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Books > Medicine > Other branches of medicine > Psychiatry
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Suffering Insanity - Psychoanalytic Essays on Psychosis (Paperback, New)
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Suffering Insanity - Psychoanalytic Essays on Psychosis (Paperback, New)
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When madness is intolerable for sufferers, how do professional
carers remain sane? Psychiatric institutions have always been
places of fear and awe. Madness impacts on family, friends and
relatives, but also those who provide a caring environment, whether
in large institutions of the past, or community care in the
present. This book explores the effects of the psychotic patient's
suffering on carers and the culture of psychiatric services.
Suffering Insanity is arranged as three essays. The first concerns
staff stress in psychiatric services, exploring how the impact of
madness demands a personal resilience as well as careful
professional support, which may not be forthcoming. The second
essay attempts a systematic review of the nature of psychosis and
the intolerable psychotic experience, which the patient attempts to
evade, and which the carer must confront in the course of daily
work. The third essay returns to the impact of psychosis on the
psychiatric services, which frequently configure in ways which can
have serious and harmful effects on the provision of care. In
particular, service may succumb to an unfortunate schismatic
process resulting in sterile conflict, and to an assertively
scientific culture, which leads to an unwitting depersonalisation
of patients. Suffering Insanity makes a powerful argument for
considering care in the psychiatric services as a whole system that
includes staff as well as patients; all need attention and
understanding in order to deliver care in as humane a way as
possible. All those working in the psychiatric services, both in
large and small agencies and institutions, will appreciate that
closer examination of the actual psychology and interrelations of
staff, as well as patients, is essential and urgent.
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