VOLUME 11, ISSUE 2, WINTER 2007

www.isps.org

THE INTERNATIONAL SOCIETY FOR THE PSYCHOLOGICAL TREATMENTS OF THE SCHIZOPHRENIAS AND OTHER PSYCHOSES

I S P S A N D B I G P H A R M AL E T T E R F R O M T H E C H A I R B Y M A N U E L G O N Z Á L E Z D E C H Á V E Z

Saint Augustine stated that "it is bad tolook at women, worse to speak to themand even worse, to touch them." Somemental health care professionals seemto have a similar attitude about thepharmaceutical industry.

Although we do not like it, we live ina world where the biological models ofmental disorders are the dominant onesand where most of the patients whosuffer these disorders take psychoactivemedications.

Unfortunately for them, this is gene-rally the only help they receive, thatwhich the medical professionals offerthem, that which the pharmaceuticalindustry continuously updates and theonly type of help that many financialmanagers of the health care servicesconsider to be profitable in terms ofcost-effectiveness. But, what should we,the members of the ISPS who defendthe use of psychotherapies in psychoticpatients in our objectives, do? Shouldwe demonize the drugs and the drugindustry as Saint Augustine demonizedwomen or should we look at them, speakwith them and touch them without para-noia or other defence mechanisms?

In my opinion, in the ISPS, we shoulddefend good knowledge of psycho-pharmacology. This may require us tonot only correctly prescribe the drugsbut also to know which ones are abuseddrugs and their many limitations.

Furthermore, we should know the bio-logical models that are spread as arrogantdogmas. This is necessary in order toreveal their deficiencies and ignorancesand to demonstrate the harm that is de-rived from such simplistic hypothesesthat are far from the lives and personswho suffer these problems. The domi-nant biologicism is more an ideologythan a science. But we should strive tounderstand it in order to refute it andoffer other more extensive, global andintegrating models as an alternative thatwould better explain the factors thatparticipate in the origin of these dis-orders and the other models that maybe of great help to these patients.

However, if the understanding of andattention to our patients make itnecessary for us to know well the psycho-pharmacology and dominant biologicism,what should we do with the Big Pharmaindustry which is the motor that movesthis entire biological circle with itsimmense benefits? Can we ignore it toexalt our purity? Can we move away fromit as the monks and hermits tried toconquer the temptations of the devil inthe flesh?

Whether we want it or not, the phar-maceutical industry is part of our world,as is the armament industry and wars,chemical industry and contamination,

financial societies and speculation orpolitical corruption, of which Big Pharmais not devoid of. Although this industryhas contributed greatly to the progressand health, they are, as Bertold Brechtwould say, some obscure "merchants ofpain" who finance and introduce theirspecial interests into the political andhealth care institutions. This allows themto charge high prices and have immensebenefits, promotions without controland clinical trials with shameless biases,doubtful evidence and regrettableconcealing of information, and they haveleft a large part of the medical researchand almost all of post-graduate teachingat the mercy of the pharmaceuticalindustry.

Whether we want it or not, the psycho-active medications and biological modelsare dominant in current psychiatric careand we, with more global approachesand interventions and combined thera-pies, are a minority sector. Perhaps weare the avant-garde, but we should beaware that this is not only a scientificdebate. We fight against much passivity,simplicity, convenience and importantinterests. If we want to change thefunctioning of the health care services,we should form an active part of them,know the dynamics that shape them andinfluence more to qualitatively improvethe future of our patients. We cannotisolate ourselves, acting as the Amish orthe hermits of psychotherapies ofpsychosis. Nor should we hide behindthe banner of a testimonial narcissism,that converts us - and not our patients -into our principal objective.

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Promote the appropriate useof psychotherapy and psycho-logical treatments for personswith schizophrenias and otherpsychoses

Promote the integration of psychological treatments in treatment plans and com-prehensive treatment for allpersons with schizophreniasand other psychoses

Promote the appropriate useof psychological understandingand psychotherapeuticapproaches in all phases of the disorders including both early in the onset and inlonger lasting disorders

Promote research intoindividual, family, group psychological therapies, preventive measures andother psycho-social programmes for thosewith psychotic disorders

Support treatments thatinclude individual, family, group and networkapproaches and treatment methods that are derivedfrom psychoanalysis,cognitive-behavioural, systemic and psycho- educational approaches

Advance education, training and knowledge of mental health professionals in the psychological therapies

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O b j e c t i v e s o f I S P S

Do you subscribe tothe ISPS-INT information/discussion group?The international email group ISPS-INT, which was set up after ISPS Melbourne

2003, is available to all ISPS members. There are over 230 members from over 20

different countries who share announcements and discuss current issues relevant

to our field. The group is well moderated and posts are limited to 3 per day.

If you want to join, e-mail Antonia Svensson isps@isps.org

I S P S s e c r e t a r i a t

The ISPS secretariat is a link between our mem-bers and the executive committee. Until recently,the secretariat was partly hosted by the Centrefor Psychotherapy and Psychosocial Rehabili-tation of Psychoses (SEPREP), a non-commercialNorwegian foundation and network of users,clinicians and researchers promoting psycho-logical treatment of the psychoses. Since theend of 2006, and after the election of a new ISPSboard, SEPREP no longer provides secretarialservices to the ISPS. We are very grateful for thesecretarial help of Wenche Løyning over thepast years.Antonia Svensson in Athens continues to workpart-time as ISPS Organiser. She continues to domost of the work of the secretariat that can bedone electronically, as well as maintaining thewebsite, assisting the Editor of the ISPS News-letter, managing the databases and contactwith ISPS members and local groups, as wellas answering any queries.

Antonia can be contacted on the isps@isps.orge-mail address.

Website: www.isps.org

THE ISPS EXECUTIVE COMMITTEE OF 2006 - 2009Manuel González de Chávez (Spain), ChairChris Burford (UK)Lyn Chua (Singapore)Brian Koehler (USA)Klaus Lehtinen (Finland)Ann-Louise Silver (USA), TreasurerJohn Read (New Zealand), SecretaryBent Rosenbaum (Denmark)

Co-opted Board Members:Ivan Urlic (Croatia)David Kennard (United Kingdom)

ISPS HONORARY MEMBERSYrjö Alanen, FinlandGaetano Benedetti, SwitzerlandL. Bryce Boyer, USALuc Ciompi, SwitzerlandJohan Cullberg, SwedenStephen Fleck, GermanyMurray Jackson, UKJarl Jørstad, NorwayJulian Leff, UKTheodore Lidz, USAChristian Müller, SwitzerlandBarbro Sandin, SwedenHarold Searles, USAHelm Stierlin, GermanyJohn Strauss, USAEndre Ugelstad, NorwayLyman Wynne, USA

E d i t o r i a lBY BRIAN KOEHLER PHD

Emerging NeuroscienceResearch in SchizophreniaRescent neuroscience research in schizophrenia points to altered

DNA methylation patterns in the reelin gene which codes for

proteins that are important in synaptogenesis, axonal branching,

etc. This is important because many neuroscientists view

schizophrenia as a disorder of neural connectivity. We do not usually

see actual cell loss (except perhaps in the mediodorsal thalamic

nuclei), rather, a reduction in neuropil (axonal and dendritic

processes, arborization reduction), which, from my perspective, can

be explained by the impact of experience, pre-and postnatally, as

well as throughout life, on the CNS. Neurogenesis (the conversion

of stem cells into functional neurons or glial cells, i.e., the birth of

new cells) is suppressed by stress, as are neurotrophic factors, such

as brain-derived-neurotrophic factors (BDNF).

A large number of methyl groups attached to the cytosine nucleo-

tide of DNA can lead to gene suppression, whereas demethylation

or acetylation can result in gene expression. The former can be

detrimental for genes that express proteins which nourish neurons

(e.g., BDNF), reelin, glucocorticoid receptors (which help regulate

stress reactivity through inhibitory influence on the hypothalamic-

pituitary-adrenal axis, leading to reduced cortisol expression), etc.

Interestingly, methylation is also increased in socially defeated/

depressed mammals. Experiences such as early nuturance from

caregivers increase acetylation of histones (which allows for DNA

to be transcribed, despite methylation, what we refer to as transcript-

ionally competent DNA), thereby unraveling the DNA and making

it accessible to the process of transcription and the encoding of

new proteins.

When we look at the diversity and non-specificity of the neuroscience

research in 'schizophrenia,' rather than, seeing a ‘schizophrenic

brain,’ we may very well be seeing a 'socially isolated/defeated

brain,' a chronically fearful/stressed/anxious/traumatized/ or de-

pressed/hopeless brain. This has been my hypothesis first presented

formally at our 1997 ISPS conference in London and elaborated on

since then.

Brian Koehler PhD

New York University & Long Island

University/brian_koehler@psychoanalysis.net

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Experiencing psychosis usually leadsto serious changes and choices in oneslife. The persons stuck in psychoticstates of mind may loose engagementin their psychosocial network, becomeencapsulated in extreme anxiety anddespair, and lose confidence in theirexperiences as being real and valuedby others. They may even have diffi-culties in feeling what it is to be an "I",and be bewildered in thoughts andcommunication with others. The personwith a mind in a psychotic state needscontact with stable, reliable, trust-worthy, creative human beings who canstimulate hope, social functioning andmeaningful perspectives for the pati-ent's future choices in life. These arebasic creative goals of psychotherapyand psychosocial interventions.

During the decades in which ISPShas existed, our knowledge and skillshave grown steadily concerning ways

to understand and help the personsin psychotic states, explaining theprocesses by which they develop theseconditions and emerge from them.The contribution of psychosocialfactors to the development of psychosishas recently gone through a revival.Research in trauma, attachment, andin the developmental pathways topsychopathology, neurodevelopmentalresearch and the cognitive approachto the understanding of hallucinationsand delusions, bear witness to thisprogress. They all add valuably to ourknowledge of healthy and pathologicaldevelopments and to our understand-ing of the dynamics of curative thera-peutic relations and interventions.

It is, however, of utmost importancethat more differentiated and detailedunravelling of the optimum methodsof treatment as well as improvementin the mental health systems must beachieved before there can be genuineintegration with developments thatwould lead to more extensive andeffective psychotherapeutic andpsychosocial programmes.

The ISPS Congress in Copenhagenwill give space and time for colleaguesaround the world to present develop-ments in our knowledge, understand-ing and experience of the proposedthemes. Presentations of both clinicalexperience and research in the fieldof schizophrenia and related psychoseswill take place in symposia, lectures,workshops and discussion panels.

We look forward to let Copenhagenbe the frame of the ISPS-congress 2009.Copenhagen is known as a warm,friendly city, with many culturalevents taking place in a well-tempered climate.We will do our utmost to provide youwith a variety of accommodations anda good social atmosphere in additionto scientific inspirations.

On behalf of the organising andscientific committees

Bent RosenbaumPresident of the ISPS Symposium

Susanne HarderChair of the scientific committee

COPENHAGEN

ISPSWELCOME TO

2009SEE YOU IN

For further information about the Symposium, please add you name to the mailing list on the Symposium website

www.ISPS2009.ics.dk or send an e-mail to ISPS2009@ics.dk

Invitation to the Congressin Copenhagen in 2009

Dear friendsand colleagues

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Launching of ISPS Switzerland

Late June 2007 we had thepleasure of organising twodays of ISPS congress inSwitzerland discussing"Psychosis and Trauma".During the first day, weheard a lecture fromDr Priva-docent PhilippeConus from University ofLausanne opening the congresswith the very wide approach of the scientific update.Then, the nearly hundred participants could work inworkshops mostly organised by the Fondation de Nant andUniversity of Lausanne. Paul Lysaker from Indianapolisdescribed his studies and finally Dag Söderström took upthe psychoanalytic point of view on the theme. At the endof the day, we had the formal organisational meeting forthe first ISPS Switzerland and we had the great pleasureto welcome Professor Christian Müller who came to supportthe meeting and the launching of the ISPS Switzerland.

Doctor Charles Bonsack Privat-docent from Lausannechaired this first meeting of ISPS-CH during which wereelected the first committee:

Dr Dag Söderström, Fondation de Nant,Chairman ISPS SwitzerlandDr Charles Bonsack, DP-CHUV, Vice-ChairmanDr Urs Corrodi, Fondation de Nant, general secretaryDr Ana Carila, treasurerMembers:Prof P. Bovet, Dr Philippe Conus, Dr Isabelle Gothuey,Dr Milos Tadic, Dr Franziska Gamma, Dr Nathalie Koch,Raymond Panchaud, Mark Geyer

The organising committee of the congress would like tothank the Fondation de Nant for the help and support they gave for organising this congress and especially Mr Daniel Mayer, general director, Mrs Christine Mayor and Adeline Lienhard.

During the second day of the congress, the newly born ISPS Switzerland invited ISPS-US for a joint meeting on the same theme during which we couldlisten to our American colleges and participate in debatingaround long term treatment of psychosis. Focus duringthis day was made on the question of transference and thesymptoms of history and we were impressed in hearingFrançoise Davoine and Jean-Max Gaudillère from Parisand Larry Wetzler, Brian Koehler and Ann-Louise Silver.

During these two days Professor Ivan Urlic, a delegate fromthe ISPS-Board, helped us by making contacts and givinghis very large experience of the field to workshop andcomments during the discussions.

Our ISPS Swiss team is now at work and we have plannedour annual meeting in order to grow and make the ISPSSwitzerland a centre of excellence for the psychologicaltreatment of psychosis in Switzerland.

Dr Dag Söderström, Chair ISPS Switzerlanddag.soderstrom@nant.ch

ISPS Korea

The new local ISPS group in Koreaheld its first meeting on June 26,2007, with the theme "Psychotherapyof Psychoses in Korea". The meetingwas held at the Conference Hall ofSeoul University Dental Hospital. Theevent featured about 160 participantsfrom a variety of different professions suchas psychiatrists, psychologists, socialworkers, art therapists, as well as serviceusers, family members and carers.

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Seol

SOUTH KOREA

NORTH KOREA

CHINA

News from ISPS Local Groups

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ITALY

FRANCE AUSTRIA

GERMANY

SWITZERLAND

Lausanne

Bern

Professor Christian Müller (left) and Dr. Dag Söderström

Professor Ivan Urlic, (left), Professor Christian Müller and Dr Charles Bonsack

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At the meeting, following the Welcome Address by HuhChan Hee - the President of ISPS Korea - in part I hepresented An Introduction to ISPS and the special lectureon the History of Treatments of Psychoses in Korea.The Essence of Psychotherapy of Psychoses was presentedby Rhee Dongshick. In part 2, an impassioned panel usinga psychotherapy case study of a schizophrenic girl inter-viewed by Professor Rhee was held between panelistsincluding family members and service users, which wasthen followed by a lively question and answer time betweenProf. Rhee and the participants.

The new local group already has 50 members and is makingplans for future activities.

Huh Chan Hee, Chair ISPS Koreahuhch@unitel.co.kr

ISPS Croatia

In the beautiful city of Dubrovnik,in the frame of Inter-UniversityCentre, and under auspices of theCroatian Medical Assotiation, CroatianAssotiation for Clinical Psychiatry, Sectionfor Psychotherapy and Psychosocial Treatmentof Psychoses, and IGA Zagreb, the 11th School ofPsychotherapy of Psychoses was held, May 8–11.The co-organisers of the professional event, Sladjana Ivezicand Ivan Urlic, under the guideline: ''Toward Compre-hensive Psychotherapy of Psychoses'' this year were puttingthe usual focus on ''aggression and psychosis''. The maintopic was elaborated by presenters that were not onlyfrom Croatia, but from Slovenia, Italy, UK, Serbia, Norway,Denmark , Greece, Montenegro, and Singapore, too.Among many very interesting presentations the one ofLyn Chua addressing transcultural characteristicts, andthe presentation of the National Danish SchizophreniaProject by B. Rosenbaum arose special interest. Accordingto the traditional organizational schedule, every afternoonthe working day was ended with discussions in small groups.

After the event the whole day excursion to Montenegrowas organised to enjoy the personal experience of veryrich cultural heritage and natural beauties.

The 12th ISPS Croatia School of Psychotherapy of Psychoseswill be held May 14-17, 2008, with the focus on ''Depressionand Psychosis''. Participants from various countries will bemost welcome. For informations send e-mail to:ivan.urlic@st.t-com.hr

Ivan Urlic, Chair ISPS Croatiaivan.urlic@st.t-com.hr

ISPS Israel

The Israeli branch of the ISPS is now holding 20 paying members. We had two intriguing and challenging meetings this last year, where members of the group gave a talk and other members were discussants.

The first meeting was in "Lev Hasharon" Mental Health Center, where Avichai Sela, who is an art therapist, gavea most moving talk, "The birth of a doll". During this talk,he beautifully presented his therapeutic work with a chronicpatient of schizophrenia who was hospitalized for morethan 20 years, and during their work together created achild size, human like, doll. His discussion of this case studyrelied mostly on psychoanalytical concepts. Smadar Sidi,an art therapist form Shalvata Mental Health Center (SMHC)was one of the discussants and Dr. Yehuda Abramovit, thesecond discussant, gave a Jungian discussion to the case.

We also had another meeting in Jerusalem, where LiorBiran, an intern clinical psychologist at SMHC gave aprovocative, challenging and stimulating talk about his MAthesis which he wrote in the Tel Aviv University. In his talk,"Beyond the reality principle – being Anna Maria", Liorpresented a year of therapeutic work with a psychotic dis-organized schizophrenic patient hospitalized in an openward, and in his discussion he combined psychoanalyticalinsights with contemporary theories from the field oftrauma and testimony. He was awarded 'cum laude' for hiswork and the discussions of Dr. Shlomo Mendlovitz,

ZagrebSLOVENIA

HUNGARY

CROATIAAdriatic

Sea

BOSNIA-HERZEGOVINA

Dubrovnik MONTE-NEGRO

Head of ward C in SMHC, and Orna Wasserman from"Be'er Yaacov Mental Health Center", and from the IsraeliPsychoanalytic Society, added important contributions tothis fascinating complex point of view.

This coming November we are having Prof. Dori Laubfrom Yale University as our honored guest. His talk willtake place in SMHC on November 22, 2008.

We hope that those two outstanding works will be presentedin Copenhagen 2009.

Orna Ophir-Shacham, Chair ISPS-ILornao6@zahav.net.il

ISPS New Zealand

The New Zealand branch of ISPS continuesto flourish. At our 2006 annual conference,we added two full-day skills workshops to ourusual array of seminars on research and per-sonal experiences, turning a two-day con-ference into a three-day occasion. Theworkshops, on "working with voices"and "addressing spiritual issues",were very popular. We are repeat-ing them this year, in our 5th annualMaking Sense of Psychosis conferencewhich we run in conjunction with the University of Auckland(Nov 14–16 – see www.isps.org or email ispsnz@gmail.comfor details). Our keynote speakers this year include ProfessorRitchie Poulton – one of New Zealand’s foremost research-ers on the causes of psychosis, Mary O’Hagan – a serviceuser and until recently one of NZ’s three Mental HealthCommissioners, and Paul Hammersley – travelling all theway from Manchester, UK, to tell us about the Campaignto Abolish Schizophrenia as a Label (CASL).

In the meantime we have held our first public meetingother than the annual conference, in August. Our ExecutiveCommittee has recently co-opted a representative fromthe NGO sector (Lyndsay Fortune) and a GP (Dr DeniseDalziel). Denise has already been invaluable in helpingour conference gain accreditation status for GP training.

The NGO sector and GPs are both crucially important insupporting a more balanced, integrative approach toservices for people who experience psychosis.

Dr Patte Randal – Chair, ISPS-NZPatteR@adhb.govt.nz

ISPS India

We have begun to combine the meetings of ISPS-Indiawith other events, such as exhibitions and other culturalevents, so that we can attract more people and let themknow about the work of ISPS. Six willing participants havepromised to join ISPS-India. However, due to incessantrain we will recommence our work after the puja holidays.In an attempt to increase the number of members of ourlocal group, we have talked with the heads of departmentsof hospitals and will organise our future meetings there sothat all the staff can find out about ISPS and its work.Furthermore we are planning to start local ISPS branchesin the major cities of India.

Ishita Sanyal, Chair ISPS Indiaishitasanyal@hotmail.com

ISPS Norway

ISPS Norway was established in 2004, mainly thanks to theinitiative of Jan Olav Johannesen, then the Chair of the international ISPS. The local board has nine members. Jan Olav Johannesen was elected the first board leader of ISPS Norway, a position he held until 2007. Thanks to his good work and organizing skills our local groupand the national conference have become a significantforum for professionals and others who support ISPS values.Jan Olav Johannesen is still engaged in work for the localgroup, now as associate board member/internationalcontact.

ISPS Norway now has 120 paying members and attractssome 200 participants to its national conferences. Themembership fee is 200 NOK/year. The main activity forour local group has been to organize a nationalconference every year in accordance withISPS's objectives. Thanks to the friendlyco-operation and support from Syke-huset Innlandet, an enthusiasticgroup of professionals from Avd.for psykosebehandling og rehabili-tering at the hospital has organizedISPS's national conference at Hamareach year.

ISPS Norway is now planning the next national conferenceat Hamar, Norway, February 14th and 15th, 2008. Themain topic is: "The individual experience of psychosis:how to understand and help". Experienced clinicians andresearchers will contribute through lectures and workshops,

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OsloHamar

Stavanger

Bergen

Trondheim

N O R W A Y

SWEDEN

Auckland

SOUTH ISLAND

NORTH ISLAND

N E W Z E A L A N D

Jerusalem

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among them ISPS honorary member John Strauss.Hamar is easily reached, within 1 hour by train directlyfrom Oslo international airport Gardermoen.

ISPS Norway would like to welcome participants from Nor-way and abroad in a friendly and inclusive atmosphere inthe beautiful winter landscape at Hamar. The full programwill be available soon. For further information pleasecontact: Linda.Aaseth@sykehuset-innlandet.noand check the ISPS website www.isps.org

Aud Lien, Chair ISPS Norwayaudlien@bluezone.no

ISPS Hellas1. Official Constitution of ISPSHellas and new Board ofDirectors. On March 31st 2007,the official Constitution of ISPSHellas was signed by the followingfounding members. These membersare also the members of the new Boardof Directors:a) Anastassios Koukis, Presidentb) Manolis Kozadinos, Vice Presidentc) Angela Piergallini, General Secretaryd) Spyridon Kassidiaris, Treasurere) Nikolaos Plitas, Memberf) Paraskevi Katopodi, Member.

2. ISPS Hellas is progressively expanding. There are now36 registered members. In july 2007 ISPS Hellas paid thenetwork fees to ISPS for the first time.

3. ISPS Hellas has already started its first annual seminaron the Psychoses: Theory and Clinical Aspects.The seminarcovers two academic semesters each one of which containsone didactic unit (one unit every two months).

4. The second Annual Meeting and Conference of ISPSHellas was not held on May 2007 as planned. It has beenpostponed until late November or the beginning ofDecember 2007. The third Annual Meeting will be held asnormal in May 2008.

5. ISPS Hellas is about to create its own internet site.

6. ISPS Hellas printed out 500 copies of the last ISPSNewsletter (it was distributed electronically by ISPS lasttime, as known). The costs were funded through the extracontribution of some of our members.

Anastassios Koukis, Chair ISPS Hellasa_koukis@otenet.gr

ISPS UK

Our biennial residential conferenceat the University of Bath was a greatsuccess in March, when fortunatelyit was also warm enough for a splen-did evening round the Roman Baths inthe old city. Courtenay Harding andJohan Cullberg were among our keynote speakers, and the‘star’ of the conference was Peter Chadwick, a service userwho captivated the 200 people in the audience with hispersonal openness and his wit and imagery – describingpsychosis as the result of "normal psychological processeswhich come together in a concatenation which is toxic".

At the Annual General Meeting (AGM) in March our newcommittee was announced. We now have 15 elected

London

U N I T E D K I N G D O M

Newcastle

Bath

Athens

H E L L A S

Thessaloniki

Creta

Winter in the Hamar-district

From Bath

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members, including 6 newly elected. The committeecomprises Janey Antoniou (service user), Trish Barry (socialwork/carer), Chris Burford (general psychiatry), GráinneFadden (psychology/families), John Gale (Hon. Treasurer)(therapeutic communities), Alf Gilham (psychology/assertive outreach), Sheila Grandison (arts therapies),David Kennard (Chair) (psychology/groups), Jen Kilyon(carer), Vasilios Magalios (therapeutic communities),Brian Martindale (psychiatry/psychoanalysis), Dan Pearson(families), Alex Reed (nursing/families), Steve Trenchard(Hon. Secretary)(nursing/workforce development) andJudith Varley (carer).

The AGM also brought to a conclusion the long-standingdebate in ISPS UK over its position on the full name of theorganization. Two motions were proposed.

(1) That the ISPS UK supports in principle theremoval of the word "schizophrenia" from the fullname of ISPS and will work towards this for the 2009conference.

(2) That the ISPS UK change its full name to‘The UK Network of the International Society forthe Psychological Treatments of Psychoses (including"schizophrenia")’, to take effect in 2009.

The first was the clear preference of the AGM. This is themore radical but also the one that leave room for furtherdiscussion between national networks preceding the 2009Congress, when the international board which has under-taken to make a decision.

The national scene offers a number of threat and oppor-tunities, with huge pressures on services, but also develop-ments where ISPS UK has the chance of influence. We arenow a registered ‘stakeholder organization’ in the revisionof the government’s NICE guideline on treatments forschizophrenia, and there is soon to be a national consul-tation on the Code of Practice that will accompany the longawaited update of the Mental Health Act. A key new andcontroversial element in the law is Supervised CommunityTreatment Orders for patients who would previously havebeen admitted compulsorily. The Code of Practice willaffect what treatments they are offered and we need to tryto ensure these are holistic and psychological, not just drugs.

Sorry if this is a bit dry but I thought readers in othercounties might be interested!We also have an exciting conference on 1st February on‘Working with Families who live with Psychosis’.Please see our web page for more details www.isps.org/uk

David Kennard, Chair ISPS UKdkennard@ntlworld.com

ISPS USISPS-US made amaturing step,making a trip toParis, France andVevey, Switzerland,organized and hosted byISPS-US members FrançoiseDavoine and Jean-Max Gaudillière. The warmth and deepphilosophic stimulation made this a wonderfully French

experience. On Thursday morning,June 28, we met at the EHESS, L’École des Hautes Études en Sciences Sociales, The School for the Advanced Studies of the Social Sciences, where our hosts havetaught for years. The central message was

that psychosis is the place to study the social link; thepatient is the researcher, working to discover the real storyof the therapist, while the therapist studies the interference.The therapist’s disclosure can be the turning point, givingback the patient’s pride, both individuals having beentraumatized or carrying a specific history of trauma, oftenin commonality. We talked about our own experiences oftrauma in the course of therapies, arriving at greaterintimacy with each vignette.

On June 29, Françoise led usthrough a bit of Laurence Sterne’s1759–1769 comic novel, TristramShandy. “Madness is a war againstthe monsters, and sometimes we,the analysts, are the monsters.”We then walked together, the wholegang, to the train station for ourfour hour scenic ride (filled withwonderful conversations) to Vevey,Switzerland, to join in the launch-ing of ISPS-Francophone, at thespot where, in Lausanne, ISPS began fifty years ago.Christian Müller, co-founder with Gaetano Benedetti ofISPS, was in attendance. Dag Söderström organized andchaired this two-day meeting on psychosis and trauma, andwill be heading this new ISPS chapter. We had dinner out-doors overlooking Lake Geneva, all of us happy to be thereand to be together.

New YorkUSA

Laurence Sterne

Santa Monica

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Our annual meeting in New York City will be the grandestand fullest yet, a product of the almost fifteen years ofBrian Koehler’s and Julie Kipp’s hosting of monthlymeetings on psychoanalysis and psychosis. On March 14and 15, at the New York University, the meeting’s themeis “Recovery from Psychosis: Healing through Relationship.”Our keynoter is Ronald Bassman, Ph.D. “AbandoningOccam’s Razor: The art of reconstructing the self.”We recommend his book:A Fight to Be: A Psychologist’sExperience from Both Sides ofthe Locked Door, TantamountPress, Albany, NYwww.ronaldbassman.com

This promises to be a huge con-gress, well worth the time andeffort of a trans-Atlantic flight.I will not summarize the pro-gram here, but urge everyoneto consult our website,www.isps-us.org for details.

We are in the final stages of development of our ISPS-USentry into the Routledge/ISPS Series, with a wonderfulbook co-edited by David Garfield and Dan Mackler,Medications are not Enough: Working One’s Way Out ofPsychosis Through Relationships. The fifteen contributorsare all ISPS-US members.

Meanwhile, Dan Mackler has been moving ahead with anambitious documentary. He is a phenomenal interviewer,and as everyone knows who heard his presentation in SantaMonica, he knows how to hold an audience's attention.I am confident the video will be excellent. Dan wrote thefollowing summary of his documentary, Take These BrokenWings.

“The purpose of Take These Broken Wings, a full-lengthdocumentary video presently in production, is to show thatit is possible to recover fully from schizophrenia (that is,to become completely symptom-free) and ultimately livewithout any psychotropic medication. The film documentsthe lives of two ISPS-US members: Joanne Greenberg,whose bestselling autobiographical novel I Never PromisedYou A Rose Garden chronicles her recovery from schizo-phrenia through her therapy with Frieda Fromm-Reich-mann, MD; and Catherine Penney, whose story of recoveryfrom schizophrenia has been told in Dante’s Cure by hertherapist, Daniel Dorman, M.D., also an ISPS-US member.

Through in-depth interviews with Joanne Greenberg andCatherine Penney, and with various people close to them(i.e. Daniel Dorman, MD; Joanne Greenberg’s husband;Catherine Penney’s boyfriend; various friends and acquain-tances of both women), the film shows not only that both

women were in fact once schizophrenic and no longer are,but also highlights the process by which they recovered.Additionally, the film explores, vis-à-vis their recoveryprocess, the pros and cons of the various psychiatric medi-cations and psychiatric treatments they received. The filmalso addresses the question of the potential universality oftheir stories of recovery, that is, the degree to which theirstories might apply to others with schizophrenia.

The film also aims to place these two stories of recovery inan historical context, first being the history of Americantreatment of schizophrenia and second being present-day society’s view of schizophrenia.

As regards the first, the film will interweave footage of avariety of therapists, psychiatrists, and mental health lawyersand advocates, most of whom are ISPS-US members, andall of whom have devoted a significant portion of theirprofessional careers to the study and treatment ofschizophrenia and advocacy for people diagnosed withschizophrenia. Those professionals already interviewedinclude Bert Karon, PhD (author of Psychotherapy ofSchizophrenia), Ann Silver, M.D. (Psychoanalysis andPsychosis), Robert Whitaker (Mad In America), PeterBreggin, M.D. (Toxic Psychiatry), Grace Jackson, M.D.(Rethinking Psychiatric Drugs), Jim Gottstein, JD (ofpsychrights.org), David Oaks (director of MindFreedom),Toby Tyler Watson, PsyD, Jessica Arenella, PhD, and KurtLangsten, M.D. As regards the second, the film will inter-weave video footage of over 100 street interviews conductedwith strangers in New York City regarding their opinionson schizophrenia.

Lastly, this film will be presented in a non-academic format,making it optimally accessible to the general public.To accomplish this I, the filmmaker, intend to make itemotionally gripping, fast-flowing, not overly technical interms of psychological terminology, and with an arc to itsstoryline. I consider it vital to present the documentarynon-cynically, non-attacking, and with an honest, straight-forward, respectful, reasonable, and non-strident tone –presenting facts but respecting patient choice, especiallyas regards medication. I believe that any deviations fromthis would detract from the film’s healing message.

The executive committee of ISPS-US has decided un-animously to launch a fund-raising drive to supportDan Mackler's magnificent project. Please consider a tax-deductible donation to ISPS-US earmarked entirely or inpart for this project. Ninety percent will reimburse Danfor the expenses he has incurred: consultation, travel andaccommodations, and equipment expenses. We will notreimburse him for time spent on the project. Ten percentwill go to ISPS-US for administrative expenses. Also, weare asking for your help in reaching out to those you knowwho may want to donate either to Dan's video project.

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Meanwhile, the nomination letter for our new slate ofofficers has gone out. With this, I officially gave notice tothe membership that I am stepping down as president. I have served in this role since ISPS-US formed in 1998,and have felt for some time that a non-profit volunteerorganization cannot thrive with the same person at thehelm year after year. The ambitions of the others who areworking for the group become stifled, and they find otherthings to do.

I feel very good about our group and what we are accomp-lishing together, and will enjoy it even more when I watchour next group of leaders setting their own sights on overlyambitious goals. I have many very close friendships thathave developed in the ISPS-US context, and will continuewith them, in some new capacity.

Ann-Louise S. Silver, M.D.asilver@psychoanalysis.www.CAPsy.ws

New York City Branch of ISPS-US

The New York Branch of ISPS-US continues to meet on amonthly basis (except for August). We are co-sponsoredby the New York University Postdoctoral Program in Psycho-therapy and Psychoanalysis and meet in a new location at19 West Fourth Street, Room 102, New York NY on Saturdayafternoons from 4:00-6:00pm. The group consists ofclinicians, researchers and students from all of the mentalhealth disciplines: clinical social work, psychiatry, psychiatricnursing, neuroscience, psychology and psycho-analysis. Ateach meeting there is a range of participants from studentsand those just beginning their careers to very experiencedsenior clinicians. Our monthly meetings lately have beendrawing anywhere from 30 to 40 participants. Each presen-tation is accompanied by a lively and intellectually stimu-lating discussion.

The topics have included: psychodynamic theory andpsychoanalytic clinical case presentations of persons withpsychosis (schizophrenia and bipolar disorder); autism;neuropsychoanalytic and phenomenological formulationsof psychosis; cognitive-behavioral therapy of psychosis; aswell as first hand subjective accounts. Occasionally, we havehad speakers from other countries (e.g., Francoise Davoineand Jean-Max Gaudilliere from Paris and John Read fromNew Zealand) and other states (e.g., Loren Mosher, MaxDay, etc.).

The NY Branch of ISPS-US, co-sponsored with the WilliamAlanson White Institute, hosted the annual conference ofISPS-US on November 16 and 17th, 2002. The title was“Beyond the Wall-Psychosis: Psychoanalytic, Psychothera-peutic and Psychosocial Perspectives.” We honored BertramKaron PhD and the keynote speaker was Robert Whitaker.

The NY Branch is sponsoring the ninth annual meeting ofISPS-US. The theme is: "Recovery from Psychosis: Healingthrough Relationship." We will meet on Friday and Saturday,March 14th and 15th, 2008 at The Kimmel Center, NewYork University (NYU), which is located at 60 WashingtonSquare South; New York, NY 10012. The Kimmel Centerwebsite is: www.nyu.edu/kimmel.center

Our keynote speaker isRonald Bassman, Ph.D.His talk is entitled"Abandoning Occam’sRazor: The Art of Recon-structing the Self."The conference is hostedby ISPS-US New York Cityand co-sponsored by theNYU Postdoctoral Programin Psychotherapy andPsychoanalysis, the NYUSchool of Social Work,and the Lifespan Learning

Institute. The latter will provide comprehensive continuingeducation credits.

All are welcome to attend the monthly meetings of theNY Branch of ISPS-US.For further information on the NY Branch of ISPS-UScontact Brian Koehler at 212.533.5687 or:brian_koehler@psychoanalysis.net

Brian Koehler PhD

The Kimmel Center

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ISPS-UK members, Mark Hardcastle(consultant nurse), David Kennard(clinical psychologist), Sheila Grandi-son (Head of Arts Therapies) andLeonard Fagin (retired NHS consul-tant psychiatrist) compiled this bookto complement the policy and researchliterature in the in-patient care andtreatment of severe mental disorders– in particular those with the label ofpsychosis or schizophrenia. Their in-tention was to "add the missing piecesof the jigsaw" – to capture "what it isreally like to receive or provide services".To do this, they asked a number ofpeople who they knew, or who knewone another, to write their own perso-nal accounts of their experiences ofin-patient care. I was struck by the factthat there was not a user of services ora carer in the editorial mix (or at least,no one who acknowledged this as apersonal experience). I know ISPS hasonly just begun to include service usersand carers as members, and this is agreat step forward in my opinion.

The 54 contributors are a group ofsenior and junior psychologists, nurses,psychotherapists, occupational thera-pists, people who have experiencedpsychosis and in-patient ‘care’ (whomay also have professional roles insideand outside mental health services),family members who have becomecarers, professors of psychiatry, consul-tant psychiatrists, junior doctors, achaplain, arts therapists, CEO’s, anda "hotel services assistant". The editorsacknowledge that these accounts aresubjective, and are not necessarilyrepresentative. Each has written apersonal account or reflection, and/ora personal commentary on a personalreflection. Mostly, each account has atitle that conveys a feeling or expe-riential state – such as "Feeling mis-

understood", "Feeling out of control","Frustrated and angry", "Feelinghelpless" or "Mixed feelings", and isfollowed by two commentaries. Thebook is a collection of different per-spectives, beginning with a historicalaccount, and moving on to now.It appears to me to be very honest.The result is a like a patchwork quilt,made up of small pieces of the humancondition – which, of course, we allshare, but express in different ways.

As in a quilt, there are some piecesthat are appealing, inviting and attrac-tive, some that are less so, and all aresomehow connected to make up thepattern, with its sometimes viciouscycles and its sometimes victoriouscycles all intermixed. The book is abrave attempt to show the true coloursof in-patient settings in all their com-plexity and paradox – what works,alongside what doesn’t work. I thinkthe book is successful in creating avery realistic impression. The problemis, the real world in in-patient care stillleaves much to be desired. Much ofwhat is portrayed is distressing, becauseit conveys the rawness of human suffe-ring, often at the inadvertent handsof those who set out to help. It alsoconveys the rawness of that same inad-vertent misunderstanding as it is ex-pressed by those who are doing theirbest. On the other hand, as in the realin-patient world, there are thoseaccounts, commentaries and reflecti-ons that convey clarity, understanding,compassion and a sense of directionfor the future. Hopefully the readercan discern from this mix what reallydoes work and what does not work sowell, or does not work at all.

As a person who has experiencedpsychosis and in-patient ‘care’, and as

a medicalofficerworking inin-patientrehabilita-tion settingsfor the past 13 years,I found this a very interestingand compelling, although at timesannoying, book. It is a book full ofhuman emotion, which allows humanemotion to be expressed and reflectedon, so I feel safe to express my ownresponse to it, because it has createdthat sense that "it’s alright to be human".What annoyed me was that so oftenthe writers of the personal vignettesspoke eloquently for themselves (aspeople often can, if we are preparedto listen), and sometimes the commen-taries – particularly from some seniorclinical staff, seemed unnecessary, or(dare I say it?) even patronising, andfull of "shoulds" – but even this I foundfascinating, as it so accurately reflectedthe real-world quality – this is what itis really like – even when we are doingour very best, even when we are beingas reflective as we can be, we can stillmiss the mark for some people – suchis the human condition. I also foundmyself annoyed by the use of the term"patient", but that is a personal response,as I prefer to think of "people we serve"(although I know this in cumbersome).

After each of the accounts and theirrespective commentaries in the threeexperiential sections in the book(accounts from six service users,accounts from five carers, and accountsfrom ten service providers), the readeris invited to reflect on a series ofquestions designed, hopefully, to raiseawareness of the issues that have beenbrought forward, and to help changeattitudes and values.

Experiences of MentalHealth In-patient CareEDITED BY MARK HARDCASTLE, DAVID KENNARD, SHEILA GRANDISON AND LEONARD FAGIN.LONDON/NEW YORK: ROUTLEDGE, ISPS SERIES

B O O Kreview

ISPSBOOK

Dr Patte RandalLRCP MRCS D PHIL MEDICAL OFFICER IN

REHABILITATION PSYCHIATRY; SENIOR CLINICALSUPERVISOR; CHAIR PERSON ISPS-NZ

1.st reviewer

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Sometimes I found the wording of thequestions exposed attitudes and valuesthat in my opinion still have a custodial,rather than recovery orien-ted feel(for example "how can one-to-oneobservations become not only a meansof control but an opportunity to engagemeaningfully with the patient?"). Onthe other hand, some questions werecourageously provocative and challen-ging of ethical and moral reflection –for example, after the section in whichthe following poignant comment ismade by a junior doctor "Staff in in-patient settings have to regularly sharetheir patient’s severe mental pain. Thiscan lead to a desire in the staff to se-date a distressed patient", the questionis posed: "Is it reasonable to forciblymedicate a patient in order to safe-guard other patients or staff, the wardatmosphere or to calm unpleasantfeelings that he or she might generatein others?"

The book is designed to be used in anumber of ways. Individual practitio-ners like me will find in it some recog-nition and validation for our own expe-riences, as indeed I did. In fact, I wasencouraged to find that most of whatwe have been working towards for manyyears as our own unit has transitionedfrom custodial to an increasinglyperson-centred care – "being with" theperson in a physically attractive setting,listening to each personal story,

including the family, understandingearly and repeated patterns of traumati-sation of various descriptions, helpingto find meaning and purpose, attemp-ting to provide an environment wherestaff are supported sufficiently, in anethos of reflective practice, to be ableto begin to contain intense unbearableaffect, so that it can be translated intoa form that is more readily acceptedand recognised, which means that thejourney of healing and restoration canbegin – is described within the patch-work of this book.

The book can also be used as coursereading material, and for seminars andworkshops, and certainly there areparts of it, including some of thesuggestions for role plays, that I willuse in my own teaching.

As is pointed out in the editorialsummary at the end of section 4, andin this context the comment was in re-lation to management staff, but couldbe applied to any of us – "….and staffmust come to an agreement that theycannot be everything to all people,that they can only do what they canwith the skills and resources available,that whilst there is still some room forimprovement, they can only be "goodenough"".

The problem is, as the book graphicallydemonstrates, in-patient services have

not been good enough on the whole.And yet, in the book repeatedly thecomment is made that this "is notrocket science". For me, the helpfulanswers came as much from thosepeople who had not been trained tothink of themselves metaphorically as"rocket scientists", but instead to recog-nise that whoever we are, whatever ourbackground and training, we really alldo share the human condition, andit’s from this perspective that we canbe of most service to one another.

The book ends with "things you cando to make in-patient care a betterexperience" These include – be human,be yourself; tell people what’s goingon and why; involve patients andrelatives in clinical planning; look afteryourself; be aware that staff need torecover too; and carry out meaningfulpractice audits, such as asking "Howwas it for you?", or "How are youfinding things?"

The purpose of this book is to be apositive change agent. I believe that ifit is read and used as it is intended, asa tool to stimulate discussion andreflection, much will be learned fromit. I will certainly recommend it to myfriends and colleagues, and to thepeople I serve and their families.

Dr Patte RandalE-mail: PatteR@adhb.govt.nz

B O O Kreview

The Ninth Annual Meetingof ISPS-US (www.ISPS-US.org)will explore the role of relationships in the recovery processfrom severe mental illness. We will address this subject froma multidisciplinary and multilevel perspective: psychologically,socially, neurobiologically, as well as through first-personsubjective experience. We will emphasize presentations ofpractical import to working clinicians.

We are honored to have as our keynote speakerRonald Bassman, Ph.D., author of "A Fight to Be: A Psychologist’sExperience from Both Sides of the Locked Door. "

For further information contact Brian Koehler (chair) atbrian_koehler@psychoanalysis.net or 212.533.5687.

NINTH ANNUAL MEETING:Recovery from Psychosis: Healing through RelationshipFriday and Saturday, March 14th and 15th, 2008The Kimmel Center, New York University60 Washington Square South, New York, NY 10012

www.nyu.edu/kimmel.center

Keynote Speaker: Ronald Bassman, Ph.D."Abandoning Occam’s Razor:The Art of Reconstructing the Self."

Hosted by ISPS-US New York City. Co-sponsored by the NYUPostdoctoral Program in Psychotherapy and Psychoanalysis, theNYU School of Social Work, and the Lifespan Learning Institute,which will provide comprehensive continuing education credits.

ISPS-US Annual ConferenceNew YorkUSA

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The text, structured into three mainsections, reviews very personal experi-ences that have occurred during thepatient's stay in a psychiatric ward fromthe different perspectives. Thesedifferent points of view are developedrespectively in each one of these threeparts which include patients, theirfamilies or caregivers and the medicalprofessionals that attend to thepatients.

Through the narrations of differentauthors, we approach the perceptionsand interests generated by this setting.Following that, two commentatorsspeak about each account from diffe-rent approaches. They try to stress whatwe should learn from each illustrationin order to improve the stay, handlingand care within the hospital settings.

Two more sections are added to thiscentral core. The first one includes thehistorical context and perspective ofthe book while the second one gathersthe recommendations and messagesof the editors to improve the approach,relationships and stay during theadmissions.

Tirect presentation of personal expe-riences allows us to enter into a not-unknown world in an enjoyable way.This provides us with the perspectiveof our patients and their family mem-bers whose vicissitudes form a part ofour daily work. The only way to app-roach them is through knowing andunderstanding them. Could anyhospital ward exist where we do nothave to deal with matters such as bore-dom, loneliness, humiliation, control,sex, lack of understanding. Further-more, it is not uncommon to find thefamilies asking why this is happeningto them or speaking about theirfeelings of frustration or despair.

However it is our perspective reflectedin the experiences described by theworkers that feelings of tension, frus-tration, confusion, fear, lack of trainingare frequent among those of us whoprovide care to these patients. It is notso uncommon to find that these arediscussed, in this case in this book,avoiding the creation of affectivebarriers and of communication thatprevents the possibility of establishinga future therapeutic contact.

The simple structure of this book doesnot in any way make it a synopsis ofindividual cases, but rather each chap-ter is developed in a subtle way towardsa specific purpose, that dedicates somespace, at the end, to a series of

questionsthat make usreflect onsituations,events andfeelingsthat appear in theday-to-day experiences of a psychiatricward. Even more, the authors provideexercises that encourage the readerto go deeper into their answers andtheir practical application.

All of the above not only make thisbook an accurate and recommendedinstrument for those of us who workwithin this context but also an extre-mely useful one. It is almost essentialfor the education of professionals,whatever their discipline, who aregoing to pave their professional careerwithin the hospital setting. They aregenerally the most vulnerable anddefenseless when faced with the rangeof feelings and sensations that can beset off in a hospital psychiatric unit.This book should even be requiredreading for those who, although theyhave solid training, want to make aprofessional change and enter furtherinto, or take an interest in, the exerciseof care in a hospital setting.

Experiences of MentalHealth In-patient CareEDITED BY MARK HARDCASTLE, DAVID KENNARD, SHEILA GRANDISON AND LEONARD FAGIN.LONDON/NEW YORK: ROUTLEDGE, ISPS SERIES

B O O Kreview

Entertaining, interesting,intelligent and practical are

some of the expressionsthat define this book

ISPSBOOK

ISPS is pleased to announce that all members (of ISPS international or any

local group) can now order books in the ISPS series at a 20% discount.

All payments must be made by credit card in sterling (£UK), and you will

be charged for postage. For more information about how to take advantage

of this offer please contact Denise Rolland, admin@ispsuk.org

2.nd reviewer

Ignacio García CabezaGENERAL UNIVERSITY HOSPITAL

GREGORIO MARAÑÓN, MADRID, SPAIN.

Ignacio García CabezaE-mail: igcabeza456@gmail.com

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Models of MadnessPsychological, Social and Biological Approaches to Schizophrenia

EDITED BY JOHN READ, LOREN MOSHER AND RICHARD BENTALL

Models of Madness shows that hallucinations and delusions are understandable reactions to life eventsand circumstances rather than symptoms of a supposed genetic predisposition or biological distubance.Models of Madness promotes a more humane and effective response to treating severely distressedpeople that will prove essential reading for psychiatrists and clinical psychologists and of great interestto all those who work in the mental health service.

1-58391-905-8 2004 400pp. £55.00 / $80.00 hbk 1-58391-906-6 2004 400pp. £19.99 / $28.95 pbk

PsychosesAn Integrative Perspective

JOHAN CULLBERG

Psychoses provides a unique perspective on the challenges associated with understanding and treatingpsychoses, bringing together insights and developments from medicine and psychology to give a full andbalanced overview of the subject. Johan Cullberg draws on his extensive experience working with thosesuffering from first episode psychosis to investigate issues including vulnerability factors, phases ofpsychosis, prevention, the potential for recovery and contemporary attitudes to psychosis. Particularattention is paid to how therapeutic interventions can either support or obstruct the 'self-healing'properties of many psychoses.

1-58391-992-9 January 2006 368pp. £55.00 / $100.00 hbk 1-58391-993-7 January 2006368 pp. £19.99 / $35.95 pbk

Evolving PsychosisDifferent Stages, Different Treatments

EDITED BY JAN OLAV JOHANNESSEN, BRIAN V. MARTINDALE AND JOHAN CULLBERG

Evolving Psychosis explores the success of psycho-social treatments for psychosis in helping patientsrecover more quickly and stay well longer. This book incorporates new and controversial ideas whichwill stimulate discussion regarding the benefits of early, need-adapted treatment.

1-58391-722-5 February 2006 320pp. £55.00 / $100.00 hbk 1-58391-723-3 February 2006320pp. £19.99 / $35.95 pbk

Family and Multi-Family Work with PsychosisEDITED BY GERD-RAGNA BLOCH THORSEN, TROND GRØNNESTAD AND ANNE LISE ØXNEVAD

Family and Multi-Family Work with Psychosis provides a practical step-by-step guide for professionalstreating psychosis using family work. The authors draw on over ten years of experience working withfamily and multi-family groups where there are members with a psychotic disturbance. They providehelpful guidance on vital issues, including setting up initial group meetings, crisis intervention plans,group structure, problem solving and communication in the group.

1-58391-726-8 / 978-1-58391-726-8 2006 152pp. £55.00 / $90.00 hbk1-58391-727-6 / 978-1-58391-727-5 2006 152pp. £18.99 / $33.95 pbk

Experiences of Mental Health In-patient CareNarratives from service users, carers and professionalsEdited by MARK HARDCASTLE, DAVID KENNARD, SHEILA GRANDISON, LEONARD FAGIN

This book offers an insight into the experience of psychiatric in-patient care, both from a professionaland a user perspective. The editors highlight the problems in creating therapeutic environments withinsettings which are often poorly resourced, crisis driven and risk aversive.

March 2007: 280ppHb: 0-415-41081-9 / 978-0-415-41081-6: £55.00 / $96.00Pb: 0-415-41082-7 / 978-0-415-41082-3: £19.99 / $34.00

14

D e s i g n & l a y o u t : e l l e n @ j e p s o n . n o

SERIES EDITOR: BRIAN MARTINDALE

ISPSBOOK

S eries

P U B L I S H E D B Y R O U T L E D G E

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Plans for the new ISPS Journal,"Psychosis: psycholgical, social andintegrative approaches" are onschedule for the first edition to bepublished in early 2009, in time forour Copenhagen congress.

There will initally be just two editionsa year but we will consider increasingthat as time goes on. Partly as a resultof a survey of members at theMadrid congress the journal willinclude not only scientific researchpapers about treatments and causesbut also first person accounts fromtherapists and from peoplediagnosed psychotic.

ISPS members will not need tosubscribe individually as the journalwill be covered, from 2009, by aslightly increased memebrship fee.The more members we have, thelower the cost of the journal to eachmember so keep recruiting !

Also please get your University andHospital libraries to subscribe in2008. And those of you who areresearchers or have interesting firstperson accounts start thinking aboutsubmitting an article in 2008.

John Read

ISPS Journal Routledge are pleased to announce the forthcoming publicationof a new peer-reviewed journal.Official Journal of the International Society for the Psychological Treatmentsof the Schizophrenias and other Psychoses (ISPS) www.isps.org

Editorial Board includes:

Professor Jukka Aaltonen - University of Jyvaskyla, FinlandProfessor Richard Bentall - University of Wales, UKProfessor Johan Cullberg - University of Stockholm, SwedenDr. John Gleeson - University of Melbourne, AustraliaProfessor David Healey - Cardiff University, UKDr. Sladjana Ivezic - University of Zagreb, CroatiaDr. Jan Olav Johannessen - Stavanger University Hospital, NorwayDr. Brian Koehler - New York University, USADr. Frank Margison - Manchester Mental Health and Social Care NHS Trust, UKDr. John Read - University of Auckland, New ZealandDr. Bent Rosenbaum - Copenhagen University, DenmarkDr. Ann-Louise Silver - Washington School of Psychiatry, USADr. Douglas Turkington - University of Newcastle, UKProfessor Jim van Os - University of Maastricht, The Netherlands

Volume 1, 2009, 2 issues per year

Aims and ScopePsychosis fills a crucially important gap in mental health literature, namely researchfocused on the psychological treatments of psychosis (e.g. cognitive-behaviour therapy,psychodynamic therapy, family therapy etc.) and the psycho-social causes of psychosis(e.g. poverty, drug abuse, child abuse and neglect, distressed families, urban living,discrimination, war combat, rape etc.).

The journal will publish papers on both quantitative research (e.g. rigorously designedoutcome studies and epidemiological surveys) and qualitative research (e.g. case studiesof therapy and first person accounts of psychosis and experiences of people withpsychosis in the mental health system).

Psychosis will be inviting research and commentary papers on:

descriptions and illustrations of psychotherapy and other psychological treatments for people diagnosed with schizophrenia and other psychoses;

the integration of psychological and social understandings and treatment approaches into all phases of recovery;

evidence-based treatments including individual, family and group therapies derived from a range of models including psychodynamic, cognitive-behavioural and systemic, and from a range of disciplines including art therapy, nursing, occupational therapy, psychiatry, psychology, social work etc.;

training and knowledge of mental health professionals in the psychological and psycho-social interventions in the treatment and prevention of psychosis; and

conceptual analysis and ethical considerations related to diagnosis, treatment and rehabilitation issues.

For further details please visitwww.informaworld.com/psychosis

NEW JOURNAL ANNOUNCEMENTfor 2009

Psychosis: Psychological,Social and Integrative Approaches

THE INTERNATIONAL SOCIETYFOR THE PSYCHOLOGICAL TREATMENTSOF THE SCHIZOPHRENIAS AND OTHER PSYCHOSES

NEW 2009

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The ISPS draws together individuals who are interested in the psychologicaltherapies for psychosis. We aim to promote much better knowledge of the psycho-logical approaches and better integration with pharmaceutical approaches.We organise regular conferences and publish books on the psychologicalapproaches to psychosis.

ISPS local groups

Several local ISPS groups exist worldwide and we are now represented on all fivecontinents. Some of the local groups organise regular presentations and meetingsand produce their own newsletter. To see if there is a local group in your countryor for information on how to start up a local group of ISPS please e-mail AntoniaSvensson at isps@isps.org

Who can become a member?

Anyone who is interested in our field – students, nurses, psychiatrists, psychologists,arts therapists, occupational therapists, psychotherapists, professors, managers,service users and carers, and specialists in the different psychological approaches.

What are the benefits of membership?

• You will receive the International ISPS Newsletter twice a year

• You will be kept informed of conferences and be entitled to reduced rates at ISPS conferences

• You can join one of our many e-mail discussion groups

• If you join through a local ISPS group you may also receive their local newsletterand information about local events

How do I becomea member?Individual membership of ISPS costs $70per year for members from developedcountries and $35 for those from under-developed countries.

Further discounted rates are availableto students/unemployed persons: $35for those from developed countries and$17.50 for under-developed countries.ISPS also offers institutional member-ship and individual membershipthrough local groups.

For details of which countries have localgroups and how to pay your member-ship fee please e-mailAntonia Svensson at isps@isps.org

D e s i g n & l a y o u t : e l l e n @ j e p s o n . n o

How to become an ISPS member and enjoy membership rights

Your local ISPS group and its activites ?

Meetings, congresses or workshops ?

New approaches in psychological treatments of psychoses ?

Research that you are involved in ?

Questions that you would like to discuss ?

Please send material for the ISPS newsletter andthe ISPS website by e-mail to: isps@isps.org

What is yourcontributionto the nextnewsletter

Visit ourwebsite: www.isps.org

Visit our websitewww.isps.orgVisit our websitewww.isps.org

See you inCOPENHAGEN 2009

The 16 InternationalSymposium of ISPS

th