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Index
Cover
Dedication
Title page
Copyright page
About the Editors
List of Contributors
Acknowledgements
Foreword: Acceptance, Mindfulness and Psychotic DisordersCreating a New Place to Begin
1 Introduction to Mindfulness and Acceptance-based Therapies for Psychosis
1.1 Introduction to Psychosis
1.2 Interventions
1.3 Conclusion
2 Theory on Voices
2.1 Phenomenology
2.2 Mechanisms and Origins of Hearing Voices
2.3 Meaning Given to Voice Experience
2.4 Responses to Voices
2.5 Implications for the Role of Acceptance and Mindfulness in Voices
3 Emotional Processing and Metacognitive Awareness for Persecutory Delusions
3.1 Introduction
3.2 Persecutory Delusions
3.3 Improving Treatments for Persecutory Delusions
3.4 Development of the Intervention
3.5 The EPMA Intervention
3.6 The EPMA Pilot Study
3.7 Case Study
3.8 Conclusion
Acknowledgement
4 Clinical Assessment and Assessment Measures
4.1 Introduction
4.2 Clinical Assessment
4.3 Assessment Measures
4.4 Conclusion
5 Acceptance and Commitment Therapy Case Formulation
5.1 Introduction
5.2 Case Study
5.3 Case Formulation using the Inflexahex Model
5.4 Conclusion
6 Engaging People with Psychosis in Acceptance and Commitment Therapy and Mindfulness
6.1 Introduction
6.2 Acceptance and Commitment Therapy
6.3 Functional Analytic Psychotherapy
6.4 Acceptance-based Methods and Techniques for Improving Engagement
6.5 Special Contexts and Issues
6.6 Case Study
6.7 Conclusion
7 Acceptance and Commitment Therapy for Voices
7.1 Introduction
7.2 Formulating how Voices are a Problem
7.3 Overall Considerations in Conducting ACT with Voices
7.4 Case Study
8 Acceptance and Commitment Therapy for Delusions
8.1 Introduction
8.2 Delusions as Ways of Making Contact with Experience
8.3 Intervention with ACT
8.4 Conclusion
Acknowledgement
9 Acceptance and Commitment Therapy for Emotional Dysfunction following Psychosis
9.1 Introduction
9.2 Understanding Emotional Dysfunction following Psychosis
9.3 Emotional Dysfunction and Experiential Avoidance
9.4 An ACT Conceptualisation of Emotional Dysfunction following Psychosis
9.5 Treating Emotional Dysfunction following Psychosis
9.6 Conclusion
10 Person-based Cognitive Therapy for Distressing Psychosis
10.1 Introduction
10.2 Zone of Proximal Development
10.3 Case Formulation in PBCT
10.4 Experiential Methods of Change
10.5 Conclusion
11 Spirituality: A New Way into Understanding Psychosis
11.1 Introduction
11.2 Repositioning Psychosis and Spirituality: Recognition of the Two Ways of Knowing
11.3 Research Basis
11.4 Spirituality and Mental Health
11.5 Clinical Approach: The Therapeutic Alliance
11.6 Psychosis as a Spiritual Crisis
12 The Service User Experience of Acceptance and Commitment Therapy and Person-based Cognitive Therapy
12.1 Introduction
12.2 An Overview of Service User Involvement
12.3 The Importance of a Service User Perspective in Informing ACT and PBCT for Psychosis
12.4 A Service User Perspective on the Experience of ACT for Psychosis
12.5 Summary of Qualitative Findings from PBCT Groups on Participant Experiences of Mindfulness Practice and What was Learned from these Studies
12.6 Conclusion
13 Acceptance and Commitment Therapy for First-episode Psychosis
13.1 Introduction
13.2 Recovery from a First Episode of Psychosis
13.3 Using ACT to Enhance Recovery from a First Episode of Psychosis
13.4 ACT in Different Modalities
13.5 Case Study
13.6 Conclusion
14 Acceptance and Commitment Therapy for Psychosis in Acute Psychiatric Admission Settings
14.1 Introduction
14.2 Acute Psychosis and ACT Interventions
14.3 ACT in the Acute Psychiatric Admission Ward
14.4 Case Study
14.5 Convergence of Mindfulness/Metacognitive-based Cognitive Therapy Approaches
14.6 Reflections on Developing Systemic Applications of ACT
14.7 Conclusion
15 Developing Acceptance and Commitment Therapy for Psychosis as a Group-based Intervention
15.1 Introduction
15.2 A Six-session ACT-for-Psychosis Group Protocol
15.3 Case Study
15.4 Reflections on the Experience of Developing and Delivering the Groups
15.5 Other Protocols
15.6 Conclusion
Acknowledgement
16 Group Person-based Cognitive Therapy for Distressing Psychosis
16.1 Introduction
16.2 Person-based Cognitive Therapy
16.3 The Importance of the Group Process in PBCT
16.4 Facilitating a PBCT Group
16.5 PBCT: An Integrated Model
16.6 Group PBCT: The Evidence
16.7 Conclusion
Appendix A Chessboard Metaphor
Appendix B Leaves-on-the-Stream Metaphor
Appendix C Passengers-on-the-Bus Metaphor
Appendix D Person-in-the-Hole Metaphor
Appendix E Polygraph Metaphor
Appendix F See the Wood for the Trees (And Other Helpful Advice for Living Life)
Chapter 1 The Difference between Sensory Experience and Mental Experience
Chapter 2 The Drawbacks of Trying to Avoid the Things we Struggle With
Chapter 3 Moving towards Your Values and Carrying the Anxiety with You
Chapter 4 Getting Distance between You and the ‘Story of your Life’
Chapter 5 Control is the Problem, not the Solution
Chapter 6 Letting Go of Thoughts
Chapter 7 Seeing the Wood for the Trees
Chapter 8 Coping with Worries
Chapter 9 Review of the Importance of Values and Committed Action
Chapter 10 Review of ‘Noticing We Can Notice’ Work
Chapter 11 Looking to the Future
Appendix G Skiing Metaphor
Appendix H Tug-of-War-with-the-Monster Metaphor
Index
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