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Beyond Madness: Psychosocial Interventions in Psychosis (Therapeutic Communities)
 
 
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Beyond Madness: Psychosocial Interventions in Psychosis (Therapeutic Communities) (Paperback)

by Robert D. Hinshelwood (Foreword), Joesph H. Berke (Editor), Maggie Fagan (Editor), George Mak-Pearce (Editor), Stella Pierides-Muller (Editor) "The Crisis Centre began with the idea that a personal crisis can be a pivotal moment, either for a mental and social breakdown or for..." (more)
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Product details

  • Paperback: 288 pages
  • Publisher: Jessica Kingsley Publishers (15 Oct 2001)
  • Language English
  • ISBN-10: 1853028894
  • ISBN-13: 978-1853028892
  • Product Dimensions: 23.2 x 15.2 x 2.4 cm
  • Average Customer Review: 3.0 out of 5 stars  See all reviews (1 customer review)
  • Amazon.co.uk Sales Rank: 549,251 in Books (See Bestsellers in Books)

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Product Description

Product Description

A major question facing psychiatrists is how to treat psychosis effectively while maintaining patients' dignity, self respect and, as far as possible, their psychological and social functioning. The authors of this book have all been associated with the Arbours Crisis Centre in London, a facility where therapists and patients, or guests, live together in order to establish a space where extremes of distress can be tolerated, understood and ameliorated. This text discusses team, group and community settings for interventions, and the five stages a guest passes through when at the centre. It examines special provisions for guests who self-harm, describes the experiences of living and working in the centre, and provides specific examples of interventions at the centre. The effect of power and money is explored, with a focus on authority, staff relationships with guests, and cost effectiveness.
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The Crisis Centre began with the idea that a personal crisis can be a pivotal moment, either for a mental and social breakdown or for a breakthrough into a new and vital dimension of living. Read the first page
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7 of 8 people found the following review helpful:
3.0 out of 5 stars Not so much psychosocial interventions, more antipsychiatry, 7 Dec 2004
The first thing to say is that this is a not a book about psychosocial but PsychoSocial interventions. That is, PsychoSocial with a capital 'P' and a capital 'S'. By this, the authors mean "integrated psychological and social interventions with individuals with sudden or long-standing psychoses" - interventions which, they believe, "are an effective alternative to traditional physically based psychiatric treatments". A distinction is made between this alternative to conventional psychiatry and the term 'psychosocial' where it is used to mean a treatment regime using "psychotherapy, medication and hospitalisation". This usage of PsychoSocial (essentially psychodynamic and socially-dynamic therapy) will seem idiosyncratic to the increasing numbers of workers using what they consider to be psychosocial interventions in the context of an integrated biopsychosocial model of psychosis.

Beyond Madness is written from the perspective of therapists associated with the Arbours Crisis Centre in London. Set up in 1973, the Centre has been a place where therapists and patients (or 'guests') live together. Part of the therapeutic community movement, and the antipsychiatry tradition of R D Laing, the Arbours Centre has long provided an alternative approach to mental health care. Readers looking for a definitive account of the work of the Arbours Centre they need look no further.

Of course, the book aims to go beyond simply documenting the development of the Centre. It offers an implicit critique of mainstream psychiatric treatment. The 'blurb' makes this clear: "at a time when biological treatments predominate, Beyond Madness illustrates and argues for a humane, useful and cost-effective alternative to traditional, physical, psychiatric treatments". Does this mean mainstream treatment is inhumane, useless and wasteful? Sometimes, perhaps, but I suspect Beyond Madness represents one end of a continuum and many mental health workers will be aiming for a middle ground where psychosocial interventions (in lower case) are used alongside medication

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