Advances in Psychiatric Treatment (2007) 13: 34-42. doi: 10.1192/apt.bp.105.001552
© 2007 The Royal College of Psychiatrists
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Psychodynamic contributions to early intervention in psychosis

Brian V. Martindale

Brian Martindale is consultant psychiatrist to the South of Tyne Early Intervention in Psychosis Service (Northumberland, Tyne and Wear NHS Trust, Monkwearmouth Hospital, Newcastle Road, Sunderland SR5 1N, UK. Email: brian.martindale{at}stw.nhs.uk). Previously he worked for three decades in London as a consultant psychiatrist in psychotherapy. He is on the Board of the International Society for the Psychological Treatments of Schizophrenia and other Psychoses (ISPS; http://www.isps.org) and was founding chair of ISPS UK.

This article considers the contribution that psychodynamics can make to the work of teams providing early intervention in psychosis. Psychodynamic understanding enriches the stress and vulnerability psychosis model; can contribute to resolving the issues involved in relapse prevention; informs individualised formulations; and can make sense of patients’ reactions to prescribing in psychosis. A rationale is given for longer-term individual, group and family dynamic psychotherapies within early intervention teams.




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