Therapeutic Communities for Psychosis Philosophy History and Clinical Practice 1st Edition by John Gale, Alba Realpe, Enrico Pedriali ISBN 041544053X 9780415440530

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ISBN 10: 041544053X 
ISBN 13: 9780415440530
Author: John Gale, Alba Realpe, Enrico Pedriali

Therapeutic Communities for Psychosis Philosophy History and Clinical Practice 1st Table of contents:

Part 1 Historical background and philosophical context
1 A view of the evolution of therapeutic communities for people suffering from psychosis
Phase 1: the emergence (and submergence) of a humane approach to the mentally ill
Phase 2: the impact of psychoanalytic ideas and democratisation on institutional psychiatry: the therapeutic community approach
Phase 3: anti-psychiatry and alternative asylum
Phase 4: synthesis of the therapeutic community and anti-psychiatry
Conclusion
Notes
Bibliography
2 The American contribution to therapeutic community for people with psychosis and a reflection on current milieu treatment in the United States
Notes
Bibliography
3 The decline and rediscovery of the therapeutic community
An heroic origin
Myth and reality
Towards the decline
Internal factors
External factors
Developments in France
Developments in Italy
Developments elsewhere and in North America
The crisis of the welfare state, evidence-based culture and the consumer society
Responding to the challenge
Conclusion
Bibliography
4 Exegesis, truth and tradition: a hermeneutic approach to psychosis
Dislocation and disclosure
The emergence of truth
Community and paradosis
Conclusion
Notes
Bibliography
5 Applying Bion’s concept of psychotic personality to staff and patients
Introduction
Theoretical overview
Psychotic and non-psychotic personalities
Containment of love and hate
Organisational example
Training and support processes
Comprehensive in-service training programme
Staff dynamics
Structured line management and clinical consultation
Conclusion
Bibliography
6 When philosophy meets practice: setting up a Philadelphia Association community household
Introduction
The recent history of the houses within the PA
Who would benefit from living in a PA community household?
Living in a PA house: what is on offer?
In place of a Conclusion: opportunities and limitations
Notes
Bibliography
7 Psychosis and the community of the question: training therapists in therapeutic community
Questioning community
Questioning psychosis
Four topoi
Notes
Bibliography
Part 2 Treatment settings and clinical models
8 The therapeutic community approach in forensic settings
Tension between therapeutic community principles and secure forensic settings
Two basic types of therapeutic community
Democratic therapeutic community (TC)
Concept or hierarchical therapeutic community
The therapeutic community approach in prison settings
The therapeutic community in a forensic setting
Modifications of a therapeutic community approach in a secure forensic setting
Mrs A’s story
Bibliography
9 The treatment of substance use and mental health problems in Bulgaria
Background
Treatment implications
Therapeutic community (TCs)
Cognitive-behavioural integrated treatment approach
Epidemiology of SUDs and co-morbid mental health problems in Bulgaria
Treatment of substance dependent individuals with mental health problems in the therapeutic community Phoenix
Theoretical framework
Historical background and overall structure of TC Phoenix
Programme stages
Staff selection and qualifications
Therapeutic approach and interventions at TC Phoenix
Conclusion
Bibliography
10 Medication as a tool in therapeutic and rehabilitative programmes in communities for people suffering from schizophrenic disorders
Introduction
The community paradigm
The rehabilitative process
Medication
Cognitive dimension and neuroplasticity: a meeting point between medication and rehabilitative intervention
From a clinician’s viewpoint
From a biological standpoint
Notes
Bibliography
11 Consent, accountability and the future of therapeutic communities in the light of accompanied selfrehabilitation: the chemical asylum and the right to be socially sanctioned
Introduction and background
Case example
Consent and accountability and the future of therapeutic communities
Conclusion
Note
Bibliography
12 An exploration of the term autonomy: attitudes and philosophy for a modern concept in mental health
Defining autonomy
Autonomy as having one’s own life under control
Psychosocial rehabilitation, a philosophy of intervention
Therapeutic communities and their understanding of autonomy
Raising the professional’s expectations
Challenging the idea of the professional as the expert: democratisation and dialogue
Conclusion
Note
Bibliography
13 Holding structures in a crisis centre: an applied psychoanalytical model
The structure
The team: therapy for the individual
Groups
The milieu
An illustration of therapeutic work with a guest
Notes
Bibliography
14 Psychological care in therapeutic communities
An objective: psychological care
Some criteria for defining a therapeutic community
Aims of the stay
The therapeutic community: a place to live in, not just a place of care
Case example
Sergio: anger and disappointment
Case example
Lucia and her battle against the community investing in her
Conclusion
Being able to detect defences against investment
Then, watch out for narcissistic seduction
Editor’s note
Bibliography
15 Madness, persecution and transference
Feet on the ground: nobody has a panacea for psychoses
A very particular relationship with the Other
Acknowledgement
A personal path of work with another
A special relationship with the Other’s knowledge and enjoyment
The interlocutor’s position and the excess of meaning
Therapeutic community
Note
Bibliography
16 A community treatment programme for people suffering from schizophrenia in Krakow
Introduction
Community psychiatry perspective
Understanding schizophrenia
Patient—therapist relationship
Freedom or self-activity of the patient as an objective of therapy in the community programme
Community treatment programme (CTP)
Role of the group
Employment and education and their role in our antistigma programme
Day of Solidarity with People Suffering from Schizophrenia in Poland
Cracovian prospective schizophrenia study
Conclusion
Bibliography
Part 3 Alternative therapies and extended applications
17 Surrealism, psychosis and the therapeutic community: a window onto the mental landscape1
Art and psychosis
Surrealism and the unconscious
Permissiveness or freeing desire
Art and the therapeutic community
Art and truth
Surrealism and art groups in a therapeutic community
Art as mirror and container
Painting as a window: communalism
Permissiveness and artistic expression
Notes
Bibliography
18 The multifamily structured therapeutic community: reflections on the experience of the therapeutic community Tarsia, Italy
Illusion and the clash with reality
Everything is potentially therapeutic and rehabilitating
Meeting with the multifamily group of Jorge Garcia Badaracco and its repercussions on our work
The presence of ‘psychiatric familiarity’ in severe psychotic patients
A working hypothesis
Revision of the concept of vulnerability
Conclusion
Notes
Bibliography
19 The Farm House, Farooqabad, Sheikhupura, Pakistan
Association with Fountain House, Lahore
Establishment of the Farm House therapeutic community
Philosophy and objectives
Environment, facilities and staffing
Categories of resident and admissions criteria
Rehabilitation of people with learning disabilities
Rehabilitation of drug addicts
Programmes and services
Marketing and visitors
Therapeutic programme at the Farm House
Guided change
Developing a sense of self-respect
Sharing of responsibilities in the running of the Farm House
Sharing of responsibilities for running the units
Appointment as staff member
Responsibilities regarding individual care and caring for others
Inviting ex-members to social and cultural events
Special services
Family counselling
Work and student placements
Free medical camp
Public education
Quality of care standards, research and audit
Limitations and the future
Bibliography
20 Drama therapy in a community treatment programme
To be a patient
To be an actor
Bibliography
21 Psychodrama and the psychotic member
Introduction
Expressive art therapies
The psychotherapeutic technique of psychodrama
The psychopathology of psychotic patients
The psychodramatic treatment of psychosis
Psychodrama within a therapeutic community
Conclusion
Notes
Bibliography
22 New visions in the long-term outpatient therapy of psychosis: the therapeutic community within the community
The setting
The psychotic self – understanding the psychotic
The therapeutic community, within the community, as a containing and holding environment
Case example
The therapeutic community as a transitional object
Case example
Case example
Case example
The system network
Case example
Case example
Supervision
Conclusion
Bibliography
23 Evidence for the effectiveness of therapeutic community treatment of the psychoses
Research into therapeutic communities
The therapeutic community environment and effective use of group CBT
Effectiveness of therapeutic community treatment for schizophrenia
Community Housing and Therapy
Research projects at Community Housing and Therapy (CHT)
Psychoanalytically informed research on evidenced based practice in the context of social care
The National Institute for Health and Clinical Excellence (NICE) review of clinical guidelines on schizo

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