The authors offer cogent reviews of the literature pertaining to the formation and maintenance of delusions, but the most substantial parts of the monograph expound the empirical inquiries which they and their colleagues have carried out in recent years. Most of the research has been published elsewhere, but such is the relevance of the experiments cited to the whole schema that the monograph has unique value. It is a synthesis which portrays the contribution to date of cognitive science to the biology and psychopathology of delusional thinking, and convincingly demonstrates that this way of looking at things has a considerable future. There are important implications for therapy as well as for hypothesis formulation. The monograph is attractively written, and the authors present their claims with exemplary modesty. The whole tenor of their approach gives weight to the conviction that here we have a story that must be taken seriously. It is a significant book, and I warmly commend it to all those with an interest in the future of psychopathology, and especially to psychiatrists who wish to advance their understanding of mental states and avoid stagnating with outworn dogma." - Robert Cawley, University of London in British Journal of Psychiatry Delusions are a key symptom of psychosis and yet there is no single book which considers delusions from a psychological perspective. In part this is because the syndrome of schizophrenia has captured the attention of many workers, and in part because delusions, as private mental phenomena, are not well suited to purely behavioural or observational methods of enquiry. For the past two decades, however, cognitive psychology has been in its ascendancy and delusions, as beliefs, are particularly amenable to investigation applying cognitive concepts and methods. Within this framework, it is possible to consider continuities between delusional and ordinary beliefs, as well as to seek to identify differences. This book, therefore, uniquely presents a psychological model of delusions, employing the neglected strategy of single symptom research and the tools of cognitive psychology

This text explores family of origin treatment, which looks at patterns and rules in a family which affect interactions within that family. These patterns are then unconsciously utilized throughout a person's life in work and family settings. Examining and understanding these family rules allows an emphasis on cultural diversity. The family is often the basis for ethnic, cultural and religious norms. Examining these norms can help the individuals and their families deal with norms and variations from these norms, when confronting issues such as marriage and intimacy, sexual orientation and religious belief.

In the 1960s and 1970s, the radical and visionary ideas of R.D. Laing and others associated with the anti-psychiatry movement challenged the psychiatric establishment, claiming that diagnosis was scientifically meaningless - that it was simply a way of labelling socially undesireable behaviour. These ideas revolutionized thinking about psychiatric practice and the meaning of madness. R.D. Laing's work, from "The Divided Self" to "Knots" , and his therapeutic community at Kingsley Hall, made him a household name. After little more than a decade he faded from prominence as quickly as he had attained it. This text provides a thorough re-examination of Laing's work from a contemporary perspective. Concentrating on his most productive decade, the author provides a reasoned critique of Laing's theoretical writings and investigates the influences on his thinking including phenomenology and existentialism in his earlier work, and American family interaction research and Sartre in his work on interpersonal communication. The book also considers the experimental Kingsley Hall therapeutic community in parallel with other anti-psychiatry experiments.

This book offers clinicians a long-awaited comprehensive paradigm for assessing object relations functioning in disturbed younger and older adolescents. It gives a clear sense of how object relations functioning is manifest in different disorders, and illuminates how scores on object relations measures are converted into a therapeutically relevant diagnostic matrix and formulation.
Outlining the process of object relations assessment, Kelly presents vividly detailed cases of a range of disorders including anorexia nervosa, borderline states, depressive disorders, and trauma. The cases portray the vicissitudes of object relations functioning and disruption that result in a unique structural developmental composite for a given adolescent.
A major concern is demonstrating the utility and validity of two object representation measures--The Mutuality of Autonomy Scale (MOA) and The Social Cognition Object Relations Scale (SCORS)--that are the main ones employed in the assessment of adolescents. MOA and SCORS scores facilitate a multidimensional understanding of the nuances of an adolescent's object relations functioning, and provide clinicians with organized, theory-based data leading to clear, specific treatment directions and guidelines and appropriate therapeutic programming. The book addresses the following questions:
* Is individual psychotherapy indicated--will this adolescent benefit from an insight-oriented approach?
* What are the likely directions that transference parameters will take in the treatment?
* What types of countertransference reactions are likely to be anticipated in a given patient?
* Is medication likely to be helpful in making this adolescent more accessible for treatment?
Focusing only on adolescents, covering both the TAT and the Rorschach, and utilizing object relations theory as its major interpretive foundation, the book offers practitioners an alternative to general references based on a more actuarial, nomothetic, and atheoretical interpretive approach. It reflects one school of contemporary thought in projective assessment--one that advocates a more phenomenological, theory-based approach to test application and interpretation.

Art, Psychotherapy and Psychosis reveals the unique role of art therapy in the treatment of psychosis. Illustrating their contributions with clinical material and artwork created by clients, experienced practitioners describe their work in a variety of settings. Writing from different theoretical standpoints they reflect the current creative diversity within the profession and its links with psychotherapy, psychoanalysis, analytical psychology and psychiatry. In part I specific issues involved in working with psychosis are explored. These include discussion of the therapeutic relationship, the process of symbolisation, the nature and meaning of art made by psychotic patients and the interplay between words and pictures. Part II recounts the history of art therapy and psychosis, tracing its origins in art, to its present-day role as a respected treatment in psychiatric, community and therapeutic settings. Art, Psychotherapy and Psychosis extends the existing theory, develops analytical approaches in art psychotherapy and offers innovative perspectives for students and practitioners on the treatment of borderline states as well as psychosis.

Contents:
At the Beginning. Out of All the Millions of People ... Enduring interactions and Collective Illusions. Competent Marriages and the Continuum of Marital Competence. A Theory of Marital Systems. Assessment: First Contacts. Assessment: A Structured Approach. Marital Therapy: Initial Considerations. Marital Therapy: Therapeutic Effects of the Assessment and Stabilizing the System. Marital Therapy: Teaching Relationship Skills. Reading Notes.

In this expanded edition of a classic text, Anton Kris reexamines the method of free association, one of the foundational components of psychoanalysis. Tracing the history of the concept from its original pride of place among early analysts through its more recent downgrading, Kris reformulates the multifaceted illumination that free association provides, thereby assigning it a central place in contemporary thinking about psychoanalytic technique.

The third volume of Dramatherapy: Theory and Practice brings the reader up-to-date with the latest developments in the profession of dramatherapy and tackles key issues in contemporary social relationships. It shows how dramatherapy is evolving its own theory and methodology as well as specific models for supervision and assessment. Dramatherapy is now being used in a broad continuum of care and contributors give many examples of its practice in contexts of prevention, maintenance and cure.
This new volume has twenty-nine international contributors and covers major new themes of gender, race and politics as well as incorporating the latest method, theoretical concepts and research.

The culmination of several years of collaborative effort among eating disorders investigators from around the world, Developing an Evidence-Based Classification of Eating Disorders: Scientific Findings for DSM-5 provides summaries of the research presentations and discussions of the conceptual and methodological issues involved in diagnosing and classifying eating disorders. The mission of the DSM-5 Eating Disorder Work Group was to improve the clinical utility of eating disorder diagnoses by recommending revisions based on sound empirical evidence. Although the objective was to provide empirical information to the DSM-5 Eating Disorders Work Group, the research presented in this book should be invaluable to the eating disorders research and clinical community at large and, by extension, to their patients.

Eating disorders are serious, difficult to treat, and often lead to multiple medical complications, high rates of psychiatric comorbidity, and mortality. It is critical, then, that clinicians be aware of the most current research, as well as understand the foundation of the soon-to-be-released DSM-5.

Improving the definition of symptoms and syndromes is one of the critical challenges the authors tackle -- in particular the validity of the eating disorders not otherwise specified category, into which 60% of patients diagnosed with an eating disorder now fall. In addition, other mental disorders, particularly mood disorders and anxiety disorders, co-occur at a higher rate than would be expected. These findings indicate the need for greater specificity in the nosology, an issue which the investigators address. Other topics addressed include: - Eating disorders in children and adolescents, including diagnostic differences and classification. Also included is a chapter on the validity of applying a classification for feeding disorders in infants and young children, as well as one that covers latent profile analysis to identify eating disorder phenotypes in the adolescent population.- Cultural considerations and cross-cultural variation in the classification of eating disorders, including Native American, Japanese, Canadian, and Pacific Fijian populations.- A discussion of non-fat-phobic anorexia nervosa and its suitability for inclusion in DSM-5.- Current and future directions for the assessment of the cognitive criteria for anorexia nervosa.- A chapter on loss of control eating, including implications for future weight gain, depression, binge drinking, and substance abuse.

Key terms, references, summaries, charts, tables, and other illustrative features are abundant and assist the reader in understanding the research and putting it in context. Developing an Evidence-Based Classification of Eating Disorders: Scientific Findings for DSM-5 is required reading for both investigators and clinicians in the rapidly evolving field of eating disorders.

The third volume of Dramatherapy: Theory and Practice brings the reader up-to-date with the latest developments in the profession of dramatherapy and tackles key issues in contemporary social relationships. It shows how dramatherapy is evolving its own theory and methodology as well as specific models for supervision and assessment. Dramatherapy is now being used in a broad continuum of care and contributors give many examples of its practice in contexts of prevention, maintenance and cure.
* Incorporates method, theoretical concepts and latest research
* Covers major new themes of gender, race and politics
* 29 international contributors

Over a period of several decades, the author evolved a personal way of relating to and communicating with children, offering them a live professional setting in which to discover themselves. He believed that, in the right case, a full and free use of the first interview can yield rich rewards, and he claimed that the right cases for this are common. He hoped that, by presenting these case studies, he would introduce the reader to the exciting potential of his approach, which depends as much on selection (of therapist) as on training. Here is his presentation - seventeen case histories whose significance for child psychiatry is in the tradition of Freud's case histories of the treatment of adult neurotics. Therapeutic Consultations in Child Psychiatry provides a fruitful feedback to psychoanalysis itself.

Marina Jenkyns conveys the excitement of working therapeutically with dramatic text though a personal and highly readable analysis of plays from a variety of periods and cultures. Influenced by the theories of Winnicott and Klein she lays bare the dynamics of relationships and plots to show how they can be used to help us understand our own relationships to each other and the world around us. This highly innovative text integrates therapeutic practice and literature in an engaging and challenging book which will hold the attention of a wide audience.
This book contains new ideas for dramatherapy practice, theatre directors and teachers.

Psychodiagnosis in Schizophrenia is a reprint of a classic volume in assessment psychology that first appeared in 1966. The book concerns the use of psychodiagnostic techniques in the differential diagnosis of schizophrenia. The author first presents a conceptual analysis of schizophrenic disturbance in terms of impaired ego functioning and extrapolates from schizophrenic ego impairments to psychodiagnostic indices that have been demonstrated to assess them. In particular, Weiner refers to the Wechsler Adult Intelligence Scale, the Rorschach Inkblot Method, and the Draw-A-Person test. Clinical and research data delineating the nature of psychological deficits in schizophrenia are reviewed, and practical guidelines for the clinical assessment of these deficits are presented.
The author next considers several differential diagnostic possibilities frequently considered in the evaluation of schizophrenic persons, with separate chapters devoted to the many forms of schizophrenia, such as: acute, chronic, paranoid, nonparanoid, incipient, remitting, borderline and pseudoneurotic. There are also chapters that focus on schizoaffective disorder and adolescent schizophrenia. The conceptual and empirical contributions to these distinctions are reviewed; accordingly, the differentiating characteristics of these subcategories are related to parameters of psychodiagnostic test performance. In additon, the process of differential psychodiagnosis in schizophrenia is illustrated by detailed case studies. In an extended new preface, the author comments on current perspectives and contemporary literature related to the individual chapters of the text.

Fundamentals of Marital Therapy serves as an authoritative introduction to the field, making clear just how different it is to intervene within a marital context than it is to work with an individual. Designed to be practical, the presentation is divided into concise units, each building upon the last so that even the most complex of issues are exceptionally easy to follow. The author stresses methods of marital therapy that are proven to be effective. Common elements across different models are featured, permitting comparisons and contrasts - so that readers will be able to discern what works and what doesn't, and for whom. The key issues in couples therapy are highlighted, including couples' interactional patterns and how they impact on practice, common errors in treatment, solutions to familiar problems, and identification of couples for whom therapy is not practical.

The Divided Self, R.D. Laing's groundbreaking exploration of the nature of madness, illuminated the nature of mental illness and made the mysteries of the mind comprehensible to a wide audience.

First published in 1960, this watershed work aimed to make madness comprehensible, and in doing so revolutionized the way we perceive mental illness. Using case studies of patients he had worked with, psychiatrist R. D. Laing argued that psychosis is not a medical condition, but an outcome of the 'divided self', or the tension between the two personas within us: one our authentic, private identity, and the other the false, 'sane' self that we present to the world.

Laing's radical approach to insanity offered a rich existential analysis of personal alienation and made him a cult figure in the 1960s, yet his work was most significant for its humane attitude, which put the patient back at the centre of treatment.

The revised and expanded third edition of the Manual for Clinical Psychology Trainees is directed primarily to graduate psychology students - although it will prove valuable for everyone involved in patient care. This book presents easily understood, brief guidelines for each step in the provision of psychological services. The authors do not attempt to document every possible approach to every potential issue; instead, their goal is to clear a path through a complex and multilayered field. By targeting the discussion in this way, the format allows for the provision of actual methods that work, thus enabling the newcomer to accomplish a variety of clinical tasks. Plentiful examples of the interviews, reports, and records that the practitioner is called upon to conduct or compile are included throughout the text. In addition, there are extensive tables detailing various syndromes, as well as tests and classes of medication.

First published in 1996. Routledge is an imprint of Taylor & Francis, an informa company.

Over a quarter century of studies have shown that addictions, mental illnesses, and their combinations (dual diagnoses) are pervasive in the general population. Meanwhile, emerging neuroscience is revealing that the neurodevelopmental basis of major mental illness and addiction diseases are tightly interconnected and often unified pathologies of the brain. This science calls into question the profound split between the addiction and mental health fields that define our fragmented research, professional training, and treatment delivery systems-a split that leaves most patients out of reach of adequate professional expertise and evidence-based standards of care. The 2 x 4 Model, as described in this translational textbook of Addiction Psychiatry, is the essential blueprint and operational manual for the fully integrated, expertly staffed, Dual Diagnosis clinic- a clinic that is maximally capable and efficient in treating the full spectrum of addictions, mental illness, and their comorbidities, through integration of psychotherapies and medications, by one team under one roof. Replication of 2 x 4 Model Clinics into a national system would allow widespread access to excellent, transparent standards of Addiction Psychiatry as a decisive measure against mass incarceration and the exploding health care crisis of untreated addictions, all while rebuilding brain health as a core public health, social and economic imperative of modern society.

From the author of "Toxic Psychiatry" and "Talking Back to Prozac"

"Peter Breggin is the conscience of American psychiatry. Once more he updates us on the real evidence with respect to the safety and effectiveness of specific psychiatric medications and ECT. This information is needed by all mental health professionals, as well as patients and families." --Bertram Karon, Ph.D., Professor of Psychology, Michigan State University, Author of "The Psychotherapy of Schizophrenia" "Nowhere does false medical thinking do more harm than in the modern psychiatric argument that mental illness is easily diagnosed and then cured by a side-effect free drug. Nowhere is the correct psychiatric thinking more evident than in the books by Peter Breggin." -- William Glasser, MD, psychiatrist, author of "Reality Therapy"

In "Brain Disabling Treatments in Psychiatry," renowned psychiatrist Peter R. Breggin, M.D., presents startling scientific research on the dangerous behavioral abnormalities and brain dysfunctions produced by the most widely used and newest psychiatric drugs such as Prozac, Paxil, Zoloft, Cymbalta, Effexor, Xanax, Ativan, Ritalin, Adderall, Concerta, Strattera, Risperdal, Zyprexa, Geodon, Abilify, lithium and Depakote.

Many of Breggin's earlier findings have improved clinical practice, led to legal victories against drug companies, and resulted in FDA-mandated changes in what the manufacturers must admit about their drugs. Yet reliance on these drugs has continued to escalate in the last decade, and drug company interests have overwhelmed psychiatric practice.

This greatly expanded second edition, supported by the latest evidence-based research, shows that psychiatric drugs achieve their primary or essential effect by causing brain dysfunction, and that they tend to do far more harm than good.

New scientific analyses in this completely updated edition include:
Chapters covering every new antidepressant and stimulant drug Twenty new guidelines for how to conduct non-drug therapy A chapter describing how to safely withdraw from psychiatric drugs A discussion of "medication spellbinding," explaining how patients fail to appreciate their drug-induced mental dysfunctions Documentation of how the drug companies control research and the flow of information about psychiatric treatments

Drawing on years of clinical research, Ayala Pines offers a framework for understanding and combating 'relationship burnout'. Using case studies Pines provides effective strategies for therapists to use with individuals, couples and couple groups.

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Marriage as an equal partnership is the goal of amny couples in the western world today and yet equality is often limited by the ways that power and gender interact in the relationship, leading to dissatisfaction and ultimately the break up of the marriage. In Equal PArtners - Good Friends Claire Rabin examines the connection between inequality in marriage and marital distress. Drawing on extensive research and personal interviews in the UK, USA and Israel, she stresses the role of friendship in establishing a truly equal relationship. Focusing on issues of gender, sex roles and power, she provides a new clinical treatment model for therapists working with couples which is much needed in today's climate of change.

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Scientists, philosophers, and storytellers often question why human beings appear to remain constant while existing in a state of change at the same tune. Among those who explore and expose dramatic conflicts between human stability and flux, the number of behavioral scientists has remained relatively low - that is, until Leo Srole followed the progress of a large cohort of people in his Midtown Longitudinal Study. This statistical project was designed to analyze mental health and assess human biological, social, and psychological change. New York's Upper East Side was the study's focus, a sociologically insular community, consisting of loosely differentiated neighborhoods, with a population of generalizable significance that transcended individual characteristics. Midtowners, studied hi 1954 then reinterviewed in 1974, were the subjects of analysis. After a twenty-year hiatus, Srole's eagerly awaited findings and outcomes are available.Personal History and Health by Ernest Joel Millman is a posthumous synthesis of Leo Srole's seminal behavioral study. This book presents the principal findings of MLS - with emphasis on adult mental health predictors, not cause-and-effect relationships. Srole used such biophysical correlates as gender and generation, mental health and history of somatic disorders, and the statistical methods of multiple correlation and regression analysis to predict average mental health. Through this work, Srole's pioneering exploration of social age and adult mental health - in particular how they differed for the women and men of the Midtown Longitudinal Study - has been completed. Personal History and Health is the conclusive, long-range view of those changes.These are Srole's final perspectives on mental health. As was characteristic of him, it is not exploratory or confirmatory, nor does it declare conclusions; rather, it raises questions. Millman offers an accessible yet sophisticated presentation of sociomedical sampling and analysis in language which may be understood by statistically unsophisticated readers, placing all of the explanations, details, figures, and tables in comprehensive statistical appendices. This book will appeal to those in the mental health field, sociomedical scientists, and those with interest in the socioeconomic correlates of health status and/or social mobility in urban society.

The correlation between schizophrenia and substance abuse in psychology is recognized as a growing issue, yet it is one that many practitioners are often ill-prepared to address. Behavioral Treatment for Substance Abuse in People with Serious and Persistent Mental Illness addresses the specific challenges faced by the clinician treating individuals with co-occurring schizophrenia and substance abuse disorders. Designed as a treatment manual for mental health professionals, the book incorporates various treatment components, from motivational interviewing and social skills training to education, problem solving, and relapse prevention. The book presents clearly established guidelines for these treatment modes and utilizes both case examples and fictional situations to present a practical, hands-on approach. Readers will profit directly from the lessons in the book, which offers the clinician an invaluable model from which to base a treatment plan.

This unique research bibliography is offered in honor of Leo Eitinger of Oslo, Norway. Dr. Eitinger fled to Norway in 1939, at the start of the World War II. He was caught and deported to Auschwitz, where, among others, he operated on Elie Wiesel who has written the foreword to this volume. After the war, Eitinger became a pioneering researcher on a subject from which many shied away. His contributions to understanding of the experience of massive psychological trauma have inspired others to do similar work. His many books and papers are listed in this special volume of the acclaimed bibliographic series edited by Israel W. Charny of The Institute on the Holocaust and Genocide in Jerusalem. In order to acquaint users of this bibliography with the topic, two introductory articles are offered. The first is titled "Survivors and Their Families" and deals with the impact of the Holocaust on individuals. The second, "Psychiatry and the Holocaust," examines the general impact of the Holocaust on the field of psychiatry. Robert Krell writes that in general the psychiatric literature has reflected critically on the survivor due to preconceived notions held by many mental health professionals. For many years, the exploration of victims' psychopathology obscured the remarkable adaptation made by some survivors. The problems experienced by survivors and possible approaches to treatment were entirely absent from mainstream psychiatric textbooks such as the Comprehensive Textbook of Psychiatry throughout the 1960s and 1970s. Fifty years of observations about survivors of the concentration camps and other survivors of the Holocaust (in hiding, as partisans, in slave labor camps) has provided a new body of medical and psychiatric literature. This comprehensive bibliography contains a plethora of references to significant pieces of literature regarding the Holocaust and its effects on survivors. It will be of inestimable value to physicians, psychiatrists, psychologists, and social workers, along with historians, sociologists, and Holocaust studies specialists.

This book assembles, for the first time, information required for the recognition, understanding, and treatment of behavioral problems resulting from neurological conditions. Its focus is two-pronged: 1) on conditions where cognitive-behavioral manifestations are major symptoms, such as attention deficit hyperactivity disorder, autism, and developmental language disorder; and 2) on conditions where these symptoms are significant but secondary, such as brain tumors, epilepsy, and AIDS.
This multi-authored guide also outlines effective approaches to behavioral therapy for these conditions. Pediatric Behavioral Neurology is an excellent resource for practitioners whose work demands knowledge of the symptoms, signs, and treatment of behavioral and cognitive disorders caused by brain abnormalities. It is comprehensive, yet concise and easy to use.