Contemporary Psychiatry


Book Description

The German version of this work has a long tradition, and this fourth edition is the first to see an English version. Its main feature is the international approach regarding both authors and topics. The four internationally renowned editors were able to acquire the leading specialists for each field as contributors to the book. No less than 120 authors, half of them from non-German speaking countries, ensure an extremely high standard and that cross-cultural aspects are considered. Another major feature is that the book presents the evidence such that it may be examined from at least four different entry points -- via basic disciplines of psychiatric knowledge about groups defined by demographic criteria. Detailed linkages to other chapters allow the inclusion of neighbouring disciplines, such as the neurosciences and molecular biology. Contemporary Psychiatry is also unique in including chapters on psychiatric disorders caused by catastrophes, disasters etc. -- aspects totally neglected by normal textbooks. While this book gives an overall view of the state of the art of psychiatric knowledge, it even goes so far as to suggest future perspectives.




Controversies and Dilemmas in Contemporary Psychiatry


Book Description

The controversies and dilemmas in contemporary psychiatry are so numerous and serious that they, to a great extent, define psychiatry. Yet most psychiatrists pay little attention to the field’s controversies, maintaining that talking about controversies tarnishes psychiatry’s reputation and them along with it. Critics of psychiatry use these controversies and dilemmas, along with psychiatrists’ unwillingness to discuss them, to undermine psychiatry. They question the existence of mental disorder and the purpose of psychiatric therapy. Kecmanovic undertakes a major effort of resolving with science, not ideology, such dilemmas. Although psychiatrists give no thought to the mind-body relationship, their attitude towards this relationship determines their approach to the mentally ill, their understanding of the origin and nature of the mental disorder, and the therapy they think has priority. Sometimes psychiatrists implicitly or explicitly cite a specific school of philosophy in order to find conceptual support for their particular practice. As a result psychiatrists do not speak the same language about the same issues. Kecmanovic suggests that there can be no dialogue without common language; opposing views cannot converge without dialogue. The behavior of the mentally ill is socially jarring. This is a major reason why the mentally ill are considered to be a menace. They threaten prevailing manners of communicating, expressing one’s thoughts and feelings, and the existing meaning of symbols in a given environment. Deviance of a person with a mental disorder is specific; socially perceived as incomprehensible, irrational, and unpredictable. What is common to all reactions to the disruptive nature of a mental disorder is the desire to be protected from those with illness; in other words, to put them under control and supervision.




Racism and Psychiatry


Book Description

This book addresses the unique sociocultural and historical systems of oppression that have alienated African-American and other racial minority patients within the mental healthcare system. This text aims to build a novel didactic curriculum addressing racism, justice, and community mental health as these issues intersect clinical practice. Unlike any other resource, this guide moves beyond an exploration of the problem of racism and its detrimental effects, to a practical, solution-oriented discussion of how to understand and approach the mental health consequences with a lens and sensitivity for contemporary justice issues. After establishing the historical context of racism within organized medicine and psychiatry, the text boldly examines contemporary issues, including clinical biases in diagnosis and treatment, addiction and incarceration, and perspectives on providing psychotherapy to racial minorities. The text concludes with chapters covering training and medical education within this sphere, approaches to supporting patients coping with racism and discrimination, and strategies for changing institutional practices in mental healthcare. Written by thought leaders in the field, Racism and Psychiatry is the only current tool for psychiatrists, psychologists, administrators, educators, medical students, social workers, and all clinicians working to treat patients dealing with issues of racism at the point of mental healthcare.




A Profession Without Reason


Book Description

There is today a crisis in psychiatry. Even the former director of the National Institute of Mental Health, Thomas Insel, has said: “Whatever we’ve been doing for five decades, it ain’t working.” The field requires a completely fresh look, and clinical psychologist Bruce Levine—a man often at odds with his profession—enlists the early Enlightenment philosopher Baruch de Spinoza to help work through the problem. Readers unfamiliar with Spinoza will be intrigued by the modern relevance of his radical philosophical, psychological, and political ideas. Levine compares the radical/moderate divide among Enlightenment thinkers to a similar divergence between contemporary critics of psychiatry, siding historically with Spinoza in order to bring an equivalent intellectual force to bear upon our modern crisis and calling for new forms of free and enlightened thinking.




Prescriptions for the Mind


Book Description

The practice of psychiatry has undergone great changes in recent years. In this book, Joel Paris, MD, a veteran psychiatrist, provides a fluently written and accessible "state-of-the-field" assessment. Himself a clinician, researcher, and teacher, Paris focuses on the most striking change within the field - the diverging roles of psychopharmacology and psychotherapy in contemporary practice. Where once psychiatrists were trained in Freudian psychoanalysis - which involved, more than anything else, talking - current pressures in mental health practice, including those imposed by managed care, are leading psychiatrists to treat more and more of their patients exclusively with medication, which is cheaper and faster. At the same time, psychotherapy is increasingly not being taught to new psychiatrists-in-training, even though, as Paris reveals, there is scientific evidence that both talk therapies and medication can play an important role in the treatment of mental illness. These developments are occuring against a backdrop of exploding research in the genetics and neurobiology of mental illness that will continue to drive the field. Paris ends by contemplating how going forward psychiatry can best respond to all these forces and proposes a team-based approach to mental health care. The book will appeal both to specialists and nonspecialists, particularly psychiatric residents and fellows, medical students considering specialization in psychiatry, clinical psychologists, social workers, and general readers, especially consumers of mental health services.




Contemporary Clinical Psychology


Book Description

Contemporary Clinical Psychology, Third Edition introduces students to this fascinating profession from an integrative, biopsychosocial perspective. Thoroughly updated to include the latest information on topics central to the field, this innovative approach to studying clinical psychology delivers an engaging overview of the roles and responsibilities of today's clinical psychologists that is designed to inform and spark interest in a future career in this dynamic field. Highlighting evidence-based therapies, multiple case studies round out the portrayal of clinical practice. Designed for graduate and undergraduate students in introductory clinical psychology courses.




Applying Psychoanalytic Thought to Contemporary Mental Health Practice


Book Description

Advances in psychoanalytic theory and technique can be usefully applied in virtually all psychotherapeutic settings, as well as in the management of patients in many nonmental health settings, to enhance understanding of patients. In this book, Steinberg reviews a collection of his own essays, incorporating developments in psychoanalytic theory and new ideas since his essays were published. Chapters clearly describe the evolving psychoanalytic approaches to treatment and illustrate how to use psychoanalytic concepts when working with patients. A variety of clinical situations are covered, including group psychotherapy, partial hospitalization, and individual psychotherapy. This book provides the foundation of analysis and offers varied clinical experiences appealing to a wide range of practitioners and case examples offering descriptive details and interventions. This book will be essential reading for all mental health professionals wanting to improve their working relationships with patients.




Psychiatry Reborn: Biopsychosocial psychiatry in modern medicine


Book Description

Psychiatry Reborn: Biopsychosocial Psychiatry in Modern Medicine is a comprehensive collection of essays by leading experts in the field, and provides a timely reassessment of the biopsychosocial approach in psychiatry. Spanning the sciences and philosophy of psychiatry, the essays offer complementary perspectives on the ever more urgent importance of the biopsychosocial approach to modern medicine. The collection brings together ideas from the series of Loebel Lectures by world leaders in the field of psychiatry and associated Workshops at the University of Oxford, including revised versions of the Lectures themselves, and a wide range of related commentaries and position pieces. With contributions from psychiatry, psychology, neuroscience, and philosophy, the book provides the most comprehensive account to date of the interplay between biological, psychological, and social factors in mental health and their ethical dimensions. The 23 chapters of this multi-authored book review the history and place of the biopsychosocial model in medicine, and explore its strengths and shortcomings. In particular, it considers how understanding this interplay might lead to more effective treatments for mental health disorders, as developments in genomic and neurobiological medicine challenge traditional conceptions and approaches to the research and treatment of mental health disorders. The book explores the challenges and rewards of developing diagnostic tools and clinical interventions that take account of the inextricably intertwined bio-psycho-social domains, and the ethical implications of the conceptualization. It concludes with chapters drawing together the book's range of expertise to propose a best conception of the model, and how it might be adopted going forward in an age of exponentially increasing technological advances and of integrated/collaborative care. The volume is intended to present the BPS model as it stands today in the academy, the lab, and the clinic, and to start to address the challenges and potential that the model has for each.




Controversies and Dilemmas in Contemporary Psychiatry


Book Description

The controversies and dilemmas in contemporary psychiatry are so numerous and serious that they, to a great extent, define psychiatry. Yet most psychiatrists pay little attention to the field's controversies, maintaining that talking about controversies tarnishes psychiatry's reputation and them along with it. Critics of psychiatry use these controversies and dilemmas, along with psychiatrists' unwillingness to discuss them, to undermine psychiatry. They question the existence of mental disorder and the purpose of psychiatric therapy. Kecmanovic undertakes a major effort of resolving with science, not ideology, such dilemmas. Although psychiatrists give no thought to the mind-body relationship, their attitude towards this relationship determines their approach to the mentally ill, their understanding of the origin and nature of the mental disorder, and the therapy they think has priority. Sometimes psychiatrists implicitly or explicitly cite a specific school of philosophy in order to find conceptual support for their particular practice. As a result psychiatrists do not speak the same language about the same issues. Kecmanovic suggests that there can be no dialogue without common language; opposing views cannot converge without dialogue. The behavior of the mentally ill is socially jarring. This is a major reason why the mentally ill are considered to be a menace. They threaten prevailing manners of communicating, expressing one's thoughts and feelings, and the existing meaning of symbols in a given environment. Deviance of a person with a mental disorder is specific; socially perceived as incomprehensible, irrational, and unpredictable. What is common to all reactions to the disruptive nature of a mental disorder is the desire to be protected from those with illness; in other words, to put them under control and supervision.




Integrative Psychiatry


Book Description

In this volume in the Weil Integrative Medicine Library, the authors describe a rational and evidence-based approach to the integrative therapy of mental disorders, integrating the principles of alternative and complementary therapies into the principles and practice of conventional psychiatry and psychology. The authors will examine what works and what doesn't, and offer practical guidelines for physicians to incorporate integrative medicine into their practice and to advise patients on reasonable and effective therapies.