This book examines the role of British object relations theory in order to explore our understanding and treatment of depression. It challenges current conceptualizations of depression while simultaneously discussing the complex nature of depression, its long-lasting and chronic implications and the susceptibility to relapse many may face.

Illuminated throughout by case studies, areas of discussion include:

• Freuda (TM)s theory of depression
• analytic subtypes of depression
• a theoretical contribution to the problem of relapse
• the correlation between dream work and the work of mourning.

Object Relations in Depression offers a psychoanalytic discussion of the multifaceted nature of depression and as such will be of great interest to all those in the psychoanalytic field.

Breaking through Schizophrenia builds on the ideas of Jacques Lacan who argued that schizophrenia is a deficient relationship to language, in particular the difficulty to master the metaphoric dimension of language, which children acquire by the Oedipal restructuring of the psyche. This book is thus a countercultural move to present a less damaging view and a more efficient treatment method for schizophrenic persons. Through a collection of published and unpublished articles, Ver Eecke traces the path of Lacanian thought. He discusses the importance of language for the development of human beings and examines the effectiveness of talk therapy through case studies with schizophrenic persons.

This book provides easy-to-access, reliable, up-to-date information on the numerous advances in research, assessment, treatment, and service delivery for clinicians, academics, administrators and other mental health professionals. It examines issues surrounding intellectual and developmental disabilities in a real-world sociopolitical framework. In addition, the book summarizes the major domains and emerging subspecialties of this vast area into one useful reference and so offers a wide range of assessment and diagnostic tools and tactics, including cognitive and adaptive behavior assessments.

Writing for both EMDR therapists and substance abuse counsellors, Laurel Parnell provides user-friendly tools to help support clients in recovery with EMDR-based techniques that can be easily integrated into all levels of addiction treatment. Emphasising the practical clinical application of principles and techniques helpful for addictions and addictive disorders, this book interweaves case material throughout the text, with some chapters presenting in-depth cases to illustrate the techniques. Topics include treating trauma and supporting resilience, tools for affect regulation, and rewiring the motivation-reward circuits.

With advances in medical technology and with many large scale, longitudinal studies now underway, social and biological science have built a convincing case that the varieties of madness subsumed by the label schizophrenia are created, fueled, and sustained by genetic, biochemical and environmental factors. However, with the ever more detailed models of the neurobiological and social systems out of which schizophrenia is born, it is possible to overlook how suffering persons actually experience their symptoms and navigate their way through life. This book is unique in focusing on the experiences of those who have schizophrenia, and who must make sense of and live with this condition. It explores how schizophrenia disrupts person's experiences of themselves as beings in the world and how that disruption poses enduring barriers to recovery - barriers not reducible to issues of social justice or biology. After presenting a model of how disturbances in self-experience are related to but not identical with symptoms and dysfunction, it looks at the implications for the development of therapies that might provide greater opportunities for recovery. The book provides a highly readable and humane examination of this common condition.

Persecutory delusions, the unfounded beliefs that others intend harm to the individual, are a major psychiatric problem. They are a common feature of severe mental illnesses such as schizophrenia, delusional disorder and bipolar disorder, often lead to admission to psychiatric hospital, and are a cause of considerable distress to patients and carers. However, increasingly it is recognised that persecutory delusions reflect the severe end of a spectrum of paranoia, which also encompasses beliefs and worries about threats from others that are common in the general population. In the last ten years an increasing number of researchers and clinicians have focussed on explaining paranoid experience in both clinical and non-clinical populations, with fascinating results. This recent research is presented for the first time as a book. In this landmark publication, the three major authorities in the field bring together the current knowledge about the assessment, understanding, and treatment of persecutory delusions. Leading experts in cognitive psychology, neuropsychology, psychiatry, social psychiatry, neuroimaging, and neuroscience explain their perspectives on paranoia. Pharmacological, cognitive, and family interventions are comprehensively reviewed, and personal accounts of paranoia are included.

Mentalizing - the ability to understand oneself and others by inferring mental states that lie behind overt behaviour - develops within the context of attachment relationships. It is crucial to self-regulation and constructive, intimate relationships, both of which are impaired in personality disorders because of sensitivity to losing mentalizing at times of anxiety and attachment stress. Loss of mentalizing leads to interpersonal and social problems, emotional variability, impulsivity, self-destructive behaviours, and violence. This practical guide on mentalization-based treatment (MBT) of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into clinical treatment. The book, divided into four parts - the mentalizing framework, basic mentalizing practice, mentalizing and groups, and mentalizing systems - covers the aims and structure of treatment, outlines how patients are introduced to the mentalizing model so that their personality disorder makes sense to them, explains why certain interventions are recommended and others are discouraged, and systematically describes the process of treatment in both group and individual therapy to support more stable mentalizing. People with personality disorders commonly have comorbid mental health problems, such as depression and eating disorders, which complicate clinical treatment. Therefore, the book advises the clinician on how to manage comorbidity in treatment. In addition, mentalizing problems in families and social systems, for example, schools and mental health services are also covered. A families and carers training and support guide is provided as families and others are often neglected during the treatment of people with personality disorder. The book is a valuable guide for all mental health workers on how to effectively treat personality disorders.

In this book, Damian Janus examines the connections between psychopathological phenomena and religion. Janus contends that there are certain factors-fear of death, desire for power and longevity, and need for predictability of life and longing for care-which reside within the framework of religion and mental disorders. These factors shape the psychopathological image and contribute to the genesis of religiosity. He explores this contention in his analysis of various mental disorders (neuroses, personality disorders, dissociative disorders, psychoses, eating disorders) and symptoms (delusions, hallucinations, self-destructive behaviors), as well as more common psychological phenomena. This book is recommended for scholars of psychology, religion, and philosophy as well as psychotherapists.

Psychoanalysis Meets Psychosis proposes a major revision of the psychoanalytic theory of the most severe mental illnesses including schizophrenia. Freud believed that psychosis is the consequence of a biologically determined inability to attain and sustain a normal or neurotic mental organization. Michael Robbins proposes instead that psychosis is the outcome of a different developmental pathway. Conscious mind functions in two qualitatively different ways, primordial conscious mentation and reflective representational thought, and psychosis is the result of persistence of a primordial mental process, which is adaptive in infancy, in later situations in which it is neither appropriate nor adaptive. In Part I Robbins describes how the medical model of psychosis underlies the current approach of both psychiatry and psychoanalysis, despite the fact that neuroscience has failed to confirm the model's basic organic assumption. In Part II Robbins examines two of Freud's models of psychosis that are based on the assumption of a constitutional inability to develop a normal or neurotic mind. The theories of succeeding generations of analysts have for the most part reiterated the biases of Freud's two models, so that psychoanalysis considers the psychoses beyond its scope. In Part III Robbins proposes that the psychoses are the result of disturbances in the attachment-separation phase of development, leading to maladaptive persistence of a primordial form of mental activity related to Freud's primary process. Finally, in Part IV Robbins describes a psychoanalytic approach to treatment based on his model. The book is richly illustrated with material from Robbins' clinical practice. Psychoanalysis Meets Psychosis has the potential to undo centuries of alienation between society and psychotic persons. The book offers an understanding of severe mental illness that will be novel and inspiring not only to psychoanalysts but to all mental health professionals.

Lab Girl is a book about work and about love, and the mountains that can be moved when those two things come together. It is told through Jahren's remarkable stories: about the discoveries she has made in her lab, as well as her struggle to get there; about her childhood playing in her father's laboratory; about how lab work became a sanctuary for both her heart and her hands; about Bill, the brilliant, wounded man who became her loyal colleague and best friend; about their field trips - sometimes authorised, sometimes very much not - that took them from the Midwest across the USA, to Norway and to Ireland, from the pale skies of North Pole to tropical Hawaii; and about her constant striving to do and be her best, and her unswerving dedication to her life's work. Visceral, intimate, gloriously candid and sometimes extremely funny, Jahren's descriptions of her work, her intense relationship with the plants, seeds and soil she studies, and her insights on nature enliven every page of this thrilling book. In Lab Girl, we see anew the complicated power of the natural world, and the power that can come from facing with bravery and conviction the challenge of discovering who you are.

From a leading figure in the field of psychotherapy, this new book is the first dedicated to the topic of the fear of contamination. The fear of contamination is the driving force behind compulsive washing, the most common manifestation of obsessive compulsive disorder. It is one of the most extraordinary of all human fears. People who have an abnormally elevated fear of contamination over-estimate the probability and the potential seriousness of becoming contaminated. They believe that they are more susceptible than other people to contamination. People who labour under the illusion that they are particularly vulnerable to contamination are persistently anxious, excessively vigilant and highly avoidant. The fear is complex, powerful, probably universal, easily provoked, intense, and difficult to control. Usually it is caused by physical contact with a contaminant and spreads rapidly and widely. When a person feels contaminated it drives a strong urge to remove the contamination, usually by washing. The fear and subsequent urges over-ride other behaviour. A fear of contamination can also be established mentally and without physical contact. The fear can arise after exposure to violation, physical or non-physical, and from self-contamination. The book starts by defining the disorder, before considering the various manifestations of this fear, examining both mental contamination and contact contamination, and feelings of disgust. Most significantly, it develops a theory for how this problem can be treated, providing clinical guidelines - based around cognitive behavioural techniques.

A concise overview of the neuropsychology of psychopathy, written in layman's terms The last two decades have seen tremendous growth in biological research on psychopathy, a mental disorder distinguished by traits including a lack of empathy or emotional response, egocentricity, impulsivity, and stimulation seeking. But how does a psychopath's brain work? What makes a psychopath? Psychopathy provides a concise, non-technical overview of the research in the areas of genetics, hormones, brain imaging, neuropsychology, environmental influences, and more, focusing on explaining what we currently know about the biological foundations for this disorder and offering insights into prediction, intervention, and prevention. It also offers a nuanced discussion of the ethical and legal implications associated with biological research on psychopathy. How much of this disorder is biologically based? Should offenders with psychopathic traits be punished for their crimes if we can show that biological factors contribute? The text clearly assesses the conclusions that can and cannot be drawn from existing biological research, and highlights the pressing considerations this research demands.

Adverse experiences inevitably happen during development and childhood, and all adults-even high-functioning ones-carry with them childhood fears and anxieties. Growing neuropsychological data explains the ease with which fear and anxiety are activated, and the enormous power they have on the developing brain. Using recent findings from neuropsychology, Our Anxious Selves shows that who we are psychologically starts with the early presence of an easily aroused fear/anxiety system. It goes on to discuss how clinicians can view people's difficulties with self-confidence, how identity and self-destructive patterns can be traced back to these systems, and what clinicians can do to help. It also touches on intergenerational transmission of trauma, people's responses to COVID-19, PTSD, and real and imagined threats.

Parenting Children with Mental Health Challenges: A Guide to Life with Emotionally Complex Kids offers overwhelmed readers guidance, solidarity, and hope. The author, a "mental-health mom" who's survived indignity, exhaustion, and the heartbreak of loving a child with multiple mental-health disorders, writes with frankness and occasional humor about the hardest parenting job on earth. Drawing on her own experiences and those of other parents, plus tips from mental health professionals, Vlock suggests ways of parenting smarter, partnering better, and living more fully and less fearfully in the shadow of childhood psychiatric illness. Addressing the many hurdles children and families must face, including life on the home front, school, friendships and relationships, and more, the book shows readers that they're not alone-and they are stronger than they think. With its combination of easily digestible, to-the-point suggestions, clear action items, and first-person parent/kid stories, its aim is to make mental-health parents feel stronger and better, while actively seeking positive outcomes for their kids and families. With rates of mental health diagnoses among youth on the rise, this invaluable resource will help parents through the trying times with support, understanding, and guidance.

In her role as devoted wife, the Hindu goddess Parvati is the divine embodiment of viraha, the agony of separation from one's beloved, a form of love that is also intense suffering. These contradictory emotions reflect the overlapping dissolutions of love, family, and mental health explored by Sarah Pinto in this visceral ethnography. Daughters of Parvati centers on the lives of women in different settings of psychiatric care in northern India, particularly the contrasting environments of a private mental health clinic and a wing of a government hospital. Through an anthropological consideration of modern medicine in a nonwestern setting, Pinto challenges the dominant framework for addressing crises such as long-term involuntary commitment, poor treatment in homes, scarcity of licensed practitioners, heavy use of pharmaceuticals, and the ways psychiatry may reproduce constraining social conditions. Inflected by the author's own experience of separation and single motherhood during her fieldwork, Daughters of Parvati urges us to think about the ways women bear the consequences of the vulnerabilities of love and family in their minds, bodies, and social worlds.

Issues in the Developmental Approach to Mental Retardation is one of the first books exclusively devoted to applying the theories, findings and approaches used in work with nonretarded children to several types of retarded individuals. It defines the developmental approach and explores theoretical issues as they relate to retarded populations. Problems involving similar sequences of development, cross-domain relations, the environment, and motivation are all discussed, as is the importance of separating the various etiological groups for research and intervention purposes. This book will be of interest to professionals in the fields of psychology, mental retardation and atypical development. It is also suitable for upper-level undergraduate and graduate-level courses in mental retardation, developmental psychology and developmental disabilities.

Most books about doing psychotherapy are tied to particular psychotherapeutic practices. Here, seasoned clinical author Robin Shapiro teaches readers the ins and outs of a trauma-and attachment-informed approach that is not tied to any one model or method. This book teaches assessment, treatment plans, enhancing the therapeutic relationship and ethics and boundary issues, all within a general framework of attachment theory and trauma. Practical chapters talk about working with attachment problems, grief, depression, cultural differences, affect tolerance, anxiety, addiction, trauma, skill-building, suicidal ideation, psychosis, and the beginning and end of therapy. Filled with examples, suggestions for dialogue and questions for a variety of therapeutic situation, Shapiro's conversational tone makes the book very relatable. Early-career therapists will refer to it for years to come and veteran practitioners looking for a refresher (or introduction) to the latest in trauma and attachment work will find it especially useful.

Burns and Hoagwood bring together original articles by some of the country's leading experts on children's mental health services to create an outstanding text exploring innovative community interventions for youth with serious emotional disorders. These community-based interventions include home-based services, intensive case management, crisis care, therapeutic foster care, therapeutic group homes and community mentors. Part of the series on Innovations in Practice and Service Delivery with Vulnerable Populations, this book will be a needed reference for mental health workers and researchers in children's mental health, and an outstanding text for courses in community mental health and the mental health of children and adolescents.

"This book is informative and interesting and would be useful both in academic and professional settings."--"Feminism & Psychology"

A special kind of horror is reserved for mothers who kill their children. Cases such as those of Susan Smith, who drowned her two young sons by driving her car into a lake, and Melissa Drexler, who disposed of her newborn baby in a restroom at her prom, become media sensations. Unfortunately, in addition to these high-profile cases, hundreds of mothers kill their children in the United States each year. The question most often asked is, why? What would drive a mother to kill her own child?

Those who work with such cases, whether in clinical psychology, social services, law enforcement or academia, often lack basic understandings about the types of circumstances and patterns which might lead to these tragic deaths, and the social constructions of motherhood which may affect women's actions. These mothers oftentimes defy the myths and media exploitation of them as evil, insane, or lacking moral principles, and they are not a homogenous group. In obvious ways, intervention strategies should differ for a teenager who denies her pregnancy and then kills her newborn and a mother who kills her two toddlers out of mental illness or to further a relationship. A typology is needed to help us to understand the different cases that commonly occur and the patterns they follow in order to make possible more effective prevention plans.

Mothers Who Kill Their Children draws on extensive research to identify clear patterns among the cases of women who kill their children, shedding light on why some women commit these acts. The characteristics the authorsestablish will be helpful in creating more meaningful policies, more targeted intervention strategies, and more knowledgeable evaluations of these cases when they arise.

The concept of moral injury emerged in the past decade as a way to understand how traumatic levels of moral emotions generate moral anguish experienced by some military service members. Interdisciplinary research on moral injury has included clinical psychologists (Litz et al., 2009; Drescher et al., 2011), theologians (Brock & Lettini, 2012; Graham, 2017), ethicists (Kinghorn, 2012), and philosophers (Sherman, 2015). This project articulates a new key concept-moral orienting systems- a dynamic matrix of meaningful values, beliefs, behaviors, and relationships learned and changed over time and through formative experiences and relationships such as family of origin, religious and other significant communities, mentors, and teachers. Military recruit training reengineers pre-existing moral orienting systems and indoctrinates a military moral orienting system designed to support functioning within the military context and the demands of the high-stress environment of combat, including immediate responses to perceived threat. This military moral orienting system includes new values and beliefs, new behaviors, and new meaningful relationships. Recognizing the profound impact of military recruit training, this project challenges dominant notions of post-deployment reentry and reintegration, and formulates a new paradigm for first, understanding the generative circumstances of ongoing moral stress that include moral emotions like guilt, shame, disgust, and contempt, and, second, for responding to such human suffering through compassionate care and comprehensive restorative support. This project calls for more effective participation of religious communities in the reentry and reintegration process and for a military-wide post-deployment reentry program comparable to the encompassing physio-psycho-spiritual-social transformative intensity experienced in recruit-training boot camp.

Contents:
OVERVIEW
Lewis, D.A. and Lieberman, J.A. 'Catching Up on Schizophrenia, Natural History and Neurobiology.'Neuron 28 (2000).

EPIDEMIOLOGY
Kendler, K., Gallagher, T., Abelson, J., and Kessler, R.C. 'Lifetime Prevalence, Demographic Risk Factors, and Diagnostic Validity of Nonaffective Psychosis as Assessed in a US Community Sample.'Archives of General Psychiatry 53 (1996).
Mortensen, P.B., Pedersen, C.B., Westergaard, T., Wohlfahrt, J., Ewald, H., Mors, O., Andersen, P.K., and Melbye, M. 'Effects of Family History and Place and Season of Birth on the Risk of Schizophrenia.' New England Journal of Medicine 340 (1999).

GENETICS
Riley, B.P. and McGuffin, P. 'Linkage and Association Studies of Schizophrenia.' American Journal of Medical Genetics 97 (2000).
Baron, M. 'Genetics of Schizophrenia and the New Millenium: Progress and Pitfalls.' American Journal of Human Genetics 68 (2001).
Kety, S.S., Rosenthal, D., Wender, P.H., and Schulsinger, F. 'Mental Illness in the Biological and Adoptive Familes of Adopted Schizophrenics.' American Journal of Psychiatry 128 (1971)

NATURAL HISTORY
Bromet, E.J. and Fennig, S. 'Epidemiology and Natural History of Schizophrenia.' Biological Psychiatry 46 (1999).
Hearton, R.K., Gladsjo, J.A., Palmer, B.W., Kuck, J., Marcotte, T.D., and Jeste, D.V. 'Stability and Course of Neuropsychological Deficits in Schizophrenia.' Archives of General Psychiatry 58 (2001)
Robinson, D., Woerner, M.G., Alvir, J.M., Bilder, R., Goldman, R., Geisler, S., Koreen, A., Sheitman, B., Chakos, M., Mayerhoff, D., and Lieberman, J.A. 'Predictors of Relapse Following Response From a First Episode of Schizophrenia or Schizoaffective Disorder.' Archives of General Psychiatry 56 (1999).

NEUROBIOLOGY OF DISEASE
Akil, M., Pierri, J.N., Whitehead, R.E., Edgar, C.L., Mohila, C., Sampson, A.R, and Lewis, D.A. 'Lamina-Specific Alterations in the Dopamine Innervation of the Prefrontal Cortex in Schizophrenic Subjects.' American Journal of Psychiatry 156 (1999).
Arnold, S.E., Trojanowski, J.Q., Gur, R.E., Blackwell, P., Han, L.Y., and Choi, C. 'Absence of Neurodegeneration and Neural Injury in the Cerebral Cortex in a Sample of Elderly Patients with Schizophrenia.' Archives of General Psychiatry 55 (1998)
Braver, T.S., Barch, D.M., and Cohen, J.D., 'Cognition and Control in Schizophrenia: A Computational Model of Dopamine and Prefrontal Function.' Biological Psychiatry 46 (1999).
Glantz, L.A. and Lewis, D.A. 'Decreased Dendritic Spine Density on Prefrontal Cortical Pyramidal Neurons in Schizophrenia.' Archives of General Psychiatry 57 (2000).
Laruelle, M., Abi-Dargham, A., van Dyck, C.H., Gil, R., D'Souza, C.D., Erdos, J., McCance, E., Rosenblatt, W., Fingado, C., Zoghbi, S.S., Baldwin, R.M., Seibyl, J.P., Krystal, J.H., Charney, D.S., and Innis R.B., 'Single Photon Emission Computerized Tomography Imaging of Amphetamine-Induced Dopamine Release in Drug-Free Schizophrenic Subjects.' Proceedings of the National Academy of Sciences of the USA 93 (1996).
Okubo, Y., Suhara, T., Suzuki, K., Kobayashi, K., Inoue, O., Terasaki, O., Someya, Y., Sassa, T., Sudo, Y., Matsushima, E., Iyo, M., Tateno, Y., and Toru, M. 'Decreased Prefrontal Dopamine D1 Receptors in Schizophrenia Revealed by PET.' Nature 385 (1997).
Rajkowska, G., Selemon, L.D., and Goldman-Rakic, P.S. 'Neuronal and Glial Somal Size in the Prefrontal Cortex: A Postmortem Morphometric Study of Schizophrenia and Huntingdon Disease.' Archives of General Psychiatry 55 (1998).
Rapoport, J.L., Giedd, J.N., Blumenthal, J., Hamburger, S., Jeffries, N., Fernandez, T., Nicholson, R., Bedwell, J., Lenane, M., Zijdenbos, A., Paus, T., and Evans, A. 'Progressive Cortical Change During Adolescence in Childhood-Onset Schizophrenia. A Longitudinal Magnetic Resonance Imaging Study.' Archives of General Psychiatry 56 (1999).
Selemon, L.D. and Goldman-Rakic, P.S. 'The Reduced Neuropil Hypothesis: A Circuit Based Model of Schizophrenia.' Biological Psychiatry 45 (1999).
Suddath, R.L., Christison, G.W., Torrey, E.F., Casanova, M.F., and Weinberger, D.R. 'Anatomical Abnormalities in the Brains of Monozygotic Twins Discordant for Schizophrenia.' New England Journal of Medicine 322 (1990).
Weinberger, D.R. 'Implications of Normal Brain Development for the Pathogenesis of Schizophrenia.' Archives of General Psychiatry 44 (1987).

TREATMENT
Bustillo, J.R., Lauriello, J., Horan, W.P., and Keith, S.J. 'The Psychosocial Treatment of Schizophrenia: An Update.' American Journal of Psychiatry 158 (2001).
Castner, S.A., Williams, G.V., and Goldman-Rakic, P.S. 'Reversal of Antipsychotic-Induced Working Memory Deficits by Short-Term Dopamine D1 Receptor Stimulation.' Science 287 (2000).
Kapur, S., Zipursky, R.B., Remington, G. 'Clinical and Theoretical Implications of 5HT2 and D2 Receptor Occupancy of Clozapine, Risperidone, and Olanzapine in Schizophrenia.' American Journal of Psychiatry 156 (1999).
Lidow, M.S., Song, Z.-M., Castner, S.A., Allen, P.B., Greengard, P., and Goldman-Rakic, P.S. 'Antipsychotic Treatment Induces Alterations in Dendrite and Spine Associated Proteins in Dopamine-Rich Areas of the Primate Cerebral Cortex.' Biological Psychiatry 49 (2001).