The wealth of insights into the brain 's functioning gained by neuroscience in recent years led to the development of new possibilities for intervening in the brain such as neurotransplantation, neural prostheses and brain stimulation techniques. Moreover, new and safer classes of psychopharmaceutical drugs lend themselves to neuroenhancement applications, i.e. they could be used to enhance cognitive capacities or emotional well-being without therapeutic need. This book offers extensive state-of-the-art accounts for these novel kinds of intervention, indicates future developments, and discusses the relevant philosophical, ethical and legal issues.

This updated and revised Second Edition provides a state-of-the-science review and clinical collection of research on treating depression with multiple therapies. The text is an essential guide for those who prescribe psychotropics or perform psychotherapy, including psychiatrists, residents, psychologists, and psychopharmacologists. Containing research data, case studies, and expert recommendations, this source explores the best acute, long-term, and combination treatment strategies for superior patient care.

New to the Second Edition

• a chapter devoted to a simultaneous discussion on psychotherapy and pharmacotherapy
• chapters on depression and anxiety, depression and pain, and new treatment options
• information on the advancements of genetics, imaging, and brain stimulation with regard to depressive disorders and implications for future use
• the latest research on drug development and combining drug treatments

Psychiatric clinicians should use rating scales and questionnaires often, for they not only facilitate targeted diagnoses and treatment; they also facilitate links to empirical literature and systematize the entire process of management. Clinically oriented and highly practical, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an ideal tool for the busy psychiatrist, clinical psychologist, family physician, or social worker. In this ground-breaking text, leading researchers provide reviews of the most commonly used outcome and screening measures for the major psychiatric diagnoses and treatment scenarios. The full range of psychiatric disorders are covered in brief but thorough chapters, each of which provides a concise review of measurement issues related to the relevant condition, along with recommendations on which dimensions to measure - and when. The Handbook also includes ready-to-photocopy versions of the most popular, valid, and reliable scales and checklists, along with scoring keys and links to websites containing on-line versions. Moreover, the Handbook describes well known, structured, diagnostic interviews and the specialized training requirements for each. It also includes details of popular psychological tests (such as neuropsychological, personality, and projective tests), along with practical guidelines on when to request psychological testing, how to discuss the case with the assessment consultant and how to integrate information from the final testing report into treatment. Focused and immensely useful, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an invaluable resource for all clinicians who care for patients with psychiatric disorders.

Cognitive enhancement is the use of drugs, biotechnological strategies or other means by healthy individuals aiming at the improvement of cognitive functions such as vigilance, concentration or memory without any medical need. In particular, the use of pharmacological substances (caffeine, prescription drugs or illicit drugs) has received considerable attention during the last few years. Currently, however, little is known concerning the use of cognitive enhancers, their effects in healthy individuals and the place and function of cognitive enhancement in everyday life. The purpose of the book is to give an overview of the current research on cognitive enhancement and to provide in-depth insights into the interdisciplinary debate on cognitive enhancement.

One of the paradoxes about psychiatry is that we have never known more about and better treated mental disorders, yet there exists so much unease about the practice of mental healthcare. Patients feel still stigmatized, psychiatrists are struggling with their roles in a rapidly changing system of healthcare, there is lack of consensus about what mental disorders are and what the focus of psychiatry should be. Person-Centred Care in Psychiatry: Self Relational, Contextual and Normative Perspectives offers a distinctive approach to two important linked conceptual issues in psychiatry: the relation between self, context, and psychopathology; and the intrinsic normativity of psychiatry as a practice. Divided in two parts, this book shows how the clinical conception of psychopathology and psychiatry as normative practice are intrinsically connected, and how the normative practice model can be conceived as a natural extension of the analysis of the web of relations that sustain illness behaviour as well as professional role fulfilment. Person-Centred Care in Psychiatry brings these topics together for the first time against the backdrop of unease about scientistic tendencies within psychiatry in an interconnected discussion that will be of interest to academics and professionals with an interest in the philosophy of psychology, psychiatry and mental health-care.

This book illustrates the imperative for late-life depression prevention, introducing a broad range of approaches to prevention and provides detailed examples of clinical applications of late-life depression prevention - all with consideration of medical and scientific, social, economic and global health perspectives. Clear guidelines are delineated for assessing, treating and preventing such conditions as depression and anxiety, dementia, psychosis and mania, sleep disturbances and personality disorders. Written by experts in the field, this text considers the complicating conditions that depression may incur higher costs and create during the course and treatment of comorbid major medical conditions that are also highly prevalent in older adults - including diabetes, hypertension and heart disease. Prevention of Late-Life Depression: Current Clinical Challenges and Priorities is an important new volume that will be useful to all providers that are concerned with the mental health of our rapidly expanding aged population.

A thought provoking, persuasive, challenging, and above all practical guide for beginners and more experienced therapists alike. It shows the demands and complexity of marital work and is an important reminder of the interdependence of theory and practice.

The author's writings, and especially the seminars for which he has become famous, have provoked intense controversies in French analytic circles, requiring as they do a radical reappraisal of the legacy bequeathed by Freud. This volume is based on a year's seminar, which is of particular importance because he was addressing a larger, less speci

In her attempt to find the words that touch, the author gives a succession of illuminating examples to indicate what a psychoanalyst and her patient may experience in the transference relationship during the course of an analysis. On the basis of her clinical experience, the author points out that we all use relatively mature psychic mechanisms and

This ground-breaking volume provides an encompassing and detailed account of clinical psychologists' highly varied work on the psychiatric ward in mental health inpatient settings. An international collection of clinical psychologists describe challenges and achievements inherent to their work, illustrating application of established, state-of-the-art, and cutting-edge methods and modes of intervention, assessment, therapeutic work, training, and leadership roles currently practiced in these settings. Chapters present numerous examples of psychologists' ability to contribute in multiple ways, benefiting patients, staff, and the overall functioning of the ward. Each of the book's four sections is dedicated to a specific domain of the clinical psychologist's work within the psychiatric inpatient setting. These include systemic modes of intervention; psychotherapeutic interventions; assessment and psychodiagnosis; and internship and supervision. From novice to experienced practitioners, psychologists will gain insight from the innovative and creative ideas this book brings to the practice of clinical psychology, as well as the practical suggestions that will enhance the varied interventions and therapeutic work they do in such settings.

This ground-breaking volume provides an encompassing and detailed account of clinical psychologists' highly varied work on the psychiatric ward in mental health inpatient settings. An international collection of clinical psychologists describe challenges and achievements inherent to their work, illustrating application of established, state-of-the-art, and cutting-edge methods and modes of intervention, assessment, therapeutic work, training, and leadership roles currently practiced in these settings. Chapters present numerous examples of psychologists' ability to contribute in multiple ways, benefiting patients, staff, and the overall functioning of the ward. Each of the book's four sections is dedicated to a specific domain of the clinical psychologist's work within the psychiatric inpatient setting. These include systemic modes of intervention; psychotherapeutic interventions; assessment and psychodiagnosis; and internship and supervision. From novice to experienced practitioners, psychologists will gain insight from the innovative and creative ideas this book brings to the practice of clinical psychology, as well as the practical suggestions that will enhance the varied interventions and therapeutic work they do in such settings.

This book examines the projective identification and its clinical uses from a Kleinian perspective. It applies the perspective of projective identification to various aspects of the psychotherapy of borderline and schizophrenic patients.

This book is intended for anyone with either an interest in suicide or suicidal behaviour. It is not aimed solely at the professional psychotherapist but at a broad range of professionals who encounter suicidal people in their work. It is also intended for those of us who have been touched by suicide personally. The book approaches suicide from the point of view of the suicidal state of mind and is intended to help us understand more about this condition. In its essence suicide is examined as a largely unconscious aggressive act having its roots in a perceived or real experience of thwarted childhood needs. The wounds of the suicidal person are often long held and deep. The suicidal person is pursued by haunting losses and the suicidal act comes from deep disturbance created by this and from the idea of death as an acting out of some form of suicidal fantasy. The quasi delusional and split quality of the act is examined - namely that suicide is both an act for and against the self.

Mental health does not exist in a vacuum. The context in which an individual is born, grows, lives, and works has a profound impact on their mental and physical well-being. But although the powerful effects of these social determinants of mental health are not in question, how to affect them in actionable ways is. Struggle and Solidarity addresses that gap in a compelling manner. By taking a case study approach to seven key pieces of federal legislation-among them, the Agricultural Adjustment Act of 1933, the Social Security Act of 1935, the Civil Rights Act of 1964, and the Housing and Urban Development Act of 1965-it demonstrates how public policies, even when not explicitly mental health-related, can shape social determinants and improve mental health in the United States. For each of the seven laws, the book describes * The crisis in society that spurred the law's inception* Some of the key individuals and groups who drove its passage* How the law has evolved over time-including its shortcomings* How the law can continue to influence mental health in the future Forgoing academic language in favor of a more approachable style and including photographs of some of the key players involved in each piece of legislation, this volume is accessible to all audiences while still making vivid and rigorous connections between national policymaking and the social determinants of mental health, summarizing the literature linking key social determinants affected by each law to mental health outcomes. In sharing real examples of how individuals and groups have successfully advocated for policy changes, the authors of this book illustrate how important advocacy work can be accomplished and inspire readers to get involved in similar work to improve mental health today and in the future.

A distillation of many years' work on a therapeutic milieu ward of the Maudsley Hospital, in which psychotic patients were treated with an integral combination of psychiatric and psychological care anchored in the use of advanced psychoanalytic concepts of psychosis. Compelling clinical material is reproduced to help illuminate the meaning of illnesses such as paranoid schizophrenia, catatonia, psychotic anorexia and manic-depression. Several depth interviews by the author, an authority on the application of psycho-analytic thought to the problems of psychosis are reproduced for the first time.

Damaged Bonds explores W. R. Bion's writings on dream-work growing within damaged bonds and concerns dramas revolving around difficulties in psychic digestion and clinical work in the trenches.

This book contributes to the retrieval of the alienated through the author's own acts of interpretation of ideas introduced by Melanie Klein, Donald Winnicott, Ronald Fairbairn, and Wilfred Bion. It is offered as an act of interpretation.

This book portrays a range of individuals who seek nourishment from poisons or, to variable extents, are poisoned by the nourishment they seek. It describes the analyses leading to de-programming the patients from their toxins and intoxicators.

Originally published in 1991, this landmark guide gave brilliant insights on dealing with the cultural aspects of family mental health. It systematically reviews various dimensions of the family from a cross-cultural perspective, including system, development, behaviour, and functioning. It then thoroughly examines the problems and dysfunctions that can occur in families of different cultural backgrounds, and finally proposes culturally appropriate assessments and treatments for resolving these family problems. Family counsellors, therapists, and researchers who study the family will find practical suggestions on how to assess and evaluate the family with cultural considerations; clinical suggestions on providing culturally relevant, effective care of the family; and theoretical elaboration on the cultural implications of family therapy. Instead of focusing on families of a particular ethnic or cultural background, the book gives comprehensive coverage to subjects that related to cultural aspects of the family function, problems, and therapy. The authors' unique backgrounds, which include analysis of the cross-cultural aspects of human behaviour, knowledge in family research, and clinical experience in family therapy, add immeasurably to this book's important contribution.

First published in 2000, Philosophy, Psychiatry and Psychopathy was highly topical in tackling the interface of applied philosophy and psychiatry at a time when government and clinicians were giving careful consideration to new forms of treatment for people with psychopathic disorder. The book brings together contributions from lawyers, philosophers, psychiatrists and clinical managers to explore the inter-related conceptual and political implications of Psychopathy. Philosophy, Psychiatry and Psychopathy will appeal to those with an interest in the history and development of theories and research relating to philosophy and psychiatry.

Winner of the 2011 Ursula Gielen Global Psychology Book Award
This international volume offers new perspectives on social and psychological aspects of the complex dynamic of depression. The twenty-one contributors from thirteen countries - Australia, Canada, Finland, Germany, Haiti, India, Israel, Nepal, Poland, Portugal, Puerto Rico, Scotland, and the United States - represent contexts with very different histories, political and economic structures, and gender role disparities.
Authors rely on Silencing the Self theory, which details the negative psychological effects when individuals silence themselves in close relationships and the importance of the social context in precipitating depression. Specific patterns of thought about how to achieve closeness in relationships (self-silencing schema) are known to predict depression. This book breaks new ground by demonstrating that the linkage of depressive symptoms with self-silencing occurs across a range of cultures. We offer a new view of gender differences in depression situated in the formation and consequences of self-silencing, including differing motivational aims, norms of masculinity and femininity, and the broader social context of gender inequality.
The book offers evidence regarding why women's depression is more wide-spread than men's and why the treatment of depression lies in understanding that a person's individual psychology is inextricably related to the social world and close relationships. Authors examine not only gender differences in depression but also related aspects of mental and physical illness, including treatments specific to women. Several chapters describe the transformative possibilities of community-driven movements for disadvantaged women that support healing through a recovery of voice, and describe the need for systemic and structural changes to counter violations of human rights as a means of reducing women's risk of depression. Bringing the work of these researchers together in one collection furthers international dialogue about critical social factors that affect the rising rates of depression around the globe.

The Handbook of Assessing Variants and Complications in Anxiety Disorders assembles current findings on assessment methods and applies them to common complicating factors, including comorbid personality and behavioral problems. Chapters examine innovative approaches to assessment of anxiety in children and adults, provide leading insights into timely topics (e.g., school refusal, self-injurious behaviors), and analyze strengths and weaknesses of widely used assessment tools. In clarifying the assessment process, contributors give readers a clear perspective on choosing treatment options in keeping with the trend toward targeted, evidence-based practice, and pinpoint needs for further research. The Handbook's coverage spans the anxiety spectrum, including areas such as: Assessment of social and generalized anxiety disorder. Neuropsychological assessment of obsessive-compulsive disorder. Intelligence testing and treatment planning with children. Assessment of substance abuse and dependence in anxiety disorders. Personality disorder assessment in clients with anxiety disorders. Functional assessment of comorbid and secondary disorders: identifying conditions for primary treatment. The Handbook of Assessing Variants and Complications in Anxiety Disorders is an essential reference for researchers, scientist-practitioners, and graduate students in clinical child, school, and developmental psychology; social work; psychiatry; psychotherapy; counseling; and pediatrics. And its companion volume, the Handbook of Treating Variants and Complications in Anxiety Disorders, translates these findings to the next stage of care.

This unique volume explores issues related to working with children who have nonverbal learning disability (NVLD). It examines how a child's psychology - thoughts, feelings, beliefs - affects his or her functioning and learning. In addition, the book addresses how a child's experiences are processed through individual personality, psychology, culture, environment and economic circumstances, and family dynamics. Using these psychological organizing principles, the book describes how to work most effectively with young patients with NVLD. It offers a new model and definition for understanding NVLD, emphasizing its core deficit of visual-spatial processing. In addition, this book addresses efforts to rename NVLD to developmental visual-spatial disorder (DVSD). It describes the 11 possible subtypes as including a primary deficit in visual-spatial processes and impairment in several additional functional domains, including executive functioning, social/emotional deficits, academic achievement, and motor coordination. The book highlights the need for psychologically minded treatment and provides specific intervention guidelines. It details how to conduct the intake process and create a treatment plan and team and offers practical suggestions for working with a patient's family members. In addition, the book addresses the importance of working with a consistent psychological theory, such as control mastery theory (CMT). It describes the Brooklyn Learning Center Model for treating NVLD and offers guidelines for interventions to support patients academically. The book provides a comprehensive approach to the neuropsychological assessment of NVLD as well as examples of visual-spatial, sensory perception, executive functioning, academics, social/emotional deficits and motor coordination interventions, and all forms used to gather information from patients. Key areas of coverage include: Definition of nonverbal learning disability (NVLD). Efforts toward inclusion in the Diagnostic and Statistical Manual (DSM) and for renaming it to a developmental visual-spatial disorder (DVSD) Guide to general diagnostic testing and assessment. Developing a treatment plan and team for NVLD patients. NVLD therapy and tutoring priorities. NVLD and Developmental Visual-Spatial Disorder in Children is an essential reference for clinicians, therapists, and other professionals as well as researchers, professors, and graduate students in school and clinical child psychology, special education, speech-language therapy, developmental psychology, pediatrics, social work as well as all interrelated disciplines.

Handbook of Psychosocial Interventions for Chronic Pain provides a cutting-edge and comprehensive review of interventions for chronic pain grounded in biopsychosocial frameworks. Each chapter gives readers the opportunity to solidify their knowledge of major approaches to chronic pain in an accessible format. Reflecting national efforts to reduce prescriptions for pain medications and increase access to interdisciplinary treatment approaches, the book also considers a wide range of person-level variables such as age, cultural factors, and comorbid mental health conditions. In this book, mental health and allied health professionals will find the tools they need to understand the real-world delivery of chronic pain treatments in a wide variety of settings.

Despite years of research, debate and changes in mental health policy, there is still a lack of consensus as to what recovery from psychosis actually means, how it should be measured and how it may ultimately be achieved. In Recovering from a First Episode of Psychosis: An Integrated Approach to Early Intervention, it is argued that recovery from a first episode of psychosis (FEP) is comprised of three core elements: symptomatic, social and personal. Moreover, all three types of recovery need to be the target of early intervention for psychosis programmes (EIP) which provide evidence-based, integrated, bio-psychosocial interventions delivered in the context of a value base offering hope, empowerment and a youth-focused approach. Over the 12 chapters in the book, the authors, all experienced clinicians and researchers from multi-professional backgrounds, demonstrate that long-term recovery needs to replace short term remission as the key target of early psychosis services and that, to achieve this, we need a change in the way we deliver EIP: one that takes account of the different stages of psychosis and the 'bespoke' targeting of integrated medical, psychological and social treatments during the 'critical period'. Illustrated with a wealth of clinical examples, this book will be of great interest to clinical psychologists, psychiatrists, psychiatric nurses and other associated mental health professionals.