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 Burnout can affect anyone, especially in today’s world, where “The American Dream” has been replaced by the realities of a faltering economy, breakdown of the family and societal distintegration.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.
One of the major concerns about the changing U.S. health-care systems is whether they will improve or diminish the quality and cost-effectiveness of medical care. The shift from a fee-for-service to a prepaid method of reimbursement has greatly changed the incentives of patients to seek care as well as those of providers to supply it. This change poses a particular challenge for care of depressed patients, a vulnerable population that often does not advocate for its own care. This book documents the inefficiencies of our national systems--prepaid as well as fee-for-service--for treating depression and explores how they can be improved.
Although depression is a major illness affecting millions of people, it is seriously undertreated in the United States. The ongoing shift of mental-health care away from specialists and toward primary medical-care providers is causing fewer depressed patients to be appropriately diagnosed and treated. Depression is frequently more devastating than other major illnesses, such as arthritis and heart disease, because it often begins at a younger age, when people are at their productive peak and thus at risk of permanently damaging their careers. It also differs from many medical conditions in that its indirect costs are usually much higher than direct treatment costs.
The authors urge the integration of both medical and economic considerations in designing policies for the treatment of depression. They show that by spending more money efficiently on care, the nation will gain greater health improvements per dollar invested and a more productive population.
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.
A Telegraph Book of the Year
A Washington Post Notable Work
A Times Book of the Year
A Hughes Award Finalist
“An indisputable masterpiece…comprehensive, fascinating, and persuasive.”
—Wall Street Journal
“Brimming with wisdom and brio, this masterful work spans the history of psychiatry. Exceedingly well-researched, wide-ranging, provocative in its conclusions, and magically compact, it is riveting from start to finish. Mark my words, Desperate Remedies will soon be a classic.”
—Susannah Cahalan, author of Brain on Fire
“Compulsively readable…Scull has joined his wide-ranging reporting and research with a humane perspective on matters that many of us continue to look away from.”
—Daphne Merkin, The Atlantic
"Scull's fascinating and enraging book is the story of the quacks and opportunists who have claimed to offer cures for mental illness...Madness remains the most fascinating—arguably the defining—aspect of Homo sapiens."
—Sebastian Faulks, Sunday Times
“I would recommend this fascinating, alarming, and alerting book to anybody. For anyone referred to a psychiatrist it is surely essential.”
—The Spectator
For more than two hundred years disturbances of the mind have been studied and treated by the medical profession. Mental illness, some insist, is a disease like any other, from which one can be cured. But is this true?
From the birth of the asylum to the latest drug trials, Desperate Remedies brings together a galaxy of mind doctors working in and out of institutional settings: psychologists and psychoanalysts, neuroscientists and cognitive behavioral therapists, as well as patients and their families desperate for relief. Surprising, disturbing, and compelling, this passionate account of America’s long battle with mental illness challenges us to revisit some of our deepest assumptions and to confront the epidemic of mental illness so visible all around us.
"I started out snorting a couple of lines a night and ended up injecting and snorting about three grams a day."--That could be your dentist talking.
"I worked a lot with hangovers and made lots of mistakes when coming down off acid."--That might be your nurse.
"The patient was waking up and I was out cold."--And that was some unlucky patient's anesthesiologist.
Professionals trusted with our well-being are the last people we suspect of drug addiction. And yet they are at least as likely as anyone else to abuse alcohol and other drugs--a well-kept secret finally aired and fully examined in this powerful book. Drawing on more than 120 personal interviews with addicted physicians, dentists, nurses, pharmacists, attorneys, and airline pilots and those who treat them, Robert Coombs gives us a startling picture of drug abuse among "pedestal professionals." He discusses addiction as an occupational hazard for those with the easiest access to drugs, the greatest sense of immunity to their perils, and the most extensive means (and reasons) for hiding their problems. Throughout, the interviewees' eloquent and often harrowing testimony reminds us of the human drama behind the exhaustive research and analysis presented here. Their bittersweet stories bear out Coombs's contention that recovering addicts, free of their magical elixirs, can become more complete people than they were before addiction.
From the biological, psychosocial, and spiritual roots of addiction to the equally diverse approaches to recovery, to the merits and failures of government drug policy, Drug-Impaired Professionals offers a clear and complete overview of a complex problem that affects nearly every family in America.
Engaging in sex, becoming parents, raising children: these are among the most personal decisions we make, and for people with mental retardation, these decisions are consistently challenged, regulated, and outlawed. This book is a comprehensive study of the American legal doctrines and social policies, past and present, that have governed procreation and parenting by persons with mental retardation. It argues persuasively that people with retardation should have legal authority to make their own decisions.
Despite the progress of the normalization movement, which has moved so many people with mental retardation into the mainstream since the 1960s, negative myths about reproduction and child rearing among this population persist. Martha Field and Valerie Sanchez trace these prejudices to the eugenics movement of the late nineteenth and early twentieth centuries. They show how misperceptions have led to inconsistent and discriminatory outcomes when third parties seek to make birth control or parenting decisions for people with mental retardation. They also explore the effect of these decisions on those they purport to protect. Detailed, thorough, and just, their book is a sustained argument for reform of the legal practices and social policies it describes.
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.
Dr. Harold Koenig opens a window on mental health, providing an unprecedented source of practical information about the relationship between religion and mental health. He 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
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 healthcare community; its valuable research and insights will benefit medical and religious professionals, and anyone concerned with the future of mental health 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.
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.
How teachers can help combat higher education’s mental health crisis.
Mental health challenges on college campuses were a huge problem before COVID-19, and now they are even more pronounced. But while much has been written about higher education’s mental health crisis, very little research focuses on the role played by those on campus whose influence on student well-being may well be greatest: teachers. Drawing from interviews with students and the scholarship of teaching and learning, this book helps correct the oversight, examining how faculty can—instead of adding to their own significant workloads or duplicating counselors’ efforts—combat student stress through adjustments to the work they already do as teachers.
Improving Learning and Mental Health in the College Classroom provides practical tips that reduce unnecessary discouragement. It demonstrates how small improvements in teaching can have great impacts in the lives of students with mental health challenges, while simultaneously boosting learning for all students.
By the millennium Americans were spending more than 12 billion dollars yearly on antidepressant medications. Currently, millions of people in the U.S. routinely use these pills. Are these miracle drugs, quickly curing depression? Or is their popularity a sign that we now inappropriately redefine normal life problems as diseases? Are they prescribed too often or too seldom? How do they affect self-images?
David Karp approaches these questions from the inside, having suffered from clinical depression for most of his adult life. In this book he 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. Their voices, extracted from interviews Karp conducted, color the pages with their experiences and reactions--humor, gratitude, frustration, hope, and puzzlement. Here, the patients themselves articulate their impressions of what drugs do to them and for them. They reflect on difficult issues, such as the process of becoming committed to medication, quandaries about personal authenticity, and relations with family and friends.
The stories are honest and vivid, from a distraught teenager who shuns antidepressants while regularly using street drugs to a woman who still yearns for a spiritual solution to depression even after telling intimates "I'm on Prozac and it's saving me." The 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.
Research tells us that when most people suffer from a mental health crisis, the first person they turn to for help is not a physician, a psychiatrist, or a social worker, but a pastor, a priest, or a minister. In other words, a leader in their church. Unfortunately, many church leaders are not trained to recognize mental illness and don’t know when to refer someone to a mental health professional. The consequence—unintended yet tragic—is continued and unnecessary suffering.
Madness and Grace is a comprehensive guide for church ministry to alleviate this situation. Written by Dr. Matthew Stanford, the book is carefully constructed to help build competency in detecting a wide spectrum of mental disorders, such as knowing when a person is contemplating suicide based on telltale patterns of speech. It also explodes common discriminatory myths that stigmatize people with mental illness, such as the myth that they are more prone to violence than others.
Dr. Stanford has treated clients throughout his career who were afflicted with all manner of mental disorders. In Madness and Grace, he takes the full extent of his experience and makes it accessible and actionable for the lay reader. He begins by explaining what constitutes a mental illness and how these disorders are classified according to science. He next teaches how to notice the presence of a mental illness by listening carefully to phraseology, observing behavior, and asking discerning questions. He goes on to discuss methods of treatment, common religious concerns about mental health, and ways church communities can support people on the road to recovery.
As a Christian, Dr. Stanford wants his fellow believers to know that acknowledging and seeking help for a mental illness is not a sign of weak faith. That’s why, in addition to sharing his medical expertise with church leaders, he commends pertinent biblical passages that underscore God’s concern for our mental wellbeing. These passages provide strength and comfort as complements to clinically-derived treatment and are essential to Dr. Stanford’s approach. “When working with those in severe psychological distress,” he writes, “compassion and grace are always the first line of pastoral care.”
A moving and deeply personal excavation of Indigenous beauty and passion in a suffering world
The novel Jonny Appleseed established Joshua Whitehead as one of the most exciting and important new literary voices on Turtle Island, winning both a Lambda Literary Award and Canada Reads 2021. In Making Love with the Land, his first nonfiction book, Whitehead explores the relationships between body, language, and land through creative essay, memoir, and confession.
In prose that is evocative and sensual, unabashedly queer and visceral, raw and autobiographical, Whitehead writes of an Indigenous body in pain, coping with trauma. Deeply rooted within, he reaches across the anguish to create a new form of storytelling he calls “biostory”—beyond genre, and entirely sovereign. Through this narrative perspective, Making Love with the Land recasts mental health struggles and our complex emotional landscapes from a nefarious parasite on his (and our) well-being to kin, even a relation, no matter what difficulties they present to us. Whitehead ruminates on loss and pain without shame or ridicule but rather highlights waypoints for personal transformation. Written in the aftermath of heartbreak, before and during the pandemic, Making Love with the Land illuminates this present moment in which both Indigenous and non-Indigenous people are rediscovering old ways and creating new ones about connection with and responsibility toward each other and the land.
Intellectually audacious and emotionally compelling, Whitehead shares his devotion to the world in which we live and brilliantly—even joyfully—maps his experience on the land that has shaped stories, histories, and bodies from time immemorial.
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.
Features:
"Could I be sued?" The exploding number of malpractice lawsuits in recent years has brought this question to the mind of every clinician---the conscientious as well as the negligent.
A unique and practical guide to clinical risk management, this book combines the expertise of mental health professionals, judges, attorneys, and insurance industry experts, to help the clinician provide effective treatment while reducing the risk of legal liability. Wide-ranging, clinically based, and up to date, it will be a welcome guide for medical and surgical practitioners as well.
The first section gives clinicians a working knowledge of legal regulation in psychiatry and medicine, covering informed consent, documentation of patient care, and potential conflicts of interest. The second section identifies high-risk areas for lawsuits, including managing suicidal and violent patients, boundary violations, supervision issues, prescription of medications, liability in managed care settings, and treatment termination. The book concludes with a primer on clinical testimony in the courtroom.
The broad range of distinguished contributors to this volume will provide a survival guide to clinicians in the increasingly complex and rapidly changing world of health care.
Minding Justice offers a comprehensive examination of the laws governing the punishment, detention, and protection of people with mental disabilities. Using famous cases such as those of John Hinckley, Andrea Yates, and Theodore Kaczynski, the book analyzes the insanity defense and related doctrines, the role of mental disability in sentencing, the laws that authorize commitment of "sexual predators" and others thought to be a threat to society, and the rules that restrict participation of mentally compromised individuals in the criminal and treatment decision-making processes.
Arguing that current legal doctrines are based on flawed premises and ignorance of the impairments caused by mental disability, Christopher Slobogin makes a case for revamping the insanity defense, abolishing the "guilty but mentally ill" verdict, prohibiting execution of people with mental disability, restructuring preventive detention, and redefining incompetency. A milestone in criminal mental health law, Minding Justice provides innovative solutions to ancient problems associated with criminal responsibility, protection of society from "dangerous" individuals, and the state's authority to act paternalistically.
Around the world, more than a million people die by suicide each year. Yet many of us know very little about a tragedy that may strike our own loved ones—and much of what we think we know is wrong. This clear and powerful book dismantles myth after myth to bring compassionate and accurate understanding of a massive international killer.
Drawing on a fascinating array of clinical cases, media reports, literary works, and scientific studies, Thomas Joiner demolishes both moralistic and psychotherapeutic clichés. He shows that suicide is not easy, cowardly, vengeful, or selfish. It is not a manifestation of "suppressed rage" or a side effect of medication. Threats of suicide, far from being idle, are often followed by serious attempts. People who are prevented once from killing themselves will not necessarily try again.
The risk for suicide, Joiner argues, is partly genetic and is influenced by often agonizing mental disorders. Vulnerability to suicide may be anticipated and treated. Most important, suicide can be prevented.
An eminent expert whose own father's death by suicide changed his life, Joiner is relentless in his pursuit of the truth about suicide and deeply sympathetic to such tragic waste of life and the pain it causes those left behind.
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.
Are horrific experiences indelibly fixed in a victim’s memory? Or does the mind protect itself by banishing traumatic memories from consciousness? How victims remember trauma is the most controversial issue in psychology today, spilling out of consulting rooms and laboratories to capture headlines, rupture families, provoke legislative change, and influence criminal trials and civil suits. This book, by a clinician who is also a laboratory researcher, is the first comprehensive, balanced analysis of the clinical and scientific evidence bearing on this issue—and the first to provide definitive answers to the urgent questions at the heart of the controversy.
Synthesizing clinical case reports and the vast research literature on the effects of stress, suggestion, and trauma on memory, Richard McNally arrives at significant conclusions, first and foremost that traumatic experiences are indeed unforgettable. Though people sometimes do not think about disturbing experiences for long periods of time, traumatic events rarely slip from awareness for very long; furthermore, McNally reminds us, failure to think about traumas—such as early sexual abuse—must not be confused with amnesia or an inability to remember them. In fact, the evidence for repressed memories of trauma—or even for repression at all—is surprisingly weak.
A magisterial work of scholarship, panoramic in scope and nonpartisan throughout, this unfailingly lucid work will prove indispensable to anyone seeking to understand how people remember trauma.
Viewing our past through the eyes of maturity can reveal insights that our younger selves could not see. Lessons that eluded us become apparent. Encounters that once felt like misfortunes now become understood as valued parts of who we are. We realize what we’ve learned and what we have to teach. And we’re encouraged to chart a future that is rich with purpose.
In A Round of Golf with My Father, William Damon introduces us to the “life review.” This is a process of looking with clarity and curiosity at the paths we’ve traveled, examining our pasts in a frank yet positive manner, and using what we’ve learned to write purposeful next chapters for our lives.
For Damon, that process began by uncovering the mysterious life of his father, whom he never met and never gave much thought to. What he discovered surprised him so greatly that he was moved to reassess the events of his own life, including the choices he made, the relationships he forged, and the career he pursued.
Early in his life, Damon was led to believe that his father had been killed in World War II. But the man survived and went on to live a second life abroad. He married a French ballerina, started a new family, and forged a significant Foreign Service career. He also was an excellent golfer, a bittersweet revelation for Damon, who wishes that his father had been around to teach him the game.
We follow Damon as he struggles to make sense of his father’s contradictions and how his father, even though living a world apart, influenced Damon’s own development in crucial ways. In his life review, Damon uses what he learned about his father to enhance his own newly emerging self-knowledge.
Readers of this book may come away inspired to conduct informal life reviews for themselves. By uncovering and assembling the often overlooked puzzle pieces of their pasts, readers can seek present-day contentment and look with growing optimism to the years ahead.
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.
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.”
A pointed look at the state of tech-based mental healthcare and what we must do to change it
Proponents of technology trumpet it as the solution to the massive increase in the mental distress that confronts our nation. They herald the arrival of algorithms, intelligent chatbots, smartphone applications, telemental healthcare services, and more—but are these technological fixes really as good as they seem? In Therapy Tech, Emma Bedor Hiland presents the first comprehensive study of how technology has transformed mental healthcare, showing that this revolution can’t deliver what it promises.
Far from providing a solution, technological mental healthcare perpetuates preexisting disparities while relying on the same failed focus on personal responsibility that has let us down before. Through vivid, in-depth case studies, Therapy Tech reveals these problems, covering issues including psychosurveillance on websites like Facebook and 7 Cups of Tea, shortcomings of popular AI “doctors on demand” like Woebot, Wysa, and Joy, and even how therapists are being conscripted into the gig economy.
Featuring a vital coda that brings Therapy Tech up to date for the COVID era, this book is the first to give readers a large-scale analysis of mental health technologies and the cultural changes they have enabled. Both a sobering dissection of the current state of mental health and a necessary warning of where things are headed, Therapy Tech makes an important assertion about how to help those in need of mental health services today.
How ordinary Americans, frustrated by the legal and political wrangling over the Second Amendment, can fight for reforms that will both respect gun owners’ rights and reduce gun violence.
Efforts to reduce gun violence in the United States face formidable political and constitutional barriers. Legislation that would ban or broadly restrict firearms runs afoul of the Supreme Court’s current interpretation of the Second Amendment. And gun rights advocates have joined a politically savvy firearms industry in a powerful coalition that stymies reform.
Ian Ayres and Fredrick Vars suggest a new way forward. We can decrease the number of gun deaths, they argue, by empowering individual citizens to choose common-sense gun reforms for themselves. Rather than ask politicians to impose one-size-fits-all rules, we can harness a libertarian approach—one that respects and expands individual freedom and personal choice—to combat the scourge of gun violence.
Ayres and Vars identify ten policies that can be immediately adopted at the state level to reduce the number of gun-related deaths without affecting the rights of gun owners. For example, Donna’s Law, a voluntary program whereby individuals can choose to restrict their ability to purchase or possess firearms, can significantly decrease suicide rates. Amending red flag statutes, which allow judges to restrict access to guns when an individual has shown evidence of dangerousness, can give police flexible and effective tools to keep people safe. Encouraging the use of unlawful possession petitions can help communities remove guns from more than a million Americans who are legally disqualified from owning them. By embracing these and other new forms of decentralized gun control, the United States can move past partisan gridlock and save lives now.
In the wake of a suicide, the most troubling questions are invariably the most difficult to answer: How could we have known? What could we have done? And always, unremittingly: Why? Written by a clinical psychologist whose own life has been touched by suicide, this book offers the clearest account ever given of why some people choose to die.
Drawing on extensive clinical and epidemiological evidence, as well as personal experience, Thomas Joiner brings a comprehensive understanding to seemingly incomprehensible behavior. Among the many people who have considered, attempted, or died by suicide, he finds three factors that mark those most at risk of death: the feeling of being a burden on loved ones; the sense of isolation; and, chillingly, the learned ability to hurt oneself. Joiner tests his theory against diverse facts taken from clinical anecdotes, history, literature, popular culture, anthropology, epidemiology, genetics, and neurobiology--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.
The result is the most coherent and persuasive explanation ever given of why and how people overcome life's strongest instinct, self-preservation. Joiner's is a work that makes sense of the bewildering array of statistics and stories surrounding suicidal behavior; at the same time, it offers insight, guidance, and essential information to clinicians, scientists, and health practitioners, and to anyone whose life has been affected by suicide.
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