Nidotherapy: Harmonising the Environment with the Patient
Peter Tyrer
Nidotherapy is a new concept
in mental health. For years we have laboured under the happy notion
that with humanity, determination and a little science, we could
correct all the disabilities and handicaps associated with
psychiatric disorder. But we have over-reached ourselves. A large
number of mental disorders are labelled ‘chronic’, as health
professionals have very little impact on their symptoms and course.
Nidotherapy is for such people, who often feel they have failed
because they have not shared in the heady notion that all can
recover. Although we take notice of the environment in mental
health, we seldom go about systematically analysing it and changing
it to fit the person, so that their well-being and sense
of belonging are improved. These processes are the focus of
nidotherapy and should give optimism to both practitioners and
patients who have been close to abandoning hope.
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The book discusses among other
things:
- Who nidotherapy is for
- How to apply nidotherapy
- How to perform environmental analysis
- Who can practise nidotherapy.
With case studies and exercises
(with answers), this book is an excellent guide to the emerging
treatment of nidotherapy.
Readership: all
mental health professionals.
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“I predict that not too many
years from now nidotherapy will not only be in common use but will
be seen as an essential tool in helping those with severe and
enduring mental health problems in no lesser way that
psychopharmacology is seen as an essential ingredient in current
treatment.
I heartily commend this
book.”
Dr Peter Carter OBE
Chief Executive and General
Secretary, Royal College of Nursing
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Book-signing session held to launch the book at the Annual Meeting
2009, Liverpool
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About the
author: Peter Tyrer is
Editor of the British Journal of
Psychiatry, Professor of Community Psychiatry, Imperial
College London, and a pioneer of nidotherapy. He has developed the
treatment over many years of psychiatric practice and is the
leading authority in the field.
Quote from the
author:
"If you have ever felt that a person with
mental disorder is untreatable then read this book before you give
in."
Contents
1.
General introduction and principles
2.
Assessing the patient for nidotherapy
3.
Environmental analysis
4.
Reaching an agreement for environmental targets
5.
Constructing and monitoring a nidopathway
6. Supervision and training
for nidotherapy
7. What are the qualities of
a good nidotherapist?
8. The place of nidotherapy
in mental health services
9. The essentials of
nidotherapy in four stages
10. Questions and
answers
Appendix: Answers to exercises
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"This brilliant book tells a new story
about psychiatry ... I wonder whether nidotherapy should be
restricted to psychiatry - or whether, it would enrich other
medical disciplines."
The
Lancet
"The book is clearly written,
well-structured and gives a good account of what the aspiring
nidotherapist might actually do. ...I will be giving my copy to the
newly appointed manager of a local service devoted to improving the
‘community opportunities’ of people currently stuck within our
service."
British Journal of
Psychiatry
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"Nidotherapy is based on overt trust
and optimism...it is perhaps the ultimate personalized medicine,
because its primary therapeutic strategy is the full appreciation
of the patient as a unique person in his or her own
environment."
American Journal of
Psychiatry