Jean Addington & Shona Francey 
Working with People at High Risk of Developing Psychosis 
A Treatment Handbook

A timely overview of new psychological interventions in this exciting and emerging field, Working with People at High Risk of Developing Psychosis: A Treatment Handbook presents the most up-to-date progress in the identification of individuals who are at ultra high risk of developing a psychotic illness. The book focuses on a range of psychological interventions that are currently being developed, tested, and used in order to alleviate these early symptoms and attempt to delay or even prevent the onset of a psychotic illness. Even for those who will not go on to develop an illness, such interventions are helpful in the alleviation of their presenting symptoms. This practical treatment handbook addresses a wide range of issues presented by ‘at risk’ clients. Specific chapters, written by experts in that particular area, cover stress management, co-morbidity, substance misuse, family work and group therapy.

Table of Content

About the Editors ix

List of Contributors x

Foreword xii

Acknowledgements xiii

Chapter 1 Introduction 1

Shôn Lewis

Chapter 2 Identification of the Population 7

Alison R. Yung

Chapter 3 Assessment and Developing a Formulation 25

Shona M. Francey and Henry J. Jackson

Chapter 4 Engagement and the Therapeutic Alliance 41

Jean Addington and David Penn

Chapter 5 Assessing and Managing Stress 53

Lisa Phillips

Chapter 6 Treatment Targets in the Pre-psychotic Phase 75

Paul Patterson, Amanda Skeate and Max Birchwood

Chapter 7 Substance Use and the ‘At Risk’ Period
93

Steven Leicester

Chapter 8 Addressing Attenuated Symptoms in ‘At
Risk’ Clients 111

Samantha E. Bowe, Paul French and Anthony P. Morrison

Chapter 9 Brief Limited Intermittent Psychotic Symptoms (BLIPS):
A Cognitive Behavioural Approach to Formulation and Intervention
129

Andrew I. Gumley

Chapter 10 Working with Families Following the Diagnosis of an
At Risk Mental State 153

April A. Collins and Jean Addington

Chapter 11 Group Therapy for People at High Risk of Developing
Psychosis 169

Andreas Bechdolf, Verena Veith and Joachim
Klosterkötter

Chapter 12 Future Challenges 181

Anthony P. Morrison, Shona M. Francey and Jean Addington

Index 187

About the author

Jean Addington completed her Ph D at the University of Calgary, Alberta. She is currently Director of the PRIME Clinic and Director of Psychosocial Treatments in the First Episode Psychosis Program at the Centre for Addictions and Mental Health in Toronto, Canada. She is also an Associate Professor in the Department of Psychiatry, University of Toronto.

Shona M. Francey is a clinical psychologist with 20 years’ experience in public mental health. She began working in the field of early intervention for psychosis when the Early Psychosis Prevention and Intervention Centre (EPPIC) was first established in 1992 in Melbourne, Australia. Within the SPPIC programme she worked as a case manager, COPE therapist and Group Programme leader.

Anthony P. Morrison is a Reader in Clinical Psychology at the University of Manchester and is also a Consultant Clinical Psychologist in a specialist programme of care for people with early psychosis in Salford and Trafford. He has published a number of articles on trauma and psychosis, cognitive therapy for psychosis and experimental studies of cognitive processes in psychosis, and has been involved in a number of treatment trials for cognitive therapy for early psychosis and the prevention of psychosis.