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Many adults who experience severe mental illness also suffer from deficits in metacognition - put simply, thinking about one’s own thought processes - limiting their abilities to recognize, express and manage naturally occurring painful emotions and routine social problems as well as to fathom the intentions of others. This book presents an overview of the field, showing how current research can inform clinical practice. An international range of expert contributors provide chapters which look at the role of metacognitive deficit in personality disorders, schizophrenia, and mood disorders, and the implications for future psychotherapeutic treatment. Divided into three parts, areas covered include: how metacognitive deficits may arise and the different forms they might take the psychopathology of metacognition in different forms of mental illness whether specific deficits in metacognition might help us understand the difficulties seen in differing forms of severe mental illness. Offering varying perspectives and including a wealth of clinical material, this book will be of great interest to all mental health professionals, researchers and practitioners. Dimaggio, Lysaker , The Metacognitive System: Theory, Evidence and Implications for Treatment. Part I: Theory: The Neural and Social Basis For Metacognition and its Disorders. Saxe, Offen , Seeing Ourselves: What Vision Can Teach Us About Metacognition. Carpendale, Lewis , Social Understanding Through Social Interaction. Gumley , The Developmental Roots of Compromised Mentalization in Complex Mental Health Disturbances of Adulthood: An Attachment. Part II: Metacognitive Disorders in Different Clinical Populations, its Relation with Symptoms, Interpersonal Functioning and Adaptation. Lysaker , Metacognition in Schizophrenia Spectrum Disorders: Methods of Assessing Metacognition within Narrative and Links with Neurocognition. Schaub, Abdel-Hamid, Brüne , Schizophrenia and Social Functioning: The Role of Impaired Metacognition. Morgan, David , Awareness is Not the Same as Acceptance: Exploring the Thinking Behind Insight and Compliance. Bell, Langdon, Siegert, Ellis , The Assessment of Theory of Mind in Schizophrenia. Stanghellini , Commonsense, Disembodiment, and Delusions in Schizophrenia. Kanba, Yamada, Inoue , Deficit of Theory of Mind in Depression and its Correlation with Poor Clinical Outcomes. Vanheule, Inslegers, Meganck, Ooms, Desmet , Interpersonal Problems in Alexithymia: A Review. Colle, D’Angerio, Popolo, Dimaggio , Different Profiles of Metacognitive Dysfunctions in Personality Disorders. Liotti, Prunetti , Metacognitive Deficits in Trauma-related Disorders: Contingent on Interpersonal Motivational Contexts? Part III: Treatment of Metacognitive Disturbances in Severe Adult Disorders. Lysaker, Buck , Metacognitive Capacity as a Focus of Individual Psychotherapy in Schizophrenia. Hasson-Ohayon, Kravetz, Roe , Empathic and Theory of Mind Processes: The Dialogical Core of a Metacognitive Approach to Psychiatric Rehabilitation. Dimaggio, Salvatore, Nicolò, Fiore, Procacci, Enhancing Mental State Understanding in Over-constricted Personality Disorder Using Metacognitive Interpersonal Therapy. Semerari , The Impact of Metacognitive Dysfunctions in Personality Disorders on the Therapeutic Relationship and Intervention Technique. Osatuke, Stiles , Change in PTSD: An Assimilation Model Account. Conclusions. Lysaker, Dimaggio , Metacogntion and Mental Illness: Commentary. \"Traditional cognitive domains, such as language, memory or perception, do not properly capture the problems experienced by people with severe mental disorders like schizophrenia. Their problems lie rather with insight and with the ability to monitor the mental and emotional states of themselves and others. In this book the editors have recognised that these disparate problems can be brought together under the heading of Metacognition . As the contents of the book so admirably show, this very important insight provides a framework for guiding both theory and practice in the study of severe mental disorders.\" - Chris Frith, UCL, UK & University of Aarhus, Denmark \"Dimaggio and Lysaker have assembled a stellar cast of contributors who apply the latest developments in theory and research on metacognition to our understanding of the both the development and treatment of severe mental disorders. Although all of the contributions are subsumed under the general topic of metacognition, the authors are in fact addressing a number of vitally important and timely areas. These include: theory of mind, reflective functioning, mentalization, attachment, affect regulation, and the therapeutic relationship. The end result is a lively, engaging and thought provoking collection of essays that will be of tremendous interest to theorists, researchers and psychotherapists of all orientations.\" - Jeremy D. Safran, Professor and Director of Clinical Psychology, New School for Social Research, President, International Association for Relational Psychoanalysis and Psychotherapy, New York, USA Giancarlo Dimaggio is a psychiatrist and a psychotherapist at the Third Center of Cognitive Psychotherapy in Rome. He is currently involved in clinical work and research on pathology and treatment of personality disorders. Paul H. Lysaker is a clinical psychologist at the Roudebush Virginia Medical Center in Indianapolis Indiana and an Associate Professor of Clinical Psychology in the Department of Psychiatry Indianapolis School of Medicine. His current research interests include the development of metacognitive capacity through individual psychotherapy for persons with schizophrenia.

'A clear, rigorous account of cognitive behavioural methods for treating depression.' - British Journal of Psychiatry The use of behavioural and cognitive techniques for treating depression has yielded exciting results. Cognitive Behaviour Therapy (CBT) is as effective in the short term as anti-depressant drugs and has longer-lasting effects than medication. This book brings together assessment and treatment techniques of proven efficacy, describing them in usable detail and setting them in the context of current psychological theories of depression. It is an invaluable guide to practitioners wishing to make use of CBT.

Nominated for the 2012 Distinguished Publication Award of the Association for Women in Psychology! Why are women more likely to be positioned or diagnosed as mad than men? If madness is a social construction, a gendered label, as many feminist critics would argue, how can we understand and explain women's prolonged misery and distress? In turn, can we prevent or treat women’s distress, in a non-pathologising women centred way? The Madness of Women addresses these questions through a rigorous exploration of the myths and realities of women's madness. Drawing on academic and clinical experience, including case studies and in-depth interviews, as well as on the now extensive critical literature in the field of mental health, Jane Ussher presents a critical multifactorial analysis of women's madness that both addresses the notion that madness is a myth, and yet acknowledges the reality and multiple causes of women's distress. Topics include: The genealogy of women’s madness – incarceration of difficult or deviant women Regulation through treatment Deconstrucing depression, PMS and borderline personality disorder Madness as a reasonable response to objectification and sexual violence Women’s narratives of resistance This book will be of great interest to students and scholars of psychology, gender studies, sociology, women's studies, cultural studies, counselling and nursing. 1. The Madness of Women: Myth or Experience? 2. The Daughter of Hysteria: Depression as a \"Woman’s Problem\"? 3. Labelling Women as Mad: Regulating and Oppressing Women. 4. Woman as Object, not Subject: Madness as Response to Objectification and Sexual Violence. 5. The Construction and Lived Experience of Women’s Distress: Positioning Premenstrual Change as Psychiatric Illness. 6. Women’s Madness: Resistance and Survival. Jane M. Ussher is Professor of Women’s Health Psychology, and director of Gender Culture and Health Research at the University of Western Sydney, Australia. She is author of a number of books. Her current research focuses on women’s sexual and reproductive health, with particular emphasis on premenstrual experiences, gendered issues in caring, and sexuality and fertility in the context of cancer. \"Jane Ussher's new book on women and madness is her third, and every bit as good as her path-breaking, earlier discussions. ... A valuable and impressive book. It will be take seriously by feminist theorists, as well as by those in the biomedical and social sciences, and it will prove a useful addition to curricula at graduate and undergraduate levels in the fields of psychology, feminist studies, and psychiatry.\" - Jennifer Radden, University of Massachusetts Boston, USA, in Psychology of Women Quarterly \"A complex and intriguing book. ... Anyone interested in a feminist and cultural perspective on how women come to be labeled as mad will find this book an interesting but valuable challenge.\" - Maxine Harris, CEO of Community Connections, Washington, D.C., USA in Psychiatric Services \"Written with verve in a polemical style, this book will not bore the reader. It starts with a convincing and moving deconstruction of the concept of madness, and moves on to a brief exploration of historical ideas about it. ... (This) includes first-hand testimony from psychiatric patients about the cruelty they have undergone; the combination of those women’s voices and Ussher’s confident tone is arresting. ... This book will be of interest to a wide range of readers beyond the obvious women’s studies market. Training psychological practitioners (counsellors, psychotherapists, psychologists and arts therapists) should read it. Cultural studies, cultural history, social anthropology and sociology students will also find this book useful.\" - Times Higher Education Textbook Guide, November 2011 \"The cumulative power of Ussher’s material equals her commitment to the cause. It is hard to imagine any psychologist reading this book without coming to agree with some of its fundamental points. ... Ussher’s critique of the deeply gendered basis of many of our fundamental assumptions about the sexes and, indeed, about human nature cuts that deeply and incisively.\" - Harriette Kaley, psychoanalyst, New York, USA, in PsycCRITIQUES \" The strength of this book lies in Ussher's detailed critique of the medicalisation of women's distress. ... She carefully dissects the diagnostic categories frequently applied to women. Whilst her descriptions of the profound misogyny involved in the labelling and treating of women with 'depression' are very compelling.\" - Caroline Cupitt, clinical psychologist, NHS, UK, in The Journal of Critical Psychology, Counselling and Psychotherapy \"I recently taught a section of (The Madness of Women) in an undergraduate course on Philosophy and Mental Illness, and it was influential with my students, who returned to its arguments again and again throughout the course. ... It would make an excellent text for graduate school courses not only in psychiatry and psychology, but in social work, nursing, and philosophy.\" - Nancy Nyquist Potter, University of Louisville, USA in Metapsychology \"The book is fascinating and informative while at times gruesome as it explores the treatment of many women who are considered mad. ... It would be beneficial for students and teachers to use the book in feminist studies, gender studies, sociology, psychology, and women's studies, as a tool for increasing the understanding and application of madness and women. ... One of the major strengths ... is the focus on several characteristics of madness, including depression, BPD PTSD, and PMDD.\" - Hennie Weiss, California State University, USA, in Sex Roles \"Ussher writes persuasively and clearly, using nuggets of examples to provoke thought. ... This was a fascinating and evidence-based book, which never claims to be representing two sides of a debate. I think Ussher might argue that her side of the argument needs more airtime in the psychiatric climate it is being voiced in, and perhaps she is right.\" - Lucy Maddox, Chartered Clinical Psychologist, London, UK, in The Psychologist \"This book is beautifully written and the arguments powerful and sophisticated, whilst at the same time accessible. The author’s mastery in research and writing are clearly evident. The book is destined to become a ‘classic’ text in feminist psychology. A pleasure to read!\" - Michelle Lafrance, Department of Psychology, St. Thomas University, Canada \"This book is a compelling, hard-hitting and illuminating analysis of the social cultural, historical and economic forces producing the madness of women. It is a powerful illustration of a long-standing feminist view – that the personal is political.\" - Ann Weatherall, School of Psychology, University of Wellington, New Zealand

Depression has become the most frequently diagnosed chronic mental illness, and is a disability encountered almost daily by mental health professionals of all trades. \"Major Depression\" is a medical disease, which some would argue has reached epidemic proportions in contemporary society, and it affects our bodies and brains just like any other disease. Why, this book asks, has the incidence of depression been on such an increase in the last 50 years, if our basic biology hasn't changed as rapidly? To find answers, Dr. Blazer looks at the social forces, cultural and environmental upheavals, and other external, group factors that have undergone significant change. In so doing, the author revives the tenets of social psychiatry, the process of looking at social trends, environmental factors, and correlations among groups in efforts to understand psychiatric disorders. Dan G. Blazer, M.D., Ph.D., is J.P. Gibbons Professor of Psychiatry and Behavioral Sciences and Professor of Community and Family Medicine, Duke University School of Medicine. Dr. Blazer is also an Adjunct Professor of Epidemiology, School of Public Health, University of North Carolina. A Past President of the American Geriatrics Society, Dr. Blazer is the recipient of numerous awards and distinctions, and is the author of 26 books and almost 300 peer-reviewed articles. Preface Part I: The Diagnosis of Depression. Introduction. The Birth and Growth of Major Depression. The Rise and Fall of Depression as a Reaction. Part II: Social Psychiatry. The Birth and Growth of Social Psychiatry. The Retreat of Social Psychiatry. Part III: The Frequency of Depression and a Lesson from War and Society. Interpreting the Burden. A Lesson From War Syndromes. Things Fall Apart: Society and Depression on the Threshold of the 21st Century. Part IV: The Revival of Social Psychiatry. A Call for Basic Social Science Research in Psychiatry. Emotion: A Link Between Body and Society. The Problem with Soma

Betrayal in all its forms has been and is an ever present reality in every area of life--politics, business, and human relationships to name a few. Recent publications have chronicled the unethical actions of mental health and other human service professionals, yet the psychology of betrayal has received little public interest and attention. This book explores the many issues relating to psychotherapy and betrayal. The contributing authors of Betrayal in Psychotherapy and its Antidotes present the various faces of betrayal as may be encountered by therapists in the office or in the profession. They challenge therapists to understand the violations of trust that can occur within the therapeutic relationship. Readers are reminded that the trauma of betrayal manifests itself within all patients, regardless of of the nature and expression of psychopathology. More importantly, the authors define betrayal as experienced with specific cases and they attempt to bring out underlying principles that are useful to therapists and the larger professional community. Readers will find their understanding of the concept of betrayal much expanded from the chapters in Betrayal in Psychotherapy and its Antidotes. For example, betrayal is discussed as a failure in the interpersonal or inter-subjective relationship between therapist and client in one chapter as opposed to the concept of betrayal as an act calculated to lead another person astray, an act of deception or treachery, and a breach of confidence and trust as considered in another chapter. Other approaches to betrayal and psychotherapy include: how to determine what is betrayal in psychotherapy the use of case examples to establish the importance of the therapist striving to remain true to the genuine potentiality of a patient how to avoid colluding with the patient's rejection of life the work of Alice Miller, a psychoanalyst by training, and the betrayal of children by abuse th

Awarded the book prize for 2012 by the Australasian Journal on Ageing! Even when he's grey around the muzzle, the black dog of depression can still deliver a ferocious bite. Depression can strike at any age, and it may appear for the first time as we get older, as a result of life circumstances or our genetic makeup. While older people face the same kinds of mental health issues as younger people, they can find it more difficult to deal with them owing to the stressors which accumulate with age. There is also a high incidence of undiagnosed depression in older age, presenting extra challenges for carers. Managing Depression Growing Older offers a systematic guide to identifying depression in older people, supporting them at home or in an aged care setting, and the importance of diet, exercise and attitude in recovery. It is essential reading for anyone who works with the elderly.

Integrate spiritual traditions with psychological healing! In this fascinating volume, clinical practitioners of different religious traditions examine the same clinical case, offering insights, interventions, and explanations of transformation and healing. This practical approach allows them to explore broader issues of personality theory and psychology from the perspectives of various spiritual traditions: Hinduism, Buddhism, Taoism, Judaism, Christianity, and Islam. Religious Theories of Personality and Psychotherapy addresses both the practical issues of doing psychotherapy and the deeper need to relate psychology and theology. After providing a thorough introduction to the spiritual tradition, each author presents a critical psychological theory of personality and psychotherapy grounded in that tradition. The authors address the questions of what it means to be a person, what causes human distress, and how individuals experience healing. Religious Theories of Personality and Psychotherapy offers profound insights into the urgent issues of human suffering and psychological transformation, including: theories of personality structure and human motivation the nature of experience and processes of change the dialectical relation of theology and psychology convergences and difference among the religious psychologies Marrying theory and practice, spirit and psyche, Religious Theories of Personality and Psychotherapy offers profound insights and effective interventions. Mental health professionals, clergy, and scholars in religion, cross-cultural studies, personality, counseling, and psychotherapy will find this breakthrough book a life-changing experience and an invaluable resource.

In the 1970s, author Joel Paris was one of the first doctors in his hospital to prescribe lithium to a psychiatric patient. In the wake of the drug's success, both in that case and countless others, why this book? As Dr. Paris' historical examination of bipolar diagnosis and critique of the spectrum demonstrates, medicine has often been prone to fads that are assumed correct until proven wrong by science. This book opens discussion about the overdiagnosis of bipolar disorder and the negative impact of this development on clinical care. Dr. Paris explores why patients are being classified as bipolar on dubious grounds and are being prescribed drugs they do not need. He explains the differences between bipolar disorder and depression without mania, personality disorders characterized by unstable mood, and impulsive disorders. A separate chapter discusses the unique issues present in the field of child psychiatry. Fads remain popular as long as they answer elusive and complex questions. Unfortunately, the bipolar spectrum being used to explain a wide variety of psychopathological phenomena has caused classic bipolar disorder to become almost lost in the shuffle. Combining research findings and personal experiences, Dr. Paris documents the damage of overdiagnosis and explores alternative treatments patients could benefit from.

In Depression and the Soul, John Peteet proves the old adage that the best physician is also a philosopher. He considers how to approach the problem of depression within a larger context, and reviews current concepts of successful living relative to the heart (emotion and volition), the mind (cognition and coping), and the soul (the self in relation to transcendent reality). Each chapter goes on to further explore the relationship between depression and the context of a patient’s entire life. This is done through consideration of how the existential struggles of depressed individuals engage their spiritual lives, by reviewing current empirical literature on depression and spirituality, comparing the perspectives of various spiritual traditions or world views, and summarizing ways that spirituality and depression interact. Introduction. Heart, Mind and Soul. Depression and Spirituality. Differential Diagnosis, Assessment and Formulation. Integrated Treatment . Suicide. Models of Care. The Brain, Spirituality and Depression. John R. Peteet, MD , is an Associate Professor of Psychiatry at Harvard Medical School. He is also a medical staff executive committee member at Brigham and Women’s Hospital, and is former Chair of Corresponding Committee on Religion, Spirituality, and Psychiatry of the American Psychiatric Association.

The goal of this study is to investigate the familial transmission of the spectrum of bipolar disorder in a nonclinical sample of probands with a broad range of manifestations of mood disorders. The sample included a total of 447 probands recruited from a clinically enriched community screening and their 2082 adult living and deceased first-degree relatives. A best estimate diagnostic procedure that was based on either direct semistructured interview or structured family history information from multiple informants regarding non-interviewed relatives was employed. Results revealed that there was specificity of familial aggregation of bipolar I (BP I; odds ratio (OR)=8.40; 3.27–20.97; h2=0.83) and major depressive disorder (OR=2.26; 1.58–3.22; h2=0.20), but not BP II. The familial aggregation of BP I was primarily attributable to the familial specificity of manic episodes after adjusting for both proband and relative comorbid anxiety and substance use disorders. There was no significant cross-aggregation between mood disorder subtypes suggesting that the familial transmission of manic and major depressive episodes is independent despite the high magnitude of comorbidity between these mood states. These findings confirm those of earlier studies of the familial aggregation of bipolar disorder and major depression in the first nonclinical sample, and the largest family study of bipolar disorder in the USA using contemporary nonhierarchical diagnostic criteria for mood and anxiety disorders. The results suggest that these major components of bipolar disorder may represent distinct underlying pathways rather than increasingly severe manifestations of a common underlying diathesis. Therefore, dissection of the broad bipolar phenotype in genetic studies could actually generate new findings that could index novel biologic pathways underlying bipolar disorder.