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