The psychological aftereffects of war are not just a modern-day plight. Following the Civil War, numerous soldiers returned with damaged bodies or damaged minds. Drawing on archival materials including digitized records for more than 70,000 white and African-American Union army recruits, newspaper reports, and census returns, Larry M. Logue and Peter Blanck uncover the diversity and severity of Civil War veterans' psychological distress. Their findings concerning the recognition of veterans' post-traumatic stress disorders, treatment programs, and suicide rates will inform current studies on how to effectively cope with this enduring disability in former soldiers. This compelling book brings to light the continued sacrifices of men who went to war.

This book presents a review and criticism of all sociological literature on suicide, from Emile Durkheim's influential Suicide (1897) to contemporary writings by sociologists who have patterned their own work on Durkheim's. Douglas points out fundamental weaknesses in the structural-functional study of suicide, and offers an alternative theoretical approach. He demonstrates the unreliability of official statistics on suicide and contends that Durkheim's explanations of suicide rates in terms of abstract social meanings are founded on an inadequate and misleading statistical base. The study of suicidal actions, Douglas argues, requires an examination of the individual's own construction of his actions. He analyzes revenge, escape, and sympathy motives; using diaries, notes, and observers' reports, he shows how the social meanings of actual cases should be studied. Originally published in 1967. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

RD Laing remains one of the most famous psychiatrists of the last 50 years. In the 1960s he enjoyed enormous popularity and received much publicity for his controversial views challenging the psychiatric orthodoxy. He championed the rights of the patient, and challenged the often inhumane methods of treating the mentally ill.
Based on a wealth of previously unexamined archives relating to his private papers and clinical notes, Portrait of the Psychiatrist as a Young Man sheds new light on RD Laing, and in particular his early formative years - a crucial but largely overlooked period in his life. The first half of the book considers Laing's intellectual journey through the world of ideas and his development as a psychiatric theorist. An analysis of his notebooks and personal library reveals Laing's engagement not only with psychiatric theory, but also with a wide range of other disciplines, such as philosophy, literature, and religion. This part of the book considers how this shaped Laing's writing about madness and his evolution as a clinician. The second half draws on a rich and completely unexplored collection of Laing's clinical notes, which detail his encounters with patients in his early years as a psychiatrist, firstly in the British Army, subsequently in the psychiatric hospitals of Glasgow, and finally in the Tavistock Clinic in London. These notes reveal what Laing was actually doing in clinical practice, and how theory interacted with therapy. The majority of patients who were to appear in Laing's first two books, The Divided Self and The Self and Others have been identified from these records, and this volume provides a fascinating account of how the published case histories compare to the original notes.
There is a considerable mythology surrounding Laing, partly created by himself and partly by subsequent commentators. By a careful examination of primary sources, Allan Beveridge, both a psychiatrist and an historian, examines the many mythological narratives about Laing and provide a critical but not unsympathetic account of this colourful and contradictory thinker, who addressed questions about the nature of madness which are still being asked today.
This book will be of interest to mental health workers and social historians alike as well as anybody interested in the philosophy of psychiatry.

Hoarding is a serious, time-consuming, and expensive problem for virtually every community across the United States. First responders often encounter hoarding unexpectedly and are confused about how to resolve the wide range of problems, from public health and fire safety violations, to housing violations, to concern for the welfare of children, elders and animals. Sometimes solutions must be coordinated across several human service disciplines. The first of its kind, this handy guide is a nuts and bolts resource filled with case studies, tips and strategies, and easy-to-use suggestions for professionals responding to hoarding situations.
Organized around the common ways hoarding captures the attention of social service providers, this user-friendly guide provides tools to assess the problem, to coordinate and delegate tasks among helping professionals, and to work directly with reluctant hoarders and those affected by the hoarding. Chapters give hands-on guidance and decision trees for who should be involved and what strategies are needed for each case. This book is compassionate and comprehensive, an invaluable reference for social workers and human service providers in a broad range of fields.

Thoughout the world the number of refugees and asylum seekers continues to increase at an astonishing rate. Given that most will have left their country due to persecution, war, or appalling violations of their human rights, many will have specific mental health needs. Cultural and socioeconomic factors play a major role in expressions of distress, help seeking, pathways into care, and acceptance or rejection of treatments. Being a refugee or asylum seeker raises questions about an individual's self respect and altered identity. Too often though, the needs of this population are ignored by policy makers and clinicians, and these people are left to fend for themselves.
Mental Health of Refugees and Asylum Seekers presents both the theoretical and practical aspects of the mental health needs of refugees and asylum seekers. It looks at the impact of migration on mental health and adjustment, collective trauma, individual identity, and diagnostic fallacies. A practical section highlights cultural factors, ethnopsychopharmacology, therapeutic interaction, therapeutic expectation and psychotherapy. The final part of the book focuses on special problems - such as bereavement, sexual violence, and post traumatic stress disorders, as well as considering mental health problems in special groups, such as child refugees.
This book will be an essential resource for all mental health professionals- helping them better understand the needs of refugees and asylum seekers, how their problems can be managed, and how they can best be helped.

A whip-smart, dark comedy for fans of Sally Rooney, Fleabag and My Year of Rest and Relaxation 'Janet is my soulmate' LUCY MANGAN 'Surprising and irreverent' NEW YORK TIMES *** If there was a pill that promised happiness... Would you take it? Meet Janet. Janet is sad. Not about her life, about the world. Have you seen it these days? The thing is, she's not out to make anyone else sad. She's not turning up to weddings shouting that most marriages end in divorce. She just wants to wear her giant coat, get rid of her passive-aggressive boyfriend, and avoid human interaction at the rundown dog shelter where she works. That is, until word spreads about a new pill that promises cynics like her one day off from being sad. When her family stages an intervention, and the prospect of making it through Christmas alone seems like too much, Janet finally decides to give them what they want. What follows is life-changing for all concerned - in ways no one quite expects. Hilarious, provocative and profound, Sad Janet is the antidote to our happiness-obsessed world. *** PRAISE FOR SAD JANET: 'The dog-whispering, post-Goth cousin to Phoebe Waller-Bridge's Fleabag' CLAUDIA DEY 'Like a grown up Daria' HELEN MCCLORY 'If you're a Halle Butler fan or like despair cut with humour, you'll love this' Leigh Stein, author of SELF CARE 'As I was reading this, my partner kept asking why I was laughing. This book is dark and hilarious and will speak to everyone who's ever wondered why they spend time with humans and not just dogs' Rowan Hisayo Buchanan, author of Starling Days and Harmless Like You 'A tragicomic riot of a book - charging, foul-mouthed and tender, across the modern condition' Claudia Dey, author of Heartbreaker 'Try reading Sad Janet ... It might just make you happy' Marcy Demansky, author of Very Nice 'A biting, pitch-perfect novel about one woman's desire to stay true to herself in a world that rewards facile happiness ... a dazzling debut' Cynthia D'Aprix Sweeney 'The narrative voice of Janet in Britsch's debut novel is a skin-tingling combination of new and necessary' Booklist starred review 'Loved this book... it made me lol via the dark humour and dry observations. An artful take on the "happiness economy"' Emma Gannon, author of Olive 'I loved SAD JANET'S cynical humour. Superbly original, with spot-on one-liners. Brilliantly bleak, but with a spark of hope' Caroline Hulse, author of The Adults 'Hilarious, wise, wicked and tender' CYNTHIA D'APRIX SWEENEY 'Loved this book' EMMA GANNON 'Sharp, sad, hilarious' CLARE BEAMS

This book takes a lofty vision of "recovery" and of "a life in the community" for every adult with a serious mental illness promised by the U.S. President's 2003 New Freedom Commission on Mental Health and shows the reader what is entailed in making this vision a reality. Beginning with the historical context of the recovery movement and its recent emergence on the center stage of mental health policy around the world, the authors then clarify various definitions of mental health recovery and address the most common misconceptiosn of recovery held by skeptical practitioners and wroried families. With this framework in place, the authors suggest fundamental principles for recovery-oreinted care, a set of concrete practice guidelines developed in and for the field, a recovery guide model of practice as an alternative to clinical case management, and tools to self-assess the recovery orientation of practices and practitioners. In doing so, this volume represents the first book to go beyond the rhetoric of recovery to its implementation in everyday practice. Much of this work was developed with the State of Connecticut's Department of Mental Health and Addiction Services, helping the state to win a #1 ranking in the recent NAMI report card on state mental health authorities. Since initial development of these principles, guidelines, and tools in Connecticut, the authors have become increasingly involved in refining and tailoring this approach for other systems of care around the globe as more and more governments, ministry leaders, system managers, practitioners, and people with serious mental illnesses nad their families embrace the need to transform mental health services to promote recovery and community inclusion. If you've wondered what all of the recent to-do has been about with the notion of "recovery" in mental health, this book explains it. In addition, it gives you an insider's view of the challenges and strategies involved in transforming to recovery and a road map to follow on the first few steps down this exciting, promising, and perhaps long overdue path.

Whether you call yourself a parent advisor, advocate, coordinator, support specialist, liaison, mentor, coach, or another term, this guide provides the essential information you need as a parent helping parents. The book is divided into four parts for easy reference:
Part One: Addresses important skills you will want to hone, such as listening, collaboration, priority setting, and group management.
Part Two describes the mental health system and gives guidance for helping parents obtain appropriate treatment for their child.
Part Three covers working with the school system and the different special education options families should consider.
Part Four explains education laws and how they should be used to ensure children receive all the appropriate services they need.
Specifically designed to assist you in your work with families, this guide includes the following helpful features: -A useful self-assessment to zero in on the key areas where you will want to focus your efforts -Concrete strategies that work-- all based on the wisdom and experience of parent mentors just like you from across the country -Practical, easy-to-read instruction co-written by experts 'in the trenches' and leading university researchers -Tips for parents and important points highlighted throughout the book for quick reference -Self study questions at the end of each chapter to help reinforce what you've learned -A handy appendix with a wealth of current resources for more information on advocacy, training programs, and children's mental health
Helping parents 'take charge' of their children's mental health care is a rewarding job. It is also a challenging one. In your workempowering parents, this guide will become an invaluable resource of the knowledge you require to succeed.

Trauma informed approaches have not generally been made available to staff working in services supporting people who have both a personality disorder and an intellectual disability. This distinctive training manual enables facilitators who already have some level of understanding of psychodynamic concepts to help support staff better understand the people they care for in the context of their histories of trauma, and their own emotional and behavioural responses. It offers professionals who are called on to support services (psychologists, psychiatrists, psychotherapists, nurses, occupational therapists etc) a standardised way of training and educating care staff in thinking about how best to provide support and a safe and supportive service to some of the most challenging clients. In doing so, it addresses contentious and challenging issues such as the terms 'personality disorder' and 'challenging behaviour', the traumatised carer and the difficulties of working competently with people who have complex emotional needs. Most importantly, it improves the understanding and confidence of staff in supporting their clients. The manual provides a course of three 2 hour sessions with guidelines and participant materials.

Bethlem Hospital is the oldest mental institution in the world, to many famously known as 'Bedlam': a chaotic madhouse that brutalised its patients. Paul Chambers explores the 800-year history of Bethlem and reveals fascinating details of its ambivalent relationship with London and its inhabitants, the life and times of the hospital's more famous patients, and the rise of a powerful reform movement to tackle the institution's notorious policies. Here the whole story of Bethlem Hospital is laid bare to a new audience, charting its well-intended beginnings to its final disgrace and reform.

Schizophrenia and Psychotic Spectrum Disorders aims to engage young caregivers in psychiatry, psychology, nursing and social work so that they will be able to become well informed about this significant-and at times confusing-illness. Because schizophrenia is considered to be one of the most complicated and severe psychiatric disorders, this book has the goal of summarizing key issues of the illness, such as its presentation, frequency and age of onset, and diagnostic characteristics. It also contains informative chapters about the pathophysiology of schizophrenia, ranging from brain development issues, genetics, and likely abnormalities in neurotransmitters. This book will give young professionals and those joining the field an excellent and accessible background to treatment. In this area, Schizophrenia and Psychotic Spectrum Disorders provides a comprehensive approach to diagnosis, treatment initiation, strategies for non-response, approaches of therapy, and importantly, ways to provide family therapy and support.

With 1 in 4 people experiencing a mental health problem in any given year, mental health is a more important part of social work training than ever before, and all successful social workers need to understand the core values, skills and knowledge that underpin excellent practice in a modern mental health system. Written as an accessible introduction to the complex issues around mental health, this book has become a classic in its field. Law and policy are clearly outlined while the authors give space to important ethical considerations when working with the most vulnerable in society. There are clear links between policy, legislation and real life practice as well as a wealth of learning features.

Mental health practices and programs around the world face growing criticism from policymakers, consumers, and service providers for being ineffective, overly reliant on treatment by professionals, and overly focused on symptoms. Many have called for new paradigms of mental health and new practices that can better support recovery, community integration, and adaptive functioning for persons diagnosed with psychiatric disabilities. While there has recently been much discourse about transformation and recovery, there has yet to be a critical and systematic review that unpacks the concept of mental health systems transformation or that examines strategies for how to create transformative change in mental health.
Community Psychology and Community Mental Health provides empirical justification and a conceptual foundation for transformative change in mental health, based on community psychology values and principles of ecology, collaboration, empowerment, and social justice. Chapters provide strategies for making changes at the level of society, policy, organizations, community settings, and mental health practices. The editors and authors draw from experience in different countries in recognition of the need to tailor change strategies to different contexts. The common experiences of the international perspectives represented underscore the importance and the need for a new paradigm while demonstrating that there are many alternatives and opportunities for pursuing transformative change. This book will be of interest to community mental health professionals, researchers, and students, as well as policymakers, administrators, and those with lived experience of mental health issues.

The assessment and treatment of mental health concerns for Deaf individuals has been largely ignored and/or misunderstood by many mental health professionals. In Mental Health and Deafness, Margaret du Feu and Cathy Chovaz seek to rectify this by outlining current issues surrounding mental health and deafness. The book provides valuable information to professionals interested in expanding their knowledge of mental health and deafness, and the authors share their extensive clinical experience with the reader through a variety of case studies. The authors primarily focus on individuals who were born deaf or deafened early in life, but also describe the mental health aspects of acquired deafness and individuals with both deafness and blindness. Mental Health and Deafness begins by describing the historical and social context of deafness, and follows the life journey of a Deaf individual, focusing on parental reactions, language acquisition, and mental health disorders of children, adolescents, adults and the elderly. Chapters cover relevant issues regarding assessment, treatment, and forensic and legal issues. The book concludes with an overview of service development.

Research shows that LGBTQ individuals seek therapy at higher rates than the general population, and yet there is a lack of effective, evidence-based treatment support for the unique challenges facing LGBTQ individuals. This workbook changes that by presenting cognitive-behavioral therapy techniques that directly respond to the distinct stressors facing LGBTQ individuals. LGBTQ-affirmative Cognitive-Behavioral Therapy is the first mental health treatment designed by and for LGBTQ individuals to have been tested in randomized controlled trials. LGBTQ-affirmative Cognitive-Behavioral Therapy: Client Workbook is designed to enhance mental wellbeing and help you with a broad range of mental health challenges, such as depression, anxiety, substance use problems, and psychological distress. Using the exercises, quizzes, and worksheets you will learn how to monitor your feelings, thoughts, and behaviors; confront uncomfortable emotions; and learn more effective ways of coping with your experiences. It can be used individually, or in addition to the complementary Therapist Guide in a therpeautic setting. This workbook provides essential tools for helping you to effectively respond to mental health challenges in an effective, identity-affirming way.

Now in its 5th edition, Mental Health in Intellectual Disabilities continues to address the need for a handbook which, while well-grounded in research and latest clinical practice, is essentially non-academic and accessible for staff occupying many roles. For example support workers and managers in learning disability service settings, GPs, psychologists, psychiatrists, community learning disability teams and other professionals who may find themselves supporting a person with an intellectual disability from time to time, as well as students of mental health and intellectual disability. The new edition represents a complete revision and updating, aiming to address key knowledge requirements and concerns of people working in the field and provide opportunities for reflection and continuing professional development. The content is illustrated by case studies to help the reader explore how best to address mental health issues in practice.

Illness and Authority examines the lived experience and early stories about St. Francis of Assisi through the lens of disability studies. This new approach recentres Francis' illnesses and infirmities and highlights how they became barriers to wielding traditional modes of masculine authority within both the Franciscan Order he founded and the church hierarchy. Members of the Franciscan leadership were so concerned about his health that the future saint was compelled to seek out medical treatment and spent the last two years of his life in the nearly constant care of doctors. Unlike other studies of Francis' ailments, Illness and Authority focuses on the impact of his illnesses on his autonomy and secular power, rather than his spiritual authority. Whether downplaying the comfort Francis received from music to omitting doctors from the narratives of his life, early biographers worked to minimize the realities of his infirmities. When they could not do so, they turned the saint's experiences into teachable moments that demonstrated his saintly and steadfast devotion and his trust in God. Illness and Authority explores the struggles that early authors of Francis' vitae experienced as they tried to make sense of a figure whose life did not fit the traditional rhythms of a founder saint.

Crisis resolution and home treatment teams respond rapidly to people experiencing mental health crises and offer an alternative to hospital admission. They are an increasingly important component of mental health care and are adopted by many health care systems around the world. This practical and pioneering book describes the evidence for the effectiveness of such teams, the principles underpinning them, how to set up and organise them, how patients should be assessed and what types of care the teams should offer. Other topics covered include integration of crisis teams with in-patient, community residential and day care services, the service users' experiences of crisis teams, and responding to diversity in home treatment. This book is essential reading for all policy makers, service managers and mental health workers interested in establishing or operating crisis resolution and home treatment services, as well as for researchers and students seeking to understand this model.

People with serious mental illness no longer spend years of their lives in psychiatric institutions. In developed countries, there has been a major shift in the focus of care from hospitals into the community. However, whilst it means those with mental illness are not confined, it does not guarantee they will be fully integrated into their communities. The barriers to full citizenship are partly due to the disabilities produced by their illnesses and partly by stigmatising and discriminatory attitudes of the public. This book analyses the causes of these barriers and suggests ways of dismantling them. The book is constructed in two parts: the first relates to social inclusion and the second to occupational inclusion. Throughout, the text is annotated with quotes from consumers, to illustrate their experience of the issues discussed. The innovations outlined are described in sufficient detail for the reader to implement them in their own practice.

Humans are social animals and, in general, don't thrive in isolated environments. Homeless people, many of whom suffer from serious mental illnesses, often live socially isolated on the streets or in shelters. Homelessness, Housing, and Mental Illness describes a carefully designed large-scale study to assess how well these people do when attempts are made to reduce their social isolation and integrate them into the community. Should homeless mentally ill people be provided with the type of housing they want or with what clinicians think they need? Is residential staff necessary? Are roommates advantageous? How is community integration affected by substance abuse, psychiatric diagnoses, and cognitive functioning? Homelessness, Housing, and Mental Illness answers these questions and reexamines the assumptions behind housing policies that support the preference of most homeless mentally ill people to live alone in independent apartments. The analysis shows that living alone reduces housing retention as well as cognitive functioning, while group homes improve these critical outcomes. Throughout the book, Russell Schutt explores the meaning and value of community for our most fragile citizens.

LGBTQ individuals seek therapy at higher rates than the general population, but the mental health profession has historically lacked evidence-based guidance for supporting the unique presenting concerns of LGBTQ clients. This book changes that by presenting how-to guidance for delivering cognitive-behavioral therapy that directly responds to the distinct stressors facing LGBTQ individuals. LGBTQ-affirmative Cognitive-Behavioral Therapy is the first mental health treatment designed by and for LGBTQ individuals that has been tested in several randomized controlled trials with diverse segments of the LGBTQ community. Results of these trials show that this transdiagnostic treatment is associated with reductions in depression, anxiety, substance use problems, and psychological distress, making it suitable for a broad range of presenting concerns. LGBTQ-affirmative Cognitive-Behavioral Therapy: Therapist Guide teaches the principles and techniques that mental health practitioners can use to affirmatively respond to the distinct stressors that their LGBTQ clients often face. The book follows a clear step-by-step approach with nine modules, each of which teaches skills for enhancing LGBTQ clients' mental well-being by undoing the deep impact that early and ongoing LGBTQ-related stress can have on basic psychological processes. This Therapist Guide is intended to be accompanied by the Client Workbook, which contains accessible, step-by-step guidance and worksheets for clients to follow when participating in this treatment. This guide provides essential tools for helping therapists effectively and affirmatively respond to the unique needs of their LGBTQ clients.

Traditionally, dementia has been defined primarily in terms of loss: loss of cognitive and communicative competencies, loss of identity, loss of personal relationships. People living with dementia have been portrayed as increasingly dependent on others, with their loved ones seen more as care givers than as spouses, children and relatives. However, in the last two decades this view of the person living with dementia as an 'empty vessel' has been increasingly challenged, and the focus has shifted from one of care to one of helping people to live with dementia. With contributions from an international range of expert authors, Living with Dementia strongly advocates this new perspective through in-depth discussion of what people with dementia and their loved ones can do, and how they can actively make use of remaining resources. Topics covered include: - How to involve people with dementia in collaborative activities in the home, and the benefits this has on their cognitive and communicative abilities. - Ways in which identity can be presented and preserved through storytelling, and the impact on identity of moving from home into residential care. - The benefits of a 'citizenship' approach to dementia: of recognising that a person living with dementia is an active agent, with the right to self-determination and the ability to exert power over their own lives. This important new contribution to the dementia debate is truly enlightening reading for students across the full range of health and social care disciplines, and offers a fresh perspective to existing practitioners and those who care for people with dementia.

Events in a neurological intensive care unit are not always predictable and patients can often be unstable. This practical manual is a clear and concise guide for recognising and managing neurological emergencies. Each chapter covers a crucial topic in neurocritical care, from understanding the pathophysiology of various neurological diseases, to neuroradiology used in diagnosis, and best practice for difficult decision making in the ICU. A variety of conditions are described such as haemorrhage (intracerebral, subdural, and subarachnoid), seizures, trauma and temperature dysregulation. An international team of experts have contributed chapters, providing a breadth of experience and knowledge for readers. This is an invaluable guide for clinicians on the front line of caring for patients with neurological emergencies who need life-saving answers quickly.

This fascinating book provides a comprehensive overview of the extensive post-disaster mental health recovery program implemented after the 1988 Armenian earthquake. Covering the program's evolution, from the initial acute phase of clinical fieldwork, to its expansion as a three-year teaching and training program for local therapists, to the building of mental health clinics in devastated cities. Featuring poignant memoirs detailing the daily challenges and rewards of working in the trenches, the book presents a conceptual framework that can guide post-disaster clinical and research efforts, lessons learned from this work and other disasters, and highlights recent advances in disaster psychiatry. This school-based intervention program has informed subsequent disaster response efforts in many countries and has provided clinically relevant cutting-edge research findings from longitudinal and treatment outcomes studies conducted over 25 years. Essential reading for psychologists, psychiatrists, social workers and other mental health professionals and those working for relief organizations following disasters.