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This book will demonstrate how to use novel, systematic method for recognizing psychological adaptive mechanisms (known in psychoanalytic theory as ego defenses) in clinical encounters. This clinical method is based in published theoretical and empirical studies of these mechanisms over the past 14 years as well as working with successive classes of mental health trainees of varying disciplines at the University of Colorado. The result is an approach that trainees both apprehend and find useful. This work will offer the mental health disciplines, and even wider audiences, a platform both for 1) clinical use in everyday practice, 2) continuing clinical studies of adaptive psychology as well as 3) direct application of psychological adaptive mechanisms theory in clinical research that will improve the diagnosis and treatment of persons with mental or emotional disorders. This an important empirical model for understanding how humans adapt to the stressful experiences of their lives. They have developmental, biological, and evolutionary significance and all of these will be discussed in the book. Psychological Adaptive Mechanisms are observable behaviors that range on a developmental hierarchy from the Primitive defenses of normal early childhood and of major mental illness in adults, through the Mature defenses of fully functioning adulthood. They also serve to limit and to direct the human anxiety response, giving the "fight or flight" reaction to threat many more than those two classically described behavioral options.These mechanisms are likely transduced by the brain and, in providing wider ranges of adaptive behavior, most probably reflect an evolutionary selection towards greater flexibility of adaptation.
This book examines the role of temperance drama in American theatre and compares the American genre to its British counterpart.
Named a Best Book of the Year by The New Yorker and The Boston Globe An authoritative, illuminating, and deeply humane history of addiction—a phenomenon that remains baffling and deeply misunderstood despite having touched countless lives—by an addiction psychiatrist striving to understand his own family and himself “Carl Erik Fisher’s The Urge is the best-written and most incisive book I’ve read on the history of addiction. In the midst of an overdose crisis that grows worse by the hour and has vexed America for centuries, Fisher has given us the best prescription of all: understanding. He seamlessly blends a gripping historical narrative with memoir that doesn’t self-aggrandize; the result is a full-throated argument against blaming people with substance use disorder. The Urge is a propulsive tour de force that is as healing as it is enjoyable to read.” —Beth Macy, author of Dopesick Even after a decades-long opioid overdose crisis, intense controversy still rages over the fundamental nature of addiction and the best way to treat it. With uncommon empathy and erudition, Carl Erik Fisher draws on his own experience as a clinician, researcher, and alcoholic in recovery as he traces the history of a phenomenon that, centuries on, we hardly appear closer to understanding—let alone addressing effectively. As a psychiatrist-in-training fresh from medical school, Fisher was soon face-to-face with his own addiction crisis, one that nearly cost him everything. Desperate to make sense of the condition that had plagued his family for generations, he turned to the history of addiction, learning that the current quagmire is only the latest iteration of a centuries-old story: humans have struggled to define, treat, and control addictive behavior for most of recorded history, including well before the advent of modern science and medicine. A rich, sweeping account that probes not only medicine and science but also literature, religion, philosophy, and public policy, The Urge illuminates the extent to which the story of addiction has persistently reflected broader questions of what it means to be human and care for one another. Fisher introduces us to the people who have endeavored to address this complex condition through the ages: physicians and politicians, activists and artists, researchers and writers, and of course the legions of people who have struggled with their own addictions. He also examines the treatments and strategies that have produced hope and relief for many people with addiction, himself included. Only by reckoning with our history of addiction, he argues—our successes and our failures—can we light the way forward for those whose lives remain threatened by its hold. The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician’s urgent call for a more expansive, nuanced, and compassionate view of one of society’s most intractable challenges.