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In this book we present a conceptually integrated approach to
disorders of mood. These disorders are defined narrowly as the
clinical syndromes of mania and melancholia. The latter is our
particular focus, for the simple reason that it is more common and
thus more is known about it. Our approach owes much to Adolf Meyer,
who first used the term psychobiology. It was he who emphasized in
a practical way the importance of the clinician consider ing the
joint contribution of psychosocial and biological factors in the
genesis of mental disorders. However, until the 1960s, our relative
ignorance of basic mechanisms that link brain and behavior
prevented the development of a genuine psychobiological
perspective. Thus Meyer's work was concerned largely with teaching
the importance of the personal biography and a consideration of
social history in the development of mental disorder. We feel that
sufficiently rigorous data have now emerged in psychia try to
permit tentative but real psychobiological integration. Affective
illness is proba bly the most promising area for an attempt at such
a synthesis. It is our belief that the theory and clinical practice
of psychiatry now can be woven into a coherent theme, integrating
insights and evidence generated by the psychodynamic, biological,
and behavioral methods; hence in part we review the emerging
psychobiology of mood disorders with the hope that it can serve as
a generic paradigm for other psychiatric syndromes."
"A compassionate exploration of depression and manic-depression." -- Forecast "The most thorough and wide-ranging discussion for lay readers about the interplay of the physical and emotional elements of depression and manic-depression... His presentation is illuminating, and the case histories demonstrate his sensitivity and skill as a clinician.... Whybrow's presentation offers a deeper understanding of, along with a humane and wise approach to these very troubling illnesses." -- Kirkus Reviews
A doctor's bold analysis of the cultural disease that afflicts us
all.
Despite an astonishing appetite for life, more and more Americans
are feeling overworked and dissatisfied. In the world's most
affluent nation, epidemic rates of stress, anxiety, depression,
obesity, and time urgency are now grudgingly accepted as part of
everyday existence--they signal the American Dream gone awry.
Peter C. Whybrow, director of the Neuropsychiatric Institute at
UCLA, grounds the extraordinary achievements and excessive
consumption of the American nation in an understanding of the
biology of the brain's reward system--offering for the first time a
comprehensive and physical explanation for the addictive mania of
consumerism. "American Mania" presents a clear and novel vantage
point from which to understand the most pressing social issues of
our time, while offering an informed approach to refocusing our
pursuit of happiness. Drawing upon rich scientific case studies and
colorful portraits, "this fascinating and important book will
change the way you think about American life" (Karen Olson, "Utne
Reader").
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