This ground breaking title presents the many different neurologic syndromes and vastly expanding data in the brain sciences from an evolutionary, or neuro-archeological, perspective, as well as a clinical one. The neuro-archeological perspective offers a more thorough picture of the field - providing hindsight that leads to great insight and foresight. It thus provides the reader with the core foundational aspects of many perplexing neurologic syndromes. Authored by a noted authority in cognitive neurology and including ample tables, diagrams and images, the book covers the full range of behavioral neurological, psychological and neuropsychiatric syndromes, as well as their underlying disease states, relevant neuropsychological tests and contemporary neuroimaging, both structural and functional. The evolutionary approach offers a comprehensive, novel, and completely updated overview of each topic. An invaluable title unlike any other in the field, Cognitive, Conative and Behavioral Neurology: An Evolutionary Perspective is a landmark resource and will be of great interest to neurologists, psychiatrists, neuroscientists, and trainees in all fields.

Psychoanalysis works with words, words spoken by a subject who asks that the analyst listen. This is the belief that underlies Francis Moran's rewarding exploration of a central problem in psychoanalytic theory--namely, the separation of the concepts of subject and agency.

Subject and Agency in Psychoanalysis contends that Freud simultaneously employs two frameworks for explaining agency-- one clinical and one theoretical. As a result, Freud's exploration of agency proceeds from two logically incompatible assumptions. The division between these assumptions is a part of Freud's psychoanalytic legacy.

Moran reads the Freudian inheritance in light of this division, showing how Klein and Hartmann's theoretical concepts of subject are adrift from the subject who speaks in analysis. Moran also shows that while Lacan's subject provides more focus on this issue, Lacan reverts to the Freudian division in his use of logically contradictory assumptions concerning the location of agency.

Drawing on contemporary theory development, from Lacanian innovations to the social theories of Anthony Giddens, Moran proposes a new and fertile approach to a fundamental problem, significantly narrowing the gap between psychoanalytic theory and practice.

Neurotransmitters in the brain are the current focus of obsessive compulsive disorders to better address the approximately 2.5 million people in the United States diagnosed with OCD. As seems the way of psychiatry practice, a disorder is viewed and treated from one perspective for a period, then a new perspective is in the forefront. Such is the case with obsessive compulsive disorders, originally treated as a behavioral problem with psychotherapy, now considered a brain circuitry disorder that can be treated with psychopharmacotherapeutics. This issue contains topics that focus on neuroscience of the brain and genetics in relation to OCD, providing the psychiatrist a comprehensive review of the current thought, approach, diagnosis, and treatment related to OCD and its related disorders. Topics include: Etiological hypotheses of OCD - molecules to circuits; Models of obsessive compulsive and related disorders; Cognitive neuroscience of OCD; Genetics of obsessive compulsive and related disorders; Tic disorders - spearate or related disorder; Pediatric acute-onset neuropsychiatric syndrome (PANS); Body dysmorphic disorder; Trichotillomania; Hoarding disorder; Pharmacotherapy; Device based interventions; Cognitive behavioral therapy for OCD.

This issue of Child and Adolescent Psychiatric Clinics provides an overview of childhood traumatic exposures and their impact for health care providers: child and adolescent psychiatrists, general psychiatrists, other pediatric behavioral health providers and primary care clinicians. Children in the United States are exposed to trauma more frequently than most clinicians are aware - either as a single occurrence, or through repeated events. These exposures result in neurobiological, developmental and clinical sequelae that can undermine children's health and well-being. This publication describes the multiple types of traumatic exposures and their sequelae, methods of screening and assessment, and principles of effective prevention and clinical treatment. Emphasis is on areas of particular relevance to children - disasters, war, domestic violence, school and community violence, sexual victimization, complex trauma - and differentiates disasters as unique traumas, requiring trauma-informed systems of care to effectively meet the needs of the exposed population. The third section of the issue describes strategies for primary prevention - violence prevention, useful public policies - and risk mitigation - skill and resilience building strategies. Evidence based treatments for trauma-induced clinical disorders are reviewed.

Originally discussed in the context of "Paraphilias," this edition of Psychiatric Clinics of North America covers topics in sexual deviancy. The psychiatric community has revised this term through several editions of the DSM, indicating the view of these disorders changing from "sociopathic sexual deviation" to "sexual deviation of nonpsychotic mental disorder" to "paraphilias and paraphilic disorders." No matter how it is stated, this edition addresses sexual deviation assessemnt and treatment, covering conditions that harm others and that typically involve a legal/criminal/forensic component. Topics include Assessment; Mental illness and sexual offending; Treatment of sexual offenders-Psychological and Pharmacological; Professional sexual misconduct including clergy; Adolescent sexual offenders; Child pornography and sexual deviance; Sexual sadism and sexually motivated homicide; Dysfunctional anger and sexual violence; and Ethical issues in the treatment of sexual offenders. Highly renown for their research and clinical work in the nature of sexucal disorder, Dr Bradford and Dr Ahmed lead this edition intended for psychiatrists and other medical professionals dealing with this population.

This issue of the Medical Clinics of North America is devoted to Psychiatric Diagnosis and Management in Primary Care and is edited by Dr. Genevieve Pagalilauan. Articles in this issue include: Psychopharmacology; Office-based Screening of Common Psychiatric Conditions; Depression; Anxiety Disorders; Bipolar Disorder; Borderline Personality Disorder; Grief Reaction, Adjustment Disorder, Seasonal Affective Disorder; Somatiform Disorders; Addiction Disorders; Sleep disorders; Geriatric Psychiatry; Autism Spectrum Disorders in Adults; and Medical Conditions with Neuropsychiatric Manifestations.

The goal for this volume is to provide an up-to-date review of the discriminative stimulus properties of major psychoactive drug classes with an emphasis on how this paradigm enhances our understanding of these drugs and how these findings translate from animals to humans. The drug discrimination paradigm applies to both drugs of abuse and drugs for treating mental illnesses, and research from these studies has provided immense translational value for learning about the mechanisms responsible for drug effects in humans.

Patients in psychiatry, or their parents, experiment with alternative methods and practices. Psychiatrists, in search of scientifically-based discussion and evidence of use for daily practice, find that information in this issue of Child and Adolescent Psychiatric Clinics. Readers will find clinically focused information in the major categories of Selected Treatments, Selected Disorders, and Perspectives on Clinical Complementary and Alternative Therapies. Micronutrients for mental disorders, the role of essential fatty acids. EEG and Neurofeedback, Mind-Body Meditation and Movement Therapies, Music Therapy, are presented. Evidence for minerals, vitamins, and herbs is discussed. Guest Editors Deborah Simkin and Charles Popper, with decades of experience in working with complementary therapies, lead this issue.

An overview of childhood traumatic exposures and their impact for health care providers - child and adolescent psychiatrists, general psychiatrists, other pediatric behavioral health providers and primary care clinicians - is presented. Most clinicians are unaware that children in the United States are exposed to trauma frequently, either as a single occurrence, or through repeated events. These exposures result in neurobiological, developmental and clinical sequelae that can undermine children's health and well-being. This issue describes the multiple types of traumatic exposures and their sequelae, methods of screening and assessment, and principles of effective prevention and clinical treatment. The volume highlights areas of particular relevance to children, such as natural disasters, war, domestic violence, school and community violence, sexual victimization, and complex trauma. Each is differentiated as a unique trauma, requiring trauma-informed systems of care to effectively meet the needs of the exposed population. Since traumatic exposure results in added risk to child well-being, the third section of the volume describes strategies for primary prevention (e.g. violence prevention) and risk mitigation (e.g. skill and resilience building strategies), as well as reviews evidence based treatments for trauma-induced clinical disorders.

Personality-disordered people are not uncommon in our neighborhoods, workplaces, schools, or even our homes. They include people who are persistently paranoid, obsessive-compulsive, antisocial, or overly dependent. Most of them do not realize the hardships they create for themselves and their families. This book is an introductory guide for those who live and work around personality- disordered people, and for general readers seeking illustrations of the disorders. Dobbert illustrates warning signs that can be missed and walks readers through scenarios that are common with personality-disordered people. He explains how such maladies might develop, and most important, how they can be successfully addressed.

This book has been prepared to help psychiatrists expand their knowledge of statistical methods and fills the gaps in their applications as well as introduces data analysis software. The book emphasizes the classification of fundamental statistical methods in psychiatry research that are precise and simple. Professionals in the field of mental health and allied subjects without any mathematical background can easily understand all the relevant statistical methods and carry out the analysis and interpret the results in their respective fields without consulting a statistician.

The sequence of the chapters, the sections within the chapters, the subsections within the sections, and the points within the subsections have all been arranged to help professionals in classification refine their knowledge in statistical methods and fill the gaps, if any.

Emphasizing simplicity, the fundamental statistical methods are demonstrated by means of arithmetical examples that may be reworked with pencil and paper in a matter of minutes. The results of the rework have to be checked by using SPSS, and in this way professionals are introduced to this psychiatrist-friendly data analysis software.

Topics covered include:

An overview of psychiatry research

The organization and collection of data

Descriptive statistics

The basis of statistical inference

Tests of significance

Correlational data analysis

Multivariate data analysis

Meta-analysis

Reporting the results

Statistical software

The language of the book is very simple and covers all aspects of statistical methods starting from organization and collection of data to descriptive statistics, statistical inference, multivariate analysis, and meta-analysis. Two chapters on computer applications deal with the most popular data analysis software: SPSS.

The book will be very valuable to professionals and post-graduate students in psychiatry and allied fields, such as psychiatric social work, clinical psychology, psychiatric nursing, and mental health education and administration.

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Although psychotherapy research shares many of the same methodological issues that pharmacology trials do, psychotherapy research poses unique challenges, including the difficulty (if not near impossibility) of keeping participants blind to treatment assignment, the need for a replicable manual and therapist training procedure, the importance of outside observation of therapy quality ratings, and the problems researchers face in measuring the active ingredients of psychotherapy. High Quality Psychotherapy Research is for all psychotherapy investigators who wish to learn state-of-the-art psychotherapy research methods. Organized developmentally, the book explains the conceptualization of the trial, discusses the pilot study and the large scale study, and concludes with instructions for designing a multi-site trial. Topics specific to psychotherapy research are examined in detail, including innovations in data analysis, how to conduct multi-site psychotherapy trials, mediation of treatment outcomes, the transportability of evidence-based behavioral interventions in community practice, training community providers to be study therapists, and recruiting hard-to-reach populations. High Quality Psychotherapy Research is an informative, practical book appropriate for a broad range of readers, from junior investigators developing their first study idea to seasoned investigators who wish to take their research to a larger-scale level.

This book documents the history of ideas about problem gambling and its link to addictive disorders. The book uses a combination of literature review and conceptual and linguistic analysis to explore the way ideas about problem gambling gave changed over time. It examines the religious, socio-cultural, and medical influences on the development of the concept of problem gambling as a disease, along with the ways in which such ideas were influenced by attitudes about substance abuse. The history of mental illness, notably as it pertains to themes such as loss of control over behavior, is also addressed. The book ends with a discussion of the current status and future prospects, with an eye to which ideas about problem gambling and addictions seem most promising and which should perhaps be left behind.

The chapters in this volume have been written by authors whose research work emphasizes the aggression-eliciting characteristics of people and other animals, the traits that make them targets of aggressive behavior. The clear focus of the book is on aggression by humans, although some of the authors may refer to data from other species. Chapters include aggression and violence towards other species, sexual minorities, psychiatric workers, school children, athletes, women, and drivers on highways. There are additional targets of aggressive behavior which have not been included because they are not emphasised in the research literature of psychology. Since the major concern of psychological science is with the behavior of individuals rather than groups, topics such as racial violence, warfare, and political violence have been specifically excluded.

This challenging and insightful work wrestles with the difficult treatment problems confronting both culturally and socially oppressed clients and psychotherapists in a society where diversity has often been resisted. The authors question long-held assumptions within the profession and urge recognition of new ethnic, racial, and gender realities which significantly impact therapies. Recognizing the implications of cultural diversity in the society, the authors-clinicians seek to broaden health professionals' awareness of clients' needs and to promote the requisite empathy. They describe how ethnic, racial, and gender issues affect psychotherapy's progress and outcomes. Specific concerns about such key factors as self-esteem, gender roles, and social regard are addressed in a context supportive of diversity enhancement rather than one seeking uniformity. Case studies offer highly valuable resource material and, through the authors' explication, insights into their challenging perspectives on this highly important health service.

Shaddock makes sense of intersubjectivity, the functional paradigm shift in highbrow psychotherapy, as both a way of thinking about our psychological lives and a way of doing clinical work. Applying it to relational systems means investigating the experience of each partner/ member from inside his/her perspective and without judgment.The book illustrates how that approach lowers defenses and lets in insights, mutual understanding, and renewed hope; it demonstrates that treatment built on empathic awareness of contexts and connections can actually also lead to individual transformation.

Leading researchers are specially invited to provide a complete understanding of a key topic within the multidisciplinary fields of physiology, biochemistry and pharmacology. In a form immediately useful to scientists, this periodical aims to filter, highlight and review the latest developments in these rapidly advancing fields.

Pioneering research has been carried out over the last decade on mentalization and the promotion of mentalizing capacity - the ability to interpret the behavior of oneself and others as based on intentional mental states, such as needs, desires, feelings, and beliefs. This book is a consolidation of current knowledge and clinical applications, bringing together a group of international experts who have been on the ground floor of theory and research to clarify the concept, review pertinent neurobiological and psychosocial research, and explore its diverse clinical applications.

Four sections will cover Conceptual Foundations, Developmental Psychopathology, Intervention and Prevention. A biopsychosocial approach will be used, integrating new research in neuroimaging with psychodynamic and cognitive perspectives. Clinical issues covered will include parent-child interactions, personality disorders, traumatic brain injury, bullying and at-risk children.

Maurice O'Connor Drury was among Wittgenstein's first students after his return to Cambridge in 1929. The subsequent course of Drury's life and thought was to be enormously influenced by his teacher, from his decision to become a doctor to his later work in psychiatry. The Selected Writings of Maurice O'Connor Drury brings together the best of his lectures, conversations, and letters on philosophy, religion and medicine. Central to the collection is the Danger of Words, the 1973 text described by Ray Monk as 'the most truly Wittgensteinian book published by any of Wittgenstein's students'. Through notes on conversations with Wittgenstein, letters to a student of philosophy and correspondence of almost 30 years with Rush Rhees, Drury gives shape to what he had learned from Wittgenstein. Whether discussing methods of philosophy, Simone Weil or the power of hypnosis, he makes fascinating excursions into the bearing of Wittgenstein's thought on philosophy and the practice of medicine and psychiatry. With an introduction presenting a new biography of Drury, analysing the relationship between him and Wittgenstein, The Selected Writings of Maurice O'Connor Drury features previously unpublished archival sources. Beautifully written and carefully selected, each piece reveals the impact of Wittgenstein's teachings, shedding light on the friendship and thinking of one of the most important philosophers of the 20th century.

A compilation of Carl Whitaker's lectures and un-published essays, taken from his 40 years of practice as a psychiatrist and family therapist. He talks about families, including his own, and the events that shaped the family therapy field, and psychotherapy.

The main objective of this work is to provide a book with high quality content that becomes a reference and support for graduate course (Mental Health, Public Health and Epidemiology) and for research in the domain of health economics applied to mental health. Also this book might be useful for policymakers on formulating mental health policies. Key messages of this book are based on: a) mental illness represent a huge cost for society and for health care; b) health economics applied to mental health could help in the optimization of resource allocation for mental health care and for better decision making in terms of balancing costs and benefits; c) interventions and treatment should be also chosen in general medical practice and in public decision-policy according to cost-effectiveness, burden of disease and equity principles; d) quality of care is related with better outcomes, higher quality of life for clients, and with lower costs for society and health system (best value for money); e) it is possible to decrease the burden of mental disorders with cost-effective treatments. The book is divided in four main topics: 1. Introduction to Health Economics applied to Mental Health - this section is an overview of basic principles, concepts and methods used in Economics and Health Economics to enable students to make critical appraisal of Health Economics texts and also to design research studies in this topic. 2. Health Economics applied to the evaluation of quality and costs of Mental Health Services - this section presents results of Brazilian studies on the costs of mental health care (hospital, outpatient care, residential care, informal care), methods on the measurement of costs and it discusses issues related with public policies decisions and quality of mental health car in the low and middle income countries context. There is also an overview of quality indicators of mental health care and instruments to evaluate mental health services and costs.3. Health Economics applied to evaluate treatment of mental disorders - This section presents a review of cost-effectiveness of pharmacological treatments and other interventions applied for treating the most burdensome mental disorders such as depressive and anxiety disorders, bipolar disorders, psychosis, alcohol and drug disorders, dementia, and hyper attention deficit disorders. 4. Health Economics, burden and indirect costs of mental disorders - This section highlights the social and economic burden caused by mental illness under societal perspective focusing on stigma, unemployment, indirect costs in the workplace (absenteeism and presenteeism), the relationship between poverty and mental disorders, global health and social determinants of mental health and on the costs of mental disorders (depression, anxiety, psychosis, alcohol and drug disorders). We present some instruments to measure indirect costs of mental disorders.