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Although a substantial amount of media and professional attention has been devoted to the incidence of sexual abuse in the population at large, the plight of those who have suffered abuse and are seriously mentally ill has largely been ignored. Adding to the existing literature on trauma, this book exposes the prevalence of physical and emotional abuse among severely mentally ill patients, and includes case studies that reveal its tragic and devastating impact. Offering chapters on theory and assessment of abused women, this book explores services that are available to them, discusses treatment (including inpatient and cognitive-behavioral approaches), and addresses recommendations for the improvement of both policy and research.
As culturally relevant psychiatry becomes common practice, the need for competent and culturally relevant forensic psychiatry comes to the forefront. This volume, written by one expert in cultural psychiatry and another in forensic psychiatry addresses that need. By combining their expertise in these areas, they are able to develop and create a new body of knowledge and experiences addressing the issue of the cultural aspects of forensic psychiatry. Beginning with an introduction to cultural and ethnic aspects of forensic psychiatry, this volume will address basic issues of the practice, as well as more detailed areas ranging from the various psychiatric disorders to intensive analysis and discussion of how to perform forensic psychiatric practice in a culturally relevant and competent way. Also the book suggests methods for continued awareness and sensitivity to issues of cultural and ethnic diversity in the field.
This article reviews studies that have tried to confirm empirically the effects of child sexual abuse cited in the clinical literature. In regard to initial effects empirical studies have indicated reactions of fear, anxiety, depression, anger and hostility, aggression and sexually inappropriate behaviour. Frequently reported long-term effects include depression and self-destructive behaviour, anxiety, feelings of isolation and stigma, poor self-esteem, difficulty in trusting others, a tendency toward revictimization, substance abuse and sexual maladjustment. The controversy over the impact of child sexual abuse is discussed and recommendations for future research efforts are suggested.
The past quarter-century has witnessed a dramatic upsurge of violent crime in the United States and abroad. In this country, the rise in violent criminal activity has been consistently documented in such published accounts as the Uniform Crime Reports and the Statistical Handbook on Violence in America, published by the FBI and the Vio lence Research Group, respectively. Further, social scientists-particularly those working in the fields of sociology and psychology-have provided a convergence of findings attesting to the magnitude of one of today's most significant social problems: domestic violence (e. g. , spouse, child, and elder abuse). Such efforts have served as the impetus for heightened clinical and investigative activity in the area of violent be havior. Indeed, a wide range of mental health experts (such as psychologists, psychi atrists, social workers, counselors, and rehabilitation specialists) have endeavored to focus on strategies and issues in research and treatment for violent individuals and their victims. The purpose of this book is to provide a comprehensive and timely examination of current psychological approaches with violent criminal offenders. Despite the fact that we continue to have much to learn about perpetrators of violent acts, in recent an increasingly large body of empirical data have been adduced about this years issue. However, these data generally have appeared in disparate journals and books. That being the case, it is our belief that such a handbook now is warranted.
First Published in 2002. In common usage, the term "depression" can refer to the state of being sad or blue, but it also signifies a serious clinical syndrome that affects approximately 10 percent of people at some point in their lives. This clinical syndrome may occur as a primary illness or as a complication of ("secondary to") another mental disorder such as schizophrenia, a medical condition such as hypothyroidism, or the effects of a drug. Based on studies of clinical courses and outcomes, treatment responses, and familial patterns of depression, primary depressive illness is dichotomized into unipolar (depressions only) and bipolar. In bipolar disorder, or manic-depressive illness, depressions are interspersed with manias- periods of elevated mood, high energy, and lack of sleep. Bipolar disorder is described in a separate volume.
First published in 2002. This is Volume 9 of a collection of ten works on the science of mental health. This volume in the series focuses on issues related to stress and the brain. Although stress affects many other aspects of physiology, they are beyond the scope of this volume. The volume begins with a seminal work by Selye describing the stress response, an adaptive response that permits an organism not only to survive but also to cope with the stressor.
This anthology explores a wide range of violence that commonly occurs in families and between intimates. Many articles offer a feminist perspective that addresses the gendered nature of violence and the consequences of power inequality in our society. A variety of violence topics are included: child abuse, incest, violence in heterosexual dating relationships, violence in gay and lesbian relationships, acquaintance rape, wife abuse and wife rape, and elder abuse.