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Books > Medicine > Other branches of medicine > Psychiatry
Neuropsychological research on the neural basis of behavior generally asserts that brain mechanisms ultimately suffice to explain all psychologically described phenomena. This assumption stems from the idea that the brain consists entirely of material particles and fields, and that all causal mechanisms relevant to neuroscience can be formulated solely in terms of properties of these elements. Contemporary basic physical theory differs from classic physics on the important matter of how consciousness of human agents enters into the structure of empirical phenomena. The new principles contradict the older idea that local mechanical processes alone account for the structure of all empirical data. Contemporary physical theory brings directly into the overall causal structure certain psychologically described choices made by human agents about how they will act. This key development in basic physical theory is applicable to neuroscience. This book explores this new framework.
Clinical research requires that some people be used and possibly
harmed for the benefit of others. What justifies such use of
people? This book provides an in-depth philosophical analysis of
several crucial issues raised by that question.
Because of the dearth of experimental animal models of psychiatric disorders, the study of the effect of the disease state is only possible in tissue derived from patients vs. controls, especially in the target tissue of disease-related changes in the brain. The human postmortem brain offers the most appropriate experimental paradigm towards understanding the etiology of psychiatric disorders. The availability of post-mortem human samples from psychiatric patients and comparison groups in recent years has contributed prominently to the accumulating body of information leading to a better understanding of these disorders. This is the first book to summarize this research approach and the meaningful data which has recently been acquired.
Kantor focuses on a misunderstood but common condition that brings severe and pervasive anxiety about social contacts and relationships. He offers psychotherapists a specific method for helping avoidants overcome their fear of closeness and commitments, and offers a guide for avoidants themselves to use for developing lasting, intimate, anxiety-free relationships. Fear of intimacy and commitment keeps avoidants from forming close, meaningful relationships. Types of avoidants can include confirmed bachelors, femme fatales, and people who form what appear to be solid relationships only to tire of them and leave with little warning, often devastating their partners/victims. Kantor takes us through the history of this disorder, and into clinical treatment rooms, to see and hear how avoidants think, feel, and recover. He offers psychotherapists a specific method for helping avoidants overcome their fear of closeness and commitments, and offers a guide for avoidants themselves to use for developing lasting, intimate, anxiety-free relationships. The avoidance reduction techniques presented in this book recognize that avoidants not only fear criticism and humiliation, but also fear being flooded by their feelings and being depleted if they express them. Acceptance is feared as much as rejection, because avoidants fear compromising their identity and losing personal freedom. Kantor describes the different therapeutic emphasis required for the four types of avoidants, including those who are withdrawn due to shyness and social phobia, such as people who intensely fear public speaking; those who relate easily, widely, and well, but cannot sustain relationships due to fear of closeness; those whose restlessness causes them to leave steady relationships, often without warning; and those who grow dependent on--and merge with--a single lover or family member and avoid relating to anyone else.
A few disorders have some of the same symptoms as schizophrenia including schizoaffective disorders, schizophreniform disorder, schizotypal and schizoid personality disorders, delusional disorder, and autism (schizophrenia spectrum disorders). Since the 2000 there has been significant progress in our understanding of the early presentations, assessment, suspected neuropathology, and treatment of these disorders. Recent technological breakthroughs in basic sciences hold promise for advancing our understanding of the pathophysiology of schizophrenia spectrum disorders. This collective monograph reviewers recent researches regarding the origins, onset, course, and outcome of schizophrenia spectrum disorders. In particular, this book will be illustrate new developments in terms of conceptual models, and research methodology, genetics and genomics, brain imaging and neurochemical studies, neurophysiology and information processing in schizophrenia spectrum disorders patients. Also will be highlighted new developments in our understanding of the childhood psychosis, prodromal and first-episode states, in treatment and rehabilitation. Thus, the purpose of this book is to provide up- to-date overview of the rapid advances made in the clinical and basic science studies supporting our understanding of the relationship between cerebral processes and clinical, cognitive and other presentations of the schizophrenia spectrum disorders. In addition, this book aims to monitor important research developments, which may be relevant to treatment, and rehabilitation of patients.
This is the golden age of cognitive therapy. Its popularity among society and the professional community is growing by leaps and bounds. What is it and what are its limits? What is the fundamental nature of cognitive therapy? It is, to my way of thinking, simple but profound. To understand it, it is useful to think back to the history of behavior therapy, to the basic development made by Joseph Wolpe. In the 1950s, Wolpe astounded the therapeutic world and infuriated his colleagues by finding a simple cure for phobias. The psychoanalytic establishment held that phobias-irrational and intense fear of certain objects, such as cats-were just surface manifesta tions of deeper, underlying disorders. The psychoanalysts said their source was the buried fear in male children of castration by the father in retaliation for the son's lust for his mother. For females, this fear is directed toward the opposite sex parent. The biomedical theorists, on the other hand, claimed that some as yet undiscovered disorder in brain chemistry must be the underlying problem. Both groups insisted that to treat only the patient's fear of cats would do no more good than it would to put rouge over measles. Wolpe, however, reasoned that irrational fear of something isn't just a symptom of a phobia; it is the whole phobia."
Internal Medicine: Endocrinology; S.J. Yeung, J.R. Hubbard. Cardiology; M. Fuller, J.R. Hubbard. Hematology and Oncology; R. Jain, D.D. Short. Infectious Disease; C.J. Schleupner. Gastroenterology and Hepatology; C.M. Yoshida, J.R. Hubbard. Pulmonology; M. Fuller, J.R. Hubbard. Rheumatology; J. Pendleton, D.D. Short. Dermatology; C.R. Martins, J.R. Hubbard. Nephrology; D. Robinson, J.R. Hubbard. Psychiatric Aspects of Neurology; B. Price, A. Bar-Or. Alcohol and Other Substances of Abuse; J.R. Hubbard, et al. Chornic Pain; E.A. Workman, J.R. Hubbard. Surgical Problems; J. Savas, J.R. Hubbard. Pediatrics; B. Kauffman, D.D. Short. Preventive Health Care; B. Felker. Emergency Psychiatry; R. Albanese, J.R. Hubbard. `On-Call'; B. Felker, J.R. Hubbard. Index.
Major nephrological and psychological organizations have, at best, set aside only small portions of their programs for papers or panels devoted to the psychological aspect of patients with end-stage renal disease. Thus, the increased need for information concerning the psychological aspects of end-stage renal disease has been met by occasional journal articles, professional peer discussions, small portions of national confer ences, and informal conversations and consultations with people with clinical and research experience in these areas. The First International Conference on Psychological Factors in Hemodialysis and Transplantation arose out of a need to have a forum in which the major people involved in treatment and research in this area could share their latest work among themselves and with the registrants. The initial encouragement for organizing such a conference came from the rank and file of nephrology social workers, nephrology nurses, and liaison psychiatrists and psychologists. In early 1977 I had decided that I would make an effort to organize such a meeting and asked the two other individuals most closely identified with major research in this area, Atara Kaplan De-Nour and Harry S. Abram, to join me in planning this confer ence. With their support and suggestions concerning the program, I embarked upon an attempt to raise financial backing for it. I was some what surprised to find that the many equipment and drug companies supporting nephrological conferences were not greatly interested in this one."
Recent experience with interventions designed to promote the well-being of children and to prevent mental health problems has identified particular challenges in families with disordered parents. These families are often very difficult to engage in mental health promotion and prevention programs, and they may be especially resistant to intervention. The Effects of Parental Dysfunction on Children explores the current level of knowledge regarding the processes by which a number of parental disorders influence the developmental outcomes of children. Renowned scientist-practitioners from the United States, Canada,
and Australia contributed ten chapters to this volume addressing
the topic of the effects of parental behavioral and emotional
disorders on children. The major topics covered by this book focus
on children growing up in families in which the parents suffer from
major psychosocial difficulties, including schizophrenia,
depression, alcoholism, drug addiction, anxiety disorders,
intellectual disabilities, and antisocial personality
disorder. - Scholarly descriptions of developmental models for conceptualizing the various risk and protective factors (genetic, biological, and environmental) that play critical roles in the transmission of the effects of parental disorder to the development of the child; and - Specific parental disorders and their effects on children in the family. These chapters cover descriptive psychopathology, implications for intervention (both treatment and prevention), and descriptions of intervention procedures.The Effects of Parental Dysfunction on Children is a valuable resource for clinical child psychologists, developmental psychologists, and family therapists, as well as for graduate-level students in child and family psychology, psychiatry, and social work.
This volume provides an empirical and conceptual overview of advances in our understanding of impulsivity and impulsive behaviors. Prominent scientists review the range of behavioral phenomena referred to as 'impulsive', as well as the defining features and psychological, neurocognitive and behavioral processes that underlie of the manifestation of impulsive behaviors, focussing on progress made and the questions remaining to be answered.
Interpersonal psychotherapy for adolescents (IPT-A) is a comprehensive guide for clinicians. It will enable readers to add IPT-A to their clinical repertoire or to deepen their existing practice of IPT-A, using a time-limited, evidence-based intervention that is engaging for young people. The guide outlines the structure, skills, and techniques of IPT-A, utilising real-life encounters in the therapy room that reflect the diverse nature of adolescents and young adults who present for therapy. It provides the reader with a bird's-eye view of how IPT-A works. It expands the range of IPT-A clinical tools, techniques, and models to assist the reader to work effectively with a wide range of clients. The book provides a new protocol for the psychological assessment of young people, acknowledging the importance of culture and spirituality alongside the biological, psychological, and social dimensions that have previously comprised assessment. The importance of the clinician forming a transitory attachment relationship with the client is emphasised throughout. The target audience for this book is mental health clinicians, including psychologists, psychiatrists, social workers, mental health nurses, occupational therapists, general practitioners with a mental health focus, and students from these professions.
Betrayal underlies all psychic trauma, whether sexual abuse or profound neglect, violence or treachery, extramarital affair or embezzlement. When we betray others, we violate their confidence in us. When others betray us, they pierce the veil of our innocent reliance. Betraying and feeling betrayed are ubiquitous to the scenarios of trauma and yet surprisingly neglected as a topic of specific attention by psychoanalysis.This book fills this gap. Its first part deals with developmental aspects and notes that while the experience of betrayal might be ubiquitous in childhood, its lack of recognition by the parents is what leads to fixation upon it. The second part of the book deals with literature and elucidates the myriad ways in which the theme of betrayal appears in Shakespeare s writings and in Oscar Wilde s poem "The Ballad of Reading Gaol." Its final part pertains to clinical matters and has chapters on the compulsion to betray others and the unconscious need to be betrayed, the betrayal of a sacred trust in the form of childhood sexual abuse, extra-marital affairs, and the betrayal of patients by their analysts in the form of boundary violations."
- Professionals can be trained in the program and its
methods
This book explores the social conditions that promote pediatric resilience. It presents resilience as a set of complex interpersonal, institutional, and political relationships that affect young patients' ability to "do well" in the face of medical adversity. Chapters analyze the impact of chronic or disabling conditions on children's development, while highlighting effective interventions that promote family well-being. This book integrates research from psychology, social work, medical anthropology, child life specialty, palliative care, public health, and nursing to examine a wide variety of family, cultural, and medical contexts. Practical strategies for supporting children and families are discussed, from meaningful assessment and interventions to social policy and advocacy. Featured topics include: Psychosocial factors influencing children with immune-related health conditions. Resilience and pediatric cancer survivorship within a cultural context. Promoting resilience in chronically ill children and their families during the transition to adolescence. Creating a context for resilience in medical settings. Promoting resilience through children's health and social care policy. Child and Adolescent Resilience Within Medical Contexts is a must-have resource for researchers, clinicians and other professionals, as well as graduate students in child and school psychology, child and adolescent psychiatry, social work, pediatrics, medical anthropology, nursing, educational psychology and policy.
This practical guide for occupational therapists introduces a tried and tested method for moving from assessment to intervention, by formulating plans and measurable goals using the influential Model of Human occupation (MOHO). Section 1 introduces the concept of formulation - where it comes from, what it involves, why it is important, and how assessment information can be guided by theoretical frameworks and organised into a flowing narrative. Section 2 provides specific instructions for constructing occupational formulations using the Model of Human Occupation. In addition, a radically new way for creating aspirational goals is introduced - based on a simple acronym - which will enable occupational therapists to measure sustained changes rather than single actions. Section 3 presents 20 example occupational formulations and goals, from a wide range of mental health, physical health and learning disability settings, as well as a prison service, and services for homeless people and asylum seekers. Designed for practising occupational therapists and occupational students, this is an essential introduction for all those who are looking for an effective way to formulate plans and goals based on the Model of Human Occupation.
Neuropsychiatric disorders such as schizophrenia, mood disorders, Alzheimer's disease, epilepsy, alcoholism, substance abuse and others are some of the most debilitating illnesses worldwide characterized by the complexity of causes, and lacking the laboratory tests that may promote diagnostic and prognostic procedures. Recent advances in neuroscience, genomic, genetic, proteomic and metabolomic knowledge and technologies have opened the way to searching biomarkers and endophenotypes, which may offer powerful and exciting opportunities to understand the etiology and the underlying pathophysiological mechanisms of neuropsychiatric disorders. The challenge now is to translate these advances into meaningful diagnostic and therapeutic advances. This book offers a broad synthesis of the current knowledge about diverse topics of the biomarker and endophenotype strategies in neuropsychiatry. The book is organized into four interconnected volumes: Neuropsychological Endophenotypes and Biomarkers (with overview of methodological issues of the biomarker and endophenotype approaches in neuropsychiatry and some technological advances), Neuroanatomical and Neuroimaging Endophenotypes and Biomarkers, Metabolic and Peripheral Biomarkers and Molecular Genetic and Genomic Markers . The contributors are internationally and nationally recognized researchers and experts from 16 countries. This four-volume handbook is intended for a broad spectrum of readers including neuroscientists, psychiatrists, neurologists, endocrinologists, pharmacologists, clinical psychologists, general practitioners, geriatricians, health care providers in the field of neurology and mental health interested in trends that have crystallized in the last decade, and trends that can be expected to further evolve in the coming years. It is hoped that this book will also be a useful resource for the teaching of psychiatry, neurology, psychology and mental health. "
This book examines the recovery principle of co-production within mental health services, defining it as the creation of a space where all stakeholders - including service users, family members, carers and supporters - come together in a partnership to improve all aspects of mental health services. Exploring both the practicalities and complexities of co-production, the book provides detailed analyses of all aspects of the concept in relation to mental health and discusses the growing evidence-base for adopting co-production as a recovery approach within a mental health setting. The book's chapters outline: the foundational principles in implementing the concept in services; the theories of co-production in and outside of mental health settings; how to translate theory into practice; and examples of implementation. The book also explores the sustainability of co-production and the tensions that are present between the idea of recovery and mental health policy. The volume represents an ideal introduction to the concept of co-production in mental health and will be valuable reading for those researching and working in the area of mental health services and recovery, including nurses, occupational therapists and social workers.
Over the course of more than two decades and five previous editions, The American Psychiatric Association Publishing Textbook of Geriatric Psychiatry has established itself as a foundational resource in the field. This new edition retains the multidisciplinary and developmental perspectives of its predecessors, drawing on the knowledge not only of psychiatrists but also of relevant biomedical and behavioral experts in order to present the most comprehensive approach to patient care. It has been extensively updated to reflect the latest scientific advances and clinical developments in the field. Not only will readers find the most up-to-date information on phenomenology, diagnosis, and assessment of late-life mental disorders, they will also access the latest research on psychotherapeutic, psychopharmacological, and other somatic treatments. A dedicated chapter delves into the role of technology-including digital phenotyping, wearables, digital and Web-based neurocognitive testing, and more-in aiding the geriatric mental health workforce and improving both access to care and ongoing support. Throughout the book, several sections also candidly examine the impact of COVID-19, and its attendant social isolation, on older adult mental health and the evolution of treatment approaches, revealing insights learned about telepsychiatry and care in nursing homes during the pandemic. Chapters on the legal and ethical factors in the psychiatric care of older adults close out the book, the most exhaustive on the topic. Extensively researched and with key points for ease of reference, this edition will equip both the scholar and the clinician with the current state of scientific understanding as well as the practical skills and knowledge base required for dealing with mental disorders in late life.
This book examines in detail the diagnostic approach to manic depressive (bipolar) illness, with special reference to the borderline zones with unipolar depression and schizoaffective disorder. Among other diagnostic issues considered are mixed episodes (often misdiagnosed by psychiatrists), rapid cycling, and the confusion with personality disorders. Within the context of diagnosis and understanding of the dynamics of bipolar disorder, temperament, character, and personality are all extensively discussed. Neurocognitive deficit and disability are covered, as are elements of evolutionary biology and behavior. With regard to treatment, the major focus is on evidence-based therapy, with reference to the results of randomized controlled trials and meta-analyses; in addition, contemporary guidelines and future trends are examined. Careful consideration is also given to the psychosocial treatment approach and issues relating to societal and economic costs and burdens.
Author Mark S. Gold presents the latest medical information on nicotine and tobacco's neurobiological, physiological, and psychological effects. This timely monograph also discusses the latest diagnostic and treatment programs as well as model programs for use by practitioners which were developed by the National Cancer Institute and other eminent organizations. The author also includes a comprehensive history of tobacco use.
A few disorders have some of the same symptoms as schizophrenia including schizoaffective disorders, schizophreniform disorder, schizotypal and schizoid personality disorders, delusional disorder, and autism (schizophrenia spectrum disorders). Since the 2000 there has been significant progress in our understanding of the early presentations, assessment, suspected neuropathology, and treatment of these disorders. Recent technological breakthroughs in basic sciences hold promise for advancing our understanding of the pathophysiology of schizophrenia spectrum disorders. This collective monograph reviewers recent researches regarding the origins, onset, course, and outcome of schizophrenia spectrum disorders. In particular, this book will be illustrate new developments in terms of conceptual models, and research methodology, genetics and genomics, brain imaging and neurochemical studies, neurophysiology and information processing in schizophrenia spectrum disorders patients. Also will be highlighted new developments in our understanding of the childhood psychosis, prodromal and first-episode states, in treatment and rehabilitation. Thus, the purpose of this book is to provide up-to-date overview of the rapid advances made in the clinical and basic science studies supporting our understanding of the relationship between cerebral processes and clinical, cognitive and other presentations of the schizophrenia spectrum disorders. In addition, this book aims to monitor important research developments, which may be relevant to treatment, and rehabilitation of patients. |
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