Refusing Care

Refusing Care PDF Author: Elyn R. Saks
Publisher: University of Chicago Press
ISBN: 0226733998
Category : Psychology
Languages : en
Pages : 315

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Book Description
It has been said that how a society treats its least well-off members speaks volumes about its humanity. If so, our treatment of the mentally ill suggests that American society is inhumane: swinging between overintervention and utter neglect, we sometimes force extreme treatments on those who do not want them, and at other times discharge mentally ill patients who do want treatment without providing adequate resources for their care in the community. Focusing on overinterventionist approaches, Refusing Care explores when, if ever, the mentally ill should be treated against their will. Basing her analysis on case and empirical studies, Elyn R. Saks explores dilemmas raised by forced treatment in three contexts—civil commitment (forced hospitalization for noncriminals), medication, and seclusion and restraints. Saks argues that the best way to solve each of these dilemmas is, paradoxically, to be both more protective of individual autonomy and more paternalistic than current law calls for. For instance, while Saks advocates relaxing the standards for first commitment after a psychotic episode, she also would prohibit extreme mechanical restraints (such as tying someone spread-eagled to a bed). Finally, because of the often extreme prejudice against the mentally ill in American society, Saks proposes standards that, as much as possible, should apply equally to non-mentally ill and mentally ill people alike. Mental health professionals, lawyers, disability rights activists, and anyone who wants to learn more about the way the mentally ill are treated—and ought to be treated—in the United States should read Refusing Care.

Refusing Care

Refusing Care PDF Author: Elyn R. Saks
Publisher: University of Chicago Press
ISBN: 0226733998
Category : Psychology
Languages : en
Pages : 315

Get Book Here

Book Description
It has been said that how a society treats its least well-off members speaks volumes about its humanity. If so, our treatment of the mentally ill suggests that American society is inhumane: swinging between overintervention and utter neglect, we sometimes force extreme treatments on those who do not want them, and at other times discharge mentally ill patients who do want treatment without providing adequate resources for their care in the community. Focusing on overinterventionist approaches, Refusing Care explores when, if ever, the mentally ill should be treated against their will. Basing her analysis on case and empirical studies, Elyn R. Saks explores dilemmas raised by forced treatment in three contexts—civil commitment (forced hospitalization for noncriminals), medication, and seclusion and restraints. Saks argues that the best way to solve each of these dilemmas is, paradoxically, to be both more protective of individual autonomy and more paternalistic than current law calls for. For instance, while Saks advocates relaxing the standards for first commitment after a psychotic episode, she also would prohibit extreme mechanical restraints (such as tying someone spread-eagled to a bed). Finally, because of the often extreme prejudice against the mentally ill in American society, Saks proposes standards that, as much as possible, should apply equally to non-mentally ill and mentally ill people alike. Mental health professionals, lawyers, disability rights activists, and anyone who wants to learn more about the way the mentally ill are treated—and ought to be treated—in the United States should read Refusing Care.

The Finest Traditions of My Calling

The Finest Traditions of My Calling PDF Author: Abraham M. Nussbaum
Publisher: Yale University Press
ISBN: 0300211406
Category : Biography & Autobiography
Languages : en
Pages : 320

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Book Description
"Patients and doctors alike are keenly aware that the medical world is in the midst of great change. We live in an era of continuous healthcare reforms, many of which focus on high volume, efficiency, and cost-effectiveness. This compelling, thoughtful book is the response of a practicing physician who explains how population-based reforms are diminishing the relationship between doctor and patients, to the detriment of both. As an antidote to stubbornly held traditions, Dr. Abraham M. Nussbaum suggests ways that doctors and patients can learn what it means to be ill and to seek medical assistance. Drawing on personal stories, validated studies, and neglected history, the author develops a series of metaphors to explore a doctor's role in different healthcare reform scenarios: scientist, technician, author, gardener, teacher, servant, and witness. Each role shapes what physicians see when they encounter a patient. Dr. Nussbaum cautions that true healthcare reform can happen only when those who practice medicine can see, and be seen by, their patients as fellow creatures. His memoir makes a hopeful appeal for change, and his insights reveal the direction that change must take."--Jacket flap.

W-3

W-3 PDF Author: Bette Howland
Publisher: Public Space Books, A
ISBN: 9780998267531
Category :
Languages : en
Pages : 224

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Book Description
An extraordinary portrait of a brilliant mind on the brink: A new edition of the 1974 memoir by the author of the acclaimed collection Calm Sea and Prosperous Voyage. With an introduction by Yiyun Li.

Mental Disorder and Crime

Mental Disorder and Crime PDF Author: Sheilagh Hodgins
Publisher: SAGE Publications, Incorporated
ISBN: 9780803950238
Category : Psychology
Languages : en
Pages : 400

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Book Description
Contributors to this volume present and discuss new data which suggest that major mental disorder substantially increases the risk of violent crime. These findings come at a crucial time, since those who suffer from mental disorders are increasingly living in the community, rather than in institutions. The book describes the magnitude and complexity of the problem and offers hope that humane, effective intervention can prevent violent crime being committed by the seriously mentally disordered.

WHO Resource Book on Mental Health, Human Rights and Legislation

WHO Resource Book on Mental Health, Human Rights and Legislation PDF Author: Melvyn Freeman
Publisher: World Health Organization
ISBN: 9789241562829
Category : Law
Languages : en
Pages : 204

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Book Description
This publication highlights key issues and principles to be considered in the drafting, adoption and implementation of mental health legislation and best practice in mental health services. It contains examples of diverse experiences and practices, as well as extracts of laws and other legal documents from a range of different countries, and a checklist of key policy components. Three main elements of effective mental health legislation are identified, relating to context, content and process.

The Collected Schizophrenias

The Collected Schizophrenias PDF Author: Esmé Weijun Wang
Publisher: Penguin UK
ISBN: 0141991542
Category : Biography & Autobiography
Languages : en
Pages : 224

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Book Description
'Dazzling ... in her kaleidoscopic essays, memoir has been shattered into sliding and overlapping pieces ... mind-expanding' The New York Times Book Review Esmé Weijun Wang was officially diagnosed with schizoaffective disorder in 2013, although the hallucinations and psychotic episodes had started years before that. In the midst of a high functioning life at Yale, Stanford and the literary world, she would find herself floored by an overwhelming terror that 'spread like blood', or convinced that she was dead, or that her friends were robots, or spiders were eating holes in her brain. What happens when your whole conception of yourself is turned upside down? When you're aware of what is occurring to you, but unable to do anything about it? Written with immediacy and unflinching honesty, this visceral and moving book is Wang's story, as she steps both inside and outside of her condition to bring it to light. Following her own diagnosis and the many manifestations of schizophrenia in her life, she ranges over everything from how we label mental illness to her own use of fashion and make-up to present herself as high-functioning, from the failures of the higher education system to how factors such as PTSD and Lyme disease compounded her experiences. Wang's analytical, intelligent eye, honed as a former lab researcher at Stanford, allows her to balance research with haunting personal narrative. The Collected Schizophrenias cuts right to the core and provides unique insight into a condition long misdiagnosed and much misunderstood.

Nonsuicidal Self-Injury

Nonsuicidal Self-Injury PDF Author: E. David Klonsky
Publisher: Hogrefe Publishing GmbH
ISBN: 161676337X
Category : Psychology
Languages : en
Pages : 99

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Book Description
Nonsuicidal self-injury (NSSI) is a baffling, troubling, and hard to treat phenomenon that has increased markedly in recent years. Key issues in diagnosing and treating NSSI adequately include differentiating it from attempted suicide and other mental disorders, as well as understanding the motivations for self-injury and the context in which it occurs. This accessible and practical book provides therapists and students with a clear understanding of these key issues, as well as of suitable assessment techniques. It then goes on to delineate research-informed treatment approaches for NSSI, with an emphasis on functional assessment, emotion regulation, and problem solving, including motivational interviewing, interpersonal skills, CBT, DBT, behavioral management strategies, delay behaviors, exercise, family therapy, risk management, and medication, as well as how to successfully combine methods.

State Mental Hospitals and the Elderly

State Mental Hospitals and the Elderly PDF Author: American Psychiatric Association. Task Force on Geriatric Psychiatry in the Public Mental Health Sector
Publisher: Association
ISBN:
Category : Mental health policy
Languages : en
Pages : 112

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Book Description
"By 1987, elderly patients comprised nearly one-fifth of all residents of state and county mental hospitals. During the past three decades, the deinstitutionalization movement has profoundly altered the care of elderly patients in state and county mental hospitals. In this task force report, leaders in the fields of geriatrics and long-term care present an overview of state-run mental hospitals. This report recommends the establishment of efficient, high-quality, and appropriately targeted state mental hospital services for elderly patients that will lead to the development of a comprehensive psychogeriatric care system." "State Mental Hospitals and the Elderly presents a review of the history and current status of care of elderly patients, the barriers that exist to improving psychogeriatric services, paradigms of psychogeriatric inpatient care, the role state hospitals play in the care of mentally ill elderly patients, the responsibilities of state mental hospitals for elderly patients with Alzheimer's disease and related disorders, training opportunities at state hospitals for residents and fellows in geriatric psychiatry, and recommendations for action needed to improve geriatric care for elderly patients."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved

Rabbits for Food

Rabbits for Food PDF Author: Binnie Kirshenbaum
Publisher: Soho Press
ISBN: 1641290544
Category : Fiction
Languages : en
Pages : 385

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Book Description
Master of razor-edged literary humor Binnie Kirshenbaum returns with her first novel in a decade, a devastating, laugh-out-loud funny story of a writer’s slide into depression and institutionalization. It’s New Year’s Eve, the holiday of forced fellowship, mandatory fun, and paper hats. While dining out with her husband and their friends, Kirshenbaum’s protagonist—an acerbic, mordantly witty, and clinically depressed writer—fully unravels. Her breakdown lands her in the psych ward of a prestigious New York hospital, where she refuses all modes of recommended treatment. Instead, she passes the time chronicling the lives of her fellow “lunatics” and writing a novel about what brought her there. Her story is a brilliant and brutally funny dive into the disordered mind of a woman who sees the world all too clearly. Propelled by razor-sharp comic timing and rife with pinpoint insights, Kirshenbaum examines what it means to be unloved and loved, to succeed and fail, to be at once impervious and raw. Rabbits for Food shows how art can lead us out of—or into—the depths of disconsolate loneliness and piercing grief. A bravura literary performance from one of our most indispensable writers.

My Lovely Wife

My Lovely Wife PDF Author: Mark Lukach
Publisher: Bluebird
ISBN: 9781509805969
Category : Husband and wife
Languages : en
Pages : 320

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Book Description
Mark and Giulia's life together began as a storybook romance. They fell in love at eighteen, married at twenty-four, and were living their dream life in San Francisco. When Giulia was twenty-seven, she suffered a terrifying and unexpected psychotic break that landed her in the psych ward for nearly a month. One day she was vibrant and well-adjusted; the next she was delusional and suicidal, convinced that she was the devil and that her loved ones were not safe. All she wanted was to die. Eventually, Giulia fully recovered, and the couple had a son. But, soon after Jonas was born, Giulia had another breakdown, and then a third a few years after that. pushed to the edge of the abyss, everything the couple had once taken for granted was upended. A story of the fragility of the mind, and the tenacity of the human spirit, My Lovely Wife is, above all, a love story that raises profound questions: How do we care for the people we love? What and who do we live for? Breathtaking in its candor, radiant with compassion, and written with dazzling lyricism, Lukach's is an intensely personal odyssey through the harrowing years of his wife's mental illness, anchored by an abiding devotion to family that will affirm readers' faith in the power of love.