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Books > Medicine > Other branches of medicine > Psychiatry
Measuring Psychopathology describes the methods by which the signs and symptoms of mental disorder are elicited, examined and evaluated. Written for the non-clinical researcher as well as for those with clinical experience, the authors start by considering the question 'what is psychopathology?' They then employ a historical perspective to explain why and how mental disorders are currently classified, and how the use of an operational approach to diagnosis was adopted. The use of operational criteria to define psychiatric disorder has facilitated the development of standardised interviewing techniques, questionnaires and rating scales. These tools are all covered in some detail, not only with regard to adults with mental disorders, but also with reference to special and challenging groups such as children and the elderly, and those with a learning disability, substance misuse, or who have a personality disorder. The strengths and weaknesses of current methodologies are explored and debated as well as the future diagnostic needs for research in the 21st century. Essential reading for clinicians and non-clinical scientists engaged in research on psychiatric disorders, trainees and junior psychiatrists, and clinical psychologists.
"As a physician who specializes in addiction medicine and drug
withdrawal and written widely on them, I recommend Dr. Breggin's
book to every health professional who deals with anyone taking
psychiatric drugs. He gives highly useful information and reasons
for stopping or avoiding them. It's an excellent one-stop source of
information about psychiatric drug effects and withdrawal.
Prescribers, therapists, patients, and families will benefit from
this guidebook." Charles L. Whitfield, MD "Peter Breggin has more experience in safely withdrawing
psychiatric patients from medication than any other psychiatrist.
In this book he shares his lifetime of experience. All of our
patients deserve the benefit of our obtaining that knowledge."
Bertram Karon, PhD "This is such an important book. Describing the problem of
withdrawal from psychiatric drugs in detail, and providing clear
advice regarding how to deal with this problem as Peter has done so
well in this book, is long overdue. For decades, the belief system
that is mainstream psychiatry has denied the existence of
withdrawal problems from the substances they prescribe so widely.
In reality, withdrawal problems with psychiatric drugs is a common
occurrence. Because of psychiatry's reckless denial of this real
and common problem, millions of people worldwide have not had the
support and care they desperately need when attempting to come off
psychiatric drugs, often been erroneously advised that these
problems are confirmation of the existence of their supposed
original so-called 'psychiatric illness.' Dr. Breggin's book is
therefore both timely and necessary." Terry Lynch, MD "Dr. Peter Breggin has written an invaluable reference for
mental health professionals and lay-persons alike who are seeking a
way out of dependency on psychiatric drugs. He describes the many
dangers of psychiatric medication in straightforward research-based
and contextually nuanced terms. Most helpfully, he articulates a
method of empathic, person-centered psychotherapy as an alternative
to the prevailing emotionally and system disengaged drug-centered
approach. In this book, Dr. Breggin systematically outlines how to
safely withdraw a patient from psychiatric medication with rich
case examples drawn with the detail and sensitivity to individual
and situational differences that reveal not only his extensive
clinical experience, but his clear, knowledgeable, and
compassionate vision of a more humane form of treatment. In this
volume, Dr. Peter Breggin has again demonstrated that he is a model
of what psychiatry can and should be. This is an indispensable text
for both mental health trainees and experienced practitioners
seeking a practical alternative to the dominant drug-centric
paradigm." Gerald Porter, PhD "This much needed book and guide to psychiatric medication
withdrawal is clearly written and easy to understand. As people
become more empowered and able to inform themselves about the
effects of pharmaceuticals, practitioners will be called upon to
wean their patients off of damaging medications. This book will
provide that guidance. Thank you Dr. Breggin for having the courage
to oppose conventional psychiatric thinking and the caring to
improve the quality of life for individuals who are ready to
experience their own innate healing instead of reaching for a pill
to mask the symptoms." Melanie Sears, RN, MBA "Today many psychologists, nurses, social workers, and
counselors are struggling with how to help adults and the parents
of children who are over-medicated or who wish to reduce or stop
taking their psychiatric drugs. Dr. Breggin's book shows
non-prescribing professionals, as well as prescribers, how to
respond to their patient's needs in an informed, ethical, and
empowering fashion." Sarton Weinraub, PhD This is the first book to establish guidelines and to assist prescribers and therapists in withdrawing their patients from psychiatric drugs, including those patients with long-term exposure to antipsychotic drugs, benzodiazepines, stimulants, antidepressants, and mood stabilizers. It describes a method developed by the author throughout years of clinical experience, consultations with experienced colleagues, and scientific research. Based on a person-centered collaborative approach, with patients as partners, this method builds on a cooperative and empathic team effort involving prescribers, therapists, patients, and their families or support network. The author, known for such books as "Talking Back to Prozac, Toxic Psychiatry, "and "Medication Madness," is a lifelong reformer and scientist in mental health whose work has brought about significant change in psychiatric practice. This book provides critical information about when to consider psychiatric drug reduction or withdrawal, and how to accomplish it as safely, expeditiously, and comfortably as possible. It offers the theoretical framework underlying this approach along with extensive scientific information, practical advice, and illustrative case studies that will assist practitioners in multiple ways, including in how to: Recognize common and sometimes overlooked adverse drug effects that may require withdrawal Treat emergencies during dr
This classic work is a monumental, integrated view of man's search for an understanding of the inner reaches of the mind. In an account that is both exhaustive and exciting, the distinguished psychiatrist and author demonstrates the long chain of development,through the exorcists, magnetists, and hypnotists,that led to the fruition of dynamic psychiatry in the psychological systems of Janet, Freud, Adler, and Jung.
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.
A new era in the treatment of migraine headache arrived with development of a revolutionary class of drugs known as the triptans. The book describes the development of this class of drugs, starting with the discovery of sumatriptin, covers the pharmacology and the mechanisms of action of the full range of triptans, before comparing their clinical efficacy and tolerability. Each drug is described by the company who produces it and then reviewed, based on experimental and clinical evidence, by independent scientists. This comprehensive review will provide clinicians with guidance on which triptan to select for which patient. The editors have gathered together the leading international experts to produce a book that will appeal to all neurologists and general physicians caring for headache patients as well as those with research interests in the field.
Although psychiatrists and other mental health clinicians interested in sports practice already have the necessary general skills to help competitive athletes deal with adversity and the multitude of emotions that sports can elicit, most typically they lack the sports-specific knowledge necessary to truly help these patients and clients. In Sports Psychiatry: Strategies for Life Balance and Peak Performance, the long-time team psychiatrist for the Baltimore Orioles and the Baltimore Ravens intends to remedy this knowledge gap by sharing his unique perspective and rare expertise in cultivating athletes' peak performance while promoting team unity, sound judgment, personal growth, pride, and a lasting sense of accomplishment. The book: - Explains sports culture and team structure and function, vividly describing the environment in which elite competition takes place- Focuses on the shifting nature and intensity of athletes' emotions -- the highs that come with success and the lows that accompany poor performance -- and describes the situations that magnify them, including injury and pain, media scrutiny, the availability of performance-enhancing drugs, and the fear of both failure and success- Addresses critical topics, such as regulating energy, recognizing and controlling stress, preparing mentally for performance, and treating mental disorders common to athletes- Draws on the author's length of experience and clinical observations, the evidence base of sports psychiatry, and fascinating stories of athletes at all levels to inform, teach, encourage, and inspire. Although written for mental health professionals, the book will also be of great interest to primary care and sports medicine physicians, athletic trainers, team owners and managers -- and of course -- the athletes themselves. Engaging and insightful, Sports Psychiatry is the go-to book for those in need of practical strategies for supporting and attaining peak performance.
Most physical illness effects people at the extremes of life, particularly in late life. A significant proportion of hospitalized older patients will experience some mental health problems, and medical units lacking specialist old age psychiatric services must rely on adult psychiatric and consultation liaison services for support. These generalists assume the role of old age psychiatrists by default. A key aim of the book is to provide guidelines for the appropriate treatment of psychiatric disorders in older people when medical illness complicates the picture. The book is divided into five sections. The first two sections cover the nature of the problem and initial assessment procedures. Section three focuses on specific disorders, including, amongst others, the most common reasons for referral - dementia, depression and delirium. Section four provides guidelines for treatment including pharmacological therapies, psychotherapeutic interventions and the use of ECT. The book concludes with short section considering the ethical and legal issues involved. This book covers the theoretical and practical knowledge required by psychiatrists in training, those seeking to specialize in consultation liaison or old age psychiatry, geriatricians and general practitioners. It will also be of interest to all other members of the healthcare team responsible for the medical management of older patients.
This book offers a unique examination of how violence is situationally induced and reproduced for those inmates living with HIV in a US State prison system. Imprisonment is the only space where Americans have a constitutional right to healthcare but findings from this research suggest that accessing this care and associated welfare benefits requires some degree of violence. This book documents how HIV-positive inmates went about achieving agency through harm to their bodies and social standing to improve their health and wellbeing, in prison and upon re-entry to the community. It focusses on ethnographic research which was carried out in seven penal facilities in New England and comprises of accounts from inmates, prison staff, healthcare providers, ex-offenders, and community social workers. This book speaks to academics interested in prisons, violence, health, and ethnographic research, and to policy makers.
This volume brings together research into diverse aspects of social anxiety and its clinical form, social phobia, in adolescents. Development of the condition, clinical manifestations and treatment strategies are all addressed, with emphasis on ways in which adolescent development and context are reflected in the manifestation and treatment of symptoms. The book is divided into three parts that review epidemiological, neurobiological and sociopsychological research on vulnerability factors, examine the phenomenology and assessment of social anxiety and phobia in different developmental contexts and discuss evidence-based prevention and treatment options for adolescent social anxiety and phobia. Social Anxiety and Phobia in Adolescents will be informative and interesting for all child and adolescent psychiatrists, clinical psychologists and psychotherapists as well as for school psychologists and counsellors.
Patients with striking physical symptoms suggestive of a neurological disease, but no evidence of nervous system damage are typically labelled as suffering from "hysterical conversion." Despite claims that conversion disorders have disappeared from clinical practice, patients with conversion symptoms continue to present diagnostic conundrums to clinicians. The disorder accounts for 4% of all referrals to neurology services. This book covers aspects neglected by previous works on this controversial condition, moving away from traditional historico-sociological accounts towards neuroscientific theories about the causes and categorization of hysteria. Recent investigations using functional imaging and hypnosis are covered, as are the neuropsychological accounts inspired by them, alongside more traditional psychodynamic accounts. A section on medico-legal aspects is innovative and timely. The key causal role of life events is also addressed, along with the influence of military conflict and culture in shaping and modifying clinical presentations, and changes in physical manifestations of hysteria through the centuries. Contemporary Approaches to the Science ofHysteria, with contributions from a distinguished international team, representative of all interested specialty groups, aims to demonstrate that hysterical conversion remains clinically important, with potential for empirical research in both social and medical sciences, as well as offering a fertile source for advancing neuroscience.
The neuropathology of schizophrenia is one of the most controversial areas of research in psychiatry; however, in the last twenty years, there have been significant advances in our understanding of the topic. This book provides a much needed, balanced, comprehensive and up-to-date overview of this rapidly moving field. It starts by describing the findings derived from new imaging techniques and histological studies, focusing specifically on the morphology, arrangement and connectivity of the neurons making up the cortical cytoarchitecture, a feature thought to be central to understanding the pathology. This is followed by critical appraisal of the various interpretations placed upon these findings, such as the neurodevelopmental hypothesis. Finally, there are chapters considering the conceptual and methodological problems affecting the subject. This is a timely and unique book on this classic and controversial issue, with contributions from many of the leading international experts in the field.
Clients enter therapy grappling with a range of difficulties. They don't speak in diagnostic terms, but instead focus on the everyday problems that confront them. Their struggles may include isolation, loneliness, anxiety, guilt and regret, and problems making decisions in a world that offers seemingly endless choice. In contrast, the cognitive-behavior therapist is trained in the language of conditioning and extinction, avoidance and safety behaviors, behavioral activation and attentional biases. This book explores the ideas of the existentialist philosophers as a bridge between the suffering client and technically trained clinician. The volume is not a rejection of cognitive behavior therapy (CBT), but seeks to place CBT in the broader context of the most popular philosophic tradition of the 19th and 20th centuries. Therapists versed in existentialism argue that the individual's starting point is characterized by a sense of disorientation in the face of an apparently meaningless and absurd world. Each individual must become solely responsible for giving meaning to life and living it passionately and authentically. Each of us must confront the 'Big 5' existential issues of death, isolation, identity, freedom and meaning and find our solutions to these problems. The present volume explores each of these existential themes in turn. Each section opens with a theoretical chapter describing the relevant existential dilemma and its impact on human experience. The second chapter in each section explores its relationship to mental health disorders and psychopathology. The third chapter in each section explores the evidence for treating the existential issue from a CBT framework. This book will be of value to those interested in CBT, philosophy and mental health, and will appeal to psychotherapists, clinical psychologists and psychiatrists.
This important book describes the effects of a range of medical, psychological, and neurological conditions on brain functioning, specifically cognition. After a brief introduction of brain anatomy and function focusing on neural systems and their complex role in cognition, this book covers common disorders across several medical specialties, as well as injuries that can damage a variety of neural networks. The authors review findings on associations between these conditions and cognitive domains such as executive function, memory, attention, and learning, and describe possible causal pathways between diseases and cognitive impairment. Later chapters describe potential strategies for prevention, improvement, and treatment. The book's topics include Cognition in affective disorders Cerebrovascular disease and cognition Cognitive sequelae of sepsis Traumatic brain injury and cognition Cognitive deficits associated with drug use Obstructive sleep apnea and cognition Cognitive function in pulmonary disease The Brain at Risk reflects the current interest in the links between body, mind, and brain, and will be of great value to researchers and practitioners interested in neuroscience, neuropsychology, and clinical research in the cognitive and behavioral consequences of brain injury and disease.
In this unique text, ten cases of music therapy with autistic children (tamariki takiwatanga) are critiqued through the eyes of family members and other autism experts. Rickson uses her wealth of experience to contextualise their rich observations in a thorough review of research and practice literature, to illustrate the ways music therapists engage autistic children in the music therapy process, highlight the various ways music therapy can support their health and well-being, and demonstrate how music therapy processes align with good practice as outlined in the New Zealand Autism Spectrum Disorder Guideline.
The growth of the field of eating disorder research has led to a vast array of empirical articles, and the development of new animal models that can be used to study these disorders continues to stimulate new research. Animal Models of Eating Disorders serves as a collection of detailed techniques contributed by experts in the field who are well-versed in the development and implementation of these models. Since eating disorders are complex and likely due to a combination of environmental, genetic, and social causes, the detailed chapters of this volume have been designed to highlight different contributing factors. Collectively, these chapters give a comprehensive and representative overview of both recently developed and classic methodologies used in the study of eating disorders. Written for the popular Neuromethods series, this work contains the kind of thorough description and implementation advice that promises successful results. Authoritative and practical, Animal Models of Eating Disorders aims to aid researchers in the use of animal models to assist in their investigation and characterization of the behaviors and neurochemical alterations associated with these devastating disorders.
Psychiatry Under the Influence investigates the actions and practices of the American Psychiatric Association and academic psychiatry in the United States, and presents it as a case study of institutional corruption.
This book is a compilation by local mental health experts on the development of mental health services in Singapore after 1993. The year was the end point of an earlier book 'Till the Break of Dawn - A History of Mental Health Services in Singapore (1841-1993)' that had been written on the history of psychiatry.
Grant Gillett uses material arising in the study of philosophy of mind, epistemology, post-modern continental philosophy, and philosophy of language, to try to elucidate the nature of important psychiatric disorders such as depression, attention deficiency, autism, schizophrenia, and anorexia. Along the way, Gillett explores the nature of memory and identity; of hysteria and what constitutes rational behavior; and of what causes us to label someone a psychopath or deviant. This fascinating book will provide readers with insights into the causes and nature of psychosis, and will have considerable implications for the way in which we understand and treat sufferers of psychiatric disorders.
This book is an exploration of key systemic and socio-political considerations when working with people whose lives have been impacted by neurological injury and those who care for them. Expert contributors consider the impact of intersectionality across domains that include gender, sexuality, class, education, religion and spirituality, race, culture, and ability/disability. It offers relevant literature in the field of neuropsychology as well as clinical case studies that provide inspiration and key reflections for clinicians, neurological specialist therapists, and medical staff alike. Chapters discuss navigating intersectionality in couple therapy, hidden social inequalities in paediatric neurorehabilitation, racial microaggression in inpatient settings, and more. This book is essential for all health and social-care practitioners working in the field of brain injury and chronic illness who want to challenge the status quo and advocate for diversity and inclusion.
This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient's disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process - youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.
This book is a compilation by local mental health experts on the development of mental health services in Singapore after 1993. The year was the end point of an earlier book 'Till the Break of Dawn - A History of Mental Health Services in Singapore (1841-1993)' that had been written on the history of psychiatry.
Bipolar disorder is a common, complex and costly mental health disorder, which sits at the heart of the practice of clinical psychiatry.Effective treatments (pharmacological, psychological and brain stimulation based) have all been discovered serendipitously. With the huge advances in basic neuroscience the way is now clear for novel treatments to be developed based on brain science. This book reviews these possibilities.
Due to the fact that Restless Legs Syndrome/Willis-Ekbom Disease is usually a chronic condition, this book aims to provide physicians with the necessary tools for the long-term management of patients with RLS. The first part of the book addresses the various comorbidities and long-term consequences of RLS on life quality, sleep, cognitive, psychiatric and cardiovascular systems, while the second part focuses on the management of long-term treatment and the drug-induced complications in primary RLS and in special populations. Written by experts in the field, this practical resource offers a high-quality, long-term management of RLS for neurologists, sleep clinicians, pulmonologists and other healthcare professionals.
The diagnosis of autism spectrum disorder (ASD) has evolved greatly since Asperger's day. And as our clinical understanding of this spectrum of disorders has grown, so has recognition of the connections between anxiety disorders and ASD a welcome development, but also a source of confusion for many in the field. The "Handbook of Autism and Anxiety" brings together leading experts to explain this comorbidity, the diagnostic similarities and differences between the two disorders and the extent to which treatment for each can be coordinated for optimum results. Focusing on repetitive behaviors, social difficulties and fears as core components of anxiety disorders as well as ASD, contributors discuss specific symptoms in depth to aid in diagnosis. Assessment and treatment issues relevant to the autism-anxiety connection are considered in clinical and school contexts. And an especially timely conclusion details how key changes in the "DSM-5 "affect the diagnosis and conceptualization of each disorder. Key topics addressed in the "Handbook "include: Phenotypic variability in ASD: clinical considerations.Etiologic factors and transdiagnostic processes.Social worries and difficulties: autism and/or social anxiety disorder?Implementing group CBT interventions for youth with ASD and anxiety in clinical practice.Autism and anxiety in school settings."DSM"-"5" and autism spectrum disorder. The "Handbook of Autism and Anxiety" is an essential resource for researchers, clinicians/professionals and graduate students in child and school psychology, psychiatry, social work, education, clinical counseling and behavioral therapy." |
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