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Autism, ECT, and the Treatment of Our Most Impaired Children
In the fall of 2009, Amy Lutz and her husband, Andy, struggled with one of the worst decisions parents could possibly face: whether they could safely keep their autistic ten-year-old son, Jonah, at home any longer. Multiple medication trials, a long procession of behavior modification strategies, and even an almost year-long hospitalization had all failed to control his violent rages. Desperate to stop the attacks that endangered family members, caregivers, and even Jonah himself, Amy and Andy decided to try the controversial procedure of electroconvulsive therapy or ECT. Over the last three years, Jonah has received 136 treatments. His aggression has greatly diminished, and for the first time Jonah, now fourteen, is moving to a less restricted school.
Each Day I Like It Better recounts the journeys of Jonah and seven other children and their families (interviewed by the author) in their quests for appropriate educational placements and therapeutic interventions. The author describes their varied, but mostly successful, experiences with ECT.
A survey of research on pediatric ECT is incorporated into the narrative, and a foreword by child psychiatrist Dirk Dhossche and ECT researcher and practitioner Charles Kellner explains how ECT works, the side effects patients may experience, and its current use in the treatment of autism, catatonia, and violent behavior in children.
A Culturally Adaptive Clinical Guide
Taking into account cultural differences between Asian and Western patients, this book focuses on delivery of effective treatment at an early stage in psychosis, especially for young people. It pays particular attention to early intervention programmes established in Hong Kong and Singapore, and assesses recent developments in Korea, Japan and other countries. The volume covers approaches in the management of psychosis, including pathway to care, stigma and interventions. With reference to the experiences of frontline practitioners, research findings and theories, it highlights the practical needs in non-Western healthcare settings. Culturally relevant discussions on recovery, relapse, self-harm and comorbid substance abuse are discussed. It also covers case studies to illustrate challenges and strategies in managing early psychosis.
This timely volume reviews current data on the effects of estrogen on the central nervous system, highlighting clinical aspects of this topic. Experts from the fields of psychiatry, pharmacology, neurology, and geriatrics collaborate to clarify the known risks and benefits of hormone therapy and explore questions that remain to be elucidated. Among the topics discussed: " Preclinical data on estrogen's effects on cognitive performance " The short-lived effects of hormone replacement therapy on cognitive function " Structural and functional brain imaging data regarding estrogen's effects on the central nervous system " Preclinical efforts to develop effective NeuroSERMs for the brain " The effects of estrogen on mood Citing the ongoing confusion over the risks and benefits of estrogen therapy, the contributors emphasize the need for additional research on medication, doses, preparations, methods of administration, alternative therapies, and supplements. This volume educates researchers, clinicians, and students on the current knowledge—including the effects of estrogen on mood, cognition, and brain metabolism—and provides guidelines for clinical practice and future research. Contributors: Roberta Diaz Brinton, Ph.D., University of Southern California; Cheri L. Geist, B.A., David Geffen School of Medicine, University of California at Los Angeles; Robert B. Gibbs, Ph.D., University of Pittsburgh School of Pharmacy; Eva Hogervorst, Ph.D., University of Loughborough and University of Oxford; Pauline M. Maki, Ph.D., Neuropsychiatric Institute, University of Illinois–Chicago; Peter J. Schmidt, M.D., National Institute of Mental Health; Daniel H. S. Silverman, M.D., Ph.D., David Geffen School of Medicine, University of California at Los Angeles; Katherine E. Williams, M.D., Stanford University School of Medicine; Kristine Yaffe, M.D., University of California, San Francisco, and San Francisco VA Medical Center; Laurel N. Zappert, B.A., Stanford University School of Medicine; Liqin Zhao, Ph.D., University of Southern California
A Noble Fight
This biography details the life of Elizabeth Packard, who in 1860 was committed to an insane asylum by her husband, a strong-willed Calvinist minister. Upon her release three years later, Packard obtained a jury trial and was declared sane, but her husband had already sold their home and left for Massachusetts with their young children and her personal property._x000B__x000B_This experience launched Packard into a career as an advocate for the civil rights of married women and the mentally ill. She wrote numerous books and lobbied legislatures literally from coast to coast advocating more stringent commitment laws, protections for the rights of asylum patients, and laws to give married women equal rights in matters of child custody, property, and earnings. Despite strong opposition from the psychiatric community, Packard's laws were passed in state after state, with lasting impact on commitment and care of the mentally ill in the United States.
Intersubjectivity and Nonduality in the Psychotherapeutic Process
The Empathic Ground explores the experience of nondual consciousness as the basis of human connection, and describes its importance for psychological healing. It looks at the therapeutic relationship from the perspectives of psychoanalytic intersubjectivity theory and Asian nondual philosophy, finding practical meeting points between them that illuminate crucial issues in psychotherapy, such as transference and counter-transference, the nature of subjectivity, and the role of the body. The book also includes a series of exercises developed by the author for realizing nondual consciousness in the clinical setting. Access to this subtle, unified dimension of consciousness develops both our individual human capacities—perception, understanding, love, and physical pleasure—and our relationships with other people. It thus has profound significance for both psychological healing and development, and for the relationship of psychotherapist and client.
Initiatives communautaires novatrices
Des initiatives communautaires novatrices : service d'accompagnement à la naissance et rencontres de groupes de parents ; développement d'un nouveau modèle de fonctionnement afin d'améliorer le taux de réussite de jeunes en difficulté ; développement des enfants de 0-3 ans dans les communautés défavorisées ; mission, valeurs, principes et actions auprès des personnes et des familles à faibles revenus.
Problèmes et résilience
Les auteurs, après avoir décrit les problèmes neurologiques, biologiques et environnementaux des enfants de parents alcooliques, toxicomanes ou joueurs pathologiques, présentent les caractéristiques et les expériences qui semblent soutenir une saine adaptation en dépit de situations personnelles et sociofamiliales défavorables. De l'analyse des facteurs de résilience inventoriés, ils dégagent certaines leçons pour l'intervention préventive et font état de quelques programmes de prévention ou d'intervention déjà mis en application et dûment évalués. Pour conclure, ils proposent des recommandations en matière de recherche et de politiques sociales.
The Political Project of Psychoanalysis
Although there have been many attempts to apply the ideas of psychoanalysis to political thought, this book is the first to identify the political project inherent in the fundamental tenets of psychoanalysis. And this political project, Todd McGowan contends, provides an avenue for emancipatory politics after the failure of Marxism in the twentieth century.
Where others seeking the political import of psychoanalysis have looked to Freud’s early work on sexuality, McGowan focuses on Freud’s discovery of the death drive and Jacques Lacan’s elaboration of this concept. He argues that the self-destruction occurring as a result of the death drive is the foundational act of emancipation around which we should construct our political philosophy. Psychoanalysis offers the possibility for thinking about emancipation not as an act of overcoming loss but as the embrace of loss. It is only through the embrace of loss, McGowan suggests, that we find the path to enjoyment, and enjoyment is the determinative factor in all political struggles—and only in a political project that embraces the centrality of loss will we find a viable alternative to global capitalism.
How Status Divides Us
The United States was founded on the principle of equal opportunity for all, and this ethos continues to inform the nation’s collective identity. In reality, however, absolute equality is elusive. The gap between rich and poor has widened in recent decades, and the United States has the highest level of economic inequality of any developed country. Social class and other differences in status reverberate throughout American life, and prejudice based on another’s perceived status persists among individuals and groups. In Envy Up, Scorn Down, noted social psychologist Susan Fiske examines the psychological underpinnings of interpersonal and intergroup comparisons, exploring why we compare ourselves to those both above and below us and analyzing the social consequences of such comparisons in day-to-day life. What motivates individuals, groups, and cultures to envy the status of some and scorn the status of others? Who experiences envy and scorn most? Envy Up, Scorn Down marshals a wealth of recent psychological studies as well as findings based on years of Fiske’s own research to address such questions. She shows that both envy and scorn have distinctive biological, emotional, cognitive, and behavioral characteristics. And though we are all “wired” for comparison, some individuals are more vulnerable to these motives than others. Dominant personalities, for example, express envy toward high-status groups such as the wealthy and well-educated, and insecurity can lead others to scorn those perceived to have lower status, such as women, minorities, or the disabled. Fiske shows that one’s race or ethnicity, gender, and education all correlate with perceived status. Regardless of whether one is accorded higher or lower status, however, all groups rank their members, and all societies rank the various groups within them. We rate each group as either friend or foe, able or unable, and accordingly assign them the traits of warmth or competence. The majority of groups in the United States are ranked either warm or competent but not both, with extreme exceptions: the homeless or the very poor are considered neither warm nor competent. Societies across the globe view older people as warm but incompetent. Conversely, the very rich are generally considered cold but highly competent. Envy Up, Scorn Down explores the nuances of status hierarchies and their consequences and shows that such prejudice in its most virulent form dehumanizes and can lead to devastating outcomes—from the scornful neglect of the homeless to the envious anger historically directed at Tutsis in Rwanda or Jews in Europe. Individuals, groups, and even cultures will always make comparisons between and among themselves. Envy Up, Scorn Down is an accessible and insightful examination of drives we all share and the prejudice that can accompany comparison. The book deftly shows that understanding envy and scorn—and seeking to mitigate their effects—can prove invaluable to our lives, our relationships, and our society.
Addressing the common ground between ethics and psychoanalysis, W. W. Meissner asks “Does psychoanalysis have anything to contribute to ethical understanding and reflection?” and conversely, “Does ethics have anything to offer analytic understanding of the complexities of human behavior and decision-making?” Both disciplines focus their interest and concern not only on the inner well-being of the individual, but also on questions of his or her adaptation to the outside world, including both intimate personal relations as well as broader societal and communal relations. This book explores and explicates areas of interaction and common interest between these two disciplines in the hope of opening the way to further exploration and dialogue in the understanding of the human phenomenon.