A major question facing therapists today is how to treat psychosis effectively while maintaining patients' dignity, self-respect and, as far as possible, their psychological and social functioning. The authors of Beyond Madness have all been associated with the Arbours Crisis Centre in London, a unique facility established in 1973 where therapists and patients, or guests, live together in order to establish a space where extremes of distress can be tolerated, understood and ameliorated. This book provides important and engaging accounts of the special personal and interpersonal care offered by the Arbours Crisis Centre and kindred facilities.
The authors demonstrate different ways of working with psychotic persons within individual, group and community settings. They describe the extraordinary experience of living and working at the Centre including the five stages of stay that guests invariably pass through. In addition, they discuss different strategies for intervening, especially with people who self-harm, and provide a theoretical framework for their interventions. They explore issues of power, authority and money, and show that the work of the Centre is cost-effective in comparison to other treatment modes.
At a time when biological treatments predominate, Beyond Madness illustrates and argues for a humane, useful and cost-effective alternative to traditional, physical, psychiatric interventions.
from the publisher's website
Table of Contents
Foreword, Robert D. Hinshelwood. General Introduction, Joseph H. Berke, Margaret Fagan, George Mak-Pearce and Stella Pierides- Mller. SECTION ONE: HISTORICAL AND THEORETICAL PERSPECTIVES. 1. Introduction, Joseph H. Berke, Margaret Fagan, George Mak-Pearce and Stella Pierides-Mller. 2. A Psychotic Sense of the Future, George Mak-Pearce. 3. Beyond Medication, Richard Lucas, Consultant Psychiatrist, St Ann's Hospital, London. 4. Continuities, Mats Mogren, Co-Founder and Director, Gothenburg Psychotherapy Institute. 5. The Power of the Play, Stella Pierides-Mller. SECTION TWO: WAYS OF WORKING. 6. Introduction, Joseph H. Berke, Margaret Fagan, George Mak-Pearce and Stella Pierides-Muller. 7. Conjoint Therapy, Joseph H. Berke. 8. Containing Anxiety: A Resident Therapist's Experience, Catherine Sunderland, Resident Therapist, Arbours Crisis Centre, London. 9. Self-Harmers, Margaret Fagan. 10.Teamwork, Tamar Schoenfield, Psychotherapist in Private Practice, London. 11. Stepping on the Cracks, Lizzi Payne, Arbours Crisis Centre, London. 12. The State of the Art, Lois Elliott, Associate Director, Arbours Crisis Centre and Julia Saltiel, Arbours Crisis Centre and Support Programme, London. SECTION THREE: CLINICAL INTERVENTIONS. 13. Introduction, Joseph H. Berke, Margaret Fagan, George Mak-Pearce and Stella Pierides-Mller. 14. Survival or Revival? Martin Jenkins, Co-founder Member, Association of Arbours Psychotherapists Borderline Workshop and Arts and Psychoanalytic Thought Workshop. 15. A Fine Balance: Between Hope and Despair, Lois Elliott, Associate Director, Arbours Crisis Centre 16. Psychotic Interventions, Joseph H. Berke. 17. Inside Outside, Kate Hardwicke. 18. The Arbours Crisis Centre: Then and Now Laura Forti, Team Leader, Arbours Crisis Centre. SECTION FOUR: AUTHORITY AND MONEY. 19. Best Value Residential Psychotherapy, Edith David, Financial Administrator, Arbours Crisis Centre, London. 20. The Collapsing of the Pyramid, Stanley Schneider, Professor and Chariman of the Programme for advanced Studies in Integrative Psychotherapy, The Hebrew University, Jerusalem. 20. Conclusion, Joseph H. Berke, Margaret Fagan, George Mak-Pearce and Stella Pierides-Mller. References. Index.