Psychiatrie G N Rale

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

The Fourth International Meeting on Clinical Pharmacology in Psychiatry was held in Bethesda, Maryland on 5-8 September 1985 and was dedicated to the memory of Dr. Earl Usdin. Earl was one of the organizers of the three previous meetings held in Chicago (1979), Troms0 (1980), and Odense (1982). During the organization of the fourth meeting Earl became ill and had to relinquish his role as one of the principal organizers. It is safe to conclude that there was no better, or more professional, or more efficient an organizer of scientific meetings in the field of neuropharmacology and psychiatry than Earl U sdin, and it was quite a task for the remaining organizers to fill the void left when he withdrew from this one. Those of us who have organized previous meetings with Earl were struck by how much more difficult our work became without him. This obviously speaks well for his subtle (and at times not so subtle) organizational skills. Nevertheless, in Earl's memory the organizers proceeded to invite a group of internationally renowned neuropsychopharmacologists to address the problem of selectivity in psychotropic drug action and to try to reconcile the amazing advances in basic preclinical neuropsychopharmacology with the problem of clinical specificity encountered by the psychiatrist.

This volume explores the essential issues involved in bringing phenomenology together with the cognitive sciences, and provides some examples of research located at the intersection of these disciplines. The topics addressed here cover a lot of ground, including questions about naturalizing phenomenology, the precise methods of phenomenology and how they can be used in the empirical cognitive sciences, specific analyses of perception, attention, emotion, imagination, embodied movement, action and agency, representation and cognition, inters- jectivity, language and metaphor. In addition there are chapters that focus on empirical experiments involving psychophysics, perception, and neuro- and psychopathologies. The idea that phenomenology, understood as a philosophical approach taken by thinkers like Husserl, Heidegger, Sartre, Merleau-Ponty, and others, can offer a positive contribution to the cognitive sciences is a relatively recent idea. Prior to the 1990s, phenomenology was employed in a critique of the first wave of cognitivist and computational approaches to the mind (see Dreyfus 1972). What some consider a second wave in cognitive science, with emphasis on connectionism and neuros- ence, opened up possibilities for phenomenological intervention in a more positive way, resulting in proposals like neurophenomenology (Varela 1996). Thus, bra- imaging technologies can turn to phenomenological insights to guide experimen- tion (see, e. g. , Jack and Roepstorff 2003; Gallagher and Zahavi 2008).

Sexual abuse, a topic still struggling to break free of its social taboos, is an issue that must be addressed, assessed, and discussed in order to further efforts for prevention and treatment. Social, Psychological, and Forensic Perspectives on Sexual Abuse is an important resource that comprehensively examines the prevalence, assessment, causes, and impacts of sexual violence from cultural, legal, psychosocial, theoretical, and medical viewpoints. Discussing difficult but relevant issues including forensic assessment, legal ramifications, mental health, risk assessment, and effects on family life, this book is geared towards researchers, mental health professionals, clinicians, and special educators seeking current research on prevention, assessment, and rehabilitation in sexual abuse.

Schizophrenia was 20th century psychiatry's arch concept of madness. Yet for most of that century it was both problematic and contentious. This history explores schizophrenia's historic instability via themes such as symptoms, definition, classification and anti-psychiatry. In doing so, it opens up new ways of understanding 20th century madness.

The textbook offers comprehensive understanding of the impact of cultural factors and differences on mental illness and its treatment.