An overview of the biochemical mechanisms that produce acute nerve cell death in the brain. Covers injuries and disorders including stroke, brain and spinal cord trauma, hypoglycemic coma, and prolonged epileptic seizures. All of these lead to high concentrations of calcium in nerve cells which, in turn, causes degradation of cytoplasmic proteins, cleavage of nuclear DNA, and eventually cell death. The Second Edition contains 11 thoroughly updated chapters and 3 additional chapters that did not appear in the previous edition.

The information environments that modern society requires us to master and engage in are based in literacy and digital communication. Mediated information not only passes through our brains, it alters and rewires them. Since our environment, to a large extent, is shaped by the way we perceive, understand, and communicate information, we can even think of mental disorders as symptoms of maladaptation to our media environments. This book uses this "media ecology" model to explore the effects of media on mental disorders. It traces the development of media from the most basic forms--the sights and sounds expressed by the human body--to the most technologically complex media created to date, showing how each medium of communication relates to specific mental disorders such as anxiety, depression, schizophrenia, and autism. As the digital age proceeds to envelop us in an environment of infinite and instantly accessible information, it's crucial to our own mental health to understand how the various forms of media influence and shape our minds and behaviors.

Raising a child with mental illness is complex by itself, but the way society views and treats mental health issues makes it even harder. In "Life in the House of Cards: Parenting a Child with Mental Illness," author Dr. Irene Abramovich talks openly about painful issues encountered by children with mental illness and their parents, including educational struggles, medical challenges, parenting issues, and the effect on other siblings and partners.

"Life in the House of Cards" shares testimonies of parents of mentally ill children and offers insights about all aspects of mental illness in children. With this book, Dr. Abramovich: defines the work of child psychiatry discusses the loss of the "perfect child" and accepting the mental illness diagnosis shares strategies for getting help for the child shows how to navigate the opposing and often confusing medical diagnosis talks about the public perception of children with mental illness discusses the choice of whether or not to treat that mental illness

Geared toward parents, Life in the House of Cards communicates that importance of recognizing that mental illness is as much of a medical condition as any other disease. It shows that parents are not alone in their struggles, and that support and help is available.

This is what I really want. I want to discover ways to discriminate the important things in human life. I want to find ways of getting past this blind fumbling with existence.' - Marion Milner, from A Life of One’s Own.

How often do we really ask ourselves, 'What will make me happy? What do I really want from life?' In A Life of One’s Own Marion Milner, a renowned British psychoanalyst, artist and autobiographer, takes us on an extraordinary and compelling seven-year inward journey to discover what it is that makes her happy.

On its first publication, W. H. Auden found the book 'as exciting as a detective story' and, as Milner searches out clues, the reader quickly becomes involved in the chase. Using her own personal diaries, she analyses moments of everyday life that can bring surprising joy, such as walking, listening to music, and drawing. She also records, in a disarmingly clear and insightful manner, the struggle between the urge to order and control one’s thoughts and standing back to let them wander where they may.

A pioneering account of lived experience that also anticipates the contemporary phenomenon of mindfulness, A Life of One’s Own is a great adventure in thinking and living whose insights remain as fresh today as they were on the book’s first publication in the 1930s.

This Routledge Classics edition includes a revised Introduction by Rachel Bowlby.

Table of Contents

Introduction to the Routledge Classics Edition Rachel Bowlby

Acknowledgements

Prefatory Note

Preface

1. First Questions

2. Keeping a Diary

3. Exploring the Hinterland

4. The Coming and Going of Delight

5. Searching for a Purpose

6. Searching for a Rule

7. Two Ways of Looking

8. Discovering that Thought can be Blind

9. Watching the Antics of Blind Thinking

10. The Escape from Blind Thinking

11. Fear of a Dragon

12. More Outcasts of Thought

13. Relaxing

14. Cart-horse or Pegasus?

15. Discovery of the ‘Other’

16. Retrospect.

Epilogue

Afterword

Index

This book synthesizes the most current evidence-based research and practices on prevention, assessment, intervention, and treatment of pediatric intellectual developmental disabilities. It provides a broad empirical framework for innovative practices and discusses their possible impact on children's future development, ability to learn, social skills, and quality of life. The book highlights important findings in cognitive and behavioral development for children with such disorders as 22q13 Deletion syndrome (i.e., Phelan McDermid syndrome), Prader-Willi syndrome, Williams syndrome, and sex chromosome disorders (e.g., Klinefelter syndrome) - children often considered untestable, unteachable, and unknowable. In addition, the book includes case studies that emphasize a team approach with physicians, families, school psychologists, and teachers for providing quality research-based psychological, educational, and mental health services. Topics featured in this book include: Up-to-date findings on the causes and symptoms of intellectual disability disorders. Common medical treatments for children with intellectual disabilities. Therapeutic interventions for children with intellectual disabilities. Psychoeducational assessment practices for children requiring special education assistance. Future directions to support people with intellectual disabilities. Pediatric Intellectual Disabilities at School is a must-have resource for researchers, graduate students, and other professionals in child and school psychology, psychiatry, social work, special and general education, public health, and counseling.

This crucial volume provides a concise overview of the conceptual foundations and clinical methods underlying the rapidly emerging subspecialty of integrative mental healthcare. It discusses methods for guiding practitioners to individualized integrative strategies that address unique symptoms and circumstances for each patient and includes practical clinical techniques for developing interventions addressed at wellness, prevention, and treatment. Included among the overview: Meeting the challenges of mental illness through integrative mental health care. Evolving paradigms and their impact on mental health care Models of consciousness: How they shape understandings of normal mental functioning and mental illness Foundations of methodology in integrative mental health care Treatment planning in integrative mental health care The future of mental health care A New Paradigm for Integrative Mental Healthcare is relevant and timely for the increasing numbers of patients seeking integrative and alternative care for depressed mood, anxiety, ADHD, bipolar disorder, schizophrenia, and other mental health problems such as fatigue and chronic pain. "Patients are crying out for a more integrative approach, and this exemplary book provides the template for achieving such a vision." -Jerome Sarris, MHSc, PhD, ND "For most conventionally trained clinicians the challenge is not "does CAM work?" but "how do I integrate CAM into my clinical practice?" Lake's comprehensive approach answers this central question, enabling the clinician to plan truly integrative and effective care for the mind and body." -Leslie Korn, PhD, MPH

Marcia Cavell draws on philosophy, psychoanalysis, and the sciences of the mind in a fascinating and original investigation of human subjectivity. A 'subject' is a creature, we may say, who recognizes herself as an 'I', taking in the world from her own subjective perspective; who is an agent, doing things for reasons, sometimes self-reflective, and able to assume responsibility for herself and some of her actions. The idea of a 'subject' points, then, toward an ideal. It asks for the conditions under which a human infant becomes a subject, and for the sorts of things, like self-deception and massive anxiety, that get in the way. What sorts of questions are these? Certainly philosophical. They burrow into central issues in moral philosophy: freedom of the will, the 'self', self-knowledge, the relations between reason and passion, between autonomy and self-knowledge, issues that form roughly the second half of the book. They lead also into metaphysics and epistemology: Is subjectivity incompatible with objectivity? Are subjects not also objects in the real world? As such, how are they to be treated? Would it be possible, in theory, for a creature to become a subject in the absence of relationships with other subjects? But the questions are also practical. In particular they are at the heart of psychoanalysis both as a theory of the mind, and as a therapy which aims at maximizing the ideals of autonomy and self-knowledge implicit in the very idea of a 'subject'. One of the guiding premises of Becoming a Subject is that philosophical investigation into the specifically human way of being in the world cannot separate itself from investigations of a more empirical sort. Cavell brings together for the first time reflections in philosophy, findings in neuroscience, studies in infant development, psychoanalytic theory, and clinical vignettes from her own psychoanalytic practice.

This book explores the growing understanding and evidence base for the role of trauma in sexual offending. It represents a paradigm shift, in which trauma is becoming an important risk factor to be considered in the treatment of individuals convicted of sexual crime. The authors consider the theoretical and historical explanations and understandings of sexual offending and its relationship with early trauma, paving the way for a volume which considers client's treatment needs through a new, trauma-informed lens. The experiences and challenges of specific groups are also explored, including young people and women. Readable, yet firmly anchored in a sound evidence base, this book is relevant to psychologists, therapists, criminologists, psychiatrists, mental health nurses, social workers, students, and to practitioners and the general public with an interest in learning more about the topic.

Profiles of Drug Substances, Excipients, and Related Methodology, Volume 45, presents comprehensive reviews of drug substances and additional materials, with critical review chapters that summarize information related to the characterization of drug substances and excipients. The series encompasses review articles, with this release focusing on Azilsartan Medoxomil, Piroxicam, Carbetapentane Citrate, Emtricitabine, Etrlotinib, Isotretinoin and Meloxicam.

A growing body of evidence shows that physical activity can be a cost-effective and safe intervention for the prevention and treatment of a wide range of mental health problems. As researchers and clinicians around the world look for evidence-supported alternatives and complements to established forms of therapy (medication and psychotherapy), interest in physical activity mounts. The Routledge Handbook of Physical Activity and Mental Health offers the most comprehensive review of the research evidence on the effects of physical activity on multiple facets of mental health. Written by a team of world-leading international experts, the book covers ten thematic areas: physical activity and the 'feel good' effect anxiety disorders depression and mood disorders self-perceptions and self-evaluations cognitive function across the lifespan psychosocial stress pain energy and fatigue addictions quality of life in special populations. This volume presents a balanced assessment of the research evidence, highlights important directions for future work, and draws clear links between theory, research, and clinical practice. As the most complete and authoritative resource on the topic of physical activity and mental health, this is essential reading for researchers, students and practitioners in a wide range of fields, including clinical and health psychology, psychiatry, neuroscience, behavioural and preventive medicine, gerontology, nursing, public health and primary care.

The diagnosis and treatment of the elderly psychotic is problematical due to the fact that many of them have either Alzheimer's disease or vascular disease-related dementia. Expert contributors present the newest research based on clinical studies of the handling and treatment of elderly patients whose psychosis may be directly related to an incurable organic disease. They offer a multi-faceted approach to the treatment of these patients ranging from the medical, neurological, psychopharmacological, and therapeutic to social and family considerations. Assessment and Treatment of the Elderly Neuropsychiatric Patient also includes chapters dealing with attitudes toward death and dying as well as psychoanalysis.

Following on the previous volume, Mental Health in Asia and the Pacific, which was co-edited with Milton Lewis, this book explores historical and contemporary developments in mental health in China and Chinese immigrant populations. It presents the development of mental health policies and services from the 19th Century until the present time, offering a clear view of the antecedents of today's policies and practice. Chapters focus on traditional Chinese conceptions of mental illness, the development of the Chinese mental health system through the massive political, social, cultural and economic transformations in China from the late 19th Century to the present, and the mental health of Chinese immigrants in several countries with large Chinese populations. China's international political and economic influence and its capabilities in mental health science and innovation have grown rapidly in recent decades. So has China's engagement in international institutions, and in global economic and health development activities. Chinese immigrant communities are to be found in almost all countries all around the world. Readers of this book will gain an understanding of how historical, cultural, economic, social, and political contexts have influenced the development of mental health law, policies and services in China and how these contexts in migrant receiving countries shape the mental health of Chinese immigrants.

The practice of psychiatry has undergone great changes in recent years. In this book, Joel Paris, MD, a veteran psychiatrist, provides a fluently written and accessible "state-of-the-field" assessment. Himself a clinician, researcher, and teacher, Paris focuses on the most striking change within the field - the diverging roles of psychopharmacology and psychotherapy in contemporary practice. Where once psychiatrists were trained in Freudian psychoanalysis - which involved, more than anything else, talking - current pressures in mental health practice, including those imposed by managed care, are leading psychiatrists to treat more and more of their patients exclusively with medication, which is cheaper and faster. At the same time, psychotherapy is increasingly not being taught to new psychiatrists-in-training, even though, as Paris reveals, there is scientific evidence that both talk therapies and medication can play an important role in the treatment of mental illness. These developments are occuring against a backdrop of exploding research in the genetics and neurobiology of mental illness that will continue to drive the field. Paris ends by contemplating how going forward psychiatry can best respond to all these forces and proposes a team-based approach to mental health care. The book will appeal both to specialists and nonspecialists, particularly psychiatric residents and fellows, medical students considering specialization in psychiatry, clinical psychologists, social workers, and general readers, especially consumers of mental health services.

The Comatose Patient is a single authored entirely new work written by a practicing critical care neurologist. It includes a critical historical overview of the concepts of consciousness and unconsciousness, principles of neurologic examination of the comatose patients including instruction of a new coma scale, the 'FOUR Score', a new practical multistep approach to the diagnosis of the comatose patient, extensive coverage of interpretation of neuroimaging and its role in daily practice and decision making, management in the emergency room and ICU and long-term supportive care and approach to communication with family members and end-of-life decision. It also discusses landmark legal cases and ethical problems and a chapter on the public perception of coma. The book is lavishly illustrated with 200 illustrations throughout the book.
Unprecedented, this book includes 75 comprehensive case vignettes covering the entire spectrum of causes leading to coma. In each case a specific cause is presented. Every example is fully discussed and explained with an emphasis on the mechanism of coma in that particular case and followed by a section on management and expected outcome.
This monograph additionally includes a 45-minute DVD with 5 narrated chapters and an easy to use navigation menu. Included are 40 patient examples showing the instructions of the FOUR score Coma Scale, common neurological findings in coma, breathing patterns in coma, different types of prolonged comatose states including a persistent vegetative state and a minimally conscious state. Using 3D animation, the DVD includes a comprehensive description of the determination of Brain Death and how to safely do the apneatest. There is an emphasis on pitfalls and common concerns. The DVD can also be used for neurology and neurosurgery residency programs, medical and nursing school curricula and physical therapy programs.

Both pain and addiction are tremendous public health problems. Practitioners of every stripe say that they learned precious little about pain or addiction in their training and readily admit that instruction on the interface of pain and addiction is nonexistent. The recent problem of prescription drug abuse has only served to highlight the fact that these two worlds need unificationthose who treat pain must be informed about the risks of controlled substances and those who treat addiction need to better and more fully understand their benefits. Nowhere is the pooled knowledge of pain management and addiction medicine brought together to allow for a greater appreciation of the risks of addiction when treating people with pain and the pain problems of those with chemical dependency. This major new volume brings this vast knowledge base together, presenting an array of perspectives by the foremost thought leaders at the interface of pain and chemical dependency, and is the most comprehensive resource on the subject to date.
There have been an increasing number of seminars devoted to this topic and a new society, The International Society on Pain and Chemical Dependency, has recently been formed, and this volume is destined to become the classic text on this multidisciplinary subject. It will appeal to anesthesiologists, neurologists, rehab physicians, palliative care staff, pain center physicians, and psychologists.

Real-world and clinical trial data support that clozapine is the only effective antipsychotic for treatment resistant schizophrenia and other severe mental illnesses. Clozapine also reduces rates of suicidality, psychiatric hospitalization and all-cause mortality. However, clozapine is underutilized for two reasons: misunderstandings of its efficacy benefits and misapprehension of, limited knowledge or misinformation about the management of treatment related risks and adverse effects. In response to worldwide efforts to promote clozapine use, this user-friendly Handbook provides clinicians with evidence-based approaches for patient management, as well as logical approaches to the management of clinical situations and adverse effects. It outlines clearly the rationale for specific management decisions and prioritises the options based on this logic. This Handbook is designed for use by clinicians worldwide and is essential reading for all mental health care professionals.

Trauma is defined as a sudden, potentially deadly experience, often leaving lasting, troubling memories. Traumatology (the study of trauma, its effects, and methods to modify effects) is exploding in terms of published works and expanding in terms of scope. Originally a narrow specialty within emergency medicine, the field now extends to trauma psychology, military psychiatry and behavioral health, post-traumatic stress and stress disorders, trauma social work, disaster mental health, and, most recently, the subfield of history and trauma, with sociohistorical examination of long-term effects and meanings of major traumas experienced by whole communities and nations, both natural (Pompeii, Hurricane Katrina) and man-made (the Holocaust, 9/11). One reason for this expansion involves important scientific breakthroughs in detecting the neurobiology of trauma that is connecting biology with human behavior, which in turn, is applicable to all fields involving human thought and response, including but not limited to psychiatry, medicine and the health sciences, the social and behavioral sciences, the humanities, and law. Researchers within these fields and more can contribute to a universal understanding of immediate and long-term consequences-both good and bad-of trauma, both for individuals and for broader communities and institutions. Trauma encyclopedias published to date all center around psychological trauma and its emotional effects on the individual as a disabling or mental disorder requiring mental health services. This element is vital and has benefited from scientific and professional breakthroughs in theory, research, and applications. Our encyclopedia certainly will cover this central element, but our expanded conceptualization will include the other disciplines and will move beyond the individual.

This book presents new perspectives on the multiplicity of voices in the histories of mental ill-health. In the thirty years since Roy Porter called on historians to lower their gaze so that they might better understand patient-doctor roles in the past, historians have sought to place the voices of previously silent, marginalised and disenfranchised individuals at the heart of their analyses. Today, the development of service-user groups and patient consultations have become an important feature of the debates and planning related to current approaches to prevention, care and treatment. This edited collection of interdisciplinary chapters offers new and innovative perspectives on mental health and illness in the past and covers a breadth of opinions, views, and interpretations from patients, practitioners, policy makers, family members and wider communities. Its chronology runs from the early modern period to the twenty-first century and includes international and transnational analyses from Europe, North America, Asia and Africa, drawing on a range of sources and methodologies including oral histories, material culture, and the built environment. Chapter 4 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

The study of patients affected by disorders of the central nervous system is one of the crucial research methods for investigating the organization of cognitive functions in the brain. However, many clinicians remain unaware of the significant advances that have taken place in the field of cognitive neuroscience in the last decades. This book provides an introduction to the cognitive and behavioural aspects of the clinical practice of neurology. Most of the contributors to this book combine an active clinical practice with a leading role in their respective research area, and have provided concise summaries of the theoretical advances which they consider as potentially relevant for the clinical evaluation and treatment of patients. This general approach has led to a format which is different from the many textbooks of neuropsychology that have appeared in the last few years. The organization of the material follows the main issues of diagnostic evaluation, clinical presentation and management. As a consequence, the book deals not only with the classical neuropsychological syndromes associated with stroke and degenerative dementias, but also with other common clinical conditions, such as multiple sclerosis, head injury, epilepsy and psychiatric disorders, which are often neglected in neuropsychology textbooks. Cognitive Neurology will be essential for neurologists in training, who want to understand how the observations they make everyday in the clinic relate to the expanding knowledge about the organization of cognition and emotion in the human brain. It will also be of interest to psychologists and cognitive neuroscientists, speech and language clinicians and rehabilitation specialists and psychiatrists.

Marcia Cavell draws on philosophy, psychoanalysis, and the sciences of the mind in a fascinating and original investigation of human subjectivity. A "subject" is a creature, we may say, who recognizes herself as an "I," taking in the world from her own subjective perspective; who is an agent, doing things for reasons, sometimes self-reflective, and able to assume responsibility for herself and some of her actions. The idea of a 'subject' points, then, toward an ideal. It asks for the conditions under which a human infant becomes a subject, and for the sorts of things, like self-deception and massive anxiety, that get in the way.
What sorts of questions are these? Certainly philosophical. They burrow into central issues in moral philosophy: freedom of the will, the "self," self-knowledge, the relations between reason and passion, between autonomy and self-knowledge, issues that form roughly the second half of the book. They lead also into metaphysics and epistemology: Is subjectivity incompatible with objectivity? Are subjects not also objects in the real world? As such, how are they to be treated? Would it be possible, in theory, for a creature to become a subject in the absence of relationships with other subjects? But the questions are also practical. In particular they are at the heart of psychoanalysis both as a theory of the mind, and as a therapy which aims at maximizing the ideals of autonomy and self-knowledge implicit in the very idea of a "subject."
One of the guiding premises of Becoming a Subject is that philosophical investigation into the specifically human way of being in the world cannot separate itself from investigations of a more empirical sort. Cavellbrings together for the first time reflections in philosophy, findings in neuroscience, studies in infant development, psychoanalytic theory, and clinical vignettes from her own psychoanalytic practice.

This book explores the relationship between socialist psychiatry and political ideology during the Cold War, tracing Yugoslav 'psy' sciences as they experienced multiple internationalisations and globalisations in the post-WWII period. These unique transnational connections - with West, East and South - remain at the centre of this book. The author argues that the 'psy' disciplines provide a window onto the complications of Cold War internationalism, offering an opportunity to re-think postwar Europe's internal dynamics. She tells an alternative, pan-European narrative of the post-1945 period, demonstrating that, in the Cold War, there existed sites of collaboration and vigorous exchange between the two ideologically opposed camps, and places like Yugoslavia provided a meeting point, where ideas, frameworks and professional and cultural networks from both sides of the Iron Curtain could overlap and transform each other. Moreover, the book offers the first analysis of East European psychiatrists' contacts with and contributions to the decolonizing world, exploring their participation in broader political discussions about decolonization, anti-imperialism and non-alignment. The Yugoslav brand of East-West psychoanalysis and psychotherapy bred a truly unique intellectual framework, which enabled psychiatrists to think through a set of political and ideological dilemmas regarding the relationship between individuals and social structures. This book offers a thorough reinterpretation of the notion of 'communist psychiatry' as a tool used solely for political oppression, and instead emphasises the political interventions of East European psychiatry and psychoanalysis.

Research on cognitive disorders is challenging due to the complexity of functions and numerous variables involved. The main purpose of this book is to effectively address the methodological issues and controversies in cognitive disorders research. First, it reviews the concept of human cognition as a complex activity involving interconnected mental and cerebral processes (its systemic structure), which represent the natural and social-cultural world by means of signs (its mediated, semiotic nature) and result from the internalization (or appropriation by the individual) of external actions and relations with things and persons (its cultural-historical origin). Subsequently, methodological issues are examined, including the use of the systemic and network approach in neuropsychological research, the concepts of single and double dissociation, single-case versus group studies, problems of brain-behavioral correlations using the lesion method and functional neuroimaging, the influence of task-relevant variables (confounders) related to the patient (e.g., age, education), to the lesion (size, etiology), and to the tests and testing conditions (ecological validity, examiners experience). Finally, readers are given the fundamentals of statistics applied to biomedical and psychological research, with illustrative examples of how to calculate Z score, effect size, 2 test, t test, Pearsons correlation coefficient, and simple linear regression. Methodological problems in current cognitive research on early multiple sclerosis, medial temporal lobe epilepsy, mild cognitive impairment and dementia are examined in detail.

Although monotherapy is generally recommended as the treatment of choice, treatment resistance of patients with psychosis, cognitive, mood and anxiety disorders represents a significant clinical problem. In this context, augmentation and combination strategies are commonly employed to address this problem. Although multiple medication use common in psychiatric practice, reasons, efficacy and safety for polypharmacy, and augmentative strategies have remained unclear. It remains unclear if there is an evidence base to support polypharmacy. Furthermore, excessive and inappropriate use of psychotropic medications has been recognized as a public health problem. This volume set is the first comprehensive, clinically oriented, reference on the multiple medication use to treat psychotic, cognitive, mood and anxiety disorders.

Based on a newly developed, practical and relatable ‘Pressure Cooker Model’ which bridges the gap between theoretical models of FND with non-FND specific CBT models. Psychology-led and firmly rooted in psychological principles: written and created by a psychologist who is passionate about psychology treatment for FND. Places a larger emphasis on the active formulation and treatment of social and environmental processes in FND to actively increase awareness of FND and help improve recovery and reduce stigma. Model has wide-spread applicability for different populations with FND, different professionals involved in FND and different therapy formats. Accompanied by an appendix of resources and templates for clinicians