000			01803cam a2200217 4500500
005			20250121083626.0
041			_afre
042			_adc
100	1	0	_aConus, Philippe _eauthor
245	0	0	_aInitial treatment for first episode psychosis: What are the challenges and what are the issues?
260			_c2018.
500			_a7
520			_aWhen treating a patient presenting a first psychotic episode, clinicians face many challenges. Among them, two main challenges emerge in almost every case: denial of the illness, and disengagement from treatment. These two elements may have major consequences, considering that psychosis usually emerges at the end of adolescence or at the beginning of adulthood, a phase of life during which many of the broad outlines of one’s existential trajectory are defined. In this paper we discuss the various strategies developed in the Treatment and Early Intervention in Psychotic Disorders Program (TIPP) in Lausanne to overcome these obstacles and to facilitate engagement and the development of insight. This last point is a very delicate aspect of treatment, during which the objective is to help the patient to build a new social identity that integrates the psychotic episode in a constructive manner, while avoiding the emergence of a self-stigmatization that would have a negative impact on the recovery process. As such, the development of insight is a therapeutic process rather than an aim in itself.
690			_ainsight
690			_afirst episode
690			_aengagement
690			_apsychosis
690			_aintegration
786	0		_nL'information psychiatrique | Volume 94 | 4 | 2018-04-26 | p. 301-306 | 0020-0204
856	4	1	_uhttps://shs.cairn.info/journal-l-information-psychiatrique-2018-4-page-301?lang=en&redirect-ssocas=7080
999			_c503628 _d503628