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.

    This book examines the issues surrounding sexual abuse while looking to God for restoration and peace. - Includes information about false memory issues- Indexed for easy reference- Also available: The Wounded Heart Workbook

    The Body Bears the Burden: Trauma, Dissociation, and Disease presents evidence of the resulting and relatively permanent alteration in neurophysiology, neurochemistry, and neuronal organization. This book convincingly demonstrates that these changes create lasting effects on the emotional and physical well-being of the victim--changes correlated with many of the most common, yet poorly understood, physical complaints and diseases, including whiplash, migraines, fibromyalgia, irritable bowel syndrome, and other painful, difficult-to-treat conditions. Further, the causes and effects of retraumatization are explored, clarifying the reasons some patients suffer fresh trauma over relatively minor incidents while others handle major traumas more easily. This groundbreaking volume backs up its new theory of PTSD neurophysiology with cogent theory and persuasive evidence, including:case studies correlating clinical features of trauma and dissociation with compelling physiological rationales for the symptomssolid documentation drawing from the medical and psychiatric literature of PTSD, whiplash, brain injury, epidemiology of trauma, and a variety of disease processes linked to traumain-depth discussions of medical traumatization of patients, including the results of pediatric procedures and ineffective anesthesiademonstrations that somatization and conversion are not imagined symptoms but result from measurable autonomic physiological alteration of the affected organa well-documented exploration of the effect of prenatal and neonatal trauma on later emotional development, response to traumatic life events, and disease and mortalityThis impressive empirical evidence that body, brain, and mind are a continuum offers a powerful new paradigm to medical and mental health professionals, as well as new hope to sufferers from trauma. With a foreword by Bessel van der Kolk and helpful figures, The Body Bears the Burden: Trauma, Dissociation, and Disease is an essential resource for the in-the-trenches professionals who confront the effects of trauma and resulting somatic consequences. It will be of compelling interest and usefulness to family practice physicians, nurses and nurse practitioners, speech and physical therapists, counselors and psychotherapists, and any medical or mental health professional who treats physical or emotional trauma.

    This "little green book," as it has come to be known to hundreds of thousands of C.O.A.'s and A.C.O.A.'s, is meant to help the reader understand the roles children in alcoholic families adopt, the problems they face in adulthood as a result, and what they can do to break the pattern of destruction.

    Outwardly successful, charming and powerful, personality-disordered individuals have long confounded their colleagues, family, lovers and employees - as well as mental health professionals. The author helps the reader understand them. After describing how the healthy real self develops and functions, he explains what can go wrong. Drawing on case histories, he shows how the false self behaves in relationships and on the job, and then delineates appropriate treatments, offering real hope for cure.

    The introduction calls it a conceptual frame around which to organize your data and your impressions . . . a suggested path.

    These beautifully rendered tales illuminate the fundamental pathways of life from birth to death.A woman finds herself daydreaming as she returns home from a business trip; a young man loses his wallet. We learn, too, from more extreme examples: the patient who points an unloaded gun at a police officer, the compulsive liar who convinces his wife he's dying of cancer. The stories invite compassionate understanding, suggesting answers to the questions that compel and disturb us most about love and loss, parents and children, work and change. The resulting journey will spark new ideas about who we are and why we do what we do.

    Drawing on over thirty years of experience as a psychotherapist, analyst, and teacher, Dr. Gaylin addresses the fundamentals of the therapeutic process: How does therapy work? Can "talking" truly precipitate a change in behavior? Why do therapists rely so heavily on childhood experiences? Does the past really affect the present? Gaylin speaks plainly but profoundly about the art of therapy, what the roles of the patient and therapist should be, and what it takes, on the part of each, for a patient to get better. The result is an enlightening tour through one of the most misunderstood sciences of our time. As insurance companies limit the number of therapy sessions they will cover and people look for quick-fix "cures" for their psychological ailments, Dr. Gaylin explains the importance of long-term therapy. This book has a natural audience of people in therapy. Current estimates put this number at 15 million.

    It is about what didn't happen in your childhood, what wasn't said, and what cannot be remembered. Do you sometimes feel as if you're just going through the motions in life? Are you good at looking and acting as if you're fine, but secretly feel lonely and disconnected? Perhaps you have a fine life and are good at your work, but somehow it's just not enough to make you happy. If so, you are not alone. The world is full of people who have an innate sense that something is wrong with them. Who feel they live on the outside looking in, but have no explanation for their feeling and no way to put it into words. Who blame themselves for not being happier. If you are one of these people, you may fear that you are not connected enough to your spouse, or that you don't feel pleasure or love as profoundly as others do. Perhaps when you do experience strong emotions, you have difficulty understanding or tolerating them. You may drink too much, or eat too much, or risk too much, in an attempt to feel something good. In over twenty years of practicing psychology, many people have arrived in Jonice Webb's office, driven by the threat of divorce or the onset of depression, or by loneliness, and said, "Something is missing in me."Running on Empty will give you clear strategies for how to heal, and offers a special chapter for mental health professionals. In the world of human suffering, this book is an Emotional Smart Bomb meant to eradicate the effects of an invisible enemy.

    The views and strategies of a master clinician are presented here in such clear and precise form that readers can proceed directly from the book with comparisons and modifications to suit their own styles and working situations.Salvador Minuchin presents six chapter-length transcripts of actual family sessions--two devoted to ordinary families who are meeting their problems with relative success; four concerned with families seeking help. Accompanying each transcript is the author's running interpretation of what is taking place, laying particular stress on the therapist's tactics and maneuvers.These lively sessions are interpreted in a brilliant theoretical analysis of why families develop problems and what it takes to set them right. The author constructs a model of an effectively functioning family and defines the boundaries around its different subsystems, whether parental, spouse, or sibling. He discusses ways in which families adapt to stress from within and without, as they seek to survive and grow.Dr. Minuchin describes methods of diagnosing or "mapping" problems of the troubled family and determining appropriate therapeutic goals and strategies. Different situations, such as the extended family, the family with a parental child, and the family in transition through death or divorce, are examined. Finally, the author explores the dynamics of change, examining the variety of restructuring operations that can be employed to challenge a family and to change its basic patterns.

    Focusing on the dynamics of narcissism in interpersonal relations, Shaw describes the relational system of what he terms the 'traumatizing narcissist' as a system of subjugation - the objectification of one person in a relationship as the means of enforcing the dominance of the subjectivity of the other.Daniel Shaw illustrates the workings of this relational system of subjugation in a variety of contexts: theorizing traumatic narcissism as an intergenerationally transmitted relational/developmental trauma; and exploring the clinician's experience working with the adult children of traumatizing narcissists. He explores the relationship of cult leaders and their followers, and examines how traumatic narcissism has lingered vestigially in some aspects of the psychoanalytic profession.Bringing together theories of trauma and attachment, intersubjectivity and complementarity, and the rich clinical sensibility of the Relational Psychoanalysis tradition, Shaw demonstrates how narcissism can best be understood not merely as character, but as the result of the specific trauma of subjugation, in which one person is required to become the object for a significant other who demands hegemonic subjectivity. Traumatic Narcissism presents therapeutic clinical opportunities not only for psychoanalysts of different schools, but for all mental health professionals working with a wide variety of modalities. Although primarily intended for the professional psychoanalyst and psychotherapist, this is also a book that therapy patients and lay readers will find highly readable and illuminating.

    Kain and Stephen J. Terrell draw on fifty years of their combined clinical and teaching experience to provide this clear road map for understanding the complexities of early trauma and its related symptoms. Experts in the physiology of trauma, the authors present an introduction to their innovative somatic approach that has evolved to help thousands improve their lives. Synthesizing across disciplines–Attachment, Polyvagal, Neuroscience, Child Development Theory, Trauma, and Somatics–this book provides a new lens through which to understand safety and regulation. It includes the survey used in the groundbreaking ACE Study, which discovered a clear connection between early childhood trauma and chronic health problems. For therapists working with both adults and children and anyone dealing with symptoms that typically arise from early childhood trauma–anxiety, behavioral issues, depression, metabolic disorders, migraine, sleep problems, and more–this book offers fresh hope.

    It's a way of life. Alcoholics Anonymous-The Big Book-has served as a lifeline to millions worldwide. First published in 1939, Alcoholics Anonymous sets forth cornerstone concepts of recovery from alcoholism and tells the stories of men and women who have overcome the disease. With publication of the second edition in 1955, the third edition in 1976, and now the fourth edition in 2001, the essential recovery text has remained unchanged while personal stories have been added to reflect the growing and diverse fellowship. The long-awaited fourth edition features 24 new personal stories of recovery. Key features and benefits·the most widely used resource for millions of individuals in recovery·contains full, original text describing A.A. the program·updated with 24 new personal stories

    The reality of being poor brings out a survival mentality, and turns attention away from opportunities taken for granted by everyone else. If you work with people from poverty, some understanding of how different their world is from yours will be invaluable. Whether you're an educator--or a social, health, or legal services professional--this breakthrough book gives you practical, real-world support and guidance to improve your effectiveness in working with people from all socioeconomic backgrounds. Since 1995 A Framework for Understanding Poverty has guided hundreds of thousands of educators and other professionals through the pitfalls and barriers faced by all classes, especially the poor. Carefully researched and packed with charts, tables, and questionnaires, Framework not only documents the facts of poverty, it provides practical yet compassionate strategies for addressing its impact on people's lives.

    Fortunately, effective help is out there. No one is a better guide to how to get the best care—and what sufferers can do for themselves—than renowned ADHD researcher/clinician Russell A. Barkley. Dr. Barkley provides step-by-step strategies for managing symptoms and reducing their harmful impact. Readers get hands-on self-assessment tools and skills-building exercises, plus clear answers to frequently asked questions about medications and other treatments. Specific techniques are presented for overcoming challenges in critical areas where people with the disorder often struggle—work, finances, relationships, and more. Finally, an authoritative one-stop resource for adults with ADHD who are ready to take back their lives.See also Dr. Barkley's bestselling resource on childhood ADHD, Taking Charge of ADHD, Third Edition: The Complete, Authoritative Guide for Parents.