The British anti-psychiatric group, which formed around R.D. Laing, David Cooper, and Aaron Esterson in the 1960s, burned bright, but briefly, and has left a long legacy. This book follows their practical, social, and theoretical trajectory away from the structured world of institutional psychiatry and into the social chaos of the counter-culture. It explores the rapidly changing landscape of British psychiatry in the mid-Twentieth Century and the apparently structureless organisation of the part of the counter-culture that clustered around the anti-psychiatrists, including the informal power structures that it produced. The book also problematizes this trajectory, examining how the anti-psychiatrists distanced themselves from institutional psychiatry while building links with some of the most important people in post-war psychiatry and psychoanalysis. The anti-psychiatrists bridged the gap between psychiatry and the counter-culture, and briefly became legitimate voices in both. Wall argues that their synthesis of disparate discourses was one of their strengths, but also contributed to the group's collapse. The British Anti-Psychiatrists offers original historical expositions of the Villa 21 experiment and the Anti-University. Finally, it proposes a new reading of anti-psychiatric theory, displacing Laing from his central position and looking at their work as an unfolding conversation within a social network.

This volume is the third in a series on depressive illness. The first volume, entitled Phenomenology of Depressive Illness, is devoted to a de scription of depressive illness from a variety of perspectives that include those of the patient, the clinician, and the psychiatric researcher. It de scribes the major subtypes of depressive illness and places them in the context of the life cycle. The second volume in this series is entitled Models of Depres sive Disorders: Psychological, Biological, and Genetic Perspectives. This volume describes several major models of depressive disorders, in cluding genetic, cognitive, interpersonal, intrapsychic, and neurobio logical models. The third and fourth volumes deal with the biology of affective disorders in detail. These volumes are distinguished by a triaxial ap proach. In Volume III the biology of affective disorders is described from the perspective of individual transmitter systems and neurophysi ologic and biologic processes. In Volume IV the biology of depression is addressed from the vantage point of symptom components of de pression, and similarities and differences in the biology of depression are described compared to other psychiatric disorders with clinically overlapping features such as anxiety disorders or eating disorders. The effects on biology of comorbid conditions such as anxiety, personal ity disorders, alcoholism, and eating disorders are reviewed. These ap proaches incorporate issues of state versus trait."

This is the tenth volume in a series on research in community and mental health.

This is the eighth volume in a series on research in community and mental health.

The two Animal Models in Psychiatry volumes are loosely organized by subject. The first volume contains a number of chapters concerned with schizophrenia, psyc- ses, neuroleptic-induced tardive dyskinesias, and other d- orders that may involve dopamine, such as attention deficit disorder and mania. The second volume deals with affective and anxiety disorders, but also includes chapters on subjects not easily classified as either psychotic, or affective, or an- ety-related, such as aggression, mental retardation, and memory disorders. Four chapters on animal models of schizophrenia or psychoses are included in the present v- ume because of the importance of these disorders in p- chiatry. Likewise, three chapters in the subsequent volume deal with depression. The first of the two volumes begins with an introd- tion by Paul Willner reviewing the criteria for assessing the validity of animal models in psychiatry. He has written - tensively on this subject, and his thorough description of the issues of various forms of validity provides a framework in which to evaluate the subsequent chapters. As will be seen, the remaining chapters in both volumes will refer frequently to these issues. The second chapter, by Melvin Lyon, describes a large number of different procedures that have been p- posed as potential animal models of schizophrenia. This is a departure from the usual format, consisting of detailed - scriptions of specific models.

Trauma is now being recognized as a major mental health challenge, with clients from children to the elderly presenting symptoms of Post-Traumatic Stress Disorder, often with no awareness of the cause. Yet managed care--and the growing incidence of trauma patients, presenting increased demands on existing professionals--requires brief treatments whenever possible. This book explains how to apply brief, existing, generic treatments to help manage the traumatized and diminish or eliminate their traumatic symptoms. These recommended brief treatments are guided by sound assessment methods that can be verified empirically. The treatment chapters provide detailed information for the practitioner, including ways to incorporate the treatment approach into an overall plan. The volume will be helpful to practitioners who work exclusively with traumatized clients, as well as those who are only occasionally presented with such cases.

This handbook provides both a conceptual and practical framework for diagnosing, treating, and assessing post-traumatic stress in survivors of violence, abuse, war, ethnocultural problems, political torture, and disaster. The in-depth clinical experience of Williams and Sommer helps define a variety of theories and methods for treating children, adults, families, and other groups with various types of post-tramautic stress disorders. They point to specific new kinds of therapies and types of interventions, and discuss new developments and trends for the treatment of post-traumatic stress. This reference volume, with its lengthy bibliography, is designed for students, teachers, and practitioners in the fields of psychology and psychiatry, social work, medicine, and public health.

This book outlines a scientific approach to understanding and treating children and adolescents who display a severe pattern of aggressive antisocial behaviour. Unlike other works which tend to focus exclusively on research data or practical guidelines for treatment approaches, this reference integrates both of these aspects, providing clear guidelines for intervention based on the most current research. Outstanding features include 23 tables and figures, and two chapters detailing a comprehensive approach to treatment tailored to the needs of the individual child or adolescent.

John Money's career constitutes the foundation of pediatric psychoendocrinology. In this book he takes a second look at his publications on many different psychoendocrine syndromes, intersexual or hermaphroditic, with respect to sex, gender, amative orientation, and the "lovemap," (his own designation from an individual's experience of sexuality). His ultimate conclusion is that, from prenatal life onward, demasculization of development is not synonymous with feminization, nor is defeminization synonymous with masculinization. This volume will serve to illuminate the evolution of Dr. Money's work and point the way to future investigations in this field.

Neuropsychologists are provided with little formal education and training regarding the identification and measurement of somatoform symptoms, yet these conditions are highly prevalent, with estimates indicating that 20% of general medical patients and 30% of neurologic clinic patients present with symptoms lacking medical explanation. This book provides neuropsychologists with comprehensive information and specific practice recommendations for the assessment of patients with somatoform conditions. The first four chapters discuss the genesis of somatoform and other functional somatic symptom disorders, and the next seven chapters address somatoform conditions in the context of nonepileptic seizures, multiple chemical sensitivity and other claimed toxic exposures, pseudotremor and other nonphysiologic movement disorders, postconcussion syndrome, chronic pain/fibromyalgia/complex regional pain syndrome, attention deficit disorder, and auto-immune disease. Chapters are also included that address the use of the MMPI-2-RF in differentiating somatoform disorder and malingering, medically unexplained symptoms in non-English-speaking individuals; workplace factors in somatization; and testimony involving somatoform conditions. The book is targeted for practicing neuropsychologists, clinical psychologists including those specializing in behavioral medicine, and students in training.

On any day in the United States, about 2 percent of the population is in prison. What do we know about the mental health of these inmates? And what are the implications of what we know? Nathaniel Pallone characterizes opinion on these questions as falling into two broad camps: the "tender-hearted," those who see an extensive overlap between mental illness and criminal behavior, and who are treatment oriented; and the "tough-minded," those who have little confidence in psychiatric categories, do not really accept arguments about diminished responsibility, and who feel the emphasis should be on punishment. Which is closer to the truth?

The incidence of mental disorder among prisoners is nearly four times greater than among comparable groups in the general population. In part, this is related to the fact that prisoners are disproportionately drawn from demographic groups with a high incidence of mental disorder--nonwhite and from lower socioeconomic strata. But on other measures the data are dismaying: mental retardation is 50 percent higher in prison populations; alcohol and drug abuse is probably between five and eight times greater among imprisoned offenders; and neurogenic (organic) disorders may be 1700 times greater than in the general population. In fact, in all categories of mental illness, the incidence among prisoners is far higher than among the general population.

What are the policy implications of these findings? Pallone does not argue that criminal behavior is a byproduct of mental disorder, nor that rehabilitation rather than punishment is the purpose of imprisonment. He does assert that the evidence suggests that the design and implementation of mental health care needs serious reevaluation, particularly in view of recent Supreme Court decisions mandating mental health care (as distinct from treatment). He acknowledges the very real obstacles that will need to be addressed if this is to occur. But he sees mental health care as the primary issue for those responsible for the management of prisons. Criminologists, psychologists, policy-makers, and all those concerned with these questions will find Mental Disorder Among Prisoners essential.

Asian American Mental Health is a state-of-the-art compendium of the conceptual issues, empirical literature, methodological approaches, and practice guidelines for conducting culturally informed assessments of Asian Americans, and for assessing provider cultural competency within individuals and systems. It is the first of its kind on Asian Americans. This volume draws upon the expertise of many of the leading experts in Asian American and multicultural mental health to provide a much needed resource for students and professionals in a wide range of disciplines including clinical psychology, medical anthropology, psychiatry, cross-cultural psychology, multicultural counseling, ethnic minority psychology, sociology, social work, counselor education, counseling psychology, and more.

Jennifer Radden here provides a re-interpretation of the classic text by 17th century scholar Robert Burton, The Anatomy of Melancholy. Her new reading of Burton's essential text brings several key facets of his thought to light: the role of imagination in inciting and averting melancholy as disorder; the part played by daily habits of thought in engendering severe and incurable conditions; the multi-directional feedback loops linking feeling and thought in his model of mind; and an emphasis on symptoms and natural history in his understanding of disease. Much of Burton's account is derived from classical, medieval and renaissance writing about melancholy, yet he brought them together into something new: an account that - while it stands in contrast to many of the assumptions of later psychology - concurs surprisingly well with present day cognitivism. Moreover, although seventeenth century melancholy bears only a loose relationship to present day mood disorders such as depression and anxiety, on this reading the Anatomy anticipates a considerable number of findings and hypotheses associated with present day psychiatry, including its network models of depression, for example, and its emphasis on the part played by rumination and mind wandering in engendering affective disorder. Radden's new reading of a classic text should interest readers in philosophy of mind and psychiatry, clinical psychiatry and the history of medicine.

Over the last decade, the number of children diagnosed with bipolar disorder has increased up to fortyfold. This is a trend exclusive to the United States, and one that, alarmingly, leads to most of the diagnosed children--some still in their infancy--being prescribed antipsychotic drugs, often in combination with anticonvulsants. These classes of drugs have dangerous side effects, including a doubling of mortality rates, shortened life span, extreme weight gain, and Type II diabetes. In this book, psychologist Sharna Olfman leads a team of widely known experts who examine the astonishing rise in the diagnosis of pediatric bipolar disorder, particularly in the absence of any compelling evidence for either the validity of the criteria being used to diagnose it or the safety and effectiveness of the drugs being used to treat it. "When a child is unnecessarily prescribed antipsychotic and anticonvulsant drugs, his or her mental and physical health may be irrecoverably compromised," says Olfman. "With as many as two-and-a-half million children from across the socioeconomic spectrum now taking antipsychotics, we have set the stage for widescale child abuse." The contributors to this revealing and disturbing volume include psychiatrist David Healy, one of the world's leading authorities on psychotropic drugs; pediatrician Philip Landrigan, an internationally renowned health researcher; and Robert Whitaker, an award winning medical journalist. The contributors identify and explain complex and interrelated factors that have set the stage for the pediatric bipolar "epidemic," and they recommend practice and policy changes to stem the tide of misdiagnosis and dangerous drug prescriptions.

Adrian Raine Department of Psychology. University of Southern California. USA Jose Sanmartin Queen Sojia Center for the Study of Violence. Valencia. Spain The problems that psychopathic and violent offenders create for society are not restricted to North America. Instead, these offenders create havoc throughout the world, including Europe. In recognition of this fact, Queen Sophia of Spain has promoted a Center for the Study of Violence which recognizes both biological and social contributions to the cause of violence. In November 1999, the Queen Sofia Center for the Study of Violence held its IV International Meeting on the Biology and Sociology of Violence. This fourth Meeting, which was under the Honorary Presidency of H. M. The Queen of Spain, examined the biological, psychological and social aspects of the psychopath, the violent offender, and the serial killer. This book presents some of the key contributions made at that conference and which were first published in Spanish in 2000 by Ariel Press. A key thrust of this book, and a stance shared by all of its contributors, is the notion that violence and psychopathy simply cannot be understood solely, or even fundamentally, in terms of social and environmental forces and influences. Nor do biological factors offer an exclusive explanation.

While most studies of the stresses experienced by minorities, migrants, and refugees focus on North America, this work assumes an unusually broad scope. African-Americans, Latin Americans, Hutterites, Southeast Asians, and Native Americans are all considered in the context of the U.S. and Canada. However, separate chapters also discuss North Africans in France, Turks in Belgium, native culture in New Zealand, Jews inside and outside Israel, Gypsies in Europe, and Germans migrating west in their newly united nation. This unique look at the stresses facing such groups is an important resource for researchers, practitioners, and graduate students in clinical psychology, counseling, and psychiatric social work.

Distinguished contributors analyze the problem of homelessness from a clinical perspective, focusing on the major health problems found among the homeless, special populations within the homeless, and strategies for improvement and change.

When this book first appeared in 1981, it was the first to deal comprehensively with major issues in the psychotherapeutic treatment of cancer patients. It remains the standard volume in the field, drawing together a broad spectrum of work using psychological approaches to treatment of cancer patients and to understanding the disease's sociological and psychological implications. Distinguished contributors from medicine, psychiatry, psychoanalysis, psychology, social work, family and group therapy, and nursing examine key issues, including the role of aggression in the onset and treatment of cancer; sexual functioning of patients; cancer as an emotionally regressive experience, cancer in children, and the countertransference responses of a therapist working with a cancer patient. This volume will be of particular value to helping professionals who deal with cancer patients and their families.

Researchers who were influenced by Dr. Nelson Butters contribute articles to this volume to honor him and his thirty-year career. Their contributions reflect how Dr. Butters impacted their current work and offer an historical account of research theory and paradigmatic shifts within the field of cognitive neuropsychology. Researchers, clinicians, and students working in the neurosciences will appreciate this volume.

Dementia is a state that has implications for several groups. There are, first, those who wish to assess its nature and impact in an objective and scientific fashion, using tools of research to uncover dementia's causes, effects, and parameters. The result has been a rapidly expanding literature in diverse disciplines: physiology, chemistry, neurology, psychology, and sociology, among others. Second, there are those professionals and caregivers who work di rectly with patients and other caregivers and who must assess and apply interventions. Third, physicians are involved in diagnosis and treatment (so far as possible) and are responsible for communicating the ominous meanings of the destructive disease process. Fourth, there are the caregivers, who accept accountability for the future of a human who increasingly shows a "robbing of the mind" in his or her behaviors. The needs and stresses of those who care for and about those with progressive dementia are among the most intense imaginable. They need support of many kinds, frequently without knowing what to ask or of whom to ask it. Finally, there are the patients, who increasingly become dependent as their mental competencies decline. They need empathic care-including answers to questions about cause, stabilization, or reversal of the de menting process. Even more, they need cure. Further, present and future generations need the assurance of prevention. This volume surveys present "knowledge" about dementia and its consequences."

In the late 1960s, the World Health Organization initiated a series of international studies of the incidence, characteristics, course, and consequences of schizophrenia. Those studies - the largest ever in the history of psychiatry - provided important data about the disorder in groups of patients living in different countries and cultures, and first focused attention on the differences in short-term prognosis for schizophrenia between the third world and industrialized countries. In the 1990s, the International Study of Schizophrenia (ISoS) set out to relocate those subjects and to determine their clinical and social status some 15 to 25 years later.
Recovery from Schizophrenia is a comprehensive account of what ISoS found, reporting follow-up results for over 1000 subjects examined in the earlier WHO studies (and in several local studies as well). The body of this volume consists of detailed descriptions of the long-term course and outcome of schizophrenia, together with portraits of the field research sites in 14 countries. Introductory and synoptic chapters lay out the origin and design of the WHO studies culminating in ISoS, and synthesize the study's main findings. ISoS shows that, with appropriate treatment, schizophrenia has a favorable outcome for a substantial portion of those afflicted. The surprising finding of the short-term follow-up studies - that outcome was better in the developing than in the developed countries - is confirmed here for long-term course. Yet while prognosis continues to favor subjects in developing countries, the varied outcomes for those in developed nations still offers ample reason for hope.
This book is the first of its kind. The massivemultinational investigations upon which it is based are unique in psychiatry and cross-cultural epidemiology. Recovery from Schizophrenia will be a valuable resource for researchers, epidemiologists, policymakers, and mental health professionals worldwide, providing evidence that supports investment in the care of persons with schizophrenia.

The nosological roots of post-traumatic stress disorder (PTSD) may be traced back to th American Psychiatric Association's DSM-I entry of gross stress reaction, as published in 1952. Yet the origins of the current enthusi asm with regard to post-traumatic stress can be traced back to 1980, which marked the emergence of the term post-traumatic stress disorder in the DSM III. This reflected the American Psychiatric Association's acknowledgment of post-traumatic stress as a discrete, phenomenologically unique, and reli able psychopathological entity at a time in American history when such recognition had important social, political, and psychiatric implications. Clearly, prior to DSM-I the lack of a generally accepted terminology did little to augment the disabling effects that psychological traumatization could engender. Nor did the subsequent provision of an official diagnostic label alone render substantial ameliorative qualities. Nevertheless, the post Vietnam DSM-III recognition of PTSD did herald a dramatic increase in research and clinical discovery. The American Red Cross acknowledged the need to establish disaster mental health services, the American Psychological Association urged its members to form disaster mental health networks, and the Veterans Administration established a national study center for PTSD."