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This book presents an authoritative overview of the emerging field of person-centered psychiatry. This perspective, articulating science and humanism, arose within the World Psychiatric Association and aims to shift the focus of psychiatry from organ and disease to the whole person within their individual context. It is part of a broader person-centered perspective in medicine that is being advanced by the International College of Person-Centered Medicine through the annual Geneva Conferences held since 2008 in collaboration with the World Medical Association, the World Health Organization, the International Council of Nurses, the International Federation of Social Workers, and the International Alliance of Patients’ Organizations, among 30 other international health institutions. In this book, experts in the field cover all aspects of person-centered psychiatry, the conceptual keystones of which include ethical commitment; a holistic approach; a relationship focus; cultural sensitivity; individualized care; establishment of common ground among clinicians, patients, and families for joint diagnostic understanding and shared clinical decision-making; people-centered organization of services; and person-centered health education and research.
One of the paradoxes about psychiatry is that we have never known more about and better treated mental disorders, yet there exists so much unease about the practice of mental healthcare. Patients feel still stigmatized, psychiatrists are struggling with their roles in a rapidly changing system of healthcare, there is lack of consensus about what mental disorders are and what the focus of psychiatry should be. Person-Centred Care in Psychiatry: Self Relational, Contextual and Normative Perspectives offers a distinctive approach to two important linked conceptual issues in psychiatry: the relation between self, context, and psychopathology; and the intrinsic normativity of psychiatry as a practice. Divided in two parts, this book shows how the clinical conception of psychopathology and psychiatry as normative practice are intrinsically connected, and how the normative practice model can be conceived as a natural extension of the analysis of the web of relations that sustain illness behaviour as well as professional role fulfilment. Person-Centred Care in Psychiatry brings these topics together for the first time against the backdrop of unease about scientistic tendencies within psychiatry in an interconnected discussion that will be of interest to academics and professionals with an interest in the philosophy of psychology, psychiatry and mental health-care.
Clients with mental health conditions are often diagnosed and treated using a strictly medical model of diagnosis, with little input from the client themselves.This reference manual takes a person-centered, holistic approach to diagnosis and treatment, seeing the client as the unrecognized expert on their condition and encouraging their collaboration. Designed to complement the DSM-IV, the manual covers several different conditions including ADHD, depression, bulimia, and OCD, as well as mental health 'patterns' such as abuse, bullying, violence and loss. In each case, the client is involved in the diagnosis and treatment plan. the book features extended case studies, sample questions and treatment plans throughout.This will be an essential reference book for all those involved in mental health diagnosis and treatment, including psychologists, psychiatrists, mental health counselors, clinical social workers, school counselors and therapists.
Practical and evidence-based, this unique book is the first comprehensive text focused on person-centered approaches to people with serious mental illness such as schizophrenia and bipolar disorder. It reflects a range of views and findings regarding assessment, treatment, rehabilitation, self-help, policy-making, education and research. It is highly recommended for all healthcare professionals, students, researchers and educators involved in general practice, psychiatry, nursing, social work, clinical psychology and therapy. Healthcare service providers, and policy makers and shapers, will find the book's wide-ranging, multi-professional approach enlightening. 'Serious Mental Illness reflects a continued distancing from the outmoded and unsubstantiated belief that people with severe mental illnesses could not recover, and that they would respond positively only to goals and treatment plans chosen, designed and implemented by providers in order to prevent their further deterioration. Anyone with an interest in the concept of person-centered approaches will discover new ideas in this book. Indeed, anyone with an interest in person-centered approaches has to read this book. Not only is it the first such book on person-centered approaches, but it will serve as the gold standard in this topic area for years to come.' William A Anthony, in the Foreword
Requirements for treatment planning in the mental health and addictions fields are long standing and embedded in the treatment system. However, most clinicians find it a challenge to develop an effective, person-centered treatment plan. Such a plan is required for reimbursement, regulatory, accreditation and managed care purposes. Without a thoughtful assessment and well-written plan, programs and private clinicians are subject to financial penalties, poor licensing/accreditation reviews, less than stellar audits, etc. In addition, research is beginning to demonstrate that a well-developed person-centered care plan can lead to better outcomes for persons served.* Enhance the reader's understanding of the value and role of treatment planning in responding to the needs of adults, children and families with mental health and substance abuse treatment needs* Build the skills necessary to provide quality, person-centered, culturally competent and recovery / resiliency-orientated care in a changing service delivery system* Provide readers with sample documents, examples of how to write a plan, etc.* Provide a text and educational tool for course work and training as well as a reference for established practioners* Assist mental health and addictive disorders providers / programs in meeting external requirements, improve the quality of services and outcomes, and maintain optimum reimbursement
Mental Health: A Person-centred Approach aligns leading research with the human connections that can be made in mental health care.
Presenting the non-directive and related points of view in counselling and therapy, Rogers gives a clear exposition of procedures by which individuals who are being counselled may be assisted in achieving for themselves new and more effective personality adjustments.
A case study companion to the leading textbook on psychotherapy for advanced practice psychiatric nurses Case Study Approach to Psychotherapy for Advanced Practice Psychiatric Nurses is a case study companion to the groundbreaking and award-winning textbook Psychotherapy for the Advanced Practice Psychiatric Nurse, edited by Kathleen Wheeler. Designed for both the novice and experienced advanced practice psychiatric nurse, it provides complementary content and activities to help students and professionals master the art and science of conducting psychotherapy. The case studies address a wide range of diverse theoretical approaches and varied client problems and psychiatric diagnoses. Each chapter follows a consistent format to allow for comparison, beginning with the author's personal experience, providing the reader with the understanding of how various theoretical orientations were chosen. This is followed by background on philosophy and key concepts, as well as mental health and psychopathology, therapeutic goals, assessment perspectives, and therapeutic interventions. The chapter then presents background on the client and a selection of verbatim transcript segments from the beginning, middle, and final phase of therapy. The therapeutic process is illustrated by client–therapist dialogues, which are supplemented with process commentaries that explain the rationale for the interventions. A final commentary on the case is presented to enhance the reader's clinical reasoning skills. Key Features: Augments the groundbreaking Psychotherapy for the Advanced Practice Psychiatric Nurse Features case studies that address a range of theoretical approaches and varied client problems and psychiatric diagnoses Offers comprehensive coverage of the approach, psychopathology, therapeutic goals, assessment perspectives, therapeutic interventions, and verbatim transcripts from the beginning, middle, and final phases of therapy Includes reflection questions to help the reader apply the material to their personal lives and offer guidelines for continuing to work with the theoretical orientation
Applying Person-centred Care in Mental Health focuses on the environment of inpatient mental health units. Here, a patient's actions are often understood through reference to their illness; if they disagree with staff they lack insight or are aggressive, if they seek independence they are uncooperative and non-compliant, if they wish to be alone they are seen as withdrawn. Imagine being this patient, faced with situations where you are told your reality is not right, that you are a different person to who you think you are and that you have a mental disorder and need treatment, even though you do not think so. Imagine the impact this clash of values could have on you, where your values are routinely undermined, ignored, or subsumed within a medical paradigm. This contemporary and unique guide will be valuable for all staff working with people with a mental illness. Its focus is on inpatient units, however it also applies to staff working in the community. The guide provides a broad understanding of values-based practice and how to work with people's values from a person-centred perspective. Developed by K.W.M. Fulford, values-based practice ensures that the person, as a patient, has their perspective acknowledged and considered in any decisions or actions taken. This book utilises a 10 principle decision-making framework to guide and enable clinicians to reflect on their engagement and clinical decisions. Using exercises and practice scenarios, values used in clinical practice, how they present in different situations and how they influence decision making are examined. It will assist you to critique and monitor your practice in order to maintain best care according to the patient's perspective.
This book explores, in depth, the link between modern psychiatric practice and the person-centred approach. It promotes an open dialogue between traditional rivals – counsellors and psychiatrists within the NHS – to assist greater understanding and improve practice. Easy to read and comprehend, it explains complex issues in a clear and accessible manner. The author is a full-time psychiatrist and qualified counsellor who offers a unique perspective drawing on personal experience. Humanising Psychiatry and Mental Health Care will be of significant interest and help to all mental health professionals including psychiatrists and psychiatric nurses, social care workers, occupational therapists, psychologists, person-centred counsellors and therapists. Health and social care policy makers and shapers, including patient groups, will also find it helpful and informative.