For centuries the "treatment" of mentally disturbed individuals was quite simple. They were accused of collusion with evil spirits, hunted, and persecuted. The last "witch" was killed as late as 1782 in Switzerland. Mentally disturbed people did not fare much better even when the witchhunting days were gone. John Christian Reil gave the following description of mental pa tients at the crossroads of the fifteenth and sixteenth centuries: We incarcerate these miserable creatures as if they were criminals in abandoned jails, near to the lairs of owls in barren canyons beyond the city gates, or in damp dungeons of prisons, where never a pitying look of a humanitarian penetrates; and we let them, in chains, rot in their own excrement. Their fetters have eaten off the flesh of their bones, and their emaciated pale faces look expectantly toward the graves which will end their misery and cover up our shamefulness. (1803) The great reforms introduced by Philippe Pinel at Bicetre in 1793 augured the beginning of a new approach. Pinel ascribed the "sick role," and called for compas sion and help. One does not need to know much about those he wants to hurt, but one must know a lot in order to help. Pinel's reform was followed by a rapid develop ment in research of causes, symptoms, and remedies of mental disorders. There are two main prerequisites for planning a treatment strategy.

Psychiatry is a mess. Patients who urgently need help go untreated, while perfectly healthy people are over-diagnosed with serious mental disorders and receive unnecessary medical treatment. The roots of the problem are the vast pharmaceutical industry profits and a diagnostic system--the Diagnostic and Statistical Manual of Mental Disorders (DSM)--vulnerable to exploitation. Drug companies have fostered the development of this system, pushing psychiatry to over-extend its domain so that more people can be diagnosed with mental disorders and treated with drugs. This book describes the steady expansion of the DSM--both the manual itself and its application--and the resulting over-medication of society. The author discusses revisions and additions to the DSM (now in its fifth edition) that have only deepened the epidemics of major depression, premenstrual dysphoric disorder, social anxiety disorder, attention deficit disorder and bipolar disorder.

Stress has been recognized as an important factor in the development or recurrence of various mental disorders, from major depressive disorder to bipolar disorder to anxiety disorders. Stressful stimuli also appear to exert their effects by acting upon individuals with susceptible genotypes. Over the past 50 years, animal models have been developed to study these dynamic interactions between stressful stimuli and genetically susceptible individuals during prenatal and postnatal development and into adulthood. Stress and Mental Disorders: Insights from Animal Models begins with a discussion of the history of psychiatric diagnosis and the recent goal of moving toward precision psychiatry, followed by a review of clinical research on connections between stressful stimuli and the development of psychiatric disorders. Chapters are also included on neuroendocrine, immune, and brain systems involved in responses to stress. Additional chapters focus on the development of animal models in psychiatry and the susceptibility of the developing organism to stressful stimuli. Subsequent chapters are devoted to animal models of specific stress-sensitive psychiatric disorders, including schizophrenia, autism spectrum disorders, bipolar disorder, anxiety disorders, depression, and post-traumatic stress disorder. These chapters also focus on identification of promising molecular targets for development of new drug therapies. The section concludes with a chapter on animal models of resilience to stress-induced behavioral alterations as a newer approach to understanding why some animals are susceptible to stress and others are resilient, even though they are essentially genetically identical. The final chapter discusses how these basic laboratory studies are providing promising leads for future breakthroughs in the diagnosis, treatment, and prevention of mental disorders.

Children and young people with complex mental health needs are increasingly being cared for within specialist mental health care settings, either in the community or in in-patient facilities. With rapid social developments, it can be difficult for carers and practitioners to keep track of the law in this area. This book provides a guide to the law relating to mental health care for children and young people, their rights and entitlement to service, and discusses important issues in clinical and social care practice such as parental responsibility, Gillick competency and capacity, emergency intervention and detention, assessment of mental illness and confidentiality in practice. A chapter written by Mary Mitchell considers the diagnosis and management of complex mental illness in young people, and a concluding chapter discusses changes in the law. Jargon-free and accessibly written, this is an invaluable guide for professionals working in child and adolescent health and social care, social workers, youth workers, social welfare policy makers, medical professionals, teachers, educational professionals and students, as well as advocates for children and young people.

Homicide and Severe Mental Disorder: Understanding and Prevention provides a complete picture of how severe mental disorder can be assessed in cases of homicide, and how improved understanding can impact risk reduction and prevention. Michael Farrell brings together a wide range of material including theory, research, demographic data, case examples, enquiry reports, and practical strategies, providing clear examples throughout. Farrell draws on examples of homicide representing a great challenge to both comprehension and prevention – cases that have sometimes provoked media criticism of public policy and services and have aroused public anxiety. In seeking fuller understanding, the book takes an overview of severe mental disorder, homicide, and prevention, before introducing the approach of Situational Crime Prevention and related theory and discussing demographic features of perpetrators and victims. Turning to prevention, the text examines examples of research into homicides perpetrated by individuals with severe mental disorder. Insights from Situational Crime Prevention are applied to selected cases, and a wider view is then taken looking at the criminological features of means, motive, opportunity, and location. Organisational constraints and limitations of communication in services are considered, and cases illuminating the issues and challenges throughout the book are summarised in a structured end of volume glossary. As evidence and insights accumulate and cohere, they more clearly indicate preventive strategies. Homicide and Severe Mental Disorder will be of great interest to students, researchers, and teachers in psychiatry, psychology, and criminology, health and mental health professionals, criminal justice personnel, and those working with individuals with severe mental disorder.

Children living in poverty are more likely to have mental health problems, and their conditions are more likely to be severe. Of the approximately 1.3 million children who were recipients of Supplemental Security Income (SSI) disability benefits in 2013, about 50% were disabled primarily due to a mental disorder. An increase in the number of children who are recipients of SSI benefits due to mental disorders has been observed through several decades of the program beginning in 1985 and continuing through 2010. Nevertheless, less than 1% of children in the United States are recipients of SSI disability benefits for a mental disorder. At the request of the Social Security Administration, Mental Disorders and Disability Among Low-Income Children compares national trends in the number of children with mental disorders with the trends in the number of children receiving benefits from the SSI program, and describes the possible factors that may contribute to any differences between the two groups. This report provides an overview of the current status of the diagnosis and treatment of mental disorders, and the levels of impairment in the U.S. population under age 18. The report focuses on 6 mental disorders, chosen due to their prevalence and the severity of disability attributed to those disorders within the SSI disability program: attention-deficit/hyperactivity disorder, oppositional defiant disorder/conduct disorder, autism spectrum disorder, intellectual disability, learning disabilities, and mood disorders. While this report is not a comprehensive discussion of these disorders, Mental Disorders and Disability Among Low-Income Children provides the best currently available information regarding demographics, diagnosis, treatment, and expectations for the disorder time course - both the natural course and under treatment.

A comprehensive introduction to mental health providing readers with short overviews of 70 key theories, concepts and themes associated with mental health. Each entry is summarised succinctly in a series of easily digestible yet expertly written entries.

`This is a unique book that addresses an interesting aspect of work in mental health settings.' - Mental Health OT Communication and Mental Illness is a comprehensive and practical textbook written by a multidisciplinary group of experts in the field of mental health which will be of interest to all those interested in improving their understanding of individuals with mental illness. The book is divided into three parts. The first of these offers both student and experienced clinicians in the mental health field an improved theoretical knowledge of the methods of communication commonly adopted by individuals with a variety of diagnoses of mental illness. It also provides practical suggestions of how this information can improve the individual professional's management of patients. Part Two looks at how information about communication in mental illness can influence service provision, ending with suggestions for future policy and practice. Communication and Mental Illness concludes with a final part describing the state of current research into different facets of communication and mental illness, offering an insight into the variety of research methodology and points of interest to those involved in the field.

How might we best manage those who have offended but have mental vulnerabilities? How are risks identified, managed and minimised? What are ideological differences of care and control, punishment and therapy negotiated in practice? These questions are just some which are debated in the eleven chapters of this book. Each with their focus on a given area, authors raise the challenges, controversies, dilemmas and concerns attached to this particular context of delivering justice. Taking insights on imprisonment, community punishments and forensic services, this book provides a broad analysis of environments. But it also casts a critical light on how punishment of the mentally vulnerable sits within public attitudes and ideas, policy discourses, and the ways in which those seen to present as risky and dangerous are imagined. Written in a clear and direct style, this book serves as a valuable resource for those studying, working or researching at the intersections of healthcare and criminal justice domains. This book is essential reading for students and practitioners within the fields of criminology and criminal justice, social work, forensic psychology, forensic psychiatry, mental health nursing and probation.

Theoretical Alternatives to the Psychiatric Model of Mental Disorder Labeling is the fourth Volume of the Ethics International Press Critical Psychology and Critical Psychiatry Series. Understanding the current systems of psychology and psychiatry is profoundly important. So is exploring alternatives. The Critical Psychology and Critical Psychiatry Series presents solicited chapters from international experts on a wide variety of underexplored subjects. This is a series for mental health researchers, teachers, and practitioners, for parents and interested lay readers, and for anyone trying to make sense of anxiety, depression, and other emotional difficulties. Theoretical Alternatives recognizes and appreciates those who have contributed to the abundance of literature critiquing the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM), the biomedical model of mental health, and the practice of psychiatric diagnosing. It intends to move past that discourse, and present macro and system-level alternatives to DSM and the ICD diagnosing (the World Health Organization’s International Statistical Classification of Diseases and Related Health Problems), in the form of conceptually developed frameworks, taxonomies, and models to guide clinical work and theory.