The psychiatric emergency room, a fast-paced combat zone with
pressure to match, thrusts its medical providers into the outland
of human experience where they must respond rapidly and decisively
in spite of uncertainty and, very often, danger. In this lively
first-person narrative, Paul R. Linde takes readers behind the
scenes at an urban psychiatric emergency room, with all its chaos
and pathos, where we witness mental health professionals doing
their best to alleviate suffering and repair shattered lives. As he
and his colleagues encounter patients who are hallucinating, drunk,
catatonic, aggressive, suicidal, high on drugs, paranoid, and
physically sick, Linde examines the many ethical, legal, moral, and
medical issues that confront today's psychiatric providers. He
describes a profession under siege from the outside - health
insurance companies, the pharmaceutical industry, government
regulators, and even 'patients' rights' advocates - and from the
inside - biomedical and academic psychiatrists who have forgotten
to care for the patient and have instead become checklist-marking
pill-peddlers. While lifting the veil on a crucial area of
psychiatry that is as real as it gets, "Danger to Self" also
injects a healthy dose of compassion into the practice of medicine
and psychiatry.
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