In the past 10 years the number of antipsychotics prescribed to children with psychiatric disorders have skyrocketed. Despite this rapid growth, most medications have been inadequately studied in children for safety or efficacy and many have serious adverse health. Measures are needed to ensure that the health and safety of children are being protected, and debates have emerged over whether or not clinical trials in this population should be conducted. This edited volume reviews the latest findings for the safety and efficacy of antipsychotic use in children and examines tensions that are created by off-label use, both in clinical psychiatric practice and research.
Offers coverage of efficacy, prevalence, and adverse impacts of the use of antipsychotics in children
Explores ethics challenges of clinical research in this patient population
Serves as a platform for future discussions designed to increase the safety of children taking antispychotics
Edited work with chapters authored by leading neuroethicists in the field around the globe - the broadest, most expert coverage available"

Relational Psychoanalysis and Psychotherapy Integration traces the history of efforts to integrate psychoanalysis with other psychotherapeutic modalities, beginning with the early analysts, including Ferenczi and Rank, and continuing on to the present day. It explores the potential for integration made possible by contemporary developments in theory and technique that are fundamental to a relational psychoanalytic approach. Editors Jill Bresler and Karen Starr bring together an array of valuable theoretical and clinical contributions by relationally oriented psychoanalysts who identify their work as integrative. The book is organized in four segments: theoretical frameworks of psychotherapy integration; integrating multiple models of psychotherapy into a psychoanalytically informed treatment; working with specific populations; the future of integration, exploring the issues involved in educating clinicians in integrative practice. The contributions in this volume demonstrate that integrating techniques from a variety of psychotherapies outside of psychoanalysis can enrich and enhance psychoanalytic practice. It will be an invaluable resource for all practicing psychoanalysts, psychotherapists, and psychoanalysts and psychotherapists in training, particularly those with an interest in relational psychoanalysis and psychotherapy integration.

This book looks at the phenomenon of self-directed disgust and examines the role of self-disgust in relation to psychological experiences and potential ensuing psychopathology and to physical functioning such as disability, chronic physical health, and sexual dysfunction.

This book explores the relationship between subjective experience and the cultural, political and historical paradigms in which the individual is embedded. Providing a deep analysis of three compelling case studies of schizophrenia in Turkey, the book considers the ways in which private experience is shaped by collective structures, offering insights into issues surrounding religion, national and ethnic identity and tensions, modernity and tradition, madness, gender and individuality. Chapters draw from cultural psychiatry, medical anthropology, and political theory to produce a model for understanding the inseparability of private experience and collective processes. The book offers those studying political theory a way for conceptualizing the subjective within the political; it offers mental health clinicians and researchers a model for including political and historical realities in their psychological assessments and treatments; and it provides anthropologists with a model for theorizing culture in which psychological experience and political facts become understandable and explainable in terms of, rather than despite each other. Meaning, Madness, and Political Subjectivity provides an original interpretative methodology for analysing culture and psychosis, offering compelling evidence that not only "normal" human experiences, but also extremely "abnormal" experiences such as psychosis are anchored in and shaped by local cultural and political realities.

Popular interest in body image issues has grown dramatically in recent years, due to an emphasis on individual responsibility and self-determination in contemporary society as well as the seemingly limitless capacities of modern medicine; however body image as a separate field of academic inquiry is still relatively young. The contributors of Body Image and Identity in Contemporary Societies explore the complex social, political and aesthetic interconnections between body image and identity. It is an in-depth study that allows for new perspectives in the analysis of contemporary visual art and literature but also reflects on how these social constructs inform clinical treatment. Sukhanova and Thomashoff bring together contributions from psychoanalysts, psychotherapists, psychiatrists and scholars in the fields of the social sciences and the humanities to explore representations of the body in literature and the arts across different times and cultures. The chapters analyse the social construction of the 'ideal' body in terms of beauty, gender, sexuality, race, ethnicity, class and disability, from a broadly psychoanalytic perspective, and traces the mechanisms which define the role of the physical appearance in the formation of identity and the assumption of social roles. Body Image and Identity in Contemporary Societies' unique interdisciplinary outlook aims to bridge the current gap between clinical observations and research in semiotic theory. It will be of interest to psychoanalysts, psychotherapists, art therapists, art theorists, academics in the humanities and social sciences, and those interested in an interdisciplinary approach to the issues of body image and identity. Ekaterina Sukhanova is University Director of Academic Program Review at the City University of New York USA. She serves as Scientific Secretary of the Section for Art and Psychiatry and the Section of Art and Psychiatry of the World Psychiatric Association. She is also engaged in interdisciplinary research on cultural constructs of mental health and illness and curates exhibits of art brut as a vehicle for fighting stigma. Hans-Otto Thomashoff was born in Germany and lives in Vienna. He is a psychiatrist, psychoanalyst, art historian and author of fiction and non-fiction books. He has been curator of several art exhibitions highlighting the connection between the psyche and art as well as president of the section of Art and Psychiatry of the World Psychiatric Association and advisory committee member of the Sigmund Freud Foundation, Vienna.

Despite the steady acceptance of psychological interventions for people with psychosis in routine practice many people continue to experience problems in their recovery. The need to develop new approaches, particularly for those who are more difficult to engage and have significant co-morbidities is therefore important. Innovations in Psychosocial Interventions for Psychosis positions psychological formulation as a key organising principle for the delivery of care within multidisciplinary teams. The interventions described all have the common theme of supporting recovery and achieving goals that are of primary importance to the service user which targets interventions on broader obstacles to recovery. Along with their experienced contributors, Alan Meaden and Andrew Fox introduce new developments in psychological interventions for people affected by psychosis who are hard to reach, working in a variety of settings with people at various stages of recovery. The book is divided into three parts. In part one brief interventions and approaches aimed at promoting engagement are described as interventions in their own right. Part two is focused on longer-term interventions with individuals. Some of these highlight new developments in the evidence base whilst others draw on work applied less frequently to psychosis drawing from the broader psychological therapy practice-based evidence field. In part three attention is given to innovations in group settings and those aimed at promoting greater multidisciplinary working in settings where a whole team approach is needed. Each chapter describes the theory underpinning a different approach, its development, key strategies, principles and stages, and contain case examples that illustrate the use of the approach in a clinical setting. Innovations in Psychosocial Interventions for Psychosis will be an invaluable resource to professionals working with this client group, including clinical and counselling psychologists, psychiatrists, and other allied health professionals.

Grief and Trauma in Children provides easy-to-implement, ready-to-use therapy materials to help busy practitioners use grief and trauma interventions in real-world settings. All interventions in the book have been developed and researched with clinicians who faced challenging environments, including devastating natural disasters, and in communities where ongoing violence victimized children directly. Even in these stressful environments, clinicians found the interventions easy to implement, effective in helping children acquire coping skills, and effective in decreasing traumatic symptoms in order to proceed with grieving without impaired functioning. Grief and Trauma in Children blends cognitive-behavioral therapy methods and narrative practices to present an integrated grief and trauma model that can be delivered individually, to a group of children, or to a family. The book uses the Draw, Discuss, Write, Witness (DDWW) method to help children explore narratives of resilience and build coping capacity, engage in restorative stories about what happened, and reconnect and reengage in meaningful ways that allow the child to enjoy life again and get back on-track developmentally. Grief and Trauma in Children also provides up-to-date research on childhood bereavement and trauma, a brief description of the theoretical framework of the Grief and Trauma Intervention (GTI) model, a description of session-by-session goals and activities, case examples with ways to address common challenges, and photocopiable tools for clinicians to easily implement the model, such as session agendas, fidelity checklists, handouts for parents, and activity sheets for children.

This is a classic edition of Christopher Frith's award winning book on cognitive neuropsychology and schizophrenia, which now includes a new introduction from the author. The book explores the signs and symptoms of schizophrenia using the framework of cognitive neuropsychology, looking specifically at the cognitive abnormalities that underlie these symptoms. The book won the British Psychological Society book award in 1996, and is now widely seen as a classic in the field of brain disorders. The new introduction sees the author reflect on the influence of his research and the subsequent developments in the field, more than 20 years since the book was first published.

Propaganda in the helping professions has grown by leaps and bounds in recent decades, with alarming implications for clients and their families, as well as the professionals who try to help them. There is a fog that has been generated by corporate interests and organizations attempting to sell their services and products to desperate or poorly educated consumers. Propaganda in the Helping Professions is a guide to lifting the confusion. From phrenology to institutional crib-beds for adult psychiatric patients, from Roman bird-beak masks to drugs designed to combat overurination, readers are taken on a tour across the centuries of egregious practices of professionals and quacks including the present-day medicalization of our lives. The author, one of the field's most relentless critics of fads, phonies, and fallacies, shows readers how to think critically about both research and advertising in order to deliver effective services to clients and not be bamboozled by bogus claims about alleged problems, risks, and remedies. Incisive, interesting, eminently readable, and passionately argued, this book places responsibility for client well-being both on consumers-to raise questions-and on the professionals who claim to help them-to accurately answer them.

A journey of new routes of healing with/by Indigenous and non-Indigenous participants is shared under the Two Eyed-Seeing Perspective of Elder Albert Marshall. The Universal Human Right of Indigenous self-determination and Relationality are the togetherness presented in a "mangrove tree" that lives between salty and sweet waters emerging as a protective place of rich ecosystems. The relatuhedron (shapes of relationality) a co-construction of a home, a Wigwam, Long House, Maloca, Ue, crystalizes knowledge and practices in the process of individual and community healing and cultural transactions. A set of neologisms such as relatuhedron, pedagomiologies, and social grammars, is proposed to challenge our views of mental health, healing, cultural transactions, stereotypes, recovery, and public policy and include simplicities and complexities required to support Indigenous well-being. It is a "machine of possibilities" for students and professionals working with/by and for Indigenous communities. In this book healing is presented as a process through scholarly practice and reflection. Healing is a process of emergence of meaning by improving relationality with the self, nature and others, in a practical approach to socio-cultural transformations. In sum, healing is based on individual and community processes both honoring and respective Indigenous knowledge and scientific research to create endless opportunities for well-being. This book presents healing as a process of growth, a complex, dynamic and evolutive journey of transforming how we stablish and maintain relationships with the self, nature and others inside of our cultural negotiations.

Whether you are thinking about starting therapy, going to graduate school, or are yourself a practicing healer of hearts and minds, Becoming a Clinical Psychologist: Personal Stories of Doctoral Training offers a wealth of useful information about today's training and trainees.. This book is a collection of accounts written by a diverse group of early-career psychologists and doctoral students in their final stages of training. Each of the twelve authors provides a deeply personal, inside perspective on becoming a therapist. Some of the chapters combine qualitative research with the author's particular experience, while others emphasize the author's personal journey as s/he moves from novice to clinician. Some of the issues that are covered include the ways in which training affects personal and professional relationships with spouses, friends, peers, faculty and supervisors, and clients; how budding clinicians deal with their own issues and feelings of inadequacy; and how trainees learn to develop the right balance of empathy and detachment in working with clients. Also unique to this collection is the diversity reflected in the contributors, which include an Orthodox Jewish gay man who "came out" during training; a Black woman of African descent who found a home in the psychoanalytic approach; a White man who experienced minority status in his mostly female doctoral program; a bisexual, White woman who had to negotiate misperceptions and judgments as she moved through her clinical training; and a dissident student who came from another profession and found herself at odds with most of her professors and supervisors about the role of trauma in the etiology of mental illness. Becoming a Clinical Psychologist is a compelling read for those both inside and outside the field of psychology.

Creativity and Psychotic States in Exceptional People tells the story of the lives of four exceptionally gifted individuals: Vincent van Gogh, Vaslav Nijinsky, Jose Saramago and John Nash. Previously unpublished chapters by Murray Jackson are set in a contextual framework by Jeanne Magagna, revealing the wellspring of creativity in the subjects' emotional experiences and delving into the nature of psychotic states which influence and impede the creative process. Jackson and Magagna aim to illustrate how psychoanalytic thinking can be relevant to people suffering from psychotic states of mind and provide understanding of the personalities of four exceptionally talented creative individuals. Present in the text are themes of loving and losing, mourning and manic states, creating as a process of repairing a sense of internal damage and the use of creativity to understand or run away from oneself. The book concludes with a glossary of useful psychoanalytic concepts. Creativity and Psychotic States in Exceptional People will be fascinating reading for psychiatrists, psychotherapists and psychoanalysts, other psychoanalytically informed professionals, students and anyone interested in the relationship between creativity and psychosis.

Spanning six decades, this collection, Journeys in Psychoanalysis: The selected works of Elizabeth Spillius, traces the arc of her career from anthropology and entering psychoanalysis 'almost by accident', to becoming one of her generation's leading scholars of Melanie Klein. Born in 1924 in Ontario, Canada, Elizabeth arrived at the London School of Economics for postgraduate studies in the 1950s and soon embarked on a groundbreaking study of family life in the East End of London that produced a PhD and her first book, Family and Social Network, under her maiden name Elizabeth Bott. Published by the Tavistock Institute in 1957, it remains one of the most influential works published on the sociology of the family. These papers are a testament to the luminous intellect and understated compassion that Elizabeth has always brought to her work. They vividly map not just the evolution of Elizabeth's career but the development of Melanie Klein's thought, often drawing in compelling fashion on the writer's own experiences with her patients. Each is written with the clarity and concision that makes difficult concepts eminently comprehensible to psychoanalysts, psychoanalytic psychotherapists and laymen alike.

From time to time, professional journals and edited volumes devote some of their pages to considerations of pain and aging as they occur among the aged in different cultures and populations. One starts from several reasonable assumptions, among them that aging per se is not a disease process, yet the risk and frequency of disease processes increase with ongoing years. The physical body's functioning and ability to restore all forms of damage and insult slow down, the immune system becomes compromised, and the slow-growing pathologies reach their critical mass in the later years. The psychological body also becomes weaker, with unfulfilled promises and expectations, and with tragedies that visit individuals and families, and the prospect that whatever worlds remain to be conquered will most certainly not be met with success in the rapidly passing days and years that can only culminate in death. Despair and depression coupled with infirmity and sensory and or motor inefficiency aggravate both the threshold and the tolerance for discomfort and synergistically collaborate to perpetuate a vicious cycle in which the one may mask the other. Although the clinician is armed with the latest advances in medicine and phar macology, significant improvement continues to elude her or him. The geriatric specialist, all too familiar with such realities, usually can offer little else than a hortative to "learn to live with it," but the powers and effectiveness of learning itself have declined."

The purpose of this book is to introduce clinical psychologists, other mental health practitioners, and researchers to the neurocognitive approach to assessing and treating psychiatric disorders. It will provide a basic introduction to the research that integrates conventional clinical diagnostic methods with neuropsychological testing, cognitive assessment strategies, functional magnetic resonance imaging (fMRI), electroencephalography (EEG), and other psychophysiological models. Readers will learn how these measures can be used to elucidate target domains of dysfunction that extend beyond the framework provided by the DSM and inform the optimal treatment of psychiatric disorders. The beginning chapters will discuss the history, emergence, and priorities of the neurocognitive approach and explain the basic principles and limitations of brain- and body-based assessment tools. Subsequent chapters will address individual psychiatric disorders in this neurocognitive context and follow a standard format: a thorough description of the clinical problem; a review of the most recent literature; a discussion of how the neurocognitive approach advances our understanding of the disorder; and conclusions for future research and practice.

The purpose of this book is to introduce clinical psychologists, other mental health practitioners, and researchers to the neurocognitive approach to assessing and treating psychiatric disorders. It will provide a basic introduction to the research that integrates conventional clinical diagnostic methods with neuropsychological testing, cognitive assessment strategies, functional magnetic resonance imaging (fMRI), electroencephalography (EEG), and other psychophysiological models. Readers will learn how these measures can be used to elucidate target domains of dysfunction that extend beyond the framework provided by the DSM and inform the optimal treatment of psychiatric disorders. The beginning chapters will discuss the history, emergence, and priorities of the neurocognitive approach and explain the basic principles and limitations of brain- and body-based assessment tools. Subsequent chapters will address individual psychiatric disorders in this neurocognitive context and follow a standard format: a thorough description of the clinical problem; a review of the most recent literature; a discussion of how the neurocognitive approach advances our understanding of the disorder; and conclusions for future research and practice.

This is a classic edition of Christopher Frith's award winning book on cognitive neuropsychology and schizophrenia, which now includes a new introduction from the author. The book explores the signs and symptoms of schizophrenia using the framework of cognitive neuropsychology, looking specifically at the cognitive abnormalities that underlie these symptoms. The book won the British Psychological Society book award in 1996, and is now widely seen as a classic in the field of brain disorders. The new introduction sees the author reflect on the influence of his research and the subsequent developments in the field, more than 20 years since the book was first published.

Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1962 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.

The Ethics of Remembering and the Consequences of Forgetting: Essays on Trauma, History, and Memory brings together scholars from a variety of disciplines that draw on multiple perspectives to address issues that arise at the intersection of trauma, history, and memory. Contributors include critical theorists, critical historians, psychoanalysts, psychotherapists, and a working artist. The authors use intergenerational trauma theory while also pushing and pulling at the edges of conventional understandings of how trauma is defined. This book respects the importance of the recuperation of memory and the creation of interstitial spaces where trauma might be voiced. The writers are consistent in showing a deep respect for the sociohistorical context of subjective formation and the political importance of recuperating dangerous memory-the kind of memory that some authorities go to great lengths to erase. The Ethics of Remembering and the Consequences of Forgetting is of interest to critical historians, critical social theorists, psychotherapists, psychosocial theorists, and to those exploring the possibilities of life as the practice of freedom.

This book reviews the descriptive features of psychotic symptoms in various medical conditions (psychiatric, early psychosis, general medical, neurological and dementia), non-medical settings (individuals without the need for care or at high risk for psychosis) and age groups (children and adolescents, adults, older adults). Similarly, the perspectives of many disciplines are provided (history, psychiatry, psychology, psychopathology, neurology, phenomenological philosophy) so that readers may become familiar with different approaches that are used to define, evaluate and categorize psychosis, at times independently of clinical diagnosis. This book is a resource book for those requiring an understanding of clinical and conceptual issues associated with psychosis, with chapters written by academics and clinicians who are leaders in their respective fields. The book also provides a guide regarding the methods of assessment for psychosis and its symptoms, with 120 rating scales, which are described and evaluated. The Assessment of Psychosis will be particularly useful to the clinical and research community, but also to readers interested in individual differences and human psychopathology.

Autism and Creativity is a stimulating study of male creativity and autism, arguing that a major genetic endowment is a prerequisite of genius, and that cultural and environmental factors are less significant than has often been claimed.
Chapters on the diagnosis and psychology of autism set the scene for a detailed examination of a number of important historical figures. For example:
* in the Indian mathematician Ramanujan, the classic traits of Asperger's syndrome are shown to have coexisted with an extraordinary level of creativity
* more unexpectedly, from the fields of philosophy, politics and literature, scrutiny of Ludwig Wittgenstein, Sir Keith Joseph, Eamon de Valera, Lewis Carroll and William Butler Yeats reveals classical autistic features.

Autism and Creativity will prove fascinating reading not only for professionals and students in the field of autism and Asperger's syndrome, but for anyone wanting to know how individuals presenting autistic features have on many occasions changed the way we understand society.

First Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

Originally published in 1972, this fully revised edition was published in 1991 and provides a classic study of humanity s capacity for evil.

The human species is capable of the most appalling cruelty. Why is this and where does our capacity for such destructiveness come from? In "Human Destructiveness," Anthony Storr explores these important questions.

In seeking to shed light on such brutal phenomena as genocide, racial conflict and other large-scale manifestations of violence, he cautions against easy extrapolations from individual behaviour to the behaviour of groups and nations, though he offers illuminating discussions of aggressive personality disorders, sadomasochism and the mechanisms of paranoid delusion. Most provocatively, he locates the propensity for mass outbreaks of cruelty in the imagination: to be able to see fellow human beings as wholly evil requires an imaginative capacity not found in other species.

Combining wide scholarship, humane intelligence and a graceful style, "Human Destructiveness" provides an illuminating study of some of the darkest corners of the human psyche."

This book offers an innovative, trans-diagnostic approach to enhancing self-control in adolescents based directly on personality and social psychological science. It thus fills a void. While several books address specific disorders such as ADHD, poor school performance, and aggression, this is one of the first books to translation social and personality psychology research into a set of generally applicable treatment strategies. This literature as a whole is not well known to cognitive behavioral therapists or other applied mental health professionals and will be a valuable addition to their clinical knowledge base.
Because the interventions described in the book target the underlying processes common to self-control (rather than to specific diagnostic entities), clinicians do not have to master a treatment manual for each individual disorder. Instead, they are provided with treatment tools that they can modify and use flexibly with the large number of adolescent referred because of problems with self-control, who typically present with a range of symptoms and co-morbid disorders.