"The Lives They Left Behind is a deeply moving testament to the human side of mental illness, and of the narrow margin which so often separates the sane from the mad. It is a remarkable portrait, too, of the life of a psychiatric asylum--the sort of community in which, for better and for worse, hundreds of thousands of people lived out their lives. Darby Penney and Peter Stastny's careful historical (almost archaeological) and biographical reconstructions give us unique insight into these lives which would otherwise be lost and, indeed, unimaginable to the rest of us." --Oliver Sacks "Fascinating...The haunting thing about the suitcase owners is that it's so easy to identify with them." --Newsweek When Willard State Hospital closed its doors in 1995, after operating as one of New York State's largest mental institutions for over 120 years, a forgotten attic filled with suitcases belonging to former patients was discovered. Using the possessions found in these suitcases along with institutional records and doctors' notes from patient sessions, Darby Penney, a leading advocate of patients' rights, and Peter Stastny, a psychiatrist and documentary filmmaker, were able to reconstruct the lives of ten patients who resided at Willard during the first half of the twentieth century. The Lives They Left Behind tells their story. In addition to these human portraits, the book contains over 100 photographs as well as valuable historical background on how this state-funded institution operated. As it restores the humanity of the individuals it so poignantly evokes, The Lives They Left Behind reveals the vast historical inadequacies of a psychiatric system that has yet to heal itself.

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.

This book contains excerpts of life stories from 118 individuals diagnosed with schizophrenia, bipolar disorder, borderline personality disorder, and major depressive disorder. This library of personal narratives, heavily reproduced and quoted throughout the text, presents a composite image of the ways in which narrative identity can be affected by mental illness while also being a resource for personal recovery. Those researching, studying or practicing in mental health professions will find a wealth of humanizing first-person perspectives on mental illness that foster perspective-taking and aid patient-centered treatment and study. Researchers of narrative psychology will find a unique set of life stories synthesized with existing literature on identity and recovery. Moving towards intervention, the authors include a 'guide for narrative repair' with the aim of healing narrative identity damage and fostering growth of adaptive narrative identity.

One day a teenage boy gets on his bike and rides forty miles up California's Pacific Coast Highway to avoid causing an earthquake he fears will endanger his mother and sister. But the quake he is experiencing is not coming from beneath the earth; it's the onset of bipolar illness. Blinded by Hope describes what it's like to have an unusually bright, creative child-and then to have that child suddenly be hit with an illness that defies description and cure. Over the years, McGuire attributes her son's lost jobs, broken relationships, legal troubles, and periodic hospitalizations to the manic phase of his illness, denying the severity of his growing drug use-but ultimately, she has to face her own addiction to rescuing him, and to forge a path for herself toward acceptance, resilience, and love. A wakeup call about the epidemic of mental illness, substance abuse, and mass incarceration in our society, Blinded by Hope shines a light on the shadow of family dynamics that shame, ignorance, and stigma rarely let the public see, and asks the question: How does a mother cope when love is not enough?

For those suffering from emotional disorders such as posttraumatic stress disorder (PTSD) or depression aspects of the personal past can dominate conscious experience in tenacious and toxic ways. For example, memories of distressing autobiographical experiences can intrude into awareness as thoughts or images, as flashbacks or nightmares, each laden with unwanted and painful affect. This special issue of Memory focuses on two broad themes. The first is the nature of autobiographical remembering of the personal past -what are the characteristics of such memories? And to what extent are they phenomenologically distinct from other types of autobiographical remembering? The second theme concerns varieties of difficulties in remembering emotional experiences from complete amnesia to lack of specificity of autobiographical recall. This volume draws together the world's leading theorists and researchers on these varied issues to provide a broad overview of the cutting-edge work in this field.

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.

Although it has been known for 100 years that cognitive functioning is impaired in schizophrenia, the implications of this impairment have only recently been clearly understood. While in the past, cognitive deficits were thought to be the result of other aspects of the illness, such as poor co- operation, or as a result of the treatment of the illness, it is now known that these factors exert only a very minor influence on cognitive deficit. This book, with contributions from the major international names in the field, reviews the most recent research on the impairment of cognitive functioning in schizophrenia, covering: what it is, how wide-ranging it can be, what the clinical implications are, and how it can be treated? The book is divided into three sections. The first section provides background information on the important aspects of cognitive functioning in schizophrenia. The second section provides information on the correlates of cognitive functioning, examining classical symptoms of the illness, as well as social and adaptive functional deficits. The final section provides information on the treatment of cognitive functioning in schizophrenia, from the older less effective treatments with conventional antipsychotics, to the developing treatment strategies using experimental compounds. A clear insight into cognitive deficit is the key to understanding why previous treatments have failed, and the key by which new treatments may change this terrible illness, treatments significantly more effective than earlier interventions.

The internet has transformed the world we live in, but it also poses new risks to our psychological well-being. This book provides an introduction to the issue of internet addiction, an increasingly common problem. All day, every day, we are connected to the internet, putting most people at some level of risk for internet addiction. Problematic internet use can take many forms, including overuse of social media and addictions to online shopping, gaming, or pornography. Such behaviors can cause anxiety, depression, sleep deprivation, loneliness, and physical health problems. People can lose their jobs and families, and in a few extreme cases, internet addiction has directly led to the death of the addicted individual or a child in their care. Internet Addiction is the latest volume in Greenwood's Health and Medical Issues Today series. Part I explores what internet addiction is, the many forms it can take, and the serious consequences it can have. Part II examines a number of controversies and issues, such as balancing the internet's benefits against its addictive nature. Part III provides a variety of useful materials, including case studies, a timeline of critical events, and a directory of resources. Explores why the internet and other emerging technologies are so addictive, profiling the many forms problematic internet use can take and discussing who is most at risk Examines key issues and controversies related to problematic internet use, such as whether or not it should be labeled an addiction and who bears primary responsibility for preventing and combating its negative effects Offers illuminating case studies that use engaging real-world scenarios to highlight how internet addiction can arise, the effects it can have, and how it can be addressed Provides readers with a helpful Directory of Resources to guide their search for additional information

This unique volume focuses on the relationship between basic research in emotion and emotional dysfunction in depression and anxiety. Each chapter is authored by a highly regarded scientist who looks at both psychological and biological implications of research relevant to psychiatrists and psychologists. And following each chapter is engaging commentary that raises questions, illuminates connections with other bodies of work, and provides points of integration across different research traditions. Topics range from stress, cognitive functioning, and personality to affective style and behavioral inhibition, and the book as a whole has significant implications for understanding and treating anxiety disorders.

As seen in military documents, medical journals, novels, films, television shows, and memoirs, soldiers' invisible wounds are not innate cracks in individual psyches that break under the stress of war. Instead, the generation of weary warriors is caught up in wider social and political networks and institutions-families, activist groups, government bureaucracies, welfare state programs-mediated through a military hierarchy, psychiatry rooted in mind-body sciences, and various cultural constructs of masculinity. This book offers a history of military psychiatry from the American Civil War to the latest Afghanistan conflict. The authors trace the effects of power and knowledge in relation to the emotional and psychological trauma that shapes soldiers' bodies, minds, and souls, developing an extensive account of the emergence, diagnosis, and treatment of soldiers' invisible wounds.

This text describes principles for understanding and managing permanent neuropsychological impairment in brain-damaged adults. It also presents a new perspective on disorders of self-awareness and recovery as well as deterioration after brain injury, which have clear implications for neurorehabilitation.

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.

This book addresses the over-prescribing of antidepressants in people with mostly mild and subthreshold depression. It outlines the steep increase in antidepressant prescription and critically examines the current scientific evidence on the efficacy and safety of antidepressants in depression. The book is not only concerned with the conflicting views as to whether antidepressants are useful or ineffective in various forms of depression, but also aims at detailing how flaws in the conduct and reporting of antidepressant trials have led to an overestimation of benefits and underestimation of harms. The transformation of the diagnostic concept of depression from a rare but serious disorder to an over-inclusive, highly prevalent but predominantly mild and self-limiting disorder is central to the books argument. It maintains that biological reductionism in psychiatry and pharmaceutical marketing reframed depression as a brain disorder, corroborating the overemphasis on drug treatment in both research and practice. Finally, the author goes on to explore how pharmaceutical companies have distorted the scientific literature on the efficacy and safety of antidepressants and how patient advocacy groups, leading academics, and medical organisations with pervasive financial ties to the industry helped to promote systematically biased benefit-harm evaluations, affecting public attitudes towards antidepressants as well as medical education, training, and practice.

The misuse of alcohol presents both individual physical and psychological problems as well as wider social consequences. Alcohol misuse is a frequent cause of attendance in accident and emergency departments and an underlying factor in a range of long term and chronic conditions commonly treated and managed within primary care settings. This expanded fifth edition includes new chapters on alcohol and the young person, alcohol related liver disease, neurological problems, alcohol and the older person, alcohol and cancer, and the alcohol nurse specialist. There is also improved coverage of the role of alcohol health workers, and guidance on the availability of voluntary alcohol services more generally, and the concluding resources chapter provides further guidance on how to access appropriate services. It incorporates current NICE guidelines, the Government's Alcohol Strategy 2012, as well as case study scenarios and examples of best practice throughout. From a new editor and a multidisciplinary contributor team, ABC of Alcohol is a practical guide for general practitioners, family physicians, practice nurses, primary healthcare professionals as well as for junior doctors, medical and nursing students. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand store.

Problem Drinking aims to bridge the wide gap that exists between the modern, scientific account of the nature of alcohol problems, and the popular understanding of the subject. In particular, it presents detailed evidence and arguments against the commonly accepted view that 'alcoholism' is best regarded as a disease. Instead, it outlines an alternative approach to alcohol problems, based on the premise that they are best seen as examples of socially learned behaviour. In the third edition, the authors have brought the book up to date by covering the major developments that have taken place in recent years, in particular in the field of genetics. The book is also one of the first to discuss the results and recommendations of the 5 year long Project MATCH study, probably the most extensive alcohol study ever undertaken, the results of which are due to be published in 1997. The book provides a useful textbook for students undertaking courses in alcoholism, as part of psychology and psychiatry degrees, and provides practical advice for counsellors, social workers, and health promotion officers. Reviews of the 2nd edition '... a valuable and clearly written exposition of problem drinking...' British Journal of Psychiatry, 1990 'Certainly this book should provoke general practitioners to reassess their views about the problem and should be read by those people working in the field.' Family Practice, 1991

This book provides a unique perspective on what it is like to be brain damaged, seen through the eyes of doctors and neuroscientists who have themselves suffered a brain injury or brain illness. It brings together more than 50 personal stories written over 120 years. Each article in its own right represents a fascinating insight into the effects of brain damage on the individual, covering areas that are often neglected in neurology and neuropsychology textbooks. Each of the personal accounts is accompanied by a Commentary that puts the papers into the context of our current theory and clinical practice. There are sections covering memory disorders, language disorders, visual disorders, Parkinson's disease, brain tumour, stroke, head injury, and epilepsy. An introduction to each of these sections provides background information for the non-specialist reader. An Overview chapter attempts to integrate the lessons to be learned across the various sections. Injured brains of medical minds: views from within presents some extraordinary stories and makes a highly original introduction to neuropsychology and neurology. It is also an invaluable resource for anyone involved in neuropsychological or neurological research.

The easing of mental suffering by treatments which directly affect the substance of the brain has a long history and an established place in psychiatric practice. This new edition of a highly successful book reviewing the current status of these treatment methods has been updated to include discussion of new groups of compounds and also new families of drugs which have come into greater prominence, such as newer antidepressants, The book is concerned particularly with clinical practice and discusses in detail the management of individual conditions and the use of psychotropic drugs. The rational and effective use of these techniques needs an understanding of the scientific background, and chapters are devoted to basic pharmacology, the evaluation of treatment methods, the development of new techniques, the psychosocial and politico-ethical aspects of treatment, and the special problems encountered in treating children and the elderly. The economic aspects of prescribing are also outlined. The book will be of interest to psychiatrists, especially those reading for postgraduate qualifications, to those dealing with the mentally ill, and to neruopharmacologists who wish to understand current treatment methods in clincial psychiatry.

This book epitomizes the value of the phrase "been there, done that!" In this amazingly helpful guide for family members, friends, and professionals, author and mom Kathy Labosh and special-educator LaNita Miller take on the issues and obstacles that parents and educators face every day. Hundreds of easy-to-read bullet points provide tips that readers can put into action immediately. First they cleverly tackle home life, from breakfast to bedtime, and then they take readers on a trip through the community, offering essential do's and don'ts for going to restaurants, church, the doctor's office, the grocery store, family gatherings, and more! With Kathy and LaNita's insight and advice, you can be better prepared for the unique challenges autism throws your way!

This book analyses the clinical interaction between depression and personality dysfunction to help clinicians better understand and treat patients with complex depression. It proposes an innovative perspective to clinical work that moves away from a disorder-centered approach to a person-centered approach by analysing complex depression through the lens of functional domains related to personality functioning and applying Research Domain Criteria to diagnosis and treatment planning. By doing so, it aims to contribute to the development of precision psychotherapy by applying the principles of precision medicine to mental health care. The book is divided in two parts. Chapters in the first part review problems in five domains of personality dysfunction that drive complex depressive presentations - identity, affect regulation, self-other regulation, social dysfunction and self-criticism - and the neurobiological findings underlying them. In the second part, authors present integrative models of depression and personality dysfunction and their implications for diagnosis and treatment. Depression and Personality Dysfunction: An Integrative Functional Domains Perspective is a scientific and clinical guide for the understanding and treatment of patients with depression complicated by personality dysfunction. It will be a useful tool for clinicians looking for resources to develop a more person-centered and evidence-based approach to mental health care.

?In this new book, the successor to the classic in the field Counseling Lesbian, Gay, Bisexual, and Transgender Substance Abusers: Dual Identities by Dana G. Finnegan and Emily B. McNally, Michael Shelton reviews the empirical literature and synthesizes what we know about the prevalence of LGBT substance use, abuse, and treatment availability, emphasizing the need for affirmative therapeutic practices. The principles of trauma-informed and culturally competent treatment/intervention are explained and assessed, as well as the challenges of minority stress and microaggressions experienced by the LGBT population. Separate sections focus on the sub-populations of lesbians, gay men, bisexuals, and transgender individuals. Separate chapters focus on LGBT youth, the elderly, family constellations and concerns, criminal justice issues, and rural LGBT substance abuse. This volume provides an introduction to the field that will be useful both as a primary textbook and as a handbook/reference for LGBT-focused and general substance-use disorder clinics and their administrators, clinicians, trainees, allies and volunteers.

This book proposes an integrated model of treatment for Personality Disorders (PDs) that goes beyond outdated categorical diagnoses, aiming to treat the general factors underlying the pathology of personality. The authors emphasize the development of metacognitive functions and the integration of procedures and techniques of different psychotherapies. The book addresses the treatment of complex cases that present with multiform psychopathological features, outlining clinical interventions that focus on structures of personal meaning, metacognition and interpersonal processes. In addition, this book: Provides an overview of pre-treatment phase procedures such as assessment interviews Explains the Metacognitive Interpersonal Therapy (MIT) approach and summarizes MIT clinical guidelines Outlines pharmacological treatment for patients with PDs Includes checklists and other useful resources for therapists evaluating their adherence to the treatment method Complex Cases of Personality Disorders: Metacognitive and Interpersonal Therapy is both an insightful reexamining of the theoretical underpinnings of personality disorder treatment and a practical resource for clinicians.