Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation’s drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry’s own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible. This is a passionate and provocative call for action as well as a compelling work of clear-headed science.From the Hardcover edition.

    Discharged in 1966, after finally receiving proper psychiatric care, Sawyer kept her past secret and moved on to graduate from Yale University, raise two children, and become a respected psychotherapist. That is, until 2001, when she reviewed her hospital records and began to remember a broken childhood and the even more broken mental health system of the 1950s and 1960s.

    This book offers a practical, step-by-step guide to the technique of psychodynamic psychotherapy, with instruction on listening, reflecting, and intervening. It will systematically take the reader from evaluation to termination using straightforward language and carefully annotated examples. Written by experienced educators and based on a tried and tested syllabus, this book provides clinically relevant and accessible aspects of theories of treatment processes. The workbook style exercises in this book allow readers to practice what they learn in each section and more "actively" learn as they read the book.This book will teach you:About psychodynamic psychotherapy and some of the ways it is hypothesized to work How to evaluate patients for psychodynamic psychotherapy, including assessment of ego function and defenses The essentials for beginning the treatment, including fostering the therapeutic alliance, setting the frame, and setting goals A systematic way for listening to patients, reflecting on what you've heard, and making choices about how and what to say How to apply the Listen/Reflect/Intervene method to the essential elements of psychodynamic technique How these techniques are used to address problems with self esteem, relationships with others, characteristic ways of adapting, and other ego functions Ways in which technique shifts over time This book presents complex concepts in a clear way that will be approachable for all readers. It is an invaluable guide for psychiatry residents, psychology students, and social work students, but also offers practicing clinicians in these areas a new way to think about psychodynamic psychotherapy. The practical approach and guided exercises make this an exceptional tool for psychotherapy educators teaching all levels of learners.This book includes a companion website: www.wiley.com/go/cabaniss/psychotherapywith the "Listening Exercise" for Chapter 16 (Learning to Listen). This is a short recording that will help the reader to learn about different ways we listen.Praise for Psychodynamic Psychotherapy: A Clinical Manual"This book has a more practical, hands-on, active learning approach than existing books on psychodynamic therapy."Bob Bornstein, co-editor of Principles of Psychotherapy; Adelphi University, NY"Well-written, concise and crystal clear for any clinician who wishes to understand and practice psychodynamic psychotherapy. Full of real-world clinical vignettes, jargon-free and useful in understanding how to assess, introduce and begin psychotherapy with a patient. Extraordinarily practical with numerous examples of how to listen to and talk with patients while retaining a sophistication about the complexity of the therapeutic interaction. My trainees have said that this book finally allowed them to understand what psychodynamic psychotherapy is all about!"--Debra Katz, Vice Chair for Education at the University of Kentucky and Director of Psychiatry Residency Training"This volume offers a comprehensive learning guide for psychodynamic psychotherapy training."--Robert Glick, Professor, Columbia University

    The Other Brain is the story of glia, which make up approximately 85 percent of the cells in the brain. Long neglected as little more than cerebral packing material ("glia" means glue), glia are sparking a revolution in brain science.Glia are completely different from neurons, the brain cells that we are familiar with. Scientists are discovering that glia have their own communication network, which operates in parallel to the more familiar communication among neurons. Glia provide the insulation for the neurons, and glia even regulate the flow of information between neurons.But it is the potential breakthroughs for medical science that are the most exciting frontier in glia research today. Diseases such as brain cancer and multiple sclerosis are caused by diseased glia. Glia are now believed to play an important role in such psychiatric illnesses as schizophrenia and depression, and in neurodegenerative diseases such as Parkinson's and Alzheimer's. They are linked to infectious diseases such as HIV and prion disease (mad cow disease, for example) and to chronic pain. Scientists have discovered that glia repair the brain and spinal cord after injury and stroke. The more we learn about these cells that make up the "other" brain, the more important they seem to be.Written by a neuroscientist who is a leader in the research to reveal the secrets of these brain cells, The Other Brain offers a firsthand account of science in action. It takes us into the laboratories where important discoveries are being made, and it explains how scientists are learning that glial cells come in different types, with different capabilities. It tells the story of glia research from its origins to the most recent discoveries and gives readers a much more complete understanding of how the brain works and where the next breakthroughs in brain science and medicine are likely to come.

    As an early baby boomer, Elene reached adolescence and young womanhood in the midst of the counterculture years. Her father, a respected professor of American history at the University of California, shares the story of his family's struggle to keep Elene on track and functional, to see her through her troubles with delusions, medication, and eventually to help her raise her own children.Candid in its portrayal of the suffering Elene and her parents endured and the stumbling efforts of doctors and hospitals, Hine's story is also generous and inspiring. In spite of unimaginable difficulties, Elene and her father preserved their relationship and survived.My daughter has given me permission to go ahead with the effort, [but] I know she would react quite differently to many of the events. Where I felt sadness and dejection, she very likely felt release and exultation. Where I felt helplessness, she very likely felt in happy control. Where I saw confusion and delusion, she may well have seen purpose and steadiness. This is not the story she would tell. It is solely mine, solely the viewpoint of one man, solely a father's feelings about his daughter.--from Robert Hine's Preface to Broken Glass

    Beat him to death with a tree branch after he threatened to rape her. But what started as self-defense became problematic for two reasons. First, she killed Robert Sims after he’d been rendered completely defenseless. And second, she inadvertently left her fingerprints at the scene. Allie is young, beautiful, the smartest person in any room. But she’s also been diagnosed as clinically insane. As her past catches up with her and her marriage starts to crumble, Allie is determined to survive at all costs. Size Matters is a taut, compelling novel that teaches us never to underestimate a woman with nothing to lose. PRELIMINARY REVIEWS: “Size Matters is so full of twists and turns and surprises I couldn’t have flipped the pages faster if you paid me! This novel surprised and delighted and kept me shaking my head time and again. Fans of Donovan Creed should be aware that he and Callie make a brief appearance that furthers their saga.” “‘I’ve done bad things,’ says Allie McPherson, ‘but that doesn’t make me a bad person.’ Well, that’s one opinion!” “This book is crazy! There are twists and turns on virtually every page! While I consider myself an expert on Locke novels, I have to admit he took me on a wild ride that made me guess wrong every single time.” “Size Matters is a cross between Alfred Hitchcock and Quentin Tarantino. From start to finish I was shocked, surprised, and hopelessly entertained.”

    As Dr. Kent Kiehl shows, psychopaths can be identified by a checklist of symptoms that includes pathological lying; lack of empathy, guilt, and remorse; grandiose sense of self-worth; manipulation; and failure to accept one’s actions. But why do psychopaths behave the way they do? Is it the result of their environment— how they were raised—or is there a genetic compo­nent to their lack of conscience? This is the question Kiehl, a protégé of famed psychopath researcher Dr. Robert Hare, was deter­mined to answer as he began his career twenty years ago. To aid in his quest to unravel the psy­chopathic mind, Kiehl created the first mobile functional MRI scanner to study psychopaths in prison populations. The brains of more than five hundred psychopaths and three thousand other offenders have been scanned by Kiehl’s labora­tory—the world’s largest forensic neuroscience repository of its kind. Over the course of The Psy­chopath Whisperer, we follow the scientific bread crumbs that Kiehl uncovered to show that the key brain structures that correspond with emotional engagement and reactions are diminished in psy­chopaths, offering new clues to how to predict and treat the disorder. In The Psychopath Whisperer, Kiehl describes in fascinating detail his years working with psy­chopaths and studying their thought processes— from the remorseless serial killers he meets with behind bars to children whose behavior and per­sonality traits exhibit the early warning signs of psychopathy. Less than 1 percent of the general population meets the criteria for psychopathy. But psycho­paths account for a vastly outsized proportion of violent crimes. And as Kiehl shows, many who aren’t psychopaths exhibit some of the behaviors and traits associated with the condition. What do you do if you discover your roommate, or boss, or the person you are dating has traits that define a psy­chopath? And what does having a diminished limbic region of the brain mean for how the legal system approaches crimes committed by psychopaths? A compelling narrative of cutting-edge science, The Psychopath Whisperer will open your eyes on a fascinating but little understood world, with startling implications for society, the law, and our personal lives.

    Star of BBC's Supersizers and hugely popular Times columnist's works through his anger about everything from dogs to cycle helmets.

    

    Whether he's assisting trauma surgeons who are singing “Take me out to the ballgame” while removing a well-placed iconic symbol of America’s greatest past time, learning how fast he can run after being shot at by an angry couple who called for an ambulance, working with a prankster-loving urologist who demonstrates how bladder problems were diagnosed before modern urinalysis, or screaming like a little girl while doing night rounds with a dead flashlight on a psychiatric ward, Cyra’s comedic style of storytelling will make your cheeks sore. Emergency Laughter: Stories of Humor Inside Ambulances and Operating Rooms shows why most health care professionals have such a twisted sense of humor and how critical laughter is to the survival of both patient and care giver.

    Suspended for a few seconds, they float in their own space and time with their own hidden prospects. For want of a better term, we call these moments “magical” and when we remember them they are cloaked in a halo of special meaning.’For 14-year-old Johnny Clegg, hearing Zulu street music as plucked on the strings of a guitar by Charlie Mzila one evening outside a corner café in Bellevue, Johannesburg, was one such ‘magical’ moment. The success story of Juluka and later Savuka, and the cross-cultural celebration of music, language, story, dance and song that stirred the hearts of millions across the world, is well documented. Their music was the soundtrack to many South Africans’ lives during the turbulent 70s and 80s as the country moved from legislated oppression to democratic freedom. It crossed borders, boundaries and generations, resonating around the world and back again. Less known is the story of how it all began and developed. Scatterling of Africa is that origin story, as Johnny Clegg wrote it and wanted it told. It is the story of how the son of an unconventional mother, grandson of Jewish immigrants, came to realise that identity can be a choice, and home is a place you leave and return to as surely as the seasons change.

    An intelligent account of one man's experiences of mental illness and institutions: a rare insight into a hidden world.

    Her journey there began when, overwhelmed by anxiety as she completed her doctoral studies in London, England, she found relief by dosing herself with alcohol and tranquillizers. She then embarked on what would turn out to be a decades- long psychoanalysis.The analysis dredged up acutely painful memories of an unhappy and confusing childhood back in Saskatoon. As Taylor struggled to cope with these, she would twice be re-admitted to Friern. She took refuge in day-care institutions and a psychiatric hostel, all the while continuing her therapy, which eventually put her on the road to recovery.This searingly honest, beautifully written memoir is the narrative of the author’s madness years, set inside the wider story of our treatment of psychiatric illness: from the great age of asylums to the current era of community care, ‘Big Pharma’, and quick fixes. It is a meditation on her own experience as well as that of millions of others – both in Europe and in North America – who have suffered, are suffering, and will suffer from mental illness.

    In “Bhagavad Gita for Beginners: The Song of God in Simplified Prose,” author Edward Viljoen uses contemporary, simplified language to bring this inspiring work to life. That which seems to be forcing people to act in selfish--even evil--ways is really the accumulation of desires coming together in a strong, irresistible appetite for self-satisfaction. These desires are rooted in the senses, and sense information can be misleading. More powerful than the senses, though, is the mind. And more powerful than the mind is the will (or intellect), and that which is above it all,--the Real Self, that part of us not deluded by the information of the sense world. The Bhagavad Gita For Beginners: The Song Of God In Simplified Prose will inspire uninitiated readers of the Bhagavad-Gita to delve into the original text, as well as bring a newly-found clarity and perspective to those already familiar with it.

    Its organization and thoroughness are unsurpassed, putting it above similar review books. Students who thoroughly read this book should have no trouble successfully completing their psychiatry clerkship and passing the shelf exam. As course director for the core psychiatry clerkship at my institution, I will recommend this book to students."--Doody's Review Service"First Aid for the Psychiatry Clerkship" gives you the core information needed to impress on the wards and pass the psychiatry clerkship exam. Written by students who know what it takes to succeed, and based on the national guidelines for the psychiatry clerkship, the book is filled with mnemonics, ward and exam tips, tables, clinical images, algorithms, and newly added mini-cases.Features Completely revised based on the psychiatry clerkship's core competencies Written by medical students who passed and reviewed by faculty for accuracy NEW integrated mini-cases illustrate classic patient presentations and/or commonly tested scenarios NEW illustrations and management algorithms Updated throughout with enhanced sections on medications, depression/anxiety, and child psychiatry Helps students hone in on the most important concepts for the clerkship and the examThe content you need to ace the clerkship: Section I: How to Succeed in the Psychiatry Clerkship Section II: High-Yield Facts; Examination and Diagnosis; Psychotic Disorders; Mood Disorders; Anxiety and Adjustment Disorders; Personality Disorders; Substance-Related Disorders; Cognitive Disorders; Geriatric Disorders; Psychiatric Disorders in Children; Dissociative Disorders; Somataform and Factitious Disorders; Impulse Control Disorders; Eating Disordes; Disorders; Sleep Disorders; Sexual Disorders; Psychtherapies; Psychopharmacology; Legal Issues; Section III: Awards and Opportunities.