Introduction

Summary

This book is concerned with treatment strategies that facilitate recovery from mental illness. We have attempted to outline ideas and ways of thinking that assist in the development of clinical skills and the effective use of treatment technologies in the real world. This is not a primer on psychopharmacology, nor a guide to specific psychological or social therapies. Indeed, it is assumed that readers have some basic knowledge of these subjects. Instead, we explore the application of principles to everyday work, and the ways around the numerous complications, pitfalls and dilemmas that are the stuff of clinical practice.

In many ways, making treatments work for patients in the face of the complications and problems of real life is the most difficult aspect of the work of mental health professionals. It demands a good understanding of scientific evidence, combined with an empathic understanding of other people and an ability to constructively learn from clinical experience. Above all, clinicians have to be self-aware and conscious that treatment can do harm as well as good. At its heart, this book is about the difference between comprehensive knowledge and good clinical skills.

This text follows on from our previous work, Psychiatric Interviewing and Assessment, which was concerned with fundamental skills that lead to good quality assessment and facilitate a therapeutic relationship. However, although it is informed by the same values, this volume stands on its own.