Positive Psychotherapy for Psychosis: A Clinician’s Guide and Manual

233 Pages·2016·4.111 MB·English

by  Mike Slade, Tamsin Brownell, Tayyab Rashid, Beate Schrank

Positive Psychotherapy
for Psychosis
Positive Psychotherapy for Psychosis describes a new psychological inter-
vention, which for the first time applies emerging research from the field of
positive psychology specifically to psychosis. The book contains guidance
on adapting the approach for use in individual treatments, and on providing
part of the intervention, either as individual sessions or by integrating
Positive Psychotherapy for Psychosis sessions into other treatments.
Divided into two sections – Theory and the Intervention Manual – this
book offers methodologically rigorous research, case studies and detailed
aims and instructions for clinicians and therapists. The structured, step-by-
step manual, for use with clients, includes downloadable handouts, session
materials, activities, guides and therapist tips. The manual will be a practical,
positive and innovative resource for mental health professionals, providing
all the material needed to deliver this evidence-based approach that is
designed to improve wellbeing and reduce symptoms experienced by people
living with psychosis.
Positive Psychotherapy for Psychosis will be of interest to mental health
clinicians working with people with psychosis, as well as clinical and coun-
selling psychologists, psychiatrists, mental health nurses, psychotherapists,
social workers, occupational therapists, support workers and peer support
specialists.
Mike Slade is Professor of Mental Health Recovery and Social Inclusion,
University of Nottingham. His research interests include recovery-focused
mental health services and increasing citizenship and social inclusion experi-
ences. Mike has written 250 academic articles and 11 books, including
Personal Recovery and Mental Illnessand Wellbeing, Recovery and Mental Health.
Information about his research can be found at www.researchintorecovery.
com.
Tamsin Brownell is a researcher in mental health services. She helped to
develop Positive Psychotherapy for Psychosis while working as a Research
Assistant at the Institute of Psychiatry, Psychology & Neuroscience, King’s
College London. Her main research interests are the development and
evaluation of therapeutic interventions and user-led services for mental
health, particularly in psychosis and eating disorders.
Dr Tayyab Rashid is a licensed clinical psychologist and researcher at the
Health & Wellness Centre, University of Toronto Scarborough (UTSC),
Canada. He developed and empirically validated an innovative therapeutic
approach called Positive Psychotherapy with Dr Martin Seligman at the
Positive Psychology Centre, University of Pennsylvania, during his doctoral
studies. Tayyab has trained mental health professionals and educators inter-
nationally and has also worked with survivors of 9/11 families and Asian
Tsunami survivors. Published in peer-reviewed journals, an invited keynote
speaker, his work has also been featured in the Wall Street Journal, Maclean’s,
Canadian Broadcasting Corporation and at the TEDx (www.tayyabrashid.
com).
Dr Beate Schrankis a consultant psychiatrist, therapist and senior researcher
at the Department of Psychiatry and Psychotherapy, University Clinic
Tulln, Karl Landsteiner University for Health Sciences, Austria. She conducted
the work reported in this book as part of her PhD degree at the Institute
of Psychiatry, Psychology & Neuroscience, King’s College London. Beate’s
main research interests focus on social psychiatry as well as on the concep-
tualisation and application of positive psychological variables, such as hope
or wellbeing, to people with severe illness, both mental and physical.
Positive Psychotherapy
for Psychosis
A Clinician’s Guide and Manual
Mike Slade, Tamsin Brownell, Tayyab
Rashid and Beate Schrank
First published 2017
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
and by Routledge
711 Third Avenue, New York, NY 10017
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2017 Mike Slade, Tamsin Brownell, Tayyab Rashid and Beate Schrank
The right of Mike Slade, Tamsin Brownell, Tayyab Rashid and Beate Schrank to
be identified as authors of this work has been asserted by them in accordance
with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or
utilised in any form or by any electronic, mechanical, or other means, now
known or hereafter invented, including photocopying and recording, or in any
information storage or retrieval system, without permission in writing from
the publishers.
Trademark notice: Product or corporate names may be trademarks or registered
trademarks, and are used only for identification and explanation without
intent to infringe.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
Names: Slade, Mike, author. | Brownell, Tamsin, author. | Rashid, Tayyab,
author. | Schrank, Beate, author.
Title: Positive psychotherapy for psychosis: a clinician's guide and manual
for Wellfocus PPT / Mike Slade, Tamsin Brownell, Tayyab Rashid, and
Beate Schrank.
Description: London; New York: Routledge, 2017. | Includes bibliographical
references.
Identifiers: LCCN 2016022875| ISBN 9781138182868 (hbk) |
ISBN 9781138182875 pbk) | ISBN 9781315545776 (ebk)
Subjects: | MESH: Psychotic Disorders—therapy | Psychotherapy—methods
Classification: LCC RC512 | NLM WM 200 | DDC 616.89—dc23
LC record available at https://lccn.loc.gov/2016022875
ISBN: 978-1-138-18286-8 (hbk)
ISBN: 978-1-138-18287-5 (pbk)
ISBN: 978-1-315-54577-6 (ebk)
Typeset in Stone Serif
by Florence Production Ltd, Stoodleigh, Devon, UK
E-resources at: www.routledge.com/9781138182875
Contents
vii
LIST OF ILLUSTRATIONS
ix
NOTES ON CONTRIBUTORS
xi
FOREWORD
xiii
LIST OF ABBREVIATIONS
Chapter 1 Introduction 1
Chapter 2 Positive psychotherapy 12
Chapter 3 Theory base for Positive Psychotherapy for Psychosis 23
Chapter 4 Developing Positive Psychotherapy for Psychosis 44
Chapter 5 Evaluating and optimising Positive Psychotherapy
for Psychosis 54
Chapter 6 Positive Psychotherapy for Psychosis: therapist
questions (and answers!) 65
Chapter 7 Intervention manual 74
Overview 74
Theory 75
Implementation 82
Session guide 84
Appendix 1 Journal pages 160
Appendix 2 Handouts 175
Appendix 3 Additional resources 192
203
REFERENCES
000
INDEX
v
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Illustrations
Figures
3.1 Flow diagram of studies included in the review 25
3.2 Dynamic framework of wellbeing 35
3.3 Comparing the static and dynamic framework of wellbeing 42
4.1 The Positive Psychotherapy for Psychosis model 50
5.1 Participant flow in the Positive Psychotherapy for Psychosis
trial 55
7.1 Static framework of wellbeing 76
7.2 The static and dynamic framework of wellbeing 76
7.3 The dynamic framework of wellbeing 77
7.4 Positive Psychotherapy for Psychosis Model 79
Appendix 3 Positive Psychotherapy for Psychosis Certificate 202
Tables
2.1 Standard 14-session PPT 14
2.2 Character strengths 16
2.3 Description of character strengths 17
3.1 Description of wellbeing measures with number of studies
included in the review using them as primary or secondary
outcome measures 26
3.2 Generic ONS framework modified for psychosis 28
3.3 Scales used to measure wellbeing and their coverage of
domains of the applied conceptual framework of wellbeing
in psychosis 30
3.4 Sociodemographic and clinical characteristics of participants
(n = 23) 33
3.5 Coding framework for wellbeing 34
4.1 Service user and staff generic views on standard PPT 45
4.2 Challenges and solutions identified in Stage 1 (interviews) 46
4.3 Positive Psychotherapy for Psychosis sessions 51
vii
ILLUSTRATIONS
4.4 Service user advisory group feedback on Positive Psychotherapy
for Psychosis 52
5.1 Sociodemographic and baseline clinical characteristics
(n = 94) 56
5.2 Changes from baseline to follow-up (n = 84, except for IHS
n = 83) 57
5.3 Intention to treat analysis (n = 84, except for IHS n = 83) 58
7.1 Positive Psychotherapy for Psychosis exercises and active
ingredients 80
7.2 Generic session structure 81
Box
1.1 International definitions of recovery and recovery support 9
viii
Contributors
Prof. Mike Slade is Professor of Mental Health Recovery and Social Inclu-
sion at University of Nottingham. He led the work reported in this book
while working as a Professor of Health Services Research at the Institute
of Psychiatry, Psychology & Neuroscience, King’s College London, and a
Consultant Clinical Psychologist in South London. His main research inter-
ests are recovery-focused and outcome-focused mental health services, user
involvement in and influence on mental health services, wellbeing in
psychosis, staff-patient agreement on need, residential alternatives to in-
patient services, and developing measures, for example, INSPIRE, Camberwell
Assessment of Need, and Threshold Assessment Grid. His research programme
is described at researchintorecovery.com.
Tamsin Brownell is a researcher in mental health services. She helped
to develop Positive Psychotherapy for Psychosis while working as a Research
Assistant at the Institute of Psychiatry, Psychology & Neuroscience, King’s
College London. Her main research interests are the development and eval-
uation of therapeutic interventions and user-led services for mental health,
particularly in psychosis and eating disorders.
Tayyab Rashid is a licensed clinical psychologist and researcher at the
Health & Wellness Centre, University of Toronto Scarborough (UTSC),
Canada. Dr Rashid developed and empirically validated an innovative
therapeutic approach called Positive Psychotherapy with Dr Martin Seligman
at the Positive Psychology Centre, University of Pennsylvania, during
his doctoral studies. Dr Rashid has trained mental health professionals
and educators internationally and has also worked with survivors of 9/11
families, Asian Tsunami and flood relief workers in Pakistan. Published
in peer-reviewed journals, an invited keynote speaker, Dr Rashid’s work has
also been featured in the Wall Street Journal, Canadian Broadcasting Cooperation
and at the TEDx. See www.tayyabrashid.com for more information.
Dr Beate Schrank is a consultant psychiatrist, therapist and senior
researcher at the Department of Psychiatry and Psychotherapy, University
Clinic Tulln, Karl Landsteiner University for Health Sciences, Austria. She
conducted the work reported in this book as part of her PhD degree at the
Institute of Psychiatry, Psychology & Neuroscience, King’s College London.
Her main research interests focus on social psychiatry as well as on the con-
ceptualisation and application of positive psychological variables, such as
hope or wellbeing, to people with severe illness, both mental and physical.
ix