The Couch The Clinic And The Scanner

Winner, 2023 Choice Outstanding Academic Title Over the past several decades, psychiatry has undergone radical changes. After its midcentury heyday, psychoanalysis gave way to a worldview guided by the Diagnostic and Statistical Manual, which precisely defined mental disorders and their treatments; more recently, this too has been displaced by a model inspired by neuroscience. Each of these three dominant models overturned the previous era’s assumptions, methods, treatment options, and goals. Each has its own definitions of health and disease, its own concepts of the mind. And each has offered clinicians and patients new possibilities as well as pitfalls. The Couch, the Clinic, and the Scanner is an insightful first-person account of psychiatry’s evolution. David Hellerstein—a psychiatrist who has practiced in New York City since the early 1980s, working with patients, doing research, and helping run clinics and hospitals—provides a window into how the profession has transformed. In vivid stories and essays, he explores the lived experience of psychiatric work and the daunting challenges of healing the mind amid ever-changing theoretical models. Recounting his intellectual, clinical, and personal adventures, Hellerstein finds unexpected poetry in hallways and waiting rooms; encounters with patients who are by turns baffling, frustrating, and inspiring; and the advances of science. Drawing on narrative-medicine approaches, The Couch, the Clinic, and the Scanner offers a perceptive and eloquent portrayal of the practice of psychiatry as it has struggled to define and redefine itself.

Maybe you are one of the more than 45 million people in the United States who is currently struggling with depression. Maybe anxiety keeps you from truly enjoying your job, your relationships, your life. Maybe every change you have tried to make seems to have failed and you are beginning to feel as if change is simply not possible. Author David J. Hellerstein uses the term New Neuropsychiatry to refer to a dramatically different approach to help people who have depression and anxiety disorders. Unlike Old Psychiatry, which often focused on early life issues, the New Neuropsychiatry focuses on improving present-day life and on achieving long-term remission of symptoms. Heal Your Brain combines the advances of neuroscience and medicine with the art of the storyteller to show how the New Neuropsychiatry can alter the course of your life. Dr. Hellerstein, a psychiatrist at Columbia University’s College of Physicians and Surgeons, puts this new form of psychiatry to the test. Depression and anxiety disorders damage the brain, but as Dr. Hellerstein explains, the right treatment can change the patterns of brain activity, brain cell connections, and even the brain’s anatomy. To illustrate, he relates the stories of people as they travel through various phases of New Neuropsychiatry treatment, from evaluation to therapy to remission, and illustrates how this approach can help you progress through each phase as well. The book’s compelling narrative demonstrates that, in many cases, it is possible to achieve a stable recovery and return to—or even experience for the first time—a life free of crippling anxiety and depression.

Perfect for radiation oncology physicians and residents needing a multidisciplinary, treatment-focused resource, this updated edition continues to provide the latest knowledge in this consistently growing field. Not only will you broaden your understanding of the basic biology of disease processes, you'll also access updated treatment algorithms, information on techniques, and state-of-the-art modalities. The consistent and concise format provides just the right amount of information, making Clinical Radiation Oncology a welcome resource for use by the entire radiation oncology team. Content is templated and divided into three sections -- Scientific Foundations of Radiation Oncology, Techniques and Modalities, and Disease Sites - for quick access to information. Disease Sites chapters summarize the most important issues on the opening page and include a full-color format, liberal use of tables and figures, a closing section with a discussion of controversies and problems, and a treatment algorithm that reflects the treatment approach of the authors. Chapters have been edited for scientific accuracy, organization, format, and adequacy of outcome data (such as disease control, survival, and treatment tolerance). Allows you to examine the therapeutic management of specific disease sites based on single-modality and combined-modality approaches. Features an emphasis on providing workup and treatment algorithms for each major disease process, as well as the coverage of molecular biology and its relevance to individual diseases. Two new chapters provide an increased emphasis on stereotactic radiosurgery (SRS) and stereotactic body irradiation (SBRT). New Associate Editor, Dr. Andrea Ng, offers her unique perspectives to the Lymphoma and Hematologic Malignancies section. Key Points are summarized at the beginning of each disease-site chapter, mirroring the template headings and highlighting essential information and outcomes. Treatment algorithms and techniques, together with discussions of controversies and problems, reflect the treatment approaches employed by the authors. Disease Site Overviews allow each section editor to give a unique perspective on important issues, while online updates to Disease Site chapters ensure your knowledge is current. Disease Site chapters feature updated information on disease management and outcomes. Four videos accessible on Expert Consult include Intraoperative Irradiation, Prostate Brachytherapy, Penile Brachytherapy, and Ocular Melanoma. Thirty all-new anatomy drawings increase your visual understanding. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

A comprehensive, multidisciplinary resource for the entire radiation oncology team, Gunderson & Tepper’s Clinical Radiation Oncology, 5th Edition, thoroughly covers all aspects of this complex and dynamic field. Concise, templated chapters cover the basic biology of oncologic disease processes as well as updated treatment algorithms, the latest clinical guidelines, and state-of-the-art techniques and modalities. More than 1,000 images—detailed anatomy drawings, radiographic images, and more—provide outstanding visual support for every area of the text. Divides content into three distinct sections for quick access to information: Scientific Foundations, Techniques and Modalities, and Disease Sites. Disease Site chapters include overviews summarizing the most important issues and concluding discussions on controversies and problems. Features new and expanded content on molecular and cellular biology and its relevance in individualized treatment approaches, stereotactic radiation therapy, radiosurgery, proton therapy, biologic therapy, precision radiation therapy, targeted radiation, dosing guidelines for better quality of life and improved patient outcomes, and more. Includes new chapters on Radiation Physics: Particle Therapy, Interventional Radiology, Radiation Therapy in the Elderly, Palliative Care, Quality and Safety, and Immunotherapy with Radiotherapy. Provides guidance on single-modality and combined-modality approaches, as well as outcome data including disease control, survival, and treatment tolerance. Includes access to videos on Intraoperative Irradiation, Prostate Brachytherapy, Penile Brachytherapy, and Ocular Melanoma.

In this poignant, deeply moving book, Dr. David Hellerstein traces five generations of American medicine -- from the Civil War to the present day -- as seen through the eyes of his unforgettable family.

In nineteenth-century imperial Germany and the Austro-Hungarian Empire, new scientific fields like psychophysics, empirical psychology, clinical psychiatry, and neuroanatomy transformed the understanding of mental life in ways long seen as influencing modernism. Turning to the history of psychiatric classification for mental illnesses, Cate I. Reilly argues that modernist texts can be understood as critically responding to objective scientific models of the psyche, not simply illustrating their findings. Modernist works written in industrializing Central and Eastern Europe historicize the representation of consciousness as a quantifiable phenomenon within techno-scientific modernity. Looking beyond modernism’s well-studied relationship to psychoanalysis, this book tells the story of the non-Freudian vocabulary for mental illnesses that forms the precursor to today’s Diagnostic and Statistical Manual of Mental Disorders. Developed by the German psychiatrist Emil Kraepelin in the 1890s, this psychiatric taxonomy grew from the claim that invisible mental illnesses were analogous to physical phenomena in the natural world. Reilly explores how figures such as Georg Büchner, Ernst Toller, Daniel Paul Schreber, Nikolai Evreinov, Vsevolod Ivanov, and Santiago Ramón y Cajal understood the legal and political consequences of representing mental life in physical terms. Working across literary studies, the history of science, psychoanalytic criticism, critical theory, and political philosophy, Psychic Empire is an original account of modernism that shows the link between nineteenth-century scientific research on the mental health of national populations and twenty-first-century globalized, neuroscientific accounts of psychopathology and sanity.

This book offers a wide-ranging and up-to-date overview of the basic science underlying PET and its preclinical and clinical applications in modern medicine. In addition, it provides the reader with a sound understanding of the scientific principles and use of PET in routine practice and biomedical imaging research. The opening sections address the fundamental physics, radiation safety, CT scanning dosimetry, and dosimetry of PET radiotracers, chemistry and regulation of PET radiopharmaceuticals, with information on labeling strategies, tracer quality control, and regulation of radiopharmaceutical production in Europe and the United States. PET physics and instrumentation are then discussed, covering the basic principles of PET and PET scanning systems, hybrid PET/CT and PET/MR imaging, system calibration, acceptance testing, and quality control. Subsequent sections focus on image reconstruction, processing, and quantitation in PET and hybrid PET and on imaging artifacts and correction techniques, with particular attention to partial volume correction and motion artifacts. The book closes by examining clinical applications of PET and hybrid PET and their physiological and/or molecular basis in conjunction with technical foundations in the disciplines of oncology, cardiology and neurology, PET in pediatric malignancy and its role in radiotherapy treatment planning. Basic Science of PET Imaging will meet the needs of nuclear medicine practitioners, other radiology specialists, and trainees in these fields.

Lung cancer is the leading cause of cancer death in the United States, but IGRT (image guided radiation therapy) offers the possibility of more aggressive and enhanced treatments. The only available source on the subject that emphasizes new imaging techniques, and provides step-by-step treatment guidelines for lung cancer, this source helps clinici