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This book presents an authoritative overview of the emerging field of person-centered psychiatry. This perspective, articulating science and humanism, arose within the World Psychiatric Association and aims to shift the focus of psychiatry from organ and disease to the whole person within their individual context. It is part of a broader person-centered perspective in medicine that is being advanced by the International College of Person-Centered Medicine through the annual Geneva Conferences held since 2008 in collaboration with the World Medical Association, the World Health Organization, the International Council of Nurses, the International Federation of Social Workers, and the Internati...
The publication of the Cultural Formulation Outline in the DSM-IV represented a significant event in the history of standard diagnostic systems. It was the first systematic attempt at placing cultural and contextual factors as an integral component of the diagnostic process. The year was 1994 and its coming was ripe since the multicultural explosion due to migration, refugees, and globalization on the ethnic composition of the U.S. population made it compelling to strive for culturally attuned psychiatric care. Understanding the limitations of a dry symptomatological approach in helping clinicians grasp the intricacies of the experience, presentation, and course of mental illness, the NIMH G...
This book provides an overview of the strengths and limitations of the currently available systems for the diagnosis and classification of mental disorders, in particular the DSM-IV and the ICD-10, and of the prospects for future developments. Among the covered issues are: * The impact of biological research * The diagnosis of mental disorders in primary care * The usefulness and limitations of the concept of comorbidity in psychiatry * The role of understanding and empathy in the diagnostic process * The ethical, legal and social aspects of psychiatric classification Psychiatric Diagnosis & Classification provides a comprehensive picture of the current state of available diagnostic and classificatory systems in psychiatry and the improvements that are needed.
In this book, Kleinman proposes an international view of mental illness and mental care. Arthur Kleinman, M.D., examines how the prevalence and nature of disorders vary in different cultures, how clinicians make their diagnoses, and how they heal, and the educational and practical implications of a true understanding of the interplay between biology and culture.
The United States will no longer have a Caucasian majority in the second half of the 21st century. Evidence shows that misdiagnosis of mental disorders occurs more frequently in minority populations. Thus, the domestic and international utility of DSM-IV and its companions will depend on their suitability for use with various cultures. A key feature of this volume is the collaboration of cultural experts, members of the National Institute of Mental Health (NIMH ) Culture and Diagnosis Group, nosologists, and members of the DSM-IV Task Force and Work Groups. The NIMH and the American Psychiatric Association held a conference on Culture and Psychiatric Diagnosis to prepare for DSM-IV. Culture ...
Winner of Medical Journalists’ Association Specialist Readership Award 2010 Recovery is widely endorsed as a guiding principle of mental health policy. Recovery brings new rules for services, e.g. user involvement and person-centred care, as well as new tools for clinical collaborations, e.g. shared decision making and psychiatric advance directives. These developments are complemented by new proposals regarding more ethically consistent anti-discrimination and involuntary treatment legislation, as well as participatory approaches to evidence-based medicine and policy. Recovery is more than a bottom up movement turned into top down mental health policy in English-speaking countries. Recove...
Obsessive compulsive disorder (OCD) remains one of the most challenging disorders of the brain. Contemporary conceptualization and therapeutic strategies are undergoing a revolution as a result of new insights derived from modern technological advances. This book was conceived in order to present this revolution to the reader. It covers current theories regarding the etiology of OCD, what is known about the genetics of this disorder, evidence from neuroimaging and a discussion of potential endophenotypes. There is an evaluation of current treatment approaches for the disorder, encompassing psychological, psychopharmacological and physical interventions, as well as a discussion of treatment r...
This exceptional book responds to the intense current interest in defining and understanding the contribution of traditional medical knowledge and the intervention techniques of traditional healers to national mental health services around the world. First book on traditional healing and transcultural psychiatry Delineates the knowledge and clinical skills of traditional healers from diverse cultural areas around the world Describes the clinical and social roles of traditional healers in their communities and the challenges of constructing national mental health programs that include traditional knowledge and healing techniques Assesses issues on efficacy and safety of traditional healers' i...
"This much-needed volume brings to the clinician or student some of the best critical-minded analysis by some of the most insightful thinkers about psychiatric diagnosis today. The thought-provoking questions these essays raise, and the multifaceted and provocative answers they provide, cultivate sensitivity to the nuances of diagnostic assessment that often makes the difference between clinical success and failure." - Jerome C. Wakefield, PhD, DSW, New York University Silver School of Social Work, New York This transformative resource challenges social workers and mental health professionals to rethink their approaches to assessment and diagnosis from the ground up. Among the book’s uniqu...
There are wide inconsistencies between, and even within, countries in how community-orientated care is defined and interpreted. The analysis presented in this book take as a starting point an evidence-based balanced care model in which services are provided in community settings close to the populations served, with hospital stays being reduced as far as possible, usually located in acute wards in general hospitals. The surprising conclusion from the research is that the same problems arise in all countries, regardless of resource status, and thus the recommendations of this book apply to mental health provision everywhere. This book reviews the implementation of community-orientated care us...