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In this era of revolutionary progress in the areas of science and medicine, it comes as no surprise that knowledge of the biology of mental illness and psychopharmacologic treatments has increased greatly within the past few decades. During this same time frame, however, the experiential side of mental illness has been almost completely neglected by researchers and educators. Fortunately, the trend is being reversed. Leading authorities are becoming increasingly aware that the personal experiences of people with severe and persistent mental illness can reveal the most authentic--and perhaps most helpful--information on behaviors that have long puzzled professionals in the field. This has contributed to a renewed and growing interest in learning more about the ways people experience mental illness and the process of recovery. Leading the way in redressing the imbalance, this book examines the subjective experiences of patients with multiple diagnoses, including schizophrenia, bipolar illness, major endogenous depression, and other disorders with psychotic features and long-term disabling consequences. Numerous personal accounts are drawn from research reports, newsletters, journals, spoken reports, and observed behavior to shed light on the inner worlds of people afflicted with severe and persistent mental illness. The volume covers a wide range of topics, starting with disturbances in the sense of self, in emotions, relationships, and behaviors, and in the ways reality is experienced by the mentally ill. In the process, some common patterns of lifetime experience are revealed even among patients with great differences in levels of functional capability and in their emotional and rational assessment of their experience. The final section of the book is directed toward understanding the process of acceptance, growth toward recovery, and the development of an acceptable identity and new purpose in life. Material is presented within the conceptual framework of coping and adaptation and self theory; in addition, considerable attention is given to the patient's perception of which types of personal and professional relationships have been helpful or not helpful. As a result, the book yields important lessons--from the patients themselves--on how service providers, caregivers, and the community at large can be most helpful to those afflicted with major mental illness. Professionals who wish to increase their capacity for empathy, develop more effective rehabilitation strategies, and advance research linking brain anomalies and patient experience will find this book illuminating. Because it illustrates in moving and powerful ways how people truly experience psychiatric disability in a society that demeans their condition and in a helping environment that only dimly understands their agony, the book will be extremely useful for psychiatrists, psychologists, social workers, psychiatric nurses, educators, and graduate students in psychopathology and clinical skills training.
This book synthesizes the expanding literature on coping styles and strategies by analyzing how individuals with CID face challenges, find and use their strengths, and alter their environment to fit their life-changing realities. The book includes up-to-date information on coping with high-profile conditions, such as cancer, heart disease, diabetes, arthritis, spinal cord injuries, and traumatic brain injury, in-depth coverage of HIV/AIDS, chronic pain, and severe mental illness, and more.
Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
This book provides highly detailed prescriptions for the assessment and treatment techniques with case examples and learning exercises for the reader.
If you suffer from a chronic medical condition like cancer, HIV, diabetes, asthma, or hypertension, you know how hard it can be to perform all the self-care behaviors required of you, especially if you are also dealing with depression. Studies have shown that depressed individuls with chronic illness have a hard time keeping up with the behaviors necessary to manage their condition and improve their health. The program outlined in this workbook can help you take better care of yourself while simultaneously relieving your depression. Designed to be used in conjunction with visits to a qualified mental health professional, this workbook teaches you strategies for maintaining your medical regimen. You will learn how to set up a reminder system for taking medication, plan for getting to medical appointments on time, and how to communicate effectively with your medical providers. You will also learn how to follow the advice of your treatment providers, such as adhering to certain lifestyle and dietary recommendations. These Life-Steps are essential to the program. As you begin to take better care of yourself, you will notice a decrease in your depression. In addition to these self-care skills, you will also learn how to maximize your quality of life, which is another important part of lessening your depressed feelings. Begin to re-engage in pleasurable activities and utilize relaxation techniques and breathing exercises to help you cope with stress and discomfort. Use problem-solving to successfully deal with interpersonal or situational difficulties and change your negative thought through adaptive thinking. By treatment's end you will have all the skills you need to successfully manage your illness and cope with your depression.