Interventions (FI) can play a role in managing symptoms and difficulties associated with psychosis. However, adolescents have distinct developmental needs that likely impact their engagement and response to talking therapy. There is limited guidance on adapting CBTp to meet the clinical needs of under-eighteens experiencing psychosis.</p><p><strong>Method: </strong>This educational clinical practice article details learnings from therapists and supervisors working with young people (aged 14-18 years) with psychosis during the Managing Adolescent first-episode Psychosis: a feasibility Study (MAPS) randomised clinical treatment trial, supplemented by findings from nested qualitative interviews with young people receiving CBTp.</p><p><strong>Results: </strong>Suggested are given for tailoring CBTp assessment, formulation and interventions to meet the developmental and clinical needs of adolescents with psychosis. Developmentally appropriate techniques and resources described.</p><p><strong>Conclusions: </strong>Early indications from MAPS study indicate this developmentally tailored approach is an acceptable, safe and helpful treatment for young people with psychosis. Further research is needed to develop empirically grounded and evaluated CBTp for adolescents.</p>","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9970186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10827497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How do people with first episode psychosis experience therapeutic relationships with mental health practitioners? A narrative review","authors":"Katrina Brown, S. Parry","doi":"10.1080/17522439.2022.2160487","DOIUrl":"https://doi.org/10.1080/17522439.2022.2160487","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48046972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“The world is a beautiful place – I want to explore that a bit”: the experience of taking part in an adventure therapy sailing project by a group of individuals who have experienced psychosis","authors":"E. Rapsey, N. Pilcher","doi":"10.1080/17522439.2022.2145347","DOIUrl":"https://doi.org/10.1080/17522439.2022.2145347","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48570519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systematic violations of patients’ rights and safety: forced medication of a cohort of 30 patients in Alaska","authors":"Gail Tasch, P. Gøtzsche","doi":"10.1080/17522439.2023.2183428","DOIUrl":"https://doi.org/10.1080/17522439.2023.2183428","url":null,"abstract":"ABSTRACT Background Psychiatric patients’ human rights are often violated when forced treatment orders are issued. Methods We assessed the records for 30 consecutive petitions for mental health commitment in which an involuntary medication order was requested, from Anchorage, Alaska. Results In 29 cases, the commitment petition was granted. The forced medication order was granted in 27 of the 30 cases. In 26 cases, in violation of previous Supreme Court rulings, the patients’ desires, fears, wishes and experiences were ignored even when the patients were afraid that the neuroleptics might kill them or when they had experienced serious harms such as tardive dyskinesia. The ethical and legal imperative of offering a less intrusive treatment was also ignored. Benzodiazepines were not offered. Psychotherapy was not offered or mentioned in 15 cases. The providers claimed, contrary to the evidence, that psychotherapy does not work. Dicussion The legal procedures can best be characterized as a sham, in which the patients are defenseless. The power imbalance and abuse were extreme, and several of the psychiatrists who argued for forced treatment obtained court orders for administering drugs and dosages that were dangerous. We suggest forced medication be abandoned.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41325523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren A. Bradley, Louise Combes, A. Perry, Remennie Brooks
{"title":"‘Client's perspectives and the efficacy of Dramatherapy for Early Psychosis’","authors":"Lauren A. Bradley, Louise Combes, A. Perry, Remennie Brooks","doi":"10.1080/17522439.2022.2141843","DOIUrl":"https://doi.org/10.1080/17522439.2022.2141843","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48524287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}