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Books > Medicine > Other branches of medicine > Psychiatry
The field of academic psychiatry is in crisis, everywhere. It is not merely a health crisis of resource scarcity or distribution, competing claims and practice models, or level of development from one country to another, but a deeper, more fundamental crisis about the very definition and the theoretical basis of psychiatry. The kinds of questions that represent this crisis include whether psychiatry is a social science (like psychology or anthropology), whether it is better understood as part of the humanities (like philosophy, history, and literature), or if the future of psychiatry is best assured as a branch of medicine (based on genetics and neuroscience)? In fact, the question often debated since the beginning of modern psychiatry concerns the biomedical model so that part of psychiatry's perpetual self-questioning is to what extent it is or is not a branch of medicine. This unique and bold volume offers a representative and critical survey of the history of modern psychiatry with deeply informed transdisciplinary readings of the literature and practices of the field by two professors of psychiatry who are active in practice and engaged in research and have dual training in scientific psychiatry and philosophy. In alternating chapters presenting contrasting arguments for the future of psychiatry, the two authors conclude with a dialogue between them to flesh out the theoretical, research, and practical implications of psychiatry's current crisis, outlining areas of divergence, consensus, and fruitful collaborations to revision psychiatry today. The volume is scrupulously documented but written in accessible language with capsule summaries of key areas of theory, research, and practice for the student and practitioner alike in the social and human sciences and in medicine, psychiatry, and the neurosciences.
A big, controversial and unresolved question that cuts across several disciplines - despite journal articles and special issues this is the first book to examine the topic head-on Explains how brain-level explanations of mental disorders can have important, negative consequences for psychological and social theories of mental disorder Plenty of examples such as dementia and Parkinsons which are helpfully contrasted with depression and schizophrenia
The Mind and Brain are usually considered as one and the same nonlinear, complex dynamical system, in which information processing can be described with vector and tensor transformations and with attractors in multidimensional state spaces. Thus, an internal neurocognitive representation concept consists of a dynamical process which filters out statistical prototypes from the sensorial information in terms of coherent and adaptive n-dimensional vector fields. These prototypes serve as a basis for dynamic, probabilistic predictions or probabilistic hypotheses on prospective new data (see the recently introduced approach of "predictive coding" in neurophilosophy). Furthermore, the phenomenon of sensory and language cognition would thus be based on a multitude of self-regulatory complex dynamics of synchronous self-organization mechanisms, in other words, an emergent "flux equilibrium process" ("steady state") of the total collective and coherent neural activity resulting from the oscillatory actions of neuronal assemblies. In perception it is shown how sensory object informations, like the object color or the object form, can be dynamically related together or can be integrated to a neurally based representation of this perceptual object by means of a synchronization mechanism ("feature binding"). In language processing it is shown how semantic concepts and syntactic roles can be dynamically related together or can be integrated to neurally based systematic and compositional connectionist representations by means of a synchronization mechanism ("variable binding") solving the Fodor-Pylyshyn-Challenge. Since the systemtheoretical connectionism has succeeded in modeling the sensory objects in perception as well as systematic and compositional representations in language processing with this vector- and oscillation-based representation format, a new, convincing theory of neurocognition has been developed, which bridges the neuronal and the cognitive analysis level. The book describes how elementary neuronal information is combined in perception and language, so it becomes clear how the brain processes this information to enable basic cognitive performance of the humans.
Patients with nonepileptic seizures (NES) frequently present in neurology, psychiatry, psychology, and emergency departments. The disorder has been well-documented in the medical literature, and much is known about the phenomenology, ictal semiology, neurologic signs, psychiatric comorbidities, neuropsychological testing, and psychosocial aspects. Since the publication of the third edition in 2010, knowledge of treatments for NES has grown and new data have become available. Fully updated to reflect these developments, this fourth edition brings together the current knowledge of NES treatments, drawing on the experience of an international team of authors. An accompanying website features video-EEGs of seizures and videos of patient-clinician interactions, which will help readers with both diagnostic and management decisions. Tables clearly illustrating the differential diagnosis of various nonepileptic events give readers quick reference guides to aid diagnostic assessment. A valuable resource for neurologists, psychiatrists, psychologists, and any clinicians who encounter NES in their practice.
Acclaimed for its thorough yet concise overview of the natural history of psychiatric disorders, Goodwin & Guze's Psychiatric Diagnosis has been newly and extensively updated in this seventh edition. As in previous editions, each chapter systematically covers the definition, historical background, epidemiology, clinical picture, natural history, complications, family studies, differential diagnosis, and clinical management of each disorder. Terminology has been updated for consistency with changes made in DSM-5 (R). Recent epidemiologic and neurobiological findings are provided, including the long term course of mood disorders, genetics and neuroimaging of schizophrenia and mood and other disorders, cognitive changes in relation to depression and dementia, brain stimulation techniques, outcome studies of eating disorders, and epidemiology of substance use disorders.
This book presents an intellectual history of the reception of Soviet psychology in Argentina as part of the communist scientific culture promoted by the Argentine Communist Party. This research reconstructs the material conditions, the political conjunctures and disciplinary disputes that allowed the international circulation of the works and ideas of Ivan Pavlov and Lev Vygotsky, and analyzes how pavlovism and vygotskianism impacted psychology, psychiatry and the wider mental health field in Argentina between 1935 and 1991. Starting on the 1930s, a group of professionals, scientists and intellectuals who belonged to the Argentine Communist Party introduced Soviet psychology in Argentina as an effort to promote the philosophical and political principles of Marxism-Leninism in Argentinean psychological and psychiatric academic circles, as well as in mental health institutions. This book shows how the efforts of this group contributed to the diffusion of communist scientific ideas and practices in South America as part of a transnational circuit of communist scholars and intellectuals that included France, Spain and the USA, which fostered scientific exchange and politicized science during the years of antifascist struggle and the Cold War. Communist Psychology in Argentina: Transnational Politics, Scientific Culture and Psychotherapy (1935-1991) will be of interest to historians of psychology and psychiatry concerned with the study of the relationship between Marxism and psychology in the 20th century, as well as to historians of science in general attentive to the study of the circulation of scientific ideas, as the book reconstructs the networks of the international communist movement as an effort to provide a scientific basis for the development of a socialist program in different parts of the world.
The growth of the field of eating disorder research has led to a vast array of empirical articles, and the development of new animal models that can be used to study these disorders continues to stimulate new research. Animal Models of Eating Disorders serves as a collection of detailed techniques contributed by experts in the field who are well-versed in the development and implementation of these models. Since eating disorders are complex and likely due to a combination of environmental, genetic, and social causes, the detailed chapters of this volume have been designed to highlight different contributing factors. Collectively, these chapters give a comprehensive and representative overview of both recently developed and classic methodologies used in the study of eating disorders. Written for the popular Neuromethods series, this work contains the kind of thorough description and implementation advice that promises successful results. Authoritative and practical, Animal Models of Eating Disorders aims to aid researchers in the use of animal models to assist in their investigation and characterization of the behaviors and neurochemical alterations associated with these devastating disorders.
In the relational literature, the subject of termination - the ending of an analysis - has received scant attention, and traditional Freudian or ego-psychological criteria are not always enough to assess the readiness to terminate therapy in the coconstructed, intersubjective analytic relationship. Good Enough Endings seeks to remedy this gap, bringing together contributions from contemporary relational thinkers, while at the same time engaging with ideas from other psychoanalytic perspectives. Topics given consideration include:
Integrating elements of existing psychoanalytic theory with the fruits of the relational turn, Good Enough Endings expands and expounds upon the relational considerations in ending analysis, providing a resource for reflection and insight into the final - and perhaps most difficult - aspect of psychoanalytic treatment.
As her mother slips into the fog of dementia, a philosopher grapples with the unbreakable links between our bodies and our sense of self. Vanessa wakes from a coma having forgotten ten years of her life. Toussaint, is haunted by voices. Thomas no longer knows how to answer questions and Claire, a retired teacher loses the use of her right hand because of an inexplicable pain. Noga Arikha began studying these patients and their confounding symptoms in order to explore how our physical experiences inform our identities. Soon after she began her work, the question took on unexpected urgency, as Arikha's own mother began to show signs of Alzheimer's disease. Weaving together stories of her subjects' troubles and her mother's decline, Arikha searches for some meaning in the science she has set out to study. She explores how the self studies itself and how it loses itself, delving into the scientific research that can help us understand how deeply interconnected are our minds and bodies. The result is an unforgettable journey across the ever-shifting boundaries between ourselves and each other.
In the beloved classic book The Way I See It, Dr. Temple Grandin gets to the REAL issues of autism the ones parents, teachers, and individuals on the spectrum face every day. In this updated fifth edition, Temple offers helpful dos and don'ts, practical strategies, and try-it-now tips all based on her insider perspective and a great deal of research. Revised and updated chapters include: Alternative Vs. Conventional Medicine Do Not Get Trapped By Labels The Importance of Early Educational Intervention Too Much Video Gaming and Screen Time Try On Careers and many more! Temple has packed a wealth of knowledge into this book, which serves as an excellent reference resource for a multitude of topics related to ASD. Whether you're searching for something specific or reading cover-to-cover, The Way I See It is required reading for everyone whose life has been touched by autism.
Self-harm is a distressing and all too common presentation to emergency departments, and yet there is no clear understanding of what it represents, and success rates of interventions to prevent future episodes are enormously variable. Therapeutic Assessment for self-harm is a pragmatic model, developed by the authors of this book and forming an organic part of the psychosocial assessment following a self-harming incident. Its main features are that firstly, a therapeutic intervention at the time of distress, compared with a standard psychosocial history and risk assessment, improves patients' responses and their willingness to engage in further therapy, and secondly, that there is a vast range of evidence-based interventions that can be used to build a "toolkit" that individual practitioners can employ with their patients. Therapeutic Assessment is evidence-based, simple, and easy to learn, and this book presents the techniques in a clear, accessible, and user-friendly way. Based on extensive research, it will form an essential reference for psychiatrists and clinical psychologists, and for any health professional involved in the assessment of young people who self-harm.
In this innovative title, the authors describe unique patient populations affected by stigma and prejudice and the prevalence of these issues to all healthcare providers. Each chapter covers the forms of prejudice and stigma associated with minority statuses, including religious minorities, the homeless, as well as those stigmatized by medical serious medical conditions, such HIV/AIDS, obesity, and substance misuse disorders. The chapters focus on the importance of recognizing biological differences and similarities within such groups and describes the challenges and best practices for optimum healthcare outcomes. The text describes innovative ways to connect in a clinical setting with people of diverse backgrounds. The text also covers future directions and areas of research and innovative clinical work being done. Written by experts in the field, Stigma and Prejudice is an excellent resource for psychiatrist, psychologists, general physicians, social workers, and all other medical professionals working with stigmatized populations.
This is a fully-updated, comprehensive guide for trainees preparing for the MRCPsych CASC exam (Clinical Assessment of Skills and Competencies). Success in the CASC is the final step in being awarded the MRCPsych qualification, which signifies the physician has fulfilled the necessary training requirements and has passed the membership exams conducted by the Royal College of Psychiatrists. The book is presented in a clear layout and covers the full range of psychiatry subspecialties likely to be encountered on exam day.
Originally published in 1979, this introductory text approaches schizophrenia as a complex biopsychological condition. Drawing from the fields of descriptive psychiatry, psychopathology, neurochemistry, genetics, life history research, and institutional practice, the author details our increasing understanding of the nature and etiology of schizophrenia at the time. He organizes and evaluates current concepts and findings from these areas, with a view towards integration. This volume was intended to serve as an introduction for advanced undergraduate and graduate students in psychology, as well as for students in psychiatry, psychiatric nursing, and clinical social work. The author assumes that a comprehensive understanding of schizophrenia requires a synthesis of findings from diverse fields and emphasizes the compatibility of, and points of contact between, clinical psychological, and biological approaches. Here is a text that introduces the reader to this challenging subject and to contributions from a variety of allied disciplines. Today it can be read in its historical context.
In recent years there has been an increase in research into childhood depression, and it is now recognised that depression can severely impair young people in many aspects of their life, school, peer and social relationships, and frequently persists into adulthood. Depression: Cognitive Behaviour Therapy with Children and Young People provides an accessible guide to recognising and treating depression in young people. Based on a successful manual developed for research trials, this book presents an overview of a cognitive behavioural model for working with this age group, as well as practical ideas about how to start therapy. Topics covered include:
Depression includes case examples and practical tips to prepare the practitioner for working with young people. Information is presented in a readable and practical style making this book ideal for professionals working in child and adolescent mental health services, as well as those in training. It will also be a useful guide for people working in community services for young people. Online resources: The appendices of this book contain worksheets that can be downloaded free of charge to purchasers of the print version. Please visit the website to find out more about this facility
Thoroughly updated with DSM-5 content throughout, this book is written for the average trauma clinician (or clinician new to the field who is confronted with a trauma client) to use in his or her daily work. Key Features Offers an Integrated Approach to Trauma Treatment Presents a Clinician-Friendly Review of Treatment Literature Addresses Innovative and "Cutting-Edge" Topics. This popular text provides a creative synthesis of cognitive-behavioural, relational, affect regulation, mindfulness, and psychopharmacologic approaches to the "real world" treatment of acute and chronic posttraumatic states. Grounded in empirically-supported trauma treatment techniques, and adapted to the complexities of actual clinical practice, it is a hands-on resource for front-line clinicians, those in private practice, and graduate students of public mental health.
Loving and grieving are two sides of the same coin: we cannot have one without risking the other. Only by understanding the nature and pattern of loving can we begin to understand the problems of grieving. Conversely, the loss of a loved person can teach us much about the nature of love. Love and Loss, the result of a lifetime's work, has important implications for the study of attachment and bereavement. In this volume, Colin Murray Parkes reports his innovative research that enables us to bring together knowledge of childhood attachments and problems of bereavement, resulting in a new way of thinking about love, bereavement and other losses. Areas covered include:
The book concludes by looking at disorders of attachment and considering bereavement in terms of its implications on love, loss, and change in a wider context. Illuminating the structure and focus of thinking about love and loss, this book sheds light on a wide range of psychological issues. It will be essential reading for professionals working with bereavement, as well as graduate students of psychology, psychiatry, and sociology.
This book offers original knowledge, debate, and understanding from frontline fieldwork data and the relations between mental health difficulties, mental healthcare provision, and social theory. Dominant discourse of the last half century has followed a medical perspective. This has marginalised contributions from social science. Furthermore purely medical approaches to mental healthcare have profound shortcomings. Thus, this book draws upon innovative research findings to rejuvenate the relationship between psychiatry and social science. It frames this by reference to certain inevitable and uncertain elements of mental health which characterise this field. Over nine chapters the volume is a unique contribution to several intersecting areas of intellectual enterprise, research, and learning - as well as a source of insight into how mental health practice and policy might be modified and improved. As a result, it appeals to a wide range of audiences including social scientists, mental health practitioners, mental health researchers, social theorists, mental health service users, and policy-makers.
Anger, Rage and Relationship presents a radically new way to understand and work with anger and rage issues. Taking a relational approach to anger and rage, the book presents a positive view of human nature, supported by recent research findings and illustrated with case studies, with individuals trusted to be essentially pro-social. Rather than promoting strategies and techniques for eradicating anger, Sue Parker Hall, puts forward an approach which seeks to not only work with, but to differentiate between, anger and rage. Anger and rage are constructed as entirely different phenomena, originating at different developmental stages, having different functions and relational needs and requiring different aspects of relationship in the therapeutic process. Further areas of discussion include:
This book will provide invaluable reading for practitioners dealing with anger and rage in the therapeutic setting, as well as being of great interest to all counsellors and therapists in the related field.
Many people living with epilepsy also suffer from debilitating psychiatric and cognitive disorders. While these comorbidities have been recognized for centuries, their causation, and relationship to the epilepsy remains clouded in mystery. This volume highlights recent knowledge and findings as well as controversies in our current understanding of behavioral and psychiatric comorbidities of epilepsy.
The Therapeutic Use of Self has continued, since its publication in 1999, to be considered a key text within integrative, humanistic and relational approaches for the training and development of therapists in the UK and abroad. This long-awaited classic edition includes powerful case examples and extensive research findings, presenting the counsellor's evaluation of their own practice as the main vehicle for the development of insight and awareness into individual 'therapeutic' characteristics. The book addresses many of the taboos and infrequently discussed aspects of therapy, such as: The value of therapist failure Breaking the rules of counselling Working beyond the accepted boundaries of counselling. The Therapeutic Use of Self will help professionals and trainees acknowledge, develop and value their own unique contribution to counselling and psychotherapy. The book remains a ground-breaking examination of the individual therapist's contribution to process and outcome in counselling and supervision.
This book integrates the concepts of big data analytics into mental health practice and research. Mental disorders represent a public health challenge of staggering proportions. According to the most recent Global Burden of Disease study, psychiatric disorders constitute the leading cause of years lost to disability. The high morbidity and mortality related to these conditions are proportional to the potential for overall health gains if mental disorders can be more effectively diagnosed and treated. In order to fill these gaps, analysis in science, industry, and government seeks to use big data for a variety of problems, including clinical outcomes and diagnosis in psychiatry. Multiple mental healthcare providers and research laboratories are increasingly using large data sets to fulfill their mission. Briefly, big data is characterized by high volume, high velocity, variety and veracity of information, and to be useful it must be analyzed, interpreted, and acted upon. As such, focus has to shift to new analytical tools from the field of machine learning that will be critical for anyone practicing medicine, psychiatry and behavioral sciences in the 21st century. Big data analytics is gaining traction in psychiatric research, being used to provide predictive models for both clinical practice and public health systems. As compared with traditional statistical methods that provide primarily average group-level results, big data analytics allows predictions and stratification of clinical outcomes at an individual subject level. Personalized Psychiatry - Big Data Analytics in Mental Health provides a unique opportunity to showcase innovative solutions tackling complex problems in mental health using big data and machine learning. It represents an interesting platform to work with key opinion leaders to document current achievements, introduce new concepts as well as project the future role of big data and machine learning in mental health.
This book explores the purpose of clinical psychological and psychiatric diagnosis, and provides a persuasive case for moving away from the traditional practice of psychiatric classification. It discusses the validity and reliability of classification-based approaches to clinical diagnosis, and frames them in their broader historical and societal context. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is used across the world in research and a range of mental health settings; here, Stijn Vanheule argues that the diagnostic reliability of the DSM is overrated, built on a limited biomedical approach to mental disorders that neglects context, and ultimately breeds stigma. The book subsequently makes a passionate plea for a more detailed approach to the study of mental suffering by means of case formulation. Starting from literature on qualitative research the author makes clear how to guarantee the quality of clinical case formulations. |
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