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Books > Medicine > Other branches of medicine > Psychiatry
The integration of psychiatry into the mainstream of American society following World War II involved rethinking and revision of psychiatric theories. While in the past, theories of personality had been concerned with the single individual, this pioneering volume argues that such theories are of little use. Instead, the individual must be seen in the context of social situations in which rapid advances in communication technology have brought people closer together, changing their behavior and self-expression. Ruesch and Bateson show that following World War II mass communication and culture have become so pervasive that no individual or group can escape their influences for long. Therefore, they argue that processes of psychoanalysis must now consider the individual within the framework of a social situation. Focusing upon the larger societal systems, of which both psychiatrist and patient are an integral part, they develop concepts that encompass large-scale events as well as happenings of an individual nature. They have outlined this relationship in a unified theory of communication, which encompasses events linking individual to individual, individual to the group, and ultimately, to events of worldwide concern. The term "social matrix," then, refers to a larger scientific system, of which both the psychiatrist and the patient are integral parts. "Jurgen Ruesch" was professor of psychiatry at the University of California School of Medicine and director of the section of Social Psychiatry at the Langley Porter Neuropsychatric Institute in San Francisco. "Gregory Bateson" taught at Columbia University, the New School for Social Research, Harvard University, Stanford University, and the University of California, Santa Cruz. Among his books are "Naven, Steps to an Ecology of Mind, Mind and Nature: A Necessary Unity, Angels Fear: Towards an Epistemology of the Sacred, and A Sacred Unity: Further Steps to an Ecology of Mind. Eve C. Pinsker" is program director, Faculty Development Center, Department of Family and Community Medicine, Stroger Hospital of Cook County. "Gene Combs" is associate professor of psychiatry and director of behavioral science education in the family medicine residency at Loyola University, Chicago.
This is a paperback edition of the highly successful Mood Disorders, first published in 2003. The book is organised into three parts: Part I, Unipolar Depression; Part II, Bipolar Depression; and Part III, General Issues. Chapters in Parts I and II discuss classification, biological models, CBT and other treatment approaches for each disorder. Part II covers approaches to assessment, suicide and depression in older adults. The final chapter offers a summary and suggests new directions for research and practice.Advances in clinical understanding of diagnosis, pathophysiology, comorbidity and treatment are clearly presentedStrong emphasis on a complex approach to mood disorders, with both psychological and biological perspectives on causes and treatment coveredAddresses issues such as diagnosis, the relation of depression to bipolar disorder and psychotherapeutic treatments.
Depressive illness often becomes chronic or recurrent, and patients may recover only partially. Despite all the new and effective drugs, at least 25 to 35 percent of patients with clear-cut mood disorders do not respond in a satisfactory way even though there can be some relief of symptoms. These chronically ill patients can be identified by careful examination and are characterized by what Badal calls a "predicament." The predicament is caused by a combination of two factors: an intolerably painful and troublesome relationship with a significant other, and a personality deficit that prevents the patient from solving that relationship problem in an acceptable way. When patients do not respond to treatment and their cases become chronic, the doctor-patient relationship must become a long-term therapeutic alliance. The personality problems may require intensive psychodynamic treatment. Combined treatment-i.e., medication, psychosocial intervention, psychotherapy, and rehabilitation-is commonly required for these patients. The appropriate use of medication often makes it possible to conduct a successful psychotherapy. In identifying the problems causing the basic predicament of these chronic patients and successfully bringing them back into the mainstream, psychotherapists should have access to enough details and general principles of pharmacotherapy to evaluate the progress and the effects of the medication, and allow them to communicate intelligently with the person prescribing. Badal addresses five areas of treatment with these cases: The doctor-patient relationship, pharmacological treatment, psychosocial interventions, psychotherapeutic programs, and rehabilitation. He formulates an approach to recognition and treatment of all the various types of these hard-to-treat chronic and refractory mood disorders. A Jason Aronson Book
The therapeutic state is a pervasive set of practices and ideologies which have been ever present in the twentieth century. This book of international contributors is about bringing into question many of these reified, dogmatic ideologies. Classifications, diagnosis and the treatments have been shown to be ineffectual for many populations across the globe, but still we persist with redundant, defunct methods and techniques. Why? Because, as some would suggest, we have nothing better. The danger that the state is taking away one of the last confidential spaces for people to allow thoughts to come to them has never been greater. This book invites readers to think beyond the state and its therapeutics. It will be relevant to many professions, professionals, service users, families, survivors and organisations; and those who are looking for something different. This book was originally published as a special issue of the European Journal of Psychotherapy & Counselling.
Completely updated and revised, the third edition provides primary care physicians with practice-tested, condition-specific treatment recommendations for various childhood mental disorders. Obtain clear guidance on dosing, monitoring, and potential adverse reactions of psychotropic medications for treatment of common psychiatric disorders and mental health or behavioral problems in children and adolescents. It includes digital tools offering instant access to additional information on psychotropic medications. TOPICS INCLUDE Conceptual framework for prescribing psychotropics Newly approved medications, changes in regulations and guidelines, and updates in the professional literature are included in this new edition Medications for specific diagnoses-ADHD, anxiety, and depression Food and Drug Administration approved antipsychotics and mood stabilizers and all other medications What to do when treatment is unsuccessful
Trauma and Psychosis provides a valuable contribution to the current understanding of the possible relationships between the experience of trauma and the range of phenomena currently referred to as psychosis. Warren Larkin and Anthony P. Morrison bring together contributions from leading clinicians and researchers in a range of fields including clinical psychology, mental health nursing and psychiatry. The book is divided into three parts, providing comprehensive coverage of the relevant research and clinical applications. Part I: Research and Theoretical Perspectives provides the reader with a broad understanding of current and developing theoretical perspectives. Part II: Specific Populations examines the relationship between trauma and psychotic experiences in specific populations. Part III: From Theory to Therapy draws together current knowledge and investigates how it might be used to benefit individuals experiencing psychosis. This book will be invaluable for clinicians and researchers interested in gaining a greater insight into the interaction between trauma and psychosis.
Systematic assessment of dissociation is essential for accurate diagnosis and effective treatment of trauma survivors. The SCID-D is an interactive, semi-structured interview for assessing dissociative symptoms and disorders in adults and adolescents based on Dr. Steinberg's innovative Five Component Model of Dissociation Assessment (amnesia, depersonalization, derealization, identity confusion, and identity alteration). Over 30 years of worldwide research and clinical use have confirmed the reliability and validity of the SCID-D interview, and its universality across cultures. The interview has demonstrated a powerful ability to distinguish people with dissociative symptoms and disorders from those with other conditions, and it is widely regarded as the gold standard in the field. This edition of the SCID-D includes all the psychometrically validated interview questions of previous editions, preserving its excellent psychometric properties. The SCID-D is a valuable resource for clinicians and researchers assessing individuals suffering from complex posttraumatic and dissociative disorders. In the hands of a nonjudgmental empathic interviewer, the SCID-D is more than just a diagnostic tool; it can also accelerate the therapeutic alliance, promote client insight, and provide a roadmap for healing. The SCID-D's evaluation method is independent of DSM or ICD nosology, though its results can be mapped into their diagnostic criteria. Administering and scoring the SCID-D interview requires familiarity with the Interviewer's Guide to the SCID-D. Sold as pack of 5.
This issue of Psychoanalytic Inquiry follows a design that has achieved increasing popularity in today's pluralistic world of psychoanalytic theory and practice. Providing a case presentation that incorporates detailed process noted along with a number of discussions of that case taken from divergent theoretical perspectives that appeals to the clinican operating in a postmodern setting. By proposing alternative ideas to the reader, the reader is afforded an opportunity to conceptualize from his or her own perspective the approach most conducive to good analytic work for the particular patient he or she has envisioned from reading the material presented. Or the reader may discover that alternative views suggested in the discussions may be integrated, establishing a more textured, more complex vision of the analytic pair at work together, a process facilitated through application of a systems sensibility. The abiding lesson - that there is no one good way to do our work but, on the other hand, that not all ways are equally good - is put forward persuasively in this format.
"Psychological Interventions in Early Psychosis" provides a comprehensive overview of the emerging research and clinical evidence base for psychological treatments across the phases of early psychosis. Beginning with identified at-risk young people, the text continues through to those in acute and recovery phases, to the needs of patients with persistent symptoms. This practical treatment handbook: draws upon the expertise of several internationally recognised clinical and research programs ntegrates reviews of the relevant research literature with illustrative case examples covers critical issues for the clinician in focal chapters on suicide prevention, comorbid cannabis abuse, and family work describes several modalities of treatment, such as multi-family psychoeducation, group work, psychodynamic and cognitive behavioural approaches. Specialist early psychosis services are developing rapidly worldwide. Psychological Interventions in Early Psychosis will be an essential resource for clinicians and service leaders alike. Contributors:
The Invisible Brain Injury recounts, in her own words, the experience of Aurora Lassaletta, a clinical psychologist who suffered a traumatic brain injury (TBI) after a traffic accident. Presenting her unique dual perspective as both a patient and a clinician, Aurora highlights the less visible cognitive, emotional and behavioural symptoms common to acquired brain injury (ABI). This moving account showcases Aurora's growing awareness of her impairments, their manifestation in daily life, how they are perceived, or not, by others and the tools that helped her survive. Each chapter combines Aurora's perspective with the scientific view of a professional neuropsychologist or physiatrist who provide commentaries on her various symptoms. This book is valuable reading for professionals involved in neurorehabilitation and clinical neuropsychology and for clinical psychology students. It is a must read for ABI survivors, those around them and clinicians, who are all an essential part of the rehabilitation, adjustment and acceptance process involved with ABI.
"The Psychopath: Theory, Research, and Practice "is a comprehensive
review of the latest advancements in the study of psychopathy. As
research into psychopathy over the past two decades has burgeoned,
it has had significant implications for clinical practice, with
important ethical considerations raised as interest into
psychopathy has moved into the real world. This volume is the first
comprehensive review of these applied topics.
This is the first examination in depth of the reasons and ways that people seek psychiatric help. Viewing contemporary metropolitan life from the standpoint of an experienced social analyst, Charles Kadushin deals with such issues as, why people believe they have emotional problems, what types of problems send them to psychiatrists, how, why, and by whom potential patients are told they are disturbed, why people choose psychiatry over other healing methods, and why many people do not receive treatment from the sources to which they apply. The author develops a new theory of social circles, describing how people move in a network of friends and acquaintances with varying degrees of knowledge of and interest in psychiatry. This factor affects decisions to obtain professional help and also has bearing on the types of problems presented. The study encompasses a wide variety of persons in a complex community environment--New York City, the psychotherapy capital of the world. The basic data were obtained from 1,500 patients in ten psychiatric clinics in three major treatment areas medical, analytic, and religio-psychiatric. The book provides new insights into the motivations of the patients as well as information about their social setting. It is an informative and engrossing work for students and scholars; for sociologists in the areas of medicine and mental health; for psychiatrists, clinical psychologists, and social workers actively engaged in treatment and casework; and for all professionals in the community health field.
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.
Observation of the body helps psychiatrists to determine the cause
and treatment of mental illness. To form a diagnosis, practitioners
conduct detailed observations of patients' appearance, posture,
gesture and gait, thereby using the body as a diagnostic index.
However, within routine mental health practice, there is little
consideration of how the bodily presentation of patients may
reflect aspects of their "lived experience."
Why do people find it so difficult to talk openly about sex? In this original and ground-breaking book, Morris Nitsun argues that desire and sexuality are key components of human experience that have been marginalized in the group psychotherapy literature. Drawing on theory from psychoanalysis, developmental psychology and sociology, while keeping the group firmly in focus, he creates a picture of the potential in group therapy for the most intimate narrative. Highlighting current concerns about sexual identity, boundary transgression and what constitutes effective psychotherapy, detailed clinical illustrations cover areas such as:
Psychotherapists and all those interested in sexual development and diversity will value the challenging approach to sexuality this book offers.
"Collateral damage" is a military term for the inadvertent casualties and destruction inflicted on civilians in the course of military operations. In Collateral Damage: Americans, Noncombatant Immunity, and Atrocity after World War II, Sahr Conway-Lanz chronicles the history of America's attempt to reconcile the ideal of sparing civilians with the reality that modern warfare results in the killing of innocent people. Drawing on policymakers' response to the issues raised by the atrocities of World War II and the use of the atomic bomb, as well as the ongoing debate by the American public and the media as the Korean War developed, Conway-Lanz provides a comprehensive examination of modern American discourse on the topic of civilian casualties and provides a fascinating look at the development of what is now commonly known as collateral damage.
Impact Therapy, developed by Ed Jacobs in 1992, is a form of counseling that uses multisensory techniques and tools in order to integrate therapist-client exchanges on not only a verbal but also visual and kinesthetic level. Drawing heavily on the work of Milton Erickson, this form of therapy uses a creative and interactive approach that respects the different dimensions by which a client processes information and therefore helps to integrate growth and change. To better disseminate the practice among a francophone audience, Beaulieu wrote and published the first edition of "Techniques d' Impac"t in 1998 as a handbook for therapists seeking to integrate multisensory techniques into their practice. Beaulieu uses concrete examples of object and visual devices that can be introduced into the therapy process and illustrates their different uses. The model set forth in this book may be integrated into the practice of psychiatrists, psychotherapists, child psychologists, marriage and family therapists, and counselors. Heidi Hoff translated from French to English a new edition of the work, with a new and more encompassing introduction as well as updated case examples.
When it was first published in France in 1961 as Folie et Deraison: Histoire de la Folie a l'age Classique, few had heard of a thirty-four year old philosopher by the name of Michel Foucault. By the time an abridged English edition was published in 1967 as Madness and Civilization, Michel Foucault had shaken the intellectual world. This translation is the first English edition of the complete French texts of the first and second edition, including all prefaces and appendices, some of them unavailable in the existing French edition. History of Madness begins in the Middle Ages with vivid descriptions of the exclusion and confinement of lepers. Why, Foucault asks, when the leper houses were emptied at the end of the Middle Ages, were they turned into places of confinement for the mad? Why, within the space of several months in 1656, was one out of every hundred people in Paris confined? Shifting brilliantly from Descartes and early Enlightenment thought to the founding of the Hopital General in Paris and the work of early psychiatrists Philippe Pinel and Samuel Tuke, Foucault focuses throughout, not only on scientific and medical analyses of madness, but also on the philosophical and cultural values attached to the mad. He also urges us to recognize the creative and liberating forces that madness represents, brilliantly drawing on examples from Goya, Nietzsche, Van Gogh and Artaud. The History of Madness is an inspiring and classic work that challenges us to understand madness, reason and power and the forces that shape them.
It is timely that we revisit the scientist-practitioner model.
David Lane and Sarah Corrie make a persuasive and coherent case
that it not only continues to serve its purpose, but that it can be
reinvigorated to inform and enhance our practice and to support us
as we move forward to face the challenges of the twenty-first
century.
Is psychoanalysis a type of literature? Can telling 'stories' help us to get at the truth? Psychoanalysis as Therapy and Storytelling examines psychoanalysis from two perspectives - as a cure for psychic suffering, and as a series of stories told between patient and analyst. Antonino Ferro uses numerous clinical examples to investigate how narration and interpretation are interconnected in the analytic session. He draws on and develops Bion's theories to present a novel perspective on subjects, such as: psychoanalysis as a particular form of literature; sexuality as a narrative genre or dialect in the analyst's consulting room; delusion and hallucination; acting out, the countertransference and the transgenerational field; and play - characters, narrations and interpretations. Psychoanalytic clinicians and theoreticians alike will find the innovative approach to the analytic session described here of great interest.
This compelling book brings together many of the major papers published by Andrew Scull in the history of psychiatry over the past decade and a half. Examining some of the major substantive debates in the field from the eighteenth century to the present, the historiographic essays provide a critical perspective on such major figures as Michel Foucault, Roy Porter and Edward Shorter. Chapters on psychiatric therapeutics and on the shifting social responses to madness over a period of almost three centuries add to a comprehensive assessment of Anglo-American confrontations with madness in this period, and make the book invaluable for those concerned to understand the psychiatric enterprise. The Insanity of Place/The Place of Insanity will be of interest to students and professionals of the history of medicine and of psychiatry, as well as sociologists concerned with deviance and social control, the sociology of mental illness and the sociology of the professions.
From carrying out an initial patient assessment, through designing an appropriate treatment plan, to implementing and evaluating treatment, this manual is a step-by-step guide to practical psychiatric music therapy. Michael and Julia Cassity outline a range of the most successful music therapy techniques, according to a survey of leading professionals, for a variety of clinical issues and age ranges. The manual uses helpful case studies to illustrate how assessments are made and treatments are chosen, and the appendices provide useful clinical forms and questionnaires for therapists to use with patients. Multimodal Psychiatric Music Therapy for Adults, Adolescents, and Children is an invaluable learning resource for music therapy students and interns, and a handy reference for practitioners.
The Divided Self is a unique study of the human situation. Dr Laing's first purpose is to make madness and the process of going mad comprehensible. In this, with case studies of schizophrenic patients, he succeeds brilliantly, but he does more; through a vision of sanity and madness as 'degrees of conjunction and disjunction between two persons where the one is sane by common consent' he offers a rich existential analysis of personal alienation. The outsider, estranged from himself and society, cannot experience either himself or others as 'real'. He invents a false self and with it he confronts both the outside world and his own despair. The disintegration of his real self keeps pace with the growing unreality of his false self until, in the extremes of schizophrenic breakdown, te whole personality disintegrates.
This work analyses the concept of object constancy in the light of developmental research and clinical practice. The clinical implications of disturbances in object constancy are discussed with reference to therapeutic work with both children and adults.
`The kind of book where any time you open it, you're likely to find something of current interest that relates to your practice and to issues you've been thinking about... If we regard the questions and answers as serving to stimulate thought and discussion.... then the collection serves a useful purpose indeed' - Self & Society Does counselling have to be long-term to be helpful? Should only women counsel women? How can you evaluate counselling? Is it easy to start your own private practice? In this highly readable book, some of Britain's leading experts offer clear answers to these and many other frequently asked questions. The resulting discussion ranges over all aspects of counselling, from practical and theoretical to personal and ethical matters. Some questions have straightforward solutions, others prove much more controversial. In both instances, the views represented here should go a long way towards encouraging deeper consideration of the principles and practice of counselling. |
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