Psychiatry Books

Book SynopsisWhy are certain places perceived to be therapeutic, to make people feel better about life, about themselves, and about their bodies? Could there be environmental, individual, societal, and attachment factors that come together in the healing process in both traditional and non-traditional landscapes? This observation is particularly important and has implications for the understanding of both healing and disruption in the lives of individuals. In Belonging, Therapeutic Landscapes, and Networks, Dr. Griffith examines factors that influence the intersection of health and place, one's sense of belonging, and the constructing of therapeutic spaces that minimize psychosocial disruption in our daily lives.Trade Review"This marvelous book takes us to the beach, the cathedral, the kitchen, the street, all the while chatting about the ways in which these places shape and heal us. Ezra Griffith, the distinguished psychiatrist, is, in these pages, a best friend from childhood, a confidant and confider. You will love this book for its insights and enjoy it for its friendliness! A treasure!"-Mindy Thompson Fullilove, MD, Hon AIA, Author of Urban Alchemy: Restoring Joy in America’s Sorted-Out Cities"Belonging, Therapeutic Landscapes and Networks is an exceptional work on a subject not often deliberated in psychiatry. Dr. Griffith extensively discusses belonging in the major areas of our lives and illustrates how important it is through storytelling, case presentations and self-exploration. He is an outstanding writer who engages the reader and is a skilled and seasoned clinician who presents and examines the clinical implications." -Billy E. Jones, MD, MS, Clinical Professor of Psychiatry New York University"Dr. Griffith takes us through mental, physical, and spiritual landscapes with their architectures and inhabitants uprooted, alienated, seeking to belong, and sometimes achieving it. The stories he tells and interprets -- from people who are street homeless to those with mental illness in forensic hospitals to those not-belonging, riding undercurrents of race-ethnicity -- are unforgettable. The world just got larger, and it’s the same shape-shifting landscape we’ve always lived in." -Michael Rowe, PhD, Yale School of Medicine"This marvelous book takes us to the beach, the cathedral, the kitchen, the street, all the while chatting about the ways in which these places shape and heal us. Ezra Griffith, the distinguished psychiatrist, is, in these pages, a best friend from childhood, a confidant and confider. You will love this book for its insights and enjoy it for its friendliness! A treasure!"-Mindy Thompson Fullilove, MD, Hon AIA, Author of Urban Alchemy: Restoring Joy in America’s Sorted-Out Cities"Belonging, Therapeutic Landscapes and Networks is an exceptional work on a subject not often deliberated in psychiatry. Dr. Griffith extensively discusses belonging in the major areas of our lives and illustrates how important it is through storytelling, case presentations and self-exploration. He is an outstanding writer who engages the reader and is a skilled and seasoned clinician who presents and examines the clinical implications." -Billy E. Jones, MD, MS, Clinical Professor of Psychiatry New York UniversityTable of ContentsChapter 1: Theorizing Belonging, Therapeutic Landscapes, and Networks Chapter 2: The Home Landscape Chapter 3: The Work Landscape Chapter 4: Sacred Spaces Chapter 5: Travel and Migration Chapter 6: Prisons and Forensic Psychiatric Hospitals Chapter 7: Leisure and Citizenship Groups Chapter 8: Conclusion

Read more less

Book SynopsisEvolutionary Psychiatry was first published in 1996, the second edition followed in 2000. This ground breaking book challenged the medical model which supplied few effective answers to long-standing conundrums. A comprehensive introduction to the science of Darwinian Psychiatry, the second edition included important fresh material on a number of disorders, along with a chapter on research. Anthony Stevens and John Price argue that psychiatric symptoms are manifestations of ancient adaptive strategies which are no longer necessarily appropriate but which can best be understood and treated in an evolutionary and developmental context. Particularly important are the theories Stevens and Price propose to account for the worldwide existence of mood disorders and schizophrenia, as well as offering solutions for such puzzles as paedophilia, sado-masochism and the function of dreams. Readily accessible to both the specialist and non-specialist reader, EvolutioTrade Review"Anthony Stevens and John Price have got together in Evolutionary Psychiatry to propose a "revolutionary" new way of understanding mental illness by means of Darwinian theory. They argue persuasively that conditions like depression, anxiety, personality disorders, and schizophrenia are the result of environmental maladaptation of strategies embedded in the phylogenetic makeup of the human species.'"- British Medical Journal"The authors modestly claim that their book is no more than a first effort to define the basic components of human behaviour and its disorders in terms of evolutionary biology … In my view, this attempt at a new paradigm is one of the most fruitful developments in psychiatry in recent years." - Anthony Storr, the Financial Times'Warmly recommended.' - Nicholas Lezard, The Guardian"The book serves as a thought-provoking introduction to a young and rapidly growing area of research. I suspect that the authors' claim that "psychiatry is entering the most exciting phase in its history" may prove correct." - Stuart Blackman, New Scientist"This book will be of interest to psychiatrists working in many areas and should be available in medical libraries'"- British Journal of PsychiatryTable of ContentsStevens, Preface to the Classic Edition. Gilbert, Foreword. Stevens, Preface to the First Edition. Stevens, Preface to the Second Edition. Introduction. Part I: Evolutionary Psychiatry: An Introduction. Historical Background. Human Nature: Its Evolution and Development. Principles of Psychopathology. Attachment, Rank and Psychiatry. Part II: Disorders of Attachment and Rank. Mood Disorders. Personality Disorders. Obsessional Disorders. Anxiety and Phobic Disorders. Eating Disorders. Part III: Borderline States. The Borderline State. Borderline Personality Disorders. Part IV: Spacing Disorders. Spacing Personality Disorders. Schizophrenia. Part V: Reproductive Disorders. Reproductive Success and Failure. Homosexuality. Sadomasochism. Paedophilia. Part VI: Dreams, Treatment, Research and the Future. Sleep and Dreams. Classification. Treatment. Research. Towards a Science of Humanity.

Read more less

Book SynopsisTranscultural Cognitive Behaviour Therapy for Anxiety and Depression is a practical and accessible guide, drawing on current research in CBT and clinical practice. It aims to support therapists in taking a reflective and evidence based approach to genuinely improving access and outcomes for Black and Minority Ethnic service users. It highlights the skills that clinicians need to undertake Culturally Adapted and Culturally Sensitive CBT and provides practical ideas and case examples that will enable therapists to feel confident in adapting models of assessment and treatment across cultures.The emphasis of this book is on practical clinical techniques and approaches but it is firmly grounded in the research literature on this topic. Therapists, supervisors and service leads will find useful ideas to support and enrich transcultural working and develop their confidence when applying evidence based interventions across cultures.Transcultural CogniTrade Review"Dr Beck’s masterful book on CBT brings therapy to life with multiple case examples. The book is timely, considering most societies are becoming more and more multicultural, and therefore therapists need to have a better understanding of their client’s cultural backgrounds. Dr Beck has done an excellent job of emphasising the complexity of working across cultures, while simplifying the process of delivering culturally responsive therapy. We know that both the populations in low and middle income countries and ethnic minority groups in high income countries have less access to psychological interventions; in my opinion Dr Beck’s book will make a significant contribution towards reducing the huge treatment gap. This is an important book for all who are involved in offering therapies across cultures." - Dr Nusrat Husain, Reader in Psychiatry, Lead Global Mental Health Institute of Brain, Behaviour & Mental Health, University of Manchester, Director Research Global Health, Manchester Academic Health Sciences Centre (MAHSC)"Central to the CBT model is a bringing together of relationship and structure. Without relationship, CBT works poorly. Similarly, CBT provides a model to help people work out why they feel as they do, and make changes that they wish to make. But classical CBT is western-developed and can exclude, rather than engage, those from other backgrounds and cultures. That's why I am so excited by this essential book. It provides a wealth of ideas, tools and approaches to build relationships, and culturally adapt the CBT model to engage people from diverse backgrounds. It makes essential reading for clinicians, supervisors and service managers wanting to include all members of the community in health care delivery." - Professor Chris Williams, University of Glasgow and President of the British Association for Behavioural and Cognitive Psychotherapies, lead author of www.livinglifetothefull.comTable of Contents1. Introduction: why we need to think and work transculturally 2. How to discuss ethnicity and culture with service users and why it can improve outcomes 3. Using family systems, migration histories and acculturation in assessment and formulation 4. Disorder specific models in transcultural CBT 5. Post-traumatic stress disorder: Culturally Adapted or Culturally Sensitive CBT? 6. Integrating religious or spiritual beliefs and practices with CBT 7. Interpreter mediated CBT: the limits of language might not be the limits of thought 8. Why service wide change is needed to support transcultural CBT 9. How confident can clinicians be about using outcome measures across cultures? 10. How to use supervision to enhance and support transcultural CBT

Read more less

Book SynopsisDiscussing marginality from an analytic perspective and drawing on canonical theories by a diverse set of authors, such as Dilthey, Collingwood, Wittgenstein, Foucault, John McDowell, Susan Carey, Michael Tomasello, and Chris Frith, this book is an important contribution to ongoing debates on marginality among psychiatrists, psychologists, social scientists, and philosophers. Psychology often resorts to overambitious theorizing due to a perceived pressure to justify its scientific credentials. Taking the cases of preverbal children and mentally ill patients, George Tudorie illustrates that applying overarching and unifying explanations to marginal subjects is problematic, arguing instead that those at the margins should be given their proper explanatory autonomy. Tudorie examines recent cognitive theories on early development in children to reveal the difficulties of conceptualising the emergence of human abilities, while also demonstrating how cognitive accounts of psychosis, builTrade ReviewProbing the relationship between philosophy and psychology, Tudorie boldly confronts systemic injustices underlying long-held, paradigmatic approaches to explaining the human mind. The arguments presented equip readers to confront mysteries that conventional psychological concepts often subvert. Through investigating the “philosophy of psychology,” Tudorie examines the language—the conceptual fabric—of norms, deviations, and all that occurs in varying degrees from constructed ideals. Language is revealed as both the means and barricade to acquiring diverse epistemologies for explaining the human mind. Methodically and courageously, Tudorie confronts readers with difficult questions that counter cultural assumptions and create space for nuanced ways of conceiving psychological theory, research, and practice. * Laura Russell, Associate Professor of Communication, Denison University, USA *Writing in clear and accessible prose, George Tudorie delivers a rich philosophical history of psychology. Offering sharp insight into the development of a discipline as much as to questions about what it means to be human, Marginality in Philosophy and Psychology is essential reading for students of psychology, but also for scholars interested in the history of consciousness. * Bruce O’Neill, Associate Professor of Anthropology, Saint Louis University, USA *George Tudorie’s Marginality in Philosophy and Psychology: The Limits of Psychological Explanation is, at first glance, an extraordinarily judicious and subtle critique of the role of philosophical premises in recent psychological and cognitive-scientific research. Tudorie persuasively argues that philosophies presupposing the normal adult mind may not provide a stable conceptual basis for research in developmental psychology and psychopathology. His book also provides a readable and timely history of the sciences of mind. Finally, Tudorie makes an impassioned plea for the importance of methodological precautions and guardrails in the field of psychology and by extension the social sciences in general. Social science, in this case psychology, is perched between natural scientific and humanistic methodologies and remains the problem child (despite and because of the vast scale of its institutionalization). This fundamental insight does not lead Tudorie to an anti-psychological or anti-scientific position. He instead calls for heightened epistemic responsibility based on the clear-eyed recognition that the social sciences are here to stay, and that they are a source of truth-claims we can no longer do without. This essentially practical quality of social scientific knowledge makes it imperative to deal openly with inherited epistemological deficits, which translate into vast real-world human costs. * Kirk Wetters, Professor of Germanic Languages and Literatures, Yale University, USA *In this exciting new book, George Tudorie offers a devastating critique of certain philosophical commitments that remain central to mainstream psychology, with a particular emphasis on the explanatory relation between marginal and paradigmatic cases. Practitioners from across a number of psychological schools would greatly benefit from paying attention to its wealth of insights. Marginality in Philosophy and Psychology: The Limits of Psychological Explanation is a must-read for anybody interested in what psychological explanations can and cannot do. * Constantine Sandis, Professor of Philosophy, University of Hertfordshire, UK *Table of ContentsIntroduction 1. Against Cognitivism 2. Manifest Destiny in Psychology 3. Enter the Skeptics 4. Wittgenstein and the Limits of the Exotic 5. Imperial Borderlines; McDowell’s Reasons 6. Early Childhood as Margin 7. Psychosis as Margin Conclusion Bibliography Notes Index

Read more less

Book SynopsisThe first historian ever granted access to these exceptional medical records, Lamb offers a compelling new perspective on the integral but misunderstood legacy of Adolf Meyer.Trade ReviewFortunately for anyone wishing to learn about Meyer's ideas and their influence, Lamb, a historian, has mined his unpublished papers and correspondence for the truths that became opaque when he turned them into essays. Crucially, she has also read more than 1,800 of the meticulous patient records that Meyer and his staff created at the Phipps Psychiatric Clinic, which reveal him at work as a clinician and teacher. These she presents as the key to understanding how he created an American psychiatry with his ideas at its center. The result is a tutorial in Meyer's psychobiology, and a fascinating look at patients' experiences, their suffering, and treatment in the early 20th century. -- Ben Harris PsycCRITIQUES In this fascinating study, Lamb examines Meyer's efforts to establish psychiatry as a clinical science and subdiscipline of biology... This book is a medical historian's dream. Choice Pathologist of the Mind: Adolf Meyer and the Origins of American Psychiatry by Dr. S. D. Lamb... is a book full of interesting information on how Dr. Adolf Meyer, a Swiss neurologist and psychiatrist, set the basis for modern psychiatry in the United States. -- Marina Oppenheimer Metapsychology ... [Lamb] aims to give us a more detailed and rounded portrait of Meyer's life and career, and... has contributed some valuable and original material about Meyer's early activities at the Phipps Clinic. Times Literary Supplement Pathologist of the Mind clarifies Meyerian notions of psychobiology, psychotherapy, and evolutionary theory (among others) and places this important figure, as well as the hospital and area of specialty to which he was dedicated, into historical context. In impressively detailed fashion, the book brings the man and the era to life. Cheiron Book Prize Citation Some books are worth underlining every sentence. Susan D. Lamb's book, Pathologist of the Mind: Adolf Meyer and the Origins of American Psychiatry is one of them. Psychiatric ServicesTable of ContentsAcknowledgmentsIntroduction1. Pathology as Method2. Mind as Biology3. Unique Soil in Baltimore4. The Baptismal Child of American Psychiatry5. A Wonderful Center for Mental Orthopedics6. Subconscious AdaptationConclusionNotesIndex

Read more less

Psychology for Nurses and Health Professionals, Second Edition is an accessible guide providing comprehensive coverage of psychology for nurses and healthcare professionals in training and practice.Key features include: Fully updated and restructured to ensure content matches training requirements for nurses and healthcare practitioners Stronger focus on the biopsychosocial model, therapeutic relationships and self-awareness More examples to highlight application with theories demonstrated through scenarios relevant to practice Accessible style with critical discussion boxes, student diary entries, reflection points, summary boxes and glossary Free lecturer PowerPoints, extension material, MCQs and exercises available to download Written by the bestselling psychology author Richard Gross and Nancy Kinnison, an experienced nurse and lecturer, this is an e

Read more less

Book SynopsisThe 1970s constitute the decade of decisions about state mental hospi tals! These large, monolithic, and seemingly impervious institutions are being phased out in some states and their basic purpose for exis tence is being seriously questioned in almost all others. Since 1970, hospitals have closed in California, Illinois, Kentucky, Massachusetts, Minnesota, New York, Oklahoma, Washington, and Wisconsin. Simi lar closings have occurred in several provinces of Canada, in Great Britain, and in some European countries. The purpose of the book is to examine the multiple issues growing out of the hospital closings: Why are the state hospitals being closed? What is the impact of closings on patients, hospital staff, and the communities where the hospitals are located? What has been the impact on the communities receiving these patients? What are the trends for the future, in terms of nTable of ContentsI. Perspectives in the Closing of Mental Hospitals.- 1. Introduction and an Overview of the Closing Scene.- 2. Historical Factors Affecting the Closing of State Hospitals.- 3. The Case for Closing of the Hospitals.- 4. The Case Against Closing of State Hospitals.- 5. The Alternative Care Is Not There.- II. The Impact of the Closing.- 6. The Impact of the Closing of DeWitt State Hospital.- 7. When They Closed the Doors at Modesto.- 8. The Posttransfer Fate of Relocated Patients.- 9. Community-Based Sheltered Care.- III. Issues in Community Care and the Closing of Hospitals.- 10. Some Major Issues in the Closing of the Hospitals.- 11. Moving Patients Out of Hospitals—In Whose Interest?.- 12. Is the Community Ready?.- 13. Whither the State Hospital? Issues and Trends in Mental Health Services Delivery.

Read more less

Book SynopsisThis text is the written form of the proceedings of a satellite symposium associated with the 1988-meeting of the Society for Neu roscience. The symposium was held 12 November 1988 in the auditor ium of the Addictions Research Foundation, Toronto, Canada. The ac tual writing took place across the months following the symposium. The symposium was sponsored by the Addictions Research Foundation, Toronto, Canada, the National Institute on Alcohol Abuse and Alcoholism, U. S. A. , and Rensselaer, Troy, NY, U. S. A. Du Pont Pharmaceuticals provided some financial assistance. Contributors also received specific support for their own projects and these are ac knowledged at the end of each chapter. The accomplishment of science involves the efforts of many persons and their organizations. That is surely manifest in the work presented here. Modern science is very expensive and, consequentlTable of ContentsSection 1 Background.- 1 Obesity, Anorexia Nervosa, and Bulimia: A General Overview.- 2 Alcohol-Abuse and Alcoholism.- 3 The Endogenous Opioidergic Systems.- 4 Opioids’ Modification of Central Reward Processes.- Section 2 Opioids and Ingestion.- 5 Basic Mechanisms of Opioids’ Effects on Eating and Drinking.- 6 Feeding Modified by Central Applications of Opioids.- Section 3 Using Opioid-Antagonists in Treating Bulimia.- 7 Naltrexone and Bulimia: Initial Observations.- 8 Using Drugs to Manage Binge-Eating Among Obese and Normal Weight Patients.- Section 4 Opioids and AA&A, Preclinical Studies.- 9 Opioids Modulate Rats’ Intakes of Alcoholic Beverages.- 10 Opioids Modulate Rats’ Reactivities to Alcohol.- Section 5 Naltrexone and Alcohol-Dependence.- 11 Naltrexone and the Treatment of Alcohol-Dependence: Initial Observations.- Section 6 Individual Differences.- 12 Enkephalinergic Involvement in Voluntary Drinking of Alcohol.- 13 Endorphins in Individuals with High and Low Risk for Development of Alcoholism.- 14 Do Substance-Abuse, Including Alcoholism, and Bulimia Covary?.- Section 7 Prospectives.- 15 Potential Toxicities of High Doses of Naltrexone in Patients with Appetitive Disorders.- 16 Prospects for Developing More Specific Antagonists, I.- 17 Prospects for Developing More Specific Antagonists, II.- 18 Summary.- References.

Read more less

Book SynopsisThis authoritative resource, now thoroughly revised for DSM-5, has set the standard for the comprehensive assessment of autism spectrum disorder (ASD). Leading experts demonstrate how to craft a scientifically grounded profile of each childâs strengths and difficulties, make a formal diagnosis, and use assessment data to guide individualized intervention in clinical and school settings. Chapters review state-of-the-art instruments and approaches for evaluating specific areas of impairment in ASD and co-occurring emotional and behavioral disorders. Considerations in working with children of different ages are highlighted. With a primary focus on children, several chapters also address assessment of adolescents and adults. New to This Edition *Chapter on key implications of DSM-5 diagnostic criteria, plus related updates throughout the volume. *Chapter on advances in early identification (ages 0â3). *Chapter with in-depth case examples illustrating the evaluation dTrade Review"This remarkable book provides a comprehensive guide to assessment of individuals on the spectrum, across the continuum of development. The extensively updated second edition includes a detailed overview of DSM-5 diagnostic criteria and their application. Much more than an inventory of measurement tools (although for the interested reader, the full range of relevant measures are reviewed in exquisite detail), the book explores both the art and science of using psychometric assessment to understand the diversity of abilities and needs of individuals on the spectrum. The contributors also offer rich insights about intervention in clinical and educational settings and address such important contemporary issues as the cognitive potential of minimally verbal individuals and the importance of understanding sex differences. A vital, in-depth reference for anyone involved in assessing ASD and its complex comorbidities."--Lonnie Zwaigenbaum, MD, Division Director, Developmental Pediatrics; Professor, Department of Pediatrics; and Stollery Children’s Hospital Foundation Chair in Autism, University of Alberta, Canada "If there is one constant in the field of autism, it is the state of flux. Diagnosis, assessment, and treatment are all areas where professionals in the field must work to keep up to date with the science. This timely second edition is a 'must have' for serious autism researchers as well as all professionals and advanced students involved in diagnosis and assessment. It includes well-chosen chapter topics, in-depth coverage of major issues and techniques, helpful case studies, and even a chapter on the pesky pseudoscience that dogs the field. Discussions of historic and future directions provide a nice context for the current state of the art."--Laura Schreibman, PhD, Distinguished Professor Emeritus and Research Professor, Department of Psychology, University of California, San Diego "Goldstein and Ozonoff have assembled an excellent compendium of cutting-edge information on assessment of people with ASD. Each chapter contributes a layer of knowledge applicable to basic and complex assessment issues. I will definitely keep this volume close at hand for my own clinical practice and as an essential training guide."--Catherine E. Rice, PhD, Professor of Psychiatry and Behavioral Sciences and Director, Emory Autism Center, Emory University School of Medicine -Table of Contents1. Historical Perspective and Overview, Sam Goldstein 2. Psychometric Issues and Current Scales for Assessing Autism Spectrum Disorder, Jack A. Naglieri, Kimberly M. Chambers, Keith D. McGoldrick, & Sam Goldstein 3. DSM-5 Diagnosis of Autism Spectrum Disorder, Cynthia Martin, Lauren Pepa, & Catherine Lord 4. Assessment and Diagnosis of Infants and Toddlers with Autism Spectrum Disorder, Kelly K. Powell, Perrine Heymann, Katherine D. Tsatsanis, & Katarzyna Chawarska 5. Age-Related Issues in the Assessment of Autism Spectrum Disorder, Susan H. Hedges, Victoria Shea, & Gary B. Mesibov 6. Assessment of Social Behavior in Autism Spectrum Disorder, Ifat Gamliel & Nurit Yirmiya 7. Assessing Speech, Language, and Communication in Autism Spectrum Disorder, Rhea Paul & Kaitlyn P. Wilson 8. Assessment of Intellectual Functioning in Autism Spectrum Disorder, Laura Grofer Klinger, Joanna L. Mussey, & Sarah O’Kelley 9. Clinical Assessment of Neuropsychological Functioning in Autism Spectrum Disorder, Blythe A. Corbett & Yasmeen S. Iqbal 10. Assessment of Comorbid Psychiatric Conditions in Autism Spectrum Disorder, Lesley Deprey & Sally Ozonoff 11. Assessment of Students with Autism Spectrum Disorder in the Schools, Sandra L. Harris, Carolyn Thorwarth Bruey, & Mark Palmieri 12. From Assessment to Intervention, Kerry Hogan & Lee M. Marcus 13. Understanding the Comprehensive Assessment of Autism Spectrum Disorder through Case Studies, Tristyn Teel Wilkerson 14. Distinguishing Science and Pseudoscience in the Assessment and Treatment of Autism Spectrum Disorder, Mary E. McDonald & Florence D. DiGennaro Reed 15. Future Directions in the Assessment and Treatment of Autism Spectrum Disorder, Isaac C. Smith, Cara E. Pugliese, Blythe A. Corbett, & Susan W. White Index

Read more less

Book SynopsisIn this book we trace the development of several major themes in sleep research, from the first formal description of REM sleep in the early 1950s through the present. Chapter 1 provides those less familiar with this area with a perspective on the many possible ways to examine sleep. Chapter 2 describes in detail a major viewpoint of this book: that observations of pharmacological interventions affecting the neurotrans mitters may aid in the understanding of sleep regulation. The remain der of the book is devoted to endocrine systems related to sleep (chap. 3) and to the contribution of sleep research to the understanding of various pathological states (chaps. 4-7). The areas of investigation open to those who wish to understand sleep are much broader than the traditional problems of insomnia and narcolepsy. Such disorders as depression, schizophrenia, and alcoholism have long beTable of Contents1 An Introduction to Sleep Studies.- Techniques of Human Sleep Studies.- The Sleep Stages.- Waking.- NonREM Sleep.- Stage 1.- Stage 2.- Stages 3 and 4.- REM Sleep.- The REM-NonREM Cycle.- Sleep Stages and Age.- Effects of Temporal Variables on Sleep.- Physiological Variables Related to the Sleep Stages.- Sleep Deprivation.- Total Sleep Deprivation.- Selective Sleep Stage Deprivation.- Natural Long, Short, and Variable Sleepers.- Regulation of Sleep.- Passive versus Active Regulation.- The Neurotransmitters.- Pharmacologic and Anatomic Approaches.- Neurotransmitters and the REM-NonREM Cycle.- Neurotransmitters and Arousal.- Circulating Humors and Sleep.- Summary.- 2 A Pharmacologic Approach to Sleep Studies.- Serotonergic System.- L-Tryptophan and Sleep.- Effects of Administration on Sleep.- Metabolic Considerations.- 5-Hydroxytryptophan.- Parachlorophenylalanine.- Methysergide.- Lysergic Acid Diethylamide.- Ventricular Fluid 5-HIAA.- Noradrenergic System.- L-Dihydroxyphenylalanine (L-DOPA).- Effects on REM Sleep.- Effects on NonREM Sleep.- Threo-dihydroxyphenylserine (DOPS).- Alpha-Methyl-Paratyrosine (AMPT) and Alpha-Methyl-Phenylalanine (AMPA).- Alpha-Methyl-DOPA.- Pimozide.- Adrenergic Receptor Blockers.- Other Drugs Influencing Amines.- Monoamine Oxidase Inhibitors.- Tricyclic Antidepressants and Blockers of Amine Re-uptake.- Reserpine.- Debrisoquine.- Amphetamines.- Chlorpromazine.- Effect of Diets Deficient in Catecholamine Precursors.- Metabolites of Norepinephrine and Dopamine in the CSF.- Cholinergic System.- Histaminergic System.- Discussion.- Serotonin.- Serotonin or a Metabolite?.- Relation to REM Sleep.- Relation to NonREM Sleep.- Noradrenergic System.- Norepinephrine or a Precursor?.- Effects on REM Sleep.- Cholinergic System.- Histaminergic System.- Interaction between Transmitters.- Summary.- 3 Neuroendocrinology and Sleep.- Basic Concepts in Neuroendocrinology.- Growth Hormone.- Sleep-Related GH Secretion in Disease States.- Effects of Injections of GH on Sleep.- The Pituitary-Adrenal Axis.- Relation to Sleep-Waking Cycle.- Sleep-Related Cortisol Secretion in Disease States.- Effects of ACTH and Cortisol on the Sleep Stages.- Prolactin.- Relation of PRL Secretion to Other Hormones.- Effects of Drugs on Sleep-Related Prolactin Secretion.- Follicle-Stimulating Hormone and Luteinizing Hormone.- Relation of LH and FSH Secretion to Sleep.- Relation of Testosterone Secretion to Sleep.- Effects of Sex Hormones on Sleep.- Sleep-Related Secretion in Disease States.- Thyroid-Stimulating Hormone.- TSH Secretion and Sleep.- Sleep in Hyper- and Hypothyroidism.- CNS Actions of TRH.- Antidiuretic Hormone.- ADH Secretion during Sleep.- Effects of ADH on Sleep.- Melatonin.- Effects of Melatonin on Sleep.- Summary.- 4 Narcolepsy and Diseases of Excessive Sleep.- Definition.- Sleep Attacks.- Cataplexy.- Sleep Paralysis.- Hypnogogic and Hypnopompic Hallucinations.- Natural History.- Epidemiology and Genetics.- Etiology.- Narcolepsy-Cataplexy.- Secondary Narcolepsy.- Other Disorders of Excessive Daytime Sleep.- Independent Narcolepsy or NonREM Narcolepsy.- Obstructive Sleep Apnea Syndrome.- Narcolepsy with Sleep Apnea.- Hypersomnia with Automatic Behavior.- Hypersomnia with Sleep Drunkenness.- Excessive Daytime Sleepiness Associated with Known Organic Disease.- Excessive Daytime Sleepiness in Depression.- Diagnosis.- Pharmacotherapy of Narcolepsy.- Stimulants.- Tricyclic Antidepressants.- Monoamine Oxidase Inhibitors.- Methysergide.- Other Pharmacotherapies.- Summary.- 5 Clinical Studies of Insomnia.- Normal Sleep.- Incidence of Insomnia.- Kinds of Insomnia.- Tentative List of Causes of Insomnia.- Psychogenic.- Situational.- Alterations of Normal Activity—Rest Cycle.- Dream Related.- Sleep Apnea.- Restless Legs Syndrome.- Nocturnal Myoclonus.- Oversleeping.- Drug Related.- Neurological.- Secondary to or Accompanying a Medical Illness.- Sleep Induction.- Alcohol.- Benzodiazepines.- Mebutamate.- Barbiturates.- Chloral Hydrate.- Glutethimide.- Methaqualone.- Diphenhydramine.- L-Tryptophan.- Electrosleep.- An Approach to Patients Who Complain of Insomnia.- 6 Alcohol, Alcoholism, and the Problem of Dependence.- Animal Studies.- Ethanol and the Sleep EEG of Animals.- Ethanol and Behavioral Measures of Sleep.- Ethanol and Possible Neurotransmitters.- Animal Studies of Spontaneous Ethanol Selection.- Ethanol in Normal Human Subjects.- Effects of Ethanol on Chronic Alcoholics.- Sleep in “Dry” Alcoholics.- Response to Ethanol.- Sleep during Acute Withdrawal.- Issues Raised by Observations of the REM Sleep Rebound.- Experimental Therapies.- Summary.- 7 Affective Disorders and Schizophrenia.- Basic Definitions.- Affective Disorders.- Schizophrenia.- Studies of Sleep in Depressed Patients.- Comparative Studies.- Longitudinal Studies of Depressed Patients.- Sleep of Depressed Patients in Remission.- Chemical Correlates of Sleep in Depression.- Further Sleep Studies in Bipolar Illness.- Sleep during the Switch Process in Manic-Depressive Illness.- Experimental Deprivation of Sleep in Depression.- Effects of REM Sleep Deprivation on Depression.- Effects of Antidepressant Medication and Lithium Salts on Human Sleep.- Concluding Comments on Affective Disorders.- Sleep Studies in Schizophrenia.- Cross-Sectional Studies of Schizophrenia.- Longitudinal Studies of Sleep in Schizophrenia.- Experimental REM Deprivation in Schizophrenia.- Experimental Sleep Deprivation in Schizophrenia.- Effects of Neuroleptics on Sleep.- Concluding Remarks about Sleep in Schizophrenia.- Summary.

Read more less

Book SynopsisWhen Critical Issues in Psychiatry was conceived, there were several sub jects I considered to be of crucial importance in a series devoted to residents and clinicians in psychiatry, as well as to other mental health professionals. Of prominence was the pressing need for an in-depth and scholarly exam ination of the interface between medicine and psychiatry. I had been amazed to find that not a single book, to my mind, adequately addressed the psy chological symptoms and manifestations of both common and rare medical illness. It seemed to me that there was a need for a work which would achieve the following goals: First, it would assist in the differential diagnosis of functional psychiatric symptoms versus symptoms secondary to recog nized or unrecognized medical illness; second, it would elucidate the psy chological symptoms resulting from pharmacologic and other therapeutic inTable of Contents1 Physical Illness and Psychiatric Symptoms.- Overview.- Representative Psychiatric Symptoms.- Anxiety.- Depression.- Fatigue.- Hallucinations.- References.- 2 Cardiovascular Disorders.- Heart Failure.- General Considerations.- Clinical Features.- Arrhythmias.- Palpitations.- Arrhythmias and the Cerebral Circulation.- Diagnosis of Arrhythmias.- Blood Pressure.- Hypotension.- Hypertension.- Atherosclerotic Heart Disease.- Angina Pectoris.- Myocardial Infarction.- Syncope.- Cardiac Tumors.- Infective (Bacterial) Endocarditis.- Functional Cardiac Disorders.- Mitral Valve Prolapse Syndrome (MVPS).- Impotence.- Thoracic Outlet Syndrome.- Carotidynia.- Giant Cell Arteritis, Temporal Arteritis, Polymyalgia Rheumatica.- Neuropsychiatric Effects of Cardiovascular Drugs.- Digitalis.- Antiarrhythmic Drugs.- Antihypertensives.- Vasopressors.- Anticoagulants.- Comment.- Cardiovascular Drug-Induced Sexual Dysfunction.- Psychotropic Drugs and Cardiovascular Disorders.- Antipsychotic Drugs.- Antianxiety Drugs.- Antidepressants—Tricyclics.- Antidepressants—Monoamine Oxidase Inhibitors.- Lithium.- References.- 3 Respiratory Disorders.- Respiratory Failure.- General Considerations.- Clinical Features.- Treatment.- Acute (Adult) Respiratory Distress Syndrome.- Hyperventilation (Respiratory Alkalosis).- General Considerations.- Causes.- Pathophysiology.- Clinical Features.- Diagnosis.- Treatment.- Dyspnea.- General Considerations.- Causes.- Pathophysiology.- Clinical Features.- Asthma.- General Considerations.- Pathophysiology.- Clinical Features.- Assessment.- Pulmonary Embolism.- General Considerations.- Pathophysiology.- Clinical Features.- Diagnosis.- Fat Embolism.- Hiccup.- General Considerations.- Pathophysiology.- Etiology.- Treatment.- Diaphragmatic Flutter (Respiratory Myoclonus, Leeuwenhoek Disease).- General Considerations.- Clinical Features.- Diagnosis.- Etiology.- Treatment.- Psychotropic Drugs and Respiratory Disorders.- Antipsychotic Drugs.- Antidepressants—Tricyclics.- Antidepressants—Monoamine Oxidase Inhibitors.- Antianxiety Drugs.- Lithium.- Neuropsychiatric Effects of Respiratory Drugs.- Beta-adrenergic Stimulants—Isoproterenol, Ephedrine, Metaproterenol, Terbutaline, and Salbutamol.- Xanthine Bronchodilators—Theophylline, Aminophylline.- Cromolyn—Disodium Cromoglycate.- Steroids.- References.- 4 Renal Disorders.- Renal Failure.- Uremia.- Chronic Failure and Hemodialysis.- Renal Disease and Sexual Dysfunction.- Psychotropic Drugs and Renal Disorders.- Barbiturates.- Benzodiazepines.- Tricyclics.- Antipsychotic Drugs.- Lithium Carbonate.- References.- 5 Gastrointestinal Disorders.- Alimentary Tract Disorders.- Vomiting.- Dysphagia.- Globus Hystericus.- Gastric and Intestinal Disorders.- Psychotropic Drugs and Alimentary Tract Disorders.- Neuropsychiatric Effects of Alimentary Tract Drugs.- Pancreatic Disorders.- Carcinoma.- Pancreatitis.- Hepatic Disorders.- Hepatic Encephalopathy.- Posthepatitis Syndrome.- Psychotropic Drugs and the Liver.- References.- 6 Endocrine Disorders.- Adrenal Disorders.- Hyperadrenalism.- Hypoadrenalism.- Mechanisms of Neuropsychiatric Symptom Production.- Thyroid Disorders.- Laboratory Findings.- Hyperthyroidism.- Hypothyroidism.- Mechanisms of Neuropsychiatric Symptom Production.- Psychotropic Drugs and the Thyroid.- Parathyroid Disorders.- Hyperparathyroidism.- Hypoparathyroidism.- Mechanisms of Neuropsychiatric Symptom Production.- Psychotropic Drugs and Parathyroid Disorders.- Hypoglycemic Disorders.- Clinical Features.- Laboratory Findings.- Fasting Hypoglycemia.- Reactive Hypoglycemia.- Treatment.- References.- 7 Fluid-Electrolyte,Acid—Base Disorders.- Acid—Base Disorders.- General Considerations.- Metabolic Acidosis.- Metabolic Alkalosis.- Respiratory Acidosis, Respiratory Alkalosis.- Sodium.- General Considerations.- Volume Depletion.- Hypernatremia.- Hyponatremia.- Potassium.- General Considerations.- Hyperkalemia.- Hypokalemia.- Magnesium.- General Considerations.- Hypermagnesemia.- Hypomagnesemia.- Calcium.- Phosphorus.- General Considerations.- Hyperphosphatemia.- Hypophosphatemia.- Psychiatric-Drug-Induced Fluid—Electrolyte Disorders.- References.- 8 Metabolic Disorders.- Porphyria.- Clinical Features.- Laboratory Findings.- Neuropsychiatric Features.- Treatment.- Wilson Disease (Hepatoenticular Degeneration).- Clinical Features.- Pathogenesis.- Diagnosis.- Treatment.- Neuropsychiatric Manifestations of Drugs Used to Treat Wilson Disease.- Use of Psychotropic Drugs in Patients with Wilson Disease.- References.- 9 Connective Tissue Disorder (Systemic Lupus Erythematosus).- Clinical Features.- Laboratory Findings.- Neuropsychiatric Features.- Neurological Features.- Treatment.- References.- 10 Striated Muscle Disorder (Myasthenia Gravis).- Definition.- Clinical Features.- Exacerbations.- Initial Manifestations.- Typical Features.- Clinical Classification.- Neuropsychiatric Features.- Pathogenesis.- Diagnosis.- Differential Diagnosis.- Treatment.- Anticholinesterase Drugs.- Steroids.- Thymectomy.- Other.- Neuropsychiatric Effects of Antimyasthenic Drugs.- The Use of Psychotropic Drugs in Patients with Myasthenia Gravis.- References.- 11 Vitamin Disorders.- Hypervitaminosis A.- General Considerations.- Clinical Features.- Diagnosis.- Treatment.- Thiamine (Vitamin B1) Deficiency.- General Considerations.- Clinical Features.- Diagnosis.- Treatment.- Niacin (Nicotinic Acid) Deficiency.- General Considerations.- Clinical Features.- Diagnosis.- Treatment.- Vitamin B6 Deficiency.- General Considerations.- Clinical Features.- Diagnosis.- Treatment.- Vitamin B12 and Folic Acid Deficiencies.- General Considerations.- Clinical Features.- Neuropathology.- Diagnosis.- Treatment.- Ascorbic Acid (Vitamin C) Deficiency.- General Considerations.- Clinical Features.- Diagnosis.- Treatment.- References.- 12 Infectious Disorders.- Viral Encephalitis.- Clinical Features.- Laboratory Findings.- Neuropsychiatric Features.- Diagnosis.- Postencephalitic Changes.- Slow Viruses and Other Syndromes.- Treatment.- Infectious Mononucleosis.- Neuropsychiatric Features.- Chronic Sequelae.- Neuropsychiatric Effects of Infectious Disease Drugs.- Amantidine.- Antibiotics.- Penicillin.- References.- 13 Toxin Disorders.- Mercury.- Clinical Features.- Neuropsychiatric Features.- Lead.- Clinical Features.- Laboratory Findings.- Neuropsychiatric Features.- Treatment.- Bismuth.- Arsenic.- Clinical Features.- Laboratory Findings.- Neuropsychiatric Features.- Bromides.- Pharmacology and Pathophysiology.- Bromide-Containing Preparations.- Clinical Features.- Misdiagnosis.- Diagnosis.- Treatment.- Organophosphate.- Clinical Features.- Laboratory Findings.- Neuropsychiatric Features.- References.- 14 Skin Disorders.- Burn Delirium.- Clinical Findings.- Significance of Burn Delirium.- Etiology of Burn Delirium.- Treatment.- Psychotropic Drug-Induced Dermatologic Disorders.- References.- 15 Reproductive and Sexual Function Disorders.- Premenstrual Syndrome.- Menstrual Cycle Hormonal Changes.- Clinical Features.- Neuropsychiatric Features.- Etiology.- Treatment.- Oral Contraceptives.- Depression.- Psychotic Reactions.- Sexual Dysfunction (Impotence).- Diagnostic Evaluation of Impotence.- Recent Developments in the Diagnosis and Treatment of Organic Impotence.- References.- 16 Sleep and Arousal Disorders.- Diagnostic Classification.- Specific Disorders.- Narcolepsy.- Sleep Apnea Syndrome.- Miscellaneous Conditions.- Delayed Sleep Phase Syndrome (Sleep Onset Insomnia).- Nocturnal Myoclonus.- Conclusion.- References.- 17 Substance Abuse Disorders.- Caffeine.- Pharmacology.- Manifestations of Caffeine Use, Abuse, and Withdrawal.- Use of Caffeine in Psychiatric Patients.- Caffeine and Psychiatric Drugs.- Conclusion.- Alcohol.- Pharmacology.- Manifestations of Alcohol Abuse and Withdrawal.- Use of Alcohol in Psychiatric Patients.- Alcohol and Psychiatric Drugs.- Conclusion.- Amphetamines and Amphetamine-like Drugs.- Pharmacology.- Manifestations of Amphetamine Abuse and Withdrawal.- Amphetamine-like Drugs.- Use of Amphetamines in Psychiatric Patients.- Amphetamines and Psychiatric Drugs.- Conclusion.- Cannabis (Marijuana).- Pharmacology.- Manifestations of Cannabis Use and Withdrawal.- Use of Cannabis in Psychiatric Patients.- Cannabis and Psychiatric Drugs.- Conclusion.- Opiates and Synthetic Analgesics (Opioids).- Pharmacology.- Manifestations of Opioid Use, Abuse, and Withdrawal.- Use of Opioids in Psychiatric Patients.- Opioids and Psychiatric Drugs.- Conclusion.- Hallucinogens and Phencyclidine.- Pharmacology.- Manifestations of Hallucinogen and PCP Use.- Use of Hallucinogens and PCP in Psychiatric Patients.- Hallucinogens and PCP and Psychiatric Drugs.- Conclusion.- References.

Read more less

Book SynopsisIt is well known that alcoholism continues to be one of this country''s major public health problems. This issue is carefully documented by Dr. Gerald Klerman, Chief of ADAMHA, in the second chapter ofthis volume. In spite of the major role that alcohol plays in the health care issues of internal medicine, neurology, and psychiatry, the subject continues to fall between the cracks of the various disciplines. For this reason, it has become almost a discipline of its own; yet there are no academic departments of alcoholism because academic departments are unidisciplinary and alcoholism is clearly a multidisciplinary field within medicine. In spite of the many disciplines involved in the study and treatment of alcoholism, psychiatry continues to have a special, albeit often neglected, relationship to alcoholism, and it is the articulation ofthat relationship which prompted the DeparTable of Contents1. The Bio-psycho-social Perspective in Alcoholism.- 2. Prevention of Alcoholism.- 3. Alcoholism and Psychiatry: A Cross-cultural Perspective.- 4. Altered Use of Social Intoxicants After Religious Conversion.- 5. Alcoholism and Clinical Psychiatry.- 6. Alcoholism and Schizophrenia.- 7A. Alcoholism and Affective Disorders: Methodological Considerations.- 7B. Alcoholism and Affective Disorders: The Basic Questions.- 8. Alcoholism and Suicide.- 9. Alcoholism and Sociopathy.- 10. Hidden Psychiatric Diagnosis in the Alcoholic.- 11. Psychiatric Aspects of Alcohol Intoxication, Withdrawal, and Organic Brain Syndromes.- 12. Alcohol and Adolescent Psychopathology.- 13. Psychiatric Problems of Alcoholic Women.- 14. The Contribution of Psychoanalysis to the Treatment of Alcoholism.- 15. Office Psychotherapy of Alcoholism.

Read more less

Book SynopsisLearn how to overcome your phobiasIt is very common for people to have a phobia of something - heights, spiders, water... but when that fear prevents you from doing the things you enjoy doing in life, or causes you deep anxiety and feelings of panic, it is time to seek help.This self-help guide explains how phobias develop and what keeps them going. This updated edition gives you clinically proven cognitive behavioural therapy (CBT) techniques to help you challenge the way you think and behave: Setting goals and starting to face your fears Avoiding relapses and problem-solving

Read more less

Book SynopsisSection 1. General Issues & Assessment of Psychopathology.- Chapter1. Introduction.- Chapter 2. Epidemiology.- Chapter 3. Principles of Clinical Assessment.- Chapter 4. Assessment Instruments.- Chapter 5. Classification and Diagnostic Systems.- Section 2. Aetiological Approaches.- Chapter 6. Neuroimaging.- Chapter 7. Epilepsy.- Chapter 8. Behavioural Phenotypes/Genetic Syndromes.- Chapter 9. Psychological and Social Factors.- Section 3. Co-morbid Psychopathology.- Chapter 10. Schizophrenia Spectrum Disorders.- Chapter 11. Mood & Anxiety Disorders.- Chapter 12. Personality Disorders.- Chapter 13. Dementia.- Chapter 14. Substance Misuse.- Section 4. Common Clinical Conditions.- Chapter 15. Attention Deficit Hyperactivity Disorder (ADHD).- Chapter 16. Autism Spectrum Disorders.- Chapter 17. Behaviour Problems & Psychopathology.- Chapter 18. Forensic & Offending Behaviours.- Section 5. Interventions and Services.- Chapter 19. Psychopharmacology.- ChaptTable of ContentsSection 1. General Issues & Assessment of Psychopathology.- Chapter1. Introduction.- Chapter 2. Epidemiology.- Chapter 3. Principles of Clinical Assessment.- Chapter 4. Assessment Instruments.- Chapter 5. Classification and Diagnostic Systems.- Section 2. Aetiological Approaches.- Chapter 6. Neuroimaging.- Chapter 7. Epilepsy.- Chapter 8. Behavioural Phenotypes/Genetic Syndromes.- Chapter 9. Psychological and Social Factors.- Section 3. Co-morbid Psychopathology.- Chapter 10. Schizophrenia Spectrum Disorders.- Chapter 11. Mood & Anxiety Disorders.- Chapter 12. Personality Disorders.- Chapter 13. Dementia.- Chapter14. Substance Misuse.- Section 4. Common Clinical Conditions.- Chapter 15. Attention Deficit Hyperactivity Disorder (ADHD).- Chapter 16. Autism Spectrum Disorders.- Chapter 17. Behaviour Problems & Psychopathology.- Chapter 18. Forensic & Offending Behaviours.- Section 5. Interventions and Services.- Chapter 19. Psychopharmacology.- Chapter 20. Psychological Treatments.- Chapter 21. Community Mental Health Services.- Chapter 22. Impatient Mental Health Services.- Section 6. Future Directions.- Chapter 23. Psychopathology in Intellectual Disability: Future Directions in Research and Evidence-Based Practice.

Read more less

Book SynopsisFundamentals of Clinical Psychopharmacology provides up-to-date, evidence-based and unbiased information about psychopharmacology. It spans the range of the discipline, from mode of action and side effects of drugs to meta-analyses of clinical trials. It is anchored to practice guidelines produced by the UK National Institute for Health and Care Excellence (NICE) and the British Association for Psychopharmacology (BAP). Care has been taken to provide an international perspective that makes it equally useful to practitioners in the US and other countries.The book grew out of BAP courses that set the standard for professional psychopharmacological education in the UK. This latest edition is fully updated and provides, in a concise and easy-to-read format, key facts about currently used psychotropic drugs, set in the context of the neuroscience of the disorders they treat. It also includes a new chapter on the principles of psychiatric prescribing. Key references, including the clinical studies discussed, are provided at the end of the chapter along with suggestions for further reading. Intended to be a frequently updated, affordable, concise and practical resource, it meets the needs of trainees and practitioners seeking to keep abreast of the state of the art in psychopharmacology.Trade Review"This is an excellent resource that is easy to read, succinct but complete, and is based solely on research findings. I have read many psychopharmacology books, but this is one of the best because of how well it compiles a vast amount of information in short chapters. While the chapters about specific medications and conditions are well written, the chapters on research and basic prescribing practices are exceptional and complement the other chapters."—Aaron Plattner, MD, Doody’s Book Reviews "Well-designed, well-written and well-edited reference book… a concise reference that achieves its stated aim of delivering an up-to-date review of the most current understanding of the state of psychopharmacology to meet the needs of the busy senior practitioner but also trainees." — (Winner of Psychiatry Category, BMA Medical Book Awards 2016)"This is an excellent resource that is easy to read, succinct but complete, and is based solely on research findings. I have read many psychopharmacology books, but this is one of the best because of how well it compiles a vast amount of information in short chapters. While the chapters about specific medications and conditions are well written, the chapters on research and basic prescribing practices are exceptional and complement the other chapters."—Aaron Plattner, MD, Doody’s Book Reviews Table of ContentsNeuropharmacology and Drug Action. Pharmacokinetics and Pharmacodynamics. Antipsychotics. Antidepressants and ECT. ‘Mood Stabilisers’ and Other Treatments for Bipolar Disorder. Anxiolytic and Hypnotic Drugs. Drugs of Abuse. Drugs for Dementia and Cognitive Impairment. Drugs Used for Personality Disorders and Behavioural Disturbance. Drug Treatments for Child and Adolescent Disorders. Prescribing in Clinical Practice. Clinical Trial Methodology.

Read more less

Book SynopsisMentalizing, the fundamental human capacity to understand behavior in relation to mental states such as thoughts and feelings, is the basis of healthy relationships and self-awareness. A growing evidence base supports the effectiveness of mentalizing-focused interventions in the treatment of borderline personality disorder. This volume explores wider applications, construing mentalizing as a core common factor in the effectiveness of psychotherapeutic interventions that cuts across treatment modalities and theoretical approaches ranging from psychodynamic to interpersonal and cognitive therapies. This book distills the burgeoning literature on mentalizing for clinicians of diverse professional backgrounds. The book is divided into two parts: Understanding Mentalizing fully explicates the concept of mentalizing and its foundations in developmental research and social-cognitive neuroscience; Practicing Mentalizing presents the general principles of psychotherapeutic interventions that promote mentalizing as well as a range of current clinical applications. • Mentalizing is multifaceted—for example, pertaining to self and others as well as explicit and implicit processes—and links to myriad overlapping concepts including empathy, metacognition, theory of mind, mindfulness, and psychological mindedness.• Two sides of research on the development of mentalizing in attachment relationships have significant clinical implications: interactions in secure attachment relationships enhance mentalizing and illuminate the conditions of optimal psychotherapeutic relationships; conversely, trauma in attachment relationships undermines the development of mentalizing and eventuates in developmental psychopathology that poses special challenges for psychotherapy.• Neuroimaging is illuminating diverse brain regions that contribute to mentalizing capacity, including a "mentalizing region" in the medial prefrontal cortex that is consistently activated in mentalizing tasks; concomitantly, research on autism and psychopathy attests to the neurobiological basis of psychopathologies in which stable impairments of mentalizing are most conspicuous.• In development and in psychotherapy, mentalizing begets mentalizing, as exemplified by a mentalizing stance that fosters inquisitiveness and curiosity about mental states in oneself and others; basic principles and clinical examples, including the use of transference, demonstrate the spirit and technique of mentalizing, capped off by a patient's first-hand account of mentalization-based treatment for borderline personality disorder.• Attachment trauma is the wellspring of disrupted mentalizing capacity, and a focus on mentalizing provides an integrative framework for psychodynamic and cognitive-behavioral treatment of trauma as well as for parenting, family, and social-systems interventions directed toward interrupting the perpetuation of trauma in relationships.• Psychoeducational interventions, including patient education and structured exercises, are employed to cultivate a therapeutic alliance around mentalizing; the book includes a straightforward explanation clinicians can use with patients, "What is Mentalizing and Why Do It?" In the chapter on mentalizing interventions, the authors propose to clinicians, "You are already doing it." If the effectiveness of treatment depends on therapists mentalizing and helping their patients do so more consistently and skillfully, clinicians of all persuasions can benefit from the extensive knowledge now available to hone further their attention to this vital therapeutic process.Trade ReviewThis is an excellent book: well written, theoretically sophisticated but practical, clear, and provocative in its implications for reframing and enhancing treatment for a broad spectrum of disorders.This book is especially useful for those interested in the leading edge in psychotherapy integration; the common-factors approach to understanding psychotherapeutic effectiveness; and the integration of mind, brain, and interpersonal relations. I highly recommend it. * PsycCRITIQUES *The authors are superb teachers. It is refreshing to read this book that can heighten awareness of nuances in listening to and helping clients grow in recognizing and adapting the formulations of experience that shape their emotional responses. * Doody Enterprises *Table of ContentsAbout the AuthorsForeword PrefaceChapter 1. IntroductionPART I: Understanding MentalizingChapter 2. MentalizingChapter 3. DevelopmentChapter 4. NeurobiologyPART II: Practicing MentalizingChapter 5. The Art of MentalizingChapter 6. Mentalizing InterventionsChapter 7. Treating Attachment TraumaChapter 8. Parenting and Family TherapyChapter 9. Borderline Personality DisorderChapter 10. PsychoeducationAppendix: What Is Mentalizing and Why Do It?Chapter 11. Social SystemsEpilogueGlossaryReferencesRecommended ReadingIndex

Read more less

Book Synopsis Aggression: Clinical Features and Treatment Across the Diagnostic Spectrum addresses the role aggression plays in intermittent explosive disorder (IED), referred to as "primary aggression," and in a host of other psychiatric disorders—from autism to posttraumatic stress. Aggression is a well-studied, multidimensional phenomenon that may be parsed by cognition, affect, and behavior. Occurring as primary aggression and as a symptom of other psychiatric disorders, aggression is both common and destructive—of property, relationships, and the social order. The editors were instrumental in the development of the DSM classification for IED, and the book discusses the evolution of the diagnostic criteria from the 1950s to the current DSM-5. This long-range perspective informs the volume and provides a firm foundation for the clinical content, which is case-based and accessible. Moreover, each chapter is consistent in structure, moving from phenomenology to psychobiology to clinical approach and treatment. The book emphasizes that although abnormal psychobiological systems, including neurochemistry and neural circuits, may increase the risk of behavioral aggression, influences associated with genetics, epigenetics, and environmental forces are also extremely important, and these are discussed in-depth in each chapter. Chapter topics were selected for their clinical relevance: • Two chapters are devoted to primary aggression, first distinguishing form (verbal and physical) and type (direct or indirect); next, delineating the phenomenology, psychobiology, and comorbidities; and then exploring current treatment options, both psychopharmacological and psychotherapeutic.• Because aggression represents the most common reason for referral to psychiatric care in youth, most frequently in the context of disruptive behavioral disorders, including attention-deficit/hyperactivity disorder, the book devotes a chapter to these disorders, emphasizing prevention, assessment, and treatment (e.g., self-regulation, skill-building, improved support systems, and medication).• Aggression and anger may play a role in the onset and maintenance of eating disorders, complicating clinical presentation and influencing prognosis and treatment. The chapter on eating disorders addresses aggression, both self- and other-directed, and provides measures with sound psychometric properties for assessing eating disorder psychopathology and aggression.• The chapter on anxiety disorders highlights the prevalence of aggression, hostility, irritability, and anger in patients with these disorders, noting that these individuals may be at increased risk due to genetic sensitivity to stress. The role of aggression in social anxiety disorder, panic disorder, and generalized anxiety disorder is explored in-depth, and current treatment recommendations are discussed.• In addition to carefully chosen clinical vignettes, the book employs chapter-ending summaries and key clinical points and is replete with tables presenting information such as rating scales and summaries of pharmacological management. Cogent, compelling, and clinically rich, Aggression: Clinical Features and Treatment Across the Diagnostic Spectrum examines aggression in its myriad forms and manifestations while offering cutting-edge guidance on assessment and treatment.Trade ReviewI work as an inpatient psychiatrist on a unit focused on chronic psychiatric disorders and, unfortunately, aggressive patients are a common event. I have not read a book that primarily focuses on aggression and I found the information in this book to be clear, free of bias, reflective of my clinical experience, and directly practical. The sections covering intermittent explosive disorder are particularly useful. It is my hope that future research will be done to expand upon the areas of autism and substance use disorders and will be reflected in future editions. -- Aaron Plattner, M.D. * Doody's Book Review *Table of ContentsContributorsPrefacePart I: Primary Aggression: Intermittent Explosive DisorderChapter 1. Phenomenology and Psychobiology of Aggression and Intermittent Explosive DisorderChapter 2. Assessment and Treatment of Intermittent Explosive DisorderPart II: Aggression in Other Psychiatric DisordersChapter 3. Aggression in Autism Spectrum Disorder and Other Neurodevelopmental DisordersChapter 4. Aggression in Disruptive Behavioral Disorders Beginning in ChildhoodChapter 5. Aggression in Primary Psychotic DisordersChapter 6. Aggression in Bipolar DisordersChapter 7. Anger and Aggression in Depressive DisordersChapter 8. Aggression in Anxiety DisordersChapter 9. Aggression in Obsessive-Compulsive DisorderChapter 10. Anger and Aggression in Posttraumatic Stress DisorderChapter 11. Aggression in Eating DisordersChapter 12. Aggression in Alcohol Use Disorder and Alcohol's Role in AggressionChapter 13. Aggression in Substance Use DisordersChapter 14. Aggression in Personality DisordersChapter 15. Legal and Forensic Aspects of AggressionIndex

Read more less

Book Synopsis Gambling Disorder: A Clinical Guide to Treatment is a systematic, eloquent, and exhaustive examination of the etiology, psychopathology, neurobiology, and treatment of the disorder, which was reclassified for DSM-5. Building on its 2004 predecessor, Pathological Gambling, which was groundbreaking for its era, the second edition has been thoroughly restructured and is designed to prepare clinicians to diagnose, treat, and—most important of all—understand their patients with the disorder. More common than previously supposed, gambling disorder is associated with decreased self-esteem, comorbid substance use disorders, financial and legal difficulties, relationship and family stress, and suicidality. Yet, many clinicians are unaware of the personal and social consequences of this disorder, as well as its implications for public health. Accordingly, the book provides a detailed look at the effects of gambling on societal, familial, and individual health and well-being and prepares clinicians to accurately assess their patients and provide effective treatments. As befits a field that has been the recent focus of so much innovative and promising research, the new edition boasts a fresh roster of contributors, each of whom bring special insight to their areas of expertise. Noteworthy topics include: • Currently available screening and assessment instruments for diagnosing gambling disorder and monitoring symptom change are discussed in-depth, including psychometric properties, norms, administration methods, and scoring and interpretation of each instrument. • Online gambling and gambling-gaming convergence is considered in a new chapter, which explores the complex interplay between gambling and technology. Highlighted issues include the growth of interactive platforms, role of new player experiences and reward structures, tailoring of products to individuals, and integration into other online activities, such as gaming and social media.• Gender differences in epidemiology, phenomenology, psychiatric comorbidity, and biology have been identified among patients with gambling disorder, with important treatment implications. Similarly, older adults and young people can exhibit significant differences in behavior. These are explored in separate, clinically rich, chapters.• The always evolving field of gambling and criminal/legal issues is explored in a chapter on forensic issues in gambling, which examines the relationship of gambling disorder to antisocial personality disorder and domestic abuse, and looks at the interface between gambling and the legal system.• Tremendous advances in the treatment of gambling disorder have been made since the last edition, and these are reflected in comprehensive chapters on psychosocial and pharmacological treatments. Full of expert clinical knowledge and cutting-edge research, Gambling Disorder: A Clinical Guide to Treatment is the clinician's comprehensive guide to helping patients with gambling disorder find relief from this disabling disorder.Trade ReviewThis book presents up-to-date information regarding this frequently overlooked or misdiagnosed disorder. It will be useful in updating one's knowledge base regarding gambling disorder. -- Michael Easton, MD * Doody *Table of ContentsIntroductionChapter 1. Epidemiology: The Good, the Bad, and the UglyChapter 2. Clinical CharacteristicsChapter 3. Older AdultsChapter 4. Gender DifferencesChapter 5. Online Gambling and Gambling-Gaming ConvergenceChapter 6. Legal and Forensic IssuesChapter 7. Cognitive and Behavioral UnderpinningsChapter 8. NeurobiologyChapter 9. Screening and Assessment InstrumentsChapter 10. Understanding Youth Gambling Problems: Prevention and Treatment StrategiesChapter 11. Psychosocial TreatmentsChapter 12. Pharmacological TreatmentsAppendix A: DSM-5 Diagnostic Criteria for Gambling DisorderAppendix B: Early Intervention Gambling Health Test (EIGHT)Appendix C: Gambling Symptom Assessment Scale (G-SAS)Appendix D: South Oaks Gambling Screen (SOGS)Appendix E: Yale-Brown Obsessive Compulsive Scale Modified for Pathological Gambling (PG-YBOCS)Index

Read more less

Book SynopsisThe most current, comprehensive work available to date, the Textbook of Antisocial Personality Disorder is the definitive source of information on this difficult and often poorly understood and underdiagnosed disorder. A group of distinguished international experts, researchers, and clinicians provide their unique perspectives on what has been learned so far about antisocial personality disorder (ASPD) and other forms of antisocial behavior, including childhood conduct disorder, adult antisocial behavior, and psychopathy. Highly useful for both clinicians tasked with caring for these patients and researchers involved in probing its causes and treatments, the book looks at the phenomenology and natural course of ASPD, as well as its neuropathology, neurophysiology, genetic risk factors, epigenetics, and social determinants. The authors also explore some promising directions regarding prevention and treatment. Throughout the book, illustrative case vignettes provide a real-world view of people diagnosed with ASPD, including symptoms, course, and severity. In addition, tables, graphs, and illustrations further define the important points. Urgently needed and written with authority by those at the forefront of this vexing disorder, the Textbook of Antisocial Personality Disorder provides useful information on topics such as • The history and definition of ASPD• Clinical concepts such as epidemiology, comorbidity, symptoms, and course• Suspected causes of the disorder• Neurophysiology, neurotransmitters, and neuroimaging of the disease• The relationship of ASPD to psychopathy• Current treatment recommendations Special coverage is included on antisocial women, antisocial children, antisocial sexual offenders, forensic aspects of ASPD, and preventive strategies.Trade ReviewThis book is one of only a few current comprehensive resources on antisocial personality disorder. The contributors consist of an international panel of experts who have brought together the vast body of research and current information regarding the psychopathology of this complex and disabling disorder. -- Michael Easton, MD * Doody *Table of ContentsForewordIntroductionPart I: Definition and History Chapter 1. Classification and Definition of Antisocial Personality DisorderChapter 2. Antisocial Personality Disorder Throughout Time—Evolution of the ConceptPart II: Clinical ConceptsChapter 3. Epidemiology of Antisocial Personality DisorderChapter 4. Psychiatric and Medical Comorbidity of Antisocial Personality DisorderChapter 5. Clinical Symptoms and Assessment of Antisocial Personality DisorderPart III: Etiology and PathophysiologyChapter 6. Natural History and Course of Antisocial Personality Disorder Chapter 7. Family, Twin, and Adoption Studies in Antisocial Personality Disorder and Antisocial Behavior Chapter 8. Molecular Genetics of Antisocial Personality DisorderChapter 9. Social Theories of CausationChapter 10. Biological Risk Factors for Antisocial Personality Disorder Chapter 11. Neurophysiology of Antisocial Personality Disorder Chapter 12. Central and Peripheral Biomarkers of Antisocial Personality DisorderChapter 13. Structural MRI Studies of Antisocial Personality Disorder Chapter 14. Functional MRI Studies of Antisocial Personality DisorderChapter 15. Single-Photon Emission Computed Tomography and PET Studies of Antisocial Personality Disorder and Aggression Chapter 16. New Insights Into the Causes of and Potential for Prevention of Psychopathy—A Syndrome Distinct From Antisocial Personality Disorder Part IV: Clinical ManagementChapter 17. Psychosocial Treatment of Antisocial Personality Disorder Chapter 18. Pharmacological Treatment of Antisocial Personality Disorder Chapter 19. Treatment Issues With Antisocial Personality Disorder Part V: Special Problems, Populations, and SettingsChapter 20. Criminal Justice System and Antisocial Personality DisorderChapter 21. The Antisocial Child Chapter 22. The Antisocial Woman Chapter 23. The Antisocial Sexual OffenderChapter 24. Prevention of Antisocial Personality DisorderIndex

Read more less

Book SynopsisAlready a foundational resource in the field, Dulcan's Textbook of Child and Adolescent Psychiatry has been updated in the third edition, including the latest research and clinical advances. An expanded chapter on telehealth acknowledges the changes and challenges posed by the COVID-19 pandemic and also discusses e-mental health options that support primary care providers, who are often the front line in mental health treatment. Two completely new chapters on pediatric consultation liaison psychiatry examine the history, clinical practice models, scope of interventions, and pharmacological considerations that are relevant to treatment of medically ill children and those seen in primary care—more important than ever, with the significant increase in the number of children with mental health care needs who are seen by pediatricians. In addition, readers will find thorough, DSM-5-aligned insight from dozens of experts on: • Neurodevelopmental and other psychiatric disorders, including disorders affecting somatic function, with clinical descriptions, epidemiology, risk factors, diagnosis, treatment options, and more• A full range of psychosocial treatments, including those focused on both individuals and families, as well as therapeutic milieus and systemic models of care• The principles and application of psychopharmacology, from antidepressants to antipsychotic medications to mood stabilizers and medications for ADHD• Specialized issues, including cultural and religious considerations, gender and sexual diversity, and legal and ethical issues Each chapter features summary points for ease of reference and extensive references for continued study. Working with young patients, who are changing and evolving with age throughout the course of treatment, and their families presents very real and distinct challenges. This latest edition of Dulcan's Textbook of Child and Adolescent Psychiatry provides child and adolescent psychiatrists, pediatricians, family physicians, general psychiatrists, child neurologists, psychologists, advanced practice nurses, psychiatric social workers, and other practitioners the depth and breadth of knowledge needed to treat children and adolescents effectively.Trade ReviewMina Dulcan has succeeded in editing an outstanding third edition of Dulcan's Textbook of Child and Adolescent Psychiatry, demonstrating why this text is foundational for child and adolescent psychiatrists and other pediatric mental health professionals. This new edition is concise, current, comprehensive, and easy to use, providing the practical and actionable guidance that clinicians need when treating children and families. The state-of-the art reviews by thought leaders in the field give the clinician the cutting-edge approaches needed to provide evidence-based care, while at the same time providing references that support the science. The new text has expanded on the use of evidence-based rating scales, telehealth utilization and practice, and emerging technologies to give clinicians and educators the tools and knowledge that are required to manage the increasing complexity of mental health service provisions and requirements for measurement-based practice. Dr. Dulcan has identified the most relevant issues for child psychiatry in the increasingly complex health care environment, and chapter authors provide clear guidance needed to advance practice. This is an invaluable resource for child and adolescent psychiatry practice—especially now in our rapidly changing mental health care environment."—Tami D. Benton, M.D., Fredrick Allen Professor of Psychiatry, University of Pennsylvania and Children's Hospital of Philadelphia"Dulcan's Textbook of Child and Adolescent Psychiatry, Third Edition, continues to be an outstanding resource in the care of children, adolescents, and young adults with psychiatric disorders for persons across a wide breadth of disciplines and training. Each chapter is led by national leaders in the field that effectively communicate the evidence base for the assessment of children by development stage, the epidemiology, assessment and treatment of child psychiatric disorders, and clinically relevant cross-cutting topics."—Bonnie T. Zima, M.D., MPH, Professor-in-Residence, Child & Adolescent Psychiatry Vice Chair for Faculty Development Associate, Chair for Academic Affairs, Associate Director, UCLA Center for Health Services & Society UCLA-Semel Institute for Neurosciences and Human BehaviorTable of ContentsContributorsPreface to the Third EditionAdditional ResourcesAcknowledgmentsPart I: Assessment and DiagnosisChapter 1: Process of Assessment and DiagnosisChapter 2: Assessing Infants and ToddlersChapter 3: Assessing the Preschool-Age ChildChapter 4: Assessing the Elementary School–Age ChildChapter 5: Assessing AdolescentsChapter 6: Neurological Examination, Electroencephalography, Neuroimaging, and Neuropsychological TestingPart II: Neurodevelopmental and Other Psychiatric DisordersPart II: Neurodevelopmental and Other Psychiatric DisordersChapter 7: Intellectual DisabilityChapter 8: Autism Spectrum DisordersChapter 9: Communication Disorders, Specific Learning Disorder, and Motor DisorderChapter 10: Attention-Deficit/Hyperactivity DisorderChapter 11: Oppositional Defiant Disorder and Conduct Disorder Chapter 12: Substance Use Disorders and AddictionsChapter 13: Depressive and Disruptive Mood Dysregulation DisordersChapter 14: Bipolar DisorderChapter 15: Anxiety DisordersChapter 16: Posttraumatic Stress Disorder and Persistent Complex Bereavement DisorderChapter 17: Obsessive-Compulsive DisorderChapter 18: Early Onset SchizophreniaPart III: Disorders Affecting Somatic FunctionChapter 19: Eating and Feeding DisordersChapter 20: Tic DisordersChapter 21: Elimination DisordersChapter 22: Sleep-Wake DisordersPart IV: Special TopicsChapter 23: Evidence-Based PracticeChapter 24: Child Abuse and NeglectChapter 25: Cultural and Religious IssuesChapter 26: Youth SuicideChapter 27: Gender and Sexual Diversity in Childhood and AdolescenceChapter 28: Aggression and ViolenceChapter 29: Psychiatric EmergenciesChapter 30: Family Transitions: Challenges and ResilienceChapter 31: Legal and Ethical IssuesChapter 32: Telemental Health and e-Mental Health Applications With Children and AdolescentsPart V: Pharmacological TreatmentsChapter 33: Principles of PsychopharmacologyChapter 34: Medications Used for ADHDChapter 35: AntidepressantsChapter 36: Mood StabilizersChapter 37: Antipsychotic MedicationsPart VI: Psychosocial TreatmentsChapter 38: Individual PsychotherapyChapter 39: Parent Counseling, Psychoeducation, and Parent Support GroupsChapter 40: Behavioral Parent TrainingChapter 41: Family-Based Assessment and TreatmentChapter 42: Interpersonal Psychotherapy for Depressed AdolescentsChapter 43: Cognitive-Behavioral Treatment for Anxiety and DepressionChapter 44: Motivational InterviewingChapter 45: Systems of Care, Wraparound Services, and Home-Based ServicesChapter 46: Milieu Treatment: Inpatient, Partial Hospitalization, and Residential ProgramsPart VII: ConsultationChapter 47: School-Based InterventionsChapter 48: Collaborating With Primary CareChapter 49: Collaborating With Inpatient and Subspecialty PediatricsIndex

Read more less

Book Synopsis“[Piscatella and Sabbagh] show what’s good for keeping your heart pumping keeps your memories and passions alive. They give you a really great plan to follow. This book can help many and hopefully will help you and yours for years to come.” — From the Foreword by Michael Roizen, MD, Chief Medical Consultant for The Dr. Oz Show, and New York Times bestselling authorThe science of why both heart and brain health are the key to wellness and longevity and ho w to cultivate a brain-body-balance to live a longer, healthier, and happier life. Strong Heart, Sharp Mind: The 6-Step Brain-Body Balance Program that Reverses Heart Disease and Helps Prevent Alzheimer’s presents a cutting-edge, science-based program that teaches readers how to develop the habits and lifestyle practices that improve both heart and brain health. Readers will learn how they can prevent or forestall both the nation’s number-one killer–heart disease–as well as the affliction Americans fear most: Alzheimer’s disease. For the 108 million Americans 50 and over, creating what the authors call the “BRAIN-BODY-BALANCE” through the steps detailed in these pages can also improve quality of life and longevity, by synchronizing the interaction between our two most vital organs.Joseph C. Piscatella, nationally-known, bestselling speaker and author of countless heart health books, and one of the longest-living survivors of coronary bypass surgery (43 years and counting!) and Cleveland Clinic neurologist Marwan Noel Sabbagh, M.D., one of the world’s foremost researchers in the fight against Alzheimer’s, employ the latest science and recommendations from other leading-edge thinkers and practitioners, to help readers optimize the connection between cardiac and neuro health—a nexus that until recently has been overlooked as a key to wellness and longevity. Together, "No Ordinary Joe" Piscatella and Dr. Sabbagh are poised to guide readers to this new intersection of heart-brain health, and take them through the necessary steps to make that connection between our most vital organs, for optimal wellness—and to protect them against the world's most lethal and feared diseases.STRONG HEART, SHARP MIND blends science and solution in the form of a new, singular heart/brain-specific program and takes readers through the steps necessary to optimal wellness and a longer, happier life.Trade ReviewPraise for STRONG HEART, SHARP MIND: The 6-Step Brain-Body Balance Program that Reverses Heart Disease and Helps Prevent Alzheimer’s by Joseph C. Piscatella and Marwan Noel Sabbagh, M.D. with a Foreword by Michael F. Roizen M.D.“[Piscatella and Sabbagh] show what’s good for keeping your heart pumping keeps your memories and passions alive. They give you a really great plan to follow. This book can help many and hopefully will help you and yours for years to come. Buy a copy for each and all in your family; I’m going to encourage my patients to do so. It is that important and that great a plan.” — From the Foreword by Michael Roizen, MD, Professor, Cleveland Clinic Lerner College of Medicine at Case Western Reserve University and New York Times bestselling author“Heart disease is the number-one killer in the nation, Alzheimer’s the most feared disease. Now we are learning that they are both connected and with a plan, can be managed, even prevented. STRONG HEART, SHARP MIND is a must-read for those who want to protect both heart and brain—and optimize their health and future.” — Maria Shriver, New York Times Bestselling Author“Want to help keep your mind sharp? Listen to Dr. Sabbagh, one of the pre-eminent neurologists on the planet.” — Dean Ornish, M.D, New York Times bestelling author of Dr. Dean Ornish's Program for Reversing Heart Disease"Heart. Brain. Health. They're connected—intimately, intricately, and to a far greater degree than we ever recognized before. This book reveals the latest science on this critical focal point, and provides a plan for you to optimize your heart-and-brain health.” — Mark Hyman, M.D., New York Times bestselling author of The Pegan DietTable of ContentsTable of Contents with chapter outlines for STRONG HEART, SHARP MIND: The 6-Step Brain-Body Balance Program that Reverses Heart Disease and Helps Prevent Alzheimer’s by Joseph C. Piscatella and Marwan Noel Sabbagh, M.D., with a Foreword by Michael F. Roizen, M.D. Introduction Part I: The New Science of Heart and Brain Health Chapter 1: The Heart-Brain Connection for Optimal Health For years, plenty of learned skeptics were convinced that no matter how virtuously you ate or how many hours you dedicated to the treadmill, the brain and heart would inevitably march towards deterioration. The landmark 2012 Heart and Brain Conference in Paris (mentioned in our Introduction) suggested that the tide was turning. The following year, the G8 Dementia Summit in London provided even more evidence of a paradigm shift in the making: More than 100 scientists from 36 countries agreed that, based on the research, at least 20 percent of dementia cases could be avoided by switching to a lean and healthy lifestyle in middle age, and an even higher percentage if people embraced good health habits when they were young. Heart health would also benefit tremendously from those same practices, they noted. Many cardiovascular risk factors are the same as those for Alzheimer's, they pointed out, including stroke, low HDL, high LDL, high blood pressure, smoking, overeating of unhealthy fats, excess body weight, lack of exercise, and Type 2 diabetes. Just a few short years later, as this chapter will explain, the dissenting view has become accepted wisdom among forward-thinkers in the cardiological and neurological communities. Lifestyle interventions, long known to be important for heart health, are now seen as equally critical as drugs and genetics for brain health. Moreover, the combination of the two preventive approaches have important ramifications. Addressing these risk factors—by adopting a battery of healthy lifestyle practices—can help prevent both America's number one killer (heart disease) and its fastest-growing, most feared affliction (Alzheimer's disease). "These strategies work," says our co-author Marwan Sabbagh, M.D. "Data is now showing that lifestyle interventions in many cases are handily beating drug target interventions." Chapter 2: Lessons of Lifestyle in the Fight Against CVD and AD A common bond exists between your heartbeats and brainwaves that ties their fate together. We know, for example, that people who suffer from congestive heart failure are at much higher risk for loss of brain function. It is also quite common for someone who is diagnosed with the condition known as atherosclerosis—clogging and hardening of the arteries—to progress to dementia. Even a disruption within the body’s tiniest blood vessels can cause significant disturbance to the blood-brain barrier and impair the ability of both organs to operate at full capacity. (This is particularly important for females, as many women experience arterial contraction in small blood vessels, thereby restricting blood flow; as opposed to men who typically have plaque in larger coronary arteries.) What's behind the connection? Blood flow is part of it. But there's a lot more to the emerging heart-brain connection: We now know that the well-known risk factors for cardiovascular disease (CVD) are very similar to those of Alzheimer's disease (AD). Both hypertension and Type 2 diabetes, for example, long known as culprits for CVD, are also risk factors for AD. Recent research suggests that Apo E 4, the genetic signature associated with higher rates of Alzheimer's, is also implicated in heart disease. In addition, elevated cholesterol—again, a well-known risk factor for heart disease—is linked to higher levels of amyloid, the substance that forms the brain tangles that are a hallmark of Alzheimer's. The relationship gets broader and deeper: Stroke, high blood pressure, overconsumption of unhealthy facts, excess body weight, smoking, lack of exercise—all well-known cardiovascular risk factors—are now linked to Alzheimer's as well. Meaning, that we have the power to prevent these diseases, and to improve our overall health in the process. That's the uplifting promise and purpose of this book. Chapter 3: Vital Signs for Vital Organs Helping readers achieve optimal heart-brain health, while keeping CVD and AD at bay, the goal of this book. How do you measure your progress along the way? The best way is to establish critical markers. In this chapter, we provide a "vital signs" scorecard—the most important values for heart-brain health. Some of these will be familiar, such as HDL and LDL. But, as there is clear evidence now about the link between hypercholesterolemia and cognitive disorders, we move into more sophisticated lipid values—particle size and apoproteins. Similarly, we drill down into other values, and look at measurements related to cognitive health and how these can be gauged. The goal here is not to get readers to run off and schedule a battery of additional tests beyond the ones they should be having as part of routine medical screenings. But as the association among things like metabolic syndrome, inflammation, stroke, Type 2 diabetes and both heart disease and Alzheimer's disease becomes clear, it's important to be aware of these benchmarks. Moreover, many of these share common risk factors—such as obesity, hypertension, metabolic syndrome, etc.—that one can gauge and track, with something as accessible as a BMI chart, for example. Part II: Six Steps to Brain-Body Balance Chapter 4: In this brief chapter introducing the prescriptive section of the book, we provide an overview of our evidenced-based plan, which involves some surprising new twists on familiar behaviors. For example, we recommend: Exercise, but with a new combination of activities—including some suggested workouts—designed to maximize the heart-brain connection. The Mediterranean Diet, but with a fresh look at the recently-revised dietary pyramid, and a few specific new suggestions for heart-and-brain-healthy nutrients, informed by the most recent research. Stress management, but with the recommendation of a new technique that has been shown to calm the body and brain in only 12 minutes, and help improve cognitive function, to boot. We do the same with the other components of our plans, showing readers our six-step program—plus new iterations and twists—that they can follow to incorporate into their lifestyle. Also, in this chapter, we'll review the structure of our prescriptive chapters: Each will include motivational, first-person perspective from Joe Piscatella and a closer look at the science with Dr. Sabbagh—as well as actionable tips and advice. Chapter 5: Functional Fitness for Heart-Brain Health Yes, exercise is as close as we come to having a miracle drug. At this point, no one can dispute this. But what type? How much? How fast? How hard? There are so many conflicting recommendations about the best way to get active, from so many different expert groups, it’s hard to know what provides the most sweat equity. And of particular importance to this book: Are there exercise regimens that can actually promote both heart and brain health together? The answer to that last question is a resounding "yes!" We’ve created a step-by-step guide to help readers determine the perfect mix of frequency, intensity, time and type of exercise that is both realistic for them and that will actually help extend their health-span -- essentially their quality of life. The basis of our program is cardiovascular exercise, such as brisk walking, cycling and running. But we also include a new genre of physical activity—one that is still unfamiliar, even to many fitness professionals—that's designed to promote brain health and a healthy neural system. We put these together in a unique combination, incorporating some cutting-edge approaches, and designed to optimize what we call "brain-body balance." Chapter 6: The Mediterranean Diet's New Borders The Mediterranean diet was recently voted to be the overall best diet for the 10th year in a row by a panel of 25 medical and nutrition professionals reviewing more than 40 popular diets for US News & World Report. A plan that prioritizes eating more fruits and veggies with an accent on lean protein and healthy fat, it rated tops in both the heart-health and brain-health-categories as well as the weight loss and diabetes management categories. Further, it received praise for being easy to follow and budget friendly. While the common principles of the diet are more or less the same, there is not just one standard Mediterranean diet. The French, Greeks, Italians and Spanish are all part of the Mediterranean region but take their own unique approach to eating. To complicate matters, some of the popular “internet” diets claim to be the Mediterranean diet but really aren’t. In this chapter, we explore the varying shoreline of the Mediterranean diet, as well as some of the diet's new principles, which are less about what foods are eaten and more about how the eating is done: In Mediterranean cultures, for example, food is shared; eating is not rushed. Moreover, the base of the new pyramid is now physical activity, underscoring one of the important points of this book—that optimal health is not "just" about modifications in diet or joining a gym; it's a way of life. Also, in Chapter 6, we'll include some specific tips not found in many nutrition books: For example, new research suggests that elevation of the amino acid homocysteine increases risk for both CAD and AD. And it’s reduced by taking folic acid. We'll talk about how to get more of that in your diet, as well as the important role of flavonoids—phytonutrients whose important role in both heart and brain health has been confirmed by research published as recently as May, 2020. Chapter 7: Restful Sleep for Body and Brain Lack of sleep used to be a badge of honor, a way to show off how important and busy you were. We now understand such a boast comes at huge cost to the neuro-cardio system. At least 100 million Americans struggle with sleep issues. Lack of shuteye causes glitches in glucose metabolism and blood pressure and robs neurons of their ability to operate properly. A common sleeping problem known as obstructive sleep apnea ups the risk of heart failure by 140%, the risk of stroke by 60%, and the risk of coronary heart disease by 30%, according to the National Institute of Health. Sleep-disordered breathing also leads to a build-up of brain beta-amyloid, a key marker for Alzheimer's and other forms of dementia. Our program includes sleep hygiene because of its powerful protective effect on brain-body health. We turn to the new specialty of sleep medicine for expert advice from physicians in this discipline, and sleep coaches for creating an environment conducive to sleep—and for mending broken sleep habits without pills or gadgets. Chapter 8: A Sound Approach to Stress Management We Americans are stressed, and it’s wrecking our health. As studies show, when you feel like you’re in an emotional pressure cooker on a daily basis (as half of Americans do) plaque accumulates in the arteries, making blood platelets sticky and prone to forming clots. Arteries begin to constrict, starving the heart of nourishing blood. Meanwhile, as the blood is trying to deal with compromised blood flow, it’s also pumping out high levels of cortisol that wear down nervous systems. Chronic stress causes brain shrinkage, particularly in the prefrontal cortex, the area of the brain responsible for memory and learning. Readers don’t have to live life in the stress lane, despite the blinding pace of American life. This chapter reveals some simple changes and choices they can make to stress-proof themselves. One of the most intriguing for brain-body health is a new form of meditation known as Kirtan Kriya, which involves using fingertips in conjunction with relaxing sounds to stimulate the brain. A 2017 study found that beginner classes in Kirtan Kriya, or simply listening to music for 12 minutes a day for three months, had significant benefits for adults with preclinical memory loss, including those at risk for AD. In this chapter, we will also look at other surprising and diverse stress-relief techniques that can be satisfying in their own way, including the practice of prayer, the art of threading a needle, getting a massage… even doing dishes. Chapter 9: Cognitive Stimulation to Jump-Start Your Brain At Cleveland Clinic's Lou Ruvo Center for Brain Health, where co-author Dr. Sabbagh is director, "cog-stim"—cognitive stimulation—is one of the pillars of brain health. In this chapter, we'll talk about how to stimulate and challenge your brain. We will introduce the topic of "brain reserve"—essentially your brain's resilience and ability to improvise, and a critical component of maintaining a sharp mind as you age. Research shows how a broad array of brain-boosting activities—everything from pottery to painting, reading the classics to mastering a foreign language—can help keep your brain reserve agile and deep. How do you choose the best approach for you? And what is the cog-stim prescription? How often, how long, how systematically must one pursue these new activities in order to reap the brain-boosting rewards? We'll address those important questions, but we'll also look at the other part of the equation, specific to this book, by showing readers how to combine their heart-pumping cardio exercise with brain-boosting cog-stim activities. Done together, at the right time, they can provide an enormous one-two punch that can not only replenish your brain reserve, but actually enhance your ability to learn and think creatively (useful not just for the future, but for higher-functioning in daily life right now!). Chapter 10: Close Encounters in a Socially-Distanced World The famous Roseto experiment proved the power of close, homogenous communities and their relationship to public health. The story of the rural Pennsylvania town that defied national trends in heart disease in the 1950s and 1960s—only to reverse direction as its Italian immigrant-population became more Americanized—is a lesson for us today. "What Roseto taught us," wrote one cardiologist, "is that we humans are social animals who fare best when we're not alone or isolated. The price of modern society in our diet, our stress levels, our exposure to toxins and also our loneliness has been high." That famous study also reminds us that social connections—whether through family, friends, church or community organizations or interest groups--are every bit as powerful as adequate sleep, a good diet, and a regular exercise program for long-term health. Conversely, a relative lack of social ties is associated with depression and later-life cognitive decline, as well as with increased mortality. Another more recent study, which examined data from more than 309,000 people, found that lack of strong relationships increased the risk of premature death from all causes by percent, which is about the same effect as smoking up to 15 cigarettes a day. In this chapter, we cover the science behind the importance of having close relationships at any and every age. And we’ve got suggestions for increasing the quality and quantity of social interactions as well, even in the age of social distancing. Chapter 11: Other Factors That Can Improve Brain-Body Health Visiting the dentist and flossing your teeth can brighten your smile. Can such practices also brighten the picture for your heart-brain health? Supplements promise much in the way of heart and brain health. What do they actually deliver? Hand washing was the prosaic cornerstone of the public-health battle against the Coronavirus: Can it help ensure our heart and brain health, too? And let's not forget things like coffee, dark chocolate and two glasses of wine per day. All have heralded as keys to a healthy heart and brain. Is this true? (Please tell us it is! Maybe even just a little?) In this final chapter, we offer a checklist of other health habits that can promote optimal heart-brain health, as well as some that have been shown to have little value; and still others (as alas, may be the case with alcohol, sweets and caffeine) in which further research is still needed. Part 3: Brain-Body Balance in Action Chapter 12: Making Healthy Changes, Step by Step Our program is constructed on sound building blocks of brain and heart health, with new scaffolding that links the two in specific ways. It is comprehensive. It is multi-faceted. And while it is well within the grasp of your average person, it is challenging. Where do you start? Right here: In this motivational and practical chapter to conclude the book, we show readers how to take the steps that can lead them to optimal brain-heart health, as well as protect them from heart disease and Alzheimer's. Co-author Joe Piscatella has helped thousands in their journey to better heart health, in part by teaching them how to adopt the right kind of mindset needed for lifestyle change. About how to set goals, about taking responsibility, about developing a positive mindset, and resilience when one hits the inevitable bumps in the behavioral road. Here, he guides readers, step by step, through a process specific to this program. “No Ordinary Joe” will teach them how to get in the right mindset; how to integrate these principles into their daily lives—and lead them to the extraordinary benefits to be accrued by a heart and brain in healthy harmony. Chapter 13: Additional Resources to Help You Maximize Your Heart and Brain Health In this chapter we recommend additional resources to help readers. We include websites, books, online classes and more. Source List/Citations

Read more less

Book SynopsisThis book provides all of the information a practitioner needs in order to begin work with clients with Dissociative Identity Disorder (DID). Drawing on experiences from her own practice and extensive research conducted with the help of internationally acclaimed experts in the field, the author describes the development of DID and the structure of the personality of these clients. The reader is guided through the assessment process, the main phases and components of treatment, and the issues and contentions that may arise in this work. Throughout the text there are case examples, practical exercises, techniques, and strategies that can be used in therapy sessions. The resources section includes screening and assessment instruments, as well as information on techniques for managing anxiety and self harm, both of which can be major problems when working with clients with DID.Trade Review'An innovative, updated, creative, practical resource for professionals who struggle to understand and effectively address the challenges of working with dissociative clients.'- Dr Barbara Boat, Associate Professor of Psychiatry, Director of the Childhood Trust, University of Cincinnati, Ohio, USA'An essential guide for working with DID. It is compact, with good knowledge of the subject and written in a language that everyone understands.'- Dr Claire Schulz, Top Referent Trauma Centrum, Assen, The Netherlands'This is an impressive piece of work.'- Dr Erica Pearl, Assistant Professor of Clinical Paediatrics, Mayerson Centre for Safe & Healthy Children, Cincinnati, Ohio, USA'This book ticks all my boxes. It has been written with clarity and compassion. Great care has been taken to ensure that a cross section of approaches is included. Uniquely, it is addressed to beginners in the field in such a way that clinicians and other interested readers will not feel intimidated by the subject matter. It deserves to find its place in all therapy training organisations as well as in training for psychologists.'- Remy Aquarone, President of the European Society for Trauma & Dissociation; Director, The Pottergate Centre for Trauma & Dissociation, Norwich, UKTable of ContentsPreface , The dissociative disorders and the presentation of Dissociative Identity Disorder (DID), or Multiple Personality Disorder (MPD) , Assessment and diagnosis , Beginning stage of psychotherapy , Middle stage of psychotherapy , Final stages and integration , Considerations for psychotherapy , Problems and issues , Resources

Read more less

Book SynopsisFunctional imaging has the capability to reveal changes in the pathophysiology of tissues and organ systems, mapping the progression and severity of disease, uptake of drugs, and the recovery of tissues following trauma, disease episodes or surgery. In this authoritative new work, leading specialists in neurology and neuroimaging present an update on the MRI and PET investigation of diseases of the central nervous system. An insightful reference for anyone working in the field, this work discusses how these new technologies can be used to investigate the most important disorders encountered in clinical neurology and psychiatry, ranging from chronic progressive diseases such as Alzheimer's, episodic disruptions of function as seen in epilepsy, and the subtle changes caused by drug dependency and abuse.Trade Review"…This book on this important burgeoning technology is an excellent introduction for the neuropsychiatric clinician. For modern neurologists and psychiatrists, this is essential reading."-Doody's ReviewsTable of ContentsNeurobiological Correlates of Imaging. Interpretation of Clinical Functional Neuroimaging Studies. Alzheimer's Disease. Drug Addiction. Dyslexia . Epilepsy. Mood and Anxiety Disorders. Neurological Recovery after Stroke. Pain. Presurgical Planning of Neoplasms and Arteriovenous Malformations. Schizophrenia. Traumatic Brain Injury. Index and Bibliographies

Read more less

a huge range and FREE tracked UK delivery on ALL orders.

Read more less

Book SynopsisIn 2002 Lucy Newlyn found herself incarcerated in a mental hospital in Leeds. She had been sectioned under the Mental Health Act as a danger to herself and others during a psychotic episode after several nights without sleep. The psychosis was triggered by nearly three years of grieving for a dead sister, followed by a vigil at her father's deathbed during which she hallucinated that his hospital ward was a trench in the First World War. The episode uncovered psychiatric problems, which led in due course to a diagnosis of Bipolar Disorder (manic depression). This condition, which involves extreme mood swings, is classified as a disability and requires medication; but it is also a source of creativity, giving access to some unusual dimensions of human experience. In her fifteen-year diary, Lucy Newlyn discloses recurring episodes of mania, depression, hallucination and paranoid delusion. Describing her struggles with family life and the workplace, she de-mystifies bipolarity and critiques an environment which still, even in the twenty-first century, is suspicious of mental illness. Above all, she celebrates the discovery that writing poetry enables a cathartic engagement with her own condition. Diary of a Bipolar Explorer is not a self-help manual but a candid confessional memoir which offers no easy solutions. It involves a mixture of observation and reflection, interspersing poetry with prose. Written accessibly, it will appeal to anyone interested in mental illness, creative process and the life of the mind.Trade Review'To a fellow bipolar explorer, much of -Newlyn's book rings both uncomfortably and comfortingly true. Rather than make any extravagant claim for the inherently artistic or creative constitution of sufferers, she meticulously lays out her methods of managing her disorder with the tools she has to hand, both [as] a poet and an academic': the gift of studious analysis, and the vocabulary of an inveterate reader, who finds apt parallels for the tricks of the mind in a well-thumbed mental library. She records 'bipolarity's role in stimulating creativity' without ever romanticizing it, or suggesting that it confers some form of doomed and glamorous genius, like a draught of Odin's mead.'--Times Literary Supplement; 'Diary of a Bipolar Explorer is a quirky, original and beautifully-written book that deserves a wide readership. Its account of day-to-day life with bipolar disorder will resonate with many sufferers and their friends. And its detailed and highly realistic account of an attempt to use poetry to manage a major mental health condition should be required reading for anyone working in the arts and mental health.' --Medical Humanities; 'Conveys the many varied shades of mental illness, and how walking, diary writing and particularly the intense effort of composing poetry often proved therapeutic.'--Times Higher Education Supplement; 'The abiding impressions here are the courage with which major -- even devastating --issues are faced, and the realisation that the feelings and sensations described are familiar as part of the pain of being human, if in an extreme form.. . . Lucy Newlyn has made an important contribution to the poetry of mental illness in English by her unflinching description of her experience.'--Bernard O'Donoghue, Oxford Magazine; 'This book is both useful and beautiful. . . . It's a direct, accessible, personal work for a wide audience concerned by mental illness, and in many cases with our own experiences, or those of loved ones, to bring to our reading. It's also unlike anything else I've read on this subject, full of a scholar's lucidity and acuity, a poet's lyricism and capacity to surprise and move.'--Shiny New Books; 'Lucy Newlyn's account of her bipolar disorder isn't a 'misery memoir', ready to clog railway station bookshop shelves with easy answers and monetisably manipulative content. Instead, her narrative hard-cuts reliable reportage into hallucinatory sections of paranoid delusion, pin sharp diary entries, hard won poetry, and sober reflective analysis. Newlyn doesn't flinch as she explores the relationship between bipolar disorder and exactly the kind of mindset that has made her a poet and a writer.'-Stewart Lee

Read more less

Book SynopsisUsing current societal dilemmas, this book explores how social factors and social identity influence our health and recovery from illness. It includes recent research to present practitioners, researchers, policymakers and students of many disciplines with the material to support them in better harnessing current knowledge of the impact of social factors on health. The contents will influence collaborative working across policy, disciplinary and practice boundaries to design and deliver healthcare services. The book identifies the importance of social connectedness, social support, agency and self and group efficacy in people''s health, longevity and resilience after adversity. Core perspectives include the social identity approach and a values framework for taking public health ethics into decision-making, both of which emphasise valuing people and co-productive relationships. Advocating better targeted mental health promotion and integrated interventions, this book strongly argues for a greater emphasis on social factors in evidence-based and cost-effective practice.

Read more less

Book SynopsisThe Camberwell Assessment of Need Forensic Version (CANFOR) is a tool for assessing the needs of people with mental health problems who are in contact with forensic services. It is based on the CAN, a widely used needs assessment for people with severe mental health problems. Individual needs are assessed in 25 areas of life, spanning health, social, clinical and functional domains. Comprehensive versions are available for research (CANFOR-R) and clinical use (CANFOR-C), as well as a short summary version (CANFOR-S) suitable for both research and clinical use. CANFOR was rigorously developed by a multidisciplinary team at the Institute of Psychiatry, London, and is suitable for use in all forensic mental health and prison settings. This second edition provides an update of the CANFOR tools and their application in clinical and research settings. The assessment forms are freely available to download from the CAN website (researchintorecovery.com/can) and cambridge.org.

Read more less

Book Synopsis

Read more less

Book SynopsisDeveloped by the Faculty of Eating Disorders Executive Committee of the Royal College of Psychiatrists, this book addresses the need for materials to teach healthcare professionals working in mental health about eating disorders. Currently, there are many clinicians working in general adult or child and adolescent specialties that will have patients with eating disorders, without an awareness of how to work with them. Designed as a workbook for trainees and professionals, New to Eating Disorders features clinical vignettes, Q&A''s and key learning objectives to help consolidate theoretical knowledge with what is seen in clinical practice. The information is easy to digest and the workbook can be completed within a four-month rotation for trainees in a busy clinical post. This workbook will give professionals new to the field of eating disorders the clinical knowledge, confidence and skills to be able to safely look after patients with these conditions.

Read more less

Book SynopsisThis short book argues for the relevance of historical perspectives on mental health, exploring how these histories can and should inform debates about mental healthcare today. Why is it important to study the history of madness? What does it mean to voice these histories? What can these tell us about the challenges and legacies of mental health care across the world today? Offering an intervention into new ways of thinking – and talking – about ‘mad’ history, Catharine Coleborne explores the social and cultural impact of the history of the mad movement, self-help and mental health consumer advocacy from the 1960s inside a longer tradition of ‘writing madness’. Starting with a brief history of the relevance of first-person accounts, then looking at the significance of other ways of representing the psychiatric ‘patient’, ‘survivor’ or ‘consumer’ over time, this book aims to escape from dominant modes of writing about the asylum. Trade Review“An enjoyable read without feeling onerous. It is highly accessible, informative, and most importantly centres the reader within key debates in historical studies of madness. … each chapter is brief, accessible, and clear, and is accompanied by a useful list of suggested readings for the reader who wants to take their study further. … It is an excellent example of historical writing for a general audience, as well as a wonderful resource for historians and students of history.” (Gemma Lucy Smart, Health and History, Vol. 23 (2), 2021)Table of ContentsChapter 1: Why Talk about Madness?.- Chapter 2: Asylum Archives and Cases as Stories.- Chapter 3: The Asylum and its Afterlife.- Chapter 4: Extra-Institutional Care, or Madness Uncontained.- Chapter 5: Talking about Mental Health and the Politics of Madness.- Chapter 6: What’s the Story?.- Appendix 1: Mad Studies Conferences, Symposia and Events, 2014-2019.- Appendix 2: Mad Studies Networks and Social Media.- Index.-

Read more less

Book SynopsisThis volume addresses gaps in the existing literature of global mental health by focusing on the ethical considerations that are implicit in discussions of health policy. In line with trends in clinical education around the world today, this text is explicitly designed to draw out the principles and values by which programs can be designed and policy decisions enacted. It presents an ethical lens for understanding right and wrong in conditions of scarcity and crisis, and the common controversies that lead to conflict. Additionally, a focus on the mental health response in “post-conflict” settings, provides guidance for real-world matters facing clinicians and humanitarian workers today. Global Mental Health Ethics fills a crucial gap for students in psychiatry, psychology, addictions, public health, geriatric medicine, social work, nursing, humanitarian response, and other disciplines. Table of ContentsPreface – Mental Health as a Human Right – Sorel Introduction 1. Ethical Concepts and First Principles “Overview – The Lens of Ethics” - Allen 2. History of Global Mental Health and Ethical Debates (medical anthropology perspectives on World Systems Theory; Singer, economic framing) - Brandon Diagnosis, Culture, and Identity 3. Diagnosis, Cultural Imperialism, and Stigma – what are the implications of cross-cultural use of diagnostic labels, local labels, (ethnicity and labels) 4. Economics and Disability – a critique of the capitalist economic model of health and debates related to how QALYs and DALYs are developed and calculated 5. Whose treatment gap? – the need to identify and label suffering to justify intervention, action, ‘interference’, gap by what standards, 6. Religion, Spirituality, and Healing - Griffith Global Mental Health Services 7. Pharmacology, Pharmaceutical Companies – Access to pharmaceutical, under-treatment, over-treatment, etc. 8 Safety of non-specialist care & ‘Free’ Labor:– harm to beneficiaries, harm to providers, the female workforces in global mental health – ethics of uncompensated care 9 Involvement of Service Users and Family Members in the framing, design, delivery, and language of mental health and mental health care 10. Ethics of traditional healing, religious healing, spiritual approaches – Griff Pathologizing Adversity: Torture, Trauma, and Social Determinants 11. Social Determinants and Suffering – framing social problems and psychiatric problems, e.g., gender-based violence, poverty, etc. 12. Humanitarian Settings and Crises – the ethics of mental health in emergency settings (Morse and al Uzri) 13. Ethical issues of mental health and terrorism/radicalization Mental Health and the Law 14. Legal/Ethical Issues – interface of mental health, ethics, and the law – unifying theories professionalism and human rights – Candilis 15. Human Rights and Mental Health Care – Issues raised by Cratsley regarding the ethical assumptions, individualism, autonomy, etc. 16. Psychiatric illness as proxy for human rights violations on individual and population levels - e.g., Physicians for Human Rights work with psychiatric diagnoses, asylum system and psychiatric diagnoses; using pain and psychiatric illness as proxy for human rights violations – Polatin and Zemenides Research and Rights 17. Research tools cross-cultural applications and challenges 18. Clinical Trials and ethical issues/DSMBs, etc. 19. Ethics in humanitarian crisis research & ethics with vulnerable populations – children, minority groups, displaced groups, non-citizens, etc. 20. Data ownership, technological and biological data collection – access, observation, and autonomy Training, Capacity Building and Ethics 21. Power differentials in agendas and expectations for LMIC capacity building – Crick Lund 22. Addressing power and ethics for trainees from HIC institutions Epilogue: Global Health and the Health of the Planet

Read more less

Book SynopsisThis textbook provides a detailed resource introducing the subdiscipline of mental health informatics. It systematically reviews the methods, paradigms, tools and knowledge base in both clinical and bioinformatics and across the spectrum from research to clinical care. Key foundational technologies, such as terminologies, ontologies and data exchange standards are presented and given context within the complex landscape of mental health conditions, research and care. The learning health system model is utilized to emphasize the bi-directional nature of the translational science associated with mental health processes. Descriptions of the data, technologies, paradigms and products that are generated by and used in each process and their limitations are discussed. Mental Health Informatics: Enabling a Learning Mental Healthcare System is a comprehensive introductory resource for students, educators and researchers in mental health informatics and related behavioral sciences. It is an ideal resource for use in a survey course for both pre- and post-doctoral training programs, as well as for healthcare administrators, funding entities, vendors and product developers working to make mental healthcare more evidence-based. Table of ContentsPrecision Medicine and the Learning Health System.- What is Informatics?.- What is Mental Health?.- Epistemological Differences between the Behavioral and Biological Sciences.- What is Mental Health Informatics?.- Big Picture: Process View of Mental Health Care Delivery.- Introduction to Technologies for Data Acquisition in Mental Health.- Informatics Technologies for the Acquisition of Biological Data.- Informatics Technologies for the Acquisition of Psychological and Behavioral Data.- Informatics Technologies for the Acquisition of Interpersonal, Social and Environmental Data: The Exosome.- Informatics Technologies for the Acquisition of Population Level Data.- Introduction to Methods for Extracting Meaningful Information from Data in Mental Health.- Concept and Knowledge Representation to Transform Data into Information in Mental Health.- Bioinformatics Methods in Mental Health Research and Practice.- Psychometric Methods.- Computational Models and Analytic Methods.- Natural Language Processing in Mental Health Research and Practice.- Introduction to Paradigms for Knowledge Discovery in Mental Health.- Paradigms for Knowledge Discovery in Clinical and Research Data Repositories.- Biomarker Discovery.- Data Visualization.- Inferential Analysis and Predictive Modeling.- The Role of Biological Information in Mental Health Research and Practice.- Electronic Health Record (EHR) Systems in Mental Health.- Computerized Clinical Decision Support in Mental Health.- Informatics Technologies in Detection and Diagnosis of Mental Health Conditions.- Informatics Technologies in Prevention and Treatment of Mental Health Conditions.- Informatics Technologies for Care Coordination and Continuity of Care.- Informatics Technologies to Improve Patient Safety in Mental Health.- Registries.- Disseminating Newly Acquired Knowledge.- Ethical Legal and Social Issues (ELSI).- The Future of Mental Health Informatics.

Read more less

Book SynopsisThis book is the result of reflections and work of the Specialty group on neurology in migrants of the World Federation of Neurology. The volume provides a synthesis of migrants’ health in relation to the sustainable development goals and the 2030 agenda, and an up-to-date overview on neurological diseases among migrants, refugees and ethnic minorities.The book is composed of both general chapters dealing with the history of migration, the relationship between climate change and migration flows, the migration and neurosciences research and the barriers to migrant’s health. Other chapters deal with the migrants' particularities of the common neurological diseases such as cerebrovascular diseases, epilepsy, dementia, movement disorders, multiple sclerosis, headache, functional and mental disorders. In addition, also neurological manifestation of COVID-19 in ethnic minorities and palliative care in migrants are discussed.Neurology in Migrants and Refugees will be useful to neurologists worldwide who can find appropriate knowledge for diagnosis and treatment when facing migrants with neurological disorders which are sometimes difficult to assess in the absence of clinical experience with the migrant population. It will also be very useful for international organizations, policymakers and non-governmental organizations working in the field of health and migration.This book will certainly find an indispensable place in neurological departments libraries and will constitute a basic textbook for teaching neurology taking into account ethnicity, culture and health inequalities in the care of neurological disorders.Table of Contents​ForewordPrefacePart I. Introductory Testimonies1. The trauma of migration. Considerations from a first-line doctor in Lampedusa2. Migration and PoetryPart II. Historical, Geography, and Health Problems of Migration3. History of Migration4. Migration across History5. History of North African Migration to Europe: the Case of Morocco6. Migration, Environment and Climate Change7. Child Migration and School Achievement8. Barriers to Health for Migrants and Refugees9. Contributions of Migration and Refugees Research to Neurology and Neurosciences10. How can Host Countries Provide Neurological Care to Migrants and Refugees11. Neurological and Mental Health Problems among Refugees from South AsiaPart III. Neurological Disorders in Migrants12. Neuroinfectious Diseases in Migrants and Refugees13. The Devastating Effects of the COVID-19 Pandemic Among Ethnic Minorities, Migrants, and Refugees14. Cerebrovascular Risk Factors in Migrants and Refugees15. Stroke in Migrants16. Multiple Sclerosis in Migrants17. Neuromyelitis Optica Spectrum Disorders in Migrants18. Neurological Manifestations of Behçet Diseases related to Migration and Ethnicity19. Headache in Migrants and Refugees20. Epilepsy in Migrants21. Movement Disorders in Migrants22. Cross-cultural Cognitive Examination in Aging Migrants23. Dementia in Aging Migrants24. Anxiety and Depression in Migrants25. Somatization and Functional Disorders in Migrants and Refugees26. Palliative Care in MigrantsPart IV. Future Developments27. Migrants’ Health, the Sustainable Development Goals and the COVID-19 pandemic

Read more less

Book SynopsisThere is significant academic interest in the field of art and neurological disorders. Considering how artistic expression may be modified by alterations in neural circuits, as well as in our bodies and everyday lives, associated with a range of disorders and diseases is a rich territory from which to understand the workings of our brains, the unique blend of factors leading to human art making, and disease itself. This book will be an exposé of how different neurological disorders may influence and/or relate to the artistic process, with a particular focus on visual art and painting. The book will interrogate the question of different aspects of neurological disorders and associated brain changes that may impact artistic expression (and vice versa) and will include devoted chapters on Parkinson’s disease, Epilepsy, Mood Disorders, Autism, and Schizophrenia. Moreover, we will elaborate on the question from the perspective of the artist themselves, with chapters that highlight the artistic process in the context of lived experience (either directly or indirectly) with disease-mediated brain changes. Finally, engagement in creative acts has been linked to therapeutic benefits in multiple disease processes and neuroplasticity, which is another line of inquiry directly addressed in the book. As a whole, the volume focuses on themes and concepts at the boundary of creativity and neuroscience in such a way as to be relevant to both the medical and broader (artistic) community. Table of ContentsChaptersHistory of Neurological Disorders and creative expression Suggested authors: Andrew Bulloch, University of Calgary (bulloch@ucalgary.ca) Frank Stahnisch, University of Calgary (fwstahni@ucalgary.ca) Dopamine pathways, dopaminergic medications, and creativity Suggested authors: Matthew Pelowski, University of Vienna, (matthew.pelowski@univie.ac.at) Parkinson’s Disease Suggested authors: Anjan Chatterjee, UPenn (anjan@mail.med.upenn.edu) Eugénie Lhommée, Grenoble (elhommee@chu-grenoble.fr) Mood disorders (MDD, Anxiety, BPD) Suggested authors: Natalia Jaworska, Royal Ottawa Hospital (natalia.jaworska@theroyal.ca) Georg Northoff, University of Ottawa (georg.northoff@theroyal.ca) Schizophrenia Suggested authors: Christoph Redies, Jena Germany, (christoph.redies@med.uni-jena.de) Alzheimers & Frontotemporal Dementia Suggested authors: Bruce Miller, UCSF, (Bruce.Miller@ucsf.edu) William Seely, UCSF, (wseeley@memory.ucsf.edu) Stroke Suggested authors: Julien Bogousslavsky, Clinic Valmont Switzerland (jbogousslavsky@cliniquevalmont.ch) Migraine Suggested authors: Liam Durcan, McGill University, (liam.durcan@mcgill.ca) Neurodevelopmental disorders Suggested authors: Michael Shevell, McGill University, (michael.shevell@mcgill.ca) Epilepsy Suggested authors: Steven C. Shacter, Harvard University, (sschact@bidmc.harvard.edu)

Read more less

Book SynopsisThis rigorous survey offers a comprehensive rethinking of the assessment and treatment of sexual offenders for a bold challenge to practitioners. It critiques what we understand about offenders and the mechanisms of offending behaviors, and examines how this knowledge can best be used to reduce offending and relapses. To this end, experts weigh the efficacy of common assessment methods and interventions, the value of prevention programs, and the validity of the DSM’s classifications of paraphilias. This strengths/weaknesses approach gives professional readers a guide to the current state as well as the future of research, practice, and policy affecting this complex and controversial field. Included in the coverage: Strengths of actuarial risk assessment. Risk formulation: the new frontier in risk assessment and management. Dynamic risk factors and offender rehabilitation: a comparison of the Good Lives Model and the Risk-Need-Responsivity Model. The best intentions: flaws in sexually violent predator laws. Desistance from crime: toward an integrated conceptualization for intervention. From a victim/offender duality to a public health perspective. A call to clear thought and accurate action, Treatment of Sex Offenders will generate discussion and interest among forensic psychologists, psychiatrists, clinical psychologists, and social workers. Trade Review“High-profile authors have written 14 chapters covering a wide range of topics, including risk assessment, assessment of disordered sexual arousal, strengths and weaknesses of treatment, and community control. ... Treatment of Sex Offenders is a well-written book … edited by two well-respected figures in the field. ... this appears to be an important contribution to the field and will prove to be quite useful for documenting the current state-of-the-art in assessment and treatment of sexual offenders.” (Anita Schlank, PsycCRITIQUES, Vol. 61 (36), September, 2016)“The intended audience is forensic psychologists, psychiatrists, clinical psychologists, and social workers. The book is written by an international collection of authors from the U.S., the U.K., Canada, Germany, and New Zealand. … This book does a good job of discussing both theoretical and clinical issues. The strengths/weaknesses approach helps clinicians to better understand what works and what does not. It should be in the libraries of professionals and researchers who work with sexual offenders.” (Gary B. Kaniuk, Doody's Book Reviews, August, 2016)Table of Contents​Problems in diagnosis.- Problems in classification: major vs. minor paraphilias.- A brief history of risk assessment.- Strengths of risk assessment.- Weaknesses of risk assessment.- Community control of sex offenders.- Phallometry vs. viewing time.- Polygrtaphy in the treatment of sex offenders.- Shortcomings of sex offender treatment.- Two models: Risk-Need-Responsibility (RNR) vs. Good Lives Model (GLM).- Desistance-focused rehabilitation of sex offenders.- The strengths of sex offender treatment.- Civil commitment of "sexual predators".- Prevention of sex offending: the public health approach.- Early detection: the case for juvenile sex offender treatment.- Summary and conclusions

Read more less

Book SynopsisGilt die "Allgemeine Psychopathologie" als das systematische Grundbuch der neuzeitlichen Psychiatrie, mit dem Jaspers diesen damals jüngsten Zweig der medizinischen Forschung aus einer noch überwiegend klinischen Empirie in den Rang einer eigenständigen wissenschaftlichen Forschungspraxis erhob, so kommt den sie vorbereitenden Arbeiten eine grundlegende methodologische Bedeutung zu. In ihnen entwickelte Jaspers die methodischen Grundzüge seiner wissenschaftlichen wie auch - im Ansatz - seiner späteren philosophischen Denkart. Beide in ihren ersten entscheidenden Schritten verfolgen und beurteilen zu können, gehört zum Verständnis des gesamten Lebenswerkes von Jaspers.Table of ContentsInhaltsübersicht.- Heimweh und Verbrechen.- Vorwort.- Geschichte der Heimwehliteratur.- Französische Heimwehliteratur.- Entwicklung der forensischen Auffassung.- Das nicht zur Entladung in Verbrechen führende Heimweh.- Die Verbrechen aus Heimweh. Geschichtserzählungen und Beurteilung.- Apollonia.- Eva B..- Fall Spitta.- Fall Hettich I.- Juliane Krebs (Richter).- Fall Kaupler.- Magdalene Rüsch.- Fall Hohnbaum.- Rosa B..- J. Philipp (Richter).- M. Belling (Petersen).- Fall Hettich III.- Fall Spitta (aus Henke’s Zeitschrift).- Glorieux (Schrevens).- Fall Zangerl.- Sumpf (Klein’s Annalen).- Marie G..- Fall Hettich II.- Roßwein (Platner).- Dräger (Klein’s Annalen).- Eifersuchtswahn. Ein Beitrag zur Frage:„Entwicklung einer Persönlichkeit“ oder „Prozeß“?.- Die Absicht bei der Veröffentlichung langer Krankengeschichten.- Übersicht über die jetzige Lehre vom Eifersuchtswahn.- I. Fälle von Eifersuchtswahn als „Prozeß“.- Julius Klug.- Max Mohr.- Das Gemeinsame beider Fälle.- Verhältnis zu Kraepelins Paranoia, speziell zum Querulantenwahn.- Die Begriffe „Prozeß“ und „Entwicklung einer Persönlichkeit“.- a) Begriffe von Zusammenhängen, gewonnen durch „Hineinversetzen“ (1. rational, 2. einfühlbar) und durch „Objektivieren“ mit Hilfe eines zugrundeliegend gedachten Vorgangs. „Verstehen“ und „Begreifen“. „Entwicklung“und „Prozeß“.- b) Beziehung des Prozesses auf einen Gehirnvorgang.- c) Schematische Zusammenfassung.- Auffassung der Fälle Klug und Mohr als „psychische Prozesse“.- II. Fälle von Eifersuchtswahn als „Entwicklung einer Persönlichkeit“.- Klara Fischer.- Cyprian Knopf.- Das Gemeinsame beider Fälle.- III. Vergleich mit dem Querulantenwahn.- Verhältnis zur Dementia praecox.- Verhältnis zur „überwertigen Idee“.- Fall überwertiger Idee (Eifersucht) bei Cyclothymie.- Schema der verschiedenen Begriffe der „überwertigen Idee“.- IV. Weitere Fälle von Eifersuditswahn.- Michael Bauer.- Fall Brie 1.- Fall Brie 2.- V. Sinn der „Übergänge“ zwischen „Prozeß“ und „Entwicklung“.- Die Methoden der Intelligenzprüfung und der Begriff der Demenz. Kritisches Referat..- Zwei Reihen von Methoden in der Psychiatrie.- Disposition des Stoffes.- I. Methoden der Intelligenzprüfung.- a) Inventaraufnahme.- b) Fragen zur Beurteilung der Intelligenz im engeren Sinne.- c) Kompliziertere Aufgaben.- 1. Ebbinghaus-Kombinationsmethode.- 2. Assoziationsversuche.- 3. Aussageversuche.- 4. Bildergänzung.- 5. Bilderklärung.- 6. Sprichwörter.- 7. Witze.- 8. Geschichten erzählen.- 9. Wiedergabe von Gedankengängen.- d) Korrelationen.- e) Gesamtschemata.- 1. Ziehen.- 2. Tests für die Untersuchung der Intelligenz der Kinder.- 3. Psychographisches Schema.- f) Kritisches zur Methodik.- Diagnostische Zwecke.- Theoretische Zwecke.- Habitusschilderung und psychologische Begriffe.- II. Begriff der Demenz: Merkmal der Dauer.- Allgemeinste teleogische Definitionen der Demenz (Kraepelin, Redepenning).- Die Seele als Einheit oder partiell gestört.- Psychologische Analyse überhaupt.- Hauptrichtungen der Analyse bei den geläufigen Demenzbegriffen.- a) Mechanismus und Persönlichkeit.- 1. Analyse des Mechanismus.- Vorbedingungen.- Assoziationen.- 2. Analyse der Persönlichkeit.- Triebe.- Ziele, Zwecke, Werte.- b) Empfindungen und Akte.- c) Grade der Demenz.- d) Typen der Demenz. Psychologische und klinische Typen.- Zur Analyse der Trugwahrnehmungen. (Leibhaftigkeit und Realitätsurteil).- Literarische Einleitung: Kandinsky, Störring, Goldstein.- I. Vorläufige Analyse und Gliederung der Fragestellung.- A. Analyse der Wahrnehmung.- B. Die im Anschluß an Wahrnehmungen auftretenden Urteilsvorgänge.- II. Spezielle Untersuchung.- A. Der Objektivitätscharakter (Leibhaftigkeit).- a) Dreifacher Sinn des Unterschieds zwischen Wahrnehmung und Vorstellung.- b) Zwei durch Ubergänge verbundene Unterschiede.- c) Die Frage des übergangslosen Gegensatzes zwischen Leibhaftigkeit und Bildhaftigkeit wird untersucht.- 1. an Empfindungselementen.- 2. an der räumlichen Anschauung.- für den Gesichtsinn.- für den Gehörsinn.- für den Tastsinn.- 3. an den Akten.- d) Die Genese der Leibhaftigkeit.- B. Die Urteilsvorgänge.- a) Aufstellung der Gesichtspunkte für die Analyse.- 1. Die verschiedene Differenziertheit des Realitätsurteils (Wirklichkeitsbewußtsein, unvermitteltes und vermitteltes Realitätsurteil).- 2. Abhängigkeit des Urteils von der Beschaffenheit der Trugwahrnehmungen.- 3. Arten der gemeinten Realität.- 4. Abgrenzung und Abhängigkeit des Realitätsurteils vom psychologischen Urteil.- b) Einzelne Fälle.- Darunter kurze Bemerkungen über: Realitätsurteil und Krankheitseinsicht.- Unterscheidung von Pseudohalluzinationen in unsicheren Fällen 235, 237.- „Erlebnisse“ und Halluzinationen.- Lokalisation der Pseudohalluzinationen 238.- Überwertige Pseudohalluzinationen.- Zwei Arten von Realität.- c) Verwertung und Kritik der Literatur über das Realitätsurteil.- Külpe.- Pick.- Goldstein.- Rose.- Schlußsätze.- Die Trugwahrnehmungen. Kritisches Referat.- Aufgabe und Methode des Referats.- Abgrenzung des Gebiets der Sinnestäuschungen.- Womit Sinnestäuschungen verwechselt werden.- Bewußtseinszustand und Sinnestäuschungen.- Die Einteilung der Sinnestäuschungen.- Die Ergebnisse.- A. Die Erscheinungen.- 1. Wahrnehmungsanomalien bei gleichbleibendem Wahrnehmungsakt 258 Veränderungen der Qualität und Intensität der Empfindungselemente und der Raum- und Zeitanschauung.- Veränderungen der Qualität und Intensität der Empfindungselemente und der Raum- und Zeitanschauung.- 2. Täuschende Wahrnehmungsakte.- a) Illusionen.- Drei Typen von normalen Illusionen.- Pathologische Illusionen.- Pareidolien.- Verwedislung der Illusionen mit intellektuellen Deutungen und mit funktionellen Halluzinationen.- b) Pseudohalluzinationen.- c) Echte Halluzinationen.- Nadibilder, Sinnengedächtnis und phantastische Gesichtserscheinungen bei geistig Gesunden.- Einwände gegen die Unterscheidung der Illusionen, Halluzinationen und Pseudohalluzinationen.- 3. Andere in der Literatur aufgestellte deskriptive Unterscheidungen.- Elementare und komplexe Halluzinationen.- Zwangshalluzinationen.- Negative Halluzinationen.- 4. Trugwahrnehmungen bei getrübtem Bewußtsein.- B. Die Abhängigkeitsbeziehungen.- 1. Von somatischen Bedingungen.- a) Von Erkrankungen peripherer Sinnesorgane.- Vorkommen beim Fehlen pheripherer Sinnesorgane.- b) Von Vorgängen im Sinnhirn.- c) Von äußeren Reizen.- Funktionelle Halluzinationen.- Reflexhalluzinationen.- Experimentell beeinflußte Halluzinationen.- d) Abhängigkeit des Inhalts der Halluzinationen von äußeren Reizen und von Erkrankungen im Sinn- und Sprachapparat.- 2. Von psychischen Bedingungen.- a) Abhängigkeit des Daseins der Trugwahrnehmungen.- Aufmerksamkeit. Willkür. Suggestion.- b) Abhängigkeit des Inhalts der Trugwahrnehmungen.- C. Die einzelnen Gebiete der Trugwahrnehmungen.- 1. Gesichtsinn.- 2. Gehörsinn.- 3. Geschmack und Geruch.- 4. Allgemeiner Sinn.- 5. Lokalisation der Trugwahrnehmungen.- 6. Einseitige Halluzinationen.- 7. Zusammenhänge der Trugwahrnehmungen.- 8. Sprachhalluzinationen.- 9. Besondere Inhalte.- D. Die Definition der Halluzinationen und die Theorien.- 1. Die Definition.- 2. Die Theorien.- E. Exkurse.- 1. Häufigkeit der Trugwahrnehmungen und Vorkommen.- 2. Verhalten der Kranken zu den Trugwahrnehmungen.- 3. Untersuchungsschema.- Die phänomenologische Forschungsrichtung in der Psychopathologie.- Kausale und „verständliche“ Zusammenhänge zwischen Schicksal und Psychose bei der Dementia praecox (Schizophrenie).- I. Methodologische Übersicht.- 1. Äußerer und innerer Sinn.- 2. Das genetische Verstehen.- 3. Verstehende Psychologie und Leistungspsychologie.- 4. Die Evidenz des genetischen Verstehens und die Herkunft derselben.- 5. Evidenz des Verstehens und Wirklichkeit.- 6. Grenzen des Verstehens, Unbeschränktheit des Erklärens.- 7. Arten des kausalen Erklärens in der Psychologie.- 8. Verstehen und Unbewußtes.- 9. Die Aufgaben der verstehenden Psychologie.- 10. Verstehen und Werten.- 11. Die bisherigen Leistungen der verstehenden Psychologie.- Kritik Freuds.- II. Die Lehre von den reaktiven Psychosen.- 1. Verengerung und Erweiterung des Begriffs.- 2. Verbindung kausaler und verständlicher Momente im Begriff.- 3. Reaktionen im Gegensatz zu ausgelösten, spontanen und durch seelische Erschütterungen bloß kausal verursachten Psychosen.- 4. Arten der verständlichen Zusammenhänge.- 5. Einteilung der reaktiven Zustände.- 6. Die „psychischen Ursachen“ in der Geschichte der Psychiatrie.- III. Moritz Klink.- 1. Krankengeschichte.- a) Vorgeschichte.- b) Die erste Psychose.- c) Die zweite Psychose.- d) Selbstschilderung.- 2. Analyse.- a) Phänomenologie.- b) Kausale Zusammenhänge.- c) Verständliche Zusammenhänge.- IV. Dr. Joseph Mendel.- 1. Krankengeschichte.- a) Die Anamnese von den Angehörigen.- b) Objektive Beobachtung in der Klinik während der akuten Psychose.- c) Die Lebensgeschichte, vom Kranken selbst erzählt.- d) Die Zunahme der Einfühlungsfähigkeit in den letzten drei Jahren.- e) Die letzten äußeren Erlebnisse vor der Psychose.- f) Die wahnhaften Erlebnisse nach dem Examensmißerfolg.- g) Die letzten Tage vor der Psychose.- h) Die akute Psychose.- i) Nach der Psychose.- 2. Analyse.- a) Phänomenologie.- Bewußtseinszustand.- Doppelte Orientierung.- Das Gegebensein der Inhalte: Bedeutungswahn, leibhaftige und Wahnbewußtheiten.- Die versagende Katastrophe.- Persönlichkeitsbewußtsein.- Gleichgültigkeitsgefühl.- Zwang.- Motivierte Bewegungen.- Kraftgefühl.- b) Kausale Zusammenhänge.- c) Verständliche Zusammenhänge.- Der Skeptizismus.- Die Wahninhalte.- Die Inhalte der akuten Psychose (Examensmißerfolg, Skeptizismus, die Dame).- Über leibhaftige Bewußtheiten (Bewußtheitstäuschungen), ein psychopathologisches Elementarsymptom.- Nachweise.

Read more less

Book SynopsisThe present volume gives a comprehensive overview on the current state of basic and clinical research on Anxiety and Anxiolytic Drugs. Using newly developed methods and techniques researchers are now beginning to understand the molecular mechanisms of anxiety, anxiety disorders and their treatment. In parallel, new drug targets have been generated and the first clinical studies with new compounds have been started. In 20 chapters written by numerous experts in the field comprehensive information on all relevant topics is provided. Table of ContentsLearning and Memory.- Animal Models of Anxiety.- Genetic Alterations of the Murine Serotonergic Gene Pathway: The Neurodevelopmental Basis of Anxiety.- Mutagenesis and Knockout Models: Hypothalamic- Pituitary- Adrenocortical System.- Mutagenesis and Knockout Models: NK and Substance P.- Genetic Epidemiology of Anxiety Disorders.- Interactions Between Corticotropin-Releasing Hormone and Serotonin: Implications for the Aetiology and Treatment of Anxiety Disorders.- Anxiety Disorders: Noradrenergic Neurotransmission.- Pathophysiology and Pharmacology of GABAA Receptors.- Excitatory Amino Acid Neurotransmission.- Neurobiology and Treatment of Anxiety: Signal Transduction and Neuronal Plasticity.- Neuropeptides in Anxiety Modulation.-Neuroendocrine Aspects of PTSD.- Anxiety Disorders: Clinical Presentation and Epidemiology.- Transcultural Issues.- Challenge Studies in Anxiety Disorders.- Pharmacotherapy of Anxiety.- New Pharmacological Treatment Approaches for Anxiety.- Pharmaco-Genomics.- Pharmaco-Proteomics.

Read more less

Book Synopsis

Read more less

Book SynopsisThe main theme of this book concems the relationship, if any, between and addietion. Are they linked biochemieally? Is there a schizophrenia common factor for all addietions? We need to know whether the chemis­ try of addiction can help clarify the biochemistry of schizophrenia and vice versa. There is much anecdotal evidence that many sufferers from schizophrenia are addieted to smoking, are adversely affected by even small amounts of alcohol and do have their schizophrenie illness wor­ sened by street drugs. We would urge our readers to try to find correla­ tions between some of the findings described here on the biology of schizophrenia and what they read in the up-to-date chapters on addie­ tions. We would like to thank all the authors for the excellence of their work and for their cooperation and understanding of our needs and also, for the second time this year, to thank MTP Press for their willingness to pub­ lish a perhaps somewhat provocative book. We thank them for their humanity.Table of ContentsSection 1: Pathogenesis.- 1 The role of a prostaglandin E1 deficiency in schizophrenia: interactions with dopamine and opiates.- 2 The pathogenesis of schizophrenia.- 3 Opiates, opioid peptides and their possible relevance to schizophrenia.- 4 The possible actions of peptides with opioid activity derived from pepsin hydrolysates of wheat gluten and other constituents of gluten in the function of the central nervous system.- 5 Preliminary studies of the identification of brain peptides in relation to the genesis and expression of schizophrenia.- 6 The role of the dopamine system in schizophrenia.- Section 2: Immunology.- 7 The relevance of immunopathology to research into schizophrenia.- 8 Some connections between immunoglobulins and schizophrenia.- 9 Antibodies to wheat proteins in schizophrenia: relationship or coincidence?.- 10 The effects of hormones on immune responses.- 11 Binding of chlorpromazine and HLA-A1 antibodies to human lymphocyte membranes.- 12 The possible role of a prostaglandin Ea deficiency in the immunological abnormalities seen in schizophrenia.- 13 Immunological reaction of psychotic patients to fractions of gluten.- Section 3: Addiction.- 14 ß-endorphin and endoloxone: messengers of the autonomic nervous system for the conservation or expenditure of bodily resources and energy in anticipation of famine or feast.- 15 The pharmacology of tobacco smoking in relation to schizophrenia.- 16 Alcoholism and schizophrenia: a basic science approach.- 17 Opiate dependence and tolerance: a pharmacological analysis.- Section 4: Puerperal Psychoses.- 18 Puerperal schizophrenia?.- Section 5: Enzymology.- 19 The digestion and absorption of dietary protein.- Section 6: Physiology.- 20 Correlation between behavioural responses and cardiovascular changes and the central nervous mechanisms responsible for them.- Section 7: Morbidity and Mortality.- 21 Schizophrenia and physical disease: a preliminary analysis of data from the Oxford Record Linkage Study.- Section 8: Drug Treatments.- 22 Depot neuroleptics and tardive dyskinesia: prospective study.- 23 Recent developments in the drug treatment of schizophrenia.

Read more less

Book SynopsisCrises are not a feature of depressive illness; but this illness needs to be considered in the diagnoses of three acute emergencies: the agitated patient, the withdrawn patient and the suicidal patient. A. The agitated patient. Restless, anguished, phrenetic and impor­ tunate behaviour. Differential diagnoses include hypomania, acute anxiety and grief, hysteria, drug intoxication, thyrotoxicosis, cerebrovascular accident or cerebral tumour. Agitated depression carries a relatively high risk of suicide. Management usually requires admission and use of adequate doses of antidepressant and neuroleptic drugs, and often ECT. B. The withdrawn patient who avoids social contacts and obligations and is often slowed up in mind and body. Differential diagnoses in­ clude schizophrenia, CVA or tumour, hysteria and semi-coma includ­ ing drug intoxication. Withdrawn and retarded patients with depres­ sive illness are at risk of failing to eat or care for themselves. C. The suicidal patient. May present as unexpected, inexplicable coma; a badly cut patient may be confused by the doctor with acci­ dent or assault. The immediate emergency is medical or surgical: treatment is for coma, bleeding or asphyxia, and requires immediate admission to casualty. The first presentation of depression is always a minor emergency as it may be the only attempt the patient makes to see a doctor. Diagnosis must be positive, based on the recognition of depres­ sive features, not negative, based on the exclusion of other dis­ eases. The cardinal symptoms of depressive illness: 1. Disturbed sleep pattern. 2. Change in appetite for food.Table of Contents1 Deluded Patients.- Delusions of jealousy.- Grandiose delusions.- Hypochondriacal delusions.- Possession of thought.- Delusions of persecution (paranoid delusions).- Delusions of reference.- Delusions of guilt, ruin and poverty.- Diagnosis.- Management.- Need for admission.- Examples.- 2 Suspicious Patients.- The sorting process.- Interviewing the suspicious patient.- Special problems with suspicious patients.- The paranoid personality.- The paranoid reaction.- Paranoid psychoses.- Litigious paranoia.- Paranoid jealousy (Othello syndrome).- Paranoid schizophrenia.- Delusional misidentification.- Paraphrenia.- Intoxications.- Drug induced delirium.- Toxic psychoses.- Primary mood disorder.- Physical illness.- Organic brain disease.- 3 Alcoholic Patients.- Acute problems in family practice.- Alcoholism and mental disorders.- Treatment of alcohol withdrawal.- Early signs of alcohol abuse.- Alcohol dependence syndrome: definition of problem drinking.- Social effects of alcohol abuse.- Physical effects of alcohol abuse.- Management of patients with drinking problems.- Alcohol — the substance and its metabolism.- 4 Hallucinated Patients.- Hallucinations in children.- Hallucinations in young adults.- Hallucinations in middle age.- Hallucinations in the elderly.- Hallucinogens.- Solvent abuse (glue sniffing).- Hallucinations from prescribed drugs.- Alcoholism.- Drug withdrawal.- Epilepsy.- Hysteria.- Manic depression.- Organic states.- Paranoid states.- Puerperal psychosis.- Schizophrenia.- Dementia.- Sensory deprivation.- 5 Depressed Patients.- The agitated patient.- Management.- The withdrawn patient.- Management.- The suicidal patient.- Management.- Presenting symptoms of depression.- Central symptoms of depression.- Peripheral symptoms of depression.- The personality.- 6 Suicide and Parasuicide.- The sorting process.- Diseases which may lead to self-harm.- Affective psychoses.- Schizophrenia.- Neurotic and personality disorders.- Acute reactions to stress.- Organic states.- Withdrawal of amphetamines or cocaine.- Situations of increased risk.- 7 Hysterical Patients.- Hysterical symptoms.- Vulnerability factors.- Types of patient.- Hysterical personality.- Amnesia.- Fugues: diagnostic features.- Multiple personality.- Stupor: diagnostic features.- Fits: diagnostic features and differential diagnosis from epilepsy.- Faints, falls and dizziness.- Motor dysfunction.- Sensory dysfunction.- Gastrointestinal presentations.- Gynaecological or genitourinary presentations.- Cardiorespiratory presentations.- Musculoskeletal presentations.- Dermatological presentations.- Psychiatric presentations.- Management.- Children and hysteria.- 8 Frightened Patients.- Fear occurring in:.- Physical illness.- Terminal illness.- Anxiety disorders.- Phobic disorders:.- Agoraphobia.- Social phobias.- Animal phobias.- Depersonalisation.- Hypochondriasis.- Obsessions.- Post-traumatic stress disorder.- Epilepsy.- Organic disorders.- Acute organic psychiatric syndromes.- Use and abuse of drugs.- 9 The Presentation and Care of the Rape Victim.- Background.- Rape trauma syndrome.- Counselling the rape victim.- Management:.- Medical.- Practical.- Psychological.- 10 Psychiatric Emergencies in Children and Adolescents.- Emotional disorders:.- Hysteria.- Acute phobic reactions.- Sleep and habit disorders.- Attempted suicide.- Wrist slashing.- Conduct disorders:.- School refusal.- Stealing.- Running away.- Illicit drug taking.- Acute psychoses and their managment.- Anorexia nervosa.- Child abuse.- Sexual problems.- Schoolgirl pregnancy.- Post-traumatic stress disorder.- Life-threatening illness and dying children.- 11 Disturbed Adolescents.- Principles of assessment.- Process of assessment.- Specific types of disturbance in adolescence.- Delinquent behaviour.- Violent behaviour.- Runaways.- Oppositional adolescents.- Anxiety and panic.- School refusal.- Depression.- Withdrawn behaviour.- Anorexia nervosa.- Parasuicide.- Psychotic disturbance.- Sexual deviations and problems:.- Exhibitionism.- Transvestitism.- Transsexualism.- Sexual abuse of adolescents.- High-risk families.- 12A The Bereaved Adult.- Anticipation.- Impact.- Normal grief.- Determinants of outcome.- Counselling in early bereavement.- Counselling in later bereavement.- 12B The Bereaved Child.- Preparation and explanation.- Substitute care.- Should children visit a dying parent in hospital?.- Should children go to the funeral?.- Therapeutic intervention.- Other and special bereavements: loss of sibling, grandparents, neighbours, friends, teachers, pets.- Violent death.- Divorce, separation, loss of limb or bodily function.- Services available to the bereaved child and family.- 13 Vulnerable Students.- Emergency presentation.- Acute reactive “unhappiness” or “depression”.- Work panic and examination stress.- Colleague referrals.- Relationship break-up.- The morning after.- The manipulative episode.- The manic episode.- The diabetic.- General matters.- Social.- Emotional.- Medical.- Academic — dynamics of success and failure.- Needs.- Curiosity.- Understanding.- Transfer.- Maturity.- Test out.- Degree.- Grants.- Medical status.- Confidentiality.- Occupational hazards of being a student.- The problem area.- The role of listening in treatment.- 14 Dangerous Patients.- Sorting process.- Violence in the community.- Family violence:.- Morbid jealousy.- Baby battering.- Wife battering.- Granny bashing.- Familial homicide:.- The depressive murderer.- Parents who kill their children.- 15 Demented Patients.- Causes of dementia.- Clinical features.- End results.- Diagnosis.- An abbreviated mental test.- Depression and dementia.- The Diogenes syndrome.- Parkinsonism and dementia.- Management:.- Specific and symptomatic.- Prognosis.- 16 Problems Arising after Therapeutic Abortion.- Common presenting symptoms.- Timing of presentation.- Approach to the interview.- Factors causing symptoms.- Overt reasons for the unwanted pregnancy.- Covert reasons for the unwanted pregnancy.- Categories of patients.- Counselling.- Repeated abortion.- 17 Puerperal Emergencies.- Acute mental illness in the mother.- Puerperal psychosis.- Puerperal and post-natal depression.- Threats to the safety of the newborn.- Incompetent mothering.- Irritable mothers.- Delayed maternal attachment.- Rejection of the baby.- Obsession of infanticide.- Child abuse.- Infanticide.- 18 Emergencies Arising from the Non-Medical Consumption of Drugs.- Definitions.- Types of emergency.- Classification by pharmacological action.- Classification by style of use.- Overdoses and their management:.- Opioids.- Sedative/tranquilliser drugs.- Volatile inhalants.- Stimulants.- Psychedelic drugs.- Acute adverse reactions and their management:.- Opioids.- Sedative/tranquilliser drugs.- Psychedelic drugs.- Stimulants.- Drug withdrawal emergencies and their management:.- Sedative/tranquilliser drugs.- Opiates.- Stimulants.- Complications of drug misuse:.- Syringe transmitted infections.- Local infection trauma.- Pregnancy and drug addiction:.- Management.- Counselling on drug problems.- 19 Excited Patients.- The sorting process.- New excitement.- Recurrent excitement.- Assessment.- Management:.- Psychological.- Pharmacological.- Forensic considerations.- 20 Confused Patients.- The distinction between delirium and uncomplicated dementia.- Symptoms and signs of delirium.- The causes of delirium.- Delirium in children and adults.- Delirium in the elderly.- Mental Status Testing.- Other causes of “confusion”.- Investigations.- Management.- 21 Moody Patients.- The sorting process.- Lifelong moodiness:.- Diurnal variation.- Hysterical personality.- Psychopathic personality.- Cyclothymic personality.- Recent moodiness.- Psychiatric illness:.- Depressive illness.- Mania.- Schizophrenia.- Physical illness:.- Cerebral lesions.- Endocrine disorders.- Hormones.- Drugs.- Life rhythms.

Read more less

a huge range and FREE tracked UK delivery on ALL orders.

Read more less

Book SynopsisThis book deals with one aspect of the modern, proof, and the deductions to which they give rise, and scientific study of intelligence, namely its measurement. the social aspect, which is concerned with the "good" or The term, measurement, has difficulties attached to it "evil" consequences which follow from the scientific which rival those attached to the term, intelligence; discovery or invention. Thus IQ testing would appear to many psychologists have little idea of what the word many people to give rise to desirable and "good" conse­ means, and what are the requirements which must be quences when it enables us to pick out bright "dis­ fulfilled in order to enable "measurement" to take advantaged" children for higher educational and place. Krantz, Luce, Suppes and Tversky (1971) have university training who would otherwise not have been tried to provide us with an introduction to the "Founda­ educated up to the level of their ability. On the other tions of Measurement"; these two volumes outline the hand, IQ testing would appear to many people to give background against which attempts to measure intelli­ rise to undesirable and "bad" consequences when it gence must be evaluated. * No short excerpt or set of enables trade unions to exclude coloured workers by the readings could suffice to bring home to the "innum­ imposition of unrealistic and irrelevant intellectual erate" reader the implications of scientific measurement, requirements for membership.Table of ContentsI History and Definition of the Concept.- The Evidence for the Concept of Intelligence.- On Defining Intelligence.- II Measurement and the Problem of Units.- The Absolute Zero in Intelligence Testing.- Is Intelligence Distributed Normally?.- III Development and Constancy of the IQ.- The Effect of the Interval between Test and Retest on the Constancy of the IQ.- The Limitations of Infant and Preschool Tests in the Measurement of Intelligence.- Intellectual Status and Intellectual Growth.- IV Types of Intelligence.- Primary Mental Abilities.- Organization of Abilities and the Development of Intelligence.- A Culture-Free Intelligence Test.- Ability Factors and Environmental Influences.- Personality and Measurement of Intelligence.- V Analysis of IQ Performance.- Intelligence Assessment: a Theoretical and Experimental Approach.- Intellectual Abilities and Problem-Solving Behaviour.- The Speed and Accuracy Characteristics of Neurotics.- Individual Differences in Speed, Accuracy, and Persistence: a Mathematical Model for Problem Solving.- VI Heredity and Environment: I. Twin and Familial Studies.- Genetics and Intelligence: a Review.- Twins: Early Mental Development.- IQs of Identical Twins Reared Apart.- VII Heredity and Environment: II. Foster and Orphanage Children.- A Critical Examination of the University of Iowa Studies of Environmental Influences upon the IQ.- The Relative Influence of Nature and Nurture upon Mental Development: a Comparative Study of Foster Parent-Foster Child Resemblance and True Parent-True Child Resemblance.- VIII Intelligence and Social Class.- Intelligence and Social Mobility.- Achievement and Social Mobility: Relationships among IQ Score, Education, and Occupation in Two Generations.- Differential Fertility and Intelligence: Current Status of the Problem.- Does Intelligence cause Achievement? A Cross-Legged Panel Analysis.- Ability and Income.- IX The Biological Basis of Intelligence.- Evoked Cortical Potentials and Measurement of Human Abilities.- Effects of Glutamic Acid on the Learning Ability of Bright and Dull Rats.- Effects of Heredity and Environment on Brain Chemistry, Brain Anatomy and Learning Ability in the Rat.- X The Paradigm and Its Critics.

Read more less

Book SynopsisFor years lip service has been paid to a belief in a biological basis for schizophrenia, but ,nevertheless psychosocial and psychodynamic "theories" of schizophrenia have been promulgated, and these have detracted from the all important biological work, Eclecticism has ruled the day and has caused considerable confusion, As a result research in schizophrenia has not progressed as fast as it should have done and treatment has been less effective than it could otherwise have been. This book is devoted to a wholly biological approach to the problem of schizophrenia, in the hope that many more workers will enter this exciting field of research. A wide variety of topics is covered, including brain structure; the genetics, pathogenesis and treatment of schizophrenia; a consideration of dietary and immunological factors and finally a chapter on alcoholism as it seems possible that the problems of schizophrenia and addiction are linked. We are grateful to all our contributors and to MTP Press for their enthusiasm for this book. Gwynneth P Hemmings William A Hemmings XI SECTION 1: Structure 1 The brain stem reticular formation K. E. WEBSTER There can be no question that the brain stem reticular lormation no longer exercises the same fascination for neurologists that it did a quarter of a century ago.Table of ContentsSection 1: Structure.- 1 The brain stem reticular formation.- Section 2: Genetics.- 2 Clinical and biochemical manifestations of acute intermittent porphyria: a working model for schizophrenia as an inborn error of metabolism.- Section 3: Pathogenesis.- 3 Psychoses from digestive origins.- 4 The amino hepato-entero-toxic theory of schizophrenia: an historical evaluation.- 5 Clues to the causation of schizophrenia.- 6 An evaluation of the dopamine hypothesis of schizophrenia.- 7 The dopamine hypothesis revisited.- 8 Tryptophan and serotonin in schizophrenia: a clue to biochemical defects?.- 9 Neurochemical findings in the post-mortem schizophrenic brain.- 10 The pineal gland: its possible significance in schizophrenia.- Section 4: Treatment.- 11 Rational drug treatment in schizophrenia.- 12 Investigations into serum folate and B12 concentrations in psychiatric in-patients with particular reference to schizophrenia.- 13 Propranolol and schizophrenia: objective evidence of efficacy.- Section 5: Dietary Factors.- 14 The effect of diet on brain neurotransmitters.- 15 Schizophrenia: Are some food-derived polypeptides pathogenic? Coeliac disease as a model.- 16 Some insights into the pathogenesis of schizophrenia.- 17 Nutrition and schizophrenia: implications and problems.- 18 The cytotoxic properties of wheat proteins.- 19 5-Hydroxytryptamine metabolism in coeliac disease.- 20 A preliminary investigation of dietary constituents and amphetamine-induced abnormal behaviour.- Section 6: Immunological Factors.- 21 Immunobiological approaches to the study of gut function.- 22 Nutrition and immunity: possible new approaches to research in schizophrenia.- 23 The absorption of large breakdown products of dietary proteins into the body tissues including brain.- 24 Antibodies to gliadin in serum of normals, coeliac patients and schizophrenics.- Section 7: Alcoholism.- 25 Screening tests for alcoholism.

Read more less

Book SynopsisNeurologic illness represents a major portion of clinical medicine and challenges the diagnostic and therapeutic acumen of all physicians. It is the purpose of this series to familiarize our colleagues with common clinical disorders and to emphasize not only examination techniques but also to discuss therapeutic and investigative implications. Pitfalls will also be emphasized. In this way, we hope to create a practical set of volumes that will stimulate the reader to "use" these books routinely rather than to set them on the shelf as a reference text. In the past few years, there has been a revolution in the field of neurology with the development of new techniques for brain imaging and further understanding of the role of neurotransmitters. We hope to meet the needs of our colleagues by this practical clinical series. MICHAEL I. WEINTRAUB, M.D. April,1983 ACKNOWLEDGMENTS Hysterical conversion reactions (HCR) are among the most common clinical states confronting the physician. Despite the ubiquity of this condition there has been a virtual absence of a standard text on the subject. For over twelve years I have reflected on this topic and have felt the need for a book that would instruct my medical colleagues to deal accurately and effectively with this problem. I was fortunate to work with Dr. Bernard H. Smith who introduced me to the wide spectrum of HCR. Drs. Gilbert H.Table of Contents1 Historical Background.- Antiquity.- Pre-Modern.- Modern.- 2 Definition of Terms.- Hysteria.- Malingering.- Munchausen’s Syndrome.- 3 The Hysterical Personality.- La Belle Indifference.- 4 Incidence of Hysterical Conversion Reactions.- General Prevalence.- Cultural Aspects.- Epidemic Hysteria.- 5 Criteria for Diagnosis on Physical Examination.- 6 Adult Conversion Reactions.- Sensory Disturbances.- Motor Disturbances.- Gait Disorders.- Cranial Nerve Disturbances.- Speech Disorders.- Swallowing Disturbances.- Alterations of Consciousness-Psychogenic Seizures.- Fugue States and Amnesia.- 7 Childhood Conversion Reactions.- Incidence.- Sensory Disturbances.- Motor Disturbances.- Cranial Nerve Disturbances.- Hysterical Coma.- Pseudoseizures.- Dissociative/Depersonalization Reactions.- Therapeutic Comments.- 8 Psychodynamics.- 9 Management.- 10 Conclusions.- References.- Appendix: Tests.

Read more less

Book SynopsisI have spent the best part of the last quarter of a century working on the con­ sultation service at the Massachusetts General Hospital. Much of my satisfaction has stemmed from working with nonpsychiatric physicians, especially in having them come to realize the value of psychological methods in the treatment of their patients. It has always been my belief that learning to understand the patient's mental life was as much a part of medicine as the taking of vital signs. To treat adequately, certainly to treat well, a physician must know something of his patient's thought processes. Teaching others the value of this knowledge is the first step in educating them to seek ways of learning it themselves. Rarely can this be done in the lecture hall. One can best pique curiosity by demon­ strating worth, and that is done at the bedside or in whatever setting the con­ sultation is carried out. Every consultation then carries an implicit imperative to attest its value. It can be covert teaching at its best. I have found the practice of consultation psychiatry satisfying and compelling enough to want to remain in it for at least another quarter of a century .Table of Contents1. The Temperament and Preparation of the Consultant.- The Consultant, the Family, and Divorce.- 2. The Psychiatrist as a Consultant in Divorce and Custody.- 3. The Child Psychiatrist in Consultation within the Legal System.- 4. Family Assessment.- 5. Consultation for Adolescents.- The Consultant in the Clinical Setting.- 6. Child Psychiatry Consultation in a Pediatric Ward.- 7. Consultation with Highly Stressed Mental Health Professionals—The “Anchor Worker”.- 8. Consulting to a Rural Guidance Clinic.- 9. Consultation in Outpatient Settings.- The Consultant and the Educational System.- 10. Teachers and Classrooms.- 11. Administration and the Therapist: Consultation Conflicts and Alliances in the College Community.- 12. Consulting at Boarding Schools.- 13. Consultation: Two Worlds in a Factory Town.- 14. Staff Consultation in a Public School System.- Special Perspectives.- 15. The Pediatric Perspective.- 16. The Ghetto Child.- 17. Consultation in Disasters-Refugees.- Special Problems.- 18. Consultation and Mental Retardation.- 19. Child Psychiatry Consultation: Psychiatric Emergencies in Children and Adolescents.- 20. Depressed Children.- 21. Child Psychiatric Consultation Concerning Childhood Psychosis.- 22. Child Abuse: Role of the Child Psychiatrist in Abuse and Neglect.- 23. The Treatment of Cult Victims.

Read more less