Even as she was pursuing her psychology training, Dr. Jamison found herself succumbing to the exhilarating highs and paralyzing lows that afflicted many of her patients.Though the disorder brought her seemingly boundless energy and creativity, it also propelled her into spending sprees, episodes of violence, and an attempt at suicide.
Approximately 2.5 million people in the United States--one percent of the population--have an intellectual disability (previously referred to as mental retardation). These conditions range from genetic disorders such as Down syndrome to disabilities caused by infectious diseases and brain injury. Intellectual Disability: A Guide for Families and Professionals , by one of the country's foremost authorities on intellectual disability, is a comprehensive resource that will be of importance to anyone with a personal connection to a child or adult with a neurodevelopmental disorder.
Emphasizing the humanity of persons with intellectual and related developmental disabilities, psychiatrist and pediatrician James Harris provides essential information on assessment and diagnosis of intellectual disability, treatments for specific disorders, and ways to take advantage of the wide array of services available today. The focus throughout is on the development of the person, the positive supports necessary for self-determination, and, to the extent possible, independent decision making. Harris also surveys historical attitudes toward intellectual disability, the medical community's current understanding of its causes and frequency, and the associated physical, behavioral, and psychiatric conditions (such as seizure disorder, depression, and autism) that often accompany particular types of intellectual disability. The book addresses legal, medical, mental health, and research-related issues as well as matters of spirituality, highlighting the ways in which individuals with intellectual disability can meaningfully participate in the spiritual lives of their families and their communities. Each chapter ends with a series of key points to remember, and the book concludes with a list of additional resources of further interest.
Neurobiology of Primary Dementia
Folstein, Marshal F., M.D. (Editors) 1998
This book examines the frequency and characteristics of dementia and cognitive impairment. The contributors base their observations and conclusions on data collected within an ethnically diverse population of elderly people who use community-based health care services. Contributing authors explore topics ranging from familial Alzheimer’s disease, prion diseases, and dementia associated with poststroke major depression, to vascular dementia, dementia pugilistica, and head trauma as a risk factor for Alzheimer’s disease. They also discuss diagnostic and treatment issues, as well as ethical questions involving dementia and dementia as it relates to health care reform.Practitioners in health care and related services and policy makers will find the research, interpretation, and collective wisdom presented here helpful in decision-making about how to deal with dementia in the elderly.
Practical Dementia Care
Rabins, Peter V., M.D., M.P.H., Constantine Lyketsos, M.D., M.H.S., and Cynthia Steele, RN 2006
This is a comprehensive guide to the care of patients with dementia from the time of diagnosis to the end of life. It is intended for the increasing number of physicians, nurses, psychologists, social workers, rehabilitation therapists, and long-term care givers responsible for the care of individuals with dementia. For this second edition, the authors have added a chapter on mild cognitive impairment. The sections that received the most extensive revision or expansion include those on drug therapy; the pathophysiology of several causes of dementia; psychiatric symptoms of dementia and their treatment (especially drug treatment); and dementia in special environments (especially assisted living and nursing homes).
Psychiatric Aspects of Neurological Diseases:
Psychiatric Issues in Parkinson's Disease:
A Practical Guide
Menza, Matthew and Laura Marsh, M.D. (Editors) 2005
A practical guide to the management of various clinical issues seen in patients with Parkinson’s disease, this text emphasizes the need for coordinated care between the various professionals, as well as between professionals and caregivers.
Providing an update on current developments in the neurology and management of Parkinson's disease, as well as the understanding and treatment of non-motor aspects of Parkinson's disease, the book also includes a variety of topics such as depression, psychosis, and anxiety.
The 36-Hour Day
Mace, Nancy L., MA, and Peter V. Rabins, M.D., M.P.H.
Revised in 2006 for its twenty-fifth anniversary, this best-selling book is the "bible" for families caring for people with Alzheimer disease, offering comfort and support to millions worldwide. In addition to the practical and compassionate guidance that have made The 36-Hour Day invaluable to caregivers, the fourth edition is the only edition currently available that includes new information on medical research and the delivery of care. The new edition includes: new information on diagnostic evaluation; resources for families and adult children who care for people with dementia; updated legal and financial information; the latest information on nursing homes and other communal living arrangements; new information on research, medications, and the biological causes and effects of dementia.
Mental Health and Productivity in the Workplace
Kahn, JP, and Alan M. Langlieb, M.D., M.B.A., (Editors) 2002
Mental Health and Productivity in the Workplace is a comprehensive and practical guide to identifying, understanding, preventing, and resolving individual and organizational mental health problems in the workplace. Originally published as Mental Health in the Workplace (Van Nostrand/Wiley, 1993), this revised, updated, and expanded edition represents the most current thinking in the field and contains contributions from an expert panel of organizational and occupational psychiatrists. This new edition adds essential material on creating systems and cultures that encourage organizational productivity and employee mental health, and on finding cost-effective, quality mental health care. The book focuses on problems that start "at the top" (executive dysfunction) as well as on the effects of organizational structure, office politics, chronic change, downsizing and employment uncertainty, office wide emotional crises, and aspects of organizational development. In addition, it includes information about such basic issues as anxiety, stress, burnout, depression, drug and alcohol abuse, violence, and psychosis.
Borderline Personality Disorder: New Reasons for Hope
Exuberance: The Passion for Life
Jamison, Kay Redfield, Ph.D. 2005
In this book, Dr. Kay Redfield Jamison, the author of the bestselling An Unquiet Mind explores the phenomenon of exuberance and how it fuels our creative and scientific achievements.John Muir’s passion to save America’s wild places, Wilson Bentley’s dedication to record for posterity the beauty of individual snowflakes, the scientific curiosity behind Watson and Crick’s discovery of DNA, sea lions that surf and porcupines that dance --- Dr. Jamison shows how these and many more examples both human and animal define the nature of exuberance, and how this exuberance relates to intellectual searching, risk-taking, creativity, and survival itself. She examines the hereditary predisposition to exuberance; the role of the brain chemical dopamine; the connection between positive moods and psychological resilience; and the differences between exuberance and mania. She delves into some of the phenomena of exuberance --- the contagiousness of laughter, the giddiness of new love, the exhilarating effects of music and of religious ecstasy --- while also addressing the dangerous desire to simulate exuberance by using drugs or alcohol. In a coda to the rest of the book, renowned scientists, writers, and politicians share their thoughts on the forms and role of exuberance in their own lives.
Systematic Psychiatric Evaluation:
Trouble in Mind: An Unorthodox Introduction to Psychiatry
Orthodox psychiatric texts are often rich in facts, but thin in concept. Depression may be defined as a dysfunction of mood, but of what use is a mood? How can anxiety be both symptom and adaptation to stress? What links the disparate disabilities of perception and reasoning in schizophrenia? Why does the same situation push one person into drink, drugs, danger, or despair and bounce harmlessly off another? Trouble in Mind is unorthodox because it models adaptive mental function along with mental illness to answer questions like these. From experience as a Johns Hopkins clinician, educator, and researcher, Dean F. MacKinnon offers a unique perspective on the nature of human anguish, unreason, disability, and self-destruction. He shows what mental illness can teach about the mind, from molecules to memory to motivation to meaning.
Try to Remember: Psychiatry's Clash Over Meaning, Memory, and Mind
The Mind Has Mountains
McHugh, Paul R., M.D. 2005
From strenuous opposition to physician-assisted suicide to a conviction that sex-correction surgery for newborns is cruel and misguided, Dr. McHugh's opinions are clear and often controversial. In this collection of essays, he argues for a realistic appraisal of just what psychiatrists know and how they know it, with the aim of indicating how such knowledge can best be used not only for better patient care but also to reflect on and influence public issues and social movements. Dr. McHugh sorts through layers of what he terms the "culturally driven misconception of psychiatry and psychotherapy" to explain concepts often misunderstood by nonscholars and the intellectual community alike. These essays are intended to stimulate professional and popular discussions about the goals and effectiveness of current psychiatric practice.
This work, substantially revised in its second edition, brings structure to a fragmented and amorphous discipline. The authors propose an approach that emphasizes psychiatry's unifying concepts while accommodating its diversity. Recognizing that there may never be a single, all-encompassing theory for the field, the book distills psychiatric practice into four explanatory methods: diseases, dimensions of personality, goal-directed behaviors, and life stories. The authors argue that these methods, which have different strengths and weaknesses, can be combined to provide an understanding of psychiatric disorders and a rationale for their treatment.
The Sociology of Mental Disorders
Eaton, William, Ph.D. 2000
This thoroughly revised edition of The Sociology of Mental Disorders presents a biosocial model for understanding mental disorders. It integrates the sociological paradigm with current research on the epidemiology of mental disorders and on the biological features of mental disorders. It shows the many ways in which macrosocial factors — such as stratification, integration, and culture — and microsocial factors — such as self-concept formation, socialization, and imitation — influence the distribution of mental disorders throughout the population, in combination with psychological and biological factors. The author adopts an epistemological point of view, comparing and contrasting various frameworks for comprehending the phenomena that are categorized as mental disorders, including a definition of mental disorder that is purely sociological. He introduces new data and frameworks concerning the process of social stratification and mental disorders, the diffusion of somatoform disorders, mental disorders in the modern world, and the "insane" society. Original data from classic research studies in the field are introduced and discussed to illustrate the application of sociological frameworks to the problem of bizarre deviance. Carefully selected first-person accounts add depth to the presentation, along with examples of official diagnostic criteria.
Persuasion and Healing
Frank, Jerome D., M.D., Ph.D., and Julia B. Frank, M.D.
This influential study of psychological healing treats topics ranging from religious revivalism and magical healing to contemporary psychotherapies, from the role of the shaman in nonindustrialized societies to the traditional mental hospital. Jerome and Julia Frank (father and daughter) contend that these therapies share common elements that improve the morale of sufferers. And in combating the demoralizing meaning that people attach to their experiences, the authors argue, many therapies are surprisingly similar to rhetoric (the art of persuasion) and to hermeneutics (the study of meanings).Highly acclaimed in previous editions, Persuasion and Healing has been revised and expanded. In addition to a broadened exploration of the role of demoralization in illness, this latest edition offers updated information on topics including self-help, family therapy, psychopharmacology, psychotherapy for the mentally ill, and techniques such as primal therapy and bioenergetics.
Psychotherapy: An Introduction for Psychiatry Residents and Other Mental Health Trainees
Slavney, Phillip R., M.D. 2005
Many psychiatry residents and other mental health trainees begin their careers as psychotherapists with a mixture of enthusiasm and apprehension: enthusiasm at the prospect of using only words and actions to help someone in distress; apprehension about whether they are capable of doing it. In his latest book, Dr. Slavney helps these students get started by discussing such fundamental issues as what makes psychotherapy work, what is important in a psychotherapeutic relationship, and whether psychotherapists should have their own psychotherapy.
A Natural History of Homosexuality
Mondimore, Francis Mark, M.D. 1996
In A Natural History of Homosexuality, Dr. Mondimore synthesizes thinking in biology, history, psychology, and politics to explain how homosexuality has been understood and defined from ancient times until the present. Dr. Mondimore explores themes of discrimination and bigotry in settings as diverse as ancient Greece and Victorian England, early America and fin de siecle Vienna. He also describes societies which accepted, incorporated, or institutionalized homosexuality into mainstream culture.
After exploring sexual development in the human fetus, Dr. Mondimore reviews biological research into the nature of sexual orientation. He then reflects on people and their individual experiences, and on how an individual comes to identify himself or herself as having a sexual orientation. He also explains our current understanding of bisexuality and the transgender phenomena of transsexualism and transvestism.In the last section of the book, Dr. Mondimore moves from a discussion of sexual identity to a discussion of sexual politics, with examples of topics that include the anti-homosexual trials of Oscar Wilde and Philip von Eulenberg, Nazi persecution of homosexuals during the Holocaust, the Stonewall riots, AIDS, and the emergence of gay pride.
Fagan, Peter J., Ph.D. 2003
Sexual disorders arise from multiple causes. Their assessment, diagnosis, and treatment must take into account the patient's underlying biology, history, and behaviors. Using an approach developed at the Johns Hopkins Medical Institutions, Dr. Fagan applies the four "perspectives of psychiatry" (diseases, dimensions of personality, goal-directed behaviors, and life stories) to the diagnosis and treatment of sexual disorders. After an introduction, each chapter offers a case study followed by an analysis based on one perspective, as well as a discussion of the clinical implications of that perspective. The book closes with a chapter integrating the approaches.
Neubauer, David N., M.D. 2003
Seemingly the most natural and necessary of pursuits, a good night’s sleep eludes a remarkable number of people—up to 50 percent of the general population, according to studies, while 10 to 15 percent suffer from severe or chronic sleep disorders. Because the causes and nature of sleeplessness are so many and varied, the author believes that the diagnosis and treatment of insomnia require a flexible, multifaceted approach. Building on the "four perspectives" conceptualized by Paul R. McHugh and Phillip R. Slavney in The Perspectives of Psychiatry, he offers understanding of what insomnia is and what should be done about it. He begins by surveying what is currently known about the mechanisms of normal sleep and, in this light, describing the problems of defining, assessing, and measuring insomnia. Drawing examples from patients studied at the Johns Hopkins Sleep Disorders Center, he then applies each of the four perspectives—diseases, dimensions of personality, goal-directed behaviors, and life stories—to the varied kinds and degrees of sleeplessness. Finally, calling on the full range of perspectives on insomnia, he outlines an integrated approach to evaluation and treatment.
Reinforcement-Based Treatment for Substance Use Disorders: A Comprehensive Behavioral Approach
Substance use disorders typically take years to develop and to become entrenched. Thus, for users, creating a new and sustainable drug-free life takes time, intensive effort, and extensive ongoing support.
This book is a clinician-friendly manual for implementing Reinforcement-Based Treatment (RBT), an intensive, evidence-based model for treating substance use disorders in community settings.
RBT integrates the most effective behavioral techniques with motivational interviewing, highly individualized treatment plans, and case management. The goal is to help clients avoid substance use triggers and develop recreational outlets and support systems that are incompatible with substance use. Additionally, the model emphasizes customer service — a concept underemphasized in most programs — to ensure that clients receive positive reinforcement for attending treatment.
Using a step-by-step approach that takes the reader through each treatment component, the authors provide clear, detailed, and practical case illustrations and a variety of useful forms and therapist scripts.
RBT is a comprehensive approach that can be used with various populations to help clients initiate abstinence, prevent relapses early in the recovery process, and maintain sobriety on an ongoing basis. It is therefore an ideal model for clinicians, administrators, case management professionals, and others who work with substance abusers.
Contingency Management in Substance Abuse Treatment
Stephen T. Higgins, Ph.D., Kenneth Silverman, Ph.D., and Sarah H. Heil, Ph.D. (Editors) 2007
Foreword by Joseph V. Brady, Ph.D.
Timely and authoritative, this volume brings together leading clinical researchers to describe contemporary applications of contingency management principles across a wide range of substance use disorders and patient populations. Contingency management uses a system of incentives and disincentives to motivate patients to meet their treatment goals, and has been implemented successfully in community treatment clinics, drug courts, and other settings. Featuring illustrative case material, the book presents a cogent empirical rationale and practical strategies for targeting major drugs of abuse and working with specific populations, including adolescents, pregnant women, and dually diagnosed and homeless individuals. Also addressed are the nuts and bolts of developing and funding contingency management programs.
Motivating Behavior Change Among Illicit-Drug Abusers: Research on Contingency Management Interventions
Higgins, ST, Ph.D., and Kenneth Silverman Ph.D., (Editors) 1999
Overcoming drug addiction requires great personal motivation on the part of the addict: the drug abuser must want to break the habit before change can occur. Contingency management interventions represent one of the most effective ways to enhance motivation among substance abusers. This book describes the use of contingency management with individuals addicted to cocaine, heroin, and other illicit-drugs.Contingency management is a scientifically based process of providing incentives for abstaining from drug abuse. Techniques involved in this treatment include positive reinforcement for drug abstinence. Motivating Behavior Change Among Illicit Drug Abusers reviews literature describing the use of contingency management techniques with a wide range of individuals, including pregnant women, homeless people, and drug abusers with schizophrenia. This comprehensive volume is intended for researchers, clinicians, and policy-makers alike.
Night Falls Fast: Understanding Suicide
Jamison, Kay Redfield, Ph.D. 2000
Dr. Kay Redfield Jamison is the author of the bestselling memoir, An Unquiet Mind. In Night Falls Fast, Dr. Jamison examines the phenomenon of suicide, which is one of the most common killers of Americans between the ages of 15 and 45.Dr. Jamison has known suicide firsthand: after years of struggling with manic-depression, she tried at age twenty-eight to kill herself. In this book she undertakes an historical and scientific exploration of the subject, with personal essays on individual suicides. The work helps the reader to understand the suicidal mind, to recognize and come to the aid of those at risk, and to comprehend the profound effects on those left behind.