List of Figures and Appendices vii About the Authors ix Foreword by Max Birchwood xi Introduction xiii Acknowledgements xvii Part I: Background 1 1 The Importance of Early Recognition 3 2 How to Identify At-Risk Groups 9 3 Which Prevention Strategy to Adopt 23 Part II: Cognitive Therapy for Prevention of Psychosis 27 4 Why Cognitive Therapy? 29 5 Engagement 37 6 Theory, Assessment and Formulation 45 Part III: Change Strategies 55 7 Normalisation 57 8 Generating and Evaluating Alternative Explanations 65 9 Safety Behaviours 75 10 Metacognitive Beliefs 87 11 ‘I Am Different’ and Other Core Beliefs 93 12 Social Isolation 101 13 Relapse Prevention 111 14 Conclusions 117 Appendices 121 References 135 Index 143 

"Can schizophrenia be prevented? French and Morrison, major investigators in the landmark study demonstrating that schizophrenia can be prevented, provide specific details about the adaptation of standard cognitive therapy to the treatment of individuals at high risk of developing this disorder. In a clear readable style, they guide the reader through the identification of high-risk individuals, crucial cognitive behavioral strategies and, above all, relapse prevention. This book is a must for clinicians dealing with high-risk adolescents and young adults." —Aaron T. Beck, M.D., University Professor of Psychiatry, University of Pennsylvania "French and Morrison's theoretical framework is coherent and well articulated and brings to bear cognitive and interpersonal factors that we know to be active in established psychosis. The therapy they describe has been validated in a well controlled randomised trial showing that psychosis can be prevented, or at least delayed, in a substantial majority of those at risk of transition to psychosis." —Professor Max Birchwood, Director, Early Intervention Service, Northern Birmingham Mental Health Trust and University of Birmingham This book will be of use to all qualified and trainee practitioners, such as clinical psychologists, psychiatrists, social workers, occupational therapists and nurses. It will also appeal to students, lecturers and researchers.

“…an easy to read guide…” (Behavioural & Cognitive Psychology, Vol. 33 2005) "...well researched, well written and easily understood...of interest to all who work with high-risk adolescents and young adults..." (Intl Jnl of Clinical Practice, June 2004) "...extremely interesting and highly readable..." (Mental Health Today, September 2004) "Strong stuff...[the authors] offer some well-researched loyalty truths" (Daily Telegraph, 22nd November 2005) "...an excellent introduction...illuminating but concise..." (BACP, December 2005)

List of Figures and Appendices. About the Authors. Foreword by Max Birchwood. Introduction. Acknowledgements. Part I: BACKGROUND. 1. The Importance of Early Recognition. 2. How to Identify At-Risk Groups. 3. Which Prevention Strategy to Adopt. Part II: COGNITIVE THERAPY FOR PREVENTION OF PSYCHOSIS. 4. Why Cognitive Therapy? 5. Engagement. 6. Theory, Assessment and Formulation. Part III: CHANGE STRATEGIES. 7. Normalisation. 8. Generating and Evaluating Alternative Explanations. 9. Safety Behaviours. 10. Metacognitive Beliefs. 11. ?I Am Different? and Other Core Beliefs. 12. Social Isolation. 13. Relapse Prevention. 14. Conclusions. Appendices. References. Index.