This is a story about Bella, a beautiful tale of caring, trust and
emotional healing. It begins when Dr. Zal, a first-year resident in
Psychiatry, meets a 20-year-old in the throws of a severe psychotic
episode. It chronicles thirty-seven years of psychiatric treatment.
Focusing on family relationships, he tells how both Bella and he
resolved issues with a significant parent. Although his life was
quite different, he was able to draw parallels that allowed him to
empathize with some of her life events. Bella was a role model of
strength, endurance and caring for her children and husband. She
survived childhood abuse, molestation and a dysfunctional family
background. In the end, mental illness did not ravish her life.
Rather it was a physical disease. The book also shows how Dr. Zal
changed from an inexperienced, anxious, psychiatric resident and
become a wiser, more empathetic therapist. It illustrates how he
learned to balance personal angst, the biologic basis of
psychiatric illness and the uniqueness of the individual patient
into a therapeutic tool. This balancing act, illustrated through
Bella's story, is the dance with medusa that has occupied the core
of his life in psychiatry. Dr. Zal is able to weave a 40-year
history of psychiatry through this story, including sweeping
changes in treatment, mental health laws and the role of the
psychiatrist. Using Haverford State Hospital, he tells the story of
the transition to community mental health. Bella's story is about
hope, overcoming the stigma of mental illness and the role that
determination can play in life success. Her accomplishments
reinforce Dr. Zal's firm belief that although psychiatric
medications can facilitate improvement in mental disorders, it is
people working with people, on a sustained long-term basis, that is
equally or even more important, in maintaining recovery and
producing emotional growth.
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