ABOUT THE BOOK

"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

TABLE OF CONTENTS

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 Marvelous World 

15. Amara: Hidden Suspicions—All Occasions Do Inform Against Me 

16. Sheila: The Wronged Wife—Repetition of Loss