Concerns about access to behavioral health care for military service members and their dependents living in geographically remote locations prompted research into how many in this population are remote and the effects of this distance on their use of behavioral health care. The authors conducted geospatial and longitudinal analyses to answer these questions and reviewed current policies and programs to determine barriers and possible solutions.
This book was written for anyone who wants to be free from the tyranny of stress and burnout. Burnout can affect anyone, especially in today’s world, where “The American Dream” has been replaced by the realities of a faltering economy, breakdown of the family and societal distintegration. Burnout is not a natural state, and no one should have to live with its emotional pain. Dr. Fishkin explains how to readjust couterproductive thought processes and behaviors and learn new, healthy methods for coping. He details both self-help techniques and suggested resources to reach out to the community or the workplace for assistance.
Neurofeedback is a cutting-edge, drug-free therapeutic technique used by over a thousand licensed therapists in North America to treat a range of conditions from attention deficit and hyperactivity disorders to epilepsy, stroke, anxiety, migraine, and depression. First popularized in the 1970s, this naturalistic method is based on the idea that we can control our brain activity and that, through training, the brain can learn to modify its own electrical patterns for more efficient processing or to overcome various states of dysfunction.
In Biofeedback for the Brain, Dr. Paul G. Swingle describes in clear and coherent language how these procedures work. With numerous actual case examples, readers follow the progress of clients from the initial “brain map” that shows the location and severity of the neurological abnormalities to the various stages of treatment. Conditions often considered untreatable by conventional health practitioners respond positively to neurotherapeutic treatment and Swingle describes many of these remarkable recoveries. Other chapters describe the use of neurotherapy for a variety of surprising purposes, including performance training for elite athletes, of which the most famous example is the Italian soccer team who considered the technique to be their “secret weapon” in attaining a World Cup victory.
Despite wide-ranging success stories and the endorsement of the American Psychological Association, many health care practitioners remain skeptical of neurofeedback and the procedures are still not well-known by the public or conventional health care providers. This book provides a thorough, definitive, and highly readable presentation of this remarkable health care alternative that offers millions of individuals a chance for healing.
Spirit, mind, and heart—in traditional Mexican health beliefs all three are inherent to maintaining psychological balance. For Mexican Americans, who are both the oldest Latina/o group in the United States as well as some of the most recent arrivals, perceptions of health and illness often reflect a dual belief system that has not always been incorporated in mental health treatments.
Chicana and Chicano Mental Health offers a model to understand and to address the mental health challenges and service disparities affecting Mexican immigrants and Mexican Americans/Chicanos. Yvette G. Flores, who has more than thirty years of experience as a clinical psychologist, provides in-depth analysis of the major mental health challenges facing these groups: depression; anxiety disorders, including post-traumatic stress disorder; substance abuse; and intimate partner violence. Using a life-cycle perspective that incorporates indigenous health beliefs, Flores examines the mental health issues affecting children and adolescents, adult men and women, and elderly Mexican Americans.
Through case studies, Flores examines the importance of understanding cultural values, class position, and the gender and sexual roles and expectations Chicanas/os negotiate, as well as the legacies of migration, transculturation, and multiculturality. Chicana and Chicano Mental Health is the first book of its kind to embrace both Western and Indigenous perspectives.
Ideally suited for students in psychology, social welfare, ethnic studies, and sociology, the book also provides valuable information for mental health professionals who desire a deeper understanding of the needs and strengths of the largest ethnic minority and Hispanic population group in the United States.
For anyone in the helping profession, whether as mental health professionals or religious leaders, this question is bound to arise. Many mental health professionals feel uncomfortable discussing religion, while many religious leaders feel uncomfortable referring their congregants to professionals who have no knowledge of their faith, nor intent to engage with it.
And yet Michelle Pearce, PhD, assistant professor and clinical psychologist at the Center for Integrative Medicine at the University of Maryland, argues that if religion is important to a client, then religion will be a part of psychotherapy, whether it is discussed or not. Clients cannot check their values at the door any more than the professionals who treat them.
To Pearce, the question isn’t really “does religion belong?” but rather “how can mental health professionals help their religious clients engage with and use their faith as a healing resource in psychotherapy?”
Cognitive Behavioral Therapy for Christian Clientswith Depression is the answer to that question, as the book’s purpose is to educate mental health professionals and pastoral counselors about religion’s role in therapy, as well as equip them to discuss religious issues and use evidence-based, religiously-integrated tools with Christian clients experiencing depression.
In this book, readers will find the following resources in an easy-to-use format:
An overview of the scientific benefits of integrating clients’ religious beliefs and practices in psychotherapy
An organizing therapeutic approach for doing Christian CBT
Seven tools, specific to Christian CBT, to treat depression
Suggested dialogue for therapists to introduce concepts and tools
Skill-building activity worksheets for clients
Clinical examples of Christian CBT and the seven tools in action
Practitioners will learn the helpful (and sometimes not so helpful) role a person’s Christian faith can play in psychotherapy, and will be equipped to discuss religious issues and use religiously-integrated tools in their work. At the same time, clergy will learn how Christianity can be integrated into an evidence-based secular mental health treatment for depression, which is sure to increase their comfort level for making referrals to mental health practitioners who provide this form of treatment.
Cognitive Behavioral Therapy for Christian Clients with Depression is a practical guide for mental health professionals and pastoral counselors who want to learn how to use Christian-specific CBT tools to treat depression in their Christian clients.
At a time when individuals suffer as never before from feelings of isolation, when suicide ranks as the tenth leading cause of death in the United States, this book introduces an approach to mental health that dates back 3,000 years, to an ancient body of Jewish spiritual wisdom. Known as ‘The Connections Paradigm,’ this approach has been passed down from generation to generation, rabbi to rabbi, and is presented here for the first time to a wide audience.
The idea behind the paradigm is that a human being, at any given moment, is either “connected” or “disconnected” across three key relationships. To be “connected” means to be in a loving, harmonious, and fulfilling relationship, and to be “disconnected” means, of course, the opposite. The three relationships in question consist of the relationship between our souls and our bodies, ourselves and others, and ourselves and God.
Each relationship depends on the one that precedes it; they are hierarchical in that way. This means that we can’t connect with God if we can’t connect with others, and we can’t connect with others if we can’t connect with ourselves.
Dr. David Rosmarin takes these three relationships one at a time, devoting a section to each of them, and describing techniques and practices to become a more connected individual. He also uses compelling cases studies drawn from his clinical practice to show the process in action.
Whether you’re a clinician working with clients, or a person seeking the healing balm of wisdom; whether you’re a member of the Jewish faith, or a person open to new spiritual perspectives—you will find this book sensible, practical, and timely, because, for all of us, connection leads to mental health.
Marijuana legalization is a controversial and multifaceted issue that is now the subject of serious debate. In May 2014, Vermont Governor Peter Shumlin signed a bill requiring the Secretary of Administration to produce a report about various consequences of legalizing marijuana. This resulting report provides a foundation for thinking about the various consequences of different policy options while being explicit about the uncertainties involved.
Suffering is an inescapable part of life. Some suffering is so profound, so violating, or so dogged that it fundamentally changes people in indelible ways. Many existing therapeutic approaches, from a medical model, treat suffering as mental illness and seek a curative solution. However, such approaches often fail to examine the deep questions that suffering elicits (e.g., existential themes of death, isolation, freedom, identity, and meaninglessness) and the far-reaching ways in which suffering affects the lived experience of each individual.
In The Courage to Suffer, Daryl and Sara Van Tongeren introduce a new therapeutic framework that helps people flourish in the midst of suffering by cultivating meaning.
Drawing from scientific research, clinical examples, existential and positive psychology, and their own personal stories of loss and sorrow, Daryl and Sara’s integrative model blends the rich depth of existential clinical approaches with the growth focus of strengths-based approaches.Through cutting edge-research and clinical case examples, they detail five “phases of suffering” and how to work with a client's existential concerns at each phase to develop meaning. They also discuss how current research suggests to build a flourishing life, especially for those who have endured, and are enduring, suffering.
Daryl and Sara show how those afflicted with suffering, while acknowledging the reality of their pain, can still choose to live with hope.
The Court of Last Resort looks at decision making in a mental-health court and at the dilemmas of treating mental illness while protecting patients' legal rights. Carol Warren spent seven years studying hearings in a large California court where people who had been involuntarily committed to institutions for psychiatric treatment could petition for their release. In this book she confronts questions of whether mental illness is real or only a label for societal control, whether the government should be involved in committing the deviant to institutions, and how the interaction of judges, psychiatrists, families, police, and other individuals and agencies affect the court's administration of mental-health law. Though the cases in this book fall under California's Lanterman-Petris-Short Act, Warren's analysis of conflicts between legal and medical models of behavior is of national and international importance both to sociologists and to the many professionals who work at the juncture of mental health and the law.
Cultural Anxieties is a gripping ethnography about Centre Minkowska, a transcultural psychiatry clinic in Paris, France. From her unique position as both observer and staff member, anthropologist Stéphanie Larchanché explores the challenges of providing non-stigmatizing mental healthcare to migrants. In particular, she documents how restrictive immigration policies, limited resources, and social anxieties about the “other” combine to constrain the work of state social and health service providers who refer migrants to the clinic and who tend to frame "migrant suffering" as a problem of integration that requires cultural expertise to address. In this context, Larchanché describes how staff members at Minkowska struggle to promote cultural competence, which offers a culturally and linguistically sensitive approach to care while simultaneously addressing the broader structural factors that impact migrants’ mental health. Ultimately, Larchanché identifies practical routes for improving caregiving practices and promoting hospitality—including professional training, action research, and advocacy.
The first book-length rhetorical history and analysis of the insanity defense
The insanity defense is considered one of the most controversial, most misunderstood, and least straightforward subjects in the American legal system. Disorder in the Court: Morality, Myth, and the Insanity Defense traces the US legal standards for the insanity defense as they have evolved from 1843, when they were first codified in England, to 1984, when the US government attempted to revise them through the Insanity Defense Reform Act. Throughout this period “insanity” existed primarily as a legal term rather than a medical one; yet the testimony of psychiatric experts is required in cases in which an insanity defense is raised.
The adjudication of such cases by courtroom practice is caught between two different but overlapping discourses, the legal and the medical, both of which have historically sought to assert and maintain firm disciplinary boundaries. Both expert and lay audiences have struggled to understand and apply commonplace definitions of sanity, and the portrayal of the insanity defense in popular culture has only served to further frustrate such understandings.
Andrea L. Alden argues that the problems with understanding the insanity defense are, at their foundation, rhetorical. The legal concept of what constitutes insanity and, therefore, an abdication of responsibility for one’s actions does not map neatly onto the mental health professions’ understandings of mental illness and how that affects an individual’s ability to understand or control his or her actions. Additionally, there are multiple layers of persuasion involved in any effort to convince a judge, jury—or a public, for that matter—that a defendant is or is not responsible for his or her actions at a particular moment in time.
Alden examines landmark court cases such as the trial of Daniel McNaughtan, Durham v. United States, and the trial of John Hinckley Jr. that signal the major shifts in the legal definitions of the insanity defense. Combining archival, textual, and rhetorical analysis, Alden offers a close reading of texts including trial transcripts, appellate court opinions, and relevant medical literature from the time period. She contextualizes these analyses through popular texts—for example, newspaper articles and editorials—showing that while all societies have maintained some version of mental illness as a mitigating factor in their penal systems, the insanity defense has always been fraught with controversy.
Mechanisms and standards exist to safeguard the health and welfare of the patient, but for electroconvulsive therapy (ECT)—used to treat depression and other mental illnesses—such approval methods have failed. Prescribed to thousands over the years, public relations as opposed to medical trials have paved the way for this popular yet dangerous and controversial treatment option.
Doctors of Deception is a revealing history of ECT (or shock therapy) in the United States, told here for the first time. Through the examination of court records, medical data, FDA reports, industry claims, her own experience as a patient of shock therapy, and the stories of others, Andre exposes tactics used by the industry to promote ECT as a responsible treatment when all the scientific evidence suggested otherwise.
As early as the 1940s, scientific literature began reporting incidences of human and animal brain damage resulting from ECT. Despite practitioner modifications, deleterious effects on memory and cognition persisted. Rather than discontinue use of ECT, the $5-billion-per-year shock industry crafted a public relations campaign to improve ECT’s image. During the 1970s and 1980s, psychiatry’s PR efforts misled the government, the public, and the media into believing that ECT had made a comeback and was safe.
Andre carefully intertwines stories of ECT survivors and activists with legal, ethical, and scientific arguments to address issues of patient rights and psychiatric treatment. Echoing current debates about the use of psychopharmaceutical interventions shown to have debilitating side-effects, she candidly presents ECT as a problematic therapy demanding greater scrutiny, tighter control, and full disclosure about its long-term cognitive effects.
Elizabeth Packard's story is one of courage and accomplishment in the face of injustice and heartbreak. In 1860, her husband, a strong-willed Calvinist minister, committed her to an Illinois insane asylum in an effort to protect their six children and his church from what he considered her heretical religious ideas.
Upon her release three years later (as her husband sought to return her to an asylum), Packard obtained a jury trial and was declared sane. Before the trial ended, however, her husband sold their home and left for Massachusetts with their young children and her personal property. His actions were perfectly legal under Illinois and Massachusetts law; Packard had no legal recourse by which to recover her children and property.
This experience in the legal system, along with her experience as an asylum patient, launched Packard into a career as an advocate for the civil rights of married women and the mentally ill. She wrote numerous books and lobbied legislatures literally from coast to coast advocating more stringent commitment laws, protections for the rights of asylum patients, and laws to give married women equal rights in matters of child custody, property, and earnings. Despite strong opposition from the psychiatric community, Packard's laws were passed in state after state, with lasting impact on commitment and care of the mentally ill in the United States.
Packard's life demonstrates how dissonant streams of American social and intellectual history led to conflict between the freethinking Packard, her Calvinist husband, her asylum doctor, and America's fledgling psychiatric profession. It is this conflict--along with her personal battle to transcend the stigma of insanity and regain custody of her children--that makes Elizabeth Packard's story both forceful and compelling.
The brain represents the final frontier in medical sciences. Clinical neurosciences include the subspecialties of neurology, neurosurgery, neuro-imaging, cerebrovascular interventional specialties, neurocritical care, and the allied specialties in pharmacy and nursing. The first lens through which we see our patients is the clinical perspective; however, the complexity of neurosciences and the rapidity of the advances in these subspecialties require that clinicians not lose sight of the personhood of the patients, the professionalism required in the care of these complex patients, or the regulatory environment in which we practice. Science and technology are advancing more rapidly than regulations or the law can interpret and integrate them into a supportive or regulatory framework. Thus, morality, ethics, and the law comprise the final lens through which we approach complex patient management issues, frame our communications with patients and families, and evaluate the risks and potential benefits of new technology. Ethics and Law for Neurosciences Clinicians is written for all clinicians in the neurosciences specialties to examine and re-examine the ethical and legal implications of advances in clinical neurosciences.
This volume explores ethical issues specific to working with deaf clients, particularly matters of confidentiality, managing multiple relationships, and the clinician's competency to provide services, particularly in communicating with and understanding deaf people. Led by editor Virginia Gutman, a unique assembly of respected mental health professionals share their experiences and knowledge in working with deaf clients.
Irene Leigh commences Ethics in Mental Health and Deafness with her varied experiences as a deaf mental health practitioner, and Gutman follows with insights on ethics in the "small world" of the Deaf community. William McCrone discusses the law and ethics, and Patrick Brice considers ethical issues regarding deaf children, adolescents, and their families. In contrast, Janet Pray addresses concerns about deaf and hard of hearing older clients.
Minority deaf populations pose additional ethical aspects, which are detailed by Carolyn Corbett. Kathleen Peoples explores the challenges of training professionals in mental health services specifically for deaf clients. Closely related to these topics is the influence of interpreters with deaf clients in mental health settings, which Lynnette Taylor thoroughly treats. Ethics and Mental Health in Deafness also features a chapter on genetic counseling and testing for deafness by Kathleen Arnos. The final section, written by Robert Pollard, examines ethical conduct in research with deaf people, a fitting conclusion to a volume that will become required reading for all professionals and students in this discipline.
Virginia Gutman is Professor of Psychology at Gallaudet University.
Dr. Harold Koenig is the brand in the growing field of spirituality and health. His groundbreaking research has been featured on national and international television and radio shows, on the covers of magazines, and in the headlines of newspapers.
Now he opens a window on mental health, providing an unprecedented source of practical information about the relationship between religion mental health. Dr. Koenig examines how Christianity and other world religions deliver mental health services today, and he makes recommendations, based on research, expertise, and experience, for new programs to meet local needs.
Meticulously researched and documented, Faith and Mental Health includes:
•Research on the relationship between religion and positive emotions, psychiatric illnesses, and severe and persistent mental disorders
•Ways in which religion has influenced mental health historically, and how now and in the future it can be involved with mental health
•A comprehensive description and categorization of Christian and non-Christian faith-based organizations that provide mental health resources
•Resources for religious professionals and faith communities on how to design effective programs
Presenting a combination of the history and current research of mental health and religion along with a thorough examination of faith-based organizations operating in the field, this book is a one-of-a-kind resource for the health care community; its valuable research and insights will benefit medical and religious professionals, and anyone concerned with the future of mental health care.
Choosing a psychiatrist is complicated. If a person doesn’t know what to look for and the questions to ask, finding the right psychiatrist can be daunting.The goal is to find one who, while remaining a competent physician, is as comfortable and capable working with problems of the mind as he or she is prescribing psychiatric medications.
Combining over forty years of experience as a practicing psychiatrist with an insider’s perspective of current psychiatric practice, Dr. Robert Taylor provides invaluable guidance to persons considering psychiatric treatment or contemplating a change of doctor in an effort to find better treatment. Cautioning readers against settling for a psychiatrist who views psychodrugs as the treatment, Dr. Taylor provides specific suggestions for avoiding the growing number of psychiatrists who write scripts automatically.
In recent decades, psychiatric care has been overly reliant on psychodrugs. Patient diagnoses are being seriously questioned. Finding the Right Psychiatrist encourages people to seek care from a complete psychiatrist—one able and willing to pursue matters of mind and brain/body, rather than settling on psychodrugs as the main treatment.
Throughout the book, readers learn about the proper uses and limits of psychiatric diagnosis. Dr. Taylor carefully outlines an individualized approach to psychiatric care guided more by a patient’s particular problems and situation than by diagnoses that often mislead more than help. He provides a realistic appraisal of psychiatric medications: what they can and cannot do as well, a discussion of mind work tools, traits of effective psychiatrists, suggestions for how to deal with common insurance company obstacles, and an explanation of the confusing politics of psychiatry.
An indispensable resource for anyone seeking psychiatric help or tasked with advising someone of what to look for in a doctor, Finding the Right Psychiatrist gives hope and guidance to those searching for complete and personalized care.
Firefighter and Paramedic Burnout was the first comprehensive book dealing with the recognition and treatment of burnout among firefighter and paramedic personnel. Today, this standard still serves to provide readers with a system of identification of early warning signs of excessive stress, its personal and social consequences, and interventions that have been proven to assist firefighters and their family members to return to a state of health and productivity.
From Madness to Mental Health neither glorifies nor denigrates the contributions of psychiatry, clinical psychology, and psychotherapy, but rather considers how mental disorders have historically challenged the ways in which human beings have understood and valued their bodies, minds, and souls.
Greg Eghigian has compiled a unique anthology of readings, from ancient times to the present, that includes Hippocrates; Julian of Norwich's Revelations of Divine Love, penned in the 1390s; Dorothea Dix; Aaron T. Beck; Carl Rogers; and others, culled from religious texts, clinical case studies, memoirs, academic lectures, hospital and government records, legal and medical treatises, and art collections. Incorporating historical experiences of medical practitioners and those deemed mentally ill, From Madness to Mental Health also includes an updated bibliography of first-person narratives on mental illness compiled by Gail A. Hornstein.
Global Mental Health provides an outline of the field of mental health with a particular focus on Latin America and the Spanish-speaking world. The book details evidence-based approaches being implemented globally and presents ongoing state of the art research on major mental disorders taking place in Latin America, including work being done on understanding Alzheimer’s, Bipolar Disorder, Schizophrenia, and other psychoses. While supporting the initiative for building capacity of care in low income countries, the book warns about some of the potential risks related to the abuse of psychiatry, using examples from the past, focusing on early 20th century Spain.
The social and cognitive development of children is a complex yet crucial process for parents to understand, and though there are numerous books on child development, A Good Start in Life stands out from the rest as an acclaimed and important work on the connections between childhood brain and behavioral development.
This new paperback edition, updated with the latest information and new material, offers parents and educators a rich and invaluable resource on how children learn to live in family and society from birth to age six. Norbert Herschkowitz, MD, and his wife Elinore Chapman Herschkowitz draw on their lifetime of experience in studying infants and children to explain how brain development shapes a child’s personality and behavior. Organizing their narrative by age, the authors examine a wide range of social development issues, from appropriate rule-setting to the development of key character elements in a child such as moral sensibility, temperament, language development, playing, aggression, impulse control, and empathy.
Some of the most popular features of the hardcover edition are retained here, including the question-and-answer section that concludes each chapter with real questions posed by parents to Dr. Herschkowitz, as well as brain maps and charts that display milestones in the development of various skills. Additional new material addresses concerns about prematurely born babies and the issue of resilience in children.
In today’s world, children grow up in an incredibly complex and highly sensory environment. A Good Start in Life offers a clear, concise, and richly detailed guide infused with warmth and encouragement that enables parents and educators to constructively stimulate and shape their children’s cognitive and social development.
“A must read . . . a gift to all parents.”—Rosemarie T. Truglio, vice-president, Education and Research, Sesame Workshop
“Do the first three years of life represent a critical period for all aspects of development? Are we the product of our genes or of our environment? Does early exposure to Mozart make for smarter babies? The answers to these and other pressing questions are skillfully and elegantly answered in this wonderful book, which I enthusiastically recommend.”
—Charles A. Nelson, Distinguished McKnight University Professor of Child Psychology, Neuroscience, and Pediatrics, University of Minnesota
“This delightfully written book . . . is not merely a how-to book, but a book about understanding how a child truly grows.”
—Guy McKhann, MD, The Johns Hopkins School of Medicine
Life with others is messy. The bonds we form are often the source that drives us to helping professionals like therapists and pastors in the first place. And yet, it is from these relationships that our greatest moments of healing spring. Recognizing the value of relationships, pastors and therapists have been leading small therapeutic groups for years. Yet few leaders have a specific, easy-to-follow, and researched framework to structure their groups. Helping Groups Heal presents “The Healing Cycle,” a grace-based model that facilitates healing and growth in groups. It has been tested with a variety of settings, and can be adapted to nearly any small group, from sex addiction therapy to marriage therapy to Bible studies.
The basic components of “The Healing Cycle” are grace, safety, vulnerability, truth, ownership, and confession. Helping Groups Heal guides the reader through these elements, offering case studies and practical advice from the voices of researchers and practitioners. Each chapter shows how “The Healing Cycle” moves its members to share their truth, own it, and make positive change in their lives. Each step of the process allows participants to move past surface issues and find depth in their understanding of their pain.
Whether you have been leading small groups for years or are about to lead your first session, Helping Groups Heal is an accessible, easy-to-follow guide through “The Healing Cycle” that will give each group member what’s needed to grow, relate, and heal.
Childhood, adolescence, even the "twilight years" have been extensively researched and documented. But the vast terrain known as midlife—the longest segment of the life course—has remained uncharted. How physically and psychologically healthy are Americans at midlife? And why do some experience greater well-being than others?
The MacArthur Foundation addressed these questions head-on by funding a landmark study known as "Midlife in the U.S.," or MIDUS. For the first time in a single study, researchers were able to integrate epidemiological, sociological, and psychological assessments, as well as innovative new measures to evaluate how work and family life influence each other.
How Healthy Are We? presents the key findings from the survey in three sections: physical health, quality of life and psychological well-being, and the contexts (family, work) of the midlife. The topics covered by almost forty scholars in a wide variety of fields are vast, including everything from how health and well-being vary with socioeconomic standing, gender, race, or region of the country to how middle-aged people differ from younger or older adults in their emotional experience and quality of life. This health—the study measures not only health-the absence of illness—but also reports on the presence of wellness in middle-aged Americans.
The culmination of a decade and a half of research by leading scholars, How Healthy Are We? will dramatically alter the way we think about health in middle age and the factors that influence it. Researchers, policymakers, and others concerned about the quality of midlife in contemporary America will welcome its insights.
* Having a good life means having good relationships with others to almost 70% of those surveyed. Less than 40% mentioned their careers.
* Reports of disruptive daily stressors vary by age, with young adults and those in midlife experiencing more than those in later adulthood.
* Men have higher assessments of their physical and mental health than woman until the age of 60.
For gay men who are HIV-negative in a community devastated by AIDS, survival may be a matter of grief, guilt, anxiety, and isolation. In the Shadow of the Epidemic is a passionate and intimate look at the emotional and psychological impact of AIDS on the lives of the survivors of the epidemic, those who must face on a regular basis the death of friends and, in some cases, the decimation of their communities. Drawing upon his own experience as a clinical psychologist and a decade-long involvement with AIDS/HIV issues, Walt Odets explores the largely unrecognized matters of denial, depression, and identity that mark the experience of uninfected gay men. Odets calls attention to the dire need to address issues that are affecting HIV-negative individuals—from concerns about sexuality and relations with those who are HIV-positive to universal questions about the nature and meaning of survival in the midst of disease. He argues that such action, while explicitly not directing attention away from the needs of those with AIDS, is essential to the human and biological well-being of gay communities. In the immensely powerful firsthand words of gay men living in a semiprivate holocaust, the need for a broader, compassionate approach to all of the AIDS epidemic’s victims becomes clear. In the Shadow of the Epidemic is a pathbreaking first step toward meeting that need.
In this book, David Karp explores the relationship between pills and personhood by listening to a group of experts who rarely get the chance to speak on the matter--those who are taking the medications. Through their honest and vivid stories, this book provides unflinching portraits of people attempting to make sense of a process far more complex and mysterious than doctors or pharmaceutical companies generally admit.
Integrating the Islamic faith with modern psychotherapy is at the forefront of the spiritually integrated psychotherapy movement. To bring this work to wider attention and to promote its continuation, Dr. Carrie York Al-Karam has brought together the present volume of nine essays, each of which is written by a Muslim clinician who practices Islamically integrated psychotherapy (IIP)—a modern approach that unites the teachings, principles, and interventions of the faith with Western therapeutic approaches.
As delineated in the Introduction, IIP has emerged from a variety of domains including the psychology of religion and spirituality, multicultural psychology and counseling, transpersonal psychology, Muslim Mental Health, and Islamic Psychology. The individual chapters then describe a variety of ways IIP is practiced by Muslim clinicians in their service provision with Muslim clients.
The contributors discuss a wide range of topics, such as how Islam can be viewed as a system for psychological wellbeing, or a “science of the soul”; what marital counseling can look like from an Islamically-integrated perspective; Prophet Mohammed as a psycho-spiritual exemplar in a new approach called The HEART Method; the use of Quranic stories in family therapy; as well as using Islamic teachings when working with Muslim children and adolescents.
A description of the various approaches is supplemented with discussions of their theoretical underpinnings as well as research-based recommendations for advancing clinical application. What emerges is a vital resource for Muslim and non-Muslim clinicians alike as well as the lay Muslim reader wanting to know more about how the Islamic faith and psychotherapy are engaging with each other in a modern clinical context.
Our jobs are often a big part of our identities, and when we are fired, we can feel confused, hurt, and powerless—at sea in terms of who we are. Drawing on extensive, real-life interviews, Job Loss, Identity, and Mental Health shines a light on the experiences of unemployed, middle-class professional men and women, showing how job loss can affect both identity and mental health.
Sociologist Dawn R. Norris uses in-depth interviews to offer insight into the experience of losing a job—what it means for daily life, how the unemployed feel about it, and the process they go through as they try to deal with job loss and their new identities as unemployed people. Norris highlights several specific challenges to identity that can occur. For instance, the way other people interact with the unemployed either helps them feel sure about who they are, or leads them to question their identities. Another identity threat happens when the unemployed no longer feel they are the same person they used to be. Norris also examines the importance of the subjective meaning people give to statuses, along with the strong influence of society’s expectations. For example, men in Norris’s study often used the stereotype of the “male breadwinner” to define who they were. Job Loss, Identity, and Mental Health describes various strategies to cope with identity loss, including “shifting” away from a work-related identity and instead emphasizing a nonwork identity (such as “a parent”), or conversely “sustaining” a work-related identity even though he or she is actually unemployed. Finally, Norris explores the social factors—often out of the control of unemployed people—that make these strategies possible or impossible.
A compelling portrait of a little-studied aspect of the Great Recession, Job Loss, Identity, and Mental Health is filled with insight into the identity crises that unemployment can trigger, as well as strategies to help the unemployed maintain their mental strength.
While mental illness and mental health care are increasingly recognized and accepted in today’s society, awareness of the most severely mentally ill—as well as those who care for them—is still dominated by stereotypes. Managing Madness in the Community dispels the myth. Readers will see how treatment options often depend on the social status, race, and gender of both clients and carers; how ideas in the field of mental health care—conflicting priorities and approaches—actually affect what happens on the ground; and how, amid the competing demands of clients and families, government agencies, bureaucrats and advocates, the fragmented American mental health system really works—or doesn’t.
In the wake of movies like One Flew Over the Cuckoo’s Nest and Shutter Island, most people picture the severely or chronically mentally ill being treated in cold, remote, and forbidding facilities. But the reality is very different. Today the majority of deeply troubled mental patients get treatment in nonprofit community organizations. And it is to two such organizations in the Midwest that this study looks for answers. Drawing upon a wealth of unique evidence—fifteen months of ethnographic observations, 91 interviews with clients and workers, and a range of documents—Managing Madness in the Community lays bare the sometimes disturbing nature and effects of our overly complex and disconnected mental health system.
Kerry Michael Dobransky examines the practical strategies organizations and their clients use to manage the often-conflicting demands of a host of constituencies, laws, and regulations. Bringing to light the challenges confronting patients and staff of the community-based institutions that bear the brunt of caring for the mentally ill, his book provides a useful broad framework that will help researchers and policymakers understand the key forces influencing the mental health services system today.
An incitement to re-assess how society relates to persons with poor mental health
Mainwaring explores the societal contexts of those who suffer poor mental health, and in particular the relational dynamics of how identity, agency, and dialogue are negotiated in personal encounters. This work seeks to serve as an experiment, such that interested readers might better understand the dynamics of relational power that pervade encounters with persons with poor mental health.
Foucauldian analysis of the relational dynamics of poor mental health used to re-imagine hegemonic relational dynamics
Close readings of encounters between individual characters to evaluate how mutuality operates in those encounters
Study of mutuality as it has emerged in mental health literature, feminist theologies, and theologies of disability
We live in an era in which medicalization—the process of conceptualizing and treating a wide range of human experiences as medical problems in need of medical treatment—of mental health troubles has been settled for several decades. Yet little is known about how this biomedical framework affects practitioners’ experiences. Using interviews with forty-three practitioners in the New York City area, this book offers insight into how the medical model maintains its dominant role in mental health treatment. Smith explores how practitioners grapple with available treatment models, and make sense of a field that has shifted rapidly in just a few decades. This is a book about practitioners working in a medicalized field; for some practitioners this is a straightforward and relatively tension-free existence while for others, who believe in and practice in-depth talk therapy, the biomedical perspective is much more challenging and causes personal and professional strains.
The World Congress on Mental Health and Deafness first met at Gallaudet University in October 1998, and it has convened five more times in the succeeding years. This volume collects the very best research presented at the Fifth World Congress, which took place in Monterrey, Mexico, in 2012. The eighteen international contributors represent the pioneers of mental health and deafness services in their respective countries.
Volume editors Benito Estrada Aranda and Ines Sleeboom-van Raaij have divided the book into three parts—Mental Health Issues and Treatment, Deaf Populations, and Deaf Children and Their Families. In the first part, the contributors provide in-depth analysis of specific challenges and treatment modalities ranging from the provision of mental healthcare as a basic human right to psychopharmacological treatment, the challenges in developing mental health services for deaf and hard of hearing people in countries where none exist, and new treatment therapies.
Part two looks at issues of self-esteem and cultural identity among deaf and hard of hearing adults in Greece and Cyprus, the services for deaf people at a public health clinic in Austria, and the quality of life among Latino Deaf bilinguals in the United States. In the last part, the contributors focus on mental health issues found in deaf children and adolescents and on the relationships between deaf teenagers and their hearing mothers. The volume concludes with a case study of a prelingually deaf child diagnosed as autistic. Taken all together, these cutting-edge articles explore the important issues within the specialized area of mental health and deafness.
Police Burnout is the synthesis of Dr. Fishkin’s sixteen years experience as a police psychologist, and is a must read for all police officers, family members, police and public safety administrators, as well as mental health specialists who work in the area of law enforcement. It is a modern classic in the field of police psychology.
As part of an evaluation of the Marine Corps Operational Stress Control and Readiness (OSCAR) program, this report describes the methods and findings of a large survey of marines who were preparing for a deployment to Iraq or Afghanistan in 2010 or 2011. The results are among the first to shed light on the pre-deployment mental health status of marines, as well as the social resources they draw on when coping with stress and their attitudes about seeking help for stress-related problems.
It’s a troubling phenomenon that many of us think of as a modern psychological epidemic, a symptom of extreme emotional turmoil in young people, especially young women: cutting and self-harm. But few of us know that it was 150 years ago—with the introduction of institutional asylum psychiatry—that self-mutilation was first described as a category of behavior, which psychiatrists, and later psychologists and social workers, attempted to understand. With care and focus, Psyche on the Skin tells the secret but necessary history of self-harm from the 1860s to the present, showing just how deeply entrenched this practice is in human culture.
Sarah Chaney looks at many different kinds of self-injurious acts, including sexual self-mutilation and hysterical malingering in the late Victorian period, self-marking religious sects, and self-mutilation and self-destruction in art, music, and popular culture. As she shows, while self-harm is a widespread phenomenon found in many different contexts, it doesn’t necessarily have any kind of universal meaning—it always has to be understood within the historical and cultural context that surrounds it. Bravely sharing her own personal experiences with self-harm and placing them within its wider history, Chaney offers a sensitive but engaging account—supported with powerful images—that challenges the misconceptions and controversies that surround this often misunderstood phenomenon. The result is crucial reading for therapists and other professionals in the field, as well as those affected by this emotive, challenging act.
The relationship between psychology and religion has been historically rocky. The trouble is that psychologists often take a “top-down” approach to studying religious beliefs and practices. Consider, for instance, a psychologist who observes a community’s religious ceremony and then describes it as a “sociological phenomenon.” This strikes members of the community as an attempt to explain away their beliefs. When the sacred experiences of religious followers are treated as nothing more than case studies for journals and textbooks, the full import of their meaning in the hearts and minds of real people is lost.
This book corrects that by taking a “bottom-up” approach to understanding religious behavior around the world. Each of the major religions is the focus of a separate chapter, and each chapter is written by a psychologist who is either a practicing member of that religion or who has cultural roots among the people who practice that religion. This gives the reader the intimate perspective of someone who has lived the religion, not merely studied it. Viewing religion in this manner is respectful and conveys all the color, flavor, and idiosyncratic ways that religion animates, inspires, and instructs its adherents.
Psychologists in academic and clinical settings desperately need this kind of book today. Across society, we’re hearing the call for greater diversity, understanding, and inclusion. With this resource in hand, psychologists will be able to grasp at an intimate level the meaningful role that religion and spirituality plays in the lives of the people they’re trying to help.
Understanding the current quality of care for posttraumatic stress disorder (PTSD) and depression delivered to service members is an important step toward improving care across the Military Health System (MHS). T.his report describes the characteristics of active-component service members who received care for PTSD or depression through the MHS and assesses the quality of care received using quality measures derived from administrative data
It has been said that how a society treats its least well-off members speaks volumes about its humanity. If so, our treatment of the mentally ill suggests that American society is inhumane: swinging between overintervention and utter neglect, we sometimes force extreme treatments on those who do not want them, and at other times discharge mentally ill patients who do want treatment without providing adequate resources for their care in the community.
Focusing on overinterventionist approaches, Refusing Care explores when, if ever, the mentally ill should be treated against their will. Basing her analysis on case and empirical studies, Elyn R. Saks explores dilemmas raised by forced treatment in three contexts—civil commitment (forced hospitalization for noncriminals), medication, and seclusion and restraints. Saks argues that the best way to solve each of these dilemmas is, paradoxically, to be both more protective of individual autonomy and more paternalistic than current law calls for. For instance, while Saks advocates relaxing the standards for first commitment after a psychotic episode, she also would prohibit extreme mechanical restraints (such as tying someone spread-eagled to a bed). Finally, because of the often extreme prejudice against the mentally ill in American society, Saks proposes standards that, as much as possible, should apply equally to non-mentally ill and mentally ill people alike.
Mental health professionals, lawyers, disability rights activists, and anyone who wants to learn more about the way the mentally ill are treated—and ought to be treated—in the United States should read Refusing Care.
In Sex Offenders, Stigma, and Social Control, Diana Rickard provides the reader with an in-depth view of six sex offenders, exploring how they manage to cope with their highly stigmatized role as social outcasts. The book explores how these individuals construct their sense of self. By placing their stories within the context of the current culture of mass incarceration and zero-tolerance, Rickard provides a deeper understanding of the complex relationship between public policy and lived experience.
Current public health literature suggests that the mentally ill may represent as much as half of the smokers in America. In Smoking Privileges, Laura D. Hirshbein highlights the complex problem of mentally ill smokers, placing it in the context of changes in psychiatry, in the tobacco and pharmaceutical industries, and in the experience of mental illness over the last century.
Hirshbein, a medical historian and clinical psychiatrist, first shows how cigarettes functioned in the old system of psychiatric care, revealing that mental health providers long ago noted the important role of cigarettes within treatment settings and the strong attachment of many mentally ill individuals to their cigarettes. Hirshbein also relates how, as the sale of cigarettes dwindled, the tobacco industry quietly researched alternative markets, including those who smoked for psychological reasons, ultimately discovering connections between mental states and smoking, and the addictive properties of nicotine. However, Smoking Privileges warns that to see smoking among the mentally ill only in terms of addiction misses how this behavior fits into the broader context of their lives. Cigarettes not only helped structure their relationships with other people, but also have been important objects of attachment. Indeed, even after psychiatric hospitals belatedly instituted smoking bans in the late twentieth century, smoking remained an integral part of life for many seriously ill patients, with implications not only for public health but for the ongoing treatment of psychiatric disorders. Making matters worse, well-meaning tobacco-control policies have had the unintended consequence of further stigmatizing the mentally ill.
A groundbreaking look at a little-known public health problem, Smoking Privileges illuminates the intersection of smoking and mental illness, and offers a new perspective on public policy regarding cigarettes.
A review of the scientific evidence on suicide postvention (organizational responses to prevent additional suicides and help loss survivors cope), guidance for other types of organizations, and the perspectives of the family and friends of service members who have died by suicide provide insights that may help the U.S. Department of Defense formulate its own policies and programs in a practical and efficient way.
Betty Berzon, renowned psychotherapist and author of the bestselling book Permanent Partners, tells her own incredible story here. Berzon’s journey from psychiatric patient on suicide watch—her wrists tethered to the bed rails in a locked hospital ward—to her present role as a groundbreaking therapist and gay pioneer makes for purely compelling reading.
Berzon is recognized today as a trailblazing co-founder of a number of important lesbian and gay organizations and one of the first therapists to focus on means of developing healthy gay relationships and overcoming homophobia. Her sometimes bumpy road to success never fails to fascinate. Along the way she encounters such luminaries as Anaïs Nin, Eleanor Roosevelt, the Sitwells, Evelyn Hooker, and Paul Monette. Her recollections here provide a collective portrait of her fellow pioneers and a stirring lesson in twentieth-century history.
It is, however, the intimate story of Berzon’s own private passage toward self-discovery—from mental breakdown and suicide attempts, through hospitalization, eventual triumphant recovery, and her own coming out as an open lesbian at the age of forty—that makes this memoir an urgent, insightful, and deeply emotional testament to human survival.
Talking Therapy traces the rise of modern psychiatric nursing in the United States from the 1930s to the 1970s. Through an analysis of the relationship between nurses and other mental health professions, with an emphasis on nursing scholarship, this book demonstrates the inherently social construction of ‘mental health’, and highlights the role of nurses in challenging, and complying with, modern approaches to psychiatry. After WWII, heightened cultural and political emphasis on mental health for social stability enabled the development of psychiatric nursing as a distinct knowledge project through which nurses aimed to transform institutional approaches to patient care, and to contribute to health and social science beyond the bedside. Nurses now take for granted the ideas that underpin their relationships with patients, but this book demonstrates that these were ideas not easily won, and that nurses in the past fought hard to make mental health nursing what it is today.
Individuals with a mental illnesses—such as schizophrenia, bipolar disorder, and depression—have a double burden, Otto Wahl writes. Not only must they cope with disabling disorders, but they also must contend with the negative attitudes of the public toward those disorders. To truly understand the full extent of this stigma, we need to hear from the consumers (the term used in this book for people with mental illness) themselves. Telling is Risky Business is the first book to examine what these people have to say about their own experiences of stigma.
The center of Wahl’s research was a nationwide survey in which mental health consumers across the United States were asked, both through questionnaires and interviews, to tell about their experiences of stigma and discrimination. The research comes to life as many of the over 1,300 respondents’ acute observations are reported directly, in their own words.
Telling is Risky Business vividly covers topics such as isolation, rejection, discouragement, and discrimination. Consumers also offer perceptive observations of how our society depicts people with mental illness. The book ends with suggestions for strategies and coping; an invaluable section on resources available for fighting stigma guarantees its place on many bookshelves. As Laura Lee Hall writes, “This book will likely open your eyes to a topic that you probably did not understand.”
An increasing number of students and professionals are choosing to travel the globe to engage with the realities of trauma and human suffering through mental health aid. But in the field of global mental health, good intentions are not enough to ensure good training, development, and care. The risk of harm is real when outsiders deliver mental health aid in culturally inappropriate and otherwise naïve ways. This book, based on the experiences of the co-editors and their colleagues at Burma Border Projects (BBP), a nonprofit organization dedicated to the mental health and psychosocial well-being of the displaced people of Burma, sets out global mental health theory allied with local perspectives, experiences, real-life challenges, strengths, and best practices. Topics include assessment and intervention protocols, vulnerable groups and the special challenges they present, and supervision and evaluation programs. An introduction by the editors establishes the political and health contexts for the volume. Written in a style appropriate for academic audiences and lay readers, this book will serve as a fundamental text for clinicians, interns, volunteers, and researchers who work in regions of the world that have suffered the violence of war, forced displacement, human rights violations, poverty, and oppression.
A RAND study, the first to examine care received by a census of active-duty service members diagnosed with mild traumatic brain injury in the Military Health System, assessed the number and characteristics of these patients (including deployment history and history of traumatic brain injury), their care settings, the treatments they received, co-occurring conditions, the duration of treatment, and the risk factors for requiring long-term care.
This dynamic and richly layered account of mental health in the late twentieth century interweaves three important stories: the rising political prominence of mental health in the United States since 1970; the shifting medical diagnostics of mental health at a time when health activists, advocacy groups, and public figures were all speaking out about the needs and rights of patients; and the concept of voice in literature, film, memoir, journalism, and medical case study that connects the health experiences of individuals to shared stories.
Together, these three dimensions bring into conversation a diverse cast of late-century writers, filmmakers, actors, physicians, politicians, policy-makers, and social critics. In doing so, Martin Halliwell’s Voices of Mental Health breaks new ground in deepening our understanding of the place, politics, and trajectory of mental health from the moon landing to the millennium.
Drawing on extensive clinical and epidemiological evidence, as well as personal experience, Thomas Joiner provides the most coherent and persuasive explanation ever given of why and how people overcome life's strongest instinct, self-preservation. He tests his theory against diverse facts about suicide rates among men and women; white and African-American men; anorexics, athletes, prostitutes, and physicians; members of cults, sports fans, and citizens of nations in crisis.
In With the Wind and the Waves, psychologist Ray M. Droby tells a story of treatment and learning, drawing on experiences ranging from an ocean journey he took on the Bering Sea while serving in a Alaska Native community to his clinical work as a psychologist in rural Alaska. Like negotiating an ocean, Droby moves “with the wind and the waves” while working with substance abuse disorders and mental health issues superimposed on intergenerational trauma and internalized oppression. He captures positive momentum in work aimed at facilitating self-determination with Alaska Natives and their communities while discouraging historical dependency and colonizing patterns of thinking and doing for mental health workers. Sensitive to the history of non-Native outsiders imposing their own culture on Native land, Droby presents here principles, combined with cultural and therapy considerations, that are designed to help people avoid replicating this history of harm. Recognizing the strengths of Alaska Natives and their communities, and the stages of change human individuals and communities undergo, Droby shows how to exercise a nonjudgmental presence as a mental health worker in rural Alaska.