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Books > Medicine > Other branches of medicine > Psychiatry
Emotions are the common ground of child psychotherapy and a
therapist's essential means of communication with children.
Improved emotional resilience must be the shared therapeutic goal
of all those who work with children and families.
At the outset of pregnancy, most parents expect a roughly 40-week journey punctuated by the birth of a healthy baby. When a preterm birth upends these expectations, the effects extend beyond the infant; there are real psychological consequences for the parents themselves. Treatment of Psychological Distress in Parents of Premature Infants tackles these issues, shedding light on the high prevalence of symptoms of posttraumatic stress disorder (PTSD) in parents following a premature birth. More than a dozen experts lend their expertise as they examine not only the medical and neurological consequences of premature birth on infants but also recent findings on the psychological effects of premature birth on parents—including the particular issues that fathers experience, which receive their own chapter. Uniquely, this volume outlines a comprehensive programmatic approach to psychological consultation in the neonatal intensive care unit (NICU). The authors describe how to leverage common interventions—including trauma-focused cognitive-behavioral therapy—in innovative ways to reduce symptoms of anxiety, depression, and PTSD in NICU parents. A chapter that focuses on vulnerable child syndrome underscores the implications of failing to address PTSD symptoms on parenting and child development and offers a parent-focused intervention to reduce unhealthy patterns of overprotective parenting. The insights offered throughout the book—as well as in the complementary online treatment manual—will position readers to develop an entire program of psychological services, from screening to intervention, in the NICU.
Millions of people and their families are affected by mental
illness; it causes untold pain and severely impairs their ability
to function in the world. In recent years, we have begun to
understand and develop a range of effective treatments for mental
illness. Even with this shift from moralistic views to those
emphasizing the biological and genetic origins of mental illness,
punitive treatment and outright rejection remain strong. Public
attitudes toward mental illness are still more negative than they
were half a century ago, and the majority of those afflicted either
do not receive or cannot afford adequate care. As a result of all
of these troubling facts, applying the term "stigma" to mental
illness is particularly appropriate because stigma conveys the mark
of shame borne by those in any highly devalued group.
This book focuses on the importance of understanding the experience of the person as the primary task of psychology and psychotherapy. It uses phenomenologically based, qualitative research methodologies to understand the experiences of four persons being seen in psychotherapy. It compares hypotheses generated from phenomenologically based assessment instruments to detailed analyses of psychotherapy sessions. Thus, therapists, students, and clients can see the relationship between the holistic understanding of the experience of persons and avenues for therapeutic movement. The book is divided into four sections. Part I discusses the clinical theory on which the study is based. A chapter on qualitative research methodologies includes both the philosophical bases of this form of research and the compatibilities between qualitative psychology and personal construct theory. Part II deals with the process of assessing experience within personal construct psychology. It describes the two techniques--the role construct elicitation technique and the interview technique--that are used to elicit verbal meanings. In many ways, Part III consisting of four chapters, forms the heart of the volume. Each deals with a special person--a client being seen in experiential personal construct psychotherapy. After discussing clinical hypotheses derived from the constructs, each chapter presents an intensive interpersonal process analysis of the client's second therapy session. Each chapter then compares the clinical hypotheses generated from the client's personal meanings to the actual struggles in the therapy room. Part IV attempts to draw implications from the project that will be useful to persons engaged in the struggle to understand the inner meanings of others.
Celebrating Fifty Years of Picador Books If a man has lost a leg or an eye, he knows he has lost a leg or an eye; but if he has lost a self - himself - he cannot know it, because he is no longer there to know it. In this extraordinary book, Dr. Oliver Sacks recounts the stories of patients struggling to adapt to often bizarre worlds of neurological disorder. Here are people who can no longer recognize everyday objects or those they love; who are stricken with violent tics or shout involuntary obscenities, and yet are gifted with unusually acute artistic or mathematical talents. If sometimes beyond our surface comprehension, these brilliant tales illuminate what it means to be human. A provocative exploration of the mysteries of the human mind, The Man Who Mistook His Wife for a Hat is a million-copy bestseller by the twentieth century's greatest neurologist. Part of the Picador Collection, a series showcasing the best of modern literature.
This book provides extraordinary insight into the subtleties and diversities of contemporary clinical practice by exploring the problematic and ambiguous concept of the transference neurosis.
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.
Reveals the history of the individuals who worked to make psychiatry more available to Harlem's black community in the early Civil Rights Era. Toward the middle of the twentieth century, African Americans in New York City began to receive increased access to mental health care in some facilities within the city's mental health system. This study documents how and why this important change in public health-and in public opinion on race-occurred. Drawing on records from New York's children's courts, Harlem's public schools, Columbia University, and the Department of Hospitals, Dennis Doyle tells here the story of the American psychiatrists and civil servants who helped codify in New York's mental health policies the view that blacks and whites are psychological equals. The book examines in particular the events through which these racial liberals working in Harlem gained a foothold within New York's public institutions, creating inclusive public policies and ostensibly race-neutral standards of care. Psychiatry and Racial Liberalism in Harlem, 1936-1968 not only contributes to the growing body of historiography on race and medical institutions in the civil rights era but, more importantly, shows how inveterate racial prejudices within public policy can be overcome. Dennis A. Doyle is assistant professor of history at the Saint Louis College of Pharmacy.
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.
Schizophrenia is the most widely known and feared mental illness worldwide, yet a rapidly growing literature from a broad spectrum of basic and clinical disciplines, especially epidemiology and molecular genetics, suggests that schizophrenia is the same condition as a psychotic bipolar disorder and does not exist as a separate disease. The goal is to document and interpret these data to justify eliminating the diagnosis of schizophrenia from the nomenclature. The author reviews the changing diagnostic concepts of schizophrenia and bipolar disorder with a historical perspective to clarify how the current conflict over explanations for psychosis has arisen. That two disorders, schizophrenia and bipolar, known as the Kraepelinian dichotomy, account for the functional psychoses has been a cornerstone of Psychiatry for over 100 years, but is questioned because of substantial similarities and overlap between these two disorders. Literature in the field demonstrates that psychotic patients are frequently misdiagnosed as suffering from the disease called schizophrenia when they suffer from a psychotic mood disorder. Such patients, their families, and their caretakers suffer significant disadvantages from the misdiagnosis. Psychotic patients misdiagnosed with schizophrenia receive substandard care regarding their medications, thus allowing their bipolar conditions to worsen. Other adverse effects are substantial and will be included. Liability for medical malpractice is of critical importance for the mental health professionals who make the majority of the diagnoses of schizophrenia. The concept put forward in this work will have a discipline-altering impact.
Posttraumatic growth is an area in which investigations are now being undertaken in many different parts of the world. The view that individuals can be changed--sometimes in radically good ways--by their struggle with trauma is ancient and widespread. However, the systematic focus by scholars and clinicians on the possibilities for growth from the struggle with crisis is relatively recent. There are now a growing number of studies and scholarly papers on the antecedents, correlates, and consequences of posttraumatic growth, and there are also theoretical models that can help guide the research further. It is clear, however, that this phenomenon is not yet well understood. The Handbook of Posttraumatic Growth: Research and Practice provides both clinicians and researchers with a comprehensive and up-to-date view of what has been done so far. In addition, it uses the foundations of what has been done to provide suggestions for the next useful steps to take in understanding posttraumatic growth. The book offers contributions of important and influential scholars representing a wide array of perspectives of posttraumatic growth. This volume serves as an impetus for additional work, both in the academic aspects and in the possibilities for clinical applications of posttraumatic growth. This Handbook will appeal to students, practitioners, and researchers working in a broad array of disciplines and human services.
Tessler and Gamache provide substantial research on the impact of mental illness on the family through interviews conducted with hundreds of family members between 1989 and 1997. According to the authors, how families experience the mental illness of a relative depends on many social factors, including how public mental health services are organized and financed, and whether families feel judged or supported by professionals. Most family members experience a range of emotions toward one another ranging from warmth and gratification to anger and rejection. Tessler and Gamache detail the family experience with mental illness in terms of both negative and positive feelings. They take a holistic approach to the family experience and present a variety of family responses and dilemmas. The family members whose stories are told are diverse in respect to race, gender, age, and relationship, and the demographic-clinical characteristics of their relatives with mental illness. Tessler and Gamache find that the amount of burden that family members experience depends, in part, on which dimension of burden is being addressed. When burden is defined as assistance in daily living, it is less than what was thought. On the other hand, the subjective burden associated with supervision and control is substantial. Family role and residence contribute to most dimensions of burden. For example, a mother living with an adult son with schizophrenia will experience mental illness differently than the brother who has moved out of the family home and moved to another state. In both studies, a major finding involved lower than expected expenditures by family members for medication and mental health treatment in both studies. Most expenditures were focused instead on personal or survival needs, which for a sub-sample of family members involves considerable expenditures. This work is an important research finding for scholars, students, and professionals involved with social work, public health, and public mental health policy.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), is the most comprehensive, current, and critical resource for clinical practice available to today's mental health clinicians and researchers. DSM-5-TR includes the fully revised text and references, updated diagnostic criteria and ICD-10-CM codes since DSM-5 was published in 2013. It features a new disorder, Prolonged Grief Disorder, as well as codes for suicidal behavior available to all clinicians of any discipline without the requirement of any other diagnosis. With contributions from over 200 subject matter experts, this updated volume boasts the most current text updates based on the scientific literature. Now in four-color and with the ability to authenticate each printed copy, DSM-5-TR provides a cohesive, updated presentation of criteria, diagnostic codes, and text. This latest volume offers a common language for clinicians involved in the diagnosis and study of mental disorders and facilitates an objective assessment of symptom presentations across a variety of clinical settings-inpatient, outpatient, partial hospital, consultation-liaison, clinical, private practice, and primary care. Stay current with these important updates in DSM-5-TR: * Fully revised text for each disorder with updated sections on associated features, prevalence, development and course, risk and prognostic factors, culture, diagnostic markers, suicide, differential diagnosis, and more.* Addition of Prolonged Grief Disorder (PGD) to Section II-a new disorder for diagnosis* Over 70 modified criteria sets with helpful clarifications since publication of DSM-5* Fully updated Introduction and Use of the Manual to guide usage and provide context for important terminology* Considerations of the impact of racism and discrimination on mental disorders integrated into the text* New codes to flag and monitor suicidal behavior, available to all clinicians of any discipline and without the requirement of any other diagnosis* Fully updated ICD-10-CM codes implemented since 2013, including over 50 coding updates new to DSM-5-TR for substance intoxication and withdrawal and other disorders* Updated and redesigned Diagnostic Classification This manual is a valuable resource for other physicians and health professionals, including psychologists, counselors, nurses, and occupational and rehabilitation therapists, as well as social workers and forensic and legal specialists. The new DSM-5-TR is the most definitive resource for the diagnosis and classification of mental disorders.
Psychiatry and psychology have constructed a mental health system that does no justice to the problems it claims to understand and creates multiple problems for its users. Yet the myth of biologically-based mental illness defines our present. This book rethinks madness and distress reclaiming them as human, not medical, experiences.
An application of the philosophy of science to psychiatry Although it's been 140 years since Maudley's groundbreaking
treatise, modern psychiatry is in a state of intellectual collapse.
No psychiatrist practicing today can point to a universally agreed
model of mental disorder which explains the common observations of
mental disorder, dictates a research program and ordains a form of
management.
A child specialist describes his unconventional techniques, both professional and personal, to draw out a severly introverted, speechless nine-year-old boy who had not been reached by other therapists or even his family. The boy had built an elaborate fortress against a world that had declared him incapable of learning, of communicating, of feeling. As the specialist realized that the family was so distressed in relating with their son that they were unable to continue living with him, he sought alternative arrangements. Meanwhile, the most important work with this emotionally abandoned boy was to convince him of his basic worth and capacity, and to show him that his choices could make a difference for himself even in the face of inevitable frustration, denial, and rejection. Mr. Cipolloni has written the story of his work with Sean to illustrate how our society has a fundamental disregard for people, particularly children; he maintains that it is a society that dismisses those it cannot utilize and leaves us increasingly incapable of forming deep, focused interpersonal relationships.
Research in children's mental health lags behind research for adults in part because it is intrinsically context-bound. Children are embedded in families, in schools, and in communities who have responsibility for their care. Making research findings useful and ensuring that they are applied to improve the lives of children and families requires attention to these contexts. This entails a process of collaboration with many partners-teachers, nurses, healthcare providers, church leaders, neighborhood group directors, and other community leaders. The process of collaboration in children's mental health is complicated but the products that it yields have the potential to benefit both children and families. This volume, with the toolkit and casebook that it contains, distills the process of collaboration into manageable steps, and provides concrete examples of how researchers have addressed specific challenges. The premise of the book is that collaborative research, in contrast to traditional research paradigms, will yield findings that are more ethical, valid, and useful. Highlighting the transformation of science from ivory-tower theories to action-oriented practices, the editors offer practical advice for researchers and practitioners interested in using data to inform and transform children's mental health. Concrete examples of projects that have involved community leaders and researchers provide an insider's guide to conducting successful collaborations that can yield better results than traditional top-down research paradigms.
This book is a comprehensive guide to psychiatry for undergraduate medical students. Beginning with an introduction to the field, the next chapters discuss biological sciences, psychosocial sciences, and classification and evaluation. The following sections cover the diagnosis and treatment of numerous psychiatric disorders, including schizophrenia, depression, bipolar and other mood disorders, OCD, sleep disorders, eating disorders, and many more. All sectors of the population are covered, from children and adolescents, to geriatrics, and a complete chapter is dedicated to culture bound syndromes (a combination of psychiatric and somatic symptoms that are considered to be a recognisable disease only within a specific society or culture). The book concludes with discussion on psychopharmacology and psychotherapies, legal and ethical issues, community and preventive psychiatry, and the history and future of the field. Key points Practical guide to psychiatry for undergraduate medical students Covers diagnosis and treatment of numerous disorders Complete chapter dedicated to culture bound syndromes Includes discussion on legal and ethical issues, and preventive psychiatry
This book presents a longitudinal study of cultural influence on psychiatric disorders, from late imperial China to contemporary China, drawing on both reviews and lab results to do so. While predominantly offering evidence of cultural influences on psychiatric disorders from a Chinese perspective, it will also be of global benefit since "the national exemplifies the international." It presents the Chinese "emic" components of culture, including Chinese personality traits, Chinese forms of emotional regulation, and Chinese styles of family structure and function, which will stimulate international interest and research in related areas. The intended readership includes cultural psychiatrists and psychologists, family therapists, personality psychologists, literature-related researchers, and members of the general public who are interested in cultures expressed in fictions.
The first edition of Planned Short-Term Treatment established itself as an essential guide for social work and other clinical practitioners by showing them how, by limiting the duration and scope of treatment, they can help their clients solve the problems that bring them to therapy. In this revised edition, the author maintains this focus on social work practice while integrating several new approaches. He includes a new chapter on marital and family intervention which clinically illustrates the practice applications of such theories as One-Person Family Therapy and the Relationship Enhancement approach to marital therapy. He also incorporates the new advances in the treatment of anxiety and depression through a discussion of both cognitive therapy and interpersonal psychotherapy, and includes new sections dealing with very brief psychotherapy (one to two sessions). Planned Short-Term Treatment, Second Edition, will be both an invaluable text for social work students and a comprehensive guide for the social work practitioner and other mental health professionals.
The prominence of dementia within the global aging population has undergone an increase in recent years. To improve the living conditions of patients, researchers must place more emphasis on early detection methods. Improving the Quality of Life for Dementia Patients through Progressive Detection, Treatment, and Care provides a thorough overview of emerging research on various neuroscience methods for the early diagnosis of dementia and focuses on the improvement of healthcare delivery to patients. Highlighting relevant issues on health information systems, behavioral indicators, and treatment methods, this book is a pivotal reference source for health professionals, neuroscientists, upper-level students, practitioners, and researchers interested in the latest developments within the field of dementia treatment.
Recent studies show that changes in Glutamate/GABA synapses and related pathways may determine whether the synaptic plasticity that occurs as a response to stress is adaptive or maladaptive. Findings have shed new light on the mechanisms that determine the effects of stress on cognitive and affective function. Researchers have brought a wide range of techniques to bear on the study of this problem, including cutting-edge live imaging techniques, electrophysiology, glutamate release from isolated live synaptic terminals, development of transgenic and animal models and new behavioral methods. This book provides an overview of these recent findings and of the techniques used as well as a discussion of how the molecular, cellular, and functional effects of stress may trigger or precipitate neuropsychiatric disorders such as depression, schizophrenia, anxiety and PTSD.
1 Grundlagen: Gedachtnis und Emotions/Kognitions-Kopplung.- 1.1 Gedachtnistheorien und-modelle.- Inhaltliche Gliederung.- Verarbeitungstiefe.- Unterscheidung zwischen Wiedererinnern und Wiedererkennen.- Neuronale und molekulare Ebene.- Anatomische Betrachtungen.- Zur Rolle des Temporallappens.- Zur Rolle des Stirnhirns.- Gedachtnisabruf innerhalb des deklarativen Gedachtnisses.- Nicht-deklaratives Gedachtnis.- Arbeitsgedachtnis.- 1.2 Neurobiologische Grundlagen der Emotionen und der Emotions/Kognitions-Kopplung.- Die Verhaltensebene.- Neurobiologische Befunde.- Die Rolle der Amygdala fur emotionale Prozesse.- Zum orbitofrontalen Cortex.- Interaktion dieser Systeme.- 1.3 Emotions/Kognitions-Kopplung bei Gedachtnisprozessen.- Stimmungskongruenz- und Zustands-Abhangigkeits-Effekt.- 2 Grundlagen: Affektive/depressive Stoerungen.- 2.1 Grundlagen depressiver Erkrankungen.- AEtiopathogenese affektiver Erkrankungen.- Befunde bildgebender Untersuchungen.- 2.2 Kognitive Stoerungen bei depressiven Erkrankungen.- 2.3 Stoerungen der Emotions/Kognitions-Kopplung unter besonderer Berucksichtigung der Gedachtnisfunktionen depressiver Patienten.- 3 Grundlagen: Untersuchungsverfahren.- 3.1 UEbersicht uber funktionelle bildgebende Verfahren.- 3.2 Definition und methodische Aspekte ereigniskorrelierter Potentiale (EKP).- Methodische Aspekte.- Neuronale Substrate der EKP.- EKP in der kognitiven psycho-physiologischen Forschung.- 3.3 Wichtige Komponenten ereigniskorrelierter Hirnpotentiale.- Nd/Verarbeitugnsnegativitat.- Die N2-Komponente.- Die P300 oder P3-Komponente.- Die N400-Komponente.- 3.4 Ereigniskorrelierte Potentiale bei Gedachtnisprozessen.- EKP bei Rekognitionsaufgaben.- 3.5 Ereigniskorrelierte Potentiale bei der Prasentation emotionaler Stimuli.- 4 Eigene Untersuchungen: Emotions/Kognitions-Kopplung bei Gedachtnisexperimenten.- 4.1 Kontinuierliches Wiedererkennen von Woertern mit unterschiedlichem emotionalen Gehalt.- 4.1.1 Befunde bei gesunden Probanden.- Methodik.- Ergebnisse.- Diskussion.- 4.1.2 Emotions/Kognitions-Kopplung bei leichter Alkoholintoxikation bei gesunden Probanden.- Methodik.- Ergebnisse.- Diskussion.- 4.2 Befunde bei depressiven Patienten.- 4.2.1 Kontinuierliches Wiedererkennen von Woertern mit unterschiedlichem emotionalen Gehalt.- Methodik.- Ergebnisse.- Diskussion.- 4.2.2 Kontinuierliches Wiedererkennen von Woertern mit unterschiedlicher Imaginierbarkeit bei depressiven Patienten.- Methodik.- Ergebnisse.- Diskussion.- 4.2.3 Einfluss von Amantadin auf Bornavirus-Infektionen und Verlauf depressiver Syndrome.- 4.2.4 Einfluss von Amantadin auf den Verlauf von Gedachtnisfunktionen bei depressiven Patienten unter besonderer Berucksichtigung der Emotions/Kognitions-Kopplung.- Methodik.- Ergebnisse.- Diskussion.- 5 Zusammenfassende Bewertung und Ausblick.- Grundlegende UEberlegungen.- Untersuchungen zum Einfluss psychotroper Substanzen auf die Emotions/Kognitions-Kopplung.- Untersuchungen zur Emotions/Kognitions-Kopplung bei depressiven Syndromen.- Untersuchungen zum Einfluss psychotroper Substanzen aufdepressive Syndrome.- Ausblick.- Zusammenfassung.- 6 Literaturverzeichnis.
This book is written specifically for family or primary care physicians who encounter substance abuse in their daily practice. A Clinical Guide to Drug and Alcohol Problems provides a comprehensive overview to help diagnose and treat these problems. The first five chapters provide basic information on historical and cultural issues, plus the pharmacology of all abused drugs the physician is likely to come into contact with and the epidemiology and etiology of substance abuse problems. The author then addresses the clinical manifestions and course of addiction; diagnostic techniques; principles of clinical management, treatment, and rehabilitation of addictive and other associated medical disorders; and guidelines for public health approaches to the problem. |
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