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Books > Medicine > Other branches of medicine > Psychiatry
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.
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.
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.
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.
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.
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 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 handbook examines advances in the evidence-based behavioral family intervention, parent-child interaction therapy (PCIT). It surveys innovative adaptations tailored to specific diagnostic concerns, client populations, treatment settings, and delivery formats. Chapters provide rationales for adaptation, reviews of relevant research, and discussions of advantages and challenges. Case studies illustrate the implementation of the adaptations and help to make new techniques concrete. The handbook offers practical descriptions of the adaptations to PCIT, comprehensively reviews treatment outcome literature, and integrates cutting-edge implementation science into an exploration of the current dissemination strategies in PCIT. The handbook concludes with a consideration of the questions that remain to be addressed to extend the reach of PCIT among traditionally underserved families and to continue to advance the science and practice of children's mental health interventions. Featured topics include: PCIT for children with callous-unemotional traits. PCIT for families with a history of child maltreatment. Group PCIT. PCIT for military families. The PCIT CALM program for treating anxiety in young children. PCIT for American Indian families. Transporting and disseminating PCIT internationally. Using technology to expand the reach of PCIT. The Handbook of Parent-Child Interaction Therapy is a must-have resource for researchers, professors, instructors, clinicians, and graduate students in child and school psychology, child psychiatry, and social work as well as such related disciplines as developmental, clinical, counseling, and community psychology, family studies, and mental health services and agencies.
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.
This book reviews the recent research into biological aspects of suicide behavior and outlines each of the varied, recent approaches to prevent suicide. Suicidal behavior, perhaps, is the most complex behavior that combines biological, social, and psychological factors. A new frontier and new opportunities are opening with the technologies of data acquisition and data analysis. Personalized models based on digital phenotype could provide promising strategies for preventing suicide.
"[A] fascinating read... Contrary to what the title might suggest, this is an upbeat exploration of suicide with a positive message." --Jeanine Connor, Therapy Today, December, 2018 This thought-provoking volume offers a distinctly human evolutionary analysis of a distinctly human phenomenon: suicide. Its 'pain and brain' model posits animal adaptations as the motivator for suicidal escape, and specific human cognitive adaptations as supplying the means , while also providing a plausible explanation for why only a relatively small number of humans actually take their own lives. The author hypothesizes two types of anti-suicide responses, active and reactive mechanisms prompted by the brain as suicide deterrents. Proposed as well is the intriguing prospect that mental disorders such as depression and addiction, long associated with suicidality, may serve as survival measures. Among the topics covered: * Suicide as an evolutionary puzzle. * The protection against suicide afforded to animals and young children. * Suicide as a by-product of pain and human cognition. * Why psychodynamic defenses regulate the experiencing of painful events. * Links between suicidality and positive psychology. * The anti-suicide role of spiritual and religious belief. In raising and considering key questions regarding this most controversial act, The Evolution of Suicide will appeal to researchers across a range of behavioral science disciplines. At the same time, the book's implications for clinical intervention and prevention will make it useful among mental health professionals and those involved with mental health policy.
This book explains why suicide can be alluring to a person aiming to stop his or her traumatic pain-whether its source is bullying, sexual assault, war combat, or other PTSD-invoking events-and details approaches that can prevent suicide. Suicide has been a taboo topic in Western culture. The mere mention of suicide sparks reactive responses that include medical, moral, spiritual, and religious debates. As a result, the authors open an important discussion here, offering an honest and non-judgmental examination of the many aspects involved in the nature of suicide, explaining that above all, people need to learn how to support those struggling with suicidal thoughts or to intercept their own suicidal thinking. The book also includes an extensive review and evaluation of the many available mental health treatments. Special consideration is given to military suicides. U.S. soldier suicides exceed one per day and continue to rise in all military branches, while veteran suicide rates are even higher, averaging 17 per day. Communities, families, veterans, and service members are in need of tools and insights for coping with, navigating, and exposing the suicidal attitudes affecting many current and former members of the military. Incorporates academic research, media coverage, and the authors' personal experiences Includes topics associated with forms of suicide not widely addressed in other books, including evolutionary psychology, traumatic brain injury, prescription drug side-effects, and shamanism Addresses suicide in the general population as well as within the cadre of some of the nation's newest veterans-those who served in the Afghanistan and Iraq wars
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.
Now in its seventh edition, Introductory Textbook of Psychiatry remains the seminal gateway to this fascinating field. Organized along the lines of DSM-5® and updated to reflect changes to that manual, it includes information on the latest diagnostic approaches and therapies and medications. This volume summarizes the DSM-5® diagnostic system, various psychiatric disorders and treatments, interviewing and assessment, psychiatric emergencies, legal issues, and more. Other features, such as clinical points, self-assessment questions, and an exhaustive glossary of terms, add to the educational value and enhance learning. Thorough in its scope, this guide is an accessible primer on the basics of psychiatry not only for medical students and residents but, indeed, for anyone interested in the human brain, its maladies, and how to treat patients with these disorders.
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.
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 book explores the ways which people navigated the emotions provoked by the mad in Britain across the long eighteenth century. Building upon recent advances in the historical study of emotions, it plots the evolution of attitudes towards insanity, and considers how shifting emotional norms influenced the development of a 'humanitarian' temperament, which drove the earliest movements for psychiatric reform in England and Scotland. Reacting to a 'culture of sensibility', which encouraged tears at the sight of tender suffering, early asylum reformers chose instead to express their humanity through unflinching resolve, charging into madhouses to contemplate scenes of misery usually hidden from public view, and confronting the authorities that enabled neglect to flourish. This intervention required careful emotional management, which is documented comprehensively here for the first time. Drawing upon a wide array of medical and literary sources, this book provides invaluable insights into pre-modern attitudes towards insanity.
Borderline Personality Disorder (BPD) is a diagnosis given to ten
percent of all those seen in outpatient mental health facilities
and twenty percent of those seen in inpatient psychiatric units.
This is a significant number of people in the Western world.
However, many of the core concepts and symptoms that underlie this
diagnosis are questionable. Many of the attitudes and actions of
carers are based on assumptions about those with BPD that cry out
for analysis, with both cultural and gender norms interacting with
clinical diagnosis and treatment, to the detriment of both carers
and patients.
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
Over the course of more than two decades and five previous editions, The American Psychiatric Association Publishing Textbook of Geriatric Psychiatry has established itself as a foundational resource in the field. This new edition retains the multidisciplinary and developmental perspectives of its predecessors, drawing on the knowledge not only of psychiatrists but also of relevant biomedical and behavioral experts in order to present the most comprehensive approach to patient care. It has been extensively updated to reflect the latest scientific advances and clinical developments in the field. Not only will readers find the most up-to-date information on phenomenology, diagnosis, and assessment of late-life mental disorders, they will also access the latest research on psychotherapeutic, psychopharmacological, and other somatic treatments. A dedicated chapter delves into the role of technology-including digital phenotyping, wearables, digital and Web-based neurocognitive testing, and more-in aiding the geriatric mental health workforce and improving both access to care and ongoing support. Throughout the book, several sections also candidly examine the impact of COVID-19, and its attendant social isolation, on older adult mental health and the evolution of treatment approaches, revealing insights learned about telepsychiatry and care in nursing homes during the pandemic. Chapters on the legal and ethical factors in the psychiatric care of older adults close out the book, the most exhaustive on the topic. Extensively researched and with key points for ease of reference, this edition will equip both the scholar and the clinician with the current state of scientific understanding as well as the practical skills and knowledge base required for dealing with mental disorders in late life.
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 examines the associated experiences of school bullying and violence among vulnerable and marginalized youth. It discusses the effects of diversity and disparities in youth's experiences with bullying. Among these are socioeconomic and social status, family cohesion and interactions, sex, sexual orientation, gender identity and gender expression, race, ethnicity, immigration, religion, and disabilities and special health needs. The book describes the ways in which a social-ecological framework can inform the problem and address school bullying. It addresses not only individual, intrapersonal, and environmental factors of bullying, but also discusses distal level factors and conditions that are specifically relevant to youth (e.g., culture and law). In addition, this volume contextualizes relevant multilevel factors that foster or inhibit bullying victimization among vulnerable and historically marginalized children and adolescents who are faced with cumulative social stratification. Key areas of coverage include: The role of the family (parents and guardians, siblings) - its cohesion and interactions - in school bullying. Race, ethnicity, immigration, and religion and school bullying of marginalized and at-risk youth. Victimization of students with physical, emotional, and learning disorders. Bullying and victimization of vulnerable youth in the court systems. School Bullying is an essential resource for researchers, clinicians and other practitioners, graduate students, and policymakers across such disciplines as child and school psychology, social work and counseling, pediatrics and school nursing, educational policy and politics, and all interrelated disciplines. |
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