This issue provides a unique and valuable perspective on forensic matters in child and adolescent psychiatry, with an approach that adds new thinking to the discussion, rather than rehashing known facts.? The issue is divided into several sections: juvenile offenders, family law/custody and visitation, child maltreatment, personal injury law suits, forensic issues in clinical child and adolescent psychiatry, and training in child and adolescent psychiatry.? A wide range of topics are explored within each section.? All articles are geared toward? child psychiatrists in clinical practice, providing practical information in this very important area of study.

Pathophysiological states, neurological and psychiatric diseases are almost universally considered from the neurocentric point of view, with neurons being the principal cellular element of pathological process. The brain homeostasis, which lies at the fulcrum of healthy brain function, the compromise of which invariably results in dysfunction/disease, however, is entirely controlled by neuroglia. It is becoming clear that neuroglial cells are involved in various aspects of initiation, progression and resolution of neuropathology. In this book we aim to integrate the body of information that has accumulated in recent years revealing the active role of glia in such pathophysiological processes. Understanding roles of glial cells in pathology will provide new targets for medical intervention and aide the development of much needed therapeutics. This book will be particularly useful for researchers, students, physicians and psychotherapists working in the field of neurobiology, neurology and psychiatry.

Before the 1960s, psychoanalysis and psychodynamic psychotherapy were the dominant modes of treatment within psychiatry. These treatments have faced increasing scrutiny and skepticism as the movement towards evidence-based treatments has intensified and the mental health field has been asked to treat increasingly ill and severely character-disordered patients. Psychodynamic psychotherapy has lost status within the mental health field as other forms of treatment have developed a strong and well-funded research base. At the same time, the exciting bursts of knowledge about the functioning of the brain and the subsequent development of psychopharmacologic treatments have added to treatment alternatives. This development has served to help patients but also to decrease the frequency with which dynamic treatments are indicated. Criticisms of psychoanalytic treatments, which are grounded in elaborate theories of the mind that have been evolving since the late 19th century, have been valid to the extent that a scientific basis for the work was missing. Recently, however, there has been an explosion in empirical research on psychoanalytic theories and treatments. There have been more than 70 randomized controlled trials of psychodynamic psychotherapy and psychoanalysis, and much more research supporting psychodynamic principles and specific psychodynamic treatments for many diagnostic categories. In this volume of Psychodynamic Psychotherapy Research: Evidence-Based Practice and Practice-Based Evidence we demonstrate the relevance of and scientific support for psychodynamic treatment across a wide range of diagnostic categories and treatment strategies. One of the difficulties in the field of psychodynamic psychotherapy is that researchers and clinicians have not embraced one another. Clinicians have felt that researchers are ivory tower academics not on the front lines of clinical care, and researchers have felt that clinicians have little ap

Traumatic brain injury (TBI) is a major cause of disability worldwide. Each year 1.7 million new TBIs occur in the United States, and it is also considered a signature injury of the Iraq and Afghanistan conflicts. Despite the relatively high incidence-within both civilian and military populations-the diagnosis and treatment, particularly of mild TBI/concussion, remains an inexact science. Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation is a concise guide designed for neurologists, primary care, and sports physicians and other medical providers, psychologists and neuropsychologists, and athletic trainers who may evaluate and care for patients with TBI. The book features summaries of the most pertinent areas of diagnosis and therapy, which can be readily accessed by the busy clinician/professional. In addition, the book's treatment algorithms provide a highly practical reference to cutting edge therapies. A superb contribution to the literature, Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation offers a well-designed, well-written, useful resource for all providers who treat patients with TBI.

Today, individuals have greater access to information about their healththaneverbefore(Randeree,2009;Eysenbach,2008).Muchofthis changeisdue, inlargepart, toadvancesinbiotechnologyandtheseque- ing of the human genome (Manolio & Collins, 2009). It is now possible, forexample, forindividualstologontotheInternetand, forafeeofs- eral hundred dollars, order an at-home DNA collection kit and have the resultsofamyriadofgenetictestsdelivereddirectlytotheire-mailinbox (Gurwitz&Bregman-Eschet,2009).Insomecases, thesetestresultsmay indicatepersonalriskforcommonchronicdiseases, suchascertainforms ofcancer, diabetes, cardiovasculardisease, andseveralothers.Companies marketing these test kits often claim that promoting greater access to and awareness of the association between genes and health, and one's genetic susceptibilities to disease, leads to more proactive and insig- fulmethodsofindividualhealthmanagement(Hogarth, Javitt,&Melzer, 2008). Moreover, it is consistent with an emerging trend in medicine - that of consumer-oriented medicine - which places health information toolsdirectlyinthehandsofpatientsunderthepremiseoffosteringbetter patient-providercollaboration(Silvestre, Sue,&Allen,2009). Though the principles behind this direct-to-consumer approach to genetics seem laudable and perhaps even exciting, there is consid- ablecontroversyastowhat, ifany, utilitytheinformationactuallyholds (Geransar&Einsiedel,2008;Wasson, Cook,&Helzlsouer,2006).Unlike geneticteststhatarediagnostic(e.g., chromosomeanalysisforDowns- drome)orhighlypredictive(e.g., BRCA1andBRCA2testingforhereditary breast-ovarian cancer risk), this new wave of presymptomatic predictive genetictestsforcommondiseaseyieldsresultsthataremuchmoreunc- tainbecausethestatisticalmodelsonwhichtheyarepresentlybasedare imperfectandwithlimiteddata(Ng, Murray, Levy,&Venter,2009). Theabovescenarioraisesmanyquestionsfortoday'shealth-carec- sumers. For example, for whom is this information applicable, and for whatpopulationsorsubpopulationsisitnot?Underwhatcircumstances might this information be useful, and when should it be disregarded as irrelevant?Andperhapsmostimportantly, what, ifanything, canbedone inlightofinformationaboutpersonalgeneticrisktoeffectivelylowerthe oddsofbecomingsickandraisetheoddsofstayinghealthy? vii viii PREFACE Becausetheprevalenceofmostdiseasesvariesasafunctionofage, gender, race/ethnicity, and other personal characteristics, answers to these questions are complex and many are just beginning to be und- stood(Khouryetal.,2009).Someexpertshaveconcludedthattheanswers tosuchquestionsremainoutofreachatthepresenttimeandmayc- tinue to be elusive for another 5-10 years (Frazer, Murray, Schork, & Topol,2009).Yet, twenty-?rstcenturyhealth-careconsumers, providers, and policy makers face these choices now about incorporating personal genetic information into health management and often do so without a complete and accurate understanding of the potential impact of their decisionsonmultiplelevels(Carlson,2009).

The serotonin 5-HT6 receptor represents a novel pharmacological target whose impact on physiopathology of CNS functions remains undetermined. Some receptor antagonists have been synthesized and they show a modulatory role in learning and memory processes and food intake. The pharmacology of 5-HT6 receptor agonists is still under evaluation. However, both 5-HT6 antagonists and agonists seem to exert potential antidepressant activity. Recently, a second messenger system has been discovered. 5-HT6 receptor function is becoming more and more intriguing. Thus, the aim of the present book is to try to clarify the pharmacology of 5-HT6 receptors.

written by expert researchers covers all published literature to date in the field of 5-HT6 receptors

The Oxford Handbook of Behavioral Emergencies and Crises includes the most up-to-date and valuable research on the evaluation and management of the most challenging patients or clients faced by mental health providers-individuals who are at high risk of suicide, of other-directed violence, or of becoming the victims of interpersonal violence. These are cases in which the outcome can be serious injury or death, and there can be negative consequences not only for the patient, but also for the patient's family and friends, for the assessing or treating clinician, and for the patient's clinic or medical center. Virtually all mental health clinicians with an active caseload will see individuals with such issues. This Handbook is comprised of chapters by leading clinicians, researchers, and scholars in this area of practice. It presents a framework for learning the skills needed for assessing and working competently with such high-risk individuals. Chapters draw a distinction between behavioral emergencies and crises, and between emergency intervention and crisis intervention. The book examines the inter-related aspects of the major behavioral emergencies; that is, for example, the degree to which interpersonal victimization may lead an individual on a pathway to later suicidal or violent behavior, or the degree to which suicidal individuals and violent individuals may share certain cognitive characteristics. This resource is not simply a knowledge base for behavioral emergencies; it also presents a method for reducing stress and acquiring skills in working with high-risk people.

This rigorous survey offers a comprehensive rethinking of the assessment and treatment of sexual offenders for a bold challenge to practitioners. It critiques what we understand about offenders and the mechanisms of offending behaviors, and examines how this knowledge can best be used to reduce offending and relapses. To this end, experts weigh the efficacy of common assessment methods and interventions, the value of prevention programs, and the validity of the DSM's classifications of paraphilias. This strengths/weaknesses approach gives professional readers a guide to the current state as well as the future of research, practice, and policy affecting this complex and controversial field. Included in the coverage: Strengths of actuarial risk assessment. Risk formulation: the new frontier in risk assessment and management. Dynamic risk factors and offender rehabilitation: a comparison of the Good Lives Model and the Risk-Need-Responsivity Model. The best intentions: flaws in sexually violent predator laws. Desistance from crime: toward an integrated conceptualization for intervention. From a victim/offender duality to a public health perspective. A call to clear thought and accurate action, Treatment of Sex Offenders will generate discussion and interest among forensic psychologists, psychiatrists, clinical psychologists, and social workers.

This issue covers a broad selection of topics critical to psychiatrist and any physician who treats older patients. Topics include: Epidemiology, clinical evaluation, and treatment of dementing disorders, late-life psychosis; suicide in late life; depression in primary care; structural neuroimaging of geriatric depression; gene-environment interactions in geriatric depression; treatment of geriatric depression; etiological Theories of Late-Life depression; geriatric bipolar disorder; psychotherapies in geriatric depression; home-based care of the elderly with mental disorders; functional neuroimaging in geriatric depression; models of treatment engagement of geriatric persons with mental disorders; and mental health service delivery to the elderly.

This book analyzes how hearing participants construct and organize arguments that are legally, psychiatrically, and practically accountable. It argues that commitment decisions orient to the "tenability" of situations that patients pose as alternatives to hospitalization.

The Psy complex governs us all by inscribing, diagnosing and interfering in our lives. This volume takes historical, sociological and psychological perspectives in exploring the complicity of patients, professions and governments with Psy and attempts by all three to constrain the industry's activities.

In an attempt to explore the explanations why psychiatrists continue to use electroshock with minors already at risk from damage, this text investigates reasons why electroshock remains popular, despite the widespread availability of proven psychosocial alternatives. The text locates all of the literature since the 1940s about the use of electroshock with minors from three years of age through adolescence.

Since the introduction of shock with children and teenagers, the province of psychiatry has been expanded to include minors as young as three. A fifty-year overview of shock use by psychiatrists with minors is provided, with an analysis of reasons for its popularity among some medical staff. The review includes results from a meta-analysis study that reports data from over 200 previously published clinical cases. These results indicate that there is no clinical rationale for the use of shock with children and teenagers. Moreover, there are many reasons not to give shock, including ethical, philosophical, moral, and humanistic objections. The continued use of electroshock by psychiatrists persists only due to the clinical independence of medical staff. There are no controlled evaluations, no randomized controlled trials, no controlled clinical trials, and no single case studies that report outcome data from electroshock given under scientific conditions to minors. Rather, the entire published literature is based on anecdotal reports from uncontrolled interventions. The text explores the ethical position of mental health staff who are in the same arena. Alternatives to electroshock are explored in the context of services for children and teenagers with mental health needs.

Contents:
Part 1 Assessment and Treatment Planning: Assessment and Treatment Planning in Psychiatric Rehabilitation; Functional Assessment of Psychiatric Disability; Standardized Assessment of Social Skills; What do Patients Say about Program Planning?; Perspectives from the Patient-Authored Literature. Part 2 Social and Vocational Skills Development: Social Skills Training; Recreation and Activity Therapies in Social Skills Training; Vocational Rehabilitation of the Psychiatrically Disabled; Supported Employment in Vocational Rehabilitation; Case Management Interventions in Rehabilitation. Part 3 Group and Family Therapy in Rehabilitation: Behavioural Group Therapy in Rehabilitation Settings; Multiple Family Therapy in Rehabilitation.

Living in the shadowy interior of the brain's limbic system and invisible to the untrained eye, Post Traumatic Stress Disorder can not only torture its victims for a lifetime, but reaches beyond victims to negatively influence family members and loved ones. Soldier's Heart, titled after one of the early names for PTSD, delves into the lives of otherwise "normal" American veterans who, seemingly for no reason, display lasting patterns of bad choices and erratic, self-destructive behavior. Analysis of the life portraits of combat veterans brings the myriad symptoms of PTSD to light, equipping the lay reader to recognize the disorder and gain a thorough understanding that can be the foundation for steps to facilitate healing. Four men and one woman who served in Vietnam describe how PTSD still tears at their lives 30 years later. The symptoms of PTSD are conveyed in non-technical language by the veterans featured in this absorbing work, presented by authors Schroder and Dawe, both Vietnam veterans and, respectively, now a writer-businessman and a mental health counselor. To fully explore the lifelong effects of war trauma in the 20th century, the focus must be on Vietnam veterans, explain Schroder and Dawe. Profound statements on the human condition, the narratives of the five featured veterans, from across branches of the military, offer emotional and intellectual comfort to millions of Americans whose relatives and friends have served the country in time of war. This book, which also includes a glossary of military terms, will be of interest to veterans and their families, as well as to counselors, therapists, psychologists, veteran care workers and students of studies in trauma, psychopthology, and treatment. These are more than war stories, because for these veterans the lingering "war" is internal--and it may never end.

Traumatic Brain Injury (TBI) is a common injury, with an increasing number of patients presenting after military combat overseas.? With greater frequency, psychiatrists are being asked to treat the psychiatric sequelae of TBI.? This issue brings together neurologists and psychiatrists to examine TBI from every angle.? Among the many topics discussed are pathophysiology of TBI; blast injury and the brain; mild TBI: acute diagnosis and management; neuroimaging in TBI; neuropsycological assessment of frontal lobe injury; role of neurofeedback in TBI; neurobehavioral sequelae of TBI; TBI and the war in Iraq; neurorehavilitation; role and impact of cognitive rehabilitation; personalized medicine in asymptomatic TBI; medical legal issues and TBI.

The idea of brief, solution-oriented therapy for severe mental illness flies in the face of conventional wisdom. But then, so does almost everything else about the psychotherapeutic approach developed by Bill O'Hanlon, coauthor of this groundbreaking book. Concepts such as forming client/therapist partnerships and creatively engaging the person beyond the illness are at radical variance with the mainstream view that disorders such as schizophrenia are completely neurobiological in nature and, hence, impervious to all but a battery of debilitating psychopharmaceuticals. Nevertheless, the long and growing record of inspiring results obtained by the authors of this book and like-minded practitioners speaks for itself. Now, in the first practical guide to solution-oriented interventions with severe mental illness, therapists Tim Rowan and Bill O'Hanlon acquaint readers with the core principles of the solution-oriented model. Also, with the help of many vivid case examples, they describe the proven strategies and techniques they have developed for treating patients suffering from severe depression, schizophrenia, and other severe, chronic, and persistent mental illnesses.

Unlike traditional psychotherapeutic models that focus on pathologies and limitations, the solution-oriented approach emphasizes health, competence, and possibilities. Its ultimate goal is to help clients learn to marshal their own resources to deal with their own problems. Consequently, the book describes several "unorthodox" methods such as mining moments of crisis for functional models; exploiting individual and family expertise with mental illness; externalization techniques for helping patients identify the effects of their illnesses and reclaim self-agency; and psycho-education for the prevention of relapses. The authors also provide helpful pointers on how to constructively manage psychotic experiences, as well as violence and the threat of suicide.

Solution-Oriented Therapy for Chronic and Severe Mental Illness will make fascinating and instructive reading for all mental health practitioners, regardless of their current theoretical slant.

A groundbreaking guide to solution-oriented interventions with severe mental illness

Solution-Oriented Therapy for Chronic and Severe Mental Illness is the first guide to applying the increasingly popular solution-oriented approach to treating mental illnesses generally considered beyond the scope of "talking cures." In a series of brief, engagingly written chapters, studded with vivid case examples, authors Tim Rowan and Bill O'Hanlon demonstrate the solution-oriented approach in action with patients suffering from severe depression, schizophrenia, and other severe, chronic, and persistent mental illnesses. You'll learn their proven techniques for dealing constructively with severely ill clients, even during moments of extreme crises, and for helping them to cultivate the internal resources needed to successfully manage their own illnesses.

This issue of Medical Clinics brings the practicing internist up to date on the latest approaches in psychiatry. Topics include collaborative care and consultation, including interviewing, cultural competence, and enhancing rapport and adherence; assessments of the risk of suicide or violence in a patient in crisis; cognitive impairment such as delirium and dementia; dysregulated mood such as major depression and bipolar disorder; anxiety disorders such as panic attacks, generalized anxiety, post-traumatic stress, and obsessions or compulsions; psychopharmacologic care, including antidepressants, antipsychotics, anxiolytics, mood-stabilizing anticonvulsants, and natural remedies; non-pharmacological care of patients with co-morbid medical and psychiatric conditions, including different types of psychotherapy of the medically ill; substance use and abuse; treating the patient with multiple physical symptoms or chronic disease including somatoform disorders, AIDS, cancer, diabetes, and hypertension; symptoms at the interface of medicine and psychiatry such as pain, sleep disturbance, gastrointestinal distress, sexual dysfunction, premenstrual dysphoria, and grief; informed consent, handling capacity decisions, civil commitment, boundary issues, and malpractice claims; and an approach to the patient with organ failure, transplantation and end-of-life treatment decisions.

This issue provides a unique and valuable perspective on forensic matters in child and adolescent psychiatry, with an approach that adds new thinking to the discussion, rather than rehashing known facts. The issue is divided into several sections: juvenile offenders, family law/custody and visitation, child maltreatment, personal injury law suits, forensic issues in clinical child and adolescent psychiatry, and training in child and adolescent psychiatry. A wide range of topics are explored within each section. All articles are geared toward child psychiatrists in clinical practice, providing practical information in this very important area of study.

Child and Adolescent psychiatrists frequently see patients with medical disorders that impact their psychiatric care in various ways. This issue covers oncology, inflammatory bowel disease, siblings with chronic illnesses, obesity, genetic abnormalities, transplants, very premature infants through the lifespan, asthma, diabetes mellitus, HIV, palliative care, cystic fibrosis, sickle cell disease, headaches, unexplained physical complaints, and epilepsy. Each article provides an overview of the medical disorder itself, as well as the special considerations required for the psychiatric care of that patient.

International Review of Research in Developmental Disabilities is an ongoing scholarly look at research into the causes, effects, classification systems, syndromes, etc. of mental retardation. This thematic volume, "Health Issues in Down Syndrome," will cover health issues for individuals across the life span. With the life expectancy of individuals now reaching 60 years or more, it has transformed from an acute condition with a short life span to a chronic condition that needs to be managed over a close to normal life span. The extra chromosome 21 that defines most cases of Down syndrome affects the functioning of many biological processes and organ systems. The cascade of events triggered by the extra chromosome 21 creates a complex set of medical conditions needing to managed over the life span. The ability to manage these conditions has led to an improvement in longevity and quality of life for individuals with Down syndrome.
Provides the most recent scholarly research in the study of health issues in Down syndromeA vast range of perspectives is offered, and many topics are covered An excellent resource for academic researchers

Pediatric and Adolescent Psychopharmacology is reviewed in this issue of Pediatric Clinics, guest edited by Drs. Dilip Patel, Donald Greydanus, and Cynthia Feucht. Authorities in the field have come together to pen articles on Therapy in the Age of Pharmacology: Point-Counterpoint, Principles of Pharmacology and Neurotransmission, Complementary and Alternative Medicine in Pediatric Mental Health, Psychopharmacology of Anxiety Disorders, Psychopharmacologic Control of Aggression and Violence, Autistic Spectrum Disorders, Attention Deficit Hyperactivity Disorder, Psychopharmacology of Anorexia and Bulimia Nervosa, Psychopharmacology of Obesity, Psychopharmacology of Depression, Psychopharmacology of Pediatric Bipolar Disorders, Cognitive-Adaptive Disabilities, Psychopharmacology of Schizophrenia, Management of Psychotic States Induced by Medical Conditions, Substance Use and Abuse, Psychopharmacology of Tic Disorders, and Pharmacology of Sleep Disorders.

An expanded, updated, and revised edition, the ADHD Handbook, second edition covers recent advances in causes and management of ADHD, and includes more than 400 scientific references to peer-reviewed articles. It provides answers to the numerous questions that surround ADHD, including how is it diagnosed? What causes ADHD? What are the risks of associated learning and behavior disorders, tics, seizures, and headaches? What treatments are available? What are the choices of medications and the risks of side effects? How can adverse effects be avoided? What are the alternatives to medication? Do children outgrow ADHD, and how long is treatment required? ADHD Handbook is written for neurologists, pediatricians, practicing physicians, residents, fellows and students of medicine, psychologists, educators, occupational and speech therapists, nurse practitioners and other healthcare providers. It also offers parents a readable, but uniquely well documented and objective account of ADHD symptoms, diagnosis, medications, alternative treatments, and management.

As evidence mounts on the efficacy of cognitive behavioral therapy (CBT), renowed expert Dr. Bunmi Olatunji offers this timely and comprehensive issue on performing CBT for a wide variety of psychiatric conditions.? Article discuss how to effectively use CBT for anxiety disorders, personality disorder, eating disorders, schizophrenia, tic-related disorders, somatoform disorders, sleep disorders, substance use/dependence, sexual dysfunction, mood disorders and ADHD.? Articles also discuss augmenting CBT with medication, and the empirical status of the "New Wave" of CBT.