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Questions concerning the nature of insight in patients with mental illness have interested clinicians for a long time. To what extent can patients understand disorders which affect their mental function? Does insight carry a prognostic value? Is impaired insight determined by the illness or are other factors important? Despite considerable research examining insight in patients with psychoses, non-psychotic disorders and chronic organic brain syndromes, results are inconclusive and insight remains a source of some mystification. Ivana S. Marková examines the problems involved in studying insight in patients with mental illness in order to provide a clearer understanding of the factors that determine its clinical manifestation. She puts forward a new model to illustrate the relationship between different components of insight in theoretical and clinical terms, and points to directions for future research.
The insight a patient shares into their own psychosis is fundamental to their condition - it goes to the heart of what we understand 'madness' to be. Can a person be expected to accept treatment for a condition that they deny they have? Can a person be held responsible for their actions if those actions are inspired by their own unique perceptions and beliefs - beliefs that no-one else shares? The new edition of this unique book shows how we can better understand the patient's view of their illness, and provides valuable advice for all those involved in the treatment of mental illness.
Psychiatry is arguably the most misunderstood specialty in modern medicine and psychiatrists are often thought of as part physician, part confessor, part police officer, and part shaman. In Demystifying Psychiatry, two eminent psychiatrists offer an illuminating look at the entire field, offering a clear and informative portrait of a medical specialty often clouded in myth. Zorumski and Rubin range from a basic discussion of what psychiatry is, to the types of illnesses psychiatrists treat, the training of psychiatrists, the treatment of psychiatric disorders (covering medications, psychotherapy, lifestyle interventions, electroconvulsive therapy, and much more), and how families can help with treatment. They caution the consumer about practices that should raise red flags. The book also covers new trends in psychiatry and explores the future of the field, predicting that major advances in genetics and neuroscience will lead to rapid and amazing changes in psychiatry. The book concludes with extensive reference materials that will be valuable both to general readers and medical practitioners.
Insight, or the acquisition of a new understanding, is recognized as an important vehicle of change across a variety of theoretical approaches in psychotherapy. The contributors to this book delineate and integrate what is currently known about insight, and discuss new directions that could help clinicians and researchers better understand this rich and complex process.
The flaw in Self-Help is the notion of Self A panic-ridden schoolboy. A high school cutter. A suicidal divorced mother of two. A conflicted young man with OCD and his grieving father. Dr. Bhargave has treated children and adults who sought psychiatry as a last resort to feeling empty, misunderstood, and unworthy. None came anticipating a spiritual conquest, and each wanted relief in the quickest way possible. While there was no magic pill for a cure, what evolved time and again through patience and vulnerability was the tale of hope through adversity.The result is A Moment of Insight. We all struggle with the same dilemmas. We all question life's purpose. We all feel overwhelmed. We all doubted our worthiness. While A Moment of Insight shines the spotlight on our collective wounds, it also dispenses the collective wisdom of thousands of seekers who dared to be vulnerable within the safe space of a psychiatrist's office. Through patient stories and personal accounts, this recollection takes the reader on a journey to calm the mind, fortify the spirit, and release the burdens of life. Each chapter offers practical strategies and thought-provoking narratives to not only understand and persevere through challenging dilemmas, but to see greater purpose in these times. At the beginning of every journey is the moment that incites change...a Moment of Insight.
Recovery, Meaning-Making, and Severe Mental Illness offers practitioners an integrative treatment model that will stimulate and harness their creativity, allowing for the formation of new ideas about wellness in the face of profound suffering. The model, Metacognitive Reflection and Insight Therapy (MERIT), complements current treatment modalities and can be used by practitioners from a broad range of theoretical backgrounds. By using metacognitive capacity as a guide to intervention, MERIT stretches and strengthens practitioners’ capacity for reflection and allows them to better use their unique knowledge to help people who are confronting the suffering and chaos that often comes from psychosis. Clinicians will come away from this book with a variety of tools for helping clients manage their own recovery and confront the issues that accompany an illness-based identity.
A founder of the field of evolutionary medicine uses his decades of experience as a psychiatrist to provide a much-needed new framework for making sense of mental illness. Why do I feel bad? There is real power in understanding our bad feelings. With his classic Why We Get Sick, Dr. Randolph Nesse helped to establish the field of evolutionary medicine. Now he returns with a book that transforms our understanding of mental disorders by exploring a fundamentally new question. Instead of asking why certain people suffer from mental illness, Nesse asks why natural selection has left us all with fragile minds. Drawing on revealing stories from his own clinical practice and insights from evolutionary biology, Nesse shows how negative emotions are useful in certain situations, yet can become overwhelming. Anxiety protects us from harm in the face of danger, but false alarms are inevitable. Low moods prevent us from wasting effort in pursuit of unreachable goals, but they often escalate into pathological depression. Other mental disorders, such as addiction and anorexia, result from the mismatch between modern environment and our ancient human past. And there are good evolutionary reasons for sexual disorders and for why genes for schizophrenia persist. Taken together, these and many more insights help to explain the pervasiveness of human suffering, and show us new paths for relieving it by understanding individuals as individuals.
The Wiley Handbook of Obsessive Compulsive Disorders, 2 volume set, provides a comprehensive reference on the phenomenology, epidemiology, assessment, and treatment of OCD and OCD-related conditions throughout the lifespan and across cultures. Provides the most complete and up-to-date information on the highly diverse spectrum of OCD-related issues experienced by individuals through the lifespan and cross-culturally Covers OCD-related conditions including Tourette’s syndrome, excoriation disorder, trichotillomania, hoarding disorder, body dysmorphic disorder and many others OCD and related conditions present formidable challenges for both research and practice, with few studies having moved beyond the most typical contexts and presentations Includes important material on OCD and related conditions in young people and older adults, and across a range of cultures with diverse social and religious norms
This book will provide readers with an overview of the core knowledge and issues in public mental health, and a guide for students and practitioners on the evidence and tools available to help them develop Public Mental Health programs that work in practice.
Personalized Psychiatry presents the first book to explore this novel field of biological psychiatry that covers both basic science research and its translational applications. The book conceptualizes personalized psychiatry and provides state-of-the-art knowledge on biological and neuroscience methodologies, all while integrating clinical phenomenology relevant to personalized psychiatry and discussing important principles and potential models. It is essential reading for advanced students and neuroscience and psychiatry researchers who are investigating the prevention and treatment of mental disorders. - Combines neurobiology with basic science methodologies in genomics, epigenomics and transcriptomics - Demonstrates how the statistical modeling of interacting biological and clinical information could transform the future of psychiatry - Addresses fundamental questions and requirements for personalized psychiatry from a basic research and translational perspective