Pub Date : 2022-11-10DOI: 10.1080/17522439.2022.2141840
Kerry Middleton, A. Cooke, Rufus May
{"title":"“It allowed us to let our pain out”: perspectives from voice-hearers and their voices on the ‘talking with voices’ approach","authors":"Kerry Middleton, A. Cooke, Rufus May","doi":"10.1080/17522439.2022.2141840","DOIUrl":"https://doi.org/10.1080/17522439.2022.2141840","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43358962","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}
Pub Date : 2022-11-03DOI: 10.1080/17522439.2022.2141841
Sara King, M. Allan, L. Lindsey
{"title":"“I found hundreds of other people…but I still wasn’t believed” – An exploratory study on lived experiences of antipsychotic withdrawal","authors":"Sara King, M. Allan, L. Lindsey","doi":"10.1080/17522439.2022.2141841","DOIUrl":"https://doi.org/10.1080/17522439.2022.2141841","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48732554","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}
Pub Date : 2022-10-18DOI: 10.1080/17522439.2022.2134444
Tomi Bergström, Jaakko Seikkula, P. Köngäs-Saviaro, Jyri J. Taskila, J. Aaltonen
ABSTRACT Background The open dialogue (OD) approach includes the need-adapted use of psychiatric medication in treating first-episode psychosis (FEP), but there is limited information on how psychiatric medications are actually used in OD-based services. This study aims to analyse long-term medication dispensing patterns among FEP cohort treated according to the OD. Methods The OD cohort consisted of people who received treatment for FEP in the Finnish Western Lapland catchment area at a time of OD implementation (n=61). The comparison group included people whose FEP treatment commenced outside the catchment area during the mid-1990s (n=1378). Data were gathered from national registers from onset to the end of the 10-year follow-up or death. A non-confirmatory descriptive comparison was performed to evaluate the usage patterns and cumulative exposure to psychiatric medication. Results Under OD, a smaller proportion had been dispensed benzodiazepines, antidepressants, and neuroleptics. Persons who had received these medications did not differ in cumulative exposure. In both groups, most of those who received neuroleptics in the first follow-up years continued using medication throughout follow-up. Discussion OD may assist in detecting FEP patients who can manage without neuroleptics, thus minimizing iatrogenic effects. Due to the observational design, further studies are required to confirm this hypothesis.
{"title":"Need adapted use of medication in the open dialogue approach for psychosis: a descriptive longitudinal cohort study","authors":"Tomi Bergström, Jaakko Seikkula, P. Köngäs-Saviaro, Jyri J. Taskila, J. Aaltonen","doi":"10.1080/17522439.2022.2134444","DOIUrl":"https://doi.org/10.1080/17522439.2022.2134444","url":null,"abstract":"ABSTRACT Background The open dialogue (OD) approach includes the need-adapted use of psychiatric medication in treating first-episode psychosis (FEP), but there is limited information on how psychiatric medications are actually used in OD-based services. This study aims to analyse long-term medication dispensing patterns among FEP cohort treated according to the OD. Methods The OD cohort consisted of people who received treatment for FEP in the Finnish Western Lapland catchment area at a time of OD implementation (n=61). The comparison group included people whose FEP treatment commenced outside the catchment area during the mid-1990s (n=1378). Data were gathered from national registers from onset to the end of the 10-year follow-up or death. A non-confirmatory descriptive comparison was performed to evaluate the usage patterns and cumulative exposure to psychiatric medication. Results Under OD, a smaller proportion had been dispensed benzodiazepines, antidepressants, and neuroleptics. Persons who had received these medications did not differ in cumulative exposure. In both groups, most of those who received neuroleptics in the first follow-up years continued using medication throughout follow-up. Discussion OD may assist in detecting FEP patients who can manage without neuroleptics, thus minimizing iatrogenic effects. Due to the observational design, further studies are required to confirm this hypothesis.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46811546","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}
Pub Date : 2022-10-14DOI: 10.1080/17522439.2022.2134443
Robert P. Allison
{"title":"A tripartite relationship theory of voice hearing: a grounded theory study","authors":"Robert P. Allison","doi":"10.1080/17522439.2022.2134443","DOIUrl":"https://doi.org/10.1080/17522439.2022.2134443","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43455280","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}
Pub Date : 2022-10-10DOI: 10.1080/17522439.2022.2131891
T. Mountjoy, A. Cardno, Anjula Gupta, M. Waterman
{"title":"To what extent do clinical psychologists working in early psychosis routinely explore trauma with their clients?","authors":"T. Mountjoy, A. Cardno, Anjula Gupta, M. Waterman","doi":"10.1080/17522439.2022.2131891","DOIUrl":"https://doi.org/10.1080/17522439.2022.2131891","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44308867","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}
Pub Date : 2022-10-06DOI: 10.1080/17522439.2022.2128860
E. Harvey, Daniel Mutanda, Anna-Marie Jones, M. Hayward
{"title":"How should psychological interventions for distressing voices be delivered: a comparison of outcomes for patients who received interventions remotely or face-to-face within routine clinical practice?","authors":"E. Harvey, Daniel Mutanda, Anna-Marie Jones, M. Hayward","doi":"10.1080/17522439.2022.2128860","DOIUrl":"https://doi.org/10.1080/17522439.2022.2128860","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41733133","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}
Pub Date : 2022-10-02DOI: 10.1080/17522439.2022.2137570
P. Bullimore, J. Carson
ABSTRACT Professor Marius Romme has been one of the most influential psychiatrists of his generation. He revolutionized the approach to working with people who hear voices. This Living Tribute to Marius features short accounts by many of those he has worked with over the decades from both professional and lived experience perspectives. Thanks to his work and all those who have worked with him, hearing voices is no longer dismissed as a symptom of schizophrenia requiring medication, but as something to be understood in the context of each person’s unique life history.
Marius Romme教授是他那一代最有影响力的精神科医生之一。他彻底改变了与听障人士合作的方法。这本向马里乌斯致敬的书以他几十年来从专业和生活经验的角度合作过的许多人的简短叙述为特色。由于他的工作和所有与他一起工作的人，幻听不再被视为需要药物治疗的精神分裂症症状，而是作为一种需要在每个人独特的生活史背景下理解的东西。
{"title":"A living tribute to professor Marius Romme","authors":"P. Bullimore, J. Carson","doi":"10.1080/17522439.2022.2137570","DOIUrl":"https://doi.org/10.1080/17522439.2022.2137570","url":null,"abstract":"ABSTRACT Professor Marius Romme has been one of the most influential psychiatrists of his generation. He revolutionized the approach to working with people who hear voices. This Living Tribute to Marius features short accounts by many of those he has worked with over the decades from both professional and lived experience perspectives. Thanks to his work and all those who have worked with him, hearing voices is no longer dismissed as a symptom of schizophrenia requiring medication, but as something to be understood in the context of each person’s unique life history.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45862395","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}
Pub Date : 2022-10-02DOI: 10.1080/17522439.2022.2132416
J. O. Johannessen, P. McGorry
Our friend, colleague and inspirational professor Johan Cullberg, died after being ill for a short time, on the eve of June 14. Johan was a highly respected Professor of Psychiatry, an excellent researcher, compassionate and skilled clinician, and author, who was deeply engaged in the development of psychiatry and mental health services. It was his brother, the artist Erland Cullberg’s mental health issues that led Johan Cullberg to choose psychiatry for his professional life. His work has circled around understanding and treating people experiencing the mental breakdown described as psychosis. In his clinical work and research, he shared his interest and capacity, mainly through two major life projects, First episode psychosis and the relational, psychodynamic understanding and treatments of such disorders. Firstly, he led the outpatient units in the so-called Nacka project, where the focus was on psychiatric care outside the hospital. He especially studied the interplay between the individual patients and their close environment. Johan fought for more humane care of patients, a reduction in compulsory treatment and the need for lower doses of antipsychotic medication. He also sought to integrate the biological, psychodynamic, subjective/phenomenological and social dimensions of care. He was one of the pioneers of early intervention in psychosis and was active in international organisations which promoted this reform paradigm and psychological and psychosocial treatment strategies. He was especially active in the early and founding years of IEPA (the International Early Intervention in Psychosis Association) and with the ISPS (the International Society for Psychological treatments of Schizophrenia (later Psychosis). In fact, Professor Cullberg was a founding member of ISPS, and became an ISPS Honorary Lifetime Member. These two areas converged in his major research and health service development project, the “Parachute project”. The Swedish Parachute Project (soft landing following psychosis) was started in 1996, with 17 participating clinics covering 1.6 million inhabitants (one-sixth of the Swedish population). Professor Cullberg led the research aspects of this project for 10 years. The program consisted of small, homelike units – mostly outside the hospital. The principles of the Parachute Project included: 1) Early intervention (within 24 hours), 2) Psychotherapeutic and crisis orientation, 3) Family meetings (very important), 4) Continuity and accessibility to service for five years, 5) Use of the lowest effective antipsychotic dose and initial therapy without medications, and 6) Therapeutic inpatient milieu (personal, low stimulus, non-institutional). A three-year follow-up research study showed less antipsychotic usage, less inpatient care and greater functional quality of life (Cullberg et al., 2006). The values and philosophy underpinning his work are described in one of his books, “Psychosis: An integrative Perspective”, where he conc
{"title":"Johan Christoffer Cullberg","authors":"J. O. Johannessen, P. McGorry","doi":"10.1080/17522439.2022.2132416","DOIUrl":"https://doi.org/10.1080/17522439.2022.2132416","url":null,"abstract":"Our friend, colleague and inspirational professor Johan Cullberg, died after being ill for a short time, on the eve of June 14. Johan was a highly respected Professor of Psychiatry, an excellent researcher, compassionate and skilled clinician, and author, who was deeply engaged in the development of psychiatry and mental health services. It was his brother, the artist Erland Cullberg’s mental health issues that led Johan Cullberg to choose psychiatry for his professional life. His work has circled around understanding and treating people experiencing the mental breakdown described as psychosis. In his clinical work and research, he shared his interest and capacity, mainly through two major life projects, First episode psychosis and the relational, psychodynamic understanding and treatments of such disorders. Firstly, he led the outpatient units in the so-called Nacka project, where the focus was on psychiatric care outside the hospital. He especially studied the interplay between the individual patients and their close environment. Johan fought for more humane care of patients, a reduction in compulsory treatment and the need for lower doses of antipsychotic medication. He also sought to integrate the biological, psychodynamic, subjective/phenomenological and social dimensions of care. He was one of the pioneers of early intervention in psychosis and was active in international organisations which promoted this reform paradigm and psychological and psychosocial treatment strategies. He was especially active in the early and founding years of IEPA (the International Early Intervention in Psychosis Association) and with the ISPS (the International Society for Psychological treatments of Schizophrenia (later Psychosis). In fact, Professor Cullberg was a founding member of ISPS, and became an ISPS Honorary Lifetime Member. These two areas converged in his major research and health service development project, the “Parachute project”. The Swedish Parachute Project (soft landing following psychosis) was started in 1996, with 17 participating clinics covering 1.6 million inhabitants (one-sixth of the Swedish population). Professor Cullberg led the research aspects of this project for 10 years. The program consisted of small, homelike units – mostly outside the hospital. The principles of the Parachute Project included: 1) Early intervention (within 24 hours), 2) Psychotherapeutic and crisis orientation, 3) Family meetings (very important), 4) Continuity and accessibility to service for five years, 5) Use of the lowest effective antipsychotic dose and initial therapy without medications, and 6) Therapeutic inpatient milieu (personal, low stimulus, non-institutional). A three-year follow-up research study showed less antipsychotic usage, less inpatient care and greater functional quality of life (Cullberg et al., 2006). The values and philosophy underpinning his work are described in one of his books, “Psychosis: An integrative Perspective”, where he conc","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42135731","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}
Pub Date : 2022-09-14DOI: 10.1080/17522439.2022.2116475
M. Pearson, Stefan Rennick-Egglestone, G. Winship
{"title":"The poetic wavelength – a narrative interview study exploring the potential of poetry to support meaning making and recovery following psychosis","authors":"M. Pearson, Stefan Rennick-Egglestone, G. Winship","doi":"10.1080/17522439.2022.2116475","DOIUrl":"https://doi.org/10.1080/17522439.2022.2116475","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41633172","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}
Pub Date : 2022-08-30DOI: 10.1080/17522439.2022.2095000
C. Berry, Andreea-Ingrid Baloc, David Fowler, Anna-Marie Jones, Cassie M. Hazell, M. Hayward
ABSTRACT Background Voice-hearing is a common, phenomenologically diverse, experience across different mental health diagnoses. Patient preferences for psychological therapies are helpful in informing treatment commissioning and provision, especially in the context of complex and variable experiences like voice-hearing. There is, however, very limited evidence as to the psychological therapy preferences of transdiagnostic voice-hearers. Methods Three-hundred and thirty-five voice hearers were recruited from secondary care NHS mental health services across England, between 2020 and 2022. Participants completed a questionnaire battery, involving a psychological therapy preference survey. Participants ranked their preferences across categories of practical, technical and relational therapy elements. Therapy preferences were examined using non-parametric ANOVAs and the significance of pairwise comparisons between different therapy elements. Results There were significant differences in all categories of preference elements. Clear hierarchies of preference were observed in therapy location, timing, delivery, and therapy approach. Preferences were evident, albeit with less clear vertical hierarchies, for number of sessions, mode, therapist qualities, and therapy focus, tasks and outcomes. Discussion Overall, participants expressed a preference for individual, face-to-face intervention of at least nine sessions, with a highly experienced therapist and a core focus on enhancing coping strategies for voice-hearing experiences.
{"title":"The psychological therapy preferences of patients who hear voices","authors":"C. Berry, Andreea-Ingrid Baloc, David Fowler, Anna-Marie Jones, Cassie M. Hazell, M. Hayward","doi":"10.1080/17522439.2022.2095000","DOIUrl":"https://doi.org/10.1080/17522439.2022.2095000","url":null,"abstract":"ABSTRACT Background Voice-hearing is a common, phenomenologically diverse, experience across different mental health diagnoses. Patient preferences for psychological therapies are helpful in informing treatment commissioning and provision, especially in the context of complex and variable experiences like voice-hearing. There is, however, very limited evidence as to the psychological therapy preferences of transdiagnostic voice-hearers. Methods Three-hundred and thirty-five voice hearers were recruited from secondary care NHS mental health services across England, between 2020 and 2022. Participants completed a questionnaire battery, involving a psychological therapy preference survey. Participants ranked their preferences across categories of practical, technical and relational therapy elements. Therapy preferences were examined using non-parametric ANOVAs and the significance of pairwise comparisons between different therapy elements. Results There were significant differences in all categories of preference elements. Clear hierarchies of preference were observed in therapy location, timing, delivery, and therapy approach. Preferences were evident, albeit with less clear vertical hierarchies, for number of sessions, mode, therapist qualities, and therapy focus, tasks and outcomes. Discussion Overall, participants expressed a preference for individual, face-to-face intervention of at least nine sessions, with a highly experienced therapist and a core focus on enhancing coping strategies for voice-hearing experiences.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45403996","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：