Systemic Therapies and Consultation for People who Experience PsychosisAuthor(s): Chris Millar*
This research explores how systemic therapies have been utilised in the care of people who experience psychosis, and how systemic practice informs their therapy and consultation. Firstly, ‘psychosis’ is defined, focusing on the shift from the medical model of ‘treatment’ toward a relational understanding; normalising and supporting people impacted by psychosis. Next, a brief social and historical context is explored by discussing how the conceptualisation of psychosis has changed across time and throughout culture. Adverse health and social outcomes are highlighted, along with established interventions including talking therapies. The origins of systems theory and systemic therapies are observed, examining how this influences approaches to psychosis. The available literature is evaluated and critiqued. Finally, the ways in which systemic therapies have been utilised in the care of people who experience psychosis are debated. Consideration is given to how this can inform direct and indirect therapy and consultation.