In a book sure to inspire controversy, Gene Heyman argues that conventional wisdom about addiction - that it is a disease, a compulsion beyond conscious control - is wrong. At the heart of Heyman's analysis is a startling view of choice and motivation that applies to all choices, not just the choice to use drugs. Heyman’s analysis of well-established but frequently ignored research leads to unexpected insights into how we make choices - from obesity to McMansionization - all rooted in our deep-seated tendency to consume too much of whatever we like best.
From August 29 to September 21, 1909, Sigmund Freud visited the United States, where he gave five lectures at Clark University in Worcester, Massachusetts. This volume brings together a stunning gallery of leading historians of psychoanalysis and of American culture to consider the broad history of psychoanalysis in America and to reflect on what has happened to Freud’s legacy in the United States in the century since his visit.
There has been a flood of recent scholarship on Freud’s life and on the European and world history of psychoanalysis, but historians have produced relatively little on the proliferation of psychoanalytic thinking in the United States, where Freud’s work had monumental intellectual and social impact. The essays in After Freud Left provide readers with insights and perspectives to help them understand the uniqueness of Americans’ psychoanalytic thinking, as well as the forms in which the legacy of Freud remains active in the United States in the twenty-first century. After Freud Left will be essential reading for anyone interested in twentieth-century American history, general intellectual and cultural history, and psychology and psychiatry.
Do people with mental disorders share enough psychology with other people to make human interpretation possible? Jonathan Glover tackles the hard cases—violent criminals, people with delusions, autism, schizophrenia—to answer affirmatively. He offers values linked with agency and identity to guide how the boundaries of psychiatry should be drawn.
Richard Noll Harvard University Press, 2011 Library of Congress RC514.N629 2011 | Dewey Decimal 616.89800973
In 1895 not a single case of dementia praecox was reported in the United States. By 1912 tens of thousands of people with this diagnosis were locked up in asylums, hospitals, and jails. By 1927 it was fading away. This book explains how such a terrible disease could be discovered, affect so many lives, and then turn out to be something else.
As American Melancholy reveals, if you read about depression anywhere today—medical journal, popular magazine, National Institute of Mental Health pamphlet, or pharmaceutical company drug promotional literature--you will find three main pieces of information either explicitly stated or strongly implied: depression is a disease (like any other physical disease); it is extraordinarily prevalent in the world; and it occurs about twice as frequently in women as in men. Yet, depression was not classified as a disease until the 1980 publication of the American Psychiatric Association's Diagnostic and Statistical Manual-III (DSM-III). How is it that such an illness, thought to affect between 14 and 17 million Americans, was not specifically defined until the late twentieth century?
American Melancholy traces the growth of depression as an object of medical study and as a consumer commodity and illustrates how and why depression came to be such a huge medical, social, and cultural phenomenon. It is the first book to address gender issues in the construction of depression, explores key questions of how its diagnosis was developed, how it has been used, and how we should question its application in American society.
Rated Outstanding by the American Association of School Libraries
This is the first book to be written by autistic college students about the challenges they face. Aquamarine Blue 5 details the struggle of these highly sensitive students and shows that there are gifts specific to autistic students that enrich the university system, scholarship, and the world as a whole.
Dawn Prince-Hughes presents an array of writings by students who have been diagnosed with Asperger’s Syndrome or High-Functioning Autism, showing their unique ways of looking at and solving problems. In their own words, they portray how their divergent thinking skills could be put to great use if they were given an opportunity. Many such students never get the chance because the same sensitivity that gives them these insights makes the flicker of fluorescent lights and the sound of chalk on the board unbearable For simple—and easily remedied—reasons, we lose these students, who are as gifted as they are challenged.
Aquamarine Blue 5 is a showcase of the strength and resilient character of individuals with Asperger’s Syndrome. It will be an invaluable resource for those touched by this syndrome, their friends and families, and school administrators.
Bad Souls is an ethnographic study of responsibility among psychiatric patients and their caregivers in Thrace, the northeastern borderland of Greece. Elizabeth Anne Davis examines responsibility in this rural region through the lens of national psychiatric reform, a process designed to shift treatment from custodial hospitals to outpatient settings. Challenged to help care for themselves, patients struggled to function in communities that often seemed as much sources of mental pathology as sites of refuge. Davis documents these patients' singular experience of community, and their ambivalent aspirations to health, as they grappled with new forms of autonomy and dependency introduced by psychiatric reform. Planned, funded, and overseen largely by the European Union, this "democratic experiment," one of many reforms adopted by Greece since its accession to the EU in the early 1980s, has led Greek citizens to question the state and its administration of human rights, social welfare, and education. Exploring the therapeutic dynamics of diagnosis, persuasion, healing, and failure in Greek psychiatry, Davis traces the terrains of truth, culture, and freedom that emerge from this questioning of the state at the borders of Europe.
His "black dog"--that was how Winston Churchill referred to his own depression. Today, individuals with feelings of sadness and irritability are encouraged to "talk to your doctor." These have become buzz words in the aggressive promotion of wonder-drug cures since 1997, when the Food and Drug Administration changed its guidelines for the marketing of prescription pharmaceuticals.
Black Dogs and Blue Words analyzes the rhetoric surrounding depression. Kimberly K. Emmons maintains that the techniques and language of depression marketing strategies--vague words such as "worry," "irritability," and "loss of interest"--target women and young girls and encourage self-diagnosis and self-medication. Further, depression narratives and other texts encode a series of gendered messages about health and illness.
As depression and other forms of mental illness move from the medical-professional sphere into that of the consumer-public, the boundary at which distress becomes disease grows ever more encompassing, the need for remediation and treatment increasingly warranted. Black Dogs and Blue Words demonstrates the need for rhetorical reading strategies as one response to these expanding and gendered illness definitions.
Black Skin, White Coats is a history of psychiatry in Nigeria from the 1950s to the 1980s. Working in the contexts of decolonization and anticolonial nationalism, Nigerian psychiatrists sought to replace racist colonial psychiatric theories about the psychological inferiority of Africans with a universal and egalitarian model focusing on broad psychological similarities across cultural and racial boundaries. Particular emphasis is placed on Dr. T. Adeoye Lambo, the first indigenous Nigerian to earn a specialty degree in psychiatry in the United Kingdom in 1954. Lambo returned to Nigeria to become the medical superintendent of the newly founded Aro Mental Hospital in Abeokuta, Nigeria’s first “modern” mental hospital. At Aro, Lambo began to revolutionize psychiatric research and clinical practice in Nigeria, working to integrate “modern” western medical theory and technologies with “traditional” cultural understandings of mental illness. Lambo’s research focused on deracializing psychiatric thinking and redefining mental illness in terms of a model of universal human similarities that crossed racial and cultural divides.
Black Skin, White Coats is the first work to focus primarily on black Africans as producers of psychiatric knowledge and as definers of mental illness in their own right. By examining the ways that Nigerian psychiatrists worked to integrate their psychiatric training with their indigenous backgrounds and cultural and civic nationalisms, Black Skin, White Coats provides a foil to Frantz Fanon’s widely publicized reactionary articulations of the relationship between colonialism and psychiatry. Black Skin, White Coats is also on the cutting edge of histories of psychiatry that are increasingly drawing connections between local and national developments in late-colonial and postcolonial settings and international scientific networks. Heaton argues that Nigerian psychiatrists were intimately aware of the need to engage in international discourses as part and parcel of the transformation of psychiatry at home.
In this extraordinary study, Michael Dorland explores sixty years of medical attempts by French doctors (mainly in the fields of neuropsychiatry and psychoanalysis) to describe the effects of concentration camp incarceration on Holocaust survivors. Dorland begins with a discussion of the liberation of concentration camp survivors, their stay in deportation camps, and eventual return to France, analyzing the circulation of mainly medical (neuropsychiatric) knowledge, its struggles to establish a symptomology of camp effects, and its broadening out into connected medical fields such as psychoanalysis. He then turns specifically to the French medical doctors who studied Holocaust survivors, and he investigates somatic, psychological, and holistic conceptions of survivors as patients and human beings. The final third of the book offers a comparative look at the “psy-science” approach to Holocaust survival beyond France, particularly in the United States and Israel. He illuminates the peculiar journey of a medical discourse that began in France but took on new forms elsewhere, eventually expanding into nonmedical fields to create the basis of the “traumato-culture” with which we are familiar today. Embedding his analysis of different medical discourses in the sociopolitical history of France in the twentieth century, he also looks at the French Jewish Question as it affected French medicine, the effects of five years of Nazi Occupation, France’s enthusiastic collaboration, and the problems this would pose for postwar collective memory.
Nineteenth-century French writers and travelers imagined Muslim colonies in North Africa to be realms of savage violence, lurid sexuality, and primitive madness. Colonial Madness traces the genealogy and development of this idea from the beginnings of colonial expansion to the present, revealing the ways in which psychiatry has been at once a weapon in the arsenal of colonial racism, an innovative branch of medical science, and a mechanism for negotiating the meaning of difference for republican citizenship.
Drawing from extensive archival research and fieldwork in France and North Africa, Richard Keller offers much more than a history of colonial psychology. Colonial Madness explores the notion of what French thinkers saw as an inherent mental, intellectual, and behavioral rift marked by the Mediterranean, as well as the idea of the colonies as an experimental space freed from the limitations of metropolitan society and reason. These ideas have modern relevance, Keller argues, reflected in French thought about race and debates over immigration and France’s postcolonial legacy.
Since its publication in 1989, Console and Classify has become a classic work in the history of science and in French intellectual history. Now with a new afterword, this much-cited and much-discussed book gives readers the chance to revisit the rise of psychiatry in nineteenth-century France, the shape it took and why, and its importance both then and in contemporary society.
"Goldstein has raised our understanding of the politics of psychiatric professionalization on to a new plane."—Roy Porter, Times Higher Education Supplement
"[A]n historiographical tour de force, quite simply the most insightful work on the subject in English or any other language. . . . [A] work of distinctive originality. . . . It is written with lucidity and elegance, even a certain confident scholarly panache, that make it a pleasure to read."—Toby Gelfand, Social History
"Exhaustively researched, elegantly written, and persuasively argued, Console and Classify is an excellent example of the . . . sociologically informed intellectual history, stimulated by Kuhn and Foucault."—Robert Alun Jones, American Journal of Sociology
Creating Mental Illness
Allan V. Horwitz University of Chicago Press, 2001 Library of Congress RC437.5.H674 2002 | Dewey Decimal 616.89001
In this surprising book, Allan V. Horwitz argues that our current conceptions of mental illness as a disease fit only a small number of serious psychological conditions and that most conditions currently regarded as mental illness are cultural constructions, normal reactions to stressful social circumstances, or simply forms of deviant behavior.
"Thought-provoking and important. . .Drawing on and consolidating the ideas of a range of authors, Horwitz challenges the existing use of the term mental illness and the psychiatric ideas and practices on which this usage is based. . . . Horwitz enters this controversial territory with confidence, conviction, and clarity."—Joan Busfield, American Journal of Sociology
"Horwitz properly identifies the financial incentives that urge therapists and drug companies to proliferate psychiatric diagnostic categories. He correctly identifies the stranglehold that psychiatric diagnosis has on research funding in mental health. Above all, he provides a sorely needed counterpoint to the most strident advocates of disease-model psychiatry."—Mark Sullivan, Journal of the American Medical Association
"Horwitz makes at least two major contributions to our understanding of mental disorders. First, he eloquently draws on evidence from the biological and social sciences to create a balanced, integrative approach to the study of mental disorders. Second, in accomplishing the first contribution, he provides a fascinating history of the study and treatment of mental disorders. . . from early asylum work to the rise of modern biological psychiatry."—Debra Umberson, Quarterly Review of Biology
French historian Alexis de Tocqueville observed that the conflict between the ideals of individualism and community defines American culture. In this groundbreaking new work, anthropologist Charles Nuckolls discovers that every culture consists of such paradoxes, thus making culture a problem that cannot be solved. He does, however, find much creative tension in these unresolvable opposites.
Nuckolls presents three fascinating case studies that demonstrate how values often are expressed in the organization of social roles. First he treats the Micronesian Ifaluks’ opposition between cooperation and self-gratification by examining the nature versus nurture debate. Nuckolls then shifts to the values of community and individual adventure by looking at the conflicts in the identities of public figures in Oklahoma. Finally, he investigates the cultural significance in the diagnostic system and practices of psychiatry in the United States. Nuckolls asserts that psychiatry treats genders differently, assigning dependence to women and independence to men and, in some cases, diagnoses the extreme forms of these values as disorders.
Nuckolls elaborates on the theory of culture that he introduced in his previous book, The Cultural Dialectics of Knowledge and Desire, which proposed that the desire to resolve conflicts is central to cultural knowledge. In Culture: A Problem that Cannot Be Solved, Nuckolls restores the neglected social science concept of values, which addresses both knowledge and motivation. As a result, he brings together cognition and psychoanalysis, as well as sociology and psychology, in his study of cultural processes.
This book explores women's desire for women as it is located in examples of twentieth-century British and American women's writing, including fiction, memoir, and poetry by such writers as Virginia Woolf, Vivian Gornick, Dorothy Allison, Mary Gordon, Toni Morrison, Marilyn Hacker, and Audre Lorde. Suzanne Juhasz discusses how literary writing functions to enact and negotiate a series of relationships between women: daughter-mother, mother-daughter, lesbian lover-lesbian lover, writer-reader, and reader-writer. She shows how writing is a component of interpersonal relationships and how relationships are central to the construction of personal and social identity.
Uniquely weaving together psychoanalytic, feminist, queer, and literary theory as well as memoir to examine the value and meaning of relationships between women, Juhasz explores the writings of adult daughters, mothers, and lovers to consider how language both traces and shapes the contours of experience. She emphasizes the initial bond between mother and infant as the bedrock of identity formation, a process involving love, recognition, desire, and language, and shows how that relationship serves as source and model for all future loves.
Juhasz's lucid prose unravels the meaningful yet overlooked intricacies of the relationships that inflect much of women's writing in the twentieth century.
No other book in the field so fully combines vivid clinical examples, specific details of technique, and mature perspectives on both effectively functioning families and those seeking therapy. The views and strategies of a master clinician are presented here in such clear and precise form that readers can proceed directly from the book with comparisons and modifications to suit their own styles and working situations.
Salvador Minuchin presents six chapter-length transcripts of actual family sessions—two devoted to ordinary families who are meeting their problems with relative success; four concerned with families seeking help. Accompanying each transcript is the author’s running interpretation of what is taking place, laying particular stress on the therapist’s tactics and maneuvers.
These lively sessions are interpreted in a brilliant theoretical analysis of why families develop problems and what it takes to set them right. The author constructs a model of an effectively functioning family and defines the boundaries around its different subsystems, whether parental, spouse, or sibling. He discusses ways in which families adapt to stress from within and without, as they seek to survive and grow.
Dr. Minuchin describes methods of diagnosing or “mapping” problems of the troubled family and determining appropriate therapeutic goals and strategies. Different situations, such as the extended family, the family with a parental child, and the family in transition through death or divorce, are examined. Finally, the author explores the dynamics of change, examining the variety of restructuring operations that can be employed to challenge a family and to change its basic patterns.
Family Therapy Techniques
Salvador MINUCHIN Harvard University Press, 1981 Library of Congress RC488.5.M56 | Dewey Decimal 616.89156
A master of family therapy, Salvador Minuchin, traces for the first time the minute operations of day-to-day practice. Dr. Minuchin has achieved renown for his theoretical breakthroughs and his success at treatment. Now he explains in close detail those precise and difficult maneuvers that constitute his art. The book thus codifies the method of one of the country's most successful practitioners.
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.
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.
Homicidal Insanity, 1800-1985
Janet Colaizzi, with a foreword by Jonas R. Rappeport University of Alabama Press, 1988 Library of Congress RA1151.C8 1989 | Dewey Decimal 614.1
Homicidal insanity has remained a vexation to both the psychiatric and legal professions despite the panorama of scientific and social change during the past 200 years. The predominant opinion today among psychiatrists is that no correlation exists between dangerousness and specific mental disorders. But for generation after generation, psychiatrists have reported cases of insane homicide that were clinically similar. Although psychiatric theory changed and psychiatric nosology was inconsistent, the mental phenomena psychiatrists identified in such cases remained the same. The central thesis of Homicidal Insanity is that as psychiatric theory changed, psychiatrists regarded these phenomena variously as symptoms of mental disease or the disease in itself. It is possible to trace these phenomena throughout the history of Anglo-American psychiatric theory and practice. A secondary thesis of the book is that psychiatrists have used these phenomena as predictors and markers in the practical matters of preventing insane homicide and of testifying in the courts to defend the irresponsible and expose the culpable.
For 200 years, scientific and philosophical disagreement raised controversy and brought the issues to public attention. Still, to this day no rational method exists to discriminate the dangerous from the harmless in matters of involuntary commitment, nor insanity from crime in the courts.
Each year, doctors diagnose an average of nine percent of children between the ages of five and seventeen with attention deficit hyperactivity disorder, or ADHD. One of the most common childhood disorders, it is also one of the most controversial—since first identified in the late 1950s, everyone from medical professionals to politicians have debated its causes, its treatment, and its implications for children. Today, physicians believe it is an inherited neurological disorder best treated with stimulants.
Hyperactive provides the first history of ADHD, addressing why children were first diagnosed with the disorder, why biological explanations became predominant, how powerful drugs became the preferred treatment, and why alternative explanations have failed to achieve any legitimacy. Contending that hyperactive children are also a product of their social, cultural, and educational environment, Matthew Smith demonstrates how knowledge about the history of ADHD can lead to better choices about its diagnosis and treatment. A revealing and accessible study of this controversial subject, Hyperactive is an essential book for psychologists, teachers, policymakers, and parents.
Psychoanalysis and neurological medicine have promoted contrasting and seemingly irreconcilable notions of the modern self. Since Freud, psychoanalysts have relied on the spoken word in a therapeutic practice that has revolutionized our understanding of the mind. Neurologists and neurosurgeons, meanwhile, have used material apparatus—the scalpel, the electrode—to probe the workings of the nervous system, and in so doing have radically reshaped our understanding of the brain. Both operate in vastly different institutional and cultural contexts.
Given these differences, it is remarkable that both fields found resources for their development in the same tradition of late nineteenth-century German medicine: neuropsychiatry. In Localization and Its Discontents, Katja Guenther investigates the significance of this common history, drawing on extensive archival research in seven countries, institutional analysis, and close examination of the practical conditions of scientific and clinical work. Her remarkable accomplishment not only reframes the history of psychoanalysis and the neuro disciplines, but also offers us new ways of thinking about their future.
Since 1955, moving from early work in psychopharmacology to studies of clinical method and the psychiatric schools, Leston Havens has been working toward a general theory of therapy. It often seems that twentieth-century psychiatry, sect-ridden, is a Tower of Babel, as Havens once characterized it. This book is the distillation of long years of thought and practice, a bold yet modest attempt to delineate an “integrated psychotherapy.”
The boldness of this effort lies in its author’s willingness to recognize the best that each school has to offer, to describe it cogently, and to integrate it into a full response to today’s new kind of patient. Descriptive or medical psychiatry, psychoanalysis, interpersonal or behavioristic psychiatry, empathic or existential therapy-viewed in metaphors, respectively, of perceiving, thinking, managing, feeling-all have useful contributions to make to contemporary methods of treatment. But how? Havens’s modest answer is through appropriate language, and he demonstrates exactly what he means: when to ask questions, when to direct or draw back, when to sympathize.
Practitioners now must deal with less dramatic, but more stubborn, problems of character and situation; lack of purpose, isolation, submissiveness, invasiveness, deep yet vague dissatisfaction. Some kind of human presence must be discovered in the patient, and Havens gives concrete, absorbing examples of ways of “speaking to absence,” of making contact. The emphasis is on verbal technique, but the underlying broad, humane intent is everywhere evident. It is no less than to transform passivity, by means of disciplined therapeutic concern, into a state of being Human.
From its first depictions in ancient medical literature to contemporary depictions in brain imaging, mania has been largely associated with its Greek roots, "to rage." Prior to the nineteenth century, "mania" was used interchangeably with "madness." Although its meanings shifted over time, the word remained layered with the type of madness first-century writers described: rage, fury, frenzy. Even now, the mental illness we know as bipolar disorder describes conditions of extreme irritability, inflated grandiosity, and excessive impulsivity.
Spanning several centuries, Manic Minds traces the multiple ways in which the word "mania" has been used by popular, medical, and academic writers. It reveals why the rhetorical history of the word is key to appreciating descriptions and meanings of the "manic" episode." Lisa M. Hermsen examines the way medical professionals analyzed the manic condition during the nineteenth and twentieth centuries and offers the first in-depth analysis of contemporary manic autobiographies: bipolar figures who have written from within the illness itself.
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.
Mind, Modernity, Madness
Liah Greenfeld Harvard University Press, 2013 Library of Congress RC455.G726 2013 | Dewey Decimal 616.89
A leading interpreter of modernity argues that our culture of limitless self-fulfillment is making millions mentally ill. Training her analytic eye on manic depression and schizophrenia, Liah Greenfeld, in the culminating volume of her trilogy on nationalism, traces these dysfunctions to society’s overburdening demands for self-realization.
A Mind That Found Itself
Clifford W. Beers University of Pittsburgh Press, 1981 Library of Congress RC439.B4 1981 | Dewey Decimal 362.20924
At once a classic account of the ravages of mental illness and a major American autobiography, A Mind That Found Itself tells the story of a young man who is gradually enveloped by a psychosis. His well-meaning family commits him to a series of mental hospitals, but he is brutalized by the treatment, and his moments of fleeting sanity become fewer and fewer. His ultimate recovery is a triumph of the human spirit.
The publication of A Mind That Found Itself did for the American mental health movement what Thomas Paineís Common Sense did for the American Revolution. Moreover, it grips the imagination of readers not because it is a document of social reform but because it is a superb narrative. As the distinguished psychiatrist and writer Robert Coles has noted, the book ìprovides the virtues of clinical analysis, as well as personal reminiscence, all rendered with a novelistís eye for the particular, for emotional nuance, for chronological progression. . . . Steadily, forthrightly, we come in touch with the nature of delusions and hallucinations: the complex, symbolically charged, nightmarish world of fear, suspicion, irritability and truculence.î
Recovered from his illness, Beers began a lifelong crusade, through the National Committee for Mental Hygiene and the American Foundation for Mental Hygiene, to revolutionize the care and treatment of the mentally ill. The persuasive chronicler of mental illness became a sophisticated, pragmatic organizer and reformer.
A Mind That Found Itself was first published in 1908 but remains compelling and clinically accurate—an unforgettable reading experience.
"Interesting and fresh-represents an important and vigorous challenge to a discipline that at the moment is stuck in its own devices and needs a radical critique to begin to move ahead."
--Paul McHugh, Johns Hopkins University School of Medicine
"Remarkable in its breadth-an interesting and valuable contribution to the burgeoning literature of the philosophy of psychiatry."
--Christian Perring, Dowling College
Moving Beyond Prozac, DSM, and the New Psychiatry looks at contemporary psychiatric practice from a variety of critical perspectives ranging from Michel Foucault to Donna Haraway. This contribution to the burgeoning field of medical humanities contends that psychiatry's move away from a theory-based model (one favoring psychoanalysis and other talk therapies) to a more scientific model (based on new breakthroughs in neuroscience and pharmacology) has been detrimental to both the profession and its clients. This shift toward a science-based model includes the codification of the Diagnostic and Statistical Manual of Mental Disorders to the status of standard scientific reference, enabling mental-health practitioners to assign a tidy classification for any mental disturbance or deviation. Psychiatrist and cultural studies scholar Bradley Lewis argues for "postpsychiatry," a new psychiatric practice informed by the insights of poststructuralist theory.
Psychiatry has always aimed to peer deep into the human mind, daring to cast light on its darkest corners and untangle its thorniest knots, often invoking the latest medical science in doing so. But, as Owen Whooley’s sweeping new book tells us, the history of American psychiatry is really a record of ignorance. On the Heels of Ignorance begins with psychiatry’s formal inception in the 1840s and moves through two centuries of constant struggle simply to define and redefine mental illness, to say nothing of the best way to treat it. Whooley’s book is no antipsychiatric screed, however; instead, he reveals a field that has muddled through periodic reinventions and conflicting agendas of curiosity, compassion, and professional striving. On the Heels of Ignorance draws from intellectual history and the sociology of professions to portray an ongoing human effort to make sense of complex mental phenomena using an imperfect set of tools, with sometimes tragic results.
"[This book has] a wealth of clinical and technical detail. As a primer on psychotherapeutic technique this book will. . .bring knowledge and stimulation to the most advanced technician"—Karl A. Menninger
"One is continuously aware that here is a truly human being at work, human in the sense of exquisite awareness, on a profoundly intuitive level, of the workings of the human totality. . . . Because of this she can bridge the vast divide that separates us from the psychotic . . . thereby gaining access to the process of recalling the patient to his lost domain."—Louise E. DeRosis, M.D., American Journal of Psychoanalysis
Pills replaced the couch; neuroscience took the place of talk therapy; and as psychoanalysis faded from the scene, so did the castrating mothers and hysteric spinsters of Freudian theory. Or so the story goes. In Prozac on the Couch, psychiatrist Jonathan Michel Metzl boldly challenges recent psychiatric history, showing that there’s a lot of Dr. Freud encapsulated in late-twentieth-century psychotropic medications. Providing a cultural history of treatments for depression, anxiety, and other mental illnesses through a look at the professional and popular reception of three “wonder drugs”—Miltown, Valium, and Prozac—Metzl explains the surprising ways Freudian gender categories and popular gender roles have shaped understandings of these drugs.
Prozac on the Couch traces the notion of “pills for everyday worries” from the 1950s to the early twenty-first century, through psychiatric and medical journals, popular magazine articles, pharmaceutical advertisements, and popular autobiographical "Prozac narratives.” Metzl shows how clinical and popular talk about these medications often reproduces all the cultural and social baggage associated with psychoanalytic paradigms—whether in a 1956 Cosmopolitan article about research into tranquilizers to “cure” frigid women; a 1970s American Journal of Psychiatry ad introducing Jan, a lesbian who “needs” Valium to find a man; or Peter Kramer’s description of how his patient “Mrs. Prozac” meets her husband after beginning treatment.
Prozac on the Couch locates the origins of psychiatry’s “biological revolution” not in the Valiumania of the 1970s but in American popular culture of the 1950s. It was in the 1950s, Metzl points out, that traditional psychoanalysis had the most sway over the American imagination. As the number of Miltown prescriptions soared (reaching 35 million, or nearly one per second, in 1957), advertisements featuring uncertain brides and unfaithful wives miraculously cured by the “new” psychiatric medicines filled popular magazines. Metzl writes without nostalgia for the bygone days of Freudian psychoanalysis and without contempt for psychotropic drugs, which he himself regularly prescribes to his patients. What he urges is an increased self-awareness within the psychiatric community of the ways that Freudian ideas about gender are entangled in Prozac and each new generation of wonder drugs. He encourages, too, an understanding of how ideas about psychotropic medications have suffused popular culture and profoundly altered the relationship between doctors and patients.
Psychiatric Encounters presents an intimate portrait of a public inpatient psychiatric facility in the Southeastern state of Yucatan, Mexico. The book explores the experiences of patients and psychiatrists as they navigate the challenges of public psychiatric care in Mexico. While international reports condemning conditions in Mexican psychiatric institutions abound, Psychiatric Encounters considers the large- and small-scale obstacles to quality care encountered by doctors and patients alike as they struggle to live and act like human beings under inhumane conditions. Beatriz Mireya Reyes-Foster closely examines the impact of the Mexican state’s neoliberal health reforms on how patients access care and doctors perform their duties. Engaging with madness, modernity, and identity, Psychiatric Encounters considers the enduring role of colonialism in the context of Mexico's troubled contemporary mental health care institutions.
This easy-to-read, unique format text combines introductory psychiatry content with board-style review questions written for first and second year medical students. The book is intended to be used as the required text for pre-clinical psychiatric education. The user-friendly split page format includes clinical vignettes, "fun facts," and relevant art work. Each chapter contains board review questions that prepare the medical student for USMLE Step 1 and COMLEX 1. By using a clinical approach consistent with the needs of today's medical students, the authors hope to prepare first and second year medical students for their exams and clinical rotations.
Isidor Sadger; Edited and introduced by Alan Dundes; Translated by Johanna Micaela Jacobsen and Alan Dundes University of Wisconsin Press, 2005 Library of Congress BF109.F74S2413 2005 | Dewey Decimal 150.1952092
This eyewitness account by one of Sigmund Freud's earliest students has been rediscovered for twenty-first-century readers. Isidor Sadger's recollections provide a unique window into the early days of the psychoanalytic movement and also illuminate Freud's own struggles: his delight in wit, his attitudes toward Judaism, and his strong opinions concerning lay, nonmedical psychoanalysts.
As a student, Sadger attended Freud's lectures from 1895 through 1904. Although Sadger was not part of Freud's inner circle, he was a participant observer of Freud's early years as teacher, therapist, and clinician. In 1930, Sadger published the biography Sigmund Freud: Persönliche Erinnerungen, but with the rise of Nazism and World War II, the book was almost lost to the world of psychoanalytic history. Recollecting Freud is a long-lost personal account that provides invaluable insights into Freud and his social, cultural, and intellectual context.
There are more psychoanalytic theories today than anyone knows what to do with, and the heterogeneity and complexity of the entire body of psychoanalytic though have become staggering. In Relational Concepts in Psychoanalysis, Stephen A. Mitchell weaves strands from the principal relational-model traditions (interpersonal psychoanalysis, British school object-relations theories, self psychology, and existential psychoanalysis) into a comprehensive approach to many of the knottiest problems and controversies in theoretical and clinical psychoanalysis.
Mitchell’s earlier book, Object Relations in Psychoanalytic Theory, co-authored with Jay Greenberg, set the stage for this current integration by providing a broad comparative analysis of important thinking on the nature of human relationships. In that classic study Greenberg and Mitchell distinguished between two basic paradigms: the drive model, in which relations with others are generated and shaped by the need for drive gratifications, and various relational models, in which relations themselves are taken as primary and irreducible. In Relational Concepts in Psychoanalysis, Mitchell argues that the drive model has since outlived its usefulness. The relational model, on the other hand, has been developed piecemeal by different authors who rarely acknowledge and explore the commonality of their assumptions or the rich complementarity of their perspectives.
In this bold effort at integrative theorizing, Mitchell draws together major lines of relational-model traditions into a unified framework for psychoanalytic thought, more economical than the anachronistic drive model and more inclusive than any of the singular relational approaches to the core significance of sexuality, the impact of early experience, the relation of the past to the present, the interpenetration of illusion and actuality, the centrality of the will, the repetition of painful experience, the nature of analytic situation, and the process of analytic change. As such, his book will be required reading for psychoanalytic scholars, practitioners, candidates in psychoanalysis, and students in the field.
"Fascinating and important . . . a work of prodigious scholarship, covering the entire history of Western thought and treating both literary and medical discourses with subtlety and verve."
---Louis Sass, author of Madness and Modernism
"The scope of this book is daunting, ranging from madness in the ancient Greco-Roman world, to Christianized concepts of medieval folly, through the writings of early modern authors such as Shakespeare, Cervantes, and Descartes, and on to German Romantic philosophy, fin de siècle French poetry, and Freud . . . Artaud, Duras, and Plath."
"This provocative and closely argued work will reward many readers."
In Revels in Madness, Allen Thiher surveys a remarkable range of writers as he shows how conceptions of madness in literature have reflected the cultural assumptions of their era. Thiher underscores the transition from classical to modern theories of madness-a transition that began at the end of the Enlightenment and culminates in recent women's writing that challenges the postmodern understanding of madness as a fall from language or as a dysfunction of culture.
Shock therapy is making a comeback today in the treatment of serious mental illness. Despite its reemergence as a safe and effective psychiatric tool, however, it continues to be shrouded by a longstanding negative public image, not least due to films such as the classic One Flew over the Cuckoo's Nest, where the inmate of a psychiatric clinic (played by Jack Nicholson) is subjected to electro-shock to curb his rebellious behavior. Beyond its vilification in popular culture, the stereotype of convulsive therapy as a dangerous and inhumane practice is fuelled by professional posturing and public misinformation. Electroconvulsive therapy, or ECT, has in the last thirty years been considered a method of last resort in the treatment of debilitating depression, suicidal ideation, and other forms of mental illness. Yet, ironically, its effectiveness in treating these patients would suggest it as a frontline therapy, bringing relief from acute symptoms and saving lives.
In this book, Edward Shorter and David Healy trace the controversial history of ECT and other "shock" therapies. Drawing on case studies, public debates, extensive interviews, and archival research, the authors expose the myths about ECT that have proliferated over the years. By showing ECT's often life-saving results, Shorter and Healy endorse a point of view that is hotly contested in professional circles and in public debates, but for the nearly half of all clinically depressed patients who do not respond to drugs, this book brings much needed hope.
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.
Psychiatrist Richard von Krafft-Ebing (1840-1902) played a key role in the construction of the modern concept of sexuality. As the author of the famous Psychopathia sexualis, he named and classified virtually all nonprocreative sexualities, synthesizing knowledge on sadism, masochism, fetishism, homosexuality, and exhibitionism. His influence on the study of sexuality cannot be overstated, but it is often misunderstood. In the wake of Michel Foucault's influential sexual histories, Krafft-Ebing is often maligned as a contributor to the repressed Victorian construction of sexual deviancy.
But in this powerful new cultural history Harry Oosterhuis invites us to reconsider the quality and extent of Krafft-Ebing's influence. Revisiting the case studies on which Krafft-Ebing based his findings, and thus drawing on the voices of his patients and informants, Oosterhuis finds that Krafft-Ebing was not the harsh judge of perversions that we think he was. He argues that Krafft-Ebing had a deep appreciation of the psyche, and that his work reveals an attempt to separate sexual deviancies from ideas of immorality. In the tradition of Freud, then, Krafft-Ebing should stand not as a villain, but as a contributor to more modern notions of sexual identity.
Gregory Bateson was a philosopher, anthropologist, photographer, naturalist, and poet, as well as the husband and collaborator of Margaret Mead. With a new foreword by his daughter Mary Katherine Bateson, this classic anthology of his major work will continue to delight and inform generations of readers.
"This collection amounts to a retrospective exhibition of a working life. . . . Bateson has come to this position during a career that carried him not only into anthropology, for which he was first trained, but into psychiatry, genetics, and communication theory. . . . He . . . examines the nature of the mind, seeing it not as a nebulous something, somehow lodged somewhere in the body of each man, but as a network of interactions relating the individual with his society and his species and with the universe at large."—D. W. Harding, New York Review of Books
"[Bateson's] view of the world, of science, of culture, and of man is vast and challenging. His efforts at synthesis are tantalizingly and cryptically suggestive. . . .This is a book we should all read and ponder."—Roger Keesing, American Anthropologist
Elliot G. Mishler Harvard University Press, 2000 Library of Congress NK1110.M58 1999 | Dewey Decimal 745.0922
What do we mean when we refer to our "identity," and how do we represent it in the stories we tell about our lives? Is "identity" a sustained private core, or does it change as circumstances and relationships shift? Mishler explores these questions through analyses of in-depth interviews with five craftartists, who reflect on their lives and their efforts to sustain their form of work as committed artists in a world of mass production and standardization.
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.”
Therapeutic Revolutions examines the evolving relationship between American medicine, psychiatry, and culture from World War II to the dawn of the 1970s. In this richly layered intellectual history, Martin Halliwell ranges from national politics, public reports, and healthcare debates to the ways in which film, literature, and the mass media provided cultural channels for shaping and challenging preconceptions about health and illness.
Beginning with a discussion of the profound impact of World War II and the Cold War on mental health, Halliwell moves from the influence of work, family, and growing up in the Eisenhower years to the critique of institutional practice and the search for alternative therapeutic communities during the 1960s. Blending a discussion of such influential postwar thinkers as Erich Fromm, William Menninger, Erving Goffman, Erik Erikson, and Herbert Marcuse with perceptive readings of a range of cultural text that illuminate mental health issues--among them Spellbound, Shock Corridor, Revolutionary Road, and I Never Promised You a Rose Garden--this compelling study argues that the postwar therapeutic revolutions closely interlink contrasting discourses of authority and liberation.
In this brilliant study, Charles Rosenberg uses the celebrated trial of Charles Guiteau, who assassinated President Garfield in 1881, to explore insanity and criminal responsibility in the Gilded Age. Rosenberg masterfully reconstructs the courtroom battle waged by twenty-four expert witnesses who represented the two major schools of psychiatric thought of the generation immediately preceding Freud.
Although the role of genetics in behavior was widely accepted, these psychiatrists fiercely debated whether heredity had predisposed Guiteau to assassinate Garfield. Rosenberg's account allows us to consider one of the opening rounds in the controversy over the criminal responsibility of the insane, a debate that still rages today.
In the 1990s a disturbing trend emerged in psychotherapy: patients began accusing their parents and other close relatives of sexual abuse, as a result of false “recovered memories” urged onto them by therapists practicing new methods of treatment. The subsequent loss of public confidence in psychotherapy was devastating to psychiatrist Paul R. McHugh, and with Try to Remember, he looks at what went wrong and describes what must be done to restore psychotherapy to a more honored and useful place in therapeutic treatment.
In this thought-provoking account, McHugh explains why trendy diagnoses and misguided treatments have repeatedly taken over psychotherapy. He recounts his participation in court battles that erupted over diagnoses of recovered memories and the frequent companion diagnoses of multiple-personality disorders. He also warns that diagnoses of post-traumatic stress disorder today may be perpetuating a similar misdirection, thus exacerbating the patients’ suffering. He argues that both the public and psychiatric professionals must raise their standards for psychotherapy, in order to ensure that the incorrect designation of memory as the root cause of disorders does not occur again. Psychotherapy, McHugh ultimately shows, is a valuable healing method—and at the very least an important adjunct treatment—to the numerous psychopharmaceuticals that flood the drug market today.
An urgent call to arms for patients and therapists alike, Try to Remember delineates the difference between good and bad psychiatry and challenges us to reconsider psychotherapy as the most effective way to heal troubled minds.
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.
Besides being cruel and inhumane, torture does not work the way torturers assume it does. As Shane O’Mara’s account of the neuroscience of suffering reveals, extreme stress creates profound problems for memory, mood, and thinking, and sufferers predictably produce information that is deeply unreliable, or even counterproductive and dangerous.
Long awaited and eagerly anticipated, this remarkable volume allows English-speaking readers to experience a profound dialogue between the German philosopher Martin Heidegger and the Swiss psychiatrist Medard Boss. A product of their warm friendship, Zollikon Seminars chronicles an extraordinary exchange of ideas. Heidegger strove to transcend the bounds of philosophy while Boss and his colleagues in the scientific community sought to understand their patients and their world. The result: the best and clearest introduction to Heidegger's philosophy available.
Boss approached Heidegger asking for help in reflective thinking on the nature of Heidegger's work. Soon they were holding annual two-week meetings in Boss's home in Zollikon, Switzerland. The protocols from these seminars, recorded by Boss and reviewed, corrected, and supplemented by Heidegger himself, make up one part of this volume. They are augmented by Boss's record of the conversations he had with Heidegger in the days between seminars and by excerpts from the hundreds of letters the philosopher wrote to Boss between 1947 and 1971.