This is an up-to-date, comprehensive review of the neuropsychiatry of patients with movement disorders, i.e. Parkinson's disease, Huntington's disease, dystonia and others, by active authorities in the field, with an emphasis on diagnostic and management issues. This book includes critical appraisal of the methodological aspects and limitations of the current research on the neuropsychiatry of movement disorders and on unanswered questions/controversies. Symptomatology and pharmacological aspects of management are discussed, to provide robust information on drug dosages, side effects and interaction, in order to enable the reader to manage these patients more safely. Illustrative cases provide real life scenarios that are clinically relevant and engaging to read. Neuropsychiatric Symptoms of Movement Disorders is aimed at neurologists, movement disorder specialists and psychiatrists and will also be of interest to intensive care doctors, psychologists and neuropsychologists, research and specialist nurses, clinical researchers and methodologists.

While most studies of the stresses experienced by minorities, migrants, and refugees focus on North America, this work assumes an unusually broad scope. African-Americans, Latin Americans, Hutterites, Southeast Asians, and Native Americans are all considered in the context of the U.S. and Canada. However, separate chapters also discuss North Africans in France, Turks in Belgium, native culture in New Zealand, Jews inside and outside Israel, Gypsies in Europe, and Germans migrating west in their newly united nation. This unique look at the stresses facing such groups is an important resource for researchers, practitioners, and graduate students in clinical psychology, counseling, and psychiatric social work.

Adrian Raine Department of Psychology. University of Southern California. USA Jose Sanmartin Queen Sojia Center for the Study of Violence. Valencia. Spain The problems that psychopathic and violent offenders create for society are not restricted to North America. Instead, these offenders create havoc throughout the world, including Europe. In recognition of this fact, Queen Sophia of Spain has promoted a Center for the Study of Violence which recognizes both biological and social contributions to the cause of violence. In November 1999, the Queen Sofia Center for the Study of Violence held its IV International Meeting on the Biology and Sociology of Violence. This fourth Meeting, which was under the Honorary Presidency of H. M. The Queen of Spain, examined the biological, psychological and social aspects of the psychopath, the violent offender, and the serial killer. This book presents some of the key contributions made at that conference and which were first published in Spanish in 2000 by Ariel Press. A key thrust of this book, and a stance shared by all of its contributors, is the notion that violence and psychopathy simply cannot be understood solely, or even fundamentally, in terms of social and environmental forces and influences. Nor do biological factors offer an exclusive explanation.

Over the last decade, the number of children diagnosed with bipolar disorder has increased up to fortyfold. This is a trend exclusive to the United States, and one that, alarmingly, leads to most of the diagnosed children--some still in their infancy--being prescribed antipsychotic drugs, often in combination with anticonvulsants. These classes of drugs have dangerous side effects, including a doubling of mortality rates, shortened life span, extreme weight gain, and Type II diabetes. In this book, psychologist Sharna Olfman leads a team of widely known experts who examine the astonishing rise in the diagnosis of pediatric bipolar disorder, particularly in the absence of any compelling evidence for either the validity of the criteria being used to diagnose it or the safety and effectiveness of the drugs being used to treat it. "When a child is unnecessarily prescribed antipsychotic and anticonvulsant drugs, his or her mental and physical health may be irrecoverably compromised," says Olfman. "With as many as two-and-a-half million children from across the socioeconomic spectrum now taking antipsychotics, we have set the stage for widescale child abuse." The contributors to this revealing and disturbing volume include psychiatrist David Healy, one of the world's leading authorities on psychotropic drugs; pediatrician Philip Landrigan, an internationally renowned health researcher; and Robert Whitaker, an award winning medical journalist. The contributors identify and explain complex and interrelated factors that have set the stage for the pediatric bipolar "epidemic," and they recommend practice and policy changes to stem the tide of misdiagnosis and dangerous drug prescriptions.

This is the latest edition of Garry Landreth’s comprehensive text on creating therapeutic relationships with children through play.

This book details Child-Centered Play Therapy (CCPT), an evidence-based model, which stresses the importance of understanding the child’s world. Professors who have taught a course based on the previous editions will be pleased to find the core message intact but updated with a comprehensive review of rigorous contemporary research demonstrating the strong evidence base for CCPT across cultural groups and presenting issues. Expanded to cover additional topics of interest, this new edition includes a model of the change process in CCPT and 13 new Rules of Thumb that help clarify the CCPT relationship, and discusses deeper issues in CCPT, such as recognizing emotional blocks in play therapy, being culturally responsive, discovering meaning when there seems to be no meaning, and more.

This new edition offers essential help to play therapists who respond to sensitive issues at every stage of the therapeutic process.

Distinguished contributors analyze the problem of homelessness from a clinical perspective, focusing on the major health problems found among the homeless, special populations within the homeless, and strategies for improvement and change.

Researchers who were influenced by Dr. Nelson Butters contribute articles to this volume to honor him and his thirty-year career. Their contributions reflect how Dr. Butters impacted their current work and offer an historical account of research theory and paradigmatic shifts within the field of cognitive neuropsychology. Researchers, clinicians, and students working in the neurosciences will appreciate this volume.

The past decade has seen tremendous growth in the study of cannabinoid receptor signaling in brain. The impact and consequences of cannabinoid modulation of monoaminergic (dopamine, norepinephrine, and serotonin) circuits is becoming more clear. Scientists have shown significant interaction between these two systems in a variety of psychiatric and neurological disorders such as affective disorders, multiple sclerosis, and pain or pain disorders. The overarching goal of Endocannabinoid Regulation of Monoamines in Psychiatric and Neurological Disorders is to provide current information on advances in the field of endocannabinoid signaling and potential therapeutic applications with a particular emphasis on monoaminergic circuits.

Dementia is a state that has implications for several groups. There are, first, those who wish to assess its nature and impact in an objective and scientific fashion, using tools of research to uncover dementia's causes, effects, and parameters. The result has been a rapidly expanding literature in diverse disciplines: physiology, chemistry, neurology, psychology, and sociology, among others. Second, there are those professionals and caregivers who work di rectly with patients and other caregivers and who must assess and apply interventions. Third, physicians are involved in diagnosis and treatment (so far as possible) and are responsible for communicating the ominous meanings of the destructive disease process. Fourth, there are the caregivers, who accept accountability for the future of a human who increasingly shows a "robbing of the mind" in his or her behaviors. The needs and stresses of those who care for and about those with progressive dementia are among the most intense imaginable. They need support of many kinds, frequently without knowing what to ask or of whom to ask it. Finally, there are the patients, who increasingly become dependent as their mental competencies decline. They need empathic care-including answers to questions about cause, stabilization, or reversal of the de menting process. Even more, they need cure. Further, present and future generations need the assurance of prevention. This volume surveys present "knowledge" about dementia and its consequences."

As many as one in four adults in the workforce will suffer from psychiatric illness in a given year. Such illness can have serious consequences -- job loss, lawsuits, workplace violence yet the effects of mental health issues on job functioning are rarely covered in clinical training. In addition, clinicians are often asked to provide opinions on an employee s fitness for work or an evaluation for disability benefits, only to find themselves embroiled in complex legal and administrative conflicts. A unique collaboration between a renowned clinical professor of psychiatry and a noted legal expert, Evaluating Mental Health Disability in the Workplace approaches the topic from two distinct areas: the legal context and issues relevant to disability and disability-related evaluations, and the interplay of factors in the relationship between work and psychiatric illness. From this dual perspective, the authors advocate for higher professional standards ensuring that employers, evaluees, or third parties are provided with the most reliable information.

Key features of the book:

• A robust assessment model of psychological disability in the workplace
• Practice guidelines for conducting workplace mental health disability evaluations
• Legal and ethical aspects of employment evaluations, especially as they differ from clinical procedure
• Examination of the process of psychiatric disability development
• Issues specific to evaluations for Social Security, Workers Compensation, and other disability benefit programs
• Review of relevant administrative and case law.

As an introduction to these complex issues or for the further improvement of evaluation skills, Evaluating Mental Health Disability in the Workplace is a timely reference for psychiatrists, psychologists, forensic mental health specialists, and attorneys in this field."

Doing Things Differently celebrates the work of Donald Meltzer, who was such a lively force in the training of child psychotherapists at the Tavistock Clinic for many years. The book represents the harvest of Meltzer's thinking and teaching, and covers such topics as dimensionality in primitive states of mind, dreaming, supervision, and the claustrum.

Jennifer Radden here provides a re-interpretation of the classic text by 17th century scholar Robert Burton, The Anatomy of Melancholy. Her new reading of Burton's essential text brings several key facets of his thought to light: the role of imagination in inciting and averting melancholy as disorder; the part played by daily habits of thought in engendering severe and incurable conditions; the multi-directional feedback loops linking feeling and thought in his model of mind; and an emphasis on symptoms and natural history in his understanding of disease. Much of Burton's account is derived from classical, medieval and renaissance writing about melancholy, yet he brought them together into something new: an account that - while it stands in contrast to many of the assumptions of later psychology - concurs surprisingly well with present day cognitivism. Moreover, although seventeenth century melancholy bears only a loose relationship to present day mood disorders such as depression and anxiety, on this reading the Anatomy anticipates a considerable number of findings and hypotheses associated with present day psychiatry, including its network models of depression, for example, and its emphasis on the part played by rumination and mind wandering in engendering affective disorder. Radden's new reading of a classic text should interest readers in philosophy of mind and psychiatry, clinical psychiatry and the history of medicine.

H. HAFNER Schizophrenia Research Unit, Central Institute of Mental Health, Mannheim, Germany The present volume contains the lectures and invited discussions of the sympo sium on "Risk and protective factors in schizophrenia - towards a conceptual model of the disease process," which was held at the International Science Forum of the University of Heidelberg from October 25 to 27, 200l. They are supple mented by a "Summary and outlook," in which Peter Jones gives a brief overview of the results and perspectives featured in the presentations and discussions. The contributions and discussions reflect the open-minded and creative atmosphere at the meeting. The systematically structured program of the symposium continued the tradition of the Search for the Causes of Schizophrenia symposia, which were th started in 1986 on the occasion of the 600 anniversary of the University of Hei delberg and which are co-organized with Prof. Wagner Farid Gattaz/Sao Paulo. The aim of these symposia and their proceedings volumes 6,8-10] has been to reflect the state of the art in schizophrenia research at their time, and they have successfully done so. In contrast, the present symposium pursued a more lim ited objective and was of a different type. It brought together, around a large table at the International Science Forum in Heidelberg, 22 invited speakers and dis cussants and an equal number of young scientists working in the research fields in question, who were thus given an opportunity to listen and to participate."

The nosological roots of post-traumatic stress disorder (PTSD) may be traced back to th American Psychiatric Association's DSM-I entry of gross stress reaction, as published in 1952. Yet the origins of the current enthusi asm with regard to post-traumatic stress can be traced back to 1980, which marked the emergence of the term post-traumatic stress disorder in the DSM III. This reflected the American Psychiatric Association's acknowledgment of post-traumatic stress as a discrete, phenomenologically unique, and reli able psychopathological entity at a time in American history when such recognition had important social, political, and psychiatric implications. Clearly, prior to DSM-I the lack of a generally accepted terminology did little to augment the disabling effects that psychological traumatization could engender. Nor did the subsequent provision of an official diagnostic label alone render substantial ameliorative qualities. Nevertheless, the post Vietnam DSM-III recognition of PTSD did herald a dramatic increase in research and clinical discovery. The American Red Cross acknowledged the need to establish disaster mental health services, the American Psychological Association urged its members to form disaster mental health networks, and the Veterans Administration established a national study center for PTSD."

The terms interactive and dynamic would never have been associated with psychological and psychoeducational assessment a generation ago. They have currency now because of widespread dissatisfaction with the normative, standardized testing model, criticism of theoretical concepts of intelligence, recognition of abuses of standardized intelligence testing, and frustration with prediction and classification as primary goals of assessment. It is almost certainly true that public policy concerns propel scientific activity far more often than science propels public policy In the case of psychological assessment, public policy concerns have arisen in the last 20 years primarily around issues of possible "discrimination" against members of ethnic minorities. At the same time, there has been a re surgence of dedication to "excellence in education" goals. These concerns have led to such extreme measures as prohibition of the use of standard ized intelligence tests to determine school placement decisions, especially for minority children. They have led also to a search for alternatives to standardized, normative testing. The chapters in this volume represent a variety of answers to this need."

This book could not have been conceptualized or published 20 years ago. Indeed, it is doubtful that we could have organized the material for this handbook 10 years ago. Over the last 20 years, however, the painstaking efforts of many clinical researchers working with a variety of resistive psychopathologies have resulted in specific psychotherapies and pharmacotherapies that are effective with a significant propor tion of patients, at least for some of the disorders. Much clinical research remains to be carried out in the forthcoming decades. But now that we are nearing the 21st century, at least some statement about efficacy can be made. In 1967, Gordon Paul succinctly stated that the ultimate goal of treatment outcome research is to determine "What treatment, by whom, is most effective for this individual with that specific problem, and under which set of circumstances" (p. 111). At that time, empirical evaluations of psychosocial and pharmacologic treatments were few and far between. Methodological strategies for determining treatment effectiveness were also in the formative stage, as exemplified by introduc tion of control groups that received inactive interventions (i. e., placebo) and the relatively recent practice of comparing two or more treatments in addition to placebo. In the almost three decades since Paul's oft-quoted dictum, both the quantity and the quality of treatment outcome research with adults have increased dramati cally."

Chronic and excessive alcohol consumption disrupts a number of biologic sys tems. Central nervous system pathology, associated with long-standing alcohol ingestion, has particularly deleterious consequences to the individual. Compro mising brain functional integrity ultimately militates against psychosocial ad justment, and this process is inevitably reflected as a substantial economic loss to society in the form of costs for providing medical and social services, as well as disability and absenteeism from work. This book marshals the literature pertinent to the effects of chronic alcohol abuse on brain structure and functioning. The material is divided into two parts: basic research and clinical issues. In the first section, the manifest neurologic consequences are described across the different levels of biologic organization, these being brain morphology, neurochemistry, neurophysiology, and neuro psychology. In recognition of the multifactorial etiology of alcohol-related brain pathology, the influence and role of hepatic, endocrine, and nutritional factors are also examined. The second section addresses clinical syndromes and dis orders. It will be noted that evidence accrued from recent research suggests that neurologic disturbances may actually antedate the onset of drinking in some alcoholics. Other clinically important issues discussed are the effects of alcohol on neurologic development, aging, and dementia. The book concludes with a discussion of the alcohol withdrawal syndrome, its mechanisms and manifes tations. A fundamental objective of the editors was to illustrate that the consequences of chronic alcohol excess can be comprehensively understood within the per spective of interrelated hierarchical systems of brain organization."

Consultation-liaison psychiatry is an important interface between psychiatry and the rest of medicine as well as psychology, social work, nursing, and other behavioral science disciplines. This book is a practical, up-to-date handbook providing a biopsychosocial, integrative perspective and drawing the expertise of two renowned psychiatrists in the field. It is organized in five major sections addressing the fundamentals of the field as well as including an assessment of where the field is today. Chapters also address specific pathologies and populations.

This compelling volume provides a broad and accessible overview on the rapidly developing field of social neuroscience. A major goal of the volume is to integrate research findings on the neural basis of social behavior across different levels of analysis from rodent studies on molecular neurobiology to behavioral neuroscience to fMRI imaging data on human social behavior.

There have been exciting new developments in the treatment of schizophrenia and related psychoses in recent decades. Clinical guidelines increasingly recommend that patients be offered evidence-based psychosocial treatments in addition to medications, as such interventions can produce greater improvements and may prevent relapses better compared with medications alone. In parallel with these recent advancements, an evolution in the way cognitive-behavioral therapies are being conceptualized and implemented has occurred due to the incorporation of novel strategies that promote psychological processes such as acceptance and mindfulness. While there are a variety of acceptance/mindfulness approaches being developed to address psychosis, there is not currently a dominant approach. In Incorporating Acceptance and Mindfulness into the Treatment of Psychosis, Brandon Gaudiano brings together the researchers and clinicians working at the cutting edge of acceptance/mindfulness therapies for psychosis to compare and contrast emerging approaches and discuss them within the context of the more traditional cognitive-behavioral interventions. The book includes a section that focuses on six distinct treatment models that incorporate acceptance and mindfulness strategies for psychosis and a section that provides a synthesis and analysis of acceptance/mindfulness approaches to psychosis. It concludes with recommendations for moving the research forward in a constructive and responsible way. This volume will be an important resource for researchers and clinicians interested in gaining a deeper understanding of mindfulness- and acceptance-based approaches and newer psychosocial treatments for severe mental illness.

Bringing together contributions by leaders in the field of clinical psychology, this highly readable textbook provides a current perspective on theory, training, assessment, consultation, research, and outpatient and inpatient practice. Bridging the gap between theory and practice, contributors offer a professional perspective on the various specialized activities and settings of a clinical psychologist. With this unique insight, advanced undergraduate and beginning graduate students gain a realistic understanding of the life of a clinical psychologist as well as the diverse professional opportunities in the field.

This volume focuses on the behavioral neuroscience that supports our understanding of the neurobiology of trauma risk and response. The collection of articles focuses on both preclinical and clinical reviews of (1) state-of-the-art knowledge of mechanisms of posttraumatic stress disorder (PTSD) and co-occurring disorders, (2) the biological and psychological constructs that support risk and resiliency for trauma disorders, and (3), novel treatment strategies and therapeutics on the horizon.

From strenuous opposition to physician-assisted suicide to a conviction that sex-correction surgery for newborns is cruel and misguided, Dr. Paul R. McHugh's opinions are strong and often controversial. In this collection of essays, McHugh demonstrates why he is one of the most thought-provoking figures in the academic world.

These pieces argue for a realistic appraisal of just what psychiatrists know and how they know it, with the aim of indicating how such knowledge can best be used not only for better patient care but also to reflect on and influence public issues and social movements. His essays will stimulate professional and popular discussion about the goals and effectiveness of current psychiatric practice.

McHugh sorts through the layers of what he terms the "culturally driven misdirection of psychiatry and psychotherapy" to explain concepts often misunderstood by nonscholars and the intellectual community alike. America's leading psychiatrist may inspire you or offend you, but he will certainly make you think.

The purpose of this book is to be the premier resource for behavioural health clinicians who are considering adopting technology into their practice. Written by experts and policy makers in the field this book will be recognized as the gold standard. Other books currently in this field are extremely technical and are geared primarily to policy makers, researchers and informaticians. While this book will be a useful adjunct to that audience, it is primarily designed for the over .5 million behavioural health clinicians in the U.S. and the millions others around the world. Adoption of technology is slow in behavioural healthcare, and this book will enhance the adoption and utilization of various technologies in practice. I.T. vendors may also purchase this book for their customers.