In overwhelming trauma, when words fail, it is the body that begins to speak. How can clinicians listen to the body and understand its messages? This book is both a detailed review of the body symptoms and body image distortions found after trauma and a textbook of psychotherapy techniques to repair broken metaphors about the body so that the body-self and its functioning can be restored. Multiple theoretical perspectives--Freudian psychoanalytic theory, attachment theory, trauma theory--are synthesized to shape an interlocking framework within which the therapist can listen and stay with the messages from the patient's body. The reader is guided by detailed clinical examples drawn from an international group of trauma therapists that includes Barry Cohen, Richard Kluft, Bruce Perry, Valerie Sinason and Onno van der Hart.

The war in Vietnam is a watershed moment in United States history - the first war lost by the U.S. despite its seemingly overwhelming military might. Surviving Vietnam focuses on the psychological consequences, especially posttraumatic stress disorder (PTSD), of service in such a war for U.S. veterans. The diagnosis of PTSD, termed following and significantly influenced by this war, stirred controversy. Much of the initial controversy centered on a major report in 1990 of what numerous critics regarded as unrealistically high rates of this disorder in U.S. veterans. Controversy continues about whether exposure to one or more potentially traumatic events is more significant to the development and persistence of PTSD than pre-exposure personal vulnerability factors, such as age, education and prior psychiatric disorder. This book describes attempts to resolve these controversies. Surviving Vietnam develops a unique blend of historical material, military records, clinical diagnoses of PTSD, and interviews with representative samples of veterans surveyed approximately a decade (the National Vietnam Veterans Readjustment Study) and nearly four decades (the National Vietnam Veterans Longitudinal Study) after the war's conclusion. The book begins with a history of the Vietnam war that provides context for the discussions of mental health thereafter, the outcomes of the severity of veterans' exposure to combat, their personal involvement in harm to civilians and prisoners, their race-ethnicity, and their military assignments. It discusses nurses' experiences in Vietnam and the psychological impact of veterans' chronic war-related PTSD on their families. Surviving Vietnam then examines factors affecting veterans' post-war readjustment, including the effects of changing public and veteran attitudes toward the war and the veterans' own appraisals of the impact of the war on their lives after the war. The authors conclude with a discussion of the policy implications of the research findings.

This book offers the most up-to-date information about research surrounding the neurobiology of bipolar disorder as well as currently available and novel therapeutic options. The volume has assembled a widely respected group of preclinical and clinical researchers who bring their expertise to bear upon this illness by reviewing cutting-edge research and clinical evidence regarding the pathophysiology and treatment of bipolar disorder. Early chapters review the course and outcome and genetics of this highly heritable condition, including chapters on epigenetics and clinical endophenotypes. Several chapters offer a remarkably thorough and unique overview of the neurobiology of the disorder, including what is known from neuroimaging work and the development of animal models. Finally, the book covers treatment strategies for bipolar disorder, including both traditional and novel therapeutics, as well as non-pharmacological treatments. It offers both researchers and clinicians key insights into this devastating disorder.

The book focuses on the neurobiological and treatment aspects of panic disorder. It describes the most recent research data and pharmacological therapeutic aspects of panic disorder. The biochemical, respiratory, imaging, and translational aspects will be together with diagnostic and pharmacological discussion. We have the collaboration of important and recognized researchers from various countries - Brazil, USA, Italy, Spain, United Kingdom, and Switzerland - all of them with a continuous and relevant work on anxiety disorders. "Panic Disorder: Neurobiological and Treatment Aspects" is intended to be a reference book for those who research or treat panic disorder and anxiety disorder patients.

This handbook examines the medical and therapeutic needs of individuals with autism spectrum disorder (ASD) and the effectiveness of treatments that are delivered through interdisciplinary teams. It analyzes the impact of interdisciplinary teams on assessment, diagnosis, treatment planning, and implementation and explores how evidence-based treatments can be developed and implemented. Chapters describe the wide-ranging effects of ASD and the challenges individuals and their family members face when seeking treatment. In addition, chapters provide an overview of the comorbidities and related disorders that often accompany ASD, including neurodevelopmental disorders, medical and behavioral problems, and psychopathology. The handbook also discusses the critical importance of caregivers in the treatment team as experts in their child's strengths, problem areas, and functioning. Topics featured in this handbook include: Legal considerations in interdisciplinary treatments. Ethical considerations in the development and implementation of interdisciplinary teams. Evidence-based interdisciplinary treatment and evaluation considerations. The role of primary care physicians and subspecialty pediatricians within interdisciplinary teams. The impact of school psychologists related to assessment and intervention development. Vocational interventions that promote independence in individuals with ASD. The Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder is a must-have resource for researchers, clinicians and professionals, and graduate students across such interrelated disciplines as clinical child, school, and developmental psychology, child and adolescent psychiatry, social work, rehabilitation medicine/therapy, pediatrics, and special education.

Many recognized geniuses had creative capacities that were driven by bouts of manic intensity followed by the depths of mind-numbing despair. From Plato, who originated the idea of inspired mania, to Beethoven, Dickens, Newton, Van Gogh, and today's popular creative artists and scientists who've battled manic depression, this intriguing work examines creativity and madness in mystery, myth, and history. Demonstrating how manic depression often becomes the essential difference between talent and genius, Hershman and Lieb offer valuable insights into the many obstacles and problems this illness poses for highly creative people. Lieb critiques the wave of new books on depression as well as those on creativity to determine how far we have come in our understanding of this complex illness.
The authors also explode the myth that suffering is essential to creativity. Guides for the manic depressive are suggested to reduce emotional pain and personal problems while increasing productivity.
Julian Lieb, a psychiatrist in private practice and former director of the Dana Psychiatric Clinic at Yale-New Haven Hospital, and D. Jablow Hershman authored Brotherhood of Tyrants: Manic Depression and Absolute Power.

Even with the rise of newer neuropsychiatric brain stimulation methods, electroconvulsive therapy (ECT) remains a widely used treatment for severe mental illness-and perhaps the most effective for serious mental illness. Optimal treatment requires that psychiatrists be skilled in diagnosis and familiar with the techniques of treatment. That's where Principles and Practice of Electroconvulsive Therapy comes in. With its up-to-date, comprehensive coverage of all aspects of ECT, this is an unrivaled resource for psychiatrists, whether in practice or still in training, striving for maximum treatment efficacy. The book begins with an overview of what ECT is and how it is carried out, followed by a brief history of the therapy, from its earliest applications to its use in modern times. The guide follows the typical course of treatment, discussing the following: * Understanding the indications for ECT and selecting patients who might benefit from this therapy-whether they suffer from depression, mania, schizophrenia, or catatonia* Educating patients and their families on ECT and obtaining patient consent* Conducting a pretreatment medical evaluation and understanding the role of anesthesia* Managing an individual ECT treatment, including choosing the electrical stimulus dose and parameter combination, delivering the electrical stimulus, assisting with recovery problems, etc.* Overseeing the course of treatments, particularly for practitioners not personally conducting the treatments* Managing patients after a course of treatments and preventing relapse* Assessing and managing the memory side effects of ECT The final chapter examines other neuropsychiatric stimulation therapies in relation to ECT and explains how to choose among them. All chapters conclude with easily referenced key points that summarize the most salient ideas. Readers seeking to further educate themselves on ECT will also benefit from the exhaustive reference list. Though particularly useful for psychiatrists and psychiatric residents, Principles and Practice of Electroconvulsive Therapy, with its straightforward style, is a ready resource for any mental health or medical professionals interested in ECT.

The nexus between the digital revolution and adolescent sexual behavior has posed significant challenges to mental health practitioners, attorneys, and educators. These digital technologies may facilitate dangerous behaviors and serious consequences for some youth. Adolescent Sexual Development in the Digital Age considers adolescent sexual behavior in both clinical and legal contexts and provides a basis for clinicians, legal professionals, educators, policy makers, parents and the general public to understand the impact that technology has on human growth and development. The book's contributing authors are leading authorities in adolescent development, law, and ethics, fostering an interdisciplinary dialogue within the text. New technology poses many opportunities for both normal and risky sexual behavior in youth; including "sexting," social networking, cyber-sexual harassment, commercial exploitation of children, and child pornography. Beyond just cataloging the various technologies impacting sexual behavior, this volume offers guidance and strategies for addressing the issues created by the digital age.

The first authoritative textbook specifically addressing issues of the field, this book delivers a focused discussion on several themes in psychiatry while providing a sound background on pharmacovigilance. Internationally-recognised researchers, clinicians and pharmacovigilance experts contributed to this textbook, giving it the benefit of different perspectives and years of experience. Pharmacovigilance in psychiatry provides a thorough introduction to this field but goes on to explore advanced themes such as methodologies and resources used for pharmacovigilance in psychiatry, challenges as well as most recent developments to this field, making it suitable for under-graduates, graduate and post-doctoral students and persons working pharmacovigilance who seek to broaden their knowledge on this subject.

Whether it's dogs, spiders, blood, heights or some other fear, specific phobias are one of the most prevalent mental health problems, affecting as many as one in eight people. In recent years, cognitive-behavioral therapy (CBT) has emerged as particularly effective in treating young people and adults with specific phobias. And of these methods, one-session treatment stands out as a long-lasting, cost-effective intervention of choice.

"Intensive One-Session Treatment of Specific Phobias" not only provides a summary of the evidence base, it also serves as a practical reference and training guide. This concise volume examines the phenomenology, epidemiology, and etiology of phobias, laying the groundwork for subsequent discussion of assessment strategies, empirically sound one-session treatment methods, and special topics. In addition, expert contributors address challenges common to exposure therapy, offer age-appropriate guidelines for treating young clients, and describe innovative computer-assisted techniques.

Organized to be read individually or in sequence, chapters delve into key areas, including: Evidence-based assessment and treatment of specific phobias in children, adolescents, and adults.One-session treatment theory and practice with children, adolescents, and adults.Handling difficult cases of specific phobias in youth.Interventions for specific phobias in special populations.Training and assessing therapists in one-session treatment.Ethical issues in considering exposure.

"Intensive One-Session Treatment of Specific Phobias" is an essential resource for researchers, clinicians, and graduate students in child, school, clinical, and counseling psychology; social work; and general and special education.

Ethics of Psychiatry addresses the key ethical and legal issues in mental health care, with selections by Paul S. Applebaum, Christopher Boorse, Kerry Brace, Peter R. Breggin, Paula J. Caplan, Glen O. Gabbard, Donald H.J. Hermann. Lawrie Rezneck, Thomas Szasz, Jerome Wakefield, Bruce J. Winick, and Robert M. Veatch, among others. This sourcebook offers the latest research in psychiatry, psychology, advocacy, mental health law, social services, and medical ethics relevant to the rational autonomy of psychiatric patients.

This fascinating work analyzes the meaning and impact of homicidal threats, the means by which they are communicated, and their development from infrequent private occurrence to ongoing social problem. Using data from the Stalking and Violence Project and recent events including the Virginia Tech massacre, Stephen Morewitz explores the lives of the men (and to a lesser degree, women) who make threats against their partners, strangers, social groups, and institutions.

As seen in military documents, medical journals, novels, films, television shows, and memoirs, soldiers' invisible wounds are not innate cracks in individual psyches that break under the stress of war. Instead, the generation of weary warriors is caught up in wider social and political networks and institutions-families, activist groups, government bureaucracies, welfare state programs-mediated through a military hierarchy, psychiatry rooted in mind-body sciences, and various cultural constructs of masculinity. This book offers a history of military psychiatry from the American Civil War to the latest Afghanistan conflict. The authors trace the effects of power and knowledge in relation to the emotional and psychological trauma that shapes soldiers' bodies, minds, and souls, developing an extensive account of the emergence, diagnosis, and treatment of soldiers' invisible wounds.

This volume is designed to serve as a reference source containing both historical and recent references with a special focus on the existing gaps of knowledge regarding EEG deviations in psychiatricpopulations. Every chapter begins by outlining the clinical issues, then reviews available literature and concludes by highlighting a) currently supportable findings, and b) open research questions. In some chapters the author makes suggestions regarding the research design that will most likely lead to generating data that can move the field towards resolving unresolved issues."

This book proposes theoretical models and practical strategies for tackling the widespread social exclusion faced by people diagnosed mentally ill. Based primarily on research in the US and UK but with reference to other international examples, it analyses evidence of discrimination and the effectiveness of different remedies: disability discrimination law, work to re-frame media and cultural images, grassroots inclusion programmes, challenges to the 'nimby' factor. It places the growing user/survivor and disability movements as central to achieving any radical change.

Although senior undergraduate psychology students and first year master's-and doctoral-level students frequently take courses in advanced abnormal psychology, it has been almost two decades since a book by this title has appeared. Professors teaching this course have had a wide variety of texts to select from that touch on various aspects of psychopathology, but none has been as comprehensive for the student as the present volume. Not only are basic concepts and models included, but there are specific sections dealing with childhood and adolescent dis orders, adult and geriatric disorders, child treatment, and adult treatment. We believe the professor and advanced student alike will benefit from having all the requisite material under one cover. Our book contains 26 chapters presented in five parts, each part preceded by an editors' introduction. The chapters reflect updates in the classification of disorders (i. e., DSM-IV). In Part I (Basic Concepts and Models), the chapters include diagnosis and classfication, assess ment strategies, research methods, the psychoanalystic model, the behavioral model, and the biological model. Parts II (Childhood and Adolescent Disorders) and III (Adult and Older Adult Disorders), each containing seven chapters, represent the bulk of the book. To ensure cross-chapter consistency, each of these chapters on psychopathology follows an identical format, with the following basic sections: description of the disorder, epidemiology, clinical picture (with case description), course and prognosis, familial and genetic patterns, and diag nostic considerations."

Mental health issues are a growing concern in our modern Western society. This is part of an increasing interest in questions about health, quality of life, personal development, and self-fulfilment. However, most of what has been written so far has had its focus on mental illness or disease, the negative side of the coin, and few attempts have been made to discuss more thoroughly, from a philosophical perspective, what it is to be mentally healthy. The present book is such an attempt. The author's aim is to analyze, philosophically, the notion of positive mental health'. In so doing a number of ideas found in the literature are presented and discussed. The author also raises some important methodological questions. The final result of the analysis is a formal and a material reconstruction of the concept of "positive mental health." The book will be of value to all professionals within the health care sector, in particular to psychiatrists, clinical psychologists, and psychotherapists. It will also be of interest to philosophers and social scientists working with health questions.

The G proteins are a family of structurally homologous, plasma membrane-associated guanine-nucleotide-binding proteins. These proteins play an integral role in the tra- duction of extracellular signals through second messenger systems. As such, G proteins affect a wide variety of intra cellular biochemical reactions by regulating the concent- tion of second messengers in cells. G proteins are heterotrimeric, consisting of a, p, and y polypeptide chains, with G protein specificity largely det- mined by the a-subunit, Molecular cloning of G protein s- units has revealed 23 distinct a-subunits, encoded by 17 different genes. Based on functional measures, G proteins are generally classified into three major categories: the G, family, which is stimulatory for adenylyl cyclase; the G, f- ily, which is inhibitory for adenylyl cyclase; and the G, f- ily, which stimulates phospholipases (Birnbaumer and Birnbaumer, 1995). Alternatively, on the basis of sequence homology, G proteins can be subdivided into four cate- ries: G,, G,, G,, and G12.

This book, written by one of the leaders in the field of the neurosciences, will give an explanation of the symptoms and eventual untimely suicide of one of literatures greatest authors; Virginia Woolf. The sources used are letters and statements from Woolf herself, the literature she wrote and comments, letters and any other documentation that referred to her mental state and her medical status. The author will use current insight into depression, the mental consequences of child abuse and drug interactions/effects to illustrate this case study. The book should appeal to researchers in the neurosciences, psychology and psychiatry as well as to a broader audience, mainly individuals who are interested in the (external and internal) forces that drove Woolf to write her material.

Perinatal Depression among Spanish-Speaking and Latin American Women A Global Perspective on Detection and Treatment Sandraluz Lara-Cinisomo and Katherine Leah Wisner, editors As more is known about postpartum depression, the more it is recognized as a global phenomenon. Yet despite the large numbers, information about this condition as experienced by Spanish speaking women and Latinas has not always been easy to come by. Perinatal Depression among Spanish-Speaking and Latin American Women focuses on four diverse Latina populations (Mexico, Chile, Spain, and U.S.) to analyze key similarities and differences within this large and wide-ranging group. This first-of-its-kind reference reviews current research on the topic, including prevalence, screening methods, interventions, and--of particular salience for this population--barriers to care. Findings on psychoeducation, assessment tools, and cognitive-behavioral and other forms of therapy provide important insights into best practices, and continuity of care. And psychosocial, cultural, and linguistic considerations in working with Latinas are described in depth for added clinical usefulness. This landmark volume: Outlines characteristics of Spanish-speaking women and Latinas screened for postpartum depression Introduces the Edinburgh Postnatal Depression Scale, English and Spanish versions, and reviews their use with Latina women Compares postpartum depression and health behaviors in Spanish and Latina immigrant mothers Offers streamlined assessment-to-intervention models Provides two in-depth case studies illustrating cultural factors influencing the treatment of Latinas with perinatal depression. Presents an instructive firsthand account of postpartum depression. Between its thorough coverage of the issues and its innovative clinical ideas, Perinatal Depression among Spanish-Speaking and Latin American Women has a wealth of information of interest to researchers and practitioners in maternal and child health, obstetrics/gynecology, mental health, and women's health.

Clinical Neurology of Aging, Third Edition continues the tradition of the First (1984) and Second (1994) editions with 60 chapters written by the world's elite clinicians from neurology, geriatrics and research on all aspects of geriatric neurology. Aging does not automatically imply decline. Many older people find joy in their friendships and their willingness to look at the world with a calmer view than they may have had in youth. This clinically focused book is designed to help clinicians help older persons maintain that joy. Now divided into 9 comprehensive sections, the Third Edition contains subjects ranging from geriatric assessment to pain management and palliative care. Specific sections include: Introduction to Geriatric Neurology; Neurological Assessment in Aging; Cognitive Disorders in Aging; Motor Disorders in Aging; Neuropsychiatric Illness in Aging; Sensory Disturbance in Aging; Peripheral Neurology of Aging; Disease States in Elderly; and Neurological Therapeutics. With a deft touch, the editors - Drs. Martin Albert and Janice Knoefel - have incorporated the geriatric care perspective and a quality-oriented approach to health care throughout the volume. The result: the definitive reference, useful for all clinicians caring for older people and informative to those who set policies that affect research and clinical practice.

The present volume gives a comprehensive overview on the current state of basic and clinical research on Anxiety and Anxiolytic Drugs. Using newly developed methods and techniques researchers are now beginning to understand the molecular mechanisms of anxiety, anxiety disorders and their treatment. In parallel, new drug targets have been generated and the first clinical studies with new compounds have been started. In 20 chapters written by numerous experts in the field comprehensive information on all relevant topics is provided.

This volume is the fourth 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 that 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 neurophysio- logic 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 clini- cally overlapping features such as anxiety disorders or eating disor- ders. The effects on biology of comorbid conditions such as anxiety, personality disorders, alcoholism, and eating disorders are reviewed.

This book provides succinct and structured account of core forensic psychiatry areas and other important legal issues, such as the legal system in India, ethical issues in forensic psychiatry, forensic psychiatry interview, psychiatry in relation to civil and criminal law, report writing, court testimony.