Worldwide, at least 1 million people die by suicide each year and many millions more attempt suicide. However, suicide has been increasingly recognised as a preventable problem in many cases. Because of this, and the rising rates of suicide in young people, many countries have established national suicide prevention strategies. These include the United Kingdom, the USA, Scandinavian countries, other countries in Europe, Australia and New Zealand. There is also increasing emphasis on the treatment of suicidal people and those who have made suicide attempts. In order to be effective it is imperative that strategies for treatment and prevention are based on sound scientific evidence.
In this book leading figures from psychiatry, psychology, epidemiology, public health, and social medicine bring together the research evidence concerning the key elements in suicide prevention and treatment of suicidal behaviour and translate it into implications for practical action. This includes social and public health policy as well as clinical practice. The book draws together the evidence relevant to treatment and prevention, and uses this in order to highlight the most effective approaches. The range of initiatives covered is wide, reflecting the complex nature of suicide and hence the need for a range of approaches. This book will be an essential source for anyone concerned with the design and implementation of effective suicide prevention strategies, including clinicians working with individual patients, strategic policy makers, and researchers.

Worldwide, at least 1 million people die by suicide each year and many millions more attempt suicide. However, suicide has been increasingly recognised as a preventable problem in many cases. Because of this, and the rising rates of suicide in young people, many countries have established national suicide prevention strategies. These include the United Kingdom, the USA, Scandinavian countries, other countries in Europe, Australia and New Zealand. There is also increasing emphasis on the treatment of suicidal people and those who have made suicide attempts. In order to be effective it is imperative that strategies for treatment and prevention are based on sound scientific evidence. In this book leading figures from psychiatry, psychology, epidemiology, public health, and social medicine bring together the research evidence concerning the key elements in suicide prevention and treatment of suicidal behaviour and translate it into implications for practical action. This includes social and public health policy as well as clinical practice. The book draws together the evidence relevant to treatment and prevention, and uses this in order to highlight the most effective approaches. The range of initiatives covered is wide, reflecting the complex nature of suicide and hence the need for a range of approaches. This book will be an essential source for anyone concerned with the design and implementation of effective suicide prevention strategies, including clinicians working with individual patients, strategic policy makers, and researchers.

What produces emotions? Why do we have emotions? How do we have emotions? Why do emotional states feel like something? This book seeks explanations of emotion by considering these questions. Emotion continues to be a topic of enormous scientific interest. This new book, a successor to 'The Brain and Emotion', (OUP, 1998), describes the nature, functions, and brain mechanisms that underlie both emotion and motivation. 'Emotion Explained' goes beyond examining brain mechanisms of emotion, by proposing a theory of what emotions are, and an evolutionary, Darwinian, theory of the adaptive value of emotion. It also shows that there is a clear relationship between motivation and emotion. The book also examines how cognitive states can modulate emotions, and in turn, how emotions can influence cognitive states. It considers the role of sexual selection in the evolution of affective behaviour. It also examines emotion and decision making, with links to the burgeoning field of neuroeconomics. The book is also unique in considering emotion at several levels - the neurophysiological, neuroimaging, neuropsychological, behavioural, and computational neuroscience levels.

Genetics promises to provide one of the most powerful approaches to understanding the functional pathology of the human brain. This book presents a critical review of the evidence for a genetic contribution to common psychiatric conditions and the rarer single-gene disorders that may have psychiatric presentations
The first section of the book introduces the reader to molecular biology and the techniques of molecular genetics. The coverage then moves on to consider the genetics of normal and abnormal development, followed by a look at the genetics of abnormal behaviour in adults. This section includes, amongst others, consideration of personality disorders, schizophrenia and the dementias. The final section considers the applications of the work and covers issues such as counselling and ethics, closing with a look to the future.
The editors are internationally renowned figures in this field and they have invited a team of equally eminent chapter authors.
This will be essential reading for psychiatrists and geneticists and will be essential reading for psychiatrists and geneticists and will be of interest to neurologists, psychologists and neuroscientists.

The public, mental health consumers, as well as mental health practitioners wonder about what kinds of values mental health professionals hold, and what kinds of values influence psychiatric diagnosis. Are mental disorders socio-political, practical, or scientific concepts? Is psychiatric diagnosis value-neutral? What role does the fundamental philosophical question "How should I live?" play in mental health care? In his carefully nuanced and exhaustively referenced monograph, psychiatrist and philosopher of psychiatry John Z. Sadler describes the manifold kinds of values and value judgements involved in psychiatric diagnosis and classification systems like the DSM. Professor Sadler takes the reader on a fascinating conceptual tour of the inner workings of psychiatric diagnosis, considering the role of science, culture, sexuality, politics, gender, technology, human nature, patienthood, and professions in building his vision of a more humane psychiatric diagnostic process.

This is the story of a special time, space, and place where young people diagnosed as

In this ambitious follow-up to Achilles in Vietnam, Dr. Jonathan Shay uses the Odyssey, the story of a soldier's homecoming, to illuminate the pitfalls that trap many veterans on the road back to civilian life. Seamlessly combining important psycho- logical work and brilliant literary interpretation with an impassioned plea to renovate American military institutions, Shay deepens our understanding of both the combat veteran's experience and one of the world's greatest classics.

Despite a rich and turbulent history spanning several centuries, malingering continues to be a controversial and neglected clinical condition that has significant implications for medical, social, legal and insurance interests. Estimates of malingering - the wilful, intentional attempt to simulate or exaggerate illness in the pursuit of a consciously desired end - vary greatly, despite the fact that malingering is believed to contribute substantially to fraudulent health care and social welfare costs.

There is little consensus about what would constitute a coherent assessment of malingering, and base rates have been difficult to establish. Malingering remains a difficult attribution to make not least since it falls outside the remit of the formal psychiatric classifications. Labelling a person as a malingerer however, has significant medico-legal, personal and economic ramifications for both subject and accuser. Viewed in this way, malingering is not so much illness behaviour in search of a disease, as the manifestation of a conflict between personal and social values.

The aim of this book is to effect an integration of the different medical, forensic, neuropsychological, legal and social perspectives. The book provides an overview of progress in disparate fields relevant to the subject, including how recent social and neuroscience findings regarding volition, intentional states and theory of mind may have implications for informing detection, management and ultimately its explanation.

In the bestselling tradition of "The Psychopath Test" and "The""Sociopath Next Door," a compelling journey into the science and behavior of psychopaths in our lives, written by the leading scientist in the field of criminal psychopathy.
Why do psychopaths behave the way they do? Is it the result of their environment--how they were raised--or is there a genetic component to their lack of conscience? This is the question Kent A. Kiehl, a protegee of famed psychopath researcher Robert Hare, was determined to answer as he began his career. Kiehl, who created the world's first mobile MRI scanner to study psychopaths in prison populations, has collected the world's largest repository of forensic neuroscience. Over the last decade, he has scanned the brains of more than five hundred psychopaths, and three thousand other offenders. Over the course of "The Psychopath Whisperer," we follow the scientific bread crumbs that Kiehl uncovered to show that the key structures in the brains that correspond with emotional engagement and reactions to stimuli are diminished in psychopaths, offering new clues to how to predict and treat the disease.
In "The Psychopath Whisperer," Kiehl describes in fascinating detail his two decades in working with psychopaths and studying their thought processes--from the remorseless serial killers he meets with behind bars to children whose behavior and personality traits exhibit the early warning signs of psychopathy.
A compelling narrative of cutting-edge science, "The Psychopath Whisperer "will open the reader's eyes on a world that so many of us know only through the lens of Hannibal Lecter and the "Dexter "TV series--but with which we have a helpless fascination.

During the past 25 years, the study of nonverbal behavior has become a signifcant subarea of psychology. Employing a variety of approaches and encompassing numerous perspectives, researchers have made important theoretical and empirical strides in discovering the origins, functions, and consequences of nonverbal behavior. This research has clearly shown that nonverbal behavior plays a far greater role than merely reflecting emotional experience -- it also plays a central role in psychological adaptation. This volume presents, in an integrated framework, contemporary perspectives on the role of nonverbal behavior in psychological regulation, adaptation, and psychopathology, and includes both empirical and theoretical research that is central to our understanding of the reciprocal influences between nonverbal behavior, psychopathology, and therapeutic processes. It has several objectives: One is to present fundamental theories and data relevant to researchers and clinicians working in such fields as psychopathology and psychotherapy. Another objective is to link contributions of basic research to clinical applications. Finally, the volume gathers contributions in different sub-fields that are rarely presented jointly, such as brain damage and non-verbal skills.

Recent advances in affective neuroscience reveal long-held secrets of mental health and illness in the brain. However, the gap between brain science and clinical practice is wide, and many clinicians find neuroscience to be tedious, overly technical and laborious to learn. Eight Key Brain Areas of Mental Health and Illness bridges this gap, providing key information about the neuroscience of mental illness so clinicians can apply it in their work. In this handbook, clinical psychologist and best-selling author Jennifer Sweeton details the eight main areas of the brain affected by mental illness, how brain changes show up in the therapy room as symptoms and behaviours, and the types of therapies and psychotherapeutic techniques research has shown can heal the brain. After reading this book, clinicians will feel confident and excited about their ability to take a client-centred, strategic, brain-based approach to treatment planning.

Sleep has long been a topic of fascination for artists and scientists. Why do we sleep? What function does sleep serve? Why do we dream? What significance can we attach to our dreams?

We spend so much of our lives sleeping, yet its precise function is unclear, in spite of our increasing understanding of the processes generating and maintaining sleep. We now know that sleep can be accompanied by periods of intense cerebral activity, yet only recently has experimental data started to provide us with some insights into the type of processing taking place in the brain as we sleep. There is now strong evidence that sleep plays a crucial role in learning and in the consolidation of memories. Once the preserve of psychoanalysts, 'dreaming' is now a topic of increasing interest amongst scientists. With research into sleep growing, this volume is both timely and valuable in presenting a unique study of the relationship between sleep, learning, and memory. It brings together a team of international scientists researching sleep in both human and animal subjects. Aimed at researchers within the fields of neuroscience, cognitive neuroscience, psychiatry, and neurology, this book will be an important first step in developing a full scientific understanding of the most intriguing state of consciousness.

The most trivial slips of the tongue or pen, Freud believed, can reveal our secret ambitions, worries, and fantasies. The Psychopathology of Everyday Life ranks among his most enjoyable works. Starting with the story of how he once forgot the name of an Italian painter—and how a young acquaintance mangled a quotation from Virgil through fears that his girlfriend might be pregnant—it brings together a treasure trove of muddled memories, inadvertent actions, and verbal tangles. Amusing, moving, and deeply revealing of the repressed, hypocritical Viennese society of his day, Freud's dazzling interpretations provide the perfect introduction to psychoanalytic thinking in action.

Through the vivid, true stories of five people who journeyed into and out of addiction, a renowned neuroscientist explains why the "disease model" of addiction is wrong and illuminates the path to recovery.The psychiatric establishment and rehab industry in the Western world have branded addiction a brain disease, based on evidence that brains change with drug use. But in The Biology of Desire , cognitive neuroscientist and former addict Marc Lewis makes a convincing case that addiction is not a disease, and shows why the disease model has become an obstacle to healing.Lewis reveals addiction as an unintended consequence of the brain doing what it's supposed to do-seek pleasure and relief-in a world that's not cooperating. Brains are designed to restructure themselves with normal learning and development, but this process is accelerated in addiction when highly attractive rewards are pursued repeatedly. Lewis shows why treatment based on the disease model so often fails, and how treatment can be retooled to achieve lasting recovery, given the realities of brain plasticity. Combining intimate human stories with clearly rendered scientific explanation, The Biology of Desire is enlightening and optimistic reading for anyone who has wrestled with addiction either personally or professionally.

A large body of research has established a causal relationship between experiences of racial discrimination and adverse effects on mental and physical health. In Measuring the Effects of Racism, Robert T. Carter and Alex L. Pieterse offer a manual for mental health professionals on how to understand, assess, and treat the effects of racism as a psychological injury. Carter and Pieterse provide guidance on how to recognize the psychological effects of racism and racial discrimination. They propose an approach to understanding racism that connects particular experiences and incidents with a person's individual psychological and emotional response. They detail how to evaluate the specific effects of race-based encounters that produce psychological distress and possibly impairment or trauma. Carter and Pieterse outline therapeutic interventions for use with individuals and groups who have experienced racial trauma, and they draw attention to the importance of racial awareness for practitioners. The book features a racial-trauma assessment toolkit, including a race-based traumatic-stress symptoms scale and interview schedule. Useful for both scholars and practitioners, including social workers, educators, and counselors, Measuring the Effects of Racism offers a new framework of race-based traumatic stress that helps legitimize psychological reactions to experiences of racism.

The neuropathology of schizophrenia is one of the most controversial areas of research in psychiatry; however, in the last twenty years, there have been significant advances in our understanding of the topic. This book provides a much needed, balanced, comprehensive and up-to-date overview of this rapidly moving field. It starts by describing the findings derived from new imaging techniques and histological studies, focusing specifically on the morphology, arrangement and connectivity of the neurons making up the cortical cytoarchitecture, a feature thought to be central to understanding the pathology. This is followed by critical appraisal of the various interpretations placed upon these findings, such as the neurodevelopmental hypothesis. Finally, there are chapters considering the conceptual and methodological problems affecting the subject. This is a timely and unique book on this classic and controversial issue, with contributions from many of the leading international experts in the field.

This book integrates neuroscience research on neuroplasticity with clinical investigation of reorganization of function after brain injury, especially from the perspective of eventually translating the findings to rehabilitation. Historical foundationw in neuroplasticity research are presented to provide a perspective for recent findings. Leading investigators synthesize their work with research from other laboratories to provide a current update on neuroanatomic features which enhance enuroplasticity and provide a substrate for reorginaization of function. The capacity for recovery from brain injury associated with focal lesions as compared to diffuse cerebral insult is discussed. Interventions such as environmental enhancement and drugs to enhance reorganizatioin of function after brain injury have been studied in animalmodels and in human studies. Methodologies to study neurophysiological measures, trancranial magnetic stimulation, and computational modeling. Implications of neuroplasticity research for innovations in rehabilitation of persons with brain injury are critically reviewed.

Meeting the complex needs of some of the most vulnerable populations in our society often involves the need for connected networks of care providing health, social care, educational and voluntary sector services. This presents major challenges for both clients and practitioners for this to work well. Adaptive mentalization based integrative treatment (AMBIT) has been developed over the last 15 years to address the needs of both clients and practitioners in trying to make this work well. The basic framework for AMBIT was set out by the authors in AMBIT: A Guide for Teams to Develop Systems of Care in 2017 but continues to evolve through collaboration with practitioners across the world who work with people (both young people and adults) for whom many current services are not experienced as helpful. AMBIT for People with Multiple Needs: Applications in Practice describes the progress of this collaboration and shows how AMBIT has been applied in health, social care and education settings across the world. Contributors convey the detail of what it is like to apply AMBIT to their work by combining case illustrations with detailed descriptions of therapeutic practice and technique, along with inspiring and remarkable stories of therapeutic change. The chapters examine therapeutic casework in very different services providing community and residential based care with adults and young people across Europe and the UK. With AMBIT constantly evolving, the book explores recent developments in the AMBIT model and provides rich new thinking about how "helping" services can be supported to provide meaningful help and change.

Obsessive self-promotion, an aggressive triggering response, and retaliatory rants.

“Both sensitive and incisive, beautifully capturing the paradoxical dynamic of narcissism―that the grandiosity and surrounding bravado belies an underlying fragility and brittleness.” ―Kenneth N. Levy, PhD, Associate Professor, Penn State University; Senior Fellow, Personality Disorders Institute, Cornell University

Even before Donald Trump entered America’s highest office, an international survey revealed that narcissism is part of the assumed “national character” of Americans. While only a small number actually meet the criteria for Narcissistic Personality Disorder, those exploitive few have a way of gaining center stage in our culture.

Fragile Bully: Understanding Our Destructive Affair With Narcissism in the Age of Trump looks beyond the sound bites of self-aggrandizing celebrities and selfish tweets to the real problem of narcissism. We see past the solo act to the vicious circles that arise in relationships with a fragile bully, and how patterns like this generate both power and self-destruction. We also look at the problem of Echo, how so many of us get hooked by the narcissist, and how variations on the destructive affair leave both partners dehumanized and diminished. Once we recognize the steps in each dance, we can break the cycle and allow and the possibility of true engagement.

This book provides an up-to-date analysis of major issues in the field of sexual abuse, both established and emerging, and asks how we can develop the most evidence-based, fit-for-purpose approach in responding to and preventing it. Sexual abuse is a multi-disciplinary, international issue that exists at the crossroads of theory, practice, and research. Therefore, the book is future-facing and asks the reader to critically reflect upon current and future research and practice, and to ask: what next? In doing this the book examines the theory, research, and practice on a range of topics including, grooming behaviors, risk management, risk assessment, sexual fantasies, professional engagement, and policy development. These, and other essential topics for effective and efficient care for people who have committed sexual offenses, are addressed as part of the ultimate goal to reduce and even eliminate sexual victimization in the future.