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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.
This text compares diagnostic criteria used by mental health professionals with the framework used by occupational therapists and it identifies deficits in occupational performance that require occupational therapy intervention. Updated and revised, this fourth edition includes recent research literature regarding epidemiology, causes, and treatment of psychiatric disorders such as Chapter objectives; Overview of the history in occupational therapy mental health; A case study at the end of each chapter; New and expanded tables; Expanded discussion of DSM-V; Expanded discussion of evidence for practice; Expanded and updated Internet resources; Discussion of lifespan considerations for each group of diagnoses. UnIque benefits and features of the fourth edition include: Adoption of concepts from the AOTA's Occupational Therapy Practice Framework (2nd ed.); Comparison and contrast of concepts with the DSM-IV-TR and the World Health Organization's International Classification of Functioning, Disability, and Health; Exploration of current trends in mental health and discussion of their impact on occupational therapy; Consideration of evidence-based practice. Discussion of occupational therapy in the community and in prevention of mental health disorders; Updated research and psychopharmacology; Relation between DSM-V and occupational science views of psychosocial deficits explored and analyzed; Instructor's material to supplement the book that includes Instructor's Manual and PowerPoint slides. -- From back cover.
Philosophers discuss Jerome Wakefield's influential view of mental disorder as "harmful dysfunction," with detailed responses from Wakefield himself. One of the most pressing theoretical problems of psychiatry is the definition of mental disorder. Jerome Wakefield's proposal that mental disorder is "harmful dysfunction" has been both influential and widely debated; philosophers have been notably skeptical about it. This volume provides the first book-length collection of responses by philosophers to Wakefield's harmful dysfunction analysis (HDA), offering a survey of philosophical critiques as well as extensive and detailed replies by Wakefield himself.
Psychopathology: An Empathic Representational Approach retraces the foundations of classical phenomenological psychopathology and integrates them with modern ideas drawn from anthropology, cognitive neuroscience, computational science, and evolutionary biology to synthesize a comprehensive framework and provide fresh insights. This book explores how the scientific concepts of ‘information and representation’ can be used to understand subjective mental phenomena and integrate them in empathic clinical dialogues during interactions with patients. It explores key issues in clinical psychopathology coherently and systematically, illustrates advanced topics in an accessible manner using clinical case examples, metaphors and clarifying diagrams, and directly links advanced conceptual frameworks with pragmatic skills in the clinical dialogue process. This volume is aimed at a broad audience of mental health professionals, researchers, and students in psychiatry, psychology, and social work. Its interdisciplinary treatment of the subject will also interest biologists, anthropologists, cognitive psychologists, neuroscientists, and philosophers. ‘In this tour de force, Eric Chen integrates philosophical perspectives with current themes in brain sciences to explain how we experience our environments, ourselves, and each other. An exhilarating framework for modern psychopathological inquiry, this is a must-read for anyone curious about the mind and how it can go awry.’ —Peter B. Jones, Professor of Psychiatry, University of Cambridge ‘Eric Chen has created a work that conceptually connects psychopathology to relevant disciplines in biology, evolution, cognition, linguistics, clinical psychiatry, and computational/information domains. It will certainly encourage in-depth reflections and stimulate research in clinical psychopathology.’ —Peter Falkai, Chair of Psychiatry and Psychotherapy, University of Munich ‘In the face of social, cultural, and biological changes, psychopathology needs periodic revision. Professor Chen addresses the complexities of this unique task with an original and scholarly approach that will stimulate both clinicians and researchers.’ —Ivana S. Marková, Professor of Psychiatry, University of Hull
The new edition of Complete Psychology is the definitive undergraduate textbook. It not only fits exactly with the very latest BPS curriculum and offers integrated web support for students and lecturers, but it also includes guidance on study skills, research methods, statistics and careers. Complete Psychology provides excellent coverage of the major areas of study . Each chapter has been fully updated to reflect changes in the field and to include examples of psychology in applied settings, and further reading sections have been expanded. The companion website, www.completepsychology.co.uk, has also been fully revised and now contains chapter summaries, author pages, downloadable presentations, useful web links, multiple choice questions, essay questions and an electronic glossary. Written by an experienced and respected team of authors, this highly accessible, comprehensive text is illustrated in full colour, and quite simply covers everything students need for their first-year studies as well as being an invaluable reference and revision tool for second and third years.
The most up-to-date coverage on adult psychopathology Adult Psychopathology and Diagnosis, Fifth Edition offers comprehensive coverage of the major psychological disorders and presents a balanced integration of empirical data and diagnostic criteria to demonstrate the basis for individual diagnoses. The accessible format and case study approach provide the opportunity to understand how diagnoses are reached. Updated to reflect the rapid developments in the field of psychopathology, this Fifth Edition encompasses the most current research in the field including: A thorough introduction to the principles of the DSM-IV-TR classification system and its application in clinical practice The biological and neurological foundations of disorders and the implications of psychopharmacology in treatment Illustrative case material as well as clinical discussions addressing specific disorders, diagnostic criteria, major theories of etiology, and issues of assessment and measurement Coverage of the major diagnostic entities and problems seen in daily clinical work by those in hospitals, clinics, and private practice A new chapter on race and ethnicity by renowned expert Stanley Sue
DSM-IV and ICD-10 both diagnose personality disorders categorically, yet studies indicate that many patients meet criteria for an excessive number of diagnoses, raising the question of whether personality disorders are discrete conditions or rather distinctions along dimensions of general personality functioning. This collection of papers renews long-standing proposals for a dimensional model of personality disorder, describing alternative models, addressing questions about their clinical application and utility, and suggesting that future research seek to integrate such models within a common hierarchical structure. With contributions by preeminent researchers in the field, Dimensional Models of Personality Disorders is drawn from a conference series convened by APA, WHO, and NIH in order to plan for the fifth edition of the DSM. The Nomenclature Work Group concluded that consideration should be given to basing part or all of DSM-V on dimensions rather than categories, and recommended that a dimensional model for personality disorders should serve as a basis for exploring dimensional approaches in other areas. Accordingly, the volume opens with a presentation of 18 proposals for dimensional models and proceeds with provocative contributions on a number of related issues ranging from hard science to clinical practice. Among the topics addressed are Behavioral and molecular genetic research supporting an etiologically informed dimensional classification of personality disorders The as-yet tenuous associations between dimensional trait measures of personality as contained in the models of Cloninger, Depue, and Siever-Davis, and specific neurobiological measures, as examined in neurotransmitter research Potential links between childhood and adolescent temperament and personality dimensions and adult personality psychopathology Studies examining the covariation of personality dimensions across cultures The continuity of Axis I and Axis II disorders and a proposed hierarchical structure of mental disorders that integrates the psychopathology of Axis I disorders with specific personality traits The dual challenges of coverage and cutoffs that must be addressed if dimensional models are to be considered viable alternatives to the existing categorical diagnostic system Although the editors acknowledge that concerns are certain to be raised regarding conversion to a dimensional classification -- such as the disruption to clinical practice by a radical shift in diagnosing personality disorder -- these papers make a strong case for opening the field to alternative ways of enhancing clinical utility and improving the validity of basic classification concepts. Together, they offer stimulating insight into how we approach personality disorders, with the hope of encouraging a new model of diagnosis for DSM-V.
"This authoritative text gives students and practicing psychotherapists a rich understanding of the connections between psychopathology research and clinical practice. Chapters thoroughly describe the etiology, DSM-5 classification, symptoms and clinical features, course, epidemiology, and associated comorbidities of prevalent psychological disorders. What sets this tightly edited volume apart are insightful discussions of how current empirical findings can inform assessment, case formulation, the therapeutic relationship, and intervention strategies (regardless of theoretical orientation). Each chapter is written collaboratively by leading psychopathology and psychotherapy researchers"--
This is the most up-to-date text about the etiology and treatment of the most important psychological disorders. Intended for first-year graduate students in clinical and counseling psychology, the third edition of Psychopathology continues to focus on research and empirically supported information while also challenging students to think critically. The first part of the book is devoted to the issues, ideas, and concepts in psychopathology. These chapters give students a set of conceptual tools that will help them read more thoroughly and critically the second half of the book, which focuses on specific disorders. Each chapter in this section provides a definition, description, and brief history of the disorder it discusses, and outlines theory and research on etiology and empirically supported treatments. The length, organization, content, and level and style of writing are consistently tailored to the audience, and the disorders discussed are the ones most frequently encountered by students in their training and subsequent clinical careers. A new section addresses child and adolescent disorders, while updated sections include dimensional approaches, the biological bases of psychopathology, learning theories, developmental psychopathology, dissociative disorders, mental health and aging, and mood disorders. This valuable teaching tool is not only appropriate for students, but also professionals, who will continue to refer to it as a reference.
The fascinating Psychopathology in the Genome and Neuroscience Era brings together selected topics in psychiatric genetics, epidemiology and prevention, and neuroscience and education. This key reference integrates this information across the fields of genetics, epidemiology, and neuroscience to arrive at an understanding of where recent advances in genetics and neuroscience -- advances that promise to enhance our understanding of human behavior and psychopathology -- are likely to influence psychopathology research and education in the near future. How will the field of psychopathology incorporate the coming avalanche of information generated by these recent advances? The answer will influence not only how mental health professionals diagnose and treat patients but also how the next generation of professionals is trained. Chapters in this exciting compilation are based on individual talks by 20 international experts at the conceptual forefront of their respective fields given at the March 2003 American Psychopathological Association annual meeting. Organized into four main sections -- the future of psychiatric genetics, diagnosis and prevention of psychiatric disorders, neurobiology and psychiatric disorders, and the future of psychiatric education -- Psychopathology in the Genome and Neuroscience Era focuses on a broad range of topics: The importance of a conceptual shift from identifying major genes for mental disorders to gaining an understanding of the role of which genes in which contexts, both biological and environmental, confer susceptibility to or protection from mental disorders or components thereof Historical perspective of gene susceptibility to mental disorders, with the same possibilities for use and misuse of genotype data as now exist for significantly heritable traits such as intelligence, and for borderline traits such as criminal behavior and alcoholism Reconceptualization of medicine and medical diagnoses to include molecular genetic components, including the importance of cell loss and neurogenesis in mood disorders Major phenotypic problems inherent in all attempts to measure psychopathology, starting with how to achieve reliability, and how to advance from reliability to validity in future revisions of DSM and ICD classifications Brain structural abnormalities in mood disorders; physiological cell death and whether or not this natural phenomenon can be converted into a pathological process, including the importance of cell loss and neurogenesis in mood disorders The influence of scientific advances, workforce issues, and educational trends on psychiatric training Psychopathology in the Genome and Neuroscience Era is a must-read reference work for anyone -- practitioners, residents, and students alike -- interested in the future of psychiatric genetics, epidemiology, and education.