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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 volume illuminates the frustration, exhaustion, and isolation that families who care for loved ones with prolonged mental illness can feel, and outlines a ministry whereby clergy and others can help share the load by offering support and encouragement.
In Souls Are Made of Endurance, Stewart Govig gives a personal account of his family's struggle with their son's mental illness. After his son was diagnosed with schizophrenia, Govig's family faced not only the difficulty of finding medical care and therapy but also the personal anguish and the questioning of faith and of God that often accompany such a crisis. The author's two foundations are the Bible and personal experience. His spiritual search returns meaning to his family's struggle and restores faith and hope. Govig provides guidance and support, and exposes the way society stigmatizes people with mental illness. This book is a powerful statement of hope that every pastor, counselor, and family dealing with mental illness needs to read.
From Psycho, Silence of the Lambs, Kojak, and Melrose Place, from books, music, cartoons, advertising, and newspapers, we all derive our images of mental illness. These omnipresent media portrayals are at the least insensitive, inaccurate, and unfavorable and at the worst stigmatizing and pernicious. In this important book, Dr. Otto Wahl examines the prevalence, nature, and impact of such depictions, using numerous examples from film, television, and print media. He documents the remarkable frequency of these images and demonstrates how the media has stereotyped the mentally ill through exaggeration, misunderstanding, ridicule, and disrespect. Media Madness also shows the damaging consequences of such stereotypes - stigma, rejection, loss of self-esteem, reluctance to seek, accept, or reveal psychiatric treatment, discrimination, and restriction of opportunity. The forces that shape current images of mental illness are clarified, as are the efforts of organizations and individuals to combat such exploitation.
Wahl (psychology, George Mason University) examines and summarizes what mental health patients have to say about their experiences of stigma, with the goal of increasing public and professional understanding. Annotation copyrighted by Book News, Inc., Portland, OR
Endorsements: "One of the greatest contributions of Capps's book is the way in which he weaves together a vast range of theories, interpretations, and explanations of psychopathology, without ever losing sight of the humanity of the person living with mental illness. Far too many books seek to find one, single explanation of the baffling and complex phenomenon of mental illness. Fragile Connections will expand our understanding and empower pastors and others concerned about mental illness with an eloquent exploration of one of the greatest mysteries of the human predicament." --Lewis Rambo, San Francisco Theological Union and Graduate Theological Union "Donald Capps skillfully guides his readers into the strange world of severe mental illness, a neighborhood disturbingly close to home. He first offers the lay of the land by scrutinizing particular psychiatric classifications. He then carefully treks through gripping narrative accounts of those battling schizophrenia, clinical depression, bipolar disorder, and Alzheimer's disease. Finally, with interpretive precision honed through a lifetime of attending to persons in pain, Capps risks his own stunning insights into the anguish and mystery of these lives. An exquisite and sobering journey." --Robert C. Dykstra, Princeton Theological Seminary "Fragile Connections is a most welcome resource for those of us involved in theological education. Capps's creative use of five memoirs allows persons who suffer from various mental illnesses and the family members who care for them to speak in their own voices about living with these afflictions." --Carol J. Cook, Louisville Presbyterian Theological Seminary "Doing good with stealth as usual Donald Capps has designed this biblically, historically grounded book for seminary students and ministers, who will find no other like it. The book holds out the key to understanding the experiences of those who are mentally ill and those who love them. Capps argues that the study of individuals' personal memoirs--rather than medically modeled case studies--reveals the deep and profoundly personal nature of each person's unique experience of mental illness. What is more, written as it is in Capps's inimitable style, this book fills a void in seminary curricula as it addresses a problem in methodology." --Antoinette Goodwin, pastoral psychotherapist, Princeton, New Jersey
Provides a comprehensive, practical approach to fully integrating people with serious mental illnesses into the community. Drawing from a range of resources, including mental health consumers and their families, this pathbreaking work lays the groundwork for a critical rethinking of how we view people labeled "mentally ill". Defining "community integration," the author examines current and past approaches to meeting the needs of people with psychiatric disabilities, demonstrating how they have been inadequate. Carling then maps out a pioneering paradigm for community integration, which consists of an active partnership among mental health professionals, community leaders, policy makers, families, neighbors, employers, and realtors. Describing ways to prepare the community to organize for change, the book discusses the need to first address the pervasive nature of stigma, which is reflected at every level of society. Drawing from his own extensive experience, as well as from firsthand observations of model programs in place throughout the U.S., Canada, Europe, and Australia, the author offers detailed guidance for organizing a program of action in mental health systems and in local communities.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/