The Divided Self: An Existential Study in Sanity and Madness


R.D. Laing - 1960
    Laing explains how we all exist in the world as beings, defined by others who carry a model of us in their heads, just as we carry models of them in our heads. In later writings he often takes this to deeper levels, laboriously spelling out how "A knows that B knows that A knows that B knows..."! Our feelings and motivations derive very much from this condition of "being in the world" in the sense of existing for others, who exist for us. Without this we suffer "ontological insecurity", a condition often expressed in terms of "being dead" by people who are clearly still physically alive.This watershed work aimed to make madness comprehensible, and in doing so revolutionized the way we perceive mental illness. Using case studies of patients he had worked with, psychiatrist R. D. Laing argued that psychosis is not a medical condition, but an outcome of the 'divided self', or the tension between the two personas within us: one our authentic, private identity, and the other the false, 'sane' self that we present to the world. Laing's radical approach to insanity offered a rich existential analysis of personal alienation and made him a cult figure in the 1960s, yet his work was most significant for its humane attitude, which put the patient back at the centre of treatment. R.D. Laing (1927-1989), one of the best-known psychiatrists of modern times, was born in Glasgow, Scotland.This work is available on its own or as part of the 7 volume set iSelected Works of R. D. Laing

Shrinks: The Untold Story of Psychiatry


Jeffrey A. Lieberman - 2015
    Lieberman traces the field from its birth as a mystic pseudo-science through its adolescence as a cult of "shrinks" to its late blooming maturity — beginning after World War II — as a science-driven profession that saves lives. With fascinating case studies and portraits of the luminaries of the field — from Sigmund Freud to Eric Kandel — Shrinks is a gripping and illuminating read, and an urgent call-to-arms to dispel the stigma of mental illnesses by treating them as diseases rather than unfortunate states of mind.“A lucid popular history...At once skeptical and triumphalist. It shows just how far psychiatry has come.” —Julia M. Klein, Boston Globe

Essential Art Therapy Exercises: Effective Techniques to Manage Anxiety, Depression, and PTSD


Leah Guzman ATR BC - 2020
    Art therapy activities like drawing, painting, and sculpting will help you better understand your state of mind in order to gain control over your emotions and improve your self-esteem.From drawing a representation of your favorite song, to writing affirmations and taking photos to match, these therapeutic exercises will help you overcome the mindsets that are holding you back and lead you toward inner peace. Some take only five minutes, others up to an hour, but all of them explore a range of artistic mediums, so you can choose exactly what works for you.Essential Art Therapy Exercises offers: The art of getting better—These sophisticated exercises are a springboard for insight, self-expression, mindfulness, acceptance, and self-compassion. Insights and questions—Every activity describes its benefits and offers thoughtful prompts to help you get the most out of each experience. No experience required—You don’t need to be an artist to use art therapy. It’s about the experience of creating—without worry or judgement. Let art therapy help you paint, draw, and write your way to a happier frame of mind.

Madness: A Brief History


Roy Porter - 2002
    Roy Porter's historical overview of madness reveals the radically different perceptions of madness and approaches to its treatment, from antiquity to the beginning of the 21st century.Looking back on his confinement to Bethlem, Restoration playwright Nathaniel Lee declared: "They called me mad, and I called them mad, and damn them, they outvoted me." As Roy Porter shows in Madness: A Brief History, thinking about who qualifies as insane, what causes mental illness, and how such illness should be treated has varied wildly throughout recorded history, sometimes veering dangerously close to the arbitrariness Lee describes and often encompassing cures considerably worse than the illness itself.Drawing upon eyewitness accounts of doctors, writers, artists, and the mad themselves, Roy Porter tells the story of our changing notions of insanity and of the treatments for mental illness that have been employed from antiquity to the present day. Beginning with 5,000-year-old skulls with tiny holes bored in them (to allow demons to escape), through conceptions of madness as an acute phase in the trial of souls, as an imbalance of "the humors," as the "divine fury" of creative genius, or as the malfunctioning of brain chemistry, Porter shows the many ways madness has been perceived and misperceived in every historical period. He takes us on a fascinating round of treatments, ranging from exorcism and therapeutic terror--including immersion in a tub of eels--to the first asylums, shock therapy, the birth of psychoanalysis, and the current use of psychotropic drugs.Throughout, Madness: A Brief History offers a balanced view, showing both the humane attempts to help the insane as well as the ridiculous and often cruel misunderstanding that have bedeviled our efforts to heal the mind of its myriad afflictions.

Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America


Robert Whitaker - 2010
    What is going on? Anatomy of an Epidemic challenges readers to think through that question themselves. First, Whitaker investigates what is known today about the biological causes of mental disorders. Do psychiatric medications fix “chemical imbalances” in the brain, or do they, in fact, create them? Researchers spent decades studying that question, and by the late 1980s, they had their answer. Readers will be startled—and dismayed—to discover what was reported in the scientific journals. Then comes the scientific query at the heart of this book: During the past fifty years, when investigators looked at how psychiatric drugs affected long-term outcomes, what did they find? Did they discover that the drugs help people stay well? Function better? Enjoy good physical health? Or did they find that these medications, for some paradoxical reason, increase the likelihood that people will become chronically ill, less able to function well, more prone to physical illness?  This is the first book to look at the merits of psychiatric medications through the prism of long-term results. Are long-term recovery rates higher for medicated or unmedicated schizophrenia patients? Does taking an antidepressant decrease or increase the risk that a depressed person will become disabled by the disorder? Do bipolar patients fare better today than they did forty years ago, or much worse? When the National Institute of Mental Health (NIMH) studied the long-term outcomes of children with ADHD, did they determine that stimulants provide any benefit?  By the end of this review of the outcomes literature, readers are certain to have a haunting question of their own: Why have the results from these long-term studies—all of which point to the same startling conclusion—been kept from the public?  In this compelling history, Whitaker also tells the personal stories of children and adults swept up in this epidemic. Finally, he reports on innovative programs of psychiatric care in Europe and the United States that are producing good long-term outcomes. Our nation has been hit by an epidemic of disabling mental illness, and yet, as Anatomy of an Epidemic reveals, the medical blueprints for curbing that epidemic have already been drawn up.

Psychodynamic Psychotherapy: A Clinical Manual


Deborah L. Cabaniss - 2010
    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 Interpretation of Dreams


Sigmund Freud - 1899
    Dreams, according to his theory, represent the hidden fulfillment of our unconscious wishes.

Life Inside


Mindy Lewis - 2002
    She is intelligent, fearful, extremely anxious, and depressed. Her rage is poorly controlled and inappropriately expressed.Diagnostic Impression: Program for social recovery in a supportive and structured environment appears favorable.Life InsideIn 1967, three months before her sixteenth birthday, Mindy Lewis was sent to a state psychiatric hospital by court order. She had been skipping school, smoking pot, and listening to too much Dylan. Her mother, at a loss for what else to do, decided that Mindy remain in state custody until she turned eighteen and became a legal, law-abiding, "healthy" adult.Life Inside is Mindy's story about her coming-of-age during those tumultuous years. In honest, unflinching prose, she paints a richly textured portrait of her stay on a psychiatric ward—the close bonds and rivalries among adolescent patients, the politics and routines of institutional life, the extensive use of medication, and the prevalence of life-altering misdiagnoses. But this memoir also takes readers on a journey of recovery as Lewis describes her emergence into adulthood and her struggle to transcend the stigma of institutionalization. Bracingly told, and often terrifying in its truths, Life Inside is a life-affirming memoir that informs as it inspires.

Out of Her Mind: Women Writing on Madness (Modern Library)


Rebecca Shannonhouse - 2000
    Whether harboring a dark mood or suffering from mental illness, such as schizophrenia, obsessive-compulsive disorder, or manic depression, a select few of these women have deftly rendered the psychological turmoil that has touched their lives in writing that ranks among the most intriguing and emotionally compelling in American literature. In this anthology-the first of its kind Rebecca Shannonhouse has collected the most affecting, finely wrought essays, memoirs, and fiction by women writing on madness. Some of the selections in this volume are literary classics, such as Charlotte Perkins Stetson Gilman's "The Yellow Wallpaper" and an excerpt from Sylvia Plath's The Belljar. Several selections are taken from contemporary works, including Susanna Kaysen's Girl, Interrupted and Lauren Slater's "Black Swans." Still others are published here for the first time, most notably several letters written by Zelda Fitzgerald during her stays in a mental hospital. All these works offer powerful insights into the largely private world of emotional suffering, and at the same time possess the elements of great literature. As a collection, these voices provide a diverse and remarkable chronicle of women struggling with madness.

Treatment Plans and Interventions for Depression and Anxiety Disorders


Robert L. Leahy - 2000
    Serving as ready-to-use treatment packages, chapters describe basic cognitive-behavioral therapy (CBT) techniques and how to tailor them to each disorder. Also featured are diagnostic flow charts; therapist forms for assessment and record keeping; client handouts and homework sheets; and session-by-session case examples. Tips for troubleshooting common therapeutic roadblocks are presented, as are strategies for ensuring third-party payment authorization. The searchable CD-ROM enables clinicians to rapidly generate individualized treatment plans, print extra copies of therapist and client forms, find the facts about commonly prescribed medications, and learn more about cognitive-behavioral techniques. Facilitating effective treatment that is adapted to the realities of the typical outpatient setting, including the demands of managed care, this book and CD-ROM will be prized by novice and experienced clinicians alike.

Broken Glass: A Family's Journey Through Mental Illness


Robert V. Hine - 2006
    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

The Loss of Sadness: How Psychiatry Transformed Normal Sorrow Into Depressive Disorder


Allan V. Horwitz - 2007
    Warnings that depressive disorder is a leading cause of worldwide disability have been accompanied by a massive upsurge in the consumption of antidepressant medication, widespread screening for depression in clinics and schools, and a push to diagnose depression early, on the basis of just a few symptoms, in order to prevent more severe conditions from developing.In The Loss of Sadness, Allan V. Horwitz and Jerome C. Wakefield argue that, while depressive disorder certainly exists and can be a devastating condition warranting medical attention, the apparent epidemic in fact reflects the way the psychiatric profession has understood and reclassified normal human sadness as largely an abnormal experience. With the 1980 publication of the landmark third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III), mental health professionals began diagnosing depression based on symptoms—such as depressed mood, loss of appetite, and fatigue—that lasted for at least two weeks. This system is fundamentally flawed, the authors maintain, because it fails to take into account the context in which the symptoms occur. They stress the importance of distinguishing between abnormal reactions due to internal dysfunction and normal sadness brought on by external circumstances. Under the current DSM classification system, however, this distinction is impossible to make, so the expected emotional distress caused by upsetting events—for example, the loss of a job or the end of a relationship—could lead to a mistaken diagnosis of depressive disorder. Indeed, it is this very mistake that lies at the root of the presumed epidemic of major depression in our midst.

In Session: The Bond Between Women and Their Therapists


Deborah A. Lott - 2000
    Why do so many women develop profound feelings for their therapists? What makes the therapy bond different from any other, and what factors make it therapeutic? In Session enters the consulting room and cuts straight to the heart of the complex psychotherapy relationship.

Madness: A Bipolar Life


Marya Hornbacher - 2008
    At age twenty-four, Hornbacher was diagnosed with Type I rapid-cycle bipolar, the most severe form of bipolar disorder.In Madness, in her trademark wry and utterly self-revealing voice, Hornbacher tells her new story. Through scenes of astonishing visceral and emotional power, she takes us inside her own desperate attempts to counteract violently careening mood swings by self-starvation, substance abuse, numbing sex, and self-mutilation. How Hornbacher fights her way up from a madness that all but destroys her, and what it is like to live in a difficult and sometimes beautiful life and marriage -- where bipolar always beckons -- is at the center of this brave and heart-stopping memoir.Madness delivers the revelation that Hornbacher is not alone: millions of people in America today are struggling with a variety of disorders that may disguise their bipolar disease. And Hornbacher's fiercely self-aware portrait of her own bipolar as early as age four will powerfully change, too, the current debate on whether bipolar in children actually exists.Ten years after Kay Redfield Jamison's An Unquiet Mind, this storm of a memoir will revolutionize our understanding of bipolar disorder.

Psychnotes: Clinical Pocket Guide


Darlene D. Pedersen - 2005
    The 4th Edition of this AJN Book-of-the-Year award winner has been thoroughly updated to deliver even more resources and tools, plus new DSM-5 content. "Psych Notes is packed with all of the essential content necessary to REVIEW (you should also have expanded knowledge of this content) and pass the ANCC PMHNP certification exam. You will be astonished with the depth and breadth of information contained in this easy to read and use (spiral bound) book. Be sure to access the online information that accompanies this book, too as it contains a grid comparing the changes from DSM-IV and DSM-5!" --Sandra Hannon-Engel, Ph.D., RN, CNS, PMHNP, Assistant Professor, William F. Connell School of Nursing, Boston College, Boston, MA. "It's a pretty good book for both nursing students and practicing RN's. No matter what specialty you're in you'll come across patients that are psychologically unstable and this book gives you a quick and easy reference to your needs. Everything is laid out in simple form and focuses on the most pertinent topics in psych." - Jim Astapan, Amazon.com "Very good source for fast references." - Ileana, Amazon.com "An amazingly complete collection of all that pertains to psych/mental health care. An easy to use resource and a wonderful review." - Camille Grosso, Ph.D., R.N.