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This practical guide focuses on the reduced expression and activity often described as constituting negative symptoms of psychosis and schizophrenia. Using engaging activities and case studies to aid learning, it offers alternative explanations for these symptoms and outlines strategies for addressing them in practice.

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This practical guide focuses on the reduced expression and activity often described as constituting negative symptoms of psychosis and schizophrenia. Using engaging activities and case studies to aid learning, it offers alternative explanations for these symptoms and outlines strategies for addressing them in practice

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Part I: Background 1. Explanations for reduced levels of expression and activity in psychosis.- Part II: Engagement 2. Engaging people with reduced levels of expression and activity in positive therapeutic alliances.- 3. Engaging people in structured interventions to increase levels of expression and activity.- Part III: Assessment and formulation 4. Gathering information to develop a shared understanding (formulation) of reduced levels of expression and activity.- Part IV: Interventions to help people with reduced expression and activity 5. Behavioural approaches to helping people increase their activity levels.- 6. Cognitive strategies to help people address defeatist predictions.- 7. Other approaches for helping people with reduced levels of expression and activity.- Part V: Interventions to support families, companions and mental health teams 8. Supporting families to cope with reduced levels of expression and activity.- 9. Helping mental health teams understand reduced levels of expression and activity.

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Hilary Mairs is Reader and Director of Postgraduate Education in the School of Nursing, Midwifery and Social Work at the University of Manchester, UK.

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