Lone-actor terrorism has unfortunately been on the rise in recent decades, causing major adverse societal effects in the United States and abroad. While lone-actor terrorists can be driven by a range of identifiable factors such as extremist views or availability of weapons, the process of becoming and identifying these individuals is deeply complicated. Lone-Actor Terrorism: An Integrated Framework outlines the societal causes and impacts of lone-actor terrorism from a multi-disciplinary, international perspective. Drawing together seasoned insights across clinical and forensic mental health, sociology, criminology, law, military and intelligence, and security, this volume explores patterns common to lone-actor terrorists across four major sections: historical and case examples, clinical aspects, non-clinical professional and allied perspectives, and assessment and potential approaches to reducing the risk of lone-actor terrorism. Contributors describe both individual clinical factors affecting lone-actors, including developmental aspects, mental health variables, psychoactive drugs, psychometrics and linguists, along with broader social factors such as propaganda and rhetoric, social media, and geographical considerations. This volume concludes with a review of the available threat and risk assessment tools applicable to lone-actor terrorism cases and provides guidance for professionals seeking to reduce risk. While there is no uniform approach to the concept of lone-actor terrorism, this edited volume provides a diverse yet authoritative overview for those interested in better understanding the threats of lone-actor terrorism and its professional response.

Following injury or disease, neural circuitry can be altered to varying degrees leading to highly individualized characteristics that may or may not resemble original function. In addition, lost or partially damaged circuits and the effects of biological recovery processes coupled with learned compensatory strategies create a new neuroanatomy with capabilities that are often not functional or may interfere with daily life. To date, the majority of approaches used to treat neurological dysfunction have focused on the replacement of lost or damaged function, usually through the suppression of surviving neural activity and the application of mechanical assistive devices. Restorative Neurology of Spinal Cord Injury offers a different and novel approach.
Focusing on the spinal cord and its role in motor control, the book details the clinical and neurophysiological assessment process and methods developed throughout the past half century by basic and clinical scientists. Then, through the use of specialized clinical and neurophysiological testing methods, conduction and processing performed within the surviving neural circuitry is examined and characterized in detail. Based on the results of such assessment, treatment strategies, also described in this book, are applied to augment, rather than replace, the performance of surviving neural circuitry and improve the functional capacity of people who have experienced injury to their spinal cords.

A Dictionary of Hallucinations is designed to serve as a reference manual for neuroscientists, psychiatrists, psychiatric residents, psychologists, neurologists, historians of psychiatry, general practitioners, and academics dealing professionally with concepts of hallucinations and other sensory deceptions.

The term "depression" covers a wide spectrum of conditions ranging from mild despondency to melancholia, the very deepest form of depression. Natural despondency is not a disease but simply a part of life. Depression, however, is a common psychiatric illness that must be identified and treated in the same manner as other illnesses. Depression: The Facts, Second Edition provides a simple, yet comprehensive overview of depression for sufferers, their friends, and families. It contains case-study descriptions and can serve as a quick-reference for those with a medical background. It succinctly details the signs and symptoms of clinical depression, as well as the process of diagnosis and the different subtypes, including major depression, dysthymia, manic depression disorders, and seasonal affective disorder. The second part of the book covers the current understanding of the causes of depression, based on the scientific evidence. The book concludes with a review of treatment options and practical guidance on self-help in depression, as well as useful advice for family and friends. The main aim of this book is to reach those who need help and want to understand themselves and their condition more, in an easy-to-read format without an excess of medical terminology and statistics that may overwhelm the non-medically trained individual. All concepts have been broken down into bullet-points and sub-headings, to allow easy digestion of the concepts and information. This empowers the reader, and may ultimately prompt someone to seek help and support.

Big Data in Psychiatry and Neurology provides an up-to-date overview of achievements in the field of big data in Psychiatry and Medicine, including applications of big data methods to aging disorders (e.g., Alzheimer's disease and Parkinson's disease), mood disorders (e.g., major depressive disorder), and drug addiction. This book will help researchers, students and clinicians implement new methods for collecting big datasets from various patient populations. Further, it will demonstrate how to use several algorithms and machine learning methods to analyze big datasets, thus providing individualized treatment for psychiatric and neurological patients. As big data analytics is gaining traction in psychiatric research, it is an essential component in providing 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.

This book provides a definitive account of koro, a topic of long-standing interest in the field of cultural psychiatry in which the patient displays a fear of the genitals shrinking and retracting. Written by Professor A.N. Chowdhury, a leading expert in the field, it provides a comprehensive overview of the cultural, historical and clinical significance of the condition that includes both cutting-edge critique and an analysis of research and accounts from the previous 120 years published literature. The book begins by outlining the definition, etymology of the term, and clinical features of koro as a culture-bound syndrome, and contextualizes the concept with reference to its historical origins and local experience in Southeast Asia, and its subsequent widespread occurrence in South Asia. It also critically examines the concept of culture-bound disorder and the development of the terminology, such as cultural concepts of distress, which is the term that is currently used in the DSM-5. Subsequent chapters elaborate the cultural context of koro in Chinese and South Asian cultures, including cultural symbolic analysis of associations with animals (fox and turtle) and phallic imagery based on troubling self-perceived aspects of body image that is central to the concept. The second section of the book offers a comprehensive, global literature review, before addressing the current status and relevance of koro, clinically relevant questions of risk assessment and forensic issues, and research methodology. This landmark work will provide a unique resource for clinicians and researchers working in cultural psychiatry, cultural psychology, anthropology, medical sociology, social work and psychosexual medicine.

Developed by experts in trauma psychiatry and psychology and grounded in adolescent developmental theory, this is a modular, assessment-driven treatment that addresses the needs of adolescents facing trauma, bereavement, and accompanying developmental disruption. Created by the developers of the University of California, Los Angeles PTSD Reaction Index (c) and the Persistent Complex Bereavement Disorder Checklist, the book links clinicians with cutting-edge research in traumatic stress and bereavement, as well as ongoing training opportunities. This innovative guide offers teen-friendly coping skills, handouts, and specialized therapeutic exercises to reduce distress and promote adaptive developmental progression. Sessions can be flexibly tailored for group or individual treatment modalities; school-based, community mental health, or private practice settings; and different timeframes and specific client needs. Drawing on multidimensional grief theory, it offers a valuable toolkit for psychologists, psychiatrists, counsellors, and others who work with bereaved and traumatized adolescents. Engaging multicultural illustrations and extensive field-testing give this user-friendly manual international appeal.

From ancient literature to modern fiction and research reports in professional literature, the bond between humans and animals has been extensively documented. Although 70% of American households would vouch for the benefits of companion animals, the decision about whether to implement animal-based interventions for mental disorders is not always a simple one. Unique both for its subject matter and for the depth of the information it provides, The Role of Companion Animals in the Treatment of Mental Disorders examines the existing evidence to support these practices as well as the risks associated with various types of programs. This volume combines a thorough analysis of the latest research with practical examples and explores topics that include • Ensuring animal welfare and well-being, with an emphasis on understanding applicable laws and regulations • Animal-assisted crisis interventions to prevent the onset of PTSD in individuals who have experienced significant traumas, such as natural disasters • Animal-assisted programs for youths at risk for mental disorders secondary to child maltreatment or contact with the juvenile justice system • Human-animal interaction (HAI) in specific disorders, including ADHD, autism spectrum disorder, depression, dementia, and anxiety • The application of HAIs in university campuses, hospital settings, and psychotherapy As applicable for trainees and residents as it is for experienced mental health professionals, this book offers a scientifically grounded review of extant knowledge while highlighting what is not yet known about animal-based interventions in particular patient groups. Readers will come away with an understanding of the role that animals can play in mitigating psychiatric symptoms, engaging patients in treatment, and enhancing well-being—as well as key principles and considerations for determining whether an animal-based intervention is appropriate for a given patient.

The use of race in studies of insanity in the 1840s and 1850s gave rise to politically charged theories on the differential biology and pathologies of brains in whites and Blacks. In Mad with Freedom, Elodie Edwards-Grossi explores the largely unknown social history of these racialized theories on insanity in the segregated South. She unites an institutional history of psychiatric spaces in the South that housed Black patients with an intellectual history of early psychiatric theories that defined the Black body as a locus for specific pathologies. Edwards-Grossi also reveals the subtle, localized techniques of resistance later employed by Black patients to confront medical power. Her work shows the continuous politicization of science and theories on insanity in the context of Reconstruction and the Jim Crow South.

The massive depopulation of state mental hospitals in the 1950s (known as "deinstitutionalization") posed special challenges to mental health consumers in need of intensive psychiatric treatment. No longer confined to long-term inpatient psychiatric wards, consumers were thrust into nursing homes, assisted living centers, and onto the streets. Psychiatric treatment was relocated to the community, and the concept of recovery took on a new meaning. Classics in Community Psychiatry is the first volume to examine the course of the community psychiatry movement over the past fifty years. Starting with deinstitutionalization, the editors chart the progress and setbacks of the movement by presenting carefully selected primary source material from the realms of academia, politics, and even literature. For example, a classic journal article explores the relationship between social class and mental health, while excerpts from government documents describe mental health legislation. A novel demonstrates social attitudes toward the mentally ill, while a report from a federally funded task force discusses homelessness and severe mental illness. Each selection pinpoints a specific issue and moment of time during the history of mental health services over the past five decades, and is accompanied by insightful commentary from the volume's editors. The result is a unique, innovatively conceived book that incorporates many different viewpoints to illustrate the evolution of community psychiatry, as well as the need to devote more resources and planning to mental health services looking ahead. Classic in Community Psychiatry will be a valuable resource for mental health professionals, including psychiatrists, psychologists, social workers, administrators, and policymakers, and for graduate and undergraduate students in community psychology and psychiatry.

Employing accessible language throughout, this book covers the history of psychiatric research, the current state-of-the art in psychiatric practice, the physiological systems affected by psychiatric illnesses, the whole-body nature of these diseases and the impact that this aspect has on emerging biomarker discoveries. Further, it provides descriptions of the major specific psychiatric disorders and the special challenges regarding the diagnosis and treatment of each. The book concludes with insights into the latest developments in hand-held biomarker test devices, which can provide diagnostic information in less than 15 minutes in point-of-care settings. This book investigates the emerging use of biomarkers in the study of psychiatric diseases, a topic of considerable importance for a broad range of people including researchers, clinicians, psychiatrists, university students and even those whose lives are affected in some way by a psychiatric illness. The last category is hardly trivial, since a staggering one in three people worldwide show the criteria for at least one psychiatric disorder at some point in their lifetime.

Delusions, in their many different manifestations, are central to the concepts of madness and psychosis. Yet what causes them remains in many ways a complete mystery. McKenna's Delusions is the first comprehensive attempt to tackle one of the most arresting phenomena in psychiatry: an in-depth and critical review of what delusions are, the forms they can take and how they might be explained from both psychological and biological perspectives. Delusions covers key topics such as the clinical features of delusions, the disorders they are seen in, other oddities that resemble them in both health and disease, and the different approaches that have been taken to try to understand them. It is an essential book for psychiatrists and psychologists who work with delusional patients, as well as being of interest to neuroscientists engaged in research into major psychiatric disorders.

This information-rich volume expands current knowledge about sexually violent predators and critiques SVP laws with the goal of fostering improvements in clinical practice and public policy. It offers a finely detailed evidence base on this problematic class of offenders, including the complex interactions of biophysiological and environmental factors that contribute to criminal sexual behavior. Chapters discuss a wide range of assessment issues and instruments central to SVP evaluation, and the possibilities for developing interventions that address individual motivations and behaviors to reduce the risk of reoffending. And throughout, careful attention is paid to ongoing legal, ethical, and logical concerns regarding sexually violent offenders, their treatment and confinement, and their post-confinement placement. Among the topics covered: * Civil commitment of sex offenders. * The physiological basis of problematic sexual interests and behaviors. * Sexually violent predator evaluations: problems and proposals. * Cultural considerations in the assessment of sexually violent predators. * Management of sex offenders in community settings. * Effective use of an expert in sexually violent predator commitment hearings. Offering numerous issues for discussion and debate with considerable implications for clinical practice, policy, and the judicial system, Sexually Violent Predators will interest and enlighten forensic psychologists and psychiatrists as well as social workers, policy-makers, and legal professionals.

This book examines the typical pattern of communication development in children and adolescents to enable primary care physicians as well as other clinicians, therapists, and practitioners to assist parents in making informed decisions based on current research. It offers an overview of communication disorders in children and adolescents that typically present before adulthood. The book describes current assessment, diagnostic procedures, and evidence-based interventions. Chapters outline the standard course of speech milestones and ages to begin screening for deficits and their risk factors. Subsequent chapters review best practices for every aspect of treatment, including care planning, discussing disorders and interventions with parents, making referrals, and collaborating with other providers. The book also discusses evidence-based interventions for specific disorder types such as language impairment, stuttering, language disabilities, and hearing impairment. In addition, the book offers guidance on how to speak about care planning as well as quality of life issues related to communication disorders with other caregivers and parents. Featured topics include: Screening and identification procedures of communication disorders. Key elements to providing family-centered care. Common causes, assessment, and treatment of specific language impairment (SLI) in children. Hearing loss and its impact on the development of communication in children. Attention deficit/hyperactivity disorder (ADHD) and the role of attention in the development of language in children. Communication development in children with autism spectrum disorder (ASD). The Clinical Guide to Assessment and Treatment of Communication Disorders is a must-have resource for clinicians and related professionals, researchers and professors, and graduate students in the fields of child, school, and developmental psychology, pediatrics and social work, child and adolescent psychiatry, primary care medicine, and related disciplines.

Mental health problems disrupt the lives of many young people and their families, putting them at risk for instability as adults. This is particularly true for children from vulnerable populations, such as those in the child welfare or juvenile justice systems. With the prospect of potentially dire outcomes, it is essential that professionals be well equipped to understand and treat mental health disorders early and effectively. Mental Health Treatment for Children and Adolescents offers a sweeping synthesis of the research on treatment of DSM-defined mental disorders in youth, appraising the state of the available evidence and examining how evidence-based treatments address the biological, psychological, and social variables that contribute to the development of disorders and the potential for recovery.
Each chapter focuses on a different diagnosis, covering ADHD, oppositional defiant disorder, conduct disorder, substance use disorders, depressive disorders, eating disorders, anxiety disorders, and post-traumatic stress disorder. Each one contains a critical review of the state of knowledge about a disorder, a summary of empirically supported psychosocial and pharmacological treatments, a case study, and a recommended research agenda. In addition, each is thoroughly grounded in a risk and resilience framework and focuses on the contextual factors that influence not only the development of a disorder but the implementation and adaptation of evidence-based practices in the real world.
Mental Health Treatment for Children and Adolescents is a valuable resource for students, researchers, and clinicians both for its presentation of cutting-edge data and its emphasis on implications for social workers in training, practice, and research.

The internet, social media platforms, and digital technology all seem to point to a world of greater interconnectivity and social connection. Yet even against this background of global social networks, loneliness remains a major issue for millions of individuals, and one with tangible consequences: studies have demonstrated that loneliness correlates with to an increased risk of mental illnesses, as well as a 45% increased risk of death. In Loneliness: Science and Practice, experts from the United States and Europe seek to construct a translational framework for recognizing and addressing loneliness in the clinical context. Based on the latest literature on the topic, the book tackles * The theoretical foundations of loneliness and other dimensions of social connection. Readers will benefit from validated rating scales to measure loneliness that account for the varied experiences of, and factors that contribute to, loneliness.* The incidence and presentation of loneliness throughout the life cycle* Loneliness among marginalized communities, including racial and ethnic minorities, LGBTQ+ individuals, immigrants, and individuals with mental illnesses* The neurobiological and systemic neuroendocrine and inflammatory mechanisms of loneliness* Interventions for loneliness, from research-based interventions for both younger and older age groups to community-based interventions Throughout this guide, clinical vignettes help ground the theoretical information in real-world applicability. Key points help readers reference each chapter's most salient points quickly, and lists of suggested readings open the door to further exploration. By examining the psychosocial and biological mechanisms of loneliness, as well as the unique social and cultural contexts in which it can occur, Loneliness: Science and Practice offers readers a holistic understanding of loneliness and a framework for addressing it in the distinct communities they serve.

Hippocrates Cried offers an eye-witness account of the decline of American psychiatry by an experienced psychiatrist and researcher. Arguing that patients with mental disorders are no longer receiving the care they need, Dr. Taylor suggest that modern psychiatrists in the U.S. rely too heavily on the DSM, a diagnostic tool that fails to properly diagnose many cases of mental disorder and often neglects important conditions or symptoms. American psychiatry has come to reflect simplistic algorithms forged by pharmaceutical companies, rather than true scientific methodology. Few professionals have a working knowledge of psychopathology outside of what is outlined in the DSM, and more mental health patients are being treated by primary care physicians than ever before. Dr. Tayler creates a passionate yet scholarly account of this issue. For psychiatrists and researchers, this book is a plea for help. Combining personal vignettes and informative data, it creates a powerful illustration of a medical field in turmoil. For the general reader, Hippocrates Cried will provide a fresh perspective on an issue that rarely receives the attention it requires. This book strips American psychiatry of its modern misconceptions and seeks to save a form of medicine no longer rooted in science.

‘Some people who deal with mental illness have the opportunity and ability to write about it, but many do not – and it was those people, those unread stories, I wanted to find’ JOANNA CANNON How do we give a voice to those who so often remain unheard? Will You Read This, Please is a frank and impactful collection of twelve stories as told to our best British writers, based on the lived experience of people who have faced mental illness in the UK. Edited by Joanna Cannon, the Sunday Times bestselling author of The Trouble with Goats and Sheep, Three Things About Elsie and A Tidy Ending, the stories told here are powerful, resonant and heart-breaking. This is a ground-breaking and unforgettable collection, shining a light on the stigma and isolation of living with mental illness, while also showing the strength and resilience of the human spirit. SARAH’S STORY JOANNA CANNON JEREMY’S STORY TRACY CHEVALIER JEN’S STORY CATHERINE CHO MARIE’S STORY BENJAMIN JOHNCOCK FRANKI’S STORY REBECCA PERT NICOLA’S STORY JENN ASHWORTH CAT’S STORY SHELLEY HARRIS PHOENIX’S STORY HAFSA ZAYYAN LEWIS’S STORY RHIK SAMADDER SANMEET’S STORY SELALI FIAMANYA ALAIN’S STORY KATHRYN MANNIX JOYIA’S STORY CLARE MACKINTOSH

Written for practitioners and policymakers, this book will help professionals across health, education, social care and juvenile justice services to understand the needs of young offenders and adolescents at risk of entering the criminal justice system. Developmental in approach, the textbook provides a comprehensive overview of forensic child and adolescent mental health, using cases to help clinicians link theoretical principles to practice and understand how mental health and neurodevelopmental impairment can relate to offending behaviour. With an emphasis on preventive initiatives, early intervention and the building of psycho-social resilience through the delivery of values based practice, this book highlights the need for comprehensive assessment for young people across multiple domains of their lives. This book is of interest to all clinicians working within mental health teams, practitioners working with children and adolescents, professionals involved with youth justice and medico-legal issues, and politicians responsible for establishing health and social policy.

This open access book explores the history of asylums and their civilian patients during the First World War, focusing on the effects of wartime austerity and deprivation on the provision of care. While a substantial body of literature on 'shell shock' exists, this study uncovers the mental wellbeing of civilians during the war. It provides the first comprehensive account of wartime asylums in London, challenging the commonly held view that changes in psychiatric care for civilians post-war were linked mainly to soldiers' experiences and treatment. Drawing extensively on archival and published sources, this book examines the impact of medical, scientific, political, cultural and social change on civilian asylums. It compares four asylums in London, each distinct in terms of their priorities and the diversity of their patients. Revealing the histories of the 100,000 civilian patients who were institutionalised during the First World War, this book offers new insights into decision-making and prioritisation of healthcare in times of austerity, and the myriad factors which inform this.

This comprehensive update of the now classic text applies the most current findings across disciplines to the treatment of pathogenic human stress arousal. New and revised chapters bring together the art and science of intervention, based in up-to-date neuroscience, starting with an innovative model tracing the stress-to-disease continuum throughout the systems of the human body. The authors detail the spectrum of physiological and psychological treatments for the stress response, including cognitive therapy, neuromuscular relaxation, breathing exercises, nutritional interventions, and pharmacotherapy. They also assess the strengths and limitations of widely-used measures of the stress response and consider the value of personality factors, cultural considerations, and resilience in stress mediation. Included in the coverage: The anatomy and physiology of the human stress response. Advances in neuroscience: implications for stress. Crisis intervention and psychological first aid. Neurophysiological rationale for the use of the relaxation response. Physical exercise and the human stress response. The pharmacological management of stress reactions. Disaster Mental Health Planning. Cultural Awareness and Stress. The Fourth Edition of A Clinical Guide to the Treatment of Human Stress Response offers readers a dual perspective, exceedingly useful in examining the origins of the stress response, and in preventing and treating the response itself. This rich integrative volume will join its predecessors in popularity among practitioners and students across disciplines and specialties.

Challenging the Stigma of Mental Illness offers practical strategies for addressing the harmful effects of stigma attached to mental illness. It considers both major forms of stigma: public stigma, which is prejudice and discrimination endorsed by the general population; and self-stigma, the loss of self-esteem and efficacy that occurs when an individual internalizes prejudice and discrimination. * Invaluable guide for professionals and volunteers working in any capacity to challenge discrimination against mental illness * Contains practical worksheets and intervention guidelines to facilitate the implementation of specific anti-stigma approaches * Authors are highly experienced and respected experts in the field of mental illness stigma research

This important book presents a unique, personal account of the impact a mild traumatic brain injury can have. It tells the story of Pauline, who was 33 when a late football tackle caused a bleed in her brain which went undiscovered for 18 months. The account includes descriptions of hidden symptoms of concussion and post-concussion syndrome, pitfalls in diagnoses, the uneven progress of recovery and the effect of the varied reactions which others have to an acquired brain injury. The author incorporates memories alongside extracts from clinic notes, diary entries and emails to reflect the disjointed progress of diagnosis and recovery as- although similar- no two head injuries are the same. Through this book, the reader gains an appreciation of the confusion experienced by many brain injury survivors, which sheds light on why some may develop unusual behavior or mental health issues, and how such issues can be alleviated. Brain injuries are poorly understood by the general public and this can lead to difficult interactions. Moreover, complications in diagnosis means some may not realize they have this milder form of brain injury. This book will enlighten brain injury survivors and affected families and allow professionals an insight into their patients' experiences. As concerns grow over the risks which contact sports pose, this book shows how even mild brain injuries can wreak havoc with careers, relationships and one's sense of self, but that a happy life can still be found.

This book explains the ethical and conceptual tensions in the use of psychopathy in different countries, including America, Canada, the UK, Croatia, Australia, and New Zealand. It offers an extensive critical analysis of how psychopathy functions within institutional and social contexts. Inside, readers will find innovative interdisciplinary analysis, written by leading international experts. The chapters explore how different countries have used this diagnosis. A central concern is whether psychopathy is a mental disorder, and this has a bearing upon whether it should be used. The book's case studies will help readers understand the problems associated with psychopathy. Academics and students working in the philosophy of psychiatry, bioethics, and moral psychology will find it a valuable resource. In addition, it will also appeal to mental health professionals working in forensic settings, psychologists with an interest in the ethical implications of the use of psychopathy as a construct and particularly those with a research interest in it.