The Oxford Handbook of Perinatal Psychology is the most comprehensive resource to date for scholars, students, and clinicians on the emotional and psychological experiences associated with childbirth. The volume describes the typical biological, emotional, and psychosocial changes associated with childbearing as well as various domains of pathology. Chapters on normal psychosocial and biological changes associated with childbearing provide a sound knowledge base from which to interpret research on specific aspects of emotional and psychological maladjustment during this time. Chapters on special issues orient readers to the vast array of contextual factors that affect new parents' experiences during the transition to parenthood. The Handbook covers a broader base of research relevant to perinatal psychology than any other published work to date, focusing not only on parental wellbeing, but also on fetal and infant wellbeing. Readers will gain an understanding of what happens during the perinatal period, why it happens, and options for intervention when expected events go awry.

For years, the typical presentation of autism the developmental delays, the social and linguistic deficits has been well known. Despite great variation among children with this condition, certain symptoms are considered hallmarks of the disorder. Less understood is why these symptoms come together to construct autism. And as autism rates continue to rise, this information is ever more vital to accurate diagnosis and treatment.

"Autism and the Brain" offers answers by showing a new neuropsychology of the autistic spectrum, reviewing general brain organization, and relating specific regions and structures to specific clinical symptoms. The author identifies deficiencies in areas of the left-hemisphere associated with the self and identity as central to autism. From this primary damage, the brain further reorganizes to compensate, explaining the diverse behaviors among low- and high-functioning individuals as well as autistic savants. The result is a unique three-dimensional view of brain structure, function, and pathology, with in-depth focus on how the autistic brain:

Perceives the world.
Understands and uses words.
Perceives faces.
Understands spatial relations and numbers.
Understands feelings and registers emotions.
Perceives the self as separate from others.
Acts in the world.

Challenging readers to re-think their assumptions, "Autism and the Brain" is breakthrough reading for researchers, clinicians, and graduate students in fields as varied as child and adolescent psychiatry; clinical child, school, and developmental psychology; neuroscience/neurobiology; special education and educational psychology; social work; communication disorders; and public health and policy."

This book examines the intermediate level of mental health services with a focus on partial hospitalization program (PHP) and intensive outpatient program (IOP) models of care for youth. It reviews the history of PHPs and IOPs and highlights their current care models, demonstrating the increase in the development and implementation of evidence-based treatment (EBT) practices. The book explores issues relating to program development, implementation, and considerations for sustainability. It provides interventions designed to enhance the well-being of youth who are experiencing a range of mental health concerns as well as strategies to engage and involve their families. In addition, the book offers feasible strategies for measuring outcomes and applying these results to meaningful clinical evaluations in PHP and IOP settings. It describes the process of accessing and using these intermediate services as well as additional treatment resources that may be necessary in the continuum of mental health care for youth. Key areas of coverage include: The history and purpose of mental health care and the role of day treatment programs for youth. Working with program administration and other stakeholders, identifying a patient population, and engaging community and referral sources. The importance of family involvement, coordination of care, and simultaneously addressing the transactional relationship between physical and mental health. Transitioning youth from pediatric mental health services into the adult mental health system. Working with a diverse patient population in intermediate treatment programs. Providing practical information for families and practitioners navigating the pediatric mental health continuum of care. The Handbook of Evidence-Based Day Treatment Programs for Children and Adolescents is a must-have resource for researchers, professors, and graduate students as well as clinicians, therapists, course instructors, and other professionals in child and adolescent psychiatry, clinical child and school psychology, social work, counseling, public health, family studies, developmental psychology, pediatrics, and all related disciplines.

First published in 1981. Routledge is an imprint of Taylor & Francis, an informa company.

This volume provides a comprehensive overview of recent advances in targeting glutamate signaling for the treatment of major psychiatric and neurological disorders. It draws on the latest findings in glutamate neurobiology and offers valuable insights into the application of translational principles in neuroscience drug discovery and development. In each chapter, glutamate as a neurotransmitter, its receptors and transporters, and their interplay with other neurotransmitters and neurotrophic factors, are discussed in the context of a specific, highly prevalent and disabling CNS disease. Most recent and detailed information is provided on Ischemic Stroke, Chronic Stress, Major Depressive Disorder, Bipolar Disorder, Autism Spectrum Disorders (ASD), Posttraumatic Stress Disorder (PTSD), Alzheimer's Dementia, Schizophrenia, Impulsive Aggression, Substance Use Disorders (SUD), Amyotrophic Lateral Sclerosis (ALS), Chronic Pain, Multiple Sclerosis, Parkinson's Disease, Attention Deficit Hyperactivity Disorder (ADHD), Migraine, Epilepsy and Anxiety disorders. Moreover, the book includes an extensive overview of glutamatergic treatments already available on the market, and those which are currently in pharmaceutical drug development pipelines. The primary beneficiaries will be neurology and psychiatry specialists and residents, neuroscientists, neuropharmacologists, pharmaceutical industry and clinical research organization professionals, academics, and clinicians working with psychiatric and neurological patients with comorbidities such as cardiologists, pulmonologists, and endocrinologists. This book will also appeal to psychiatry and neurology subspecialists and clinicians working in neuroscience labs seeking an easy-to-understand yet comprehensive overview of contemporary evidence-based clinical insights backed by basic science (preclinical) research evidence. Given its scope, the book is also a unique and indispensable resource for both preclinical and clinical neuroscientists, medical advisors, and clinical research specialists in the pharmaceutical industry. In addition, it will appeal to neuroscience and neuropsychopharmacology students and guide them through the complexities of glutamate involvement in the pathophysiology of the most common debilitating brain diseases with high unmet medical needs.

For decades, health care providers have worked as though there were a monolithic wall dividing the ailments of the mind from those of the body. Theorists on either side developed separate languages and philosophies to explain symptoms. This distinction has left many clinicians unable to treat successfully patients whose symptoms - such as headaches, conversion paralysis, and seizures - arise from the place where mind and body meet. In this book, the authors describe a powerful narrative therapy, one that relies on the wisdom and everyday language of patients' real-life stories instead of the expert knowledge and professional language of the clinician. This approach can be used across all categories of somatic symptoms, from factitious ones to medical illnesses such as asthma or migraine headaches. The authors show how somatic symptoms are often related to unspeakable dilemmas, as in the case of a child who, after discovering a parent's marital infidelity, is afraid to disclose the secret and begins having blackout spells for which a neurologist can find no physiological basis. These dilemmas can be understood only if a clinician creates the kind of relationship in which privately held stories of fear, shame, and threat can be told safely. Detailed case studies and numerous brief examples vividly illustrate techniques for helping patients escape the dilemmas that bind their bodies by finding new language and stories that can free them. In an innovative section, the authors rethink the current ideas and practices of psychopharmacology. Rather than "treating" a brain disease, a clinician uses medications to recalibrate brain systems that register alarm, thereby opening new possibilitiesfor therapeutic change through speaking, listening, reflecting, and relating. This book offers all clinicians - psychiatrists, social workers, psychologists, nurses, physicians, and family therapists - a way to use language to help patients resolve bodily symptoms. It avoids the stigmatization that patients and families so often experience - and the frustration clinicians feel - when struggling to find answers for mind-body problems.

Written by two authors with a combined experience of more than fifty years in the residential treatment of severely aggressive-and often traumatized-children, this book has proven invaluable to new as well as seasoned child practitioners. The chapters cover the nuts and bolts of play therapy with this extremely challenging clinical population, including the therapeutic alliance, aims of play therapy with aggressive children, setting limits on destructive and obtrusive behaviors, typical play themes of aggressive children, and developing distancing and displacement through playful action and through teaching, modeling, and structuring action play. Other chapters cover such topics as: how to create more mature defenses and calming strategies; the role of interpretation; the use of spontaneous drawings as a bridge to fantasy play; specific drawing techniques to create access to the inner world of children; how to teach and model pro-social skills and the language of feeling; and how to facilitate affect expression and modulation, contained reenactment of trauma, and children's ability to mourn tangible as well as intangible, unacknowledged and invisible losses. Later chapters cover the therapeutic process and techniques to facilitate termination. The authors introduce the Play Therapy Decision Grid, which is intended to guide the therapist into the levels of therapy best suited for the child at any given point based on the child's resources and the anxiety engendered by the therapy.

This volume is an historically based critical evaluation of Freud's personality theory. In it the observations Freud made are described and the theoretical ideas he put forward for explaining them are set out. The adequacy of Freud's explanations are judged against the logical and scientific standards of Freud's own time. The historical perspective will give the reader a sound basis on which to make a judgement about psycho-analysis as a method of investigation and a theory of personality as well as a sense of what Freud was about from Freud's own standpoint. Freud's endeavour is sited in the psychological and psychiatric context of the time, a period not previously given the critical attention it warrants. All of Freud's important assumptions and characteristic modes of thought are to be found in this formative period. The placement also brings out more clearly the basis of a number of the unresolved problems of contemporary psycho-analytic theory, such as the place of affect and the instinctual drives, the role of the ego, and the basis of treatment.

This book addresses the over-prescribing of antidepressants in people with mostly mild and subthreshold depression. It outlines the steep increase in antidepressant prescription and critically examines the current scientific evidence on the efficacy and safety of antidepressants in depression. The book is not only concerned with the conflicting views as to whether antidepressants are useful or ineffective in various forms of depression, but also aims at detailing how flaws in the conduct and reporting of antidepressant trials have led to an overestimation of benefits and underestimation of harms. The transformation of the diagnostic concept of depression from a rare but serious disorder to an over-inclusive, highly prevalent but predominantly mild and self-limiting disorder is central to the books argument. It maintains that biological reductionism in psychiatry and pharmaceutical marketing reframed depression as a brain disorder, corroborating the overemphasis on drug treatment in both research and practice. Finally, the author goes on to explore how pharmaceutical companies have distorted the scientific literature on the efficacy and safety of antidepressants and how patient advocacy groups, leading academics, and medical organisations with pervasive financial ties to the industry helped to promote systematically biased benefit-harm evaluations, affecting public attitudes towards antidepressants as well as medical education, training, and practice.

The purpose of the Mental Health Practice in a Digital World: A Clinicians Guide book is to prepare clinicians to understand, critically evaluate, and embrace well-designed and validated technologies that have the potential of transforming the access, affordability, and accountability of mental healthcare. The reader will become aware of the practical applications of technology in mental health as well as research supporting information technology tools, policy debates. Each chapter contains either examples or scenarios that are relevant to the current practice of mental health care. Policy makers, application developers, scientists, and executives that have lead or supported the use of technologies in real world practice are chapter authors. The goal for this book is to be the key resource for current and future mental health clinicians in the U.S. and around the world to become familiar with technology innovations and how they impact and improve clinical practice.

Schizophrenia remains an important challenge to psychiatry, with its causes and underlying brain mechanisms yet to be fully revealed. Currently available treatments are neither universally effective nor without unwanted effects. These aspects, together with the high prevalence of schizophrenia, its often debilitating nature, and the associated family and social burden, make this mental disorder one of the most complex public health issues of our times.

The purpose of the Advances in Schizophrenia Research series is to provide comprehensive periodic reviews of the wide range of research studies carried out around the world, with the dual purpose of solving the schizophrenia puzzle, and providing clues to new forms of treatment and prevention for this disorder. A special feature of the series is its broad scope, virtually encompassing all fields of schizophrenia research: epidemiology and risk factors; psychopathology; diagnostic boundaries; cognition; outcome and prognosis; pathophysiology; genetics; pharmacological and psychological forms of treatment and rehabilitation; community care; and stigmatization.

This book discusses new candidates for rapid-acting antidepressants, such as (R)-ketamine, (2R,6R)-hydroxynorketamine, scopolamine, mGluR2/3 antagonists and AMPA receptor agonists. There are serious limitations to currently available antidepressants, such as delayed onset and low rates of efficacy. The discovery that a single dose of ketamine, an NMDAR antagonist, can produce rapid antidepressant effects that are sustained has led to new research in this area. In this volume, a variety of novel pharmaceutical treatments are examined. This volume would be useful to both researchers and clinicians who work in the field of pharmacology, specifically CNS drug treatments.

This book analyses the clinical interaction between depression and personality dysfunction to help clinicians better understand and treat patients with complex depression. It proposes an innovative perspective to clinical work that moves away from a disorder-centered approach to a person-centered approach by analysing complex depression through the lens of functional domains related to personality functioning and applying Research Domain Criteria to diagnosis and treatment planning. By doing so, it aims to contribute to the development of precision psychotherapy by applying the principles of precision medicine to mental health care. The book is divided in two parts. Chapters in the first part review problems in five domains of personality dysfunction that drive complex depressive presentations - identity, affect regulation, self-other regulation, social dysfunction and self-criticism - and the neurobiological findings underlying them. In the second part, authors present integrative models of depression and personality dysfunction and their implications for diagnosis and treatment. Depression and Personality Dysfunction: An Integrative Functional Domains Perspective is a scientific and clinical guide for the understanding and treatment of patients with depression complicated by personality dysfunction. It will be a useful tool for clinicians looking for resources to develop a more person-centered and evidence-based approach to mental health care.

Neurobiology of Brain Disorders: Biological Basis of Neurological and Psychiatric Disorders, Second Edition provides basic scientists a comprehensive overview of neurological and neuropsychiatric disease. This book links basic, translational, and clinical research, covering the genetic, developmental, molecular and cellular mechanisms underlying all major categories of brain disorders. It offers students, postdoctoral fellows, and researchers in diverse fields of neuroscience, neurobiology, neurology, and psychiatry the tools they need to obtain a basic background in the major neurological and psychiatric diseases. Topics include developmental, autoimmune, central, and peripheral neurodegeneration, infectious diseases, and diseases of higher function. Organized by individual disorder, each chapter includes coverage of the clinical condition, diagnosis, treatment, underlying mechanisms, relevant basic and translational research, and key unanswered questions. This volume reflects progress in the field since publication of the first edition, with fully updated chapters, and new chapters on isolation, aging, global diseases, vascular diseases, and toxic/metabolic disease. New disorder coverage includes fibromyalgia, chronic fatigue, Restless Legs Syndrome, myasthenia gravis, and more.

* Chapters bring the voices of LGBTQ+ into the spotlight through art and contribute to experiential learning, allowing for more understanding of the lives of LGBTQ+ peoples within the dietetic profession * Includes arts-based research that has the capacity to acknowledges multiple truths within the world and to give voice and representation to LGBTQ+ individuals * Topic cover eating disorders, body image, creative practices in nutrition counseling, weight stigma, and gendered understandings of nutrition. Special attention is paid to experiences of marginalization, homophobia, heteronormativity within dietetics and nutritional healthcare, and the intersections of oppression, poverty, social justice, and politics

Somewhere between 11% and 22% of adolescents seeking mental health care in outpatient clinics-and between 33% and 49% of those in inpatient units-meet the diagnostic criteria for borderline personality disorder (BPD). Despite its high prevalence, however, and the high social and economic costs that it entails, BPD remains underdiagnosed, and sufficient training regarding its fundamentals and clinical management is largely unavailable for mental health professionals treating adolescents. It is precisely these essential guidelines that clinicians will find in the Handbook of Good Psychiatric Management for Adolescents With Borderline Personality Disorder. Adapted from Dr. John Gunderson's good psychiatric management (GPM), a resource-efficient generalist treatment for adults with BPD, this manual uses GPM for adolescents (GPM-A) to demystify BPD in young people, describing common problems that arise during each phase or aspect of treatment, from patient rejection of diagnosis and conflicts among clinicians providing care to nonadherence to medications and concerns about stigma. Case vignettes that feature key decision points propose alternative interventions and demonstrate how to apply the book's concepts in a variety of settings. Additionally, speech bubbles throughout the handbook offer suggestions for how to phrase explanations and interventions to communicate effectively with adolescent patients at an appropriate level. Although the pragmatic GPM-A principles outlined in this book are based on real-world experience and bolstered by scientific evidence, they are not intended to be an end point for treatment. They are, rather, a road map to provide "good enough" care even in the absence of specialized treatments, and clinicians are encouraged to adjust the lessons as needed for their practice. The education provided in the handbook is meant to be shared with patients, their families, schools, clinical teams, and trainees as a resource for motivation in persevering with the difficult but worthwhile investments in treatment.

Psychopathy is a very important concept for those working in the field of criminal justice - investigators, prosecutors, and those who have to evaluate, manage and treat offenders. In Psychopathy: Theory, Research and Implications for Society, detailed, empirically based contributions by the world's leading researchers describe the relevance of the construct to practical and policy issues, examining its relevance to such topics as treatment, risk management and recidivism. The use of the concept in a range of populations is discussed, including juveniles, children, and the mentally disordered, as well as across cultures. The major strength of the volume is that the validity of the psychopathy construct is enhanced by the extensive empirical support: contributors explore topics including the genetic, biological, affective, interpersonal and information processing models that underpin the disorder. Audience: All those dealing with offenders - psychologists, psychiatrists, lawyers, judges, prison administrators and those who formulate policy in the criminal justice system.

Mental health presents one of the defining public health challenges of our time. Proponents of different conceptions of what mental illness is wage war for the hearts and minds of patients, practitioners, policy-makers, and the public. Debate and fragmentation around the nature of the entities that feature in the mental health domain divide resources and reduce progress. The way mental health is publicly discussed in the media has tangible effects, in terms of stigma, access to healthcare and resources, and private expectations of recovery. This book explores in detail the sorts of statements that are made about mental health in the media and public reporting of scientific research, grounding them in the wider context of the theoretical frameworks, assumptions and metaphors that they draw from. The author shows how a holistic understanding of the way that different aspects of mental illness are interrelated can be developed from evidence-based interpretation of the latest research findings. She offers some ideas about corrective, integrative approaches to discussing mental health-related matters publicly that may reduce the opposition between conceptualisations while still aiming to reduce stigma, shame and blame. In particular, she emphasises that discourse in the media needs to be anchored to an overview of all the research results across the field and argues that this could be achieved using new technological infrastructures. The author provides an integrative account of what mental health is, together with an improved understanding of the factors driving the persistence of oppositional accounts in the public discourse. The book will be of benefit to researchers, practitioners and students in the domain of mental health.

Now in its seventh edition, Introductory Textbook of Psychiatry remains the seminal gateway to this fascinating field. Organized along the lines of DSM-5® and updated to reflect changes to that manual, it includes information on the latest diagnostic approaches and therapies and medications.

This volume summarizes the DSM-5® diagnostic system, various psychiatric disorders and treatments, interviewing and assessment, psychiatric emergencies, legal issues, and more. Other features, such as clinical points, self-assessment questions, and an exhaustive glossary of terms, add to the educational value and enhance learning.

Thorough in its scope, this guide is an accessible primer on the basics of psychiatry not only for medical students and residents but, indeed, for anyone interested in the human brain, its maladies, and how to treat patients with these disorders.

The second edition of this successful handbook, edited by well-known experts in this field, includes core questions in the field of child abuse and neglect. It addresses major challenges in child maltreatment work, starting with "What is child abuse and neglect?" and then examines why maltreatment occurs and what are its consequences. The handbook also addresses prevention, intervention, investigation, treatment as well as civil and criminal legal perspectives. It comprehensively studies the issue from the perspective of a broader, international and cross-cultural human experience. Apart from a thorough revision of existing chapters, this edition includes many new chapters covering recent developments in this area and other issues not covered in the first edition. There is more focus on substance abuse, psychological abuse, and on social and community involvement and public health provisions in the prevention of child maltreatment. The handbook examines what is known now and more importantly what remains to be researched in the coming decades to help abused and neglected children, their families and their communities, thereby taking the field forward.

Advances in the standardization, precision and thoroughness of psychiatric diagnosis are being supplemented with attention to personalized or ideographic descriptive approaches. This promises not only to enhance the clinician's understanding of a case but to allow a fuller and more effective use of the evolving range of therapeutic possibilities. To reflect these developments, the Section on Classification, Diagnostic Assessment and Nomenclature of the World Psychiatric Association has prepared this volume which is organized around five prominent themes in contemporary psychiatric diagnosis: -major regional perspectives - ICD-10 - comprehensive diagnosis through the multiaxial model - treatment planning and organization of health services - the role and challenges of psychiatric diagnosis in primary health care.

The book highlights important new research approaches of clinical relevance, written by prominent researchers in the field of OCD and related disorders. A broad range of topics is covered, beginning with a description of the phenotypic features of the OCD followed by chapters on developmental aspects, animal models, genetic and biological models including neuro-inflammation, functional neuroimaging correlates and information-processing accounts. Finally, existing and novel treatment approaches are covered including clinical and pharmacogenetic treatment models. In this way the volume brings together the key disciplines involved in the neurobiological understanding of OCD to provide an update of the field and outlook to the future. Together, the volume chapters provide focused and critical reviews that span a broad range of topics suitable for both students and established investigators and clinicians interested in the present state of OCD research.

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

The book is part of a series on Current Topics in Behavioral Neurosciences, which has as its focus anxiety and its treatment. We have brought together a distinguished cadre of authors with the aim of covering a broad array of topics related to anxiety disorders, ranging from clinical diagnosis, epidemiology, preclinical neuroscience, and animal models to established and innovative therapeutic approaches. The book aims at bridging these disciplines to provide an update of literature relevant to understanding anxiety, its consequences, and its management. Following is a brief overview of the chapters and their content, meant to serve as a guide to navigating the book. The ?rst section covers clinical aspects of anxiety disorders. Joe Bienvenu and colleagues provide an incisive overview of diagnostic considerations in the anxiety disorders in which they emphasize the strengths and shortcomings of our current nosologic systems. This is followed by a review and update of the epidemiology of anxiety disorders by Ron Kessler and colleagues, which provides an authoritative survey of anxiety disorder incidence, prevalence, and risk factors. This is comp- mented by a comprehensive review of the literature on disorders that co-occur with anxiety disorders by Kathleen Merikangas and Sonja Alsemgeest Swanson. Their review highlights the tremendous comorbidity that occurs not only within the anxiety disorders, but also with other mental and physical health conditions.