The Madness of Fear


Book Description

This is the first-ever history of catatonia, a singular psychiatric illness featuring often bizarre disorders of mind and movement together with fearfulness and anxiety. Unlike most other psychiatric illnesses, it is eminently treatable, the symptoms vanishing as rapidly as they have come. For many years it was considered incorrectly as a "subtype" of schizophrenia.




The Madness of Fear


Book Description

What are the real disease entities in psychiatry? This is a question that has bedeviled the study of the mind for more than a century yet it is low on the research agenda of psychiatry. Basic science issues such as neuroimaging, neurochemistry, and genetics carry the day instead. There is nothing wrong with basic science research, but before studying the role of brain circuits or cerebral chemistry, shouldn't we be able to specify how the various diseases present clinically? Catatonia is a human behavioral syndrome that for almost a century was buried in the poorly designated psychiatric concept of schizophrenia. Its symptoms are well-know, and some of them are serious. Catatonic patients may die as their temperatures accelerate; they become dehydrated because they refuse to drink; they risk inanition because they refuse to eat or move. Autistic children with catatonia may hit themselves repeatedly in the head. We don't really know what catatonia is, in the sense that we know what pneumonia is. But we can identify it, and it is eminently treatable. Clinicians can make these patients better on a reliable basis. There are few other disease entities in psychiatry of which this is true. So why has there been so little psychiatric interest in catatonia? Why is it simply not on the radar of most clinicians? Catatonia actually occurs in a number of other medical illnesses as well, but it is certainly not on the radar of most internists or emergency physicians. In The Madness of Fear, Drs. Shorter and Fink seek to understand why this "vast field of ignorance" exists. In the history of catatonia, they see a remarkable story about how medicine flounders, and then seems to find its way. And it may help doctors, and the public, to recognize catatonia as one of the core illnesses in psychiatry.







Fear of Madness


Book Description

Is it a moment of madness? I wondered, as my new young friend flung pages of her writing down the well, even though I could not read them. She must be going mad, I feared, to profess to me the almost nightly visits of the horrifying Old Hag she swears steals into our bedroom in the witching hour to try and steal her soul. Is madness contagious? Adelia Noble, age 6, finds herself at her Aunt and Uncle's farm on the outskirts of rural Peru, New York in the days before the Battle of Plattsburgh, having left Vermont due to the outbreak of consumption that has killed her parents. Lonely and homesick, she is curious to meet the odd and outspoken Lucretia Davidson, also 6 years old and the daughter of family friends, who has come to the farm to escape the impending battle. Lucretia is a precocious and brilliant child and the two girls form a fast friendship, due mostly to Lucretia's insistence that it is to be so. Due to strained family dynamics, Adelia is allowed to return to Plattsburgh with the Davidson family after the battle ends, as an adopted daughter of sorts. She is quick to realize that Lucretia's vivid imagination and thirst for knowledge is a battle in itself as the child bucks the societal constraints of the early 1800s. Although encouraged by her parents to write, they also, by turns, punish Lucretia by forbidding her to do so, setting off rages that frighten everyone in their intensity. Adelia is fascinated by Lucretia's unquenchable thirst for knowledge and her way of looking at the world, but she is also terrified when her new friend confides in her that an old hag comes to visit her in the night, staring into her face and putting all of her weight on her in an attempt to steal her soul. Adelia is thrust into the role of constant companion to Lucretia, and is immediately suspicious of Moss Kent, the congressman who takes an interest in Lucretia when the girls are twelve years old, and fights to become her benefactor. Ignoring Lucretia's poor health, Moss Kent encourages both girls to attend the Troy Female Seminary, chartered by Emma Willard. Her feelings of obligation and love for Lucretia win out, and Adelia accompanies her to Troy in 1824, where she is forced to watch Lucretia deteriorate as her demons and her health wreak havoc with her paralyzing self-doubt, making way for the Old Hag to resume her nightly visits..










The Great Modern English Stories


Book Description




Mind Over Madness


Book Description

What is madness? A state of mind? A fractured soul? Jean knows all too well. She and her family endure a madness of epic proportions. A curse brought on by fear. A curse of the heart and the mind. Some say Jean is crazy. Others say she is a light in the darkness. And othersA[a¬A] well, others are afraid to even speak her name. Locked down against her will in a mental institution, enduring cruel experimental treatments, Jean is forced to relive her hellish nightmare, over and over, day after day, finally reaching her breaking point. In her fragile mind it seems there is only one optionA[a¬A] freedom at any cost. Freedom from her very own captivityA[a¬A]




All We Have to Fear


Book Description

Thirty years ago, it was estimated that less than five percent of the population had an anxiety disorder. Today, some estimates are over fifty percent, a tenfold increase. Is this dramatic rise evidence of a real medical epidemic?In All We Have to Fear, Allan Horwitz and Jerome Wakefield argue that psychiatry itself has largely generated this "epidemic" by inflating many natural fears into psychiatric disorders, leading to the over-diagnosis of anxiety disorders and the over-prescription of anxiety-reducing drugs. American psychiatry currently identifies disordered anxiety as irrational anxiety disproportionate to a real threat. Horwitz and Wakefield argue, to the contrary, that it can be a perfectly normal part of our nature to fear things that are not at all dangerous--from heights to negative judgments by others to scenes that remind us of past threats (as in some forms of PTSD). Indeed, this book argues strongly against the tendency to call any distressing condition a "mental disorder." To counter this trend, the authors provide an innovative and nuanced way to distinguish between anxiety conditions that are psychiatric disorders and likely require medical treatment and those that are not--the latter including anxieties that seem irrational but are the natural products of evolution. The authors show that many commonly diagnosed "irrational" fears--such as a fear of snakes, strangers, or social evaluation--have evolved over time in response to situations that posed serious risks to humans in the past, but are no longer dangerous today.Drawing on a wide range of disciplines including psychiatry, evolutionary psychology, sociology, anthropology, and history, the book illuminates the nature of anxiety in America, making a major contribution to our understanding of mental health.




Pure Madness


Book Description

Public alarm for random attacks by mentally ill people is at an all-time high. The brutal killing of Jill Dando, the TV personality, and the assault on George Harrison, the former Beatle, are among the cases which have undermined confidence in the mental health service. Community care is widely seen as a failed policy that has left too many people walking the streets, posing a risk to themselves and a threat to others. The Government has responded with a programme of change billed as the biggest reform in forty years, but will it achieve the 'safe, sound, supportive' service as promised? For Pure Madness, Jeremy Laurance travelled across the country observing the care provided to mentally ill people in Britain today. Based on interviews, visits and case histories, his book reveals a service driven by fear.