What is schizophrenia? Is it a nervous breakdown or a neurochemical malfunction? Why does it develop mostly in late adolescence?

In this groundbreaking and innovative book, Chris Harrop and Peter Trower outline a whole new way of understanding schizophrenia. Controversially, they argue that symptoms seen as psychosis can be linked to the typical psychological development of adolescence and, in particular, to problems constructing an independent, adult self.

This unique psychological account of schizophrenia, written in accessible language, offers insights and practical therapeutic techniques that will be of value to young people with this problem, their families and anyone working with adolescents.

For therapists and all those working in mental health services, particularly those interested in early intervention, this book is essential reading.

‘… a valuable contribution to what remains one of the most problematical issues for health providers, receivers and researchers.’ Dr Paul Patterson

‘… what Peter and Chris have to say is controversial, but I suspect this work will be regarded in time to come as "trail-blazing".’ Professor Max Birchwood

The World Health Organization's concept of health as "the condition of psychophysical and social well-being" must be translated into opera tional terms. The objective is to place the human person within the social system, given that mental health, mental illness, and suffering are individual, despite the fact that their causes are to be sought in the society and environment that surround and interact with the indi vidual. One dimension that must be emphasized in this field is the contin uum that exists between social environment and cerebral development. This continuum consists of the physical and biological features of the two interacting systems: on one hand, the brain managed and con trolled by the genetic program, and, on the other hand, the environ ment, be it natural or social. A simple dichotomy of individual and environment is no longer a sufficient concept in understanding the etiology of mental health and illness. Needless to say, socioepidemiological research in psychiatry and transcultural psychiatry is useful in reaching these ends. However, at the root of mental illness, one can always find the same causal elements: informational chaos, inadequate dietary intake, substance abuse, trauma, conditioning, and so on, which make the interactive systems dysfunctional. Subsequent organic and psychotic disorders occur to the detriment of both the individual and society. Current biological psychiatry is inadequately equipped in treating mental illness."

When little things have big impacts. This book is for anyone who feels that they're sleepwalking through life, looking for answers to challenging emotions and the practical tools to begin living the life they want. 'How are you really feeling? A bit blah, meh or simply 'I don't actually know'. If this is your honest, knot-in-the-throat response, take a moment - breathe - and let me reassure you that it's not you, it's what's happened to you over the years. You can't quite put your finger on it, but somehow you just don't feel like you're thriving or truly participating in your own life. This is the result of a build-up of life's scrapes, papercuts and bruises that have left you feeling simply 'not ok'. Emotional illiteracy, microaggressions, challenging familial relationships, toxic positivity and gaslighting are some examples of what I call 'Tiny T' trauma - the impact of which often leads to problems such as high-functioning anxiety, languishing, perfectionism, comfort eating and sleep disturbance, to name but a few. We have been fooled into believing that 'Tiny T' trauma doesn't matter. There always seem to be huge, intractable problems in the world, so we tend to overlook those small, everyday injuries that drill down to your core. This leaves us with an undercurrent of constant melancholy and niggling pinpricks of anxiety, all wrapped up in the film of other people's Insta-perfect lives. But life doesn't have to be experienced in this suffocating way; we owe it to ourselves to develop Awareness, Acceptance, and take Action on our Tiny T trauma, no matter how 'small', and to start living every day as we deserve.'

Participation in Children and Young People's Mental Health: An Essential Guide aims to break down the historical challenges surrounding children and young people's mental health (CYPMH) participation. It explores topics from how to conceptualise participation to more practical advice and guidance surrounding how to 'do' participation. Uniquely edited by Experts-by-Experience, it offers useful insights to how participation ought to be led from those with experience in the field. This ground-breaking text is supported by contributors from leading experts, including a mixture of lived experience and academic persepctives, providing a comprehensive dive into key concepts and practical examples to help improve practice. The chapters aim to spark thinking, conversations, and actions in participation and will provide lessons to embed into services, organisations, areas, groups, practice, and work. This text is an essential guide for trainees and professionals working in CYPMH services which includes the NHS in England, voluntary sector, and other health systems internationally.

This international survey defines mental health as a basic human right, and tracks the emergence of mental health prevention and promotion as a global priority. Locating mental illness within a cycle of negative causes and effects affecting human quality of life, the editors identify modern policy barriers to promotion/prevention initiatives, particularly the favoring of the biomedical health model by major stakeholders. The book's selection of successful programs from diverse countries displays a lifespan approach, emphasizing the centrality of interdisciplinary educational settings in providing primary and secondary prevention and promotion interventions, and the ongoing fight against missing financial investigations, discrimination and stigma. Together, these papers make a forceful argument for rights- based responses to worldwide mental health needs as part of the commitment toward global human rights and long-term development goals. Included in the coverage: * Mental health priorities around the world. * Social determinants of mental health. * Mental health and stigma: aspects of anti-stigma interventions. * Promoting social and emotional wellbeing and responding to mental health problems in schools. * The promotion and delivery of mental health services in primary care settings. * Economic evaluation of mental health promotion and mental illness prevention. Bringing to the fore public health concerns that are too often marginalized, Global Mental Health is necessary reading for health professionals, health and clinical psychologists, psychiatrists, medical sociologists, and policymakers.

Forced hospitalization of people with mental disorders has long been a critical issue in the mental health services. Coercion and Aggressive Community Treatment is the first sustained description and analysis of what happens when aggressive' treatment becomes coerced' treatment. Mental health professionals poignantly discuss the tension they feel between wanting to do everything to treat desperately ill people and the need to respect the rights of these same people who want to make their own decisions, even if this means forgoing treatment.

Originally published in 1970 this title commemorates the men and ideas that started, inspired and established a pioneer institution in British psychiatry. Based on the impetus of Freudian and related innovations after the First World War, the Tavistock Clinic offered treatment, training and research facilities in the field of neurosis, child guidance and later on group relations. Dr Dicks, who had been associated for nearly forty years with the work and personalities that helped to develop the Tavistock venture, describes the struggles and capacity for survival of the clinic. He shows how, belonging neither to the older classical psychiatry nor to orthodox psychoanalysis, and suspect to both, the Clinic nevertheless became increasingly used by the rest of the profession as a psychotherapeutic resource. Dr Dicks describes the influence of the Tavistock on the medical, psychological and social work scene both before and after the Second World War, and assesses its achievements as a centre of psycho- and socio-dynamic thinking. The Tavistock is shown as a pioneer sui generis, launching psychosomatic research and initiating the exciting ventures in social psychiatry associated with the Army in the Second World War. As the Tavistock was the outcome of work with shell-shock victims in the first war, so its offspring, the Institute of Human Relations, was the natural continuation of the military effort in man-management, morale and group dynamic studies. The book includes an account of the inter-relationship between the Clinic, now part of the National Health Service, and the Institute, a private corporation. Still going strong as part of the Tavistock and Portman NHS Foundation Trust today this is an opportunity to revisit its early history.

The "Handbook of Multicultural Mental Health, Second Edition, "discusses the impact of cultural, ethnic, and racial variables for the assessment, diagnosis, treatment, service delivery, and development of skills for working withculturally diverse populations. Intended for the mental health practitioner, the book translates research findings into information to be applied in practice.

The new edition contains more than 50% new material and includes contributions from established leaders in the field as well as voices from rising stars in the area. It recognizes diversity as extending beyond race and ethnicity to reflect characteristics or experiences related to gender, age, religion, disability, and socioeconomic status. Individuals are viewed as complex and shaped by different intersections and saliencies of multiple elements of diversity.

Chapters have been wholly revised and updated, and new coverage includes indigenous approaches to assessment, diagnosis, and treatment of mental and physical disorders; spirituality; the therapeutic needs of culturally diverse clients with intellectual, developmental, and physical disabilities; suicide among racial and ethnic groups; multicultural considerations for treatment of military personnel and multicultural curriculum and training.
Foundations-Overview of Theory and Models Specialized Assessment in a Multicultural Context Assessing and Treating Four Major Culturally Diverse Groups in Clinical Settings Assessing and Treating Other Culturally Diverse Groups in Clinical Settings Specific Conditions/Presenting Problems in a Cultural Context Multicultural Competence in Clinical Settings"

This book is a research mono graph reporting empirical results, but we have tried to place the data in a very broad national perspective. Our intent is a volume on mental health policy in the United States, most notably our de facto policies, as indicated by empirical data. The book gives a broad perspective of mental disorders and mental disorder treatment in general hospitals in the United States. The audi ence that we ho pe to reach is those interested in mental health policy, planning, and treatment alternatives. The issues raised in this book are germane to anyone who is concerned with the problems that beset those see king treatment for mental or substance abuse disorders. We address the foUowing types of issues: (1) the history of health policy in the United States; (2) the history of our mental health policy as a eomponent of our health poliey; (3) the effeets of ehanges in payment policies; (4) mental disorders among special populations (children, the elderly, the disabled); (5) the cost of treatment; (6) changes in labeling of diagnosis; (7) the effectiveness of treatment; and (8) evolving public policy issues."

Multiple voices throughout the last century have preached the merits of various treatments for schizophrenia, ranging from cold baths to the currently accepted standards such as neuroleptic medication. Along with these ongoing treatments, there have been quiet commentaries, made mostly from the sidelines, suggesting the need to shift and refocus the way we think and talk about schizophrenia. Harry Stack Sullivan noted in 1927 that, 'The psychiatrist sees too many end states and deals professionally with too few of the pre psychotic" (Sullivan 192711994, p. 135). Similar thoughts have been echoed by purveyors of modem treatment for psychosis such as Thomas H. McGlashan: "Like others before me, I tried to make a difference . . . but like the others my efforts were largely in vain. I came upon the scene too late; most of the damage was already done" (McGlashan, 1996). Similar interest in the early phase of schizophrenia has developed across the globe and consolidated into a tentative, yet meaningful deliberation about the potential for prevention of psychotic illness through early identification and intervention. In the past decade, international support has grown from: Ian Falloon's prodromal intervention project in Great Britain (Falloon et aI., 1996); Patrick McGorry's and Jane Edward's first episode psychosis program in Melbourne, Australia (McGorry et al."

A paradigm shift in the ways in which mental health services are delivered is happening-both for service users and for professional mental healthcare workers. The landscape is being changed by a more influential service user movement, a range of new community-based mental healthcare programmes delivered by an increasing plurality of providers, and new mental health policy and legislation. Written by a team of experienced authors and drawing on their expertise in policy and clinical leadership, Working in Mental Health: Practice and Policy in a Changing Environment explains how mental health services staff can operate and contribute in this new environment. Divided into three parts, the first focuses on the socio-political environment, incorporating service user perspectives. The second section looks at current themes and ways of working in mental health. It includes chapters on recovery, the IAPT programme, and mental healthcare for specific vulnerable populations. The final part explores new and future challenges, such as changing professional roles and commissioning services. The book focuses throughout on the importance of public health approaches to mental healthcare. This important text will be of interest to all those studying and working in mental healthcare, whether from a nursing, medical, social work or allied health background.

Innovating in Community Mental Health presents lively examples of successful attempts to change mental health service systems in innovative ways to achieve the goal of providing care for persons with severe mental illness. These examples are drawn from such diverse national settings as Italy, Russia, Germany, England, China, and the United States, and involve a range of stratgies from treatment teams of professionals, grassroots community organizations, consumer cooperatives, professional-volunteer teamwork, and housing-based alternatives. The stories of these varied innovations are told by established, knowledgeable scholars from each of the featured countries. The editors help us understand the triumphs and pitfalls involved in these innovations through the presentation of a broad, research-based theory of innovation and change, which is used to guide the presentation of the examples and subsequently to determine their similarities and differences. Through the theoretical framework presented, the nuances of the process of innovation are highlighted, including the importance of the type of innovation itself, the wider environmental influences, place of internal organizational structures, and the role of the individual change agent. Through this framework and the examples presented, the reader is given indications of how innovation and change may be possible in such diverse and seemingly difficult situations, and also of how effective strategies for change might be chosen by administrators, providers, and other policymakers.

Despite the growing emphasis on a population-based training and service delivery model for school psychology, few resources exist to provide guidance concerning how such services might be conceptualized and put into place. In this book, the authors propose a public health model for comprehensive children's mental health services that expands, rather than replaces, the traditional model of school psychology. The background and theoretical perspective for this public health model are discussed as an important way to solve problems and accomplish goals in schools, after which the authors outline and develop a clear, practical procedure for implementing and evaluating programs based on public health ideas. A case study in one elementary school walks readers through the stages of applying a public health model, detailing the key steps of each stage. Finally, the authors consider the changes to the role of school psychologist that will be required to practice a public health problem-solving model. Accompanying downloadable resources contain sample forms, handouts, and other valuable materials that will be of use to school psychologists implementing this public health model in their schools.

This book examines the recovery principle of co-production within mental health services, defining it as the creation of a space where all stakeholders - including service users, family members, carers and supporters - come together in a partnership to improve all aspects of mental health services. Exploring both the practicalities and complexities of co-production, the book provides detailed analyses of all aspects of the concept in relation to mental health and discusses the growing evidence-base for adopting co-production as a recovery approach within a mental health setting. The book's chapters outline: the foundational principles in implementing the concept in services; the theories of co-production in and outside of mental health settings; how to translate theory into practice; and examples of implementation. The book also explores the sustainability of co-production and the tensions that are present between the idea of recovery and mental health policy. The volume represents an ideal introduction to the concept of co-production in mental health and will be valuable reading for those researching and working in the area of mental health services and recovery, including nurses, occupational therapists and social workers.

For the first time in history, behavioral health providers are expected to understand and participate in activities intended to access and improve the quality of services they provide. This handbook is designed as a general resource in the field of behavioral health quality management for a very diverse group of readers, including graduate and undergraduate students, payors, purchasers and administrators within managed care organizations, public sector service system planners and managers, applied health services researchers and program evaluators. This volume provides a comprehensive context for the development of quality management (QM) in health services - behavioral health in particular - as well as an overview of tools, techniques, and programs reflecting QM in practice. It also offers perspectives on both internally- and externally-based QM activities.

This book is a study of infant mental health which blends knowledge and understanding from three perspectives: international research, theory, and intervention. The volume increases awareness of the significance of infant mental health, adding to the growing body of literature on influences upon lifestyles, communities, society, and attainment. The significance of mental health to development has come to the fore in recent years and research in neuroscience is used to explore, and to understand the complexities of the human brain. Each infant is exposed to unique influences before and after birth. Neuroscience, genetics, adverse childhood experiences, and personalities feature in the chapters as mitigating factors to attainment. Exemplars create a bridge between research and implementation of recommendations, and illustrate the myriad of influences and permutations that can enhance or hinder development. This book discusses internal influences from an infant's biological make-up, alongside the circumstances and relationships within a family unit, as understanding these key aspects is integral to promotion of each infant's life chances. The volume concludes by considering future approaches to nurturing infant mental health. Carefully designed to stimulate discussion and professional inquiry, this volume is an invaluable resource for researchers, academics, and scholars with an interest in infant mental health.

This text, by a well regarded writing team, examines the relationship between the knowledge base of mental health professionals, evidence about inequalities and mental health service utilization. Starting with a critical appraisal of traditional psychiatric epidemiology, it moves into an exploration of the inequalities created by familial and neighborhood influences, service contact and challenges during the life span. Controversies in mental health debates, about violence and different forms of psychiatric treatment, are discussed within a framework of social inequalities.

Hope has long been a topic of interest for psychologists, philosophers, educators, and physicians. In the past few decades, researchers from various disciplines and from around the world have studied how hope relates to superior academic performance, improved outcomes in the workplace, and improved psychological and physical health in individuals of all ages. Edited by Matthew W. Gallagher and the late Shane J. Lopez, The Oxford Handbook of Hope provides readers with a thorough and comprehensive update on the past 25 years of hope research while simultaneously providing an outline of what leading hope researchers believe the future of this line of research to be. In this extraordinary volume, Gallagher, Lopez, and their expert team of contributors discuss such topics as how best to define hope, how hope is distinguished from related philosophical and psychological constructs, what the current best practices are for measuring and quantifying hope, interventions and strategies for promoting hope across a variety of settings, the impact it has on physical and mental health, and the ways in which hope promotes positive functioning. Throughout its pages, these experts review what is currently known about hope and identify the topics and questions that will help guide the next decade of research ahead.

Psychiatric and Mental Health Essentials in Primary Care addresses key mental health concepts and strategies for time-pressured practitioners in various healthcare settings serving diverse populations. It offers theoretically sound and succinct guidelines for compassionate, efficient, and effective service to people in emotional and physical pain and distress, capturing the essentials of mental health care delivered by primary care providers. The text provides a theoretical overview, discussing mental health assessment, crisis care basics, alternative therapies, and vulnerable groups such as children, adolescents and older people. It includes chapters that focus on the following topics in Primary Care Practice: Suicide and Violence Anxiety Mood disorders Schizophrenia Substance Abuse Chronic illness and mental health. This invaluable text is designed for primary care providers in either graduate student or practice roles across a range of primary care practice, including nurse practitioners and physician assistants.

This book explores the diverse manner in which family dynamics shaped Jewish identities in ways that were unique and directly connected to their experiences within their families of origin. Highlighted is the diversity of experience of ethnic identity within members of a group of women who are similar in many respects and who belong to an ethnic group that is often invisible. Jewish people, like members of other ethnic groups are often treated as if their identities were homogeneous. However, gender, social class, sexual orientation, factors surrounding immigration status, proximity of family members to the holocaust or pogroms, the number of generations one's family has been in the US and other salient aspects of experience and identites transform and inform the meaning and experience by group members. The book explores these diversities of experience and goes on to highlight the way in which the intermingling of family dynamics and subsequent Jewish identity in these women is manifested in the practice of psychotherapy. In 2012, the book had been awarded the Jewish Women Caucus of the Association for Women in Psychology Award for Scholarship, for that year. This book was published as a special issue of Women and Therapy.