Psychotherapy for Psychosis Integrating Cognitive-Behavioral and Psychodynamic Treatment

In this innovative book, master clinician Michael Garrett shows how to weave together cognitive-behavioral therapy (CBT) and psychodynamic therapy to support the recovery of persons suffering from psychosis. This integrated framework builds on the strengths of both methods to achieve lasting gains, even for patients with severe, chronic mental illness. The therapist is guided to use CBT to help the patient recognize the literal falsity of delusions, while employing psychodynamic strategies to explore the figurative truth and personal meaning of psychotic symptoms. Extended case presentations and numerous clinical vignettes illustrate Garrett’s compassionate, empowering approach.

Winner (Second Place)--American Journal of Nursing Book of the Year Award, Psychiatric and Mental Health Nursing Category

Michael Garrett, MD, is Professor of Clinical Psychiatry and Director of Psychotherapy Education in the Department of Psychiatry and Behavioral Sciences at the State University of New York (SUNY) Downstate Medical Center in Brooklyn. He is Certified in Psychiatry by the American Board of Psychiatry and Neurology and is a faculty member at the Institute for Psychoanalytic Education at New York University Medical Center. Dr. Garrett’s research interests include the relationship between psychosis and ordinary mental life, and psychotherapy for psychosis. He is a three-time recipient of the SUNY Downstate Distinguished Educator Award. 

Introduction
I. Theory
1. Essential Problems in Psychosis and Basic Definitions
2. Biological and Psychological Models of Psychosis
3. Psychosis: An Autobiographical Play Staged in the Real World
4. Disturbances of Figurative Language, Concrete Metaphors, and Delusional Identities
II. Psychotherapy Technique
5. Treatment Overview and Patient Selection
6. Engaging the Patient
7. Eliciting the Patient’s Story
8. Discussing Reality with a Psychotic Person
9. Assessing Coping Strategies and Introducing Three Cognitive-Behavioral Therapy for Psychosis (CBTp) Models
10. Working CBTp and Psychodynamic Formulations
11. Working with Voices and Other CBTp Techniques
12. Challenging Delusions
13. Psychodynamic Interpretation of Psychotic Symptoms
14. The Case of Ariel
15. The Cases of Asha and Kasper
III. Psychotherapy for Psychosis in the Public Sector
16. Current Clinical Conditions in Public Mental Health
17. A Template for Ambitious Psychotherapy in the Public Sector
References
Index