Mental health services Books

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Book SynopsisIn the UK, we lock up more individuals per year than in any other part of Europe. Many of these are suffering from some form of treatable mental disorder, yet too often, prison is viewed as the only option. Part of the problem is the range of individuals and specialities involved in making these crucial judgements. Government departments, health and social care and voluntary sector organisations, and frontline criminal justice and penal institutions are all engaged in the definition, management, and processing of the mentally disordered offender (MDO), leaving the invidual in ''spiders web'' of a system - often to their disadvantage.This book presents a penetrating and thought provoking analysis of the forensic mental health system - how it operates, the people involved, the problems inherent in such a system, and the huge ethical dilemma of depriving an individual of their freedom. It brings together a range of specialists, each with considerable experience, who describe the processesTrade Review'...the book is both fresh and refreshing. It needs to be explored actively, otherwise one might miss something...The content is strong throughout...This is a book for Masters-level students or postgraduate trainees. It will also be of immense value to established practitioners. For interested undergraduates from all the allied disciplines it will only serve to fuel their enthusiasm' * British Journal of Psychiatry *'...[the book] is highly informative and both scholars and practitioners will find much of value in it...The chapter on medical models on mental disorder is my pick...as it is wide-ranging, insightful and provides for interesting critiques of the medical approach to mental illness with issues of gender and culture carefully examined.' * British Journal of Criminology *Table of ContentsVIOLENCE AND DANGEROUSNESS; FORENSIC PSYCHOTHERAPY; LAW; ETHICAL ASPECTS; SOCIAL POLICY; INTERNATIONAL; APPENDIX

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Book SynopsisBorderline personality disorder (BPD) is a potentially severely debilitating psychiatric diagnosis that may affect up to 2% of the general population. Hallmarks of BPD include impulsivity, emotional instability, and poor self-image, and those with BPD have increased risk for self-harm and suicide.Systems Training for Emotional Predictability and Problem Solving (STEPPS) brings together research findings and information on implementation and best practices for a group treatment program for outpatients with BPD. A five-month long program easily learned and delivered by therapists from a wide range of theoretical orientations, STEPPS combines cognitive behavioral therapy, emotion management and behavioral skills training, and psychoeducation with a systems component that involves professional care providers, family, friends, and significant others of persons with BPD. The book provides a detailed description of the program, reviews the body of evidence supporting its use and implementation, and describes its dissemination worldwide and in different settings. Empirical data show that STEPPS is effective and produces clinically important improvement in mood and behavior, while reducing health care utilization. Unique among programs for BPD, STEPPS has been exhaustively studied in correctional systems (both prisons and community corrections), where it is shown to be as effective as in community settings. This volume will be a valuable guide to those in psychiatry, psychology, social work, nursing, and the counseling professions who treat people with BPD.Trade Review"Psychotherapy for borderline personality disorder is now known to be effective. But it tends to be lengthy, expensive, and unavailable. STEPPS provides a brief, cost-effective package that should be a default option for treating these difficult patients. This book, which describes the concepts, methods, and research support behind STEPPS, is timely and welcome."--Joel Paris, MD, Professor of Psychiatry, McGill University, and author, A Concise Guide to Personality Disorders "This book brings together the leading clinicians and researchers working with STEPPS across the globe and provides an essential guide to implementing a much needed front-line intervention for borderline personality disorder."--Carla Sharp, PhD, Professor and Director of Clinical Training, Department of Psychology, The University of Houston "Dr. Black and Ms. Blum have edited a very thoughtful and informative book on the STEPPS program for people with borderline personality disorder. STEPPS is a very well designed and structured treatment, which could help explain why it has been rapidly expanding in its global reach. This book reviews the compelling evidence base for the program and makes an important contribution to the care of these challenging patients."--S. Charles Schulz, MD, Professor, Department of Psychiatry, University of Minnesota Medical School "The development of STEPPS has been a godsend. Even in the age of evidence-based treatments for borderline personality disorder, the large majority of sufferers have no access to adequate care. With its intelligent focus on psychoeducation in a group setting, STEPPS has been able to fill in the gap in many areas. This book will extend that reach. STEPPS fulfills the critical public need of providing a basic treatment for BPD that is sufficient for some patients and the first step in a longer trajectory for others."--Frank E. Yeomans, MD, PhD, Clinical Associate Professor of Psychiatry, and Director of Training, Personality Disorders Institute, Weill Medical College of Cornell University "In treating borderline personality disorder in community mental health settings, it is vital that evidence-based protocols for treating suicidal behavior be utilized. For treatment settings unable to implement DBT, strong consideration should be given to implementing STEPPS. For this reason, this book is recommended for those who work for or administer community mental health centers, as well mental health programs in other settings, such as correctional settings or group practices." --PsycCRITIQUESTable of ContentsForeword by John Livesley Preface About the Editors Contributors Chapter 1 - Overview of STEPPS: History and Implementation Nancee Blum, Don St. John, Bruce Pfohl, and Donald W. Black Chapter 2 - Research Evidence Supportive of STEPPS Donald W. Black, Nancee Blum, and Jeff Allen Chapter 3 - STEPPS in The Netherlands Horusta Freije Chapter 4 - STEPPS in Different Service Settings in the United Kingdom Renee Harvey Chapter 5 - STEPPS in Correctional Settings Nancee Blum and Donald W. Black Chapter 6 - STEPPS in a Residential Therapeutic Community in Italy Aldo Lombardo Chapter 7 - Introducing STEPPS on an Inpatient Unit in Italy Andrea Fossati, Roberta Alesiani, Silvia Boccalon, Laura Giarolli, Serena Borroni, Antonella Somma Chapter 8 - STEPPS in Adolescent Populations in The Netherlands Marieke Schuppert, Paul Emmelkamp, and Maaike Nauta Chapter 9 - Alternatives to Self-Harm Program (ASH) - A Skills-Based Approach to Complement STEPPS Diane Clare Appendix: STEPPS forms and worksheets Index

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Book SynopsisIn the past century there has been awareness of the importance of a global public health perspective in understanding the etiology, course and treatment of mental disorders. However, just recently there has been a focus on population science and with it an evidence-based call to improving public mental health in communities. Mental Health in Public Health synthesizes important topics in public health psychiatry that were discussed at the American Psychopathological Association (APPA) meeting in 2010. The book, like the APPA meeting, aims to bring advanced knowledge of the social and environmental risk factors for psychiatric disorders, as well as ideas for preventing them. Chapters are written by experts from around the world and include such public health concerns as Veteran''s mental health, mental health disparities among minorities, causes of addictions, and mortality of these disorders.Trade Review"This wide-ranging collection of papers illuminates many aspects of mental health as a public health concern. Whether readers' interest is childhood or old age, the United States or the developing world, depression or schizophrenia, they will find something to interest and inform them. Particularly insightful are the "Presidential Perspectives" in which past presidents of APPA muse on what the future holds for psychiatry, in the context of public health. Medical education in the United States largely ignores public health. This book can help to open clinicians' eyes to the gains that can be made by taking a public health approach to some of the seemingly intractable problems of mental disorders worldwide." --- E. Jane Costello, PhD, Professor, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham NC "Mental Health in Public Health is two books in one. Part 1 is a compilation of thoughtful chapters demonstrating the critical role that mental health plays in the public health of populations around the world. Each of the chapters is a variation and exposition on the theme that mental health and public health are two sides of the same coin. The value of this concept is shown from childhood to old age, from the healthy to the medically unhealthy, from populations living in peace to those exposed to the horrors of war, from low income populations and countries to wealthy populations and countries." -- Evelyn J. Bromet, PhD, Distinguished Professor of Psychiatry, Stony Brook University, Putnam Hall-South Campus, Stony Brook, NYTable of ContentsMental Health Disparities: Populations at Risk ; 1.) Closing the Treatment Gap: A Global Health Perspective ; Vikram Patel, Mirja Koschorke and Martin Prince ; 2.) Addressing Addiction and High Risk Behaviors Using the Integrated Public Health and Public Safety Approach ; Wilson M. Compton and Redonna K. Chandler ; 3.) Mental Health Disparities among Latinos, the Fastest Growing Population in the US ; Sergio Aguilar-Gaxiola and Linda Ziegahn ; 4.) Global Initiatives for HIV/AIDS and Programs Promoting Global Access to Mental Health Care: Putting Mental Health into Public Health ; Francine Cournos, Karen McKinnon and Milton Wainberg ; Conditional Disorders and the Public's Mental Health ; 5.) Veterans' Mental Health: The Effects of War ; Michael J. Lyons, Margo Genderson and Michael D. Grant ; 6.) Assessing the Link Between Disaster Exposure and Mental Illness ; Carol S. North ; 7.) Addiction to Drugs, Food, Gambling, Sex, and Technology: Shared Causal Mechanisms? ; Mark S. Gold, Lisa J. Merlo, Adrie W. Bruijnzeel, Anna Roytberg and Michael Herkov ; The Public's Mental Health from Youth to Older Age: Changing Landscapes or Stable Patterns? ; 8.) Personality Pathology, Health, and Social Adjustment in Later Life ; Thomas F. Oltmanns and Marci E.J. Gleason ; 9.) Mortality from Common Mental Disorders and Medical Conditions ; William W. Eaton, Martha Bruce, Alden L. Gross, O. Joseph Bienvenu, Rosa Crum and Linda B. Cottler ; 10.) Child Mental Health: Status of the Promise, the Reality, and the Future of Prevention ; John N. Constantino ; Issues that Shape the Debate about Public Mental Health ; 11.) Stigma of Mental Illness: A Global View ; Norman Sartorius ; 12.) The Social Determinants of Mental Health ; Sandro Galea and Maria Steenland ; 13.) HealthStreet: A Community Based Approach to Include Mental Health in Public Health Research ; Linda B. Cottler, Catina Callahan O'Leary, Catherine W. Striley ; 14.) Presidential Perspectives ; Alfred M. Freedman, Max Fink, Donald F. Klein, Murray Alpert, James E. Barrett, David L. Dunner, Katherine A. Halmi, Elliot S. Gershon, C. Robert Cloninger, Bruce P. Dohrenwend, David S. Janowsky, Ellen Frank, Judith L. Rapoport, Myrna M. Weissman, John E. Helzer, Charles F. Zorumski, William W. Eaton, Ming T. Tsuang, J. Raymond DePaulo, Jr, James J. Hudziak, Patrick E. Shrout, Darrel A. Regier, Linda B. Cottler ; Index

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Book SynopsisThe efforts of social activists and mental health professionals to institute population-level social change, such as reducing poverty, building better schools, and establishing more effective substance abuse programs, often fail. They tend to focus on individuals and not real-life community conditions; they fail to take into account stakeholders'' efforts to maintain the status quo; and they do not develop concrete strategies to build coalitions to alter policies. These unsuccessful attempts at change can leave citizens, community groups, and healthcare professionals feeling dispirited and overwhelmed.Principles of Social Change is written for those who are impassioned and driven by social justice issues in their communities and seek practical solutions. Leonard A. Jason, a leading community psychologist, demonstrates how social change can be accomplished and fostered by observing five key principles: (1) determine the nature of the change desired, (2) identify who holds the power, (3)Trade ReviewThe arguments that he makes are not only profound but reflect the importance of the potential of the contributions of a community-based psychology. * The Australian Community Psychologist, 1 June 2013 *This book will prove especially useful for academics who long to effect social change beyond publications. * Journal of Groups in Addiction & Recovery, June 2013 *It is a wonderful and refreshing addition to the community psychology literature, and indeed to the broader social change literature... Principles of Social Change is more than an excellent text on social change; it allows us into the thinking and world of Len Jason. The reader can't help but be moved by the author's contributions. Len's passion and doggedness are remarkable, as is his focus and commitment. * Global Journal of Community Psycholoy Practice, June 2013 *Table of ContentsForeword by William L. White ; Preface ; Acknowledgments ; Chapter 1. Changing the Rules of the Game ; Chapter 2. Challenging the Status Quo ; Chapter 3. Navigating the Maze ; Chapter 4. Creating Communities to Foster Success ; Chapter 5. Means to an End ; Chapter 6. The Root of the Issue ; References ; About the Author ; Index

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Book SynopsisDepression has become the single most commonly treated mental disorder, amid claims that one out of ten Americans suffer from this disorder every year and 25% succumb at some point in their lives. Warnings that depressive disorder is a leading cause of worldwide disability have been accompanied by a massive upsurge in the consumption of antidepressant medication, widespread screening for depression in clinics and schools, and a push to diagnose depression early, on the basis of just a few symptoms, in order to prevent more severe conditions from developing. In The Loss of Sadness, Allan V. Horwitz and Jerome C. Wakefield argue that, while depressive disorder certainly exists and can be a devastating condition warranting medical attention, the apparent epidemic in fact reflects the way the psychiatric profession has understood and reclassified normal human sadness as largely an abnormal experience. With the 1980 publication of the landmark third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III), mental health professionals began diagnosing depression based on symptoms-such as depressed mood, loss of appetite, and fatigue-that lasted for at least two weeks. This system is fundamentally flawed, the authors maintain, because it fails to take into account the context in which the symptoms occur. They stress the importance of distinguishing between abnormal reactions due to internal dysfunction and normal sadness brought on by external circumstances. Under the current DSM classification system, however, this distinction is impossible to make, so the expected emotional distress caused by upsetting events-for example, the loss of a job or the end of a relationship-could lead to a mistaken diagnosis of depressive disorder. Indeed, it is this very mistake that lies at the root of the presumed epidemic of major depression in our midst. In telling the story behind this phenomenon, the authors draw on the 2,500-year history of writing about depression, including studies in both the medical and social sciences, to demonstrate why the DSM''s diagnosis is so flawed. They also explore why it has achieved almost unshakable currency despite its limitations. Framed within an evolutionary account of human health and disease, The Loss of Sadness presents a fascinating dissection of depression as both a normal and disordered human emotion and a sweeping critique of current psychiatric diagnostic practices. The result is a potent challenge to the diagnostic revolution that began almost thirty years ago in psychiatry and a provocative analysis of one of the most significant mental health issues today.Trade Review"Relentless in its logic, Horwitz and Wakefield's book forces one to confront basic issues that cut to the heart of psychiatry. It has caused me to rethink my own position and how the authors' concerns might best be handled. It will shape future discussion and research on depression, and it will be an indispensable guide to those rethinking psychiatric diagnostic criteria in preparation for the DSM-V. [A] watershed in the conceptual development of the field."--from the Foreword by Robert L. Spitzer, M.D., Professor of Psychiatry, New York State Psychiatric Institute, and Head of the Task Forces for the DSM-III and DSM-III-R "The Loss of Sadness is a tour de force. Horwitz and Wakefield bring much-needed conceptual clarity to the understanding of depression and provide a powerful model for the analysis of all psychological disorders. I predict that it will have a monumental impact."--David M. Buss, Ph.D., Professor of Psychology, University of Texas at Austin, and author of Evolutionary Psychology: The New Science of the Mind "Drs. Horwitz and Wakefield make a persuasive argument that has major public health implications. Integrating historical, philosophical, and psychological evidence, they have written a comprehensive, incisive, and quite readable book that is sure to challenge psychiatry's notions of what is disorder and what is normal."--Michael B. First, M.D., Professor of Clinical Psychiatry, Columbia University Medical Center, and Editor, DSM-IV-TR "Depression is the mental health problem of our generation. In this important and penetrating book, Horwitz and Wakefield show that psychiatry no longer clearly differentiates between normal sadness and depressive disorder. A must read for anyone who wants to understand how so much "depression" has become medicalized."--Peter Conrad, Ph.D., Professor of Sociology, Brandeis University, and author of The Medicalization of Society "With superb scholarship and crisp prose, Horwitz and Wakefield examine the fatal flaw at the core of depression diagnosis. This book describes, with devastating clarity, why the DSM went off track and how the resulting scientific train wreck slows research and distorts our experience of our own sadness. If the DSM was based on biology, this book would signal a new beginning."--Randolph Nesse, M.D., Professor of Psychiatry, University of Michigan, and author of Why We Get Sick: The New Science of Darwinian Medicine "Not another hackneyed anti-psychiatry polemic, The Loss of Sadness is a brilliant analysis of how mental health professionals can avoid pathologizing normal, emotional responses to life's stressors while accurately identifying those suffering from genuine depressive disorders. Erudite and engagingly written, The Loss of Sadness is destined to have a major impact on our field."--Richard J. McNally, Ph.D., Professor of Psychology, Harvard University, and author of Remembering Trauma "Excellent scholarship and wonderful writing. Without doubt, this book will stimulate reflection and debate among psychiatrists, epidemiologists, and social and behavioral scientists."--Leonard Pearlin, Ph.D., Department of Sociology, University of Maryland "An interesting and thought-provoking book that underscores the need to examine more fully each patient's psychological illness and the factors contributing to it...I would recommend this book to anyone interested in understanding depression more fully and the place normal sadness has in our society."--Doody's "Allan Horwitz and Jerome Wakefield's important book...is part of a gathering blowback against the pathologization and medicalization of the ordinary human condition of sadness after loss...Important enough to make much of this book required reading for depression researchers and clinicians."--Lancet "These collaborators maintain a constructive, scholarly tone and display a total command of the pertinent literature, they will gain a respectful hearing from psychiatrists."--New York Review of Books "This book is highly recommended to any scholar, student, or layperson who is interested in exploring unresolved aspects of psychiatric taxonomy, and especially to any of the scholars currently involved in the DSM-V revisions. This is an important intellectual tour de force that will propel further substantive debate on these critical issues."--PsycCRITIQUES "Meticulous and timely."--British Medical Journal "When historians try to understand why psychiatric diagnosis abandoned validity for the sake of reliability in the years surrounding the millennium, they will rely on The Loss of Sadness. In measured tones and exacting prose, Horwitz and Wakefield deliver not only a devastating critique of the DSM diagnostic criteria for depression, but also a thoughtful and authoritative assessment of how they came to exist and persistIf this book cannot change the DSM criteria for depression, nothing will."--Psychiatric Times "This wonderful book will alter professional thinking."--Nursing Standard "The Loss of Sadness is one of the most important books in the field of psychiatry published in the last few years...In short, this is a brilliant book with a significance well beyond its narrow but important subject."--Spectator "The Loss of Sadness is a useful and interesting review of the history of depression and its diagnosis over time...a cautionary tale for those conducting depression research, shaping policy, and developing DSM-V."--Psychiatric Services "This thought-provoking book challenges us to examine and re-examine our conceptions of normal sadness and depression. It makes an important contribution to the field and provides a powerful impact on the reader."--Families in Society: The Journal of Contemporary Social Services "The Loss of Sadness may well be a wake-up call for North American psychiatrists."--History of Psychiatry "The issue identified by the authors--increase of pathologising and prescribing--is serious and current; and they make clear one key possible diagnosis, that the limits of pathology are being illegitimately stretched. The authors are expert in this position and their book is essential reading for anyone concerned with these problems."--British Journal of Pyschiatry "...[a] provocative and well-written book...impressively documented and meticulous detail..The result is often eye-opening and enlightening...."--Social Service Review "...an iconoclastic yet careful, balanced, and scholarly work, which through sheer logic and force of argument compellingly challenges commonly accepted wisdom in all corners of the mental health world: research, epidemiology, public policy, prevention, diagnosis, treatment, and even university mental health...Read it--it will make you think about your profession, your practice, and your society."--As reviewed by Steven P. Gilbert, PhD, ABPP, LP, Minnesota State University Mankato in Journal of College Student Psychotherapy "Finally, a book about anxiety disorders that is based on a deep understanding of normal anxiety! I wish every mental health clinician would read it. Its spectacularly clear prose reveals the landscape of normal anxiety like an airplane's radar reveals the ground beneath the fog." -- Randolph M. Nesse, MD, Department of Psychiatry, The University of Michigan, Ann Arbor, MI "The area of anxiety disorders has needed a thorough review and a shake-up for a long time. In this bold and thought-provoking work, Allan Horwitz and Jerome Wakefield have relied mainly on the insights from the evolutionary theory to provide a critical and powerful analysis of the modern concept of anxiety disorders. Regardless of whether or to what extent one agrees with them, their book rightly challenges the prevailing notions and is likely to perturb current thinking about fear, anxiety and anxiety disorders. It will certainly add more substance to much-needed discussions and debates about the nature of these conditions, psychiatric diagnoses and an often-imperceptible boundary between normality and psychopathology." -- Vladan Starcevic, MD, PhD, Department of Psychiatry, Sydney Medical School, University of Sydney, Australia "In their new book, Horwitz and Wakefield offer the same incisive analysis that they brought to psychiatry's medicalization of sadness in their first book, The Loss of Sadness, to explain the reasons for the soaring prevalence of anxiety disorders over the past 20 years, namely that psychiatry has been mislabeling normal anxiety and fear reactions as disorder. Most importantly, they bring their analysis to bear on the actual definitions of anxiety disorders that are enshrined in the American Psychiatric Association's manual of mental disorders, pointing out the various weaknesses and flaws with regard to construction of definitions of anxiety disorders that effectively delineate normal anxiety and fear from abnormal anxiety and fear." -- Michael B. First, MD, Department of Psychiatry, Columbia University, New York, NYTable of ContentsForeword, by Robert L. Spitzer ; 1. The Concept of Depression ; 2. The Anatomy of Normal Sadness ; 3. Sadness With and Without Cause: Depression From Ancient Times Through the Nineteenth Century ; 4. Depression in the Twentieth Century ; 5. Depression in the DSM-IV ; 6. Importing Pathology Into the Community ; 7. The Surveillance of Sadness ; 8. The DSM and Biological Research About Depression ; 9. The Rise of Antidepressant Drug Treatments ; 10. The Failure of the Social Sciences to Distinguish Sadness from Depressive Disorder ; 11. Conclusion ; Notes ; References ; Index

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Book SynopsisHippocrates Cried offers an eye-witness account of the decline of American psychiatry by an experienced psychiatrist and researcher. Arguing that patients with mental disorders are no longer receiving the care they need, Dr. Taylor suggest that modern psychiatrists in the U.S. rely too heavily on the DSM, a diagnostic tool that fails to properly diagnose many cases of mental disorder and often neglects important conditions or symptoms. American psychiatry has come to reflect simplistic algorithms forged by pharmaceutical companies, rather than true scientific methodology. Few professionals have a working knowledge of psychopathology outside of what is outlined in the DSM, and more mental health patients are being treated by primary care physicians than ever before.Dr. Tayler creates a passionate yet scholarly account of this issue. For psychiatrists and researchers, this book is a plea for help. Combining personal vignettes and informative data, it creates a powerful illustration of a Trade Review"Dr. Taylor's Hippocrates Cried is an amazing read. Michael brings a wealth of history and clinical insights to bear on the evolution of psychiatry and the emergence of neuropsychiatry. Although billed as a book on the decline of American psychiatry, I found it to be an uplifting account of the emergence of neuropsychiatry and the benefits of marrying neuroscience with psychiatry and behavioral health. It is a provocative forward-looking history that entertains, teaches, and provokes thought." -- Jeffrey L. Cummings, MD, ScD, Director, Lou Ruvo Center for Brain Health, Camille and Larry Ruvo Chair for Brain Health, Cleveland Clinic , Las Vegas, NV "I found myself breaking into involuntary laugher at points in reading this manuscript, not because the stories are really funny - they are horrifying - but because they illustrate the failure of American psychiatry in the last third of the twentieth century... Doctor Taylor gives us a view from the trenches. He is actually a psychiatrist of great international distinction, and he says that the changes in psychiatry he describes here have been even more worrying than we thought. One might have imagined that after the destruction of Freud's psychoanalysis, things would have gone well. Not a bit of it! The field's unhappy lurch towards cookbook diagnosis and psychopharm simplehood have had a very unhappy influence on patient care. Taylor has experienced all this ringside over the last 45 years, and he is forceful, well-spoken, and amusing." -- Dr. Edward Shorter, Professor of the History of Medicine, Professor of Psychiatry, Faculty of Medicine, University of Toronto, Ontario, Canada "According to Michael Taylor, American psychiatry is on life support and fading fast. In this thoughtful and well-written book, Taylor details the grievous wounds inflicted on the profession first by Freudian theory and then by the pharmaceutical industry, but psychiatrists also have themselves to blame. Taylor champions neuropsychiatry and decries the deterioration of his profession over the past half century. Given his analysis, the ultimate integration of psychiatry and neurology is inevitable and should be most welcome. This is a very useful book for anyone using psychiatrists, or wondering why they did." -- Fuller Torrey, MD, Executive Director, Stanley Medical Research Institute, Chevy Chase, MD "Dr. Taylor's stories may be emotionally charged and somewhat one-sided, but when he moves away from his own experiences and surveys the present state of psychiatry, he offers a sound critique of the pillars of American Psychiatry... His larger argument is convincing because it marshals evidence, not simply his own opinion. ... So read his anecdotes with an understanding of his frustration, and wait for Dr. Taylor's cooler analyses. The content of his arguments are well worth consideration." --New York Journal of Books "Whether Taylor is correct that biologically based neuropsychiatry will someday subsume psychiatry, his provocative book will give many clinicians and trainees considerable pause." --Publishers Weekly "The book is written as if you are sitting with Dr. Taylor on his back porch, as he recounts his life. It is well written, frank, and clear. ... If it receives the attention it deserves, his laudable effort here would benefit humanity multiple times more than all the other pseudo-critiques of psychiatry combined." --Acta Psychiatrica ScandinavicaTable of ContentsIntroduction ; Hippocrates ; The Hippocratic Oaths ; The Patient Vignettes ; Acknowledgements ; Chapter 1: The Origins of Indignation ; Chapter 2: First do no Harm ; Chapter 3: Free of Injustice and Mischief ; Chapter 4: For the benefit of the Sick ; Chapter 5: Peeves ; Chapter 6: Extinction of the U.S. Psychiatry as We Know ItL Survival of the Fit ; Chapter 7: Back to the Future: The Once and Future King ; Notes ; Reference List ; Index

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Book SynopsisFor the last thirty years, the nation''s mental health and social service systems have been under relentless assault, with dramatically rising costs and the fragmentation of service delivery rendering them incapable of ensuring the safety, security, and recovery of their clients. The resulting organizational trauma both mirrors and magnifies the trauma-related problems their clients seek relief from. Just as the lives of people exposed to chronic trauma and abuse become organized around the traumatic experience, so too have our social service systems become organized around the recurrent stress of trying to do more under greater pressure: they become crisis-oriented, authoritarian, disempowered, and demoralized, often living in the present moment, haunted by the past, and unable to plan for the future.Complex interactions among traumatized clients, stressed staff, pressured organizations, and a social and economic climate that is often hostile to recovery efforts recreate the very expeTable of ContentsPrologue ; Introduction ; Chapter 1: Human Service Delivery Organizations: Dead or Alive? ; Chapter 2: "I Gotta Get out of This Place": Workplace Stress as a Threat to Public Health ; Chapter 3: When Terror Becomes a Way of Life ; Chapter 4: Parallel Processes and Trauma-Organized Systems ; Chapter 5: Lack of Basic Safety ; Chapter 6: Loss of Emotional Management ; Chapter 7: Organizational Learning Disabilities, Organizational Amnesia, and Decision-Making Under Stress ; Chapter 8: Miscommunication, Conflict, and Organizational Alexithymia ; Chapter 9: Authoritarianism, Disempowerment, and Learned Helplessness ; Chapter 10: Punishment, Revenge, and Organizational Injustice ; Chapter 11: Unresolved Grief, Reenactment, and Decline ; Chapter 12: Restoring Sanctuary: Organizations as Living, Complex Adaptive Social Systems ; References ; Index

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Trade Review"An interesting and insightful book that makes major strides in solving the intractable problem of promoting healthy behavior change. It was a pleasure to read."—Edward L. Deci, University of Rochester "This book describes how self-determination theory can be applied in clinical settings, including both health care and mental health settings. I enthusiastically applaud this effort."—Holley Hodgins, Skidmore College“In this fascinating marriage of humanistic and scientific psychology, Kennon Sheldon and his colleagues show how clinicians can harness people’s needs for autonomy, competence, and connection. By weaving theory, evidence, and engaging case studies, they show how the application of self-determination theory can enable healthier emotions and behaviors. This is clinical science at its best.”—David G. Myers, Hope College, author Intuition: Its Powers and Perils "This book offers an excellent introduction to Self-Determination Theory, and how it can be used effectively in clinical practice. The volume covers concepts ranging from the experiencing self to self-actualization, and from autonomy to the ownership of behavior. The authors show how Self-Determination Theory can be used to help clients manage physical health problems, to overcome behavioral problems such as drug abuse and eating disorders and to tackle mood disorders such as depression and phobias. The authors provide the fresh insights of Self-Determination Theory to clinical practice in a clear and practical way."—Ed Diener, University of Illinois “Motivation is so often the critical, and yet missing, ingredient in producing successful clinical outcomes. Sheldon, Williams and Joiner bring the practitioner’s role in facilitating motivation into the spotlight, and they reveal the key elements that activate and sustain people as they make those difficult changes that ultimately enhance health and daily living.”—Richard M. Ryan, University of Rochester

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