What begins as a concussion with a diagnosed recovery time of seven-to-ten days becomes more than two years of debilitating pain with no apparent end and a string of unhelpful doctor and specialist visits. In the wreckage, jobs are canceled. Leases are broken. There is no second date. What’s left is Isabella, her body, and her pain. Because the source of her pain cannot be located within the body, she is told over and over that her pain is psychosomatic. And Isabella believes it, over and over. What follows is a surprisingly funny medical and spiritual journey, during which Isabella must learn to trust in all that she cannot see or quantify: her pain, God, and her inner voice. Everything fell apart and then something new emerged.

    Possessed of great warmth, wit and, above all a humanity which informs every word in this extraordinary account of Jersey life during the German Occupation, he served the island community with unfailing resourcefulness and not a little courage for five long and stressful years. However, despite the awfulness of the time, Dr Lewis infuses his account of it with an irrepressible joie de vivre which is utterly delightful. It is an uplifting story of winning against the odds, by turns hysterically funny and then unbearably sad. Above all it has an immediacy which takes the reader right into the heart of the Occupation, you can smell the fear, feel the pain, suffer the loss, sense the victory as do the characters in this history and they are many and varied. You will meet the good Jersey folk like the brave and tragic Mrs Gould from St Ouens and the not so good Jersey folk in the shape of the collaborators and informers or the “Jerry bags” like the exotic Ginger Lou. Here too you will meet some of the most wretched victims of the war, the Russian Todt workers who were hidden and helped by the locals and of course the many sorts of Germans who made up the occupying force. It is a story of compelling interest.I had the good fortune to meet John Lewis and his wife in 1991 at his lovely Jersey home. He talked for hours that seemed like minutes of his life during the war years. He was just as I’d hoped he would be - endlessly kind, witty and understanding. I came away from that meeting feeling happy, elated and much wiser, as you will surely do after reading of the Doctor’s Occupation. John Nettles

    

    Kept within arm's reach of all mental health professionals, this invaluable "one-stop" reference will prepare you to teach students and treat patients more effectively with its truly integrative psychodynamic approach.The author has meticulously updated every chapter of the previous edition, adding new illustrative case examples and discussing the most recent research findings and concepts in psychodynamic psychiatry. It introduces the basic principles of psychodynamic psychiatry and the four fundamental theoretical frameworks derived from psychoanalytic theory: ego psychology, object relations theory, self psychology, and attachment theory. Drawing on the latest breakthroughs in neuroscience to validate the latest psychodynamic thinking, the author includes neuroanatomical illustrations that highlight the need to integrate psychoanalytic theories of development with brain development and the impact of environment on gene expression.The eminently practical Psychodynamic Psychiatry in Clinical Practice is organized into three distinct sections based on DSM-IV diagnoses: - Section I, Basic Principles and Treatment Approaches in Dynamic Psychiatry, begins by laying a foundation in psychoanalytic theory. It focuses on how to apply psychoanalytic theory to specific types of evaluation and treatment, including psychodynamic assessment, brief therapy, individual and group psychotherapy, family and marital therapy, pharmacotherapy, and hospital/partial hospital treatment.- Section II, Dynamic Approaches to Axis I Disorders, covers the major psychiatric disorders and discusses how to apply psychodynamic understanding to the treatment of patients with these disorders.- Section III, Dynamic Approaches to Axis II Disorders, provides a psychodynamic understanding of personality disorders and covers in detail the principles of psychodynamic psychotherapy for these conditions.The fourth edition of Psychodynamic Psychiatry in Clinical Practice details the theory of psychodynamic psychotherapy and the adaptation of psychodynamic thinking to specific disorders. As such, it is an ideal companion to Dr. Gabbard's Long-Term Psychodynamic Psychotherapy: A Basic Text, which details the techniques of dynamic psychotherapy.The bestselling Psychodynamic Psychiatry in Clinical Practice is the definitive reference for training programs of all kinds at all levels. This new edition provides a clear synthesis of diagnostic understanding and treatment unmatched in the literature. Marked by Dr. Gabbard's distinctly lucid and compelling prose, it is the ultimate psychiatric guide for the busy clinician and mental health student.

    Advancing a model of treatment as transformation through relationship, the author integrates attachment theory with neuroscience, trauma studies, relational psychotherapy, and the psychology of mindfulness. Vivid case material illustrates how therapists can tailor interventions to fit the attachment needs of their patients, thus helping them to generate the internalized secure base for which their early relationships provided no foundation. Demonstrating the clinical uses of a focus on nonverbal interaction, the book describes powerful techniques for working with the emotional responses and bodily experiences of patient and therapist alike.

    In an overcrowded, underfunded medical system, she explores how more of us can be healthier, and how listening carefully to a patient’s experience can be as important as prescribing a pill. These dazzling essays show Hitchcock to be one of the most fearless and illuminating medical thinkers of our time – reasonable, insightful and deeply humane.

    It is the story of two nurses who witnessed the early years of the HIV/AIDS epidemic from the frontline. It focuses on their lives and their experiences. Some of the story is raw, sometimes graphic, but familiar for people with HIV infection, family members, friends, and other nurses and medical professionals such as Ellen and Valery. There were hundreds of nurses who went through what Ellen and Valery experienced. They want to tell this story to give a voice to a generation lost, encouraging the world to remember one simple thing: this history cannot be repeated.

    But what seemed a perfect life was shattered when she went into labor four months early, delivering her one-pound, eleven-ounce daughter, Andie.The first time Kasey was wheeled into the Neonatal Intensive Care Unit (NICU), nothing prepared her for what she saw: a tiny, fragile baby in a tangle of tubes and wires. All at once, Kasey was confronted with a new and terrifying reality that would test the limits of love, family, and motherhood.In this riveting, honest, and often humorous memoir, Preemie chronicles the journey of one tiny baby’s tenacious struggle to hold on to life and the mother who ultimately grew with her. From hospital waiting rooms to the offices of alternative practitioners, from ski slopes to Symphony Hall, Kasey tries to make meaning of her daughter’s birth and eventually comes to learn that gifts come in all sizes and all forms, and sometimes... right on time.

    And, should you ever get to hold one, you will find the human heart to be rubbery and shockingly light.'What Could Possibly Go Wrong? is a report from the front line of emergency medicine, the first ever account of what it is like to work as an air ambulance doctor. Whether describing cutting through a patient's breastbone to plug a stab wound or barrel rolling a light aircraft at 5,000 feet, Tony Bleetman captures the sheer adrenaline of racing through the sky to save lives. You will learn how to land a helicopter on the side of a mountain, what it means to encounter death every day, and how to perform a tracheotomy in real life (clue: it doesn’t involve a ball-point pen).Funny, shocking and moving, What Could Possibly Go Wrong? is a glimpse at a world where the wrong decision can mean the difference between life and death.Originally published as You Can't Park There: The Highs and Lows of an Air Ambulance Doctor.

    Carry this guide with you to the grocery store, restaurants, even on vacation to avoid putting on those extra pounds, or getting sick from eating the wrong thing. You'll never have to be without Dr. D'Adamo's reassuring guidance again. Inside you will find complete listings of what's right for Type B in the following categories: * meats, poultry, and seafood * oils and fats * dairy and eggs * nuts, seeds, beans, and legumes * breads, grains, and pastas * fruits, vegetables, and juices * spices and condiments * herbal teas and other beverages * special supplements * drug interactions * resources and support Refer to this book while shopping, dining, or cooking-and soon, you will be on your way to developing a prescription plan that's right for your type.

    Sybil became both a pop phenomenon and a revolutionary force in the psychotherapy industry. The book rocketed multiple personality disorder (MPD) into public consciousness and played a major role in having the diagnosis added to the psychiatric bible, Diagnostic and Statistical Manual of Mental Disorders. But what do we really know about how Sybil came to be? In her news-breaking book Sybil Exposed, journalist Debbie Nathan gives proof that the allegedly true story was largely fabricated. The actual identity of Sybil (Shirley Mason) has been available for some years, as has the idea that the book might have been exaggerated. But in Sybil Exposed, Nathan reveals what really powered the legend: a trio of women—the willing patient, her ambitious shrink, and the imaginative journalist who spun their story into bestseller gold. From horrendously irresponsible therapeutic practices—Sybil’s psychiatrist often brought an electroshock machine to Sybil’s apartment and climbed into bed with her while administering the treatment— to calculated business decisions (under an entity they named Sybil, Inc., the women signed a contract designating a three-way split of profits from the book and its spin-offs, including board games, tee shirts, and dolls), the story Nathan unfurls is full of over-the-top behavior. Sybil’s psychiatrist, driven by undisciplined idealism and galloping professional ambition, subjected the young woman to years of antipsychotics, psychedelics, uppers, and downers, including an untold number of injections with Pentothal, once known as “truth serum” but now widely recognized to provoke fantasies. It was during these “treatments” that Sybil produced rambling, garbled, and probably “false-memory”–based narratives of the hideous child abuse that her psychiatrist said caused her MPD. Sybil Exposed uses investigative journalism to tell a fascinating tale that reads like fiction but is fact. Nathan has followed an enormous trail of papers, records, photos, and tapes to unearth the lives and passions of these three women. The Sybil archive became available to the public only recently, and Nathan examined all of it and provides proof that the story was an elaborate fraud—albeit one that the perpetrators may have half-believed. Before Sybil was published, there had been fewer than 200 known cases of MPD; within just a few years after, more than 40,000 people would be diagnosed with it. Set across the twentieth century and rooted in a time when few professional roles were available to women, this is a story of corrosive sexism, unchecked ambition, and shaky theories of psychoanalysis exuberantly and drastically practiced. It is the story of how one modest young woman’s life turned psychiatry on its head and radically changed the course of therapy, and our culture, as well.

    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.

    Writing with compassion, humor, and a deft literary touch, Elias Aboujaoude, an expert on obsessive compulsive disorder and behavioral addictions, tells stories inspired by memorable patients he has treated, taking us from initial contact through the stages of the doctor-patient relationship. Into these interconnected vignettes Aboujaoude weaves his own personal experiences while presenting up-to-date, accessible medical information. Rich in both meaning and symbolism, Compulsive Acts is a journey of personal growth and hope that illuminates a fascinating yet troubling dimension of human experience as it explores a group of potentially disabling conditions that are too often suffered in silence and isolation.

    

    A new mother is admitted with incessant visions of harming her child. A recent graduate, dressed in a tunic and declaring that love emanates from everything around him, is brought to A&E by his alarmed girlfriend. These are among the patients new physician Christine Montross meets during rounds at her hospital’s locked inpatient ward – and who we meet as she struggles to understand the mysteries of the mind, most especially when the tools of modern medicine are failing us. Beautifully written and deeply felt, Falling into the Fire is an intimate portrait of psychiatry and a moving reminder, in the words of the New York Times, of 'our fragile, shared humanity'