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As a mental health clinician, you know that every client is unique, and a client’s symptoms are the result of a complex combination of psychological, environmental, genetic, and neural factors. However, the de facto DSM model poses considerable constraints on how you can treat clients—often resulting in a one-size-fits-all diagnosis. This important volume challenges the assumptions and approach made by the DSM, and provides a vision and plan for an evidence-based, process-based approach to individualized care. With contributions from renowned experts in the field—including Steven C. Hayes, Stefan G. Hofmann, Joseph Ciarrochi, Matthew McKay, Uma Vaidyanathan, Sarah Morris, David Sommers, J. Scott Fraser, and many more—this groundbreaking book will show you a new way to recognize the complexity of human suffering and human prosperity. You’ll find solid tips for treating a wide variety of psychological issues in a more flexible way. And, finally, you’ll come away with a greater understanding of the “processes of change,” and how to build a solid foundation for an alternative to syndromal diagnosis. The future of mental health treatment is process-based. Whether you’re a clinician, researcher, student, instructor, or other professional working in the mental health field, this breakthrough volume offers everything you need to understand process-based treatment and create a more customized and effective approach to treating clients.
"Interesting and fresh-represents an important and vigorous challenge to a discipline that at the moment is stuck in its own devices and needs a radical critique to begin to move ahead." --Paul McHugh, Johns Hopkins University School of Medicine "Remarkable in its breadth-an interesting and valuable contribution to the burgeoning literature of the philosophy of psychiatry." --Christian Perring, Dowling College Moving Beyond Prozac, DSM, and the New Psychiatry looks at contemporary psychiatric practice from a variety of critical perspectives ranging from Michel Foucault to Donna Haraway. This contribution to the burgeoning field of medical humanities contends that psychiatry's move away from a theory-based model (one favoring psychoanalysis and other talk therapies) to a more scientific model (based on new breakthroughs in neuroscience and pharmacology) has been detrimental to both the profession and its clients. This shift toward a science-based model includes the codification of the Diagnostic and Statistical Manual of Mental Disorders to the status of standard scientific reference, enabling mental-health practitioners to assign a tidy classification for any mental disturbance or deviation. Psychiatrist and cultural studies scholar Bradley Lewis argues for "postpsychiatry," a new psychiatric practice informed by the insights of poststructuralist theory.
Among today's astounding research discoveries, perhaps the most fascinating is the mapping of the human genome and its implications for a vastly improved understanding of how genes affect our physiology and behavior. With that understanding comes a critical need to establish a diagnostic taxonomy for psychiatric illness that is more precise but still clinically relevant. This volume responds to that need. It highlights the shortcomings of current categorical diagnoses, such as those used in DSM-IV, for future research needs in behavioral disorders in general and psychiatric genetics in particular. With a chapter by each distinguished neuroscientist who presented at the 2000 American Psychopathological Association (APPA) meeting, this volume is divided into four sections: Definitional Tensions, which discusses the difficulties with the current categorical diagnostic system; Imaging Psychopathology, which presents research demonstrating how imaging technologies can tremendously improve our illness definitions; Longitudinal Studies, which details what we can learn from epidemiological and other longitudinal studies; and Exploring Alternatives, which discusses the application of dimensional classification systems in genetics research in psychopathology, with a fascinating chapter on using new methodologies for treating subsyndromal or pre-schizophrenia, a taxonomic condition defined herein as "schizotaxia." This unique collection represents a significant step in developing approaches to classification that will lead to more accurate diagnoses and treatments for patients and a broader range of taxonomic options for researchers. As such, it will also be welcomed by psychiatric clinicians and educators, as well as by anyone interested in genetics and how it governs human behavior.
Beyond the DSM Story presents challenges to the Diagnostic Statistical Model (DSM) system from ethical and cultural perspectives, critically evaluating its fit with other professional and theoretical orientations. It offers possible solutions or best practices for addressing ethical, theoretical, and contextual quandaries, along with experiential activities that challenge the reader to think critically about both the problems and the solutions associated with DSM diagnosis. Beyond the DSM Story presents an atheoretical model for incorporating alternative models with DSM assessment. Instructors, students and practitioners will benefit from this critical appraisal of the DSM.
"Among many of the ethical issues clinicians encounter in their practice, diagnosing someone with a given mental disorder just for the purpose of reimbursement of services is perhaps the number one ethical dilemma. This book is an outstanding review of the conceptual and empirical literature on this particular dilemma. But the most important contribution of this book is that it provides an extensive discussion of clinical strategies and case vignettes that clinicians could use in diagnosing mental disorder and as the same time attending to ethical standards governing their discipline." —Freddy A. Paniagu, University of Texas Medical Branch-Galveston "Eriksen and Kress offer a well-formulated discussion of problems with the American Psychiatric Association′s The Diagnostic and Statistical Manual of Mental Disoders (DSM), Including almost 800 references, this volume covers the literature in the field extremely well." —W.P. Anderson, CHOICE Beyond the DSM Story presents challenges to the Diagnostic Statistical Model (DSM) system from ethical and cultural perspectives, critically evaluating its fit with other professional and theoretical orientations. It offers possible solutions or best practices for addressing ethical, theoretical, and contextual quandaries, along with experiential activities that challenge the reader to think critically about both the problems and the solutions associated with DSM diagnosis. Beyond the DSM Story presents an atheoretical model for incorporating alternative models with DSM assessment. Instructors, students and practitioners will benefit from this critical appraisal of the DSM. Features • Addresses the philosophical discrepancies between a medical model, DSM assessment approach, and most helping philosophies. • provides a thorough framework for utilizing the DSM in a contextually sensitive fashion • Comprehensively reviews the challenges to the DSM system, particularly multicultural and feminist challenges and addressing ethical concerns related to using the DSM system • Provides case studies and experiential/interactive activities that challenge the reader to consider the DSM from a contextual perspective
Using Munchausen’s Syndrome by Proxy / Factitious Disorder by Proxy and Parental Alienation as exmplars, this book advances a new diagnostic category for addressing complex pathological phenomena that integrates individual characteristics and symptoms, family as well as other system dynamics, under one diagnosis. The author examines why current diagnostic categories within the DSM-5 are inadequate and provides a framework for this new category—Interrelated Multidimensional Diagnosis—to better capture the complexity of MSBP / FDBP and Parental Alienation. The book begins with case studies and other examples to make the material accessible, and then proposes step-wise processes of examining family systems to determine if the phenomena exist to a reasonable degree of scientific certainty. After new diagnostic process and criteria are provided, several interventions and recommendations for treatment are offered in a novel way that attends to the core aspects of these pathologies. This text will provide practitioners, professionals, and researchers with a unique vantage point from which to understand and treat these pathologies.
Edited by Steven C. Hayes and Stefan G. Hofmann, and based on the new training standards developed by the Inter-Organizational Task Force on Cognitive and Behavioral Psychology Doctoral Education, this groundbreaking textbook presents the core competencies of cognitive behavioral therapy (CBT) in an innovative, practically applicable way, with contributions from some of the luminaries in the field of behavioral science. CBT is one of the most proven-effective and widely used forms of psychotherapy today. But while there are plenty of books that provide an overview of CBT, this is the first to present the newest recommendations set forth by a special task force of the Association for Behavioral and Cognitive Therapies—and that focuses on the application of these interventions based on a variety of approaches for doctoral-level education and training. Starting with an exploration of the science and theoretical foundations of CBT, then moving into a thorough presentation of the clinical processes, this book constitutes an accessible, comprehensive guide to grasping and using even the most difficult competencies. Each chapter of Process-Based CBT is written by a leading authority in that field, and their combined expertise presents the best of behavior therapy and analysis, cognitive therapy, and the acceptance and mindfulness therapies. Most importantly, in addition to gaining an up-to-date understanding of the core processes, with this premiere text you’ll learn exactly how to put them into practice for maximum efficacy. For practitioners, researchers, students, instructors, and other professionals working with CBT, this breakthrough textbook—poised to set the standard in coursework and training—provides the guidance you need to fully comprehend and utilize the core competencies of CBT in a way that honors the behavioral, cognitive, and acceptance and mindfulness wings of the tradition.
Winner of ISSTD's 2009 Pierre Janet Writing Award for the best publication on dissociation in 2009! Dissociation and the Dissociative Disorders is a book that has no real predecessor in the dissociative disorders field. It reports the most recent scientific findings and conceptualizations about dissociation; defines and establishes the boundaries of current knowledge in the dissociative disorders field; identifies and carefully articulates the field’s current points of confusion, gaps in knowledge, and conjectures; clarifies the different aspects and implications of dissociation; and sets forth a research agenda for the next decade. In many respects, Dissociation and the Dissociative Disorders both defines and redefines the field.
Like its predecessor, the Second Edition guides the reader through the special complexities of this group of disorders and aids clinicians in the difficult work of diagnosis. It serves as an indispensable companion volume to DSM-IV (superscript TM), especially in the light of advances that have transformed personality disorders from an area of marginal relevance in diagnostic practice to one that is now central to the comprehensive multiaxial format. Major revisions and an almost doubling in length make this book more valuable than ever before.
Of all psychiatric disorders, posttraumatic stress disorder (PTSD) poses one of the greatest challenges to clinicians. Drs. Davidson and Foa, pioneers in the study of PTSD, have teamed up to edit this landmark volume. In Posttraumatic Stress Disorder: DSM-IV(R) and Beyond, members of the DSM-IV Subcommittee on PTSD present a comprehensive and fascinating review of the currently established knowledge about the etiology, epidemiology, neurobiology, course, and clinical presentations of posttraumatic stress syndromes and future directions for study.