Ethics plays an especially important and unique role in psychiatry, and this issue is a must-read for psychiatrists as they navigate these sometime tricky waters. With an eye on the most current developments in the psychiatric field, authors discuss topics such as ethics in research, ethics in clinical treatment, ethics in education, genetics, and the military. The section on clinical concerns contains separate articles on children, adults, and older patients, with special attention paid to women's mental health, forensics, addiction psychiatry, consultation/liaison psychiatry, and community psychiatry.

With the growing interest in the great number of culturally, linguistically, and ethnically different families entering the United States, it is essential for researchers and mental health practitioners to acquire a working knowledge that can aid in a healthier adjustment of these families. Although it is impossible for any therapist to understand the traditions, values, and languages of all immigrant groups, a therapist may be guided by a conceptual operational principle that can be implemented across diverse groups and circumstances. Dr. Gopaul-McNicol introduces a model for assessment; the techniques and strategies proposed by this model range from cognitive behavioral interventions to multimodal and multisystems approaches to treatment.

The book covers historical and contemporary perspectives of the influence of culture on an individual's functioning. Assessment issues include intellectual, educational and visual motor assessment and its applicability with culturally diverse clients. The author also highlights ways of misassessing the personality of culturally different individuals and examines the major treatment approaches in counseling the culturally different.

Since its third edition in 1980, the Diagnostic and Statistical Manual of Mental Disorders (DSM) of the American Psychiatric Association has acquired a hegemonic role in the health care professions and has had a broad impact on the lay public. The publication in May 2013 of its fifth edition, the DSM-5, marked the latest milestone in the history of the DSM and of American psychiatry. In The DSM-5 in Perspective: Philosophical Reflections on the Psychiatric Babel, experts in the philosophy of psychiatry propose original essays that explore the main issues related to the DSM-5, such as the still weak validity and reliability of the classification, the scientific status of its revision process, the several cultural, gender and sexist biases that are apparent in the criteria, the comorbidity issue and the categorical vs. dimensional debate. For several decades the DSM has been nicknamed "The Psychiatric Bible." This volume would like to suggest another biblical metaphor: the Tower of Babel. Altogether, the essays in this volume describe the DSM as an imperfect and unachievable monument - a monument that was originally built to celebrate the new unity of clinical psychiatric discourse, but that ended up creating, as a result of its hubris, ever more profound practical divisions and theoretical difficulties.

This book comprises the conferences and discussions presented at the 5th Symposium on the "Search for the Causes of Schizophrenia," which took place for the second time in Guaruja, Brazil, April 2003. This series of symposia started in 1986, on the occasion of the 600th anniversary of the University of Heidelberg, Germany, followed by symposia in 1989, 1993 and 1998. Four volumes that have been widely used as a reference for comprehensive reviews on the state of the art in schizophrenia research have resulted from these meetings. They reflect the progress resulting from the most relevant studies on the etiology of the disease.

The topics covered in the six sections of the book are Epidemiology and Environment, Precursors, Pathophysiological Mechanisms, Genetics, Controversies in Schizophrenia, and Treatment.

The exponential growth of clinical psychology since the late 1960s can be measured in part by the extensive-perhaps exhaustive-literature on the subject. This proliferation of writing has continued into the new century, and the field has come to be defined as much by its many topics as its many voices.
The Oxford Handbook of Clinical Psychology synthesizes these decades of literature in one extraordinary volume. Comprising chapters from the foremost scholars in clinical psychology, the handbook provides even and authoritative coverage of the research, practice, and policy factors that combine to form today's clinical psychology landscape.
In addition to core sections on topics such as training, assessment, diagnosis, and intervention, the handbook includes valuable chapters devoted to new and emerging issues in the clinical field, including heath care reforms, cultural factors, and technological innovations and challenges. Each chapter offers a review of the most pertinent literature, outlining current issues and identifying possibilities for future research.
Featuring two chapters by Editor David H. Barlow -- one on changes during his own 40-year odyssey in the field, the other projecting ten themes for the future of clinical psychology -- The Oxford Handbook of Clinical Psychology is a landmark publication that is sure to serve as the field's benchmark reference publication for years to come. It is an essential resource for students, clinicians, and researchers across the ever-growing clinical psychology community.

As more and more general psychiatrists are being asked to see pediatric patients, this issue will provide a valuable update on some of the most important areas of child psychiatry. Articles discuss such topics as Neurodevelopmental formulation, Cultural issues, Prodromal interventions in psychotic disorders, Autism, Early onset bipolar disorder, ADHD, Anxiety disorders and PTSD, Genetic Syndrome, Consultation to schools, forensics and PCPs, Psychopharmacology, Cognitive Behavioral Therapy, and Future directions. Experts in child psychiatry write each article specifically for the generalist who does not primarily see children and adolescents, but occasionally or even often does.

"Psychiatric Disorders" is written for researchers in both academia and the pharmaceutical industry who use animal models in research and development of drugs for psychiatric disorders such as anxiety, obsessive-compulsive disorder, depression, schizophrenia, bipolar disorder, ADHD, and autistic spectrum disorder. "Psychiatric Disorders "has introductory chapters expressing the view of the role and relevance of animal models for drug discovery and development for the treatment of psychiatric disorders from the perspective of (a) academic basic neuroscientific research, (b) applied pharmaceutical drug discovery and development, and (c) issues of clinical trial design and regulatory agencies limitations. Each volume examines the rationale, use, robustness and limitations of animal models in each therapeutic area covered and discuss the use of animal models for target identification and validation. The clinical relevance of animal models is discussed in terms of major limitations in cross-species comparisons, clinical trial design of drug candidates, and how clinical trial endpoints could be improved. The aim of this series of volumes on "Animal and Translational Models for CNS Drug Discovery" is to identify and provide common endpoints between species that can serve to inform both the clinic and the bench with the information needed to accelerate clinically-effective CNS drug discovery.

This is the first volume in the three volume-set, "Animal and Translational Models for CNS Drug Discovery" 978-0-12-373861-5, andis also available for purchase individually.
Provides clinical, academic, government and industry perspectives fostering integrated communication between principle participants at all stages of the drug discovery processCritical evaluation of animal and translational models improving transition from drug discovery and clinical developmentEmphasizes what results mean to the overall drug discovery processExplores issues in clinical trial design and conductance in each therapeutic areaPsychiatric Disorders is available for purchase individually."

This engagingly written survey covers the history of anxiety disorders and current approaches to their definition and treatment. Anxiety disorders are significant mental health illnesses that impair lives and cost society millions of dollars in health care expenses and lost productivity. Greater awareness of anxiety disorders is essential for both the general public and health professionals if those who suffer from them are to be identified, receive proper treatment, and have a chance at leading fulfilling lives. To that end, Anxiety begins with a historical overview of the ways in which anxiety disorders have been understood, from the prehistoric era until the present time, examining the disorders from the perspectives of conceptualization, classification, research, and treatment. Subsequent chapters examine these themes in light of our current understanding and approaches to anxiety disorders. Current diagnostic and assessment methods are discussed, as are modern treatment options. The book concludes with a survey of the future directions in research for the understanding and treatment of anxiety disorders.

Written specifically for the clinical neuropsychologist who does forensic consultations, the book is a comprehensive review by experts of the procedures available to evaluate malingered neuropsychological deficits. It discusses tools for detecting atypical patterns of performance on standard clinical tests as well as malingering on measures of perception and sensorimotor function, of attention, processing speed, and memory, and of executive function. The underpinnings of the forensic neuropsychology enterprise are presented in chapters on definitions of malingering, research designs for its evaluation, data on the frequency with which malingering occurs, diagnostic classification statistics, symptom validity tests that do not depend on forced choice testing, and those that do. Guidance on assessing exaggerated psychiatric symptoms; exaggerated medical symptoms and injuries; and detecting malingering during the neurological exam is also included. Of particular note is a chapter devoted to the topic of coaching. The book closes with a review of the diagnostic criteria for malingering and looks to the future with evidence-based proposals for improving the criteria.

This handbook examines state-of-the-art research and clinical findings on attenuated psychosis syndrome (APS) across the globe. It addresses symptoms, assessment methods, and treatment approaches as they differ and converge across countries and cultures. The handbook explores how the illness impairs many aspects of daily functioning, with high rates of suicide and a reduced life span. It details how early detection is critical and may greatly reduce the public health burden of the illness. Chapters describe the early identification and intervention efforts that are currently underway across the world. The book offers international findings from prominent researchers, elaborating culturally relevant illness symptoms, help-seeking behaviors, and assessment and intervention strategies. In addition, chapters illustrate wide variations in symptom expression and experience, reinforcing the necessity of culturally attuned practice in patient-centered care. The book concludes by examining the implications - challenges and opportunities - for future research and clinical practices from an international perspective. Topics featured in the Handbook include: Barriers to service in low-resourced countries. The role of traditional or culturally acceptable care in developing early intervention models. The reliability and validity of tools for assessing and identifying APS. Possible medical diagnoses that can present with APS symptoms and how to differentiate these conditions from APS. The Handbook of Attenuated Psychosis Syndrome Across Cultures is a must-have resource for researchers, professors, clinicians, and related professionals as well as graduate students in child and school psychology, psychiatry, social work, and related disciplines.

This book focuses on extrapyramidal signs and symptoms of all types of dementia, and addresses the issue of the artificial boundary between dementias and Parkinsonism, which represent the two most common symptoms found in degenerative central nervous system diseases. In Movement Disorders in Dementias, movement disorder specialists from around the world write on topics generally restricted to dementia experts. Important motor issues related to either medication in demented patients (drug-induced movement disorders) or manifestations common to all forms of dementia, regardless of underlying cause (gait disorders, falls, fear of falling), is followed by analysis of the relationship between motor and cognitive symptoms, from their common pathogenesis to specific medical treatments. Movement Disorders in Dementias is aimed at general neurologists, dementia specialists, movement disorders specialists, neuropsychologists and geriatricians.

What is it like to be sued for medical malpractice? Bad medical outcomes traumatize patients but they also traumatize physicians. The litigation that often follows is a profoundly human, rather than just a legal experience. Although every physician's case is different, this book shows how each case goes through the same judicial stages of complaint, discovery, depositions, motions, and delays that lead to trial, settlement, or being dropped. It also gives doctors an understanding of how lawyers think and work to help defendants. Written by a physician and a lawyer, the book provides unique insights - through real-life stories - into the personal experience of litigation as well as recommendations for dealing with each of the legal process. It also includes up-to-date reviews of HIPAA legislation, the controversial subject of disclosure, and recent developments in the law affecting medical practitioners. Only about thirty percent of plaintiffs win their cases against doctors, but the journey from bedside to witness stand tests both the personal character and the professional skills of those accused. This well-documented book will help doctors understand and navigate the legal system while honouring their own ideals and emerging changed but stronger from the experience.

An intensely moving, frequently shocking account of a child's life in an adult mental hospital.

This volume addresses one of the Holy Grails in Psychiatry, namely the evidence for and potential to adopt 'Biomarkers' for prevention, diagnosis, and treatment responses in mental health conditions. It meshes together state of the art research from international renowned pre-clinical and clinical scientists to illustrate how the fields of anxiety disorders, depression, psychotic disorders, and autism spectrum disorder have advanced in recent years.

Written with disarming honesty by a long-term sufferer of bipolar disorder, with more than half a century's experience of intervention and treatment, this highly personal volume traces the effectiveness of a therapy modality for mental illness that has gained much ground in the past two decades: art. The author began to use art, and in particular doodling, from 1998 as a way of externalizing his feelings. Its expressiveness, accessibility and energy-efficiency was ideally suited to the catatonia he experienced during the bouts of depression that are a feature of bipolar disorder, while as the low moods lifted and his energy surged, he completed more ambitious and elaborate works. As well as being highly eclectic, Wheatley's assembled oeuvre has afforded him both insights and therapeutic intervention into his condition, once deemed highly debilitating and taboo, but much more socially accepted now that well known sufferers such as Stephen Fry have recounted their experiences of the condition. After an opening account of how the images were generated, the volume reproduces a 'gallery' of selected work, and then offers an extended epilogue analyzing the art's connections with the disorder as well as the author's assessment of how each attempt at visual self-expression was, for him, a therapeutic intervention. Wheatley, a cell biologist who has enjoyed a full career in cancer research, has had no formal training in art, yet his haunting pictures, many of them resembling life forms, are brought to life by his perceptive, self-aware commentary. This book will be of interest to psychologists and psychiatrists among the wider medical profession as well as people suffering from any form of bipolar disorder whatever the severity.

This book presents the anatomical systems that take part in the scientific and clinical study of emotional functions and neuropsychiatric disorders. It discusses the limbic system-the cortical and subcortical structures in the human brain involved in emotion, motivation, and emotional association with memory-at length and how this is no longer a useful guide to the study of psychiatric disorders. The book provides an understanding of brain anatomy, with an emphasis on the new anatomical framework which has emerged during the last quarter century. The goal is to help the reader develop an understanding of the gross anatomical organization of the human forebrain.
The book also includes an enlightening DVD describing the basic surface anatomy of the cerebral hemispheres, coronal and horizontal sections, and blunt dissection of the forebrain with special attention to clinical-anatomical correlations of interest to psychiatrists.
* A re-evaluation of brain anatomy, with an emphasis on the new anatomical framework which has emerged during the last quarter century
* A compellingly expanded conceptualization of Broca's famous limbic lobe
* Clinical and basic science boxes highlighting specific concepts, structures, or neuronal circuits from a clinical perspective
* DVD illustrating dissection of the human brain by one of the world's masters

Re-released with a new introduction, and to coincide with a film of the same title (directed by the author), Mad To Be Normal is the memoir R. D. Laing never lived to write. In the last two years of Laing's life, he recorded hundreds of hours of conversation with Robert Mullan in which he was determined to be as frank and open as possible, and equally determined to 'put the record straight'. R. D. Laing wrote a number of books during the 1960s which rocked the foundations of conventional psychiatry and galvanized the imagination of millions of ordinary readers. His views were against the grain of conventional psychiatry - his existential approach to madness was controversial, and his work brought into focus matters of individual liberty and the importance of the social context of 'illness'. The greatest accusation he suffered was that he idealised mental misery - something he consistently denied. Mad to be Normal presents Laing's own words, about his work and about his life. It is the most complete record on Laing, by Laing.Entertaining, maddening, surprising, impressive, occasionally scurrilous, and evoking a compelling portrait of the heady and sometimes self-regarding mood of the 1960s and early l970s, this books necessitates a reassessment of Laing and his work; work which is part of a lengthier and on-going process concerned with the routine care of those disturbed in mind.

Health indicators in the United States are among the worst in the developed world, even though its health care system is, by a wide margin, the most expensive in the world. It is a disparity that stems from a fragmentation of services and financial arrangements that often prioritize commercial interests over public health. Seeking Value: Balancing Cost and Quality in Psychiatric Care, a comprehensive volume by the Group for the Advancement of Psychiatry's Mental Health Services Committee, examines the myriad factors that have led to the current state of health care in the United States-starting with an analysis of the meaning and history of value measurement-but it does not stop there. It offers a holistic vision for health care reform, one in which psychiatric professionals play a pivotal role. A section on system interventions tackles traditional models of financing health care and the role of market forces as it considers broad public health strategies, from elimination of administrative waste to integration of care, that can reduce costs and improve population health, with a special emphasis on the interaction between mental and physical health. Recognizing that these larger-scale interventions require time to bear fruit, the book also explores the ways the psychiatric profession and individual psychiatrists can contribute to a more skill-diverse, collaborative, activist, value-conscious, and visionary specialty. Several chapters also identify public policy issues and cultural constructs that go beyond the typical role of clinicians and health care administrators, but that have the potential to impact population health in significant ways, illustrating how different choices could result in remarkable improvements in social well-being. The incorporation of healthy practices in the workplace, efforts to mitigate the impact of climate change, and the elimination of counterproductive incarceration practices all feature in this discussion. Exhaustive in approach, the book aims to spur thought, conversation, and action to improve value in the services the psychiatric profession provides and the systems in which it operates. Its clear and compelling message will equip readers to develop an advocacy agenda that will resonate with nonmedical stakeholders and the practical strategies needed to see it realized.

This user-friendly resource presents a patient-centered approach to managing the growing incidence of major psychiatric emergencies in the outpatient setting. Abundant illustrations, tables, and algorithms guide you through the wide range of disorders discussed, and a color-coded outline format facilitates rapid access to essential information necessary for making a proper diagnosis for optimal management outcomes. Organizes information by patient presentation to help you distinguish among conditions that present with similar symptoms. Discusses medical conditions presenting with psychiatric symptoms, where appropriate. Highlights critical information in "Hazard Signs" boxes for quick, at-a-glance review. Uses acronyms and memory aids to enhance recall of information in moments of crisis. Features a chapter discussing the psychiatric effects of bioterrorism. Offers an Improved Suicide Risk Scale with criteria on impulsivity, plan, and lethal level of attempt. Provides valuable tips on interviewing and interacting with patients in various situations, as techniques will vary from depressed suicidal patients to manic and potentially assaultive individuals. Includes appendixes that discuss common psychiatric medications used and important lab values in the ER.

Tipping the Scales: Ethical and Legal Dilemmas in Managing Severe Eating Disorders centers on the complex and at times wrenching medicolegal and ethical challenges encountered in treating patients with severe and enduring eating disorders (SEEDs). Unlike other mental health disorders, for which the care of a medical physician is typically unnecessary, patients with eating disorders have many significant medical complications that demand careful oversight by a physician knowledgeable in treating these disorders. The tragic dearth of such expertise is made more alarming by the fact that anorexia nervosa has the highest mortality rate of any mental disorder aside from opioid abuse. Accordingly, the book addresses the medical consequences of SEEDs and explores that subgroup of patients whose illness appears intractable—people who are no longer seeking a "cure" but, rather, enough improvement to afford them a reasonable quality of life. For such patients, depending on their age, treatment history, and support system, treatment teams may either commit to achieving a full recovery or engage in a harm reduction model. In empathic, accessible prose, the book • Examines ethical conflicts that arise in SEEDs, in particular the critical dilemma between saving a life and reducing suffering. Although both are core values of medicine—and eating disorders have an exceedingly high mortality rate—relief of suffering through refeeding and other treatments can bring about both physical and emotional discomfort. • Reviews the issues of patient autonomy and mental capacity in the question of who ultimately gets to establish treatment goals. The assignment and role of medical guardianship for patients deemed incapacitated is described in detail. • Explores the perception of "futility," which may reflect burnout of the treatment team for these very challenging patients rather than no hope of success. In particular, perceived futility may contribute to the increased emergence of physician-assisted death and euthanasia in this population both internationally and in the United States. • Devotes several chapters to the differences between palliative care, harm reduction, and futility. Patients sometimes leave treatment and request palliative care, and the book addresses the role of psychiatry in such cases as well as advance care planning and other essential topics. • Describes the medical complexities and comorbidities inherent in caring for patients with SEEDs, including bone density loss, gastrointestinal complaints, and cardiac irregularities, which can result in death. • Presents numerous case studies for comparison, elucidating the thorny ethical and legal issues attendant upon caring for these patients. Tipping the Scales assists physicians, mental health professionals, and patients in making decisions that are in the patient's best interests, whether they lead to healing and recovery or a dignified passage within the bounds of our current knowledge and the ethics of palliative end-of life care.

The "hypochondriac" is a complicated figure, often treated with scorn and derision, resented for making excessive demands on attention and health care resources. Lacking credibility but needing to be taken seriously, the hypochondriac is most doctors' least favorite patient. Yet people who suffer from hypochondria endure the anxiety of suspecting they are seriously ill, or are about to be, and having their suspicions and their suffering dismissed as baseless.
A Condition of Doubt seeks to change the way we think about hypochondria, and to use hypochondria to sharpen our thinking about health care. It claims that contemporary hypochondria should be understood less as mental illness in particular patients than as a rational if maladaptive condition emerging from gaps between doctors' and patients' expectations of contemporary Western medicine.
Medicine relies on objective evidence to verify the absence or presence of disease. The hypochondriac struggles to accept reassurance that no disease can be found. Examining the tension between these two positions reveals insights into clinical reasoning and practice, into patients' (not just hypochondriacs') clinical experiences, and into our medicalizing culture's troubled understandings of health, illness, risk, and uncertainty.
The book's four parts examine hypochondria as a condition of biology; of medicine; of culture; and of narrative. Using a wealth of texts from the medical literature, published illness narratives, psychiatric diagnostics, online discussions, and popular culture, A Condition of Doubt is both an example of, and a case for, the place of serious humanities scholarship in understanding medicine and in understanding how medicine thinks about itself and trains its practitioners.
This book argues that over the last half-century, patients have become postmodern but medicine has not, and claims that hypochondria-as a shared cultural condition-can be addressed by rethinking both patients' expectations of medical omniscience and physicians' need to meet such expectations. This means reconceptualizing hypochondria and, more broadly, reconceptualizing medicine's orientation toward the unknown

This book examines the role that dopamine plays in schizophrenia, examining its role in not only the symptoms of the disease but also in its treatment. It also reviews all neurotransmitters that have been implicated in schizophrenia, exploring the genetic data, clinical data implicating the transmitter, and the preclinical data exploring how a transmitter may interact with dopamine and contribute to the dopaminergic phenotype observed in the illness. This book will serve as an educational tool for instructors, a guide for clinicians, and be of interest to researchers. It is a good reference for researchers specialized in one particular area and interested in learning about other areas of pathology in schizophrenia and how they may all feed into each other. The book concludes with an overall integrative model assembling as many of these elements as possible.