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Patient Violence and the Clinician presents clinically relevant information on violent patients and how clinicians can deal with threats of potential violence in their everyday practice. This book describes the clinical information known about the characteristics of assaultive patients and the characteristics of their assaults. It also reviews special issues of clinician safety related to women, psychiatric residents, and psychiatric nurses. Patient Violence and the Clinician provides concrete strategies for enhancing clinician safety through architecture, alarm systems, and behavioral strategies. It addresses staff issues and the humane treatment of violent patients. This book helps the clinician think about the cultural issues that surround treatment of violent patients - before violence erupts.
Clinical Assessment and Management of Severe Personality Disorders (Clinical Practice 35) offers the clinician working in the community a practicable approach to the treatment of patients with personality disorders. Clearly written, with minimal use of jargon, this book focuses on issues relevant to the clinician in private practice, including the diagnosis of a wide range of personality disorders and alternative management approaches. Recognizing patients with a personality disorder, differentiating one disorder from another, and using psychological tests in the diagnosis and treatment of personality disorders are among the clinical assessment issues covered. Two commonly encountered issues...
Schizophrenia is one of the most difficult diagnoses to make. And, once made, it was once among the most limited, offering few options in the management of care for schizophrenia patients with comorbid conditions. It was not until 1994, with the publication of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), that diagnostic guidelines first permitted additional diagnoses on Axis I, such as anxiety disorder, in the presence of schizophrenia. Yet remnants of the old hierarchical diagnostic system remain, diverting attention from the pressing issue of managing what appear to be common -- and treatable -- disabling conditions, such as panic disorder and obsessi...
Like gardens, all relationships require care, patience, and nurturing to flourish. Because we are beset with the demands and frustrations of daily life, however, we often put off the hard work and care that are needed to ensure bountiful and harmonious marriage. As a result, seemingly minor tensions and problems that simmer beneath the surface can become major difficulties that affect the stability of the union. Written by an experienced marital therapist, How's Your Marriage? is an indispensable guide that can help you and your partner build a lasting, healthy relationship while easing tensions and resolving troublesome issues. Using the insight gained from over two decades of practicing co...
This covers the American Journal of Psychiatry from 1844 to 1994.
Psychiatrists, psychoanalysts, other mental health workers, behavioral scientists, and university medical and neuroscience professionals will benefit from this articulate insider's view of post-World War II psychiatry in Changing American Psychiatry: A Personal Perspective by Melvin Sabshin, M.D. Dr. Sabshin served as Medical Director of the American Psychiatric Association (APA) for 23 years, from 1974 to 1997, during a period of perhaps the greatest change in psychiatry since the World War II produced a dramatic modification of practice. The author describes in detail two extraordinary periods of change, the first stimulated by laudatory efforts to understand the high rate of psychiatric c...
“A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medic...
Today, 25% of Americans smoke and 50% of smokers die from tobacco-related illnesses. Meanwhile, little attention has been given to implementing cessation therapies for our patients who smoke. Nicotine in Psychiatry: Psychopathology and Emerging Therapeutics examines this timely subject. The book's contributors, subject matter experts in the growing field of nicotine neurobiology andclinical pharmacology, cover the latest knowledge on The pharmacokinetics and pharmacodynamics of nicotine The effect of nicotinic receptors on the central nervous system (CNS), the recent advances made in understanding the normal function of these receptors, and how this knowledge transfers to the clinical treatm...
Much of the vast terrain of neurological brain disorders lies beyond our understanding, waiting to be discovered. Complicating our knowledge of and ability to treat these disorders is that they often bring with them a daunting array of psychiatric illnesses. Into this uncharted territory comes Psychiatric Management in Neurological Disease, a practical guide written with the busy clinician in mind. Its wealth of information is organized for ease of use. This comprehensive volume sets forth management principles for a broad range of key representative neurological disorders, each of which presents a distinct psychiatric profile and requires a specific management approach tailored to the natur...
Since the mid-1980s, when stories of ritualized satanic or sadistic abuse drastically increased, ritual abuse has become entangled in the controversy surrounding false memory syndrome and recovered memory. Because this debate has not been conclusively resolved, therapists require methods and guidelines for treating patients who present a history that may involve abusive satanic or sadistic rituals. In The Dilemma of Ritual Abuse, experts in the field offer balanced, carefully considered advice on approaches therapists can use when patients report they have experienced ritual abuse. These qualified clinicians explain and demonstrate their techniques and offer caveats against accepting a patient's recollections at face value. Additional chapters deal with psychological and pharmacological treatment programs that have helped patients whether the reports of abuse were accurate, symbolic, or false. Several illustrations vividly depict the types of abuse that therapists will hear from these patients. For further guidance, an appendix containing the American Psychiatric Association Board of Trustees' "Statement on Memories of Sexual Abuse" is also included.