Using Psychodynamic Thinking to Enhance CBT in Clients with Psychosis

Simon Jakes trained in clinical psychology at the Institute of Psychiatry in London, graduating with the M.Phil. degree in 1982. He has provided and supervised CBT for psychosis since the 1990s.

"This is a terrific book! In fourteen detailed, vividly authentic case studies, Jakes captures the interactive realities that psychotherapists encounter with clients suffering from psychosis. The reader is invited to observe a master clinician at work, to learn from his example, to listen to what patients say and what he hears in sessions, and to see what he says and does and why. This book is filled with valuable clinical wisdom and practical guidance." Michael Garrett, MD, emeritus professor of clinical psychiatry, SUNY Downstate Medical Center, New York; faculty, Psychoanalytic Association of New York"The clarity of the writing and the relevance of the case studies allow this way of working with the client with psychosis to be accessible to all mental health professionals….I recommend this book to all clinicians working with clients with medication-resistant psychosis." Doug Turkington, MD, FRCPsych"Simon Jakes shares his experience of providing therapy for clients reporting problems described as psychotic. He draws upon both cognitive (CBT) and psychoanalytic ideas and techniques, illustrating how he does so with a wide range of clients. This type of sharing is rare in the field of psychotherapy and is particularly rewarding when much of what is written is over-technical, concealing the reality and human dimension of therapy. The theoretical background is first presented in an engaging, informal, and readily understandable way. The bulk of the book is taken up with descriptions of individuals he has worked with, intermingling vignettes, therapy dialogue, and discussion of conceptual points, illuminating obstacles in the ongoing relationship. The book will be especially invaluable to novice therapists and will help to counter a biological and reductive view of psychosis." Richard Hallam, clinical psychologist, psychotherapist, and independent researcher"Drawing on decades of experience in this field, Simon Jakes has written a thought provoking and interesting book that assimilates two distinct styles of therapy in a cogent and innovative way. Combining psychodynamic and cognitive therapies, Jakes uses case studies to illustrate examples of this novel approach to working. This is a highly readable and interesting book and I would recommend it for any therapist who works with this population." Dallas Rae, clinical psychologist and former director of allied health and mental health services at Liverpool Hospital

• 1. Introduction: Macbeth’s Dagger Part 1: Theories and Techniques 2. Cognitive Therapy for Psychosis 3. The Psychoanalytic View of Psychosis 4. Psychoanalytic Technique and Psychosis Part 2: Case Examples 5. Trevor and Kevin: Particular Difficulties in Engagement 6. Sandra: Voices from Mars—A Delusion in the Background 7. Jane: The Fear of Revenge—A Repetition of Abuse 1 8. Siobhan: The Fear of Failure—Delusion During Times of Hardship 9. Tom and June: Psychosis in DBT 10. Jean: The Girl Who Never Left Home—A General Failure to Thrive 11. Steven: The Gangster’s Ex-Boyfriend—A Repetition of Abuse 2 12. Teresa: The Drive to Succeed—Delusion and Recovery 13. Tina: A Mid-Life Crisis 14. Colin: Escape to a Marvellous World 15. Amara: Hidden Suspicions—All Occasions Do Inform Against Me 16. Sheila: The Wronged Wife—Repetition of Loss