The Clinic and the Context


Book Description

This book comprises a collection of the distinguished psychoanalyst Elisabeth Young-Bruehl 's papers ranging from 'Psychoanalysis and Social Democracy', 'Civilization and its Dream of Contentment', 'Reflections on Women and Psychoanalysis' and 'Psychobiography and Character Study'.




The Birth of the Clinic


Book Description

Foucault's classic study of the history of medicine.




Psychoanalysis, Clinic and Context


Book Description

Psychoanalysis is a strange and mysterious practice. In his new book, Ian Parker offers insights into his own experiences, first as trainee then as analyst, the common assumptions about psychoanalysis which can be so misleading, as well as a map of the key debates in the field today. Beginning with his own history, at first avoiding psychoanalysis before training as a Lacanian, Parker moves on to explore the wider historical development of clinical practice, making an argument for the importance of language, culture and history in this process. The book offers commentary on the key schools of thought, and how they manifest in the practice of psychoanalysis in different regions around the world. Psychoanalysis, Clinic and Context will be of great value to practitioners and social theorists who want to know how psychoanalytic ideas play out in training and the clinic, for trainees and students of psychoanalysis or psychoanalytic psychotherapy, and for the general reader who wants to know what psychoanalysis is and how it works.




Making Room in the Clinic


Book Description

In Making Room in the Clinic, Julie Fairman examines the context in which the nurse practitioner movement emerged, how large political and social movements influenced it, and how it contributed to the changing definition of medical care. Drawing on primary source material, including interviews with key figures in the movement, Fairman describes how this evolution helped create an influential foundation for health policies that emerged at the end of the twentieth century, including health maintenance organizations, a renewed interest in health awareness and disease prevention, and consumer-based services.




Listening for What Matters


Book Description

"Our fascination with the topic of contextualizing care began about twenty years ago when the evidence-based medicine movement had taken hold. We noticed that although medical residents were skilled at identifying the latest studies and guidelines, their care plans often didn't seem appropriate once one considered the life challenges some of their patients were facing. We'd see, for instance, a patient with poorly controlled asthma put on a higher dose of a medication they weren't taking, rather than a cheaper generic, when the context was that they couldn't afford it. We coined the terms "contextual error" to describe these kinds of mistakes and "contextualized care" when patients' care plans are adapted to their life circumstances"--




Patients and Healers in the Context of Culture


Book Description

From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1980. From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered




Evidence-Based Healthcare in Context


Book Description

With new methods of treatment standardisation resulting in various benefits for patient outcomes, evidence-based medicine and evidence-based practice have emerged as defining features of western healthcare provision in recent years. Most health professions are now adopting some form of 'evidence-based' framework for clinical training and practice. However, the rise of evidence-based healthcare has drawn sustained criticism regarding the limits of trial based evidence, the reductive character of epidemiological study designs, and the potential for an erosion of the importance of lay perspectives and clinical judgement. Evidence-Based Healthcare in Context introduces readers to the social, cultural and historical underpinnings of 'evidence' in healthcare, critically examining questions about what constitutes ’evidence’ and ’effectiveness’ from perspectives outside medicine, including those of patients, complementary medicine and midwifery. It focuses on the application of contemporary theoretical debates around the nature of medical and health knowledge, providing readers with a series of critical analyses of the production, application and translation of 'evidence' in a range of healthcare contexts. Featuring cutting edge work from leading social scientists in the UK, US, Canada, Norway, Australia and New Zealand, this volume draws on the latest empirical research to provide a thorough critical overview of this important field of health research.




Melanie Klein


Book Description

Melanie Klein remains one of the most important and influential figures in psychoanalysis. Klein pioneered the analysis of children and applied her insights on the infantile origins of unconscious drives to adult analysis.Meira Likierman's study is the best available introduction to Melanie Klein's thought and work.




Freud's Free Clinics


Book Description

Today many view Sigmund Freud as an elitist whose psychoanalytic treatment was reserved for the intellectually and financially advantaged. However, in this new work Elizabeth Ann Danto presents a strikingly different picture of Freud and the early psychoanalytic movement. Danto recovers the neglected history of Freud and other analysts' intense social activism and their commitment to treating the poor and working classes. Danto's narrative begins in the years following the end of World War I and the fall of the Habsburg Empire. Joining with the social democratic and artistic movements that were sweeping across Central and Western Europe, analysts such as Freud, Wilhelm Reich, Erik Erikson, Karen Horney, Erich Fromm, and Helene Deutsch envisioned a new role for psychoanalysis. These psychoanalysts saw themselves as brokers of social change and viewed psychoanalysis as a challenge to conventional political and social traditions. Between 1920 and 1938 and in ten different cities, they created outpatient centers that provided free mental health care. They believed that psychoanalysis would share in the transformation of civil society and that these new outpatient centers would help restore people to their inherently good and productive selves. Drawing on oral histories and new archival material, Danto offers vivid portraits of the movement's central figures and their beliefs. She explores the successes, failures, and challenges faced by free institutes such as the Berlin Poliklinik, the Vienna Ambulatorium, and Alfred Adler's child-guidance clinics. She also describes the efforts of Wilhelm Reich's Sex-Pol, a fusion of psychoanalysis and left-wing politics, which provided free counseling and sex education and aimed to end public repression of private sexuality. In addition to situating the efforts of psychoanalysts in the political and cultural contexts of Weimar Germany and Red Vienna, Danto also discusses the important treatments and methods developed during this period, including child analysis, short-term therapy, crisis intervention, task-centered treatment, active therapy, and clinical case presentations. Her work illuminates the importance of the social environment and the idea of community to the theory and practice of psychoanalysis.




Illness in Context


Book Description

This book is a contribution to humanistic studies of illness. Medical humanities are by nature cross-disciplinary, and in recent years studies in this field have been recognized as a platform for dialogue between the “two cultures” of the natural sciences and the humanities. Illness in Context is a result of an encounter of several disciplines, including medicine, history and literature. The main stress is on the literary perspectives of the interdisciplinary collaboration. The reading practices highlighting the clinical, phenomenological and archeological approaches to illness take as their point of departure the living text, that is, the literary experience mediated and created by the text. Literature is seen not solely as a medium for the representation of experiences of illness, but also as a historical praxis involved in the forging of our common understanding of illness. In contrast to traditional literary analysis – primarily oriented toward the interpretation of the literary work’s meaning – the project will emphasize description and understanding of how literature itself performs as a means of interpretation of reality. The target group for this book comprises professionals in the various disciplines, and students of health and culture. The ambition is to contribute to teaching in humanistic illness research, and function as a topical resource book that formulates controversial problems in the crucial meeting of medicine and the humanities.