Психотерапия и консультирование
Различные книги в жанре Психотерапия и консультированиеPsychoneuroendocrinology
The mind-body connection is one of the hottest topics in medicine today, documented by enormous amounts of data regarding hormone effects on the brain and behavior.Yet it is only now – with the debut of this thought-provoking volume – that we find an up-to-date, sophisticated reference that focuses on the clinical relevance of behavioral endocrinology and is written for practicing clinicians and researchers.This wide-ranging volume shows how the principles and emerging findings of psychoneuroendocrinology can inform modern clinical practice and lead to new breakthroughs in future science and practice. Here, leading authorities – internationally respected researchers and practicing clinicians – review empirical findings in their areas of expertise, highlight the clinical significance of these findings, and provide, wherever appropriate, clinical guidelines for the management of patients.Beginning with a lively history of psychoneuroendocrinology (including its many false starts), this book continues on to discussions of the hypothalamic-pituitary-adrenal axis hormone system, the gonadal hormone system, and the thyroid hormone system from each of the three paths generally used for psychoneuroendocrinological investigation: Alterations in endogenous hormone levels observed in primary psychiatric illness Psychiatric concomitants or sequelae of hormonal dysregulation in primary endocrinologic illness Behavioral effects of exogenously administered hormones or hormone antagonists (both the study of the side effects of hormonal medications and the use of hormones and hormone antagonists as psychotropic medications) An unmatched diversity of topics reveals the full breadth and depth of this volume: diabetes mellitus, corticosteroid effects on mood and cognition, Cushing's syndrome and Addison's disease, oral contraceptives and estrogen replacement therapy, psychiatric illness associated with the menstrual cycle and perimenopause, postpartum behavioral changes, anabolic/androgenic steroid use, and a thorough review of thyroid function in psychiatric disorders.Particularly fascinating are sections on the role of neuropeptides and hypothalamic-releasing factors in psychiatric illness, the use of laboratory tests and imaging procedures in evaluating hormonal function in psychiatric patients, the place of newer «alternative» hormonal medications such as melatonin and DHEA in therapeutics, and a provocative and compelling final chapter on the role stress plays in precipitating illness.Designed for both clinician and researcher-scientist, this richly informative guide will also prove an invaluable addition to graduate courses in neuroscience, neuroendocrinology, the biological basis of behavior, and consultation psychiatry. Neuroscientists/neurologists, endocrinologists, obstetricians/gynecologists, internists, family practitioners, nurses, and interested laypersons round out the wide audience for this remarkable volume.
The Dementias
Confusion. Fear. Isolation. This is the human experience of dementing illness, and it is at the heart of this practical, informative volume by a broad range of clinically grounded experts.This book is designed to meet the needs of clinicians dealing with persons with dementing illness and to serve as an introduction to the pathophysiology of dementing illness and a resource for clinical investigators.The giant strides in dementia research since the publication of the first edition in 1991 have generated optimism that we will soon be able to delay onset and even prevent these diseases that devastate both patients and caregivers. This third edition has been revised, updated, and expanded to cover changes in the classification, management and treatment of dementing illnesses and to give a more extensive account of basic and clinical research findings. At the same time, this remarkable volume indicates the interaction of the patient's personality, the caregiver, and the environment with the pathophysiology of dementing illnesses that creates the variety of symptoms accompanying these illnesses and impacting their treatment.Like the second edition, this third edition has three sections, flowing from diagnosis through management/treatment to research. New to this edition are A world-class presentation on the molecular and genetic basis of Alzheimer's disease A beautifully illustrated chapter on contemporary neuroimaging Discussions of mild cognitive impairment, the frontotemporal dementias, and the dementias associated with Lewy bodies This third edition is exceptionally valuable for addressing the day-to-day challenges of dealing effectively and humanely with persons with dementing illness. Case examples are used in the chapters on psychological/behavioral and drug management to indicate practical approaches to maintaining patients at their optimal level of function. Unlike similar texts, this volume also reviews legal and ethical issues in the care of persons with dementing illness and shows how clinicians and caregivers how to mobilize community resources. Extensive reference lists round out each chapter. The book concludes with 11 assessment guides and rating scales and an index.Now more than ever, there is hope that advances in understanding dementing illnesses such as Alzheimer's disease will lead to their effective treatment, and ultimately to their prevention. Until then, clinicians, families, and society will continue to be faced with the challenges posed by these illnesses – making this book a «must read» for physicians and other health care professionals, whether in training, in practice, or engaged in clinical research.
Infanticide
Maternal infanticide, or the murder of a child in its first year of life by its mother, elicits sorrow, anger, horror, and outrage. But the perpetrator is often a victim, too.The editor of this revealing work asks us to reach beyond rage, stretch the limits of compassion, and enter the minds of mothers who kill their babies – with the hope that advancing the knowledge base and stimulating inquiry in this neglected area of maternal-infant research will save young lives. Written to help remedy today's dearth of up-to-date, research-based literature, this unique volume brings together a multidisciplinary group of 17 experts – scholars, clinicians, researchers, clinical and forensic psychiatrists, pediatric psychoanalysts, attorneys, and an epidemiologist – who focus on the psychiatric perspective of this tragic cause of infant death. This comprehensive, practical work is organized into four parts for easy reference: Part I presents historical and epidemiological data, including a compelling discussion of the contrasting legal views of infanticide in the United States, United Kingdom, and other Western countries, a review of the latest statistics on maternal infanticide, and a discussion of the problems of underreporting and the lack of available documentation. Part II covers the psychiatric, psychological, cultural, and biological underpinnings of infanticide, detailing how to identify, evaluate, and treat postpartum psychiatric disorders. The authors explore clinical diagnosis, symptom recognition, risk factors, biological precipitants, and alternative motives, such as cultural infanticide. Chapter 3, developed to assist the attorney or mental health professional in understanding the implications of postpartum psychiatric illness as they relate to infanticide, presents a sensitive and thorough inquiry into infanticidal ideation. Part III focuses on contemporary legislation, criminal defenses, and disparate treatment in U.S. law and compares U.S. law with the U.K.'s model of probation and treatment. Chapter 8 is an especially useful resource for the attorney or expert psychiatric witness preparing for an infanticide/neonaticide case in the criminal court system. Part IV discusses clinical experience with mothers as perpetrators and countertransference in therapy, the range of mother-infant interactions (from healthy to pathological), and methods of early intervention and prevention. This balanced perspective on a highly emotional issue will find a wide audience among psychiatric and medical professionals (child, clinical, and forensic psychiatrists and psychologists; social workers; obstetricians/gynecologists and midwives; nurses; and pediatricians), legal professionals (judges, attorneys, law students), public health professionals, and interested laypersons.
What Every Patient, Family, Friend, and Caregiver Needs to Know About Psychiatry
If you care for someone with a mental illness – whether as a family member, friend, or practitioner – this hands-on reference is for you. The acclaimed What Every Patient, Family, Friend, and Caregiver Needs to Know About Psychiatry is now available in a long-awaited second edition. Like the first, it is written in a simple, concise style for the layperson – and is packed with need-to-know information on adult psychiatric disorders, including their causes, approaches to treatment, and what caregivers can do to help. It is an excellent resource for therapist's waiting room.What Every Patient, Family, Friend, and Caregiver Needs to Know About Psychiatry features a wealth of immediately usable guidance for caregivers. It's an excellent text for introduction to psychiatry classes in colleges and nursing schools for helping students develop valuable knowledge and skills to apply in practice. This one-stop resource is the first place to turn for practical guidance for the latest research-based techniques. You'll Get a solid understanding of the causes of psychiatric disorders, including stress, genetics and heredity, and emotional and physical problems Develop hands-on skills for the full range of emotional and mental disorders, including psychosomatic disorders, anxiety, substance abuse, sexual problems, loss, personality and mood disorders, schizophrenia, and cognitive disorders such as Alzheimer's disease Find out how the psychiatrist should function in the patient-caregiver-doctor relationship – and learn how to choose a psychotherapist. This second edition has been extensively revised and updated with new information on diagnostic techniques and brain scans, the role of genetics, new medications and psychotherapeutic approaches, and more. In addition, it features a unique and illuminating look at mental health in our post-9/11 nation, including the rising incidence of posttraumatic stress disorder.Whether you're a social worker or psychologist, nurse or other professional, friend or family member, you'll get a sound framework to help you achieve better results.Caring for a person with mental illness requires knowledge, skill, understanding, and strength. What Every Patient, Family, Friend, and Caregiver Needs to Know About Psychiatry gives you a source of guidance and techniques that will make you more confident and successful in your role as practitioner or caregiver.
Personality Disorders Over Time
Treating personality disorders can be extremely frustrating for clinicians. As a result, many doctors get caught in a cycle of diagnosing and rediagnosing in an attempt to find an approach that works. In Personality Disorders Over Time: Precursors, Course, and Outcome, Joel Paris, M.D., proposes a better approach-one based on management rather than cure-that he developed while following a group of patients with borderline personality disorder (BPD) for over 25 years.Paris believes that the key to effective treatment of personality disorders lies in understanding their progression over a lifetime. In Personality Disorders Over Time, he outlines a sound framework for treatment that features A realistic long-term treatment approach that strives for gradual recovery with intermittent interventions An examination of the progression of these disorders over time, including childhood precursors, course and outcome, and treatment A general theory of personality disorders, including Axis I and Axis II cluster disorders Suggestions for a broader, more accurate DSM classification reflecting the personality trait dimensions that underlie disorders Written in the first person, studded with clinical anecdotes, and filled with up-to-date literature references, Personality Disorders Over Time provides fascinating insights into these complicated disorders. It is an excellent resource for any clinician who wants to understand and provide more effective treatment to patients with personality disorders.
Fundamentals of Psychiatric Treatment Planning
First published in 1992, Fundamentals of Psychiatric Treatment Planning outlines an approach that quickly became the definitive standard for writing treatment plans. Developed by clinical psychiatrist James A. Kennedy, this practical, intuitive method organizes psychiatric problems into seven categories: psychological impairment, social skills, violence, activities of daily living, substance abuse, medical impairment, and ancillary impairment. Treatment plans are developed using information gathered with the Kennedy Axis V, an instrument that has proven more successful than both the Global Assessment of Functioning (GAF) scale and the Brief Psychiatric Rating Scale (BPRS) in establishing baselines and determining outcome measures. Fundamentals of Psychiatric Treatment Planning serves as a powerful, highly effective tool that Promotes a cohesive approach. By using a consistent approach to planning, the clinical team works in concert toward uniform goals and outcomes. Helps staff gather critical information to improve outcomes. For establishing baselines and determining outcome measures, the Kennedy Axis V instrument has proven more successful than both the GAF and the BPRS. Includes many examples to help staff write their own plans. Rich with real-life examples to guide staff, including problem names and descriptions, treatment modalities, and samples of individual plans for each of the seven problem categories. In addition to the Kennedy Axis V questionnaire, Fundamentals of Psychiatric Treatment Planning includes blank forms for treatment planning and tabbed sections to allow for quick reference. New features in the second edition include the integration of nursing care plans into master treatment plans, new systematic steps for building goals and modalities, refinements to the questionnaire, and the introduction of online support via the author's website. With its readily adaptable, uniform approach to a complex subject, Fundamentals of Psychiatric Treatment Planning, Second Edition, is a powerful, highly effective planning tool for all members of the clinical staff.
A Developmental Model of Borderline Personality Disorder
Patients with borderline personality disorder (BPD) are among the most challenging patients for clinicians to treat. Their behaviors and emotions can shift abruptly. As a result, these patients can seem like therapeutic moving targets, and improvement can be vexingly slow.A Developmental Model of Borderline Personality Disorder is a landmark work on this difficult condition. The book emphasizes a developmental approach to BPD based on an in-depth study of inpatients at Chestnut Lodge in Rockville, Maryland, during the years 1950 through 1975 and the authors' thirty years of clinical and supervisory experience. Using information gleaned from the original clinical notes and follow-up studies, the authors present four intriguing case studies to chart the etiology, long-term course, and clinical manifestations of BPD. With three main parts that cover theory, case examples, and practical strategies for treatment, A Developmental Model of Borderline Personality Disorder Introduces the reader to a multidimensional and integrated etiologic model of BPD to inform treatment Helps clinicians develop the understanding and empathy needed to deal with difficult patient behaviors Gives strategies for designing psychotherapy in tandem with psychosocial services to help patients with BPD improve or sustain functioning in the community A Developmental Model of Borderline Personality Disorder combines rich clinical case descriptions with an integrated theoretical model that captures the complexities of BPD. The first resource to chart BPD over the long term in such depth, this book is a first-rate clinical resource that reads like a novel, illuminating the disorder to help interpret its causes and course. It will inspire and encourage clinicians, along with patients and their family members, to strive for success in treating this difficult disease.
Concise Guide to Anxiety Disorders
Concise Guide to Anxiety Disorders summarizes the latest research and translates it into practical treatment strategies for the best clinical outcomes. Designed for daily use in the clinical setting, it serves as an instant library of current information, quick to access and easy to understand.Running the gamut of anxiety-related illnesses – panic disorder, obsessive-compulsive disorder, generalized anxiety disorder, posttraumatic stress disorder, social phobia, and specific phobia – this comprehensive handbook includes Comprehensive information in a single source. The discussion of each disorder includes information on etiology, diagnosis and differential diagnosis, course and prognosis, biological and psychological theories, medications and interventional treatments, psychotherapeutic treatments, and combined treatments – all in a single user-friendly resource to save you time. Fast, easy access to information. With the detailed table of contents and index, you'll pinpoint the facts you need in seconds. Convenient tables help you comprehend information quickly. Strategies and methods reflecting the latest research. Consult Concise Guide to Anxiety Disorders, and you'll know that you're making the best decisions, based on up-to-the-minute research findings. Every clinician who diagnoses and treats patients with anxiety disorders – including psychiatrists, residents and medical students, psychologists, and mental health professionals – will find Concise Guide to Anxiety Disorders invaluable for making informed treatment decisions.
The Clinical Interview of the Child
Ideal for both novices and advanced practitioners, the new edition of Stanley Greenspan's classic guide outlines a practical process for observing and interviewing children – and organizing and interpreting their unfolding communications.Highly acclaimed, The Clinical Interview of the Child uses actual interviews with children to show readers how to Apply a developmental, biopsychosocial framework for understanding the inner lives of children at different ages and stages Observe and assess human development, including emotional and cognitive patterns and perceptual capacities Help infants and children to reveal their feelings, thoughts, and behaviors during the clinical interview Organize and interpret the interview data by constructing a developmental profile and translating it into DSM-IV-TR diagnostic categories The third edition has been expanded and revised extensively, with updated theoretical and conceptual foundations; information on higher levels of ego development and reflective and thinking capacities of older children; and a new section on a developmental biopsychosocial model – the developmental, individual-difference, relationship-based (DIR) approach.An invaluable educational and practical resource, The Clinical Interview of the Child, Third Edition, is an ideal tool for psychiatrists and psychologists, pediatricians, educators, social workers, speech pathologists, occupational therapists, and judges and attorneys dealing with children and families.
Boundaries and Boundary Violations in Psychoanalysis
Boundaries and Boundary Violations in Psychoanalysis is a state-of-the-art overview of the problem of boundary violations in psychoanalysis and psychotherapy. This new edition is a major overhaul of the seminal first edition, published 20 years ago, and addresses topics with which every psychoanalyst, therapist, resident, and training director should be conversant. Penned by one of the foremost experts on psychoanalysis, the book is both broad and thorough in scope, presenting models of prevention to help readers avoid boundary problems in their practices and providing expert advice on institutional responses to complaints and rumors. In addition, the impact of boundary violations on patients is examined, a long-neglected and overdue exploration that encourages increased institutional responsiveness to victims' needs. The book was designed to inform and forearm, with chapters and features that psychoanalysts and therapists will find eminently useful: The fear that the patient may commit suicide and how that fear may play a role in the development of boundary violations warrants a separate chapter therapists will find illuminating. Boundaries in cyberspace, a topic only recently pertinent, is explored in depth in a chapter that provides guidance on how the therapeutic frame has been broadened by the impact of texting, email, googling, and social media. Detailed guidelines on how to handle complaints are included, information that will prepare organizations to respond both strategically and compassionately to these complex situations. Examples and cases are based on those the author has encountered over 30 years of evaluating, treating, and consulting and reflect the diversity of clinical practice, involving both male and female violators as well as victims and their families. Boundary violations do not always include a sexual relationship, and the types of boundary violations discussed include nonsexual, supervisory, and post-termination. Every chapter has been updated to include new data and current understanding, addressing the most critically important topics in a rigorous, yet humane manner. Boundaries and Boundary Violations in Psychoanalysis is the most authoritative resource on the subject, and will help the reader manage boundaries across a variety of therapeutic contexts.