Психотерапия и консультирование
Различные книги в жанре Психотерапия и консультированиеThe Evidence-Based Guide to Antidepressant Medications
The second book in the Evidence-Based Guides series, The Evidence-Based Guide to Antidepressant Medications, provides a clear reference to the current knowledge and evidence base for the use of antidepressants among a variety of patients across a wide range of disorders. Chapters within this guide are authored by experts in their respective areas of practice, and synthesize a large amount of medical literature into a comprehensive, yet understandable, concise, reader-friendly guide. Each chapter covers both the FDA-approved and off-label use of antidepressant medications and the evidence base for their use. Each chapter also features useful tables pertaining to specific topics, such as summaries of uses and efficacy, and important clinical pearls of wisdom in the Key Clinical Concepts. Topics covered in chapters within this text include: Use of selective serotonin reuptake inhibitors, MAOIs, and tricyclic antidepressants in major depressive disorder, bipolar depression, psychotic depression, and treatment-resistant depression. Acute management of anxiety disorders, obsessive-compulsive disorder, and specific phobias through antidepressant use. Use of antidepressant medication in medically ill patients, such as those with cardiovascular, pulmonary, gastrointestinal, renal, and endocrine diseases, as well as cancer, chronic pain, HIV, burns and hospital-based trauma.Developmental considerations necessary to keep in mind when prescribing antidepressants to children and adolescents, along with an outline of controlled studies and their special attention to safety. Medication management in geriatric patients, including antidepressant use among depressed elderly patients with dementia, stroke, or Parkinson's disease. Risks and benefits of prescribing antidepressants during pregnancy and lactation. Together, the authors have synthesized a large amount of medical literature into a comprehensive, yet understandable, concise, reader-friendly guide. The Evidence-Based Guide to Antidepressant Medications is a must-have reference for psychiatrists and other practicing clinicians, residents in training, psychiatric nurses, social workers and researchers.
Textbook of Psychoanalysis
The second edition of this groundbreaking text represents a complete departure from the structure and format of its predecessor. Though still exhaustive in scope and designed to provide a knowledge base for a broad audience – from the beginning student to the seasoned analyst or academician – this revision emphasizes the interdisciplinary nature of psychoanalytic thought and boldly focuses on current American psychoanalysis in all its conceptual and clinical diversity. This approach reflects the perspective of the two new co-editors, whose backgrounds in linguistics and social anthropology inform and enrich their clinical practice, and the six new section editors, who themselves reflect the diversity of backgrounds and thinking in contemporary American psychoanalysis. The book begins with Freud and his circle, and the origins of psychoanalysis, and goes on to explore its development in the post-Freud era. This general introduction orients the reader and helps to contextualize the six sections that follow. The most important tenets of psychoanalysis are defined and described in the «Core Concepts» section, including theories of motivation, unconscious processes, transference and countertransference, defense and resistance, and gender and sexuality). These eight chapters constitute an excellent introduction to the field of psychoanalysis. The «Schools of Thought» section features chapters on the most influential theories – from object relations to self psychology, to attachment theory and relational psychoanalysis, and includes the contributions of Klein and Bion and of Lacan. Rather than making developmental theory a separate section, as in the last edition, developmental themes now permeate the «Schools of Thought» section and illuminate other theories and topics throughout the edition. Taking a more clinical turn, the «Treatment and Technique» section addresses critical subjects such as transference and countertransference; theories of therapeutic action; process, interpretation, and resistance, termination and reanalysis; combined psychoanalysis and psychopharmacotherapy, child analysis, ethics, and the relationship between psychoanalysis and psychodynamic psychotherapy. A substantive, utterly current, and meticulously referenced section on «Research» provides an in-depth discussion of outcome, process, and developmental research. The section entitled «Psychoanalysis and Other Disciplines» takes the reader on a fascinating tour through the many fields that psychoanalysis has enriched and been enriched by, including the neurosciences, philosophy, anthropology, race/ethnicity, literature, visual arts, film, and music. A comprehensive Glossary completes this indispensable text. The Textbook of Psychoanalysis is the only comprehensive textbook of psychoanalysis available in the United States. This masterful revision will both instruct and engage those who are learning psychoanalysis, those who practice it, and those who apply its theories to related disciplines. Though always controversial, this model of the human psyche still provides the best and most comprehensive insight into human nature.
Clinical Manual of Psychosomatic Medicine
The Clinical Manual of Psychosomatic Medicine, both educates psychiatrists and mental health professionals practicing in hospital settings about the relationship between physiological processes and psychological and behavioral factors and arms them with the evidence they need to inform hospital administrators about the value of the services they render. Specifically, this new edition: Expands the first edition's content to encompass more than two dozen topics most commonly encountered by residents and staff psychiatrists. Provides concise information on psychiatric conditions – such as delirium, depression, and dementia – that can interfere with medical care if not addressed. Offers a revised format of bulleted lists that maximizes accessibility of critical information so that clinicians can readily locate the required material. Emphasizes the core competencies adopted for the subspecialty of psychosomatic medicine (recognized by the American Board of Medical Specialties since 2003) to provide a benchmark for skill development across training programs and academic departments. Reflects the way care is most often delivered – by a multidisciplinary team providing evidence-based, individualized treatment focused on either the clinical condition (e.g., obesity) or the treatment setting (e.g., primary care). This emphasis on integrated care contextualizes the information presented in a useful, real-world manner. Authoritative, practical, and user-friendly, the Clinical Manual of Psychosomatic Medicine is an outstanding resource that equips the clinician with current, concise, relevant data and counsel to guide decision making and optimize care of medical and surgical patients with psychiatric comorbidities.
The Inseparable Nature of Love and Aggression
Otto Kernberg is a towering figure in the field of psychoanalysis and has accomplished seminal work in object relations and the treatment of borderline and narcissistic patients. This volume collects his recent work in several areas: severe personality disorders, couples in conflict, and religious experience. In each area, he explores the relationship between the psychoanalytic, clinical psychiatric, and neurobiological approaches, yielding insights and analysis that are compelling, thought-provoking, and at times startling in their penetrating brilliance. In addition, the book addresses the challenges that psychoanalysis faces in the current medical environment, and the need to strengthen its ties with academic institutions. Beautifully written, the book is designed to both provoke questions and provide enlightenment on a variety of critical issues within psychotherapy. Specifically, the volume: Explores new approaches to diagnosis and new psychotherapeutic techniques to treat the most severe personality disorders, particularly severe narcissistic psychopathology, based on new research findings; Relates psychoanalytic theory to neurobiological findings by illuminating the influences of neurobiological structures and intrapsychic conflicts on the development of the personality; Examines the psychoanalytic and neurobiological underpinnings of sexual love, from the organization of brain structures and neurotransmitters to the overall systems of erotic activation, attachment and bonding. This systematic approach provides insight into the nature of passionate love and the psychodynamic features of the love relationship; Addresses psychodynamic factors in the religious experience and the search for universal ethical values, and explores the crucial function of religious experience in dealing with the ideological challenges of social life; and Identifies the serious problems facing psychoanalytic education, institutions, and the profession of psychoanalysis, and proposes solutions to energize the field and increase its contributions to scientific research and progress. In The Inseparable Nature of Love and Aggression: Clinical and Theoretical Perspectives, Kernberg demonstrates his belief that the collaboration of psychoanalysis and neurobiology has the potential to significantly advance our understanding of the human mind. The full spectrum of mental health clinicians, as well as educated general readers, will find this to be a work of creativity and substance.
Cocaine and Methamphetamine Dependence
While the APA's Textbook of Addiction Psychiatry covers material that a general psychiatrist or primary care physician needs for the appropriate referral and initial management of stimulant dependence, Cocaine and Methamphetamine Dependence: Advances in Treatment goes beyond this basic knowledge and addresses the rapid evolution of both the understanding and the treatment of stimulant abusers. It also sheds light on how the epidemiology of cocaine, amphetamine and methamphetamine abuse and dependence have substantial differences in geographic distribution both here and abroad, and how treatments are evolving to help these complex patients benefit from emerging pharmacological and behavioral therapies. Cocaine dependence complications account for one out of every three drug-related emergency room visits. Coroners' reports relate stimulants to the direct cause of death in 25% of cocaine overdoses and 68% of methamphetamine overdoses or as antecedents causing cardiovascular or medical problems leading to death in 20% of these abusers. Additionally, cocaine and methamphetamine abuse and dependence frequently co-occur with other major mental illnesses such as schizophrenia, major depression, and posttraumatic stress disorder. This makes a greater understanding of stimulant dependence among the psychiatric community an integral part of providing effective evaluation and treatment. Cocaine and Methamphetamine Dependence provides: An introduction of the DSM-5 plan to drop the distinction between abuse and dependence and add craving as a criterion. An overview of how the epidemiology of stimulant abuse is changing and pharmaceutical abuse is rising due to factors such as greater availability through family and friends who are increasingly being prescribed stimulants for conditions like weight loss or attention deficit disorder. The insight that even after long abstinence, stimulant users may remain vulnerable to amphetamine-induced psychosis, with delusions, paranoia and compulsive behavior. The insight that a comprehensive assessment of the patient involves the management of aberrant behaviors such as intoxication, violence, suicide, impaired cognitive function, and uncontrolled affective displays. A focus on treatment, emphasizing that the most important component of stimulant treatment involves behavioral therapies, often in combination with adjunctive medications. A review of the criminal justice system's shift away from punitive action and towards more human treatment, including the far-reaching benefits of medical management and treatment. Fortunately, our understanding of stimulant abuse and dependence is growing at a time when a steady stream of new users and casualties is still accumulating. Constant vigilance regarding changes in epidemiology, fluctuations in drug availability, and changes in drug trafficking patterns are essential to recognition of new drug abuse patterns and their identification and treatment. Cocaine and Methamphetamine Dependence should be on the bookshelf of residents, physicians and psychiatrists who are highly likely to come into contact with one of the millions using and abusing stimulants today.
Professionalism in Psychiatry
Physicians and psychiatrists typically see themselves as true professionals. But in the past, some displayed behavior far beneath the confines of professionalism, including exploding at nurses, not returning calls, or conducting insensitive interactions with patients, that was usually tolerated and seldom disciplined. Today, the rise of professionalism in medicine in general and psychiatry in particular has prompted a quiet revolution in how doctors are trained and how they are expected to behave in the workplace. The Accreditation Council for Graduate Medical Education (ACGME) has now advanced professionalism to be one of the core competencies all emerging practitioners must have. While almost all physicians believe in professionalism, the movement toward making it a core competency has challenged doctors everywhere to accept the practice of monitoring, observing and assessing what is not always welcome in a field where autonomy is so highly valued. In Professionalism in Psychiatry, the authors identify and expand on professional behaviors, such as being a good team player, being accountable, pursuing improvement in an ongoing way, and behaving compassionately toward patients and families. The importance of treating all co-workers with respect and of being attuned to the management of healthcare resources in a way that reflects fairness and integrity is also thoroughly reviewed. Important features of this book are: Tailoring professionalism principles from medicine to the unique features of psychiatry in order to enhance educators' teaching and improve the behaviors of psychiatrists and residents in the work setting. Development of guidelines for professionalism in cyberspace to provide psychiatrists with an ethical framework for dealing with patients in the online realm. Discussion of the ethical principles that apply when academic departments approach donors. Focus on cultural competency and empathy in an effort to improve patient care through greater understanding and sensitivity to ethnic, racial, gender and sexual orientation issues encountered in clinical practice. Use of numerous clinical examples to articulate the new professionalism in psychiatry, which illustrates the importance of going beyond «one size fits all» thinking. Professionalism in Psychiatry is an important contribution toward beginning to characterize the ever-evolving professional behaviors and clinical strategies of the contemporary psychiatrist and place them in a systematic framework.
Preventing Bullying and School Violence
Results from numerous surveys indicate that many students do not feel safe in school. This condition exacts an academic as well as a psychological toll because, as the authors remind us, children must feel safe in order to learn. The authors of Preventing Bullying and School Violence contend that inadequate attention has been given to the role of mental health professionals in preventing bullying and school violence. They propose a collaborative, multidisciplinary approach, one that draws upon the skills of the educational, health care, and mental health communities in identifying risk, choosing appropriate interventions, and implementing targeted wellness programs. The authors see bullying as a process, not a problem originating with a single troubled person. Accordingly, they believe that bullying behaviors can be effectively addressed only by targeting the broader social context – the coercive power and group dynamics that breed and maintain bullying and violent behavior in the school setting. The book is designed to help clinicians, school counselors, and administrators create a safe climate for their students and to respond thoughtfully, but swiftly, when threats arise. The authors offer many practical guidelines for achieving these goals, addressing The critical importance of establishing a strong connection between the family, the school, and the community in creating a healthy academic environment Strategies for working effectively with the complex social bureaucracies that often characterize the entities (such as school boards and governmental agencies) that intervene in cases involving violent children, with an emphasis on developing skills in managing both small and large groups Ways to define and recognize at-risk children who require special attention as a result of having mental illness and/or learning disability Innovative community interventions, such as therapeutic mentoring and home-based therapy, in addition to information on local, state, and federal programs designed to support antiviolence programs in the schools Techniques for promoting wellness among the student population – not just physical wellness, but also the positive attitudes and coping skills that are the hallmarks of mental health. Preventing Bullying and School Violence aims to empower mental health professionals to work confidently and effectively in educational settings to reduce the distress, enhance the psychological well-being, and secure the safety of all schoolchildren.
Clinical Laboratory Medicine for Mental Health Professionals
A revised, abridged version of the seminal work, Laboratory Medicine in Psychiatry and Behavioral Science, Clinical Laboratory Medicine for Mental Health Professionals more directly address the needs of general psychiatrists and their mental health colleagues in clinical practice.Sections on laboratory tests, diseases and conditions, and psychotropic medications include alphabetically arranged entries, making it easy for busy clinicians to reference the updated information. For each laboratory test, the following information is provided: The type of test (e.g., blood, urine, etc.) An explanation of the test The test's relevance to psychiatry Patient preparation Medical and psychiatric indications for the test Numerical reference ranges Critical values for test results The potential meaning of abnormal results (e.g., factors that lead to increased or decreased levels) Interfering factors Cross-references to other tests or conditions Information on clinical diagnosis and laboratory testing is provided for diseases and conditions, and psychotropic medications are examined from both a screening and a monitoring standpoint. Extensively indexed, this guide also includes an appendix that features at-a-glance information on therapeutic and psychotropic levels, 10 rules for deciding whether an ECG is normal, and several figures covering topics relevant to tests, such as ECG waves and intervals, cholestatic injury, bilirubin cycle, and SIADH secretion.Years of clinical practice and research inform both the choice of tests included and the rationale for their use, making Clinical Laboratory Medicine for Mental Health Professionals the definitive, authoritative reference for psychiatrists and other behavioral health clinicians.
Essentials of Schizophrenia
Schizophrenia is one of the most challenging brain disorders a mental health professional can face, yet its causes and cure remain elusive. Written by experts from a wide range of psychiatric disciplines to serve as a singular resource, Essentials of Schizophrenia clearly defines the current knowledge of the nature, causes, and treatment of this disorder and puts the many misconceptions about this disabling illness into perspective. Schizophrenia is so devastating because it robs people of the very things that make them human – their personality and intellect. Symptoms typically have their onset in early adulthood, and the disorder often leaves the individual permanently disabled. This book leads readers through questions surrounding this debilitating disorder, from an historical overview and review of epidemiology to consideration of comorbid conditions. Key topics covered in this text include: Identification of early signs of cognitive impairment and the resulting psychopharmalogical treatment strategies for improving social or vocational function. Role of antipsychotics, antianxiety/hypnotics, antidepressants, mood stabilizers, and dopamine agonists in treatment and associated side effects. Current proven psychosocial interventions that augment and complement drug therapy, and increased patient involvement in choice of treatment modality. Keys to early identification of individuals who are vulnerable to schizophrenia, and the potential for earlier intervention and treatment. Optimal treatment approaches for first episodes to increase the likelihood of full recovery. Answers to frequently asked questions raised by psychiatrists in daily encounters with their patients with schizophrenia. A must-read for anyone involved in the care and treatment of individuals with schizophrenia, Essentials of Schizophrenia helps the reader better understand the disorderin an accessible format. Squarely confronting a misunderstood disease that has caused great suffering and disability, this textbook serves as a dependable source of knowledge for current psychiatric professionals as well as the next generation of students and clinicians to come.
Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors
Underestimated, under-researched, and often poorly understood, the body-focused repetitive disorders nevertheless cause human suffering that is serious, persistent, and pervasive. These disorders can occur in both adults and children and manifest themselves as hair pulling (trichotillomania), pathologic skin picking, thumb sucking, and nail biting. Although these disorders are common, very few medical students and residents hear them addressed in lectures or know where to begin when confronted with a patient presenting with these behaviors. Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors seeks to remedy this situation by synthesizing the latest research on body-focused repetitive disorders and presenting it in a systematic, easy-to-grasp manner.Much has changed in the more than a decade since the last book on this topic was published. This new volume reflects the most current and substantive research into the etiology and symptoms of body-focused repetitive disorders and therapeutic options. Organized in logical fashion, it begins with a review of the clinical characteristics, moves on to diagnosis and evaluation, and concludes with a full review of treatment options. Special features include: Extensive material to help clinicians and patients understand the underlying purpose of engaging in these behaviors, which include, reducing tension, regulating strong emotion, and alleviating boredom. Separate chapters on adults and children, who may have a different presentation and a different set of treatment options. An additional chapter focuses on the role of the child patient's family in the diagnosis and treatment of the disorder. Thorough coverage of the full range of treatments – including psychotherapy, medication, and alternative treatments – which provides the clinician with an evidence-based approach to treating patients. Discussion of the psychobiology of hair pulling and skin picking, which allows the reader to understand and contextualize the disorder from a neurological perspective and offers clues that may assist in optimizing treatment. A presentation style that is detailed enough for clinicians, yet accessible enough for a lay audience, including patients with the disorder and the families who seek to understand and support them. Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors fills a critical gap in the literature by addressing this common and frequently debilitating disorder in an utterly current, highly practical, and wholly compassionate manner.