Physical, psychological and social treatments
Chapter 12
Physical, psychological and social treatments
3 topics
- 32Electroconvulsive therapy (ECT) and other biological non-pharmacological treatments: mechanism of action, indications, contraindications, and proceduresElectroconvulsive therapy, its history, how it may work, its indications and high-risk conditions, consent, technique, adverse effects and results; then the other physical treatments of psychiatry, magnetic and electrical brain stimulation, vagus nerve and deep brain stimulation, light therapy and sleep deprivation, and neurosurgery for mental disorder, now rare.
- 33Psychotherapy: major psychotherapeutic approachesThe psychological treatments, from what all of them share to what each does. Common factors and supportive therapy, psychodynamic therapy and the defence mechanisms, cognitive behavioural therapy, the third-wave therapies, interpersonal, family, group, EMDR and mentalisation-based therapy; which therapy works for which disorder, how therapy is delivered at scale, and the harms it can do.
- 34Psychosocial rehabilitation. The recovery model in mental disorders. PsychoeducationHow people with severe mental illness are helped to live, work and belong in the community. The aims and history of rehabilitation, from the asylums to deinstitutionalisation; its components, from cognitive remediation and supported employment to housing, assertive outreach and crisis teams; the recovery model; stigma; psychoeducation and expressed emotion; and the physical health of people with severe mental illness.