By Alessandra Lemma

I used to be such a lot inspired via the author's thoroughness in penning this e-book. She turns out to depart no stone uncovered... [this is] a piece which may still turn into a need for all counsellors, counselling psychologists, psychiatric nurses and psychotherapists... it is a publication to which i'll make reference time and time back, and one that will occupy a well-known position in my library' - Counselling, The magazine of the British organization for Counselling `An worthwhile instruction manual for college students of psychotherapy and a great reference for proven therapists... i like to recommend that every one therapists have a replica of this booklet on their shelf' - Psychology, future health & medication Assessmenp and refer

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For example, development and life experience may alter the impact of genetic predisposition. Risk factors act as sources of vulnerability as they detract from the achievement of successful adaptation and competence. , 1 992). In addition, factors such as low socioeconomic status, unsupportive social or familial networks, inadequate schools, life events, may all adversely affect an individual's coping capacity and hence affect his development. It is the interaction of multiple risk factors, along with personal and collective misfortune, that appears to be especially critical in the development of psychopathology (Werner and Smith, 1 992).

It is indeed sobering to ask ourselves what those critics of psychiatry and psychotherapy have to say to those in real distress. The decon­ structive approaches to the notion of mental illness that have underpinned the antipsychiatry movement highlighted how labels might be masking the far from laudable motives of the labellers. However, this was only a first step and not an end in itself, as removing the label does not, unfortunately, also remove the distress and misery which afflict some of us.

38 Introduction to psychopathology The assessment process As with the beginning of therapy, an assessment consultation should start with the setting of the boundaries for this meeting. This primarily involves letting the client know how long you will be meeting for and what are the aims of the assessment. Let us look at these two ground rules more closely. Timing the assessment Therapists vary widely in how much time they devote to an assessment, but it is generally recognised that in order to enable both client and therapist to assess the client's needs and whether they can work together, time is an important factor.

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