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This valued resource helps practitioners and students evaluate the merits of popular yet controversial practices in clinical psychology and allied fields, and base treatment decisions on the best available research. Leading authorities review widely used therapies for a range of child, adolescent, and adult disorders, differentiating between those that can stand up to the rigors of science and those that cannot. Questionable assessment and diagnostic techniques and self-help models are also examined. The volume provides essential skills for thinking critically as a practitioner, evaluating the validity of scientific claims, and steering clear of treatments that are ineffective or even harmful.New to This Edition•Reflects the significant growth of evidence-based practices in the last decade.•Updated throughout with the latest treatment research.•Chapter on attachment therapy.•Chapter on controversial interventions for child and adolescent antisocial behavior.•Addresses changes in DSM-5.

PET and SPECT in Psychiatry showcases the combined expertise of renowned authors whose dedication to the investigation of psychiatric disease through nuclear medicine technology has achieved international recognition. The classical psychiatric disorders as well as other subjects – such as suicide, sleep, eating disorders, and autism – are discussed and the latest results in functional neuroimaging are detailed. Most chapters are written jointly by a clinical psychiatrist and a nuclear medicine expert to ensure a multidisciplinary approach. This state of the art compendium will be valuable to all who have an interest in the field of neuroscience, from the psychiatrist and the radiologist/nuclear medicine specialist to the interested general practitioner and cognitive psychologist. It is the first volume of a trilogy on PET and SPECT imaging in the neurosciences; other volumes will focus on PET and SPECT in neurology and PET and SPECT of neurobiological systems.

It is a great pleasure for me to write a foreword to thi~ fine work by many dif­ ferent collaborators under the aegis of my friend and one-time colleague in Geneva, Dr. E. James Anthony, because it represents a collective effort toward a goal that today seems very necessary yet difficult to attain. This goal is the synthesis of developmental psychology with all the other aspects of child psychology into a science of ontogenetic development from birth to maturity encompassing three points of view-the biological, the behavioral, and the internalization of the behavioral into mental life. This synthesis is indeed necessary since it is not possible to understand a disorder or a developmental arrest without having a sufficient knowledge of l the ensemble of elements that has brought it about. At each level of development, the personality of the subject attempts to integrate a multiplex system of factors in varying proportion, and without carefully and fully considering this interdigitating whole, it is not easy to disentangle the mechanisms involved in any particular functional disintegration.

This multiauthored textbook is directed to the psychiatric resident and other professionals who are interested in the issues, strategies, and methods of psychiatric research. Although the field of psychiatry has not attained the scientific rigor and clinical sophistication of some of its sister disciplines in the medical arena, considerable progress has been made in the last decade or two, and a full understanding of the types of articles that now appear in such publications as the American Journal of Psychiatry, the Archives of General Psychi­ atry, and the Journal of the American Academy of Child and Adolescent Psychiatry requires a fair amount of knowledge about research design and strategy. Whereas articles in psychiatric journals 20 years ago dealt mainly with psycho­ dynamic topics and utilized nonexperimental observations, today their counter­ parts are concerned mostly with psychobiology, clinical features, diagnosis, and treatment, and employ scientific experimental designs. The trend of applying scientific methodology to research in psychiatry is increasing and undoubtedly will continue to do so in the future.

In this book, the authors present current research in mental health and psychiatry issues. Topics discussed include the cognitive and emotional processes in approaching personality disorders; sensory impairment and mental health; evidence for epidemiological transition hypothesis for elderly suicides; and the psychiatry of Pellagra.

Die Auseinandersetzung mit der Bedeutung und dem Sinngehalt von Wahnberichten tritt in den letzten Jahren – trotz der unzweifelhaften Behandlungserfolge der Psychopharmakologie seit Einführung der Antipsychotika – wieder mehr in den Vordergrund. Dieses Buch widmet sich der Bedeutungsanalyse des Wahns als dem wohl faszinierendsten und rätselhaftesten Phänomen der Psychopathologie und beleuchtet diesen aus der Sicht unterschiedlicher Therapieschulen. Zu Wort kommen deskriptive Psychopathologen, Systemtheoretiker, Psychoanalytiker freudscher, kleinianischer und lacanianischer Provenienz, analytische Psychologen nach C.G. Jung, Existenzialanalytiker und Inhaltsanalytiker. Die Beiträge thematisieren die Konzepte der jeweiligen Therapieschulen, die Untersuchungsmethoden und Denkrichtungen zum Thema Wahn. Dem schließt sich die Analyse von zwei Wahnerzählungen an. Mit diesem einmaligen Zugang zum Phänomen Wahn bereichert das Buch alle, die mit der Behandlung psychotischer Erkrankungen befasst sind, und vermittelt einen umfassenden Überblick zum Umgang mit Wahnpatienten.

Psychopharmacology has certainly had the greatest impact on psy­ chiatric theory and practice since the psychoanalytic discoveries by Freud. Beginning more than 20 years ago, psychopharmacology has become a vigorous interdisciplinary science, and over the last 10 to 15 years has witnessed a tremendous growth both from a scientific and practical point of view. Lithium occupies a unique and central position in modern psycho­ pharmacology for several reasons. The introduction of the lithium ion in 1949 as a psychoactive drug preceded the advent of reserpine or chlorprom­ azine and placed it as the first agent in the modern era of pharmacopsy­ chiatry. In fact, this first report on the use of lithium by an Australian clinician set a pattern to be followed for all other major groups of psychoac­ tive chemical agents. Unlike the now established antipsychotic and antidepressant drugs, however, no reliable predictions based on preclinical pharmacological studies were available about the profile of lithium's clinical activity. This problem of clinical predictability based on current preclinical pharmacological studies is now surfacing with the advent of many newer investigational psychoactive agents. As in the introduction of other therapeutic modalities in medicine, including psychiatry, serendipity was the midwife for lithium. The use of this ion in psychiatry, from its fortuitous introduction by Cade in 1949 to its present-day acceptance as a universal treatment modality in the affective emotional disorders, presents, however, a clear example of a hapless lag between discovery and application.

The five-year process of preparing for the revision of the Diagnostic and Statistical Manual (DSM) has been organized around a series of conferences convened by the American Psychiatric Association, in collaboration with the World Health Organization and the U.S. National Institutes of Health, to address the future of psychiatric diagnosis. Obsessive-Compulsive Spectrum Disorders: Refining the Research Agenda for DSM-V is the fruit of one of those conferences and presents the most academically sound, thought-provoking, and timely papers from the proceedings. As the conference and book demonstrate, recent advances in psychiatric diagnosis suggest a new approach to obsessive-compulsive disorder (OCD) classification: • Research into the pathogenesis of OCD increasingly supports reclassification out of the anxiety disorders and into a separate group of obsessive-compulsive-related disorders (OCRDs). • The relationships among OCRDs may be better defined, delineated, and understood if the current categorical diagnostic approach is supplemented with a dimensional approach which assesses obsessive-compulsive symptom domains.• Obsessive-compulsive disorders are believed to be underdiagnosed in patients who complain of broad symptoms of anxiety, and reclassification of OCD as an OCRD would promote more careful examination of distinct obsessive-compulsive symptoms, yield more accurate diagnosis, and result in more effective treatments.• Reclassification may facilitate future research directions in examining the biological underpinnings of these disorders. In addition to examining the genetic, neurological, and ethno-cultural bases for OCRDs, the book gives special attention to disorders that cross current diagnostic categories, including: • Body dysmorphic disorder (BDD)• Tourette's syndrome and trichotillomania• Impulse-control disorders The process leading to publication of DSM-V is by its nature an exhaustive and complex one, and the conferences play a critical role in reviewing relevant research, assessing the status of scientific knowledge, and advancing that knowledge base. Obsessive-Compulsive Spectrum Disorders: Refining the Research Agenda for DSM-V represents the cutting-edge thinking that will culminate in new diagnoses, classifications, and standards of practice for this debilitating set of disorders. Clinicians and academicians will be fascinated by this glimpse into the next generation of the DSM-V.

Following extensive research in the UK, Bruce Cohen allows mental health users to tell their own stories (or'narratives') of illness and recovery. Institutional and home treatment care is covered alongside controversial self-coping techniques such as drug-taking, spiritualism, alternative healing, sleep and watching television.

This book first appeared in Germany in 2004. In response to the great amount of interest in the book expressed by colleagues from all over the world, we subsequently decided to produce this English version. We have also taken this opportunity to update the information on the Department of Psychiatry since 1994 to include further developments up to the present day (see Chapter 15). One can look at a hospital from all kinds of different perspectives. For psychiatrists with the daily medical task of dealing with the life histories of their patients, it is understandable that they are interested in the development of their hospital from a historical perspective. To do this for the University Department of Psychiatry of Munich an introduction can be made by reminding the reader of a date: just over 100 years ago, on November 7, 1904, the newly constructed »Royal Psychiatric Hospital of the University of Munich« was inaugurated with a ceremonial act and handed over to the public. Emil Kraepelin gave a ceremonial speech on the occasion.

This is the first major text designed to help professionals and students evaluate the merits of popular yet controversial practices in clinical psychology, differentiating those that can stand up to the rigors of science from those that cannot. Leading researchers review widely used therapies for alcoholism, infantile autism, ADHD, and posttraumatic stress disorder; herbal remedies for depression and anxiety; suggestive techniques for memory recovery; and self-help models. Other topics covered include issues surrounding psychological expert testimony, the uses of projective assessment techniques, and unanswered questions about dissociative identity disorder. Providing knowledge to guide truly accountable mental health practice, the volume also imparts critical skills for designing and evaluating psychological research programs. It is ideal for use in advanced undergraduate- and graduate-level courses in clinical psychology, psychotherapy, and evidence-based practice.

Clinical research is often thought of as a dry and somewhat arcane pursuit.Not so, assert the editors of Elements of Clinical Research in Psychiatry. The editors, all actively engaged in clinical research, bring this topic to life by combining a boundless enthusiasm for their chosen field with a depth of knowledge rarely seen in the literature. They show that clinical research can be rewarding not only because the research results contribute to improving the welfare of psychiatric patients, but also because the research process itself is exciting.Arguably the definitive guidebook on clinical psychiatric research, this volume discusses • Careers in clinical mental health research -- Describes what clinical psychiatric researchers do and how to get started on this career path.• Research design, measurement, and assessment -- Covers all aspects of research design, defines and evaluates measurement types, and details various assessment methods (from interviews and questionnaires to lab tests and brain images).• Descriptive and inferential statistics -- Shows how statistics are used to analyze and summarize measurement data.• Research support -- Provides a roadmap for those seeking research support in the U.S. (more than 90% is funded via NIH), detailing how to write grants from the ground up.• Use of human subjects (the Institutional Review Board [IRB]) and ethics and misconduct -- Demystifies the often intimidating process of seeking and receiving IRB approval, with tips on how to work with the IRB and complete its consent forms; uses a series of practical scenarios, including a highly publicized case of alleged misconduct, to illustrate complex ethics and misconduct issues.• Writing journal articles, reviewing manuscripts, and giving scientific presentations -- Presents the nuts and bolts of publishing journal articles; gives step-by-step advice for reviewing manuscripts and giving oral presentations, symposia, poster sessions, and colloquia. Carefully chosen appendixes provide readers with additional information they can use right away, augmented by an index and detailed reference list for further investigation.Anyone considering clinical psychiatric research as a career option will find in this succinct and eminently practical volume the single source they need. Practicing psychiatrists interested in specific areas of clinical research, such as human subject use or biomedical ethics, will also find much of interest here. Replete with useful information, these stimulating discussions provide the building blocks for embarking upon -- and enhancing -- a successful career in clinical psychiatric research.

Essential for the laboratory, this practical manual presents a wide variety of techniques associated with the use of human CNS tissue obtained at autopsy. The book contains detailed methodologies in discrete chapters written by an expert in the specific field. It also addresses the potential for extending molecular studies in brain tissue obtain