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.

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.

Since the first edition of Male Victims of Sexual Assault was published in 1992 there have been significant developments in our understanding of the prevalence and characteristics of the sexual assault of men. The first edition was influential in affording legal recognition to male victims of rape in England and Wales and this has resulted in raised awareness of the problem and improved attitudes among all those responsible for dealing with the victims. This recognition has gone some way to breaking down the taboo, and has allowed the discussion to move on and address the important issues of prevention, care and treatment. The book reports on the first epidemiological study of male sexual victimization in Europe, challenges the prevailing stereotype of gay men as sexual predators, covers the topic of male rape in prisons, examines the link between early sexual victimization and later perpetration, describes how victims of sexual torture attempt to process and resolve such experiences, provides the historical and anthropological background to the subject, and examines the impact of the changes in legislation. Mezey and King are experienced forensic psychiatrists with longstanding interests in domestic and sexual violence. They present original research material, which makes a unique contribution to our knowledge about men's experiences of sexual victimization.

This book (hardcover) is part of the TREDITION CLASSICS. It contains classical literature works from over two thousand years. Most of these titles have been out of print and off the bookstore shelves for decades. The book series is intended to preserve the cultural legacy and to promote the timeless works of classical literature. Readers of a TREDITION CLASSICS book support the mission to save many of the amazing works of world literature from oblivion. With this series, tredition intends to make thousands of international literature classics available in printed format again - worldwide.

Cutting Down provides a practical and accessible treatment programme based on Cognitive Behaviour Therapy (CBT) principles for young people who self-harm. This fully revised and updated second edition includes new techniques from 'third' wave CBT, Acceptance Commitment Therapy (ACT) and Dialectical Behaviour Therapy (DBT). This enriches the material and brings the concepts up to date. Another key addition to this new edition is the inclusion of strategies for young people who engage in suicidal behaviour. The manual is evidence based and focuses on a flexible and formulation driven model to direct treatment in around 15 sessions for young people and six sessions for parents and caregivers. It provides a clear structure for each session and an easy-to-follow outline on how the therapist should deliver each session. The content of each session is supported by handouts and worksheets which can be used within sessions or as homework between sessions. Enhanced with online resources, the workbook will be useful for all professionals working with young people who self-harm across a wide range of settings from schools, primary care and voluntary sector, to community mental health services and inpatient units.

Preventing Harmful Behaviour in Online Communities explores the ethics and logistics of censoring problematic communications online that might encourage a person to engage in harmful behaviour. Using an approach based on theories of digital rhetoric and close primary source analysis, Zoe Alderton draws on group dynamics research in relation to the way in which some online communities foster negative and destructive ideas, encouraging community members to engage in practices including self-harm, disordered eating, and suicide. This book offers insight into the dangerous gap between the clinical community and caregivers versus the pro-anorexia and pro-self-harm communities - allowing caregivers or medical professionals to understand hidden online communities young people in their care may be part of. It delves into the often-unanticipated needs of those who band together to resist the healthcare community, suggesting practical ways to address their concerns and encourage healing. Chapters investigate the alarming ease with which ideas of self-harm can infect people through personal contact, community unease, or even fiction and song and the potential of the internet to transmit self-harmful ideas across countries and even periods of time. The book also outlines the real nature of harm-based communities online, examining both their appeal and dangers, while also examining self-censorship and intervention methods for dealing with harmful content online. Rather than pointing to punishment or censorship as best practice, the book offers constructive guidelines that outline a more holistic approach based on the validity of expressing negative mood and the creation of safe peer support networks, making it ideal reading for professionals protecting vulnerable people, as well as students and academics in psychology, mental health, and social care.

'The recent publication of a new edition of the American Diagnostic and Statistical manual (DSM-5) highlighted the two contrary viewpoints that exist within the field of mental health. There are those who value such classification systems, seeing each revision of the DSM as a fine-tuning exercise, and there are those who are strongly opposed, seeing such exercises as fundamentally flawed. 'Madness Cracked' provides a fascinating introduction to the history of psychiatry and clinical psychology, looking at how these areas have attempted to classify the various problems and disorders that their practitioners have faced in everyday use. Within the book, Power argues that - like in other areas of science - progress can only be made if the classification systems that are used have a sound theoretical basis. In addition, he outlines a model derived from work on cognition and emotion showing how, with appropriate modifications, it could provide a theoretical basis for classification and diagnosis. Using extraordinary examples from the history of psychiatry and clinical psychology, along with fascinating case material, he shows how our current knowledge in psychology can be developed to provide the theoretical basis that the field needs. For anyone in the field of mental health, Madness Cracked is a thought-provoking and controversial new book.'

Some children inherit the family nose. Autumn Stringam and her brother Joseph inherited bipolar disorder, a severe mental illness that led to the suicides of their mother and grandfather. Autumn, at 22, was in a psychiatric hospital on suicide watch; Joseph, at 15, was prone to violent episodes so terrifying that his family members feared for their lives. But after Autumn and her brother began taking a nutritional supplement developed by their father--and based, incredibly, on a formula given to aggressive hogs--their symptoms disappeared. Today they both lead normal, productive lives. " A Promise of Hope " chronicles Stringam's personal flight from madness to wellness. The true story moves from a kitchen table in Alberta to the offices of a distinguished Harvard psychiatrist, to the labs of a skeptical medical establishment. Now updated with a new afterword, "A Promise of Hope "is a powerful call for a new understanding of a mental illness that affects thousands of Canadians.

________________________________________ AN UNSPEAKABLE CRIME When he was arrested in July 1991, Jeffrey Dahmer had a severed head in the refrigerator, two more in the freezer, two skulls and a skeleton in a filing cabinet. A DEPRIVED ACT But if anything could be more disturbing than the brute horror of this scene, it was the evidence that Dahmer had been using these human remains not only for sexual gratification, but as part of a dark ritual of his own devising -- to furnish a shrine to himself. A KILLER, BEYOND OUR UNDERSTANDING ________________________________________ The Shrine of Jeffrey Dahmer offers a chilling insight into the mind of a serial killer and reveals the horrors within. Perfect for fans of Making a Murderer, Mindhunter and The Ted Bundy Tapes, this is a gripping and gruesome read that delves into the mind of a murder and what possesses someone to kill. __________ By the author of Killing for Company, which was adapted into the hit ITV true crime drama DES, starring David Tennant. __________ PRAISE FOR THE SHRINE OF JEFFREY DAHMER: 'Irresistible. . . . It's subject is terrible and repellent. But the study itself is enlightening' Independent 'Unputdownable' Patricia Highsmith 'The persuasive account of a young man spiraling into unspeakable insanity . . . fascinating' Daily Telegraph

2013 sees the centenary of Jaspers' foundation of psychopathology as a science in its own right. In 1913 Karl Jaspers published his psychiatric opus magnum - the Allgemeine Psychopathologie (General Psychopathology). Jaspers was working at a time much like our own - with rapid expansion in the neurosciences, and responding to the philosophical challenges that this raised. The idea inspiring his book was very simple: to bring order into the chaos of abnormal psychic phenomena by rigorous description, definition and classification, and to empower psychiatry with a valid and reliable method to assess and make sense of abnormal human subjectivity. After almost one century, many of the concepts challenged by Jaspers are still at issue, and Jaspers' investigation is even now the ground for analyses and discussions. With a new edition of the Diagnostic and Statistical Manual (DSM) imminent, many of the issues concerning methodology and diagnosis are still the subject of much discussion and debate. This volume brings together leading psychiatrists and philosophers to discuss and evaluate the impact of this volume, its relevance today, and the legacy it left. "Jaspers' General Psychopathology is not an easy text to read. Especially nowadays, in the Internet era, it may appear in several parts obscure, convoluted, or repetitive. This is why the present volume has the potential to be not only attractive to scholars, but also extremely useful for young psychiatrists and busy clinicians. It may represent for them a 'guide' to the reading of that ponderous text, helping them to extract the key messages that are likely to resonate with, and at the same time enrich, their clinical practice and theoretical reflection." - From the Introduction by Mario Maj

*A bestseller since 2002 (over 40,000 in print), thoroughly revised with 50% new material. *This seminal work was one of the first to integrate mindfulness into psychotherapy. *The second edition features advances in MBCT techniques and findings from numerous clinical trials. *Outstanding utility: purchasers get access to downloadable audio recordings of guided meditations (with permission to give to clients), and more than 40 downloadable forms. *From the top clinician-researcher team who also coauthored the bestselling trade book The Mindful Way through Depression.

Helps readers to identify how narcissism shows up in their own lives and when everyday narcissism becomes destructive. The Narcissist in You and Everyone Elseintroduces readers to the notion of narcissism as a spectrum-based model of increasing loss of empathy (due to a variety of factors including genetics, trauma, abuse, conditioning and environment) that can give way to a propensity toward narcissism. Through studies and examples, Sterlin Mosley defines the 27 subtypes of narcissism and how these variations differ from the limited description of the narcissistic as popularized in psychological literature, movies, and other forms of popular culture. He offers readers an opportunity to explore how their own narcissistic tendencies may show up and how to challenge those tendencies to continue to push for greater compassion and empathy for ourselves and others. Using the Enneagram model of personality, Mosley explores and explains the variety of narcissistic tendencies and types and reveals useful tips on how to best to manage those tendencies in ourselves and the narcissists around us.

Nearly one million people take their own lives each year world-wide - however, contrary to popular belief, suicide can be prevented. While suicide is commonly thought to be an understandable reaction to severe stress, it is actually an abnormal reaction to regular situations. Something more than unbearable stress is needed to explain suicide, and neuroscience shows what this is, how it is caused and how it can be treated. Professor Kees van Heeringen describes findings from neuroscientific research on suicide, using various approaches from population genetics to brain imaging. Compelling evidence is reviewed that shows how and why genetic characteristics or early traumatic experiences may lead to a specific predisposition that makes people vulnerable to triggering life events. Neuroscientific studies are yielding results that provide insight into how the risk of suicide may develop; ultimately demonstrating how suicide can be prevented.

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 great book offers an up-to-date overview of how gender and sexuality affect mental health. It will help women to self-identify and self-manage the symptoms of mental ill health. The book covers a wide range of specific mental health disorders - many of which are more common in women - and includes real-life case studies, the latest treatments and where to find further help and support. It's written in an easy-to-read format to give an invaluable guide for women.

This book explains why suicide can be alluring to a person aiming to stop his or her traumatic pain-whether its source is bullying, sexual assault, war combat, or other PTSD-invoking events-and details approaches that can prevent suicide. Suicide has been a taboo topic in Western culture. The mere mention of suicide sparks reactive responses that include medical, moral, spiritual, and religious debates. As a result, the authors open an important discussion here, offering an honest and non-judgmental examination of the many aspects involved in the nature of suicide, explaining that above all, people need to learn how to support those struggling with suicidal thoughts or to intercept their own suicidal thinking. The book also includes an extensive review and evaluation of the many available mental health treatments. Special consideration is given to military suicides. U.S. soldier suicides exceed one per day and continue to rise in all military branches, while veteran suicide rates are even higher, averaging 17 per day. Communities, families, veterans, and service members are in need of tools and insights for coping with, navigating, and exposing the suicidal attitudes affecting many current and former members of the military. Incorporates academic research, media coverage, and the authors' personal experiences Includes topics associated with forms of suicide not widely addressed in other books, including evolutionary psychology, traumatic brain injury, prescription drug side-effects, and shamanism Addresses suicide in the general population as well as within the cadre of some of the nation's newest veterans-those who served in the Afghanistan and Iraq wars