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A Practical Guide to Recovery-Oriented Practice: Tools for Transforming Mental Health Care
by Larry Davidson Michael Rowe Janis Tondora Maria J. O'Connell Martha Staeheli LawlessThis book takes a lofty vision of "recovery" and of "a life in the community" for every adult with a serious mental illness promised by the U. S. President's 2003 New Freedom Commission on Mental Health and shows the reader what is entailed in making this vision a reality. Beginning with thehistorical context of the recovery movement and its recent emergence on the center stage of mental health policy around the world, the authors then clarify various definitions of mental health recovery and address the most common misconceptiosn of recovery held by skeptical practitioners and wroriedfamilies. With this framework in place, the authors suggest fundamental principles for recovery-oreinted care, a set of concrete practice guidelines developed in and for the field, a recovery guide model of practice as an alternative to clinical case management, and tools to self-assess therecovery orientation of practices and practitioners. In doing so, this volume represents the first book to go beyond the rhetoric of recovery to its implementation in everyday practice. Much of this work was developed with the State of Connecticut's Department of Mental Health and Addiction Services, helping the state to win a #1 ranking in the recent NAMI report card on state mental health authorities. Since initial development of these principles, guidelines, and tools inConnecticut, the authors have become increasingly involved in refining and tailoring this approach for other systems of care around the globe as more and more governments, ministry leaders, system managers, practitioners, and people with serious mental illnesses nad their families embrace the needto transform mental health services to promote recovery and community inclusion. If you've wondered what all of the recent to-do has been about with the notion of "recovery" in mental health, this book explains it. In addition, it gives you an insider's view of the challenges and strategies involved in transforming to recovery and a road map to follow on the first few stepsdown this exciting, promising, and perhaps long overdue path.
Minds on Trial: Great Cases in Law and Psychology
by Charles Patrick Ewing Joseph T. McCannIn recent years, the public has become increasingly fascinated with the criminal mind. Television series centered on courtroom trials, criminal investigations, and forensic psychology are more popular than ever. More and more people are interested in the American system of justice and the individuals who experience it firsthand.Minds on Trial: Great Cases in Law and Psychology gives you an inside view of 20 of the highest profile legal cases of the last 50 years. Drs. Ewing and McCann take you "behind the scenes" of each of these cases, some involving celebrities like Woody Allen, Mike Tyson, and Patty Hearst, and explain the impact they had on the fields of psychology and the law. Many of the cases in this book, whether involving a celebrity client or an ordinary person in an extraordinary circumstance, were determined in part by the expert testimony of a psychologist or other mental health professional. Psychology has always played a vital role in so many aspects of the American legal system, and these fascinating trials offer insight into many intriguing psychological issues. In addition to expert testimony, some of the issues discussed in this entertaining and educational book include the insanity defense, brainwashing, criminal profiling, capital punishment, child custody, juvenile delinquency, and false confessions.In Minds on Trial, the authors skillfully convey the psychological and legal drama of each case, while providing important and fresh professional insights.Mental health and legal professionals, as well as others with an interest in psychology and the law will have a hard time putting this scholarly, yet readable book down.
To Your Health: How to Understand What Research Tells Us About Risk
by Helena Chmura Kraemer Karen Kraemer Lowe David J. KupferThis is a guide to the critical reading of risk research reports directed to informed consumers, physicians, as well as to scientists evaluating the risk research literature or contemplating risk research projects.
Brave New Brain: Conquering Mental Illness in the Era of the Genome
by Nancy C. AndreasenHere, leading neuroscientist Nancy Andreasen offers a state-of-the-art look at what we know about the human brain and the human genome--and shows how these two vast branches of knowledge are coming together in a boldly ambitious effort to conquer mental illness. Andreasen gives us an engaging and readable description of how it all works---from billions of neurons, to the tiny thalamus, to the moral monitor in our prefrontal cortex. She shows the progress made in mapping the human genome, whose 30,000 to 40,000 genes are almost all active in the brain. Weread gripping stories of the people who develop mental illness, the friends and relatives who share their suffering, the physicians who treat them, and the scientists who study them so that better treatments can be found. Four major disorders are covered--schizophrenia, manic depression, anxietydisorders, and dementia--revealing what causes them and how they affect the mind and brain. Finally, the book shows how the powerful tools of genetics and neuroscience will be combined during the next decades to build healthier brains and minds. By revealing how combining genome mapping with brain mapping can unlock the mysteries of mental illness, Andreasen offers a remarkably fresh perspective on these devastating diseases.
Solution-oriented Social Work Practice: An Integrative Approach To Working With Client Strengths
by Gilbert J. Greene Mo Yee LeeToo often in practice, there is a tendency to pathologize clients, requiring a diagnosis as part of the helping relationship. Suppose, however, that most of the client problems that social workers encounter have more to do with the vagaries of life and not with what clients are doing wrong. This powerful idea is the philosophy behind the strengths-based approaches to social work. This groundbreaking practice handbook takes this concept one step further, combining the different strengths-based approaches into an overarching model of solution-oriented social work for greater impact. The strengths perspective emphasizes client strengths, goal-setting, and a shared definition of positive outcome. Solution-focused therapy approaches ongoing problems when they have temporarily abated, amplifying exceptions as solutions. This natural but rarely explored pairing is one component in the challenging and effective practice framework presented here by the authors, two seasoned practitioners with over 50 years of combined experience. By integrating the most useful aspects of the major approaches, a step-by-step plan for action emerges. With this text in hand, you will: - Integrate elements from the strengths perspective, solution-focused therapy, narrative therapy, and the strategic therapy of the Mental Research Institute (the MRI approach) into an effective and eclectic framework - Build and practice your skills using case examples, transcripts, and practical advice - Equip yourself with the tools you need to emphasize clients' strengths - Challenge the diagnosis-first medical model of behavioral health care - Collaborate with clients to get past thinking (first-order change), and more to acting "outside the box" (second-order change) - Learn to work with a wide variety of clients, including individuals, groups, and families; involuntary clients; clients with severe mental illness; and clients in crisis For any student or practitioner interested in working with clients towards collaborative and empowering change, this is the essential text.
One Nation, Uninsured: Why The U.s. Has No National Health Insurance
by Jill S. QuadagnoEvery industrial nation in the world guarantees its citizens access to essential health care services--every country, that is, except the United States. In fact, one in eight Americans--a shocking 43 million people--do not have any health care insurance at all. One Nation, Uninsured offers a vividly written history of America's failed efforts to address the health care needs of its citizens. Covering the entire twentieth century, Jill Quadagno shows how each attempt to enact national health insurance was met with fierce attacks by powerful stakeholders, who mobilized their considerable resources to keep the financing of health care out of the government's hands. Quadagno describes how at first physicians led the anti-reform coalition, fearful that government entry would mean government control of the lucrative private health care market. Doctors lobbied legislators, influenced elections by giving large campaign contributions to sympathetic candidates, and organized "grassroots" protests, conspiring with other like-minded groups to defeat reform efforts. As the success of Medicare and Medicaid in the mid-century led physicians and the AMA to start scaling back their attacks, the insurance industry began assuming a leading role against reform that continues to this day. One Nation, Uninsured offers a sweeping history of the battles over health care. It is an invaluable read for anyone who has a stake in the future of America's health care system.
When Treatment Fails: How Medicine Cares For Dying Children
by David J. BearisonMedical care of the terminally ill is one of the most emotionally fraught and controversial issues before the public today. As medicine advances and technologies develop, end-of-life care becomes more individualized and uncertain, guided less by science and more by values and beliefs. The crux of the controversy is when to withhold or withdraw curative treatments--when is enough, enough? Political debates rage about when treatment is no longer effective; difficult cases are contested in courts; and the media devour the most sensational aspects of end-of-life care. In all this excitement and controversy, what is sadly overlooked is the extreme pressure that care of the terminally ill puts on medical staff as they deal with patients and their families and make life-or-death decisions. That pressure--the psychological strain and continuing uncertainties--is magnified when the patients are children. David Bearison looks at this controversial issue from the perspective of the medical staff caring for dying children. Not just doctors, but nurses and counselors as well. By capturing their stories--as no other book has, Bearison is able to move beyond broad, abstract ideas about end-of-life care to convey the situated contexts of such care, including the complications, disagreements, frustrations, confusions, and unexpected setbacks. In addition to a discussion of questions surrounding whether to withhold or withdraw curative treatments, When Treatment Fails explores the crucial concerns of those medical practitioners who care for dying children: education and training, relation with one another, communicating with patients and families, and finally, coping and moving on. Ultimately, the threads connecting these themes are the great costs and rewards of this difficult work, and the lessons that can be drawn from the nitty-gritty experiences of medical practitioners who struggle to find the balance between trying to defeat death and trying to provide comfort.
The Science of False Memory (Oxford Psychology Series #38)
by V. F. Reyna C. J. BrainerdFindings from research on false memory have major implications for a number of fields central to human welfare, such as medicine and law. Although many important conclusions have been reached after a decade or so of intensive research, the majority of them are not well known outside the immediate field. To make this research accessible to a much wider audience, The Science of False Memory has been written to require little or no background knowledge of the theory and techniques used in memory research.
Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence
by Judith D. Singer John B. WillettChange is constant in everyday life. Infants crawl and then walk, children learn to read and write, teenagers mature in myriad ways, the elderly become frail and forgetful. Beyond these natural processes and events, external forces and interventions instigate and disrupt change: test scores may rise after a coaching course, drug abusers may remain abstinent after residential treatment. By charting changes over time and investigating whether and when events occur, researchers reveal the temporal rhythms of our lives. Applied Longitudinal Data Analysis is a much-needed professional book for empirical researchers and graduate students in the behavioral, social, and biomedical sciences. It offers the first accessible in-depth presentation of two of today's most popular statistical methods: multilevel models for individual change and hazard/survival models for event occurrence (in both discrete- and continuous-time). Using clear, concise prose and real data sets from published studies, the authors take you step by step through complete analyses, from simple exploratory displays that reveal underlying patterns through sophisticated specifications of complex statistical models. Applied Longitudinal Data Analysis offers readers a private consultation session with internationally recognized experts and represents a unique contribution to the literature on quantitative empirical methods.
AIDS Doctors: An Oral History
by Ronald Bayer Gerald M. OppenheimerToday, AIDS has been indelibly etched in our consciousness. Yet it was less than twenty years ago that doctors confronted a sudden avalanche of strange, inexplicable, seemingly untreatable conditions that signaled the arrival of a devastating new disease. Bewildered, unprepared, and pushed to the limit of their diagnostic abilities, a select group of courageous physicians nevertheless persevered. This unique collective memoir tells their story. <p><p> Based on interviews with nearly eighty doctors whose lives and careers have centered on the AIDS epidemic from the early 1980s to the present, this candid, emotionally textured account details the palpable anxiety in the medical profession as it experienced a rapid succession of cases for which there was no clinical history. The physicians interviewed chronicle the roller coaster experiences of hope and despair, as they applied newly developed, often unsuccessful therapies. Yet these physicians who chose to embrace the challenge confronted more than just the sense of therapeutic helplessness in dealing with a disease they could not conquer. They also faced the tough choices inherent in treating a controversial, sexually and intravenously transmitted illness as many colleagues simply walked away. Many describe being gripped by a sense of mission: by the moral imperative to treat the disempowered and despised. Nearly all describe a common purpose, an esprit de corps that bound them together in a terrible yet exhilarating war against an invisible enemy. <p> This extraordinary oral history forms a landmark effort in the understanding of the AIDS crisis. Carefully collected and eloquently told, the doctors' narratives reveal the tenacity and unquenchable optimism that has paved the way for taming a 20th-century plague.
Conservation Medicine: Ecological Health in Practice
by Richard Ostfeld Gary Tabor Carol House Mary Pearl A. AguirreConservation medicine is an emerging discipline, focussing on the intersection of ecosystem health, animal health, and human health. Work in the biomedical and veterinary sciences is now being folded into conservation biology; to explore the connections between animal and human health; trace the environmental sources of pathogens and pollutants; develop an understanding of the ecological causes of changes in human and animal health; and understand the consequences of diseases to populations and ecological communities.Conservation Medicinedefines this new discipline. It examines ecological health issues from various standpoints, including the emergence and resurgence of infectious disease agents; the increasing impacts of toxic chemicals and hazardous substances; and the health implications of habitat fragmentation and degradation and loss of biodiversity. It will provide a framework to examine the connections between the health of the planet and the health of all species and challenge practitioners and students in the health sciences and natural sciences to think about new, collaborative ways to address ecological health concerns.
Identifying and Understanding the Narcissistic Personality
by Elsa F. RonningstamNarcissists have been much maligned, but according to clinicians who study personality, there are many productive narcissists who succeed spectacularly well in life because they can articulate a vision and make others follow. Elsa Ronningstam, who has been studying and treating narcissists for 20 years, presents a balanced, comprehensive, and up-to-date review of our understanding of narcissistic personality disorder, explaining the range from personality trait, which can be productive, to full-blown disorder, which can be highly destructive. Through fascinating case histories, Ronningstam shows us the inner life of narcissists, the tug of war that exists within them between self-confidence and arrogance on the one hand and painful shame and insecurity on the other. It is the first integrated clinical and empirical guide to assist clinicians in their work with narcissistic patients.
The American Disease
by David F. MustoThe American Disease is a classic study of the development of drug laws in the United States.
Against Relativism: Cultural Diversity and the Search for Ethical Universals in Medicine
by Ruth MacklinThis book analyzes the debate surrounding cultural diversity and its implications for ethics. If ethics are relative to particular cultures or societies, then it is not possible to hold that there are any fundamental human rights. The author examines the role of cultural tradition, often used as a defense against critical ethical judgments, and explores key issues in health and medicine in the context of cultural diversity: the physician-patient relationship, disclosing a diagnosis of a fatal illness, informed consent, brain death and organ transplantation, rituals surrounding birth and death, female genital mutilation, sex selection of offspring, fertility regulation, and biomedical research involving human subjects. Among the conclusions the author reaches are that ethical universals exist but must not be confused with ethical absolutes. The existence of ethical universals is compatible with a variety of culturally relative interpretations, and some rights related to medicine and health care should be considered human rights. Illustrative examples are drawn from the author's experiences serving on international ethical review committees and her travels to countries in Africa, Asia, and Latin America, where she conducted educational workshops and carried out her own research.
Life Before Birth: The Moral and Legal Status of Embryos and Fetuses (2nd Edition)
by Bonnie SteinbockThis book provides a framework for thinking clearly and coherently about the unborn. The book's thesis, the "interest view," states that all and only beings who have interests have moral standing, and only beings who possess conscious awareness have interests. The chapters apply the interest view, and explore the moral and legal aspects of a wide range of issues.
Feminism and Bioethics: Beyond Reproduction
by Susan M. WolfBioethics has paid surprisingly little attention to the special problems faced by women and to feminist analyses of current health care issues other than reproduction. Feminism & Bioethics: Beyond Reproduction aims to counterbalance this one-sided approach. A breakthrough volume of original essays authored by leading figures in bioethics and feminist theory, it moves beyond reproduction and nursing, taking bioethics into new territory. The book starts with an investigation of the relationship between feminism and bioethics and introduces different approaches to the problem. Chapters stress the importance of liberal feminism which prefers feminist over feminine analysis, integrate the experience of women of color, draw from the women's self-help movement, and apply feminist standpoint theory. In the second part of the book, contributors view various bioethical problems from a feminist perspective: euthanasia, AIDS, the definition of health, doctor-patient communication, the Human Genome Project, the conduct of biomedical research, and health care reform. They examine the pros and cons of the application of gender and feminism to bioethics. This provocative volume is bound to change and broaden the way bioethicists, students, patients, and the public consider bioethical issues.
The Psychiatric Mental Status Examination
by Paula T. Trzepacz Robert W. BakerThis comprehensive text on the Mental Status Examination (MSE)should fill a void in the teaching literature and be useful to both students first learning about the MSE, and seasoned clinicians seeking an advanced reference.
Atlas of Human Anatomy for the Artist
by Stephen Rogers PeckStephen Rogers Peck's Atlas of Human Anatomy for the Artist remains unsurpassed as a manual for students. It includes sections on bones, muscles, surface anatomy, proportion, equilibrium, and locomotion. Other unique features are sections on the types of human physique, anatomy from birth to old age, an orientation on racial anatomy, and an analysis of facial expressions. The wealth of information offered by the Atlas ensures its place as a classic for the study of the human form.
The Oxford Handbook of EEG Frequency (Oxford Library of Psychology Series)
by Philip Gable Matthew Miller Edward BernatThe use of electroencephalography (EEG) to study the human mind has seen tremendous growth across a vast array of disciplines due to increased ease of use and affordability of the technology. Typically, researchers study how the magnitude of the waves changes over time or how the rhythm (frequency) of the waves changes over time. <p><p>The Oxford Handbook of EEG Frequency is arguably the first book to comprehensively describe the ways to study how the frequency of the waves changes over time and how changes in frequency are linked to cognitive, affective, and motor processes.
The Brain: A Very Short Introduction
by Michael O'SheaHow does the brain work? Michael O'Shea provides an accessible introduction to the key questions and current state of brain research, and shows that, though we know a surprising amount, we are still far from having a complete understanding. The topics he discusses range from how we sense things and how memories are stored, to the evolution of brains and nervous systems from primitive organisms, as well as altered mental states, brain-computer hybrids, and the future of brain research.
Psychiatry: A Very Short Introduction
by Tom BurnsPsychiatry is increasingly a part of everyday life. The growing number of patients being diagnosed with depression, ADD, alcoholism, and other illnesses mean that few people are not touched by it. This book provides a valuable and comprehensible introduction to the subject. It starts with the history of its development as a scientific field, including the identification of major mental illnesses, the rise and fall of the asylum system, and the flourishing of psychoanalysis and other psychotherapies. More than any other branch of medicine, psychiatry has been attacked and criticized. There is a long list of perceived horrors--patient abuse, bizarre medical experiments, mind-control by evil governments, coercion by maniacal hypnotists. Modern psychiatry brings with it new controversies, such as the perceived over-prescription of antidepressants and behavior modifiers for children and teens, or unchecked marketing power of drug companies. This book does not draw conclusions on these issues, but rather provides the reader with a clear understanding of what psychiatry is, and what it does, so that they can draw their own. It is a great reference for anyone with an interest in mental illness and its treatment, students of psychiatry, medicine, psychology, and history of science, and health professionals.
HIV/AIDS: A Very Short Introduction
by Alan WhitesideHIV/AIDS is without doubt the worst epidemic to hit human kind since the Black Death. The first case was identified in 1981; by 2004 it was estimated that about 40 million people were living with the disease, and about 20 million had died. Despite rapid scientific advances there is still no cure and the drugs are expensive and toxic. Because of controversies and taboos surrounding safe drug usage and prostitution, the numbers of people infected continues to rise. However, it is in the developing world and especially parts of Africa that the real catastrophe is unfolding. In some of the worst affected countries life expectancy has plummeted to below 35 years, which has led to a serious decline in economic growth, a sharp rise in orphaning, and the imminent collapse of health care systems. The news is not all bleak though. There have been unprecedented breakthroughs in understanding diseases and developing drugs. Because the disease is so closely linked to sexual activity and drug use, the need to understand and change behaviour has caused us to reassess what it means to be human and how we should operate in the globalising world. This Very Short Introduction provides an introduction to the disease, the science, the international and local politics, the fascinating demographics, and the devastating consequences of the disease, and explores how we have responded and how we must respond in the future.
Medical Ethics: A Very Short Introduction
by Tony HopeMedical ethics is an area that has particular interest for the general public as well as for the medical practitioner, and issues concerning medical ethics seem to be constantly in the headlines. This short and accessible introduction provides an invaluable tool with which to think about the ethical values that lie at the heart of medicine. Tony Hope deals with thorny moral issues, including euthanasia and the morality of killing. He also explores political questions, such as how we can make sure health care resources are distributed fairly. Each chapter in the book considers a different issue, for example, genetics, modern reproductive technologies, resource allocation, mental health, and medical research. Each section also discusses controversial questions such as: Who should have access to reproductive technology? Is it right to fund expensive drug treatment for individuals? Should treatment for mental illness be imposed on patients without their consent? Considering a wide range of questions of medical ethics, this Very Short Introduction will help to explain some of the confusing issues facing the field of medicine today.
Lupus The Facts
by Graham HughesThis easy-to-read book explains Lupus. How does Lupus affect people? What can be done if someone develops lupus?