Hilary Mairs is Reader and Director of Postgraduate Education in the School of Nursing, Midwifery and Social Work at the University of Manchester, UK.

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• Part I: Background 1. Explanations for reduced levels of expression and activity in psychosisPart II: Engagement2. Engaging people with reduced levels of expression and activity in positive therapeutic alliances3. Engaging people in structured interventions to increase levels of expression and activityPart III: Assessment and formulation4. Gathering information to develop a shared understanding (formulation) of reduced levels of expression and activityPart IV: Interventions to help people with reduced expression and activity5. Behavioural approaches to helping people increase their activity levels6. Cognitive strategies to help people address defeatist predictions7. Other approaches for helping people with reduced levels of expression and activityPart V: Interventions to support families, companions and mental health teams8. Supporting families to cope with reduced levels of expression and activity9. Helping mental health teams understand reduced levels of expression and activity.