Search results for: the-biopsychosocial-formulation-manual

The Biopsychosocial Formulation Manual

Author : William H. Campbell
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Based on George Engel’s model, The Biopsychosocial Formulation Manual presents ways to help psychiatry residents and students effectively gather and organize patient data to arrive at a complete mental health history in a limited timeframe. While most current models only take one factor into account, Campbell and Rohrbaugh emphasize and analyze three essential components (biological, social, and psychological). The process of identifying pertinent data for each component of the biopsychosocial formulation is explicated in detail. A separate section outlines how to use the biopsychosocial formulation to generate treatment recommendations. This volume includes a complete package for practicing the biopsychosocial method; this easy-to-use guide includes a data record sheet and a companion CD to facilitate organization and assessment, appealing to both the psychiatric professional and the trainee.

DSM 5 Handbook on the Cultural Formulation Interview

Author : Edited by Roberto Lewis-Fernández M.D. M.T.S.
File Size : 66.85 MB
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The Cultural Formulation Interview (CFI) is a product of the arduous process that resulted in publication of the DSM-5, and only one book—DSM-5 Handbook of the Cultural Formulation Interview—provides clinicians with the background and guidance they need to implement the CFI. The Handbook teaches the reader how to conduct a cultural assessment using the CFI, which consists of three types of semistructured interviews. Although the CFI was not designed to be the sole basis for making a clinical diagnosis, it can be used in research and clinical settings to enhance clinical understanding and decision making. The volume presents techniques to help providers situate their work within the context of a patient's culture to enhance communication—not only with those of different cultures but across all clinical encounters. Especially instructive are the supplemental videos that demonstrate application of the CFI components through the use of clinical vignettes. Clinicians will, of course, find the DSM-5® Handbook of the Cultural Formulation Interview indispensable, but administrators, policy makers, advocates, and other practitioners who work collaboratively to engage patients in the mental health care process will also value its clarity and comprehensiveness.

Clinical Manual of Pediatric Consultation Liaison Psychiatry Second Edition

Author : Richard J. Shaw, M.B., B.S.
File Size : 50.40 MB
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This manual provides a focused and useful clinical guide to the psychiatric and psychological assessment of physically ill children and adolescents. Covering all of the common clinical psychiatric consultation questions that arise in the pediatric hospital, this book is designed for both novice trainees approaching their first pediatric consultation-liaison psychiatry rotations and advanced and experienced practitioners seeking information on psychopharmacological management of physically ill children.

Clinical Manual of Couples and Family Therapy

Author : Gabor I. Keitner
File Size : 75.67 MB
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The Clinical Manual of Couples and Family Therapy presents a conceptual framework for engaging families of psychiatric patients. It outlines practical, evidence-based family therapy skills that make it easier for clinicians to effectively integrate families into the treatment process. Moreover, it reestablishes the role of the psychiatrist as the leader of the team of professionals providing mental health care to patients in need. The underlying assumption in this concise manual is that most psychiatric symptoms or conditions evolve in a social context, and families can be useful in identifying the history, precipitants, and likely future obstacles to the management of presenting problems. The book clarifies the clinical decision-making process for establishing family involvement in patient care in different clinical settings, and it outlines distinct steps in family assessment and treatment within a biopsychosocial organizing framework that can be applied to all families, regardless of the patient's presenting problems. The book's approach is based on a broad model of family functioning, which provides a multidimensional description of families and has validated instruments to assess family functioning from both internal and external perspectives. Unique features and benefits of the manual include: A focus on one consistent model of assessment and treatment that can be applied to a wide range of psychiatric conditions and clinical settings Numerous case examples, tables, and charts throughout the text to further highlight the material A summary of key concepts at the end of each chapter A companion DVD, keyed to discussion in the text, that demonstrates how to perform a family assessment and treatment All psychiatrists should be proficient in assessing the social and familial context in which a patient's psychiatric illness evolves. The Clinical Manual of Couples and Family Therapy is a practical guide designed to facilitate a clinician's ability to evaluate and treat couples and families.

Psychodynamic Formulation

Author : Deborah L. Cabaniss
File Size : 45.80 MB
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How do our patients come to be the way they are? What forces shape their conscious and unconscious thoughtsand feelings? How can we use this information to best helpthem? Constructing psychodynamic formulations is one of the best waysfor mental health professionals to answer questions like these. Itcan help clinicians in all mental health setting understand theirpatients, set treatment goals, choose therapeutic strategies,construct meaningful interventions and conduct treatment. Despite the centrality of psychodynamic formulation to our workwith patients, few students are taught how to construct themin a clear systematic way. This book offers students andpractitioners from all fields of mental health a clear, practical,operationalized method for constructing psychodynamic formulations,with an emphasis on the following steps: DESCRIBING problems and patterns REVIEWING the developmental history LINKING problems and patterns to history using organizing ideasabout development. The unique, up-to-date perspective of this book integratespsychodynamic theories with ideas about the role of genetics,trauma, and early cognitive and emotional difficulties ondevelopment to help clinicians develop effective formulations. Psychodynamic Formulation is written in the same clear,concise style of Psychodynamic Psychotherapy: A ClinicalManual (Wiley 2011). It is reader friendly, full ofuseful examples, eminently practical, suitable for either classroomor individual use, and applicable for all mental healthprofessionals. It can stand alone or be used as a companion volumeto the Clinical Manual.

Clinical Manual of Psychiatric Diagnosis and Treatment

Author : Ronald W. Pies
File Size : 50.99 MB
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Clinical Manual of Psychiatric Diagnosis and Treatment: A Biopsychosocial Approach points out the most important issues in both the pharmacologic and psychotherapeutic treatment of the patient, and guides the reader through the fundamental concepts. Dr. Pies integrates both psychodynamic and biochemical perspectives, which he calls the "biopsychosocial approach." This approach equips the clinician with a broad-based understanding of the patient. The chapters include clinical vignettes, tables, charts, and summaries. This book is helpful for both the resident who is preparing for board examinations, and the experienced clinician who is in pursuit of enriched understanding.

Clinical Manual of Pediatric Psychosomatic Medicine

Author : Richard J. Shaw
File Size : 69.12 MB
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The mental health assessment and treatment of youngsters with physical symptoms and illnesses commonly pose unique and often complex challenges to clinicians. Clinical Manual of Pediatric Psychosomatic Medicine is the only complete text on the subject, describing an integrative approach to behavioral health problems in children and adolescents who are physically ill, have emotional illness masquerading as physical illness, and have comorbid emotional and physical conditions that complicate the management of each. It brings together information regarding consultation-liaison or psychosomatic work with children into a succinct guide that provides the practitioner with pragmatic ways of organizing the key issues that arise in psychiatric consultation with physically ill children, and it features a set of unique templates to help guide clinical assessment and management. The authors offer a practical method of mental health consultation in the medical setting and cover topics not included in standard child psychiatry and psychology texts, such as treatment adherence and organ transplantation. Overview chapters include a hands-on approach to the consultation process and pragmatic assessment guidelines. Succeeding chapters then address specific clinical situations, from delirium and mood disorders to organ transplantation and cancer. Additional chapters consider issues related to treatment and intervention: both individual and family psychotherapy, including coping strategies for family members; psychopharmacology; and techniques such as medical hypnosis to help children prepare for procedures. Among the book's other helpful features are: Templates with specific questions for both general psychiatric assessment and specific issues, such as pre-transplant assessment, treatment adherence, and somatoform disorders Intensive coverage of pediatric pain assessment and management, including the use of adjunctive psychiatric medications to treat children with chronic pain Unique considerations tailored to each topic, such as anxiety symptoms related to specific physical conditions and end-of-life strategies for cancer patients Consideration of legal and forensic issues, including consent, confidentiality, and assessment for parenting capacity An abundance of quick-reference tables -- including psychopharmacological agents used in a wide range of conditions, with indications, doses, and side effects -- and flow charts describing step-by-step approaches to pain and somatoform disorders This practical manual is useful to a wide range of professionals who work with children and adolescents in medical settings. And because psychosomatic medicine has recently received subspecialty status with the American Board of Psychiatry and Neurology, it offers an excellent resource for board examinations.

Handbook of Cognitive Behavioral Approaches in Primary Care

Author : Robert A. DiTomasso, PhD, ABPP
File Size : 36.88 MB
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" The American Psychological Association, National Institute of Health, and the National Institute of Mental Health have strongly advocated for the integration of psychology and primary care, as the new, cutting-edge approach to health care delivery. To address this need for integration, this seminal text provides thorough descriptions of common psychological and medical problems that arise in primary care, and identifies cognitive-behavioral techniques to overcome these barriers. Issues discussed include ethical dilemmas and nonadherence, as well as the treatment of behavioral and medical problems such as smoking, overeating, suicide risk, hypertension, asthma, diabetes, chronic pain, and more. The book also elucidates the roles and functions of the cognitive-behavioral clinician in the primary care setting, offering guidance on issues such as how to mentally prepare patients for stressful medical procedures, provide patient-centered care, enhance cultural competence, and more Key Features: Discusses how to improve collaboration between mental health providers and primary care physicians Includes guidelines for using cognitive-behavioral models with patients suffering from substance abuse, medical phobias, insomnia, and eating disorders Provides important information on training primary care residents Assists in elucidating the consultation process in primary care "

Social Workers Desk Reference

Author : Kevin Corcoran
File Size : 76.43 MB
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People all over the world are confronted by issues such as poverty, a lack of access to quality education, unaffordable and or inadequate housing, and a lack of needed health and mental services on a daily basis. Due to these issues, there is a need for social workers who have access to relevant and timely scholarly materials in order to meet the needs of those facing these issues. The social, psychological, and biological factors resulting from these issues determine the level of a person's mental health at any given point in time and it is necessary for social workers to continue to evolve and develop to the new faces and challenges of the times in order to adequately understand the effects of these issues. In the first and second editions of the Social Workers' Desk Reference, the changes that were occurring in social work practice, education, and research were highlighted and focused upon. This third edition continues in the same tradition and continues to respond to the changes occurring in society and how they are impacting the education, research, and practice of social work as a whole. With 159 chapters collaboratively written by luminaries in the profession, this third edition serves as a comprehensive guide to social work practice by providing the most recent conceptual knowledge and empirical evidence to aid in the understanding of the rapidly changing field of social work. Each chapter is short and contains practical information in addition to websites and updated references. Social work practitioners, educators, students, and other allied professionals can utilize theSocial Workers' Desk Reference to gain interdisciplinary and interprofessional education, practice, and research.

International Medical Graduate Physicians

Author : Nyapati R. Rao
File Size : 40.60 MB
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Many thousands of international graduate physicians from diverse medical specialties serve the health care needs of the United States, and one-in-four psychiatry residents are international medical graduates. International Medical Graduate Physicians: A Guide to Training was created by prominent leaders in academic psychiatry to support the success of these international medical graduate physicians as they complete their clinical training and enter the physician workforce in this country. This insightful title has been developed as a valuable resource, filled with key information and personal narratives, to foster optimal wellbeing and decisionmaking of IMG physicians as they navigate their careers. The text is thorough in scope and replete with perspectives, reflections, and tailored guidance for the reader. Many of the chapters are based on the direct and diverse life experiences of the authors. A unique and thoughtful contribution to the literature, this Guide will be of great value to international physicians and to their teachers and supervisors in psychiatry as well as other specialties of medicine.

Mental Health and Mental Disorders An Encyclopedia of Conditions Treatments and Well Being 3 volumes

Author : Len Sperry
File Size : 56.97 MB
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Serving as an indispensable resource for students and general-interest readers alike, this three-volume work provides a comprehensive view of mental health that covers both mental well-being and mental illness. • Provides exhaustive content that affords readers a holistic understanding of mental health and mental disorders • Features extensive cross-referencing that allows readers to easily see connections and relationships between different entries • Offers end-of-entry further readings that serve as a gateway to additional information for study • Reflects on common perceptions and portrayals of mental health through a variety of pop culture-oriented entries that focus on subjects such as television shows and movies

International Handbook of Psychiatry

Author : Laura Weiss Roberts
File Size : 71.46 MB
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This handbook will be a concise guide to important topics in psychiatry with an international focus. It constitutes a précis of the field of psychiatry with emphases on the therapeutic approach to the patient and on the proper diagnosis of major psychiatric disorders. All psychiatric diagnoses are encoded using both the US Diagnostic and Statistical Manual (DSM) and the International Statistical Classification of Diseases and Related Health Problems (ICD). Treatment options for psychiatric disorders will include approaches used in developed nations in North America, Europe, Asia, as well as in the developing world. Furthermore an invaluable brief history of psychiatry allows readers to trace the beginnings of their chosen field and gain awareness of the ethical and legal contexts. This handbook will provide a comprehensive introduction to psychiatry appropriate for students, trainees, and practitioners seeking an international approach. Contents:Impact of Mental Illness (Laura Weiss Roberts, Richard Balon and Joseph B Layde)International Issues in Psychiatry (Richard Balon and Cyril Höschl)Psychiatric Diagnosis (Stephanie Bagby-Stone, Jessica Nittler and John Lauriello)Psychiatric Genetics (Bhanu Prakash Kolla and David Mrazek)Psychiatric Interviewing: What to Do, What Not to Do (Mara Pheister)Psychological and Neuropsychological Testing (Jennifer Niskala Apps and Jonathan E Romain)Psychiatric Disorders in Childhood and Adolescence (Michael Koelch and Joerg M Fegert)Schizophrenia and Other Psychotic Disorders (Peter F Buckley, Adriana Foster and Scott Van Sant)Mood Disorders (Sandra Rackley and J Michael Bostwick)Anxiety Disorders (Leanne Parasram and Dan J Stein)Substance Use Disorders (Nidal Moukaddam and Pedro Ruiz)Cognitive Disorders (Alana Iglewicz, Ipsit V Vahia and Dilip V Jeste)Somatoform Disorders (Christina L Wichman)The Dissociative Disorders (Jean M Goodwin)Sleep Disorders in Psychiatry (Oludamilola A Salami)Eating Disorders (Athena Robinson and W Stewart Agras)Sexual Disorders (Richard Balon)Adjustment Disorder (Mauro Giovanni Carta, Maria Carolina Hardoy and Matteo Balestrieri)Personality Disorders (Joel Paris)Geriatrics (Randall Espinoza)Emergency Psychiatry (Divy Ravindranath, Mark Newman and Michelle Riba)Outpatient Psychiatry (Ondria Gleason, Aaron Pierce and Bryan Touchet)General Hospital Psychiatry (Jen Alt McDonald and Mark T Wright)Psychiatric Education (Linda Gask and Michelle B Riba)Residency Training (Sanjai Rao and Sidney Zisook)Methods of Psychiatric Research (Elizabeth Burgess, Nicolas Ramoz and Philip Gorwood)World Suicide (Morton M Silverman)AIDS Psychiatry (Mary Ann Cohen)Pharmacogenomic Variability Associated with Psychotropic Medication Response (David Mrazek and Bhanu Prakash Kolla)Ethics in Psychiatry (Kristi Estabrook)The Culturally Competent Psychiatric Assessment (Ajoy Thachil and Dinesh Bhugra)Traditional Healing for Psychiatric Disorders (Roger M K Ng, Zhang-Jin Zhang and Wendy Wong)International Perspective on Homelessness (Belinda Bandstra, Anthony Mascola and Daryn Reicherter)Mental Health Consequences of War and Political Conflict (Daryn Reicherter and Rena Sugarbaker)Stigma (Travis Fisher)Legal Aspects of Psychiatry (Joseph B Layde) Readership: Psychiatry students, trainees, and practitioners. Keywords:Psychiatry;Mental Health;Physician Assistant;Nursing — Practitioner and Advanced Practice;Professional and Technical;Medical;Allied Health Professional;Medical Assistants;Neurology/ Neuroscience;Public Health;Pharmacology/ Pharmacy;Paediatrics;HIV & AIDS Research;Forensic MedicineKey Features:The international focus and the wide international experience of the authors would make the book particularly attractive to students and residents, both in terms of coursework and preparation for formal examinationsFocus on innovative areas of psychiatry such as patient-centered care practices (e.g. in defining the goals of treatment), new therapies (e.g. pharmacogenetic advances), and the approach to special or complex patient populations (e.g. children, elders, medically ill, and terminally ill)The particular strengths of “Q & A” sections, self-assessment items, “clinical pearls” study guides and the competency-based orientation would set this book apart from others

Foundations of Professional Psychology

Author : Timothy P. Melchert
File Size : 29.13 MB
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Recent advances in the scientific understanding of the human mind and brain along with the emphases on evidence-based practice and competency-based education are creating increasing pressures to update some of the traditional approaches to structuring and organizing education and practice in the field. There have also been many calls in recent years for a unified approach to conceptualizing professional practice in psychology. This book examines whether there exists a unified conceptual framework for the field that is firmly based on current scientific understanding regarding human development and functioning, that applies across all the clinical populations and practice areas within the field, and that would also help integrate professional psychology more fully into health care and the sciences generally. Presents a unified science-based conceptual framework for professional psychology Provides an overview of the whole treatment process as informed by a biopsychosocial approach, from intake through outcomes assessment Avoids highly technical language so that students and practitioners from across the field can follow the discussion

Psychiatry of Intellectual Disability

Author : Julie P. Gentile
File Size : 44.78 MB
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Patients with intellectual disability (ID) can benefit from the full range of mental health services. To ensure that psychiatric assessment, diagnosis and treatment interventions are relevant and effective; individuals with ID should be evaluated and treated within the context of their developmental framework. Behavior should be viewed as a form of communication. Individuals with ID often present with behavioral symptoms complicated by limited expressive language skills and undiagnosed medical conditions. Many training programs do not include focused study of individuals with ID, despite the fact that patients with ID will be seen by virtually every mental health practitioner. In this book, the authors present a framework for competent assessment and treatment of psychiatric disorders in individuals with ID. Psychiatry of Intellectual Disability is a resource guide for psychiatrists, nurse practitioners, and other prescribers treating patients with ID. It is a supplemental text for psychiatry residents, medical students, psychology graduate students, psychotherapists, counselors, social workers, behavior support specialists and nurses. To assist the practicing clinician the book includes: Clinical vignettes Clinical pearls Charts for quick reference Issues concerning medications and poly-pharmacy Altered diagnostic criteria specific for use with individuals with ID There are no evidence-based principles dedicated to psychotropic medication use in ID, but consensus guidelines address the high prevalence of poly-pharmacy. Altered diagnostic criteria have been published which accommodate less self-report and incorporate collateral information; this book reviews the literature on psychotropic medications, consensus guidelines, and population-specific diagnostic criteria sets. Psychiatry of Intellectual Disability also includes: Interviewing techniques and assessment tips for all levels of communicative ability as well as for nonverbal individuals Assessment of aggression to determine etiology and formulate a treatment plan Overview of types of psychotherapy and suggested alterations for each to increase efficacy Relevant legal issues for caregivers and treatment providers The detective work involved in mental health assessment of individuals with ID is challenging yet rewarding. The highest quality mental health treatment limits hospital days, improves quality of life and often allows individuals to live in the least restrictive environments. Psychiatry of Intellectual Disability is a must have resource for clinicians treating the ID population.

Clinician s Thesaurus 8th Edition

Author : Edward L. Zuckerman
File Size : 50.49 MB
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Hundreds of thousands of students and early-career professionals have relied on this authoritative report-writing tool, now updated for DSM-5/ICD-10-CM and newer types of evaluations. In a convenient large-size format with lay-flat binding, the book covers nearly all areas of concern addressed in intakes, evaluations, treatment plans, progress notes, and closing summaries. The user seeking the right wording for a clinical document can skim and select from thousands of technical terms, behavioral descriptors, and standard statements. Also provided are interview questions for almost every symptomatic behavior, a huge collection of mental status questions, a reproducible Mental Status Evaluation summary form, and links to hundreds of Internet resources. The periodically updated companion website offers all the URLs from the book, the reproducible forms, and a handy reference on current psychiatric medications. New to This Edition *A unique list of all psychiatric ICD-10 diagnoses (all of the codes in DSM-5, plus many more), including Z codes essential to a comprehensive biopsychosocial evaluation. *Sample evaluation report keyed to the book's chapters. *Sections on additional clinical issues: intimate partner violence, gender identity, human trafficking, recovery-oriented language, and more. *Many more Internet links, including a wide variety of screening and assessment tools. See also The Paper Office for the Digital Age, Fifth Edition, by Edward L. Zuckerman and Keely Kolmes, which provides the essential record-keeping and risk-reduction tools that every psychotherapy practice needs.

Manual of Inpatient Psychiatry

Author : Michael I. Casher
File Size : 82.78 MB
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Explores the range of diagnoses found on inpatient psychiatric units providing practical advice in an accessible format for managing patients.

The Integral Intake

Author : Andre Marquis
File Size : 90.85 MB
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Using formal assessment instruments in counseling and psychotherapy is an efficient and systematic way to obtain information about clients and to subsequently tailor a counseling approach most likely to serve clients optimally. The more information a counselor obtains during the initial interview and first sessions, the more likely the client will be deeply understood by the counselor, which in turn increases the likelihood that an appropriate course of counseling will be taken, and ultimately leading to a more successful outcome. The Integral Intake is an idiographic, biographical, multidimensional assessment instrument based upon the Integral Psychology pioneered by Ken Wilber. From the perspective of Integral theory, comprehensive and holistic conceptualization of clients seeking counseling and psychotherapy includes knowledge of four distinct perspectives (quadrants) of each client: the client’s experience (the individual viewed subjectively/from within), the client’s behavior (the client viewed objectively/from without), the client’s culture (the client’s system viewed subjectively/from within), and the client’s social system (the client’s system viewed objectively/from without). The intake form is designed to provide the practitioner with a range of background information that can then be used to more quickly and effectively formulate a counseling/treatment approach. The assessment form and accompanying materials will be included on a companion CD, formatted to be printed and reproduced for use with each new client. The book will provide an overview of the Integral Psychology model, describe the development of the assessment form and its use, and provide general guidelines for the evaluation of responses and planning for an appropriate counseling approach. A series of case examples, based on actual completed intake forms, will provide insight into the use of the Integral Intake.

The SAGE Encyclopedia of Marriage Family and Couples Counseling

Author : Jon Carlson
File Size : 86.39 MB
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The SAGE Encyclopedia of Marriage, Family and Couples Counseling is a new, all-encompassing, landmark work for researchers seeking to broaden their knowledge of this vast and diffuse field. Marriage and family counseling programs are established at institutions worldwide, yet there is no current work focused specifically on family therapy. While other works have discussed various methodologies, cases, niche aspects of the field and some broader views of counseling in general, this authoritative Encyclopedia provides readers with a fully comprehensive and accessible reference to aid in understanding the full scope and diversity of theories, approaches, and techniques and how they address various life events within the unique dynamics of families, couples, and related interpersonal relationships. Key topics include: Assessment Communication Coping Diversity Interventions and Techniques Life Events/Transitions Sexuality Work/Life Issues, and more Key features include: More than 500 signed articles written by key figures in the field span four comprehensive volumes Front matter includes a Reader’s Guide that groups related entries thematically Back matter includes a history of the development of the field, a Resource Guide to key associations, websites, and journals, a selected Bibliography of classic publications, and a detailed Index All entries conclude with Further Readings and Cross References to related entries to aid the reader in their research journey

Systematic Psychiatric Evaluation

Author : Margaret S. Chisolm
File Size : 33.80 MB
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The Perspectives approach to psychiatry focuses on four aspects of psychiatric practice and research: disease, dimensional, behavior, and lifestory. In Systematic Psychiatric Evaluation, Drs. Margaret S. Chisolm and Constantine G. Lyketsos underscore the benefits of this approach, showing how it improves clinicians' abilities to evaluate, diagnose, and treat patients. Drs. Chisolm and Lyketsos use increasingly complex case histories to help the mental health provider evaluate patients demonstrating symptoms of bipolar disorder, psychosis, suicidal ideation, depression, eating disorders, and cutting, among other conditions. The book also includes an exercise that simulates the Perspectives approach side by side with traditional methods, revealing the advantages of a method that engages not one but four points of view. Featuring a foreword by Drs. Paul R. McHugh and Phillip R. Slavney, the originators of the Perspectives approach, this innovative book will be used in psychiatric training programs as well as by practicing mental health clinicians. -- Arnold E. Andersen, M.D., The University of Iowa College of Medicine

Parental Responsibility in the Context of Neuroscience and Genetics

Author : Kristien Hens
File Size : 76.64 MB
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Should parents aim to make their children as normal as possible to increase their chances to “fit in”? Are neurological and mental health conditions a part of children’s identity and if so, should parents aim to remove or treat these? Should they aim to instill self-control in their children? Should prospective parents take steps to insure that, of all the children they could have, they choose the ones with the best likely start in life? This volume explores all of these questions and more. Against the background of recent findings and expected advances in neuroscience and genetics, the extent and limits of parental responsibility are increasingly unclear. Awareness of the effects of parental choices on children’s wellbeing, as well as evolving norms about the moral status of children, have further increased expectations from (prospective) parents to take up and act on their changing responsibilities. The contributors discuss conceptual issues such as the meaning and sources of moral responsibility, normality, treatment, and identity. They also explore more practical issues such as how responsibility for children is practiced in Yoruba culture in Nigeria or how parents and health professionals in Belgium perceive the dilemmas generated by prenatal diagnosis.