chapter  10
16 Pages

Staying well after psychosis

A cognitive interpersonal approach to emotional recovery and relapse prevention
WithAndrew Gumley

At the heart of recovery for individuals with a diagnosis of schizophrenia is the core of emotional recovery. David Garfield has argued that unbearable affect lies at the core of psychosis and that repair following psychosis involves the processes of acknowledging, bearing and putting in perspective the intolerable emotions which often have their origins in early development. Maintaining a sustained recovery in early psychosis is a challenge for individuals, their families and loved ones, and for service providers. The first episode of psychosis is regarded as the critical period that determines long-term outcome. Relapse is a crucial factor in the evolving long-term course of the illness. A person's cognitive, behavioural and interpersonal coping reactions and resources probably moderate the intensity of emotional distress. There is evidence to suggest that attachment security may be compromised or even disorganised in infants who are later diagnosed with schizophrenia.