Severe and persistent mental illnesses are among the most pressing health and social problems in contemporary America. Recent estimates suggest that more than three million people in the U.S. have disabling mental disorders. The direct and indirect costs of their care exceed 180 billion dollars nationwide each year. Effective treatments and services exist, but many such individuals do not have access to these services because of limitations in mental health and social policies. For nearly two centuries Americans have grappled with the question of how to serve individuals with severe disorders. During the second half of the twentieth century, mental health policy advocates reacted against institutional care, claiming that community care and treatment would improve the lives of people with mental disorders. Once the exclusive province of state governments, the federal government moved into this policy arena after World War II. Policies ranged from those focused on mental disorders, to those that focused more broadly on health and social welfare. In this book, Gerald N. Grob and Howard H. Goldman trace how an ever-changing coalition of mental health experts, patients' rights activists, and politicians envisioned this community-based system of psychiatric services. The authors show how policies shifted emphasis from radical reform to incremental change. Many have benefited from this shift, but many are left without the care they require.
Are you in love--or addicted? How to know when to call it quits...and how to find the courage to call it quits. Are you unable to leave a love relationship even though it gives you more pain than joy? Your judgment and self-respect tell you to end it, but still, to your dismay, you hang on. You are addicted--to a person. Now there is an insightful, step-by-step guide to breaking that addiction--and surviving the split. Drawing on dozens of provocative case histories, psychotherapist Howard Helpern explains to you: Why you can get addicted to a person. Why and how you may try to deceive yourself. ("He really loves me, he just doesn't know how to show it.") How you can recognize the symptoms of a bad relationship. How to deal with the power moves and guilt trips your partner uses to hold you. Why strong feelings of jealousy do not mean you are "in love." How to get through the agonizing breakup period--without going back. How not to get caught in such a painful relationship again.
This edition of this popular text continues as a comprehensive and balanced introduction to general psychiatry for students and practitioners. Updated features include the latest diagnostic algorithms, new nomenclature from DSM-IV, updated coverage of neuroscience and psychopharmacology. Includes extensive clinical vignettes and case summaries.
In 1972 a large deposit of pottery and other finds from the mid-5th century B.C. were found in a pit just west of the Royal Stoa in the Athenian Agora. It contained many fragments of figured pottery, more than half of which were large drinking vessels. Twenty-one fragments were inscribed with a graffito known to be a mark of public ownership. The authors conclude that the pottery is refuse from one of the public dining facilities that served the magistrates of Classical Athens. The volume examines the archaeological context and chronology of the deposit and gives a detailed analysis of all the finds. A complete catalogue arranges the finds by type and in chronological order.
-- Perfect for the student, primary care practitioner, and pharmacist who needs both basic and clinical information to apply therapeutics-- A new overview chapter -- plus practical steps required for optimal therapeutic decisions-- Coverage of newly emerging advances in therapeutics-- A new look at cost/benefit analysis of therapy-- Increased emphasis on drug interactions, and much more.
Severe and persistent mental illnesses are among the most pressing health and social problems in contemporary America. Recent estimates suggest that more than three million people in the U.S. have disabling mental disorders. The direct and indirect costs of their care exceed 180 billion dollars nationwide each year. Effective treatments and services exist, but many such individuals do not have access to these services because of limitations in mental health and social policies. For nearly two centuries Americans have grappled with the question of how to serve individuals with severe disorders. During the second half of the twentieth century, mental health policy advocates reacted against institutional care, claiming that community care and treatment would improve the lives of people with mental disorders. Once the exclusive province of state governments, the federal government moved into this policy arena after World War II. Policies ranged from those focused on mental disorders, to those that focused more broadly on health and social welfare. In this book, Gerald N. Grob and Howard H. Goldman trace how an ever-changing coalition of mental health experts, patients' rights activists, and politicians envisioned this community-based system of psychiatric services. The authors show how policies shifted emphasis from radical reform to incremental change. Many have benefited from this shift, but many are left without the care they require.
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