This issue of Psychiatric Clinics, edited by Dr. James Knoll, is dedicated to violence and the psychological ramifications of violence in a wide array of situations. Subjects covered include, but are not limited to, violence by parents against children; gender and violence; lone wolf terrorists; inpatient violence; neuroimaging violence; workplace violence; gun violence; the military perspective on violence; homicides; suicides; sex offender risk and management; and psychopharmacology.

Narcissists have been much maligned, but according to clinicians who study personality, there are many productive narcissists who succeed spectacularly well in life because they can articulate a vision and make others follow. Elsa Ronningstam, who has been studying and treating narcissists for 20 years, presents a balanced, comprehensive, and up-to-date review of our understanding of narcissistic personality disorder, explaining the range from personality trait, which can be productive, to full-blown disorder, which can be highly destructive. Through fascinating case histories, Ronningstam shows us the inner life of narcissists, the tug of war that exists within them between self-confidence and arrogance on the one hand and painful shame and insecurity on the other. It is the first integrated clinical and empirical guide to assist clinicians in their work with narcissistic patients.

One of the first major theoretical reviews of schizophrenia since the publication of the 5th edition of the APA's Diagnostic and Statistical Manual, the DSM-5, this volume is a landmark in the history of schizophrenia research. It assembles recent groundbreaking developments in research on schizophrenia and reaffirms its central place in the mental health research agenda. Significantly, this volume reflects the paradigmatic shift in schizophrenia research applied in parallel to new approaches in psychiatric diagnosis. New models and findings from across disciplines in recent years reflect a new and greater understanding of the workings of the brain, which, in turn, helps develop our knowledge of the neuro and psychological processes in schizophrenia. Consequently, this volume illustrates a historical convergence of psychology, psychopathology and the neurosciences in schizophrenia. World-renowned leaders of the schizophrenia research community in fields such as neuroscience, p sychiatry, neuropsychology, and clinical psychology offer clear suggestions for further advances in psychological and medical interventions, assessment, prevention strategies, and research. And in keeping with other titles in the Nebraska Symposium on Motivation series, these papers are noteworthy for their depth of detail, scientific rigor, and clinical relevance. Included among the topics: Cognitive organization as a dimension of individual differences and psychopathology. Neurodevelopmental genomic strategies in the study of the psychosis spectrum. Multimodal brain and behavior indices of psychosis risk. The NIMH Research Domain Criteria Project: new approaches to classifying psychotic spectrum disorders. The Neuropsychopathology of Schizophrenia is one of the most forward-thinking and engaging treatments of the field in recent years, and is an i ndispensable text for all researchers, academics, and clinicians who treat or study mental illness, especially psychiatrists, psychologists, mental health practitioners, and neuroscientists specializing in schizophrenia.

From its first depictions in ancient medical literature to contemporary depictions in brain imaging, mania has been largely associated with its Greek roots, ""to rage."" Prior to the nineteenth century, ""mania"" was used interchangeably with ""madness."" Although its meanings shifted over time, the word remained layered with the type of madness first-century writers described: rage, fury, frenzy. Even now, the mental illness we know as bipolar disorder describes conditions of extreme irritability, inflated grandiosity, and excessive impulsivity. Spanning several centuries, Manic Minds traces the multiple ways in which the word ""mania"" has been used by popular, medical, and academic writers. It reveals why the rhetorical history of the word is key to appreciating descriptions and meanings of the ""manic"" episode."" Lisa M. Hermsen examines the way medical professionals analyzed the manic condition during the nineteenth and twentieth centuries and offers the first in-depth analysis of contemporary manic autobiographies: bipolar figures who have written from within the illness itself.

This text outlines the importance of biopsychosocial factors in improving medical care, and illustrates evidence-based, state-of-the-art interventions for patients with a variety of medical conditions. Each chapter is focused on a particular health concern or illness, which is described both in terms of prevalence and frequent psychological and psychiatric comorbidities that may present to clinicians working with these populations. Consistent with evidence-based care, information on the efficacy of the treatments being described is presented to support their continued use. To accommodate the needs of clinicians, we describe population specific approaches to treatment, including goal settings, modules and skills as well as strategies to assess and monitor progress. To facilitate learning, each chapter contains one or more case examples that explicate the skills described to convey change within a behavioral medicine protocol. Each chapter also includes resources in the form of books and websites to gain additional knowledge and detail as needed. Authors are experts in the field of each chapter, ensuring that information presented is recent and of high quality.

Destress, find your community, and practice self-love with these 100+ exercises to reinforce ADHD as a strength. When you have ADHD, it can be hard to stay on top of your wellness. Self-Care for People with ADHD is here to help! This book can help you engage in some neurodiverse self-care-without pretending to be neurotypical. You'll find more than 100 tips to accepting yourself, destigmatizing ADHD, finding your community, and taking care of your physical and mental health. You'll find solutions for managing the negative aspects of ADHD, as well as ideas to bring out the positive aspects. With expert advice from psychiatrist and clinician Sasha Hamdani, MD, Self-Care for People with ADHD will help you live your life to the fullest!

Cognitive Enhancement in CNS Disorders and Beyond compiles a series of educational and thought-provoking chapters from the world's leading cognitive and clinical scientists to describe the latest research on cognitive impairments in a host of pathological conditions that affect CNS functioning, what treatments are available for these impairments, and how new treatments are being tested. This volume will benefit any investigators in cognitive science and clinical research, but is also accessible to non-experts. It advances the field toward the availability of cognitive enhancing drugs and devices that will benefit those who need them most and others who may feel that these techniques can help them to thrive. There has never been a time that we knew more about cognition and never a time when cognition was more important to the functioning of human beings than right now. Psychological science and cognitive neuroscience have become the most popular endeavor of students world wide, is the focus of attention of our greatest scientific accomplishments and the emphasis of many publications in the mainstream media. Since humans depend on cognitive abilities for survival, quality of life, and productivity, improving it has never been more important. Those with impairments in key aspects of cognition suffer dearly, as they are unable to obtain and retain information, unable to make sound decisions based upon the information at hand, and unable to plan future activities. The availability of pharmacological and behavioral interventions that can improve cognitive abilities and provide impaired individuals with the social, occupational and functional quality of life that the rest of us enjoy has potential far-reaching implications. Such interventions can also benefit those who want to boost current cognitive abilities to higher levels, perhaps as a means to hone skills in providing products for others or to gain an edge on competition. There has never been a book devoted solely to describing the latest cognitive science and neuroscience on the methods for enhancing cognition in healthy and unhealthy humans. Cognitive Enhancement in CNS Disorders and Beyond accomplishes exactly that in a straightforward and accessible manner.

Written to encourage defensive action, Levine's book is meant both as a guide and a reference to understanding and preventing dementia. It is intended for lay people interested in learning about dementia and the measures that can be taken to repel its onslaught, as well as for caregivers and family members of impaired patients. Defying Dementia is presented in two sections. First, Levine explains the various types of dementia, its increasing incidence and current treatments, and the treatments being tested and on the horizon. The role of physiology and fresh insights from the field of genetics are included. The second section focuses on methods that can be incorporated into a healthy lifestyle to help avoid dementia. How do we motivate individuals to take action or change behavior in response to a possible threat that has not yet materialized? When the threat is dementia, argues longtime neurologist Robert Levine, it is an issue of considerable importance. The earlier the campaign is initiated to defeat this lurking foe, the greater the chances the combatant will emerge victorious. Written to encourage such defensive action, Levine's book is meant both as a guide and a reference to understanding and preventing dementia. It is intended for lay people interested in learning about dementia and the measures that can be taken to repel its onslaught, as well as for caregivers and family members of impaired patients. Defying Dementia is presented in two sections. First, Levine explains the various types of dementia, its increasing incidence and current treatments, and the treatments being tested and on the horizon. The role of physiology and fresh insights from the field of genetics are included. The second section focuses on methods that can be incorporated into a healthy lifestyle to help avoid dementia. Vignettes illustrate how dementia in its many forms can be recognized as it emerges. With proper actions on our part, we can achieve mastery, Levine writes. The transformation may not be easy, but recognizing the scourge that dementia is, and the way it devours the humanity of its victims, may inspire us to move ahead. Preparation is the key word; building solid defenses over time. And while any moment is worthwhile to begin this task, the earlier the better.

This volume describes the treatment of uniquely complex and profound sexual problems that the therapeutic community has been largely unsuccessful in treating. The reader is drawn to understand and even identify with the people experiencing sexual disturbance. This process of identification helps to mitigate the biases that we use to dehumanize the sexually disturbed.

This work is developed around a case study format, with chapters on specific psychosexual disturbances. All of these cases experienced early childhood sexual trauma or mislearning that interrupted the course of normal sexual development. Such victims then frequently repeat the learned behavior in later life, acting out the role of perpetrator. In addition to presenting the treatment process as it is formulated in the mind of the therapist, the author offers a blueprint for therapy that makes specific treatment possible for clients with similar disorders. Therapists are also guided in developing an effective clinical presence, covering such matters as initial contact, boundary setting, self awareness, dress, voice tone, and overall demeanor. Strategies for avoiding becoming enmeshed in psychological defenses are presented in detail.

The Asian American population is increasing rapidly and, not unpredictably, so are its mental health needs. A number of cultural factors and stressors common to Asian Americans pose obstacles to the successful employment of Western psychotherapy approaches and counseling---for example, the central role of the family in Asian life and the culturally based, traditional stigma associated with mental health problems. The authors, all practicing psychotherapists, focus on the critical aspects of transference and empathy in their consideration of the mental health approaches and therapies appropriate to ethnic minority population.

The work has value as a resource for professionals and as a training guide for those intending to practice as psychotherapists and counselors in minority communities. It offers extraordinary insights and practical guidance through the use of case studies. Not only do these identify problems stemming from the racial differences between client and therapist, but they also provide rich clinical examples of case diagnosis, treatment plans, and client status statements. This is an important book that will further both the theory and practice of psychotherapy among minority populations.

This book offers clear, practical, and simple recommendations for treating patients with personality disorders. The goals of the book are twofold: 1) to describe the essential elements of Transference-Focused Psychotherapy (TFP), an evidence-based treatment for Borderline Personality Disorder, and 2) to describe how core principles and techniques of TFP can be used in a variety of settings to improve clinical management of patients with a broad spectrum of personality pathology, even when patients are not engaged in individual psychotherapy. A short introduction outlines in concise language the core elements of TFP and its origins in object relations theory. The book then takes the clinician through the process of: 1) comprehensive diagnosis, 2) negotiation of the treatment frame, and 3) the overarching strategies, techniques, and tactics used in the individual treatment, including helpful, accessible clinical vignettes. Subsequent chapters build on the literature of TFP in individual psychotherapy, broadening its applications to include crisis management, family engagement, inpatient psychiatry, pharmacotherapy, medical settings, psychiatry residency training. Fundamentals of Transference-Focused Psychotherapy is a valuable resource for psychiatrists, psychologists, and all other medical professionals treating patients suffering from Borderline Personality Disorder, and other severe personality disorder presentations.

Integrating developmental and systems theories, the authors propose an original scenario by which to understand and treat the family unit. Under study here is the "primary triangle" of mother-father-infant. The authors provide a complex research paradigm for examining the interactional triangles formed in the family during the early years.

What would you do if your child suffered with something so severe it affected every aspect of his life?
Susie Dunham, Midwestern mom and former nurse, never suspected her son Michael was anything but a typical college student with big dreams until he developed schizophrenia shortly after his 21st birthday. The Dunham family quickly becomes immersed in the nightmare world of mental illness in America: psychiatric wards, a seemingly indifferent nursing staff, and the trial-and-error world of psychotropic meds. Michael's ultimate recovery and remission comes with plenty of traumatic incidents involving both ignorance and stigma, but his courage and quest for dignity will inspire all readers.
"Susie Dunham's heroic, heart-rending story is a beacon of light in the darkness of insanity. It shows that recovery is hard-won but possible for people who develop schizophrenia, despite a media that sensationalizes them, a society that shuns them, and a dysfunctional mental healthcare system that fails them miserably."
--Patrick Tracey, author of "Stalking Irish Madness: Searching for the Roots of My Family's Schizophrenia"
"Every person in a leadership position needs to take the time to read this moving story of triumph over adversity."
--State Representative John Adams, Ohio House Minority Whip
"The fact that Michael bravely fought this disease, picked up the pieces and moved beyond it, should give others hope that one day schizophrenia will be seen as a treatable disease with no stigma attached."
--Sharon Goldberg, News & Reviews Editor,"NYC Voices" A Journal for Mental Health Advocacy
""Beyond Schizophrenia: Michael's Journey" is a book that I couldn't put down. The story of Michael's parents Susie and Mark who support their son both in good times and bad really touched me. I really like the way the symptoms of schizophrenia are explained clearly."
--Bill MacPhee, Founder/CEO of SZ Magazine
Also available in trade paperback and eBook editions
Learn more at www.SusieDunham.org
From the Reflections of America Series at Modern History Press www.ModernHistoryPress.com
PSY022050 Psychology: Psychopathology - Schizophrenia
BIO026000 Biography & Autobiography / Personal Memoirs
MED105000 Medical / Psychiatry / General

This work, which questions the medical model of psychiatry as the basis of psychotherapy, seeks to help professionals return their field to an activity that is more helpful to clients, more professional, more scientific, more moral, and more psychosocial in orientation. The difficulties facing practicing psychotherapists, the causes of the problems, and a framework to guide efforts to deal with these concerns are discussed in hopes that the uneasiness of psychologists about the present direction of the field can be reduced and changed.

Drawing upon a rich set of asylum patient case records, Sex, Religion, and the Making of Modern Madness in Germany reconstructs the encounter of state officials and medical practitioners with peasant madness at a transitional time in both the history of psychiatry, and German history during the period 1815 to 1849. Focusing on religious madness, nymphomania, masturbatory insanity, and Jewishness, it probes the daily encounters in which psychiatric categories were applied, experienced, and resisted in the settings of family, village, and insane asylum.

In this book, Spreen and Risser present a comprehensive, critical review of available methods for the assessment of aphasia and related disorders in adults and children. The authors explore test instruments and approaches that have been used traditionally for the diagnosis of aphasia, ranging from bedside screening and ratings, to tests of specific aspects of language, and to comprehensive and psychometrically standardised aphasia batteries. Coverage of other methods reflects newer trends, including the areas of functional communication, testing of bilingual patients, psycholinguistic approaches, and pragmatic and discourse-related aspects of language in everyday life. The authors also examine the expansion of language assessment to individuals with non-aphasic neurological disorders, such as patients with traumatic brain injury, lesions of the right hemisphere, the healthy elderly, and individuals with dementia. Taking a flexible and empirical approach to the assessment process in their own clinical practice, Spreen and Risser review numerous test instruments and their source for professionals and students-in-training to choose from in their own use. The introductory chapters cover the history of aphasia assessment, a basic outline of subtypes of aphasia, both neuro-anatomically and psycholinguistically, and the basic psychometric requirements for assessment instruments. The final part discusses issues in general clinical practice, specifically questions of test selection and interpretation. The book is a thorough and practical resource for speech and language pathologists, neuropsychologists, and their students and trainees.

This issue of Primary Care: Clinics in Office Practice, guest edited by Dr. Janet Albers, is devoted to Psychiatric Care in Primary Care Practice. Articles in this issue include: Integrating Behavioral Health in the Medical Home Model - The Role of the Interdisciplinary Team; Behavioral Health in Prevention and Chronic Illness Management - Motivational Interviewing; Childhood Sexual Abuse and Mental Health Screening in Primary Care; Autism Spectrum/Pervasive Developmental Disorders; Pearls in Working with Patients Diagnosed with Personality Disorders; Psychopharmacology in Primary Care Settings; Depression: Screening, Diagnosis, Treatment Across Populations; Anxiety Disorders in Primary Care; Bipolar Disorder; Eating Disorders; Substance Abuse Screening and Treatment; Pain Medication Seeking Behavior; Psychiatric Emergencies; and Physician Wellness Across the Professional Continuum.

This book brings together mental health professionals and researchers to offer the most up-to-date information on the diagnosis, treatment, and research surrounding bipolar depression. Its individual chapters provide valuable diagnostic information, allowing clinicians to distinguish between the various mood disorders. Further, they: review the course, outcome, and genetics of this highly heritable condition; offer a thorough overview of the neurobiology of the disorder, including what is known from neuroimaging work; delineate the treatment of bipolar depression in special populations such as children and pregnant women; address suicide, focusing on the need for assessment during both acute and maintenance treatment with interventions appropriate to a patient's symptoms and history; and cover acute and long-term treatment strategies for bipolar depression, including both traditional and novel therapeutics for the disorder, as well as non-pharmacological treatments. This second edition reflects significant advances, including an improved understanding of the altered neurobiology of patients suffering from bipolar depression, new information on pathophysiology and genetic findings drawn from diverse studies, and a discussion of the significant strides made towards improved treatment with already available and novel agents.

In the wake of the April 2006 Virginia Tech shootings, governor Timothy Kaine appointed an independent panel to investigate the incident and to recommend potential policy changes that might prevent such a tragedy from occurring again. The incident itself and the work of the panel mobilized the entire nation to examine many aspects of the tragedy, most centrally university mental health systems. Certain aspects of the case raised issues that were not addressed by the resulting report, such as the role of the college mental health system in the lives of young adults, the complexity of identifying the mental health needs of students, and the shortcomings of mental health delivery systems within colleges as well the larger community. The Virginia Tech Massacre is based on the experience and unique perspective of Dr. Aradhana Bela Sood, a panel member appointed to the special independent review committee which was asked to consult specifically on the mental health system implications of the VA Tech shooting. This book discloses Sood's personal experience as a child psychiatrist and panel member, and her role in shaping the final report. Sood, along with co-editor Dr. Robert Cohen, who has been involved in studying and reforming mental health policy for more than 40 years, and carefully selected expert contributors take readers on a journey examining the mental health vulnerabilities of youth transitioning to adulthood, the limitations of existing warning tools for violence, and local, regional, and national gaps in mental health service delivery across the United States. This book offers examples of effective mental health services, policies, and strategies, and it provides concrete and pragmatic recommendations for how to begin overhauling the delivery of mental health services. The Virginia Tech Massacre is topical and timely, given the widespread interface between violence in the public arena and mental health issues. It will be a critical resource to mental health professionals, policymakers and legislators, state and local government officials, higher education personnel, and social workers and others in the human service fields. It will also be of interest to those concerned about gun violence and mental health and students in psychiatry, psychology, social work, and public health.

This issue of the Psychiatric Clinics edited by Dr. John Beyer is dedicated to the topic of Bipolar Depression, from the genetics of the disorder, to the therapeutic options, to treatment in special populations. Articles in this issue include, but are not limited to: Differences in Bipolar and Unipolar Depression, Suicide and Bipolar Disorder, Social Relationships, Support, and Life Events in Bipolar Disorder, Treatment of Bipolar Depression in Pregnancy and the Post-Partum Period, Psychotherapy for Bipolar Depression, Cognition, Dementia, and Bipolar Depression, and Genetics of Bipolar Disorder.

Borrowing techniques from improvisation theatre, RFG is a playful method of promoting creativity, growth and good relationship functioning for both therapist and client. It contains: detailed descriptions and instructions for use of more than 80 games and exercises that are applicable to group, couples, family and individual therapy; 13 case examples and numerous clinical vignettes; and a discussion of how the text relates to other therapeutic approaches and how its techniques can be integrated with other therapies.

The discovery of magnetic sleep-an artificially induced trance-like state-in 1784 marked the beginning of the modern era of psychological healing. Magnetic sleep revealed a realm of mental activity that was not available to the conscious mind but could affect conscious thought and action. This book tells the story of the discovery of magnetic sleep and its relationship to psychotherapy. Adam Crabtree describes how in the 1770s Franz Anton Mesmer developed a technique based on "animal magnetism," which he felt could cure a wide variety of ailments when the healer directed "magnetic fluid" through the body of the sufferer. In 1784 Mesmer's pupil the marquis de Puysegur attempted to heal a patient with this method and discovered that animal magnetism could also be used to induce a trance in the subject that revealed a second consciousness quite distinct from the normal waking state. Puysegur's discovery of an alternate consciousness was taken up and elaborated by practitioners and thinkers for the next hundred years. Crabtree traces the history of the discovery of animal magnetism, shows how it was brought to bear on physical healing, and explains its relationship to paranormal phenomena, hypnotism, psychological healing, and the diagnosis and investigation of dissociative phenomena such as multiple personality. He documents how the systematic investigation of alternate consciousness reached its height in the 1880s and 1890s, fell into neglect with the appearance of psychoanalysis, and is now experiencing renewed attention as a treatment for multiple personality disorders that may arise from childhood sexual abuse.