American Psychiatry After World War II (1944-1994)


Book Description

The history of psychiatry is complex, reflecting diverse origins in mythology, cult beliefs, astrology, early medicine, law religion, philosophy, and politics. This complexity has generated considerable debate and an increasing outflow of historical scholarship, ranging from the enthusiastic meliorism of pre-World War II histories, to the iconoclastic revisionism of the 1960s, to more focused studies, such as the history of asylums and the validity and efficacy of Freudian theory. This volume, intended as a successor to the centennial history of American psychiatry published by the American Psychiatric Association in 1944, summarizes the significant events and processes of the half-century following World War II. Most of this history is written by clinicians who were central figures in it. In broad terms, the history of psychiatry after the war can be viewed as the story of a cycling sequence, shifting from a predominantly biological to a psychodynamic perspective and back again -- all presumably en route to an ultimate view that is truly integrated -- and interacting all the while with public perceptions, expectations, exasperations, and disappointments. In six sections, Drs. Roy Menninger and John Nemiah and their colleagues cover both the continuities and the dramatic changes of this period. The first four sections of the book are roughly chronological. The first section focuses on the war and its impact on psychiatry; the second reviews postwar growth of the field (psychoanalysis and psychotherapy, psychiatric education, and psychosomatic medicine); the third recounts the rise of scientific empiricism (biological psychiatry and nosology); and the fourth discusses public attitudes and perceptions of public mental health policy, deinstitutionalization, antipsychiatry, the consumer movement, and managed care. The fifth section examines the development of specialization and differentiation, exemplified by child and adolescent psychiatry, geriatric psychiatry, addiction psychiatry, and forensic psychiatry. The concluding section examines ethics, and women and minorities in psychiatry. Anyone interested in psychiatry will find this book a fascinating read.




Chemotherapy in Psychiatry


Book Description

Use of psychotropic drugs has come to dominate clinical practice in psychiatry worldwide—perhaps owing largely to perceived simplicity, ease of use, and apparent efficiency, as well as apparent cost-effectiveness of such treatments. Nevertheless, medicinal treatments for patients with psychiatric disorders are but one component of comprehensive clinical care of complex human problems. Extensively updated since its second edition in 1985, Chemotherapy in Psychiatry, Third Edition, again addresses basic aspects of modern psychopharmacology and clinical applications of drugs used in the treatment of major psychiatric disorders, with major emphasis on psychotic, bipolar, and depressive disorders. The presentation covers descriptions of the main classes of psychotropic drugs, selected information concerning their known action mechanisms and metabolic disposition, and their clinical applications for acute illnesses and to prevent recurrences and long-term morbidity. Also covered are limitations and adverse effects of each type of agent, with emphasis on the fact that all psychotropic medicines have adverse effects that range from annoying to potentially lethal. Chemotherapy in Psychiatry, Third Edition, outlines the need to balance benefits and risks at the level of individual persons. Authoritative, and an important contribution to the literature, Chemotherapy in Psychiatry, Third Edition is an invaluable resource for physicians, scientists, trainees, and policymakers.




Global Psychosomatic Medicine and Consultation-Liaison Psychiatry


Book Description

This authoritative reference surveys mind-body healing concepts and psychosomatic medicine in diverse countries and regions of the world. It provides practical insights on the Western division between medical and mental healing and useful information concerning recent efforts to bridge that enduring divide, particularly in the use of ancient and indigenous healing knowledge in psychosomatic practice. Coverage compares and contrasts current applications of psychosomatic medicine and/or consultation-liaison psychiatry as conducted in such representative countries as France, Britain, China, India, Argentina, Canada, and the United States. And the book predicts how this synthesis of traditions and advances will progress as it: Traces the history and development of psychosomatic medicine. Reviews contributions of traditional healing methods to psychosomatic medicine. Analyzes national styles of psychosomatic medicine as practiced in specific countries. Compares the status of psychosomatic medicine / consultation-liaison psychiatry in various countries. Considers the future of psychosomatic medicine as the field, and the world, evolves. Global Psychosomatic Medicine and Consultation-Liaison Psychiatry expands the knowledge base for psychiatrists, primary care physicians, psychiatric and primary care residents, medical students, behavioral medicine specialists, and others who are interested global and regional perspective on providing biopsychosocial care. It is also relevant for advanced students in health psychology and behavioral medicine, and for professionals in related health fields.




Neurological and Psychiatric Disorders


Book Description

A comprehensive, systematic, and advanced review of the scientific, preclinical, and clinical aspects of several major mental illnesses. The illnesses covered range from neurological disorders including Alzheimer's disease, Huntington's disease, and Parkinson's disease, to psychiatric disorders including schizophrenia, autism spectrum disorders, Tourette's syndrome and tic disorders, obsessive-compulsive disorder, unipolar depression, bipolar disorder, and attention deficit hyperactivity disorder. For each disorder, the authors uniformly discuss its incidence and prevalence, etiology, molecular targets and mechanisms of action, brain structures and pathways, animal models, signs and symptoms, genetics, treatments, and related medical terminology.




Manual of Inpatient Psychiatry


Book Description

Inpatient units treat some of the most difficult psychiatric patients. This compact clinical manual is convenient for use on the ward and serves as a standard guide for treatment, addressing the common questions and issues that clinicians face in day-to-day psychiatric work with this challenging patient group. Chapters are organised around the diagnoses found on inpatient psychiatric units, with additional chapters addressing documentation and the care of young adult inpatients. Charts, tables and clinical hints amplify the text, allowing practising clinicians to find the information they need quickly and easily, and enabling students to master the field for board and end-of-clerkship exams. This practical manual is essential reading for practising psychiatrists, psychiatric residents and all psychiatric educators, as well as serving as an accessible reference for physicians in other specialties who consult on the psychiatric ward, psychiatric nurses and medical students.




Family-Based Treatment in Child and Adolescent Psychiatry, An Issue of Child and Adolescent Psychiatric Clinics of North America


Book Description

This publication in Child & Adolescent Psychiatric Clinics is led by two renown psychiatric physicians specializing in family based treatments for children and adolescents: Dr. Michell Rickerby and Dr. Thomas Roesler. The audience for this clinically focused resource includes Child & Adolescent Psychiatrists; any professional doing treatments involving families: Primary Care doctors, Mental Health Nurse Practitioners, Social Workers, and Psychology Counselors. Features include Clinical Case Vignettes and Evidence based summaries.Topics include: In the section covering "The Big Picture" - Historical Overview of Family Interventions in Child Psychiatry;. Family Focused Evaluation and Intervention in Child Psychiatry ; Overview of the Evidence Base for Family Interventions in Child Psychiatry; and Family Based Integrated Care in Child Psychiatry- Training and Implementation. In the section focusing on Illness-Specific Family-Based Interventions are topics on: Family Based Treatment of Obsessive Compulsive Disorder; Family Based Intervention for Early Childhood Disorders; Family Based Interventions for Childhood Trauma; Family-Based Treatment of Eating Disorders; Family Beliefas and Interventions in Pediatric Pain Management; Multisystemic Treatment for Externalizing Disorders; Fa ily Interventions for Mood and Psychotic Disorders; and Family Intervention in Adolescent Substance Abuse. Finally there is discussion of Network Interventions in Pervasive Developmental Disorders.




Invisible Scars


Book Description

The Korean War (1950-53) was a ferocious and brutal conflict that produced over four million casualties in the span of three short years. Despite this, it remains relatively absent from most accounts of mental health and war trauma. Invisible Scars provides the first extended exploration of Commonwealth Division psychiatry during the Korean War and examines the psychiatric-care systems in place for the thousands of soldiers who fought in that conflict. Fitzpatrick demonstrates that although Commonwealth forces were generally successful in returning psychologically traumatized servicemen to duty and fostering good morale, they failed to compensate or support in a meaningful way veterans returning to civilian life. This book offers an intimate look into the history of psychological trauma. In addition, it engages with current disability, pensions, and compensation issues that remain hotly contested and reflects on the power of commemoration in the healing process.




Changing American Psychiatry


Book Description

Psychiatrists, psychoanalysts, other mental health workers, behavioral scientists, and university medical and neuroscience professionals will benefit from this articulate insider's view of post-World War II psychiatry in Changing American Psychiatry: A Personal Perspective by Melvin Sabshin, M.D. Dr. Sabshin served as Medical Director of the American Psychiatric Association (APA) for 23 years, from 1974 to 1997, during a period of perhaps the greatest change in psychiatry since the World War II produced a dramatic modification of practice. The author describes in detail two extraordinary periods of change, the first stimulated by laudatory efforts to understand the high rate of psychiatric casualties among World War II veterans and to provide treatment for them. Psychiatry grew quickly during the postwar years, considerably influenced by the immigration of many Central European psychoanalysts. Gradually, however, psychiatry began to weaken its ties to medicine and lost much of its public respect. By the 1970s, postwar optimism had been replaced by widespread concern that psychiatric practice was being dominated by unsubstantiated formulations rather than reliable evidence. Psychiatry was dramatically impacted by enormous pressure for therapeutic accountability exerted by a managed care reimbursement system. The profession recognized the need for a new direction and resolved to change. In the foreword to the book, current APA Medical Director James H. Scully Jr., M.D., notes that Dr. Sabshin has woven a personal journey of the history of the intellectual conflicts and changes in the field of psychiatry in the post-war era, culminating in the remedicalization of psychiatry and the development of the DSM-III. Dr. Sabshin encourages psychiatric professionals to change the field so it can employ an empirically based "bio-psycho-social" model that has the potential to revitalize the next phase of American psychiatry. He details how the potential for the future of psychiatry can be enhanced by today's practicing professionals, stressing the: Need to incorporate the rapid developments of neuroscience into a professional practice that is increasingly integrated with empirically demonstrated psychological and social influences upon mental illness. Importance on continued research that is fed back into practice and keeps the professional evidence-based. Need of psychoanalysis to make its beliefs explicit, formulating hypotheses that can be tested scientifically in order to be employed reliably in evidence-based practice. This well-crafted historical account describes how the profession has become a more respected and accountable part of medicine and how it scientific credentials have risen as a result. Dr. Sabshin concludes that the use of psychological understanding and psychotherapies must play a major role combined with psychopharmacology in the treatment of psychiatric patients.




The Mental Health Diagnostic Desk Reference


Book Description

Make the DSM-IV-TR user-friendly with this powerful learning tool! This expanded and updated edition of Dr. Munson's highly acclaimed book is the indispensable companion volume and guide to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision (DSM-IV-TR), published by the American Psychiatric Association. The only study guide currently available for the DSM-IV-TR, The Mental Health Diagnostic Desk Reference, Second Edition, provides clear, cogent expositions of every disorder in the manual. All the information in this edition has been updated to reflect the new thinking and the current criteria. Easy to use in a consistent, all-inclusive format, The Mental Health Diagnostic Desk Reference, Second Edition, offers a detailed explanation of every part of the DSM-IV-TR, from its multi-axial classification system to the criteria for diagnosing individual disorders. It offers guidelines of diagnosis, examples of treatment planning, and 81 helpful illustrations, including color-coded supplemental visuals highlighting the diagnostic criteria for disorders most frequently encountered in clinical practice. It even features a thorough review of the 26 syndromes considered for inclusion in the DSM-IV-TR that did not reach the research criteria for a full-scale disorder. In addition, The Mental Health Diagnostic Desk Reference, Second Edition, is the only guide to applying the new culture-bound syndromes. It even includes a detailed case example of preparing a cultural formulation. References are provided at the end of each chapter, and a master reference list is printed at the end of the book, which enhances ease of use. Summaries for each class of disorders include: a listing of codes and disorders a fundamental features section describing core aspects of disorders brief tips to highlight significant information and helpful diagnostic techniques differential diagnosis strategies and tips standardized measures and scales recommended for their effectiveness, ease of use, brevity of administration, and cost recommended reading Written by nationally respected clinician, supervisor, and educator Dr. Carlton Munson, The Mental Health Diagnostic Desk Reference, Second Edition, will help end clinical gridlock and enable you to improve services to your clients within the context of managed care.




American Psychiatry and Homosexuality


Book Description

Interviews and first-hand accounts of an historic decision that affected the mental health profession—and American society and culture Through the personal accounts of those who were there, American Psychiatry and Homosexuality: An Oral History examines the 1973 decision by the American Psychiatric Association (APA) to remove homosexuality from its diagnostic and statistical manual of mental disorders (DSM). This unique book includes candid one-on-one interviews with key mental health professionals who played a role in the APA’s decision, those who helped organize gay, lesbian, and bisexual psychiatrists after the decision, and others who have made significant contributions in this area within the mental health field. American Psychiatry and Homosexuality presents an insider’s view of how homosexuality was removed from the DSM, the gradual organization of gay and lesbian psychiatrists within the APA, and the eventual formation of the APA-allied Association of Gay & Lesbian Psychiatrists (AGLP). The book profiles 17 individuals, both straight and gay, who made important contributions to organized psychiatry and the mental health needs of lesbian and gay patients, and illustrates the role that gay and lesbian psychiatrists would later play in the mental health field when they no longer had to hide their identities. Individuals profiled in American Psychiatry and Homosexuality include: Dr. John Fryer, who disguised his identity to speak before the APA’s annual meeting in 1972 on the discrimination gay psychiatrists faced in their own profession Dr. Charles Silverstein, who saw the diagnosis of homosexuality as a means of social control Dr. Lawrence Hartmann, who helped reform the APA and later served as its President in 1991-92 Dr. Robert J. Campbell, who helped persuade the APA’s Nomenclature Committee to hear scientific data presented by gay activists Dr. Judd Marmor, an early psychoanalytic critic of theories that pathologized homosexuality Dr. Robert Spitzer, who chaired the APA’s Nomenclature Committee Dr. Frank Rundle, who helped organize the first meeting of what would become the APA Caucus of Gay, Lesbian and Bisexual Psychiatrists Dr. David Kessler, AGLP President from 1980-82 Dr. Nanette Gartrell, a pioneer of feminist issues within the APA Dr. Stuart Nichols, President of the AGLP in 1983-84 and a founding member of the Gay and Lesbian Psychiatrists of New York (GLPNY) Dr. Emery Hetrick, a founding member of both AGLP and GLPNY Dr. Bertram Schaffner, who was instrumental in providing group psychotherapy for physicians with AIDS Dr. Martha Kirkpatrick, a long-time leader in psychiatry and psychoanalysis, both as a woman and an “out” lesbian Dr. Richard Isay, the first openly gay psychoanalyst in the American Psychoanalytic Association Dr. Richard Pillard, best known for studying the incidence of homosexuality in families of twins Dr. Edward Hanin, former Speaker of the APA Assembly Dr. Ralph Roughton, the first openly gay Training and Supervising Psychoanalyst to be recognized within the American and International Psychoanalytic Associations American Psychiatry and Homosexuality presents the personal, behind-the-scenes accounts of a major historical event in psychiatry and medicine and of a decision that has affected society and culture ever since. This is an essential resource for mental health educators, supervisors, and professionals; historians; and LGBT readers in general.