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Books > Medicine > General issues > Health systems & services > Mental health services
Foundations of Consultation-Liaison Psychiatry: The Bumpy Road to Specialization documents the development of Consultation-Liaison Psychiatry from its inception to the present. The book draws on contributions from philosophy, physiology, psychoanalysis, epidemiology and other disciplines to define the broad scope of the field. Distinctions and similarities between Consultation-Liaison Psychiatry and Psychosomatic Medicine will be of interest to psychiatrists, social workers, and health psychologists, as well as students, residents, and fellows pursuing careers in these disciplines.
Religion and Psychoanalysis in India questions the assumptions of an established scientific, evidence-based global mental health paradigm by examining the practices of faith-based healing. It proposes that human beings demonstrate a dual loyalty: to science as faith and faith as science, both of which get reconfigured in the process. In this particular context, science and faith are deployed in ways that are not only different but at times contrary to mainstream discourses of science and religion, and faith healing becomes a point where these two discourses collide head-on in negotiating cultural values and practices. The book addresses key questions, such as: What is the value of 'faith healing' in understanding distress and treatment in different cultural contexts? What is a critical psychological perspective on faith and religious systems? What challenges do alternative religious practices pose to critical psychology? How should we re-imagine clinical work in a context marked by science and religion? Situated between 'West' and 'East', between the global mental health movement and local faith-based practices in India, the book addresses a wide audience that includes students and researchers in psychology, cultural and medical anthropology, the sociology of religion, cultural theory, postcolonial theory, and the sociology of science. It will also appeal to policy-makers and practitioners interested in the work of NGOs and the legal frameworks driving mental health movements in India.
This book explores local medical, lay and legal negotiations with the asylum system in nineteenth-century Ireland. It deepens our understanding of attitudes towards the mentally ill and institutional provision for the care and containment of people diagnosed as insane. Uniquely, it expands the analytical focus beyond asylums incorporating the impact that the Irish poor law, petty session courts and medical dispensaries had on the provision of services. It provides insights into life in asylums for patients and staff. The study uses Carlow asylum district - comprised of counties Wexford, Kildare, Kilkenny and Carlow in the southeast of Ireland - to explore the 'place of the asylum' in the period. This book will be useful for scholars of nineteenth-century Ireland, the history of psychiatry and medicine in Britain and Ireland, Irish studies and gender studies. -- .
Can self-help recordings containing subliminal messages improve your self-esteem or memory? Is hypnotic age-regression therapy a valid way of rediscovering lost childhood memories? Does Thought Field Therapy effectively treat anxiety by manipulating energy fields? A dizzying array of popular psychology books, articles, and promotion campaigns tout these and other alleged remedies for psychological problems. Faced with this confusion, consumers of mental health services need guidelines for finding effective therapy. This useful book brings together accessible, nontechnical articles by leading scientific researchers and clinicians to help answer such critical questions concerning mental health care as: How should I select a therapist? How can I tell the difference between scientifically valid and questionable psychotherapy? Can I trust the diagnosis I have received? If you or someone you know is seeking therapy, this excellent reference book will provide needed guidance for navigating the mental health maze.
Originally published in 1987, this book presents papers from the First Conference of European Clinical Psychologists, held at the University of Kent Canterbury in July of that year. It shows some of the most exciting and recent developments in research and innovations in professional practice from many European countries with an overall theme of the WHO strategy of 'Health for all by the year 2000.' The whole range of clinical psychology is covered, including: cognitive therapy, clinical psychology and WHO strategy, the mental health of ethnic minority groups, health psychology, care in the community, and many other topics. The book is likely to be of interest for anyone concerned with the recent history and policies in clinical psychology.
Commended in the Mental Health category of the 2008 BMA Medical Book Competition. This book offers an insight into the experience of psychiatric in-patient care, from both a professional and a user perspective. The editors highlight the problems in creating therapeutic environments within settings which are often poorly resourced, crisis driven and risk aversive. The contributors argue that for change to occur there needs first of all to be a genuine appreciation of the experiences of those involved in the unpredictable, anxiety-arousing and sometimes threatening environment of the psychiatric ward. Each chapter comprises a personal account of in-patient care by those in the front line: people who have been admitted to a psychiatric ward; their relatives; or those that provide the care. These accounts are followed by two commentaries written from different perspectives, suggesting lessons that can be learnt to improve the quality of care. Experiences of Mental Health In-patient Care will be useful for all mental health professionals, including mental health nurses, psychiatrists, clinical psychologists, occupational therapists, arts therapists, social workers and trainees, as well as service users and carers organisations.
The psychotherapy and counselling profession has recently experienced far-reaching changes because of the development of evidence-based medicine and managed care systems. The Future of Psychological Therapy brings together leading counsellors, psychotherapists, psychological therapists and managers to address how these changes are beginning to affect all aspects of the psychotherapy and counselling profession. It evaluates the impact of these developments, shows how they affect practitioner's capacity to care, anticipates future developments and offers a coherent and viable approach to research and practice. The book draws on psychotherapeutic theory to develop insight into managed care and engages in qualitative microphenonena research into the complexities of clinical practice drawing on cutting edge developments. It aims to establish a balanced counselling and psychotherapy profession by: opening up a debate about these far-reaching developments which threaten the profession, challenging the rhetoric of accountability, audit, transparency and measurement of care, exposing the danger of sleeping through these momentous changes in the counselling and psychotherapy profession. The Future of Psychological Therapy is a timely and important book, examining the psychotherapy profession's approach to managed care and evidence-based research, and discussing whether a balanced, coherent and viable counselling and psychotherapy research and practice culture can be established. It will be of interest to practitioners, academics and policy makers in the field, non-clinical professionals and anyone who is interested in psychological therapy and addressing the worldwide deterioration in psychological health.
There has been increasing attention in recent years, both positive and negative, on college student mental health and the provision of counseling services on campus. At the same time, there continue to be misperceptions of college counselors, both within and outside college campuses. Drawing on over 20 years of experience as a college counselor, Dr. Sharkin addresses these misunderstandings, providing a detailed description and discussion of the many roles and contributions these professionals have. He explores topics such as the history of college counseling and its evolution, who college counselors are, how someone can become a college counselor, and what skills are needed to be a college counselor today. Roles and responsibilities, including counseling, crisis intervention, consultation, outreach, and administrative duties, are discussed in detail and supplemented with both research and case studies. Diversity competencies and special challenges faced by today's college counselors are also considered. This engaging and accessible book will be a valuable resource for those already working in college mental health settings and those wishing to enter the field.
The psychotherapy and counselling profession has recently experienced far-reaching changes because of the development of evidence-based medicine and managed care systems. The Future of Psychological Therapy brings together leading counsellors, psychotherapists, psychological therapists and managers to address how these changes are beginning to affect all aspects of the psychotherapy and counselling profession. It evaluates the impact of these developments, shows how they affect practitioner's capacity to care, anticipates future developments and offers a coherent and viable approach to research and practice. The book draws on psychotherapeutic theory to develop insight into managed care and engages in qualitative microphenonena research into the complexities of clinical practice drawing on cutting edge developments. It aims to establish a balanced counselling and psychotherapy profession by: opening up a debate about these far-reaching developments which threaten the profession, challenging the rhetoric of accountability, audit, transparency and measurement of care, exposing the danger of sleeping through these momentous changes in the counselling and psychotherapy profession. The Future of Psychological Therapy is a timely and important book, examining the psychotherapy profession's approach to managed care and evidence-based research, and discussing whether a balanced, coherent and viable counselling and psychotherapy research and practice culture can be established. It will be of interest to practitioners, academics and policy makers in the field, non-clinical professionals and anyone who is interested in psychological therapy and addressing the worldwide deterioration in psychological health.
Racial trauma is an inescapable byproduct of persistent exposure to repressive circumstances that emotionally, psychologically and physically devastates one's sense of self while simultaneously depleting one's strategies for coping. It is a life-altering and debilitating experience that affects countless numbers of people of colour over multiple generations. Unfortunately, the failure to consider the interrelationship between racial oppression and trauma limits clinicians' ability to work effectively with many people of colour who live amid sociocultural conditions that are injurious to their psyches and souls. Even when therapy is trauma-informed, it rarely devotes adequate attention to racial oppression and the pervasive trauma associated with it. This groundbreaking book provides a comprehensive overview of the anatomy of racial trauma and the debilitating hidden wounds associated with it. Racially sensitive trauma-informed interventions and strategies that centralise race and racial oppression in every facet of the therapeutic process and relationship are meticulously highlighted, making this a must-read resource for all practising and aspiring clinicians.
The national public asylum system in Ireland was established during the early nineteenth century and continued to operate up to the close of the twentieth century. These asylums / mental hospitals were a significant physical and social feature of Irish communities. They were used intensively and provided a convenient form of institutional intervention to manage a host of social problems. Irish Insanity identifies the long-term trends in institutional residency through the development of a detailed empirical data set, based on an analysis of original copies of the reports of Inspector of Asylums/Mental Hospitals in Ireland. Damien Brennan explores core social and historical features linked to this data including: the political context governance and social policy the relationship between church and state changing economic structures and social deprivation professionalization legislation and systems of admission and discharge categorisation and diagnostic criteria international developments family dynamics This book demonstrates that the actual rate of asylum utilisation in Ireland was the highest by international standards, but challenges the idea that an "epidemic of Irish insanity" actually existed. Offering a historical and sociological insight into an institutional legacy that is unusual within the international context, this book will be of particular relevance and interest to scholars within the fields of sociology, criminology, law, history, Irish studies, social policy, anthropology, nursing and medicine.
This book illuminates the process of child psychological assessment in community psychology through discussion, theory, and case studies of collaborative, systemic treatment of children and their parents. "Assessing Children in the Urban Community" presents a semi-structured form of collaborative psychological assessment, designed to help clients gain new insights and make changes in their lives. Traditional psychological assessment focuses on diagnosis and treatment but has been slow to include contextual elements, particularly social and cultural contexts into the assessment process and psychological report. Clients receiving services in a community psychology clinic pay for their treatment through state welfare coverage. They cannot choose their providers, they cannot always determine the length and course of their mental health care, they often do not have access to transportation to begin services, to continue them, or to take advantage of follow-up recommendations. The Therapeutic Assessment model is particularly adaptable to community psychology because it allows maximum interaction in the assessment process and promotes participation and collaboration in an often dis-empowering system. This book will be relevant to clinical psychologists, community psychologists, social workers, family therapists, graduate students in psychology, social work, marriage and family therapists, and counseling programs.
Advertising today is not only under sterner scrutiny by the various federal regulatory and judicial bodies but is also facing an ominous storm of public criticism because of certain abuses. One of the big questions troubling advertisers, agencies and media is whether advertising will be subject to increasingly stringent governmental controls or whether it will forestall such action by mature self-regulation. In Advertising at the Crossroads the author has attempted to face the issue squarely and realistically, and to point out several constructive measures that advertising must initiate in its self-interest. First published in 1952.
Family constellations work has broadened and developed in many different fields as a method of counseling and therapy. In addition to constellations in organizations and schools, applying this approach to working with illness and disease has expanded the potential for healing effects in the field of medicine as well. A view of transgenerational entanglements and family dynamics casts a new light on health and disease, and the insights gained from constellations with illness and health problems have led to a more holistic view of those who are ill. In Even if it Costs me my Life, Stephan Hausner aims to provide a picture of the healing potential of systemic constellations, entering into the reciprocal effects of family dynamics and illness. Extensive use of case studies demonstrates this technique in action, revealing how existing illnesses and pathologies are rooted within the family dynamic, and setting up healing postures to facilitate growth, development, and direction.
A Complete Guide to Mindfulness Tools for Clinicians At last, an authoritative book filled with mindfulness tools that deliver an essential set of engaging, practical strategies along with key research and evidence-based information. The awareness boosting methods in this guidebook offer participants a means of reappraising and observing negative and anxious thoughts, habits, pain, and stress in fresh ways that produce new insight, positive change, and a sense of hope. Featuring over 40 easy to use, reproducible handouts and expertly crafted, guided scripts-such as working with the breath, overcoming depression with here and now pleasantness, calming the anxious mind with sense grounding, expanding a client's strength narrative, the stress pause S-T-O-P technique, and meditations for peace, acceptance, and re-envisioning pain-this book is ideal for clinicians wanting to integrate mindfulness into their work.
Trauma-Informed Practices With Children and Adolescents is a sourcebook of practical approaches to working with children and adolescents that synthesizes research from leading trauma specialists and translates it into easy-to-implement techniques. The approaches laid out address the sensory and somatic experiences of trauma within structured formats that meet the "best practices" criteria for trauma-informed care: safety, self-regulation, trauma integration, healthy relationships, and healthy environments. Each chapter contains short excerpts, case examples, and commentary relevant to the chapter topic from recognized leaders in the field of trauma intervention with children and adolescents. In addition to this, readers will find chapters filled with easily applied activities, methods, and approaches to assessment, self-regulation, trauma integration, and resilience-building. The book's structured yet comprehensive approach provides professionals with the resources they need to help trauma victims not just survive but thrive and move from victim thinking to survivor thinking using the current best practices in the field.
In our society, medication is often seen as the treatment for severe mental illness, with psychotherapy a secondary treatment. However, quality social interaction may be as important for the recovery of those with severe mental illness as are treatments. This volume makes this point while describing the emotionally moving lives of eight individuals with severe mental illness as they exist in the U.S. mental health system. Offering social and psychological insight into their experiences, these stories demonstrate how patients can create meaningful lives in the face of great difficulties. Based on in-depth interviews with clients with severe mental illness, this volume explores which structures of interaction encourage growth for people with severe mental illness, and which trigger psychological damage. It considers the clients' relationships with friends, family, peers, spouses, lovers, co-workers, mental health professionals, institutions, the community, and the society as a whole. It focuses specifically on how structures of social interaction can promote or harm psychological growth, and how interaction dynamics affect the psychological well-being of individuals with severe mental illness.
Youth residential mental health care is often a last resort after a long time searching for help. Despite engaging with residential care, moving from residential mental health programs to life in the community, many youth still confront disturbing prospects. Incorporating vignettes, chapter summaries, as well as theory and evidence in fields such as education, juvenile justice, child welfare, independent living, supporting families, and positive youth development, this book proposes a template that is both credible and feasible for improving community living outcomes for youth leaving residential mental health programs.
The libertarian philosophy of freedom is characterized by two fundamental beliefs: the right to be left alone and the duty to leave others alone. Psychiatric practice routinely violates both of these beliefs. It is based on the notion that self-ownership-exemplified by suicide-is a not an inherent right, but a privilege subject to the review of psychiatrists as representatives of society. In Faith in Freedom, Thomas Szasz raises fundamental questions about psychiatric practices that inhibit an individual's right to freedom. His questions are fundamental. Is suicide an exercise of rightful self-ownership or a manifestation of mental disorder? Does involuntary confinement under psychiatric auspices constitute unjust imprisonment, or is it therapeutically justified hospitalization? Should forced psychiatric drugging be interpreted as assault and battery on the person or is it medical treatment? The ethical standards of psychiatric practice mandate that psychiatrists employ coercion. Forgoing such "intervention" is considered a dereliction of the psychiatrists' "duty to protect." How should friends of freedom-especially libertarians-deal with the conflict between elementary libertarian principles and prevailing psychiatric practices? In Faith in Freedom, Thomas Szasz addresses this question more directly and more profoundly than in any of his previous works.
Madness: A History is a thorough and accessible account of madness from antiquity to modern times, offering a large-scale yet nuanced picture of mental illness and its varieties in western civilization. The book opens by considering perceptions and experiences of madness starting in Biblical times, Ancient history and Hippocratic medicine to the Age of Enlightenment, before moving on to developments from the late 18th century to the late 20th century and the Cold War era. Petteri Pietikainen looks at issues such as 18th century asylums, the rise of psychiatry, the history of diagnoses, the experiences of mental health patients, the emergence of neuroses, the impact of eugenics, the development of different treatments, and the late 20th century emergence of anti-psychiatry and the modern malaise of the worried well. The book examines the history of madness at the different levels of micro-, meso- and macro: the social and cultural forces shaping the medical and lay perspectives on madness, the invention and development of diagnoses as well as the theories and treatment methods by physicians, and the patient experiences inside and outside of the mental institution. Drawing extensively from primary records written by psychiatrists and accounts by mental health patients themselves, it also gives readers a thorough grounding in the secondary literature addressing the history of madness. An essential read for all students of the history of mental illness, medicine and society more broadly.
Addiction: A Behavioral Economic Perspective focuses on the behavioral economics of addiction to explain why someone decides and act against her own well-being. It answers the questions of what accounts for self-defeating behavior patterns and how do we best motivate individuals to act according with their long-term goals. A better understanding of decision processes will lead to an improved knowledge of why people engage in self-destructive behaviors and better policy interventions in areas of addiction and obesity. The approach also promises to be valuable as a framework for understanding decisions for an addict's professional and business life. This book will be of particular use to clinicians, students, and researchers in the fields of addiction, public health, and behavior therapy.
The last 40 years has seen a significant shift from state commitment to asylum-based mental health care to a mixed economy of care in a variety of locations. In the wake of this deinstitutionalisation, attention to date has focussed on users and providers of care. The consequences for the idea and fabric of the psychiatric asylum have remained 'stones unturned'. This book address an enduring yet under-examined question: what has become of the asylum? Focussing on the 'recycling' of both the idea of the psychiatric asylum and its sites, buildings and landscapes, this book makes theoretical connections to current trends in mental health care and to ideas in cultural/urban geography. The process of closing asylums and how asylums have survived in specific contexts and markets is assessed and consideration given to the enduring attraction of asylum and its repackaging as well as to retained mental health uses on former asylum sites, new uses on former sites, and interpretations of the derelict psychiatric asylum. The key questions examined are the challenges posed in seeking new uses for former asylums, the extent to which re-use can transcend stigma yet sustain memory and how location is critical in shaping the future of asylum and asylum sites.
Choosing Methods in Mental Health Research develops a new framework for mental health research. It is concerned with how to choose the most appropriate mental health research method, not only to address a specific question, but to maximize the potential impact on shaping mental health care. Mike Slade and Stefan Priebe focus attention on the types of audience that the researcher is seeking to influence, the types of evidence each audience accepts as valid, and the relative strengths and limitations of each type of methodology. A range of research methodologies are described and critically appraised, and the use of evidence by different groups is discussed. This produces some important findings about the interplay between research production and consumption, and highlights directions for future mental health research theory and practice. The findings presented here will be relevant to mental health service users and professionals who use research evidence to inform decision-making. It will also prove an invaluable resource for students and researchers in the field of mental health. |
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