This issue of Child and Adolescent Psychiatric Clinics, edited by Dr. Matthew Willis, will cover management of Pediatric Medical Illnesses with a focus on clinical updates and treatment considerations for the child and adolescent psychiatrist Topics covered in the issue include, but are not limited to: Eating Disorders; Obesity and Insulin Resistance; Transitioning from Pediatric to Adult Care in Young Adults with Medical Issues; Concussive syndrome: Acute Management and Chronic Post-Concussive Issues; Functional Abdominal Pain; Nonepileptic Seizures in Pediatric Patients: Diagnosis and Comorbidites; Domestic Minor Sex Trafficking (DMST); and Grief as an etiological factor in pediatric emotional and physical clinical presentations.

"Adversity" involves exposure to unpropitious or calamitous circumstances. It occurs in extreme situations such as prolonged combat or natural disasters, both of which affect whole groups or communities of people simultaneously. It is found as well in more individually targeted events such as child abuse, bereavement, rape, physical illness, marital separation or divorce, unemployment, and homelessness. Exposure to adversity is not randomly distributed in society. It varies, for example, with gender, ethnic or racial background, and socioeconomic status. And some types of adversity can be precipitated by an individual's own actions.

In this volume, the leading investigators review research on the nature of adversity and its relationship to major types of psychopathology including schizophrenia, depression, alcoholism and other substance-use disorders, antisocial personality disorder, post-traumatic stress disorder, and nonspecific distress. These relationships are examined in terms of theoretical concepts of life stress that describe the characteristics of the ongoing situation in which adverse events occur and the factors of personality and coping ability that also affect psychiatric outcomes. The authors sift through firm and infirm findings and critically evaluate existing theory and research strategies and provide and integrative theoretical framework. No other book offers as comprehensive and authoritative a discussion of the role of psychosocial stress in causing mental disorders.

Western medicine, including psychiatry and psychology, has had a virtual monopoly of the health industry. This has led to economic incentives that literally keep people sick. Anthropologists, because of their holistic and comparative base, are in a unique position to apply their knowledge within clinical settings. Written for anthropologists, but useful to all clinicians, Rush's book offers a new model for understanding health and illness, provides a review of techniques found in many cultures for reducing individual and system stress, and offers processes for recovering health and individual and social balance. Rush establishes a model outlining the development of emotional problems and then offers the clinicial tools and techniques for helping individuals, families, and groups reduce stress and retranslate traumatic or distressing events. The reader will discover a very different view of emotional and physical stress; the approach taken is informational and anthropological in nature. From this approach arise numerous techniques designed to help clients achieve stress reduction and enhanced healing.

Bipolar disorder is one of the most common, and disabling, conditions affecting human kind. Each year, millions of individuals struggle with the effects of this illness. Although clinically well recognized for decades, if not centuries, the causes of this condition remain incompletely understood. However, in the past decade, significant technological advances in both neuroimaging and genetic research have revealed clues about the neurophysiological basis of bipolar illness. In this book, leading experts in neuroimaging and genetics discuss recent discoveries in bipolar disorder that identify both the structural, functional and chemical brain changes that seem to underlie this condition, as well as the possible genetic causes of these brain events. Based upon these discussions, the book then integrates these diverse considerations to develop a specific neurophysiological model of bipolar disorder. This model provides a resource to guide clinicians and patients as they struggle to understand this illness, as well as a guide for future investigations into the causes of bipolar disorder. With this guide in hand, this book will lead to a new framework for understanding bipolar disorder in order to, ultimately, develop improved therapies for affected individuals and novel strategies to prevent the onset in children at risk for this condition.

"When I sat down to read this book, I decided to fasten my seat-belt. There are people so desperate that they are willing to commit terrible crimes to get their message across, and there are carers so assaulted that they must put safety before care. Not a book to read before bedtime you might say. However I'm not sure that this is setting the scene correctly, because, when I read it, in addition to the psychopathology of desperation, there is the capacity to reflect on it, and to give despair the meaning it should have, and to do so with a greatly reassuring power."--From the Foreword by Bob Hinshelwood, Member of the British Psychoanalytic Society, Fellow of the Royal College of Psychiatrists and Professor in the Centre for Psychoanalytic Studies, University of Essex, UK "[The book] may stand as an unusually bold and uncompromising example of psychodynamically informed action research and the contribution this can offer, drawing on the intelligence afforded by emotional experience, to the restoring of both meaning and agency. Viewed in this way, the book both speaks to and has a relevance for practitioners, managers and consultants well beyond the boundaries of just one signal enterprise."--From the Afterword by David Armstrong, Principal Consultant at the Tavistock Consultancy Service, the Tavistock and Portman NHS Foundation Trust

Full of courage and strength, this remarkable memoir follows the life of Randy Hartman from his upbringing in an abusive, dysfunctional family to a successful military and mental health career.

Born in the rural town of Guernsey, Wyoming, during the 1950s, Randy grew up with three brothers and a hardworking mother and father. He enjoyed running around the small community and getting into innocent trouble with his brothers and friends, but things were difficult at home. His mother died in 1961 and suddenly, Randy's abusive, alcoholic father was trying to raise the family with little success, moving the boys around constantly and consorting with different women.

Once he was old enough, Randy escaped his miserable home life and joined the military, got married, and started a family. But numerous problems continued to plague him, including his own bout with alcoholism, Post Traumatic Stress Disorder, and infidelity. When he and his wife were divorced, Randy hit bottom. Yet he refused to give in to despair, and went on to overcome his addictions, eventually going to college and earning a master's degree and a PhD.

A true story of anger, shame, happiness, and hope, "Raising Randy" delivers a compelling picture of one man's struggle to overcome the past and create a meaningful future.

This issue of Child and Adolescent Psychiatric Clinics of North America, edited by Drs. Gregory Fritz, Tami Benton, and Gary Maslow, will focus on issues surrounding Integrated Care in child and adolescent psychiatry. Topics covered in these articles will include: Telephonic Service and Telemedicine; the Massachusetts Access Program; Integrated Care Model for Adolescent Substance Use; Combined Training for Pediatrics and Psychiatry; Integrated care within a rural setting; Interdisciplinary Training for Integrated Care; Emergency Department Interventions; Economic Considerations for Integrated Care; A Lifespan Approach to Integrated Care; and Essential Elements of a Collaborative Mental Health Training Program for Primary Care, among others.

Depression in men often goes undiagnosed or improperly treated because of unique qualities that make it different from depression in women. In this volume, Dr. Kantor explains that depression in men is not strictly the product of major life events; it also regularly appears in response to minor troubling issues that often go entirely overlooked by others or, if recognized at all, are downplayed. In this jargon-free text, Kantor explains how many men are able to navigate the big stresses successfully only to succumb to the little ones. And he challenges the current widespread tendency now viewing depression in men as a strictly biological event to be treated first and foremost with pharmaceuticals. Psychiatrist Martin Kantor takes us into his treatment rooms and daily experience to show the signs and causes of depression in men, and how they do not display the disorder most often in the way we typically associate with depression. Many men who feel depressed deny it by shifting into hypomania. Trying to hide, reject or downplay the feeling, they may become excessively elated, have a decreased need for sleep, find their thoughts racing and their sexual desire fueled out of control. Where there was, initially with depression, a withdrawal and a desire to weep, then enters attention-seeking behavior, clowning and flighty energy, explains Kantor. That makes the depression far more difficult for laypeople and professionals-even for the men themselves-to recognize and deal with. That is unfortunate because a small amount of medical attention and personal affection can work wonders, rechanneling the man into a life of happiness he might never have known, and a level of achievement he might never othewise have attained, says Kantor Long thought to be a feminine disorder connected to hormones and the premenstrual syndrome, depression actually strikes millions of men each year. With absorbing vignettes, and insights into a faulty culture that urges men to always have a stiff upper lip and shun medical attention, Dr. Kantor shows the unique ways in which depression is very much a men's disorder. And he helps us understand what we can do to treat it, to help ourselves and the men we care about recover.

Expanding on the critical contributions of previous editions, this updated and comprehensive resource covers the latest diagnostic criteria of insomnia. The book is thematically divided into two parts. The first section consists of chapters on nomenclature, epidemiology, pathophysiology, diagnosis and differential diagnosis, complications and prognosis and treatment both pharmacological and behavioral. The second features chapters on insomnia in special populations, including ones on children and adolescents, cancer sufferers and survivors, in pregnancy, in menopausal women and in patients with neurological disorders and those with psychiatric illnesses. This third edition fills an important niche in the medical literature by addressing insomnia in its multiple forms, summarizes the findings published in different medical journals, and presents these to the practicing health care provider in an easily accessible format.

Developed by renowned therapist and bestselling author Harville Hendrix, PhD, Imago Therapy is a groundbreaking approach to working with couples. The "Imago" is the unconscious image we hold of our parents. According to Hendrix, people select their mates by seeking "Imago matches"--individuals who resemble their parents in salient ways. A couple's relationship dynamic is created and shaped as each partner interacts with his or her Imago match, revisiting unfinished or unresolved issues from childhood.

Based on the ideas popularized in Hendrix's New York Times bestseller Getting the Love You Want, this is the first book to systematically describe to mental health professionals the theory and practice of Imago Therapy. Rick Brown, ThM, the Executive Director of the Institute for Imago Relationship Therapy, reveals the developmental and analytic underpinnings of the Imago approach, and clearly demonstrates how to apply these principles in a clinical setting. Drawing on a range of case studies, Brown shows how to coach couples to work through their unresolved childhood issues and toward a safe, passionate, and committed conscious relationship.

The first clinical primer to this innova-tive approach to couples therapy, "Imago Relationship Therapy" brings therapists a comprehensive and practical exploration of one of the most talked about approaches in the field.

"As a co-originator, with Helen Hunt, of the theory and practice, I am delighted with the accuracy of the presentation and feel gratified that it finally brings "Imago Relationship Therapy" to the therapeutic community. I give it my full endorsement.

While other books have been written on application of IRT to othercontexts and summary chapters have appeared in other books, this is the first book-length primer to describe the general practice of IRT with couples. Rick Brown is eminently qualified to write this book. He has been a Certified Imago Therapist(r) for nearly a decade, teaching the theory and practice to therapists nationally and internationally, and he has been an able Executive Director of the Institute for "Imago Relationship Therapy," I was delighted to learn that he was invited by the publisher to expand his public lectures into a book. Therapists who read it will get a general overview of the metatheory, the clinical theory, and the clinical practice of Imago Relationship Therapy. . . . It does offer therapists who wish to become familiar with IRT an accurate and clear guide to its theory and practice and, in addition, it is an excellent review for Imago therapists." --Harville Hendrix, PhD, from the Foreword.

Individuals with schizophrenia and related disorders experience significant functioning deficits in the community. The study of social cognition in schizophrenia has grown rapidly over the past decade, and a consensus has developed among researchers that dysfunction in social cognition may contribute to the severe interpersonal problems that are a hallmark of schizophrenia. This has generated hope that treatments which improve social cognition in this illness may enhance an individual's ability to live a socially engaged and rewarding life.
Social Cognition in Schizophrenia: From Evidence to Treatment provides a firm grounding in the theory and research of normal social cognition, builds on this base to describe how social cognition appears to be dysfunctional in schizophrenia, and explains how this dysfunction might be ameliorated. Composed of contributed chapters written by the top experts in the field, the volume is divided into three parts to address each of these areas. Part I, Foundations of Human Social Cognition, explores normal social cognition in childhood development, adulthood, and across cultures, as well the brain-bases of social cognition and clinical social cognition research. Part II, Social Cognition in Schizophrenia: Descriptive and Experimental Research, discusses social cognition and functional outcome, emotion processing, Theory of Mind, paranoid ideation, social cognition in early psychosis, and the social cognitive neuroscience of schizophrenia. Part III, Social Cognition in Schizophrenia: Treatment Approaches, focuses on findings from current treatment outcome research as well as several leading social cognitive intervention approaches-Integrated Neurocognitive Therapy (INT), Cognitive Enhancement Therapy (CET), Metacognitive Training (MCT), and Social Cognition and Interaction Training (SCIT). This comprehensive, accessible volume will be invaluable to researchers studying social cognition and psychosocial treatment development in schizophrenia, clinicians working with this patient population, students in social and clinical psychology, nursing, social work and occupational therapy, and medical students.

Part of the new American Pyschopathological Association Series. Containing contributions from leading scholars of causal thinking in epidemiology and psychopathology research, this volume is based on presentations at the ground-breaking 2008 meeting of the American Psychopathological Association. The authors explore the meaning of causal statements that are made from statistical and experimental evidence; then, they suggest novel approaches to analyze these statements and thus make them more informative and medically rigorous. The collection of chapters uniquely includes both methodological contributions and detailed assessments of how causal inferences can be made when considering research results on developmental psychopathology, clinical psychopharmacology, personality disorders, post-traumatic stress disorder, and psychiatric genetics. In analyzing causal references, the authors examine controversies surrounding various disorders and their treatment.

This issue of Child and Adolescent Psychiatric Clinics, edited by Dr. Mini Tandon, will cover a broad range of topics in Early Childhood Mental Health. Subjects discussed include, but are not limited to: Newborns, preschoolers, Internalizing Disorders, ADHD and the Externalizing Disorders, Trauma, Sleep Disorders, Attachment issues, Autism, and Feeding Disorders, among others.

This issue of Critical Care Clinics focuses on Psychiatric Aspects of Critical Care Medicine. Editor Jose Maldonado has assembled an expert team of authors on topics such as: Psychiatric Aspects of Organ Transplantation in Critical Care; Medical Complications of Psychiatric Treatment; Psychiatric and Palliative Care in the ICU; Psychiatric Aspects of Heart and Lung Disease in Critical Care; Alcohol Withdrawal Syndromes: Assessment and Management; Substance Abuse and Withdrawal in the Critical Care Setting; Mood Disorders and The Outcome of Suicidal Thoughts and Attempts; Anxiety Disorders and the Outcomes of Trauma; Assessment and Management of Toxidromes in the Critical Care Unit; Neuropsychiatric Consequences of Trauma and Head Injury; Detection and Management of Pre-Existing Cognitive Impairment in the Critical Care Unit; Delirium: Pathophysiology, Diagnosis and Treatment; Neuropsychiatric Aspects of Infectious Processes.

The set of techniques known collectively as real-time data capture (RTDC) is becoming increasingly important in medical research. Based on the collection of data in people's typical environments, RTDC is primarily used with self-reported data, such as medical symptoms and psychological states. Now, its guiding principles and supporting technologies also provide a framework for scientists to monitor physiological information such as heart rate, blood pressure, and skin conductance. This volume gives the most complete view yet of the state of RTDC science and its potential for use across the health and behavioural sciences.

Despite the proliferation of pain clinics and various pain-oriented therapies, there is an absence of data supporting any substantial change in the statistics regarding the incidence, development and persistence of pain. As renowned pain clinician and scientist Daniel M. Doleys argues, there may be a need for a fundamental shift in the way we view pain. In this thoughtful work, Doleys presents the evolving concept and complex nature of pain with the intention of promoting a broadening of the existing paradigm within which pain is viewed and understood. Combining neuroscience, psychology, and philosophy of science, this book reviews the history of pain and outlines the current concepts and theories regarding the mechanisms involved in the experience of pain. Experimental and clinical research in a broad array of areas including neonatal pain, empathy and pain, psychogenic pain, and genetics and pain is summarized. The notion of pain as a disease process rather than a symptom is highlighted. Although there is a continued interest in activation of the peripheral nociceptive system as a determining factor in the experience of pain, the growing appreciation for the brain as the intimate 'pain generator' is emphasized. The definition of consciousness and conscious awareness and a theory as to how it relates to nociceptive processing is discussed. Finally, the author describes the potential benefit of incorporating some of the concepts from systems and quantum theory into our thinking about pain. The area of pain research and treatment seems on the precipice of change. This work intends to provide a glimpse of what these changes might be in the context of where pain research and therapy has come from, where it currently is, and where it might be headed.

This book is a critical edition of the autobiographical case studies used by the Austro-German psychiatrist Richard von Krafft-Ebing between 1883 and 1901. Forty-one individual case studies of same-sex attracted men and women, in their own words, made an eye-catching component of Krafft-Ebing's most important work, PsychopathiaSexualis. Although the psychiatrist probably edited the autobiographical case studies, with the racier passages rendered in rather rudimentary Latin, what is particularly remarkable is that he preserved an unmistakeable queer discourse in some of the case studies that disputed the pathologising ideologies of the psychiatric texts in which they were embedded. Most of the autobiographies of same-sex attracted men follow the discursive patterns established in nineteenth-century psychiatry in providing descriptions of body features including genital size and shape, mental and physical health, family histories of health and disease, and accounts of life events from childhood to the present. This was because these men had been following Krafft-Ebing's works and were now using their autobiographical contributions in Psychopathia Sexualis as a platform for negotiating the parameters of sexual orientation. Women's sexuality was a relatively undeveloped component of Krafft-Ebing's sexology but there are four case studies of women containing autobiographical content. Similarly, gender variance was hardly differentiated from sexuality at this period, but there are three autobiographies that clearly articulate cross gender identification, anticipating the future categories of transsexual and transgender. Krafft-Ebing reserved his therapeutic interventions to those individuals attracted to both sexes where hypnosis could supress same sex urges. Seven of these individuals supplied sexual autobiographies with two of them undergoing treatment as part of the overall case study. Together, these forty-one accounts give the reader a window into queer self-conceptions in Austria and Germany as the nineteenth century drew to a close.

The treatment of mental disorders has changed with the evolution of new technologies. The use of the web and computing tools to treat mental illness provides the ability to reach a higher number of users with innovative and proactive interventions. Web-Based Behavioral Therapies for Mental Disorders is a pivotal reference source for the latest scholarly research on alternative technology-based approaches to the treatment and support of mental illnesses. Featuring extensive coverage on topics such as cognitive behavioral therapy, depression, and acceptance and commitment therapy, this book is ideally designed for researchers, psychologists, psychiatrists, and clinical scientists seeking current research on effective technological solutions for promoting well-being and meeting the needs for personalized health.

Chronic Medical Disease and Cognitive Aging: Toward a Healthy Body and Brain explores the important and often overlooked connection between how chronic medical diseases of the body can affect cognitive function and brain health. As population demographics shift to that of an aging population it has become more important to understand and improve cognitive function in late life. Chronic medical diseases often increase the risk of cognitive impairment, and those with cognitive impairment may be less able to effectively manage their medical conditions, suggesting a reciprocal relationship may exist where medical disease impacts cognition that in turn may exacerbate physical health. Chronic Medical Disease and Cognitive Aging discusses current research on the association between a variety of chronic medical diseases and cognition and, where appropriate, promising interventions or accepted treatment strategies. While a cure for many diseases continues to be elusive, insights garnered from the interplay between diseases of the body and mind may help point the way to novel therapeutic strategies to improve cognitive function in late life.