Physicians are known to be a group of professionals who are at risk of taking their own lives. In this easy-to-read book, Dr. Michael Myers, a psychiatrist and specialist in physician health, attempts to explain the mystery of why some doctors, despite their calling and the adoration of their families, patients, students and colleagues, perish by suicide. He combines the powerful and gripping insights of dozens of bereaved people whom he interviewed for this project with disguised stories from his decades long clinical practice to shed some light on this national tragedy. The stigma attached to mental illness in doctors is ubiquitous and pernicious - and, because untreated illness is one of the major drivers to suicide, Dr. Myers argues that stigma must be fought with urgency and might. He makes across-the-board recommendations in an effort to prevent suicide in physicians and concludes that everyone has a role to play in saving a doctor's life. This is a book about heartbreak, loss, prevailing, growth, passion and hope. It's a book for doctors themselves, their families, those who train them, those who treat them and those who care about them.
Whether you are struggling with fresh grief at a loved one’s death by suicide or your loss happened years ago, you should know that you are not alone. 5 million Americans are affected—directly or indirectly—by this tragedy each year. And it sends us on a lifelong search for answers, both to the practical questions and the deepest question of all: Why? In this definitive guide book, Michael F. Myers, MD, a leading psychiatrist, and Carla Fine, author of the acclaimed No Time to Say Goodbye: Surviving the Suicide of a Loved One, combine their perspectives as a physician and a survivor to offer compassionate and practical advice to anyone affected by suicide.
Because physicians are shaped by the expectations and responsibilities of their profession and are especially susceptible to stress and illness, professionals treating them need to be attuned to a host of demands and considerations not applicable to other patients. The Physician as Patient meets that need by combining the perspectives of two seasoned psychiatrists who have been assessing and treating physicians for more than 30 years. Drs. Myers and Gabbard pool their career-long dedication to physician health, counseling, and risk management to demonstrate that, through accurate diagnosis and state-of-the-art treatment, most impaired physicians can recover and return to practice. As the most current sourcebook available on this subject, The Physician as Patient not only discusses common illnesses and problems seen in doctors but also outlines the many biopsychosocial treatments that are indicated -- always with an emphasis on integrated care. It considers such issues as the reluctance of physicians to assume the role of patient and the uniqueness of the physician's psychological makeup that facilitates or impedes diagnosis and treatment. It describes the most common medical and psychiatric illnesses in physicians -- including addictions -- and addresses personality disorders and the increasingly important subject of boundary violations. And it helps readers determine what can be done about doctors behaving badly or out-of-character, or what strategies are useful in treating physicians to assure accuracy while also diminishing morbidity and relieving suffering. Among other key issues raised are: The importance of considering sociocultural customs and values when treating the increasing number of minority and International Medical Graduate physicians Addressing the many clinical, humanistic, ethical, and legal dimensions of the psychiatric evaluation of physicians Distinguishing between long-standing patterns of personality disorders that manifest as disruptive behaviors and those patterns that lead to burnout and depression Assessing amenability to rehabilitation in cases of sexual boundary violation, including an awareness of alcohol or drug abuse as contributing factors Utilizing a physician's predisposition as a learner and pragmatist to enter into cognitive behavior therapy The success of early diagnosis and treatment in lowering the occurrence of suicide, for which physicians are notoriously at risk Brimming with case examples, The Physician as Patient adopts a reader-friendly style that facilitates quick grasp of concepts, while an extensive list of references and websites provides an entrée for additional support. This book is an indispensable resource for all mental health professionals who take caregivers into their care.
Like gardens, all relationships require care, patience, and nurturing to flourish. Because we are beset with the demands and frustrations of daily life, however, we often put off the hard work and care that are needed to ensure bountiful and harmonious marriage. As a result, seemingly minor tensions and problems that simmer beneath the surface can become major difficulties that affect the stability of the union. Written by an experienced marital therapist, How's Your Marriage? is an indispensable guide that can help you and your partner build a lasting, healthy relationship while easing tensions and resolving troublesome issues. Using the insight gained from over two decades of practicing couples therapy, Dr. Michael Myers examines common difficulties -- sex, life-cycle changes, infidelity, drinking, mental illness, and concerns about children -- and how these difficulties can affect your marriage. He offers sage advice and guidance on how you can resolve these problems while at the same time enhancing communication with your spouse, an essential part of a solid, loving, and fulfilling relationship. Dr. Myers also uses numerous case examples and question-and-answer sections to illustrate common complaints and ways to resolve them. He examines the role gender plays in developing the different perceptions and misunderstandings that lie at the root of so many relationship problems and offers practical solutions to these differences. How's Your Marriage? explains how you can detect the warning signs of possible marital woe and the steps you can take to resolve these problems at their source. To allay the anxiety that you may have regarding marital therapy, Dr. Myers discusses therapy in great detail. He describes the different therapeutic techniques and the types of therapists who use them. He also includes lists of suggested readings, self-help groups, and national associations for marriage therapists that can help you take the right steps to resolving problems or troubles in your marriage. Armed with this advice and guidance, you and your partner can work together to strengthen and improve your relationship, to weather the inevitable troubles that will occur over the course of your marriage, and to create a loving, lasting, and harmonious union. You will come away from this book with new understanding, courage, and hope. This is truly a book that you and your partner cannot be without.
Intimate Relationships in Medical School is for anyone studying the medical sciences who is married or in a committed relationship. Michael Myers-an experienced psychiatrist and clinician- uses several case examples throughout the book which are composites from his practice. Through these and the author's suggestions and insights, the busy, committed medical student and his or her partner will increase their ability to confront and resolve misunderstandings.
This accessible and expansive, yet remarkably concise textbook is designed to help readers with their research project. As well as guiding them through the key methods of collecting and analysing qualitative data, this book provides invaluable information on writing up their research and how to get published. Now in its third edition, Qualitative Research in Business and Management has been fully updated to include a range of recent examples of aspects of qualitative research in action, and a new look at the methods and ethics of using social media data.
Ideal for fellows and practicing pulmonologists who need an authoritative, comprehensive reference on all aspects of pulmonary medicine, Murray and Nadel’s Textbook of Respiratory Medicine offers the most definitive content on basic science, diagnosis, evaluation and treatment of the full spectrum of respiratory diseases. Full-color design enhances teaching points and highlights challenging concepts. Understand clinical applications and the scientific principles of respiratory medicine. Detailed explanations of each disease entity allow you to work through differential diagnoses. Expert Consult eBook version included with purchase. This enhanced eBook experience offers content updates, videos, review questions, and Thoracic Imaging Cases (TICs), all of which are easily navigable on any device for access on rounds or in the clinic. Includes more than 1,000 figures and over 200 videos and audio files. Key Points and Key Reading sections highlight the most useful references and resources for each chapter. An expanded sleep section now covers four chapters and includes control of breathing, consequences of sleep disruption, as well as obstructive and central apnea. New chapters in the Critical Care section cover Noninvasive Ventilation (NIV) and Extracorporeal Support of Gas Exchange (ECMO). New chapters focusing on diagnostic techniques now include Invasive Diagnostic Imaging and Image-Guided Interventions and Positron Emission Tomography, and a new chapter on Therapeutic Bronchoscopy highlights the interventional role of pulmonologists. Embedded videos feature thoracoscopy, therapeutic bronchoscopy, volumetric chest CT scans, and more. Brand-new audio files highlight normal and abnormal breath sounds and the separate components of cough.
Surviving Manic Depression is the most authoritative book on this disorder, which affects more than two million people in the U.S. alone. Based on the latest research, it provides detailed coverage of every aspect of manic depression-from understanding its causes and treatments to choosing doctors and managing relapses-with guidance drawn from the latest scientific information. Drs. Torrey and Knable provide thorough, up-to-date coverage of all aspects of the disease, including a detailed description of symptoms (with many direct descriptions from patients themselves), risk factors, onset and cause, medications (including drugs still in the testing stage), psychotherapy, and rehabilitation, as well as information about how the disease affects children and adolescents. Here too are discussions of special problems related to manic depression, including alcohol and drug abuse, violent behavior, medication noncompliance, suicide, sex, AIDS, and confidentiality. Surviving Manic Depression also includes special features such as a listing of selected websites, books, videotapes, and other resources.
Responding to demographic changes among physicians and six years of new experiences since the first edition, Dr. Myers has revamped his well received work. He includes new information on older physicians, gay and lesbian physicians, medical student abuse, economic strain on interns, depression, malpractice, ethical violations, and other stressors which may cause marital difficulties. Therapists seeking to council symptomatic physicians, as well physicians themselves, will find this a humane, readable, and useful book.
Like gardens, all relationships require care, patience, and nurturing to flourish. Because we are beset with the demands and frustrations of daily life, however, we often put off the hard work and care that are needed to ensure bountiful and harmonious marriage. As a result, seemingly minor tensions and problems that simmer beneath the surface can become major difficulties that affect the stability of the union. Written by an experienced marital therapist, How's Your Marriage? is an indispensable guide that can help you and your partner build a lasting, healthy relationship while easing tensions and resolving troublesome issues. Using the insight gained from over two decades of practicing couples therapy, Dr. Michael Myers examines common difficulties -- sex, life-cycle changes, infidelity, drinking, mental illness, and concerns about children -- and how these difficulties can affect your marriage. He offers sage advice and guidance on how you can resolve these problems while at the same time enhancing communication with your spouse, an essential part of a solid, loving, and fulfilling relationship. Dr. Myers also uses numerous case examples and question-and-answer sections to illustrate common complaints and ways to resolve them. He examines the role gender plays in developing the different perceptions and misunderstandings that lie at the root of so many relationship problems and offers practical solutions to these differences. How's Your Marriage? explains how you can detect the warning signs of possible marital woe and the steps you can take to resolve these problems at their source. To allay the anxiety that you may have regarding marital therapy, Dr. Myers discusses therapy in great detail. He describes the different therapeutic techniques and the types of therapists who use them. He also includes lists of suggested readings, self-help groups, and national associations for marriage therapists that can help you take the right steps to resolving problems or troubles in your marriage. Armed with this advice and guidance, you and your partner can work together to strengthen and improve your relationship, to weather the inevitable troubles that will occur over the course of your marriage, and to create a loving, lasting, and harmonious union. You will come away from this book with new understanding, courage, and hope. This is truly a book that you and your partner cannot be without.
Elemental Analysis is an excellent guide introducing cutting-edge methods for the qualitative and quantitative analysis of elements. Each chapter of the book gives an overview of a certain technique, such as AAS, AFS, ICP-OES, MIP-OES, ICP-MS and XRF. Readers will benefit from a balanced combination of theoretical basics, operational principles of instruments and their practical applications.
Because physicians are shaped by the expectations and responsibilities of their profession and are especially susceptible to stress and illness, professionals treating them need to be attuned to a host of demands and considerations not applicable to other patients. The Physician as Patient meets that need by combining the perspectives of two seasoned psychiatrists who have been assessing and treating physicians for more than 30 years. Drs. Myers and Gabbard pool their career-long dedication to physician health, counseling, and risk management to demonstrate that, through accurate diagnosis and state-of-the-art treatment, most impaired physicians can recover and return to practice. As the most current sourcebook available on this subject, The Physician as Patient not only discusses common illnesses and problems seen in doctors but also outlines the many biopsychosocial treatments that are indicated -- always with an emphasis on integrated care. It considers such issues as the reluctance of physicians to assume the role of patient and the uniqueness of the physician's psychological makeup that facilitates or impedes diagnosis and treatment. It describes the most common medical and psychiatric illnesses in physicians -- including addictions -- and addresses personality disorders and the increasingly important subject of boundary violations. And it helps readers determine what can be done about doctors behaving badly or out-of-character, or what strategies are useful in treating physicians to assure accuracy while also diminishing morbidity and relieving suffering. Among other key issues raised are: The importance of considering sociocultural customs and values when treating the increasing number of minority and International Medical Graduate physicians Addressing the many clinical, humanistic, ethical, and legal dimensions of the psychiatric evaluation of physicians Distinguishing between long-standing patterns of personality disorders that manifest as disruptive behaviors and those patterns that lead to burnout and depression Assessing amenability to rehabilitation in cases of sexual boundary violation, including an awareness of alcohol or drug abuse as contributing factors Utilizing a physician's predisposition as a learner and pragmatist to enter into cognitive behavior therapy The success of early diagnosis and treatment in lowering the occurrence of suicide, for which physicians are notoriously at risk Brimming with case examples, The Physician as Patient adopts a reader-friendly style that facilitates quick grasp of concepts, while an extensive list of references and websites provides an entrée for additional support. This book is an indispensable resource for all mental health professionals who take caregivers into their care.
Find answers fast with The 5-Minute Pediatric Consult, 9th Edition—your go-to resource for the effective medical care of infants, children, and adolescents. Using the proven 5-Minute format, it provides rapid access to information on diagnosis, treatment, medications, follow-up, and associated factors for more than 530 diseases and conditions. The 5-Minute Pediatric Consult is designed to help you make quick, accurate decisions every day ... helping you save time and offer every patient the best possible care.
What are the key issues that concern Qualitative Research in Business and Management? In this advanced textbook, the author brings a wealth of insight to the research process. Combining the abstract and theoretical considerations with those of a practical nature, like those involved with interviewing for data, or for the final stage of writing up, Myers establishes an expansive resource for those involved in qualitative research that will aid them from start to finish. In this book the reader will be provided with the resources to: - Understand the underlying philosophies of qualitative research in business and management. - Be aware of a variety of qualitative research methods - Gain insight into examples of the previous use of qualitative methods in Business and Management. - Analyse and critically evaluate research in, including discussion of using qualitative data analysis software. - Carry out their own research in business and management. - Write up their research for publication. This book will be an indispensable resource both to those just embarking on their research as well as existing researchers in business and management.
Most men experience significant difficulty coping with divorce yet, because they do not easily or directly ask for help, they often remain an under-served population among people in distress. Hiding behind a facade of well-being and self-reliance, they often express their pain and inability to cope through alcohol abuse, overwork, or criminal acts. Some experience physical symptoms, become depressed, and, in extreme cases of psychological trauma, commit suicide or homicide. Focussing specifically on men and their reactions to divorce in a wide array of circumstances, Dr. Michael Myers offers new insights and clinical strategies for professionals who treat men in the throes of marital dissolution.
In the essays of this volume, Michael Putnam shows how seriously Statius pays homage to his canonical predecessor, Virgil, how thoroughly he interprets the complexities of Virgilian poetry, and how he often, by placing a Virgilian reference in a different social and cultural context, boldly turns Virgil to new and more positive purposes. He focuses particularly, though not exclusively, on those Silvae which deal with the architectural world of Statius' society, the private villas, the gardens, and the imperial palace. He also writes of the Roman equivalent of the 'Grand Tour,' a young man's educational journey through the monuments of Egypt, Greece, and Asia Minor. The essays offer valuable insight into the cultural and social identity of late first-century imperial Rome. Statius' reverential but also heuristic engagement with Virgil emerges more distinctly across the interrelated essays. Putnam's collected essays display the pioneering nature of Statius' Silvae in the development of ecphrasis as an important social and literary mode in Roman poetry.
Widely considered to be a foundational work in the field of listening, Teaching and Researching Listening is among the most recommended textbooks in applied linguistics oral communication courses, and the most cited reference in current research on second language listening development. Known for its comprehensiveness, clarity, insight, and practical applications, this fourth edition has been substantially revised to reflect the latest research in the areas of linguistics, neuroscience, applied technologies, and teaching methodology, with expanded sections on teaching applications and explorations in social research related to listening. This completely revised edition includes: • Detailed overviews of the underlying processes of listening, with additional coverage of decoding processes • Expansion of sections dealing with artificial intelligence (AI), speech recognition, and input enhancement software • Emphasis on research of listening in spoken interaction and cross-cultural communication • Clear templates for instructors and curriculum designers, with an expansive set of practical resources • Guidance in using observational methods for exploring listening in a range of educational and professional contexts • Website support, with presentation slides, infographics, and question banks for each chapter This fourth edition of Teaching and Researching Listening serves as an authoritative and comprehensive survey of issues related to teaching and researching oral communication, providing value for language teachers, educational researchers, instructional designers, interpreters, and other language practitioners.
Placing special emphasis on the significant security issues associated with modern container international transport, this book provides in-depth exploration of both United States and European Union port and shipping policy, alongside that of wider international trade. The authors take an original and topical look at the security initiatives introduced by the USA and their impact in the EU. Based on original research by renowned experts in the field, this book provides vital insight for academics, government policy-makers and practitioners.
This issue of Emergency Medicine Clinics focuses on Neurologic Emergencies. Articles include: Headache; Back Pain; Dizziness; Generalized Weakness; Initial Diagnosis and Management of Coma; Neuro-ophthalmology; Diagnosis of Acute Ischemic Stroke; Treatment of Acute Ischemic Stroke; Acute Hemorrhagic Stroke; Status Epilepticus; Diagnosis and Emergency Management of Subarachnoid Hemorrhage and more!
This extensive handbook presents up-to-date coverage of significant developments in estuarine and marine pollution. Multidisciplinary in approach, Practical Handbook of Estuarine and Marine Pollution is an essential resource for anyone involved in the study or management of coastal and marine pollution problems. The book examines in detail anthropogenic effects on estuarine and marine ecosystems from local, regional, and global perspectives. A truly international collection of data is presented in an organized framework on a wide range of subject areas, including eutrophication, organic loading, oil pollution, polycyclic aromatic hydrocarbons, halogenated hydrocarbons, trace metals, radioactive waste, dredging and dredged-spoil disposal, and effects of electric generating stations. Whether you are a student, a scientist, a policy maker, or an administrator, you no longer need to spend countless hours rounding up information and data - Practical Handbook of Estuarine and Marine Pollution has already done it for you.
Carrying on the tradition established by its founding editor, the late Dr. Martin Abeloff, the 4th Edition of this respected reference synthesizes all of the latest oncology knowledge in one practical, clinically focused, easy-to-use volume. It incorporates basic science, pathology, diagnosis, management, outcomes, rehabilitation, and prevention – all in one convenient resource – equipping you to overcome your toughest clinical challenges. What's more, you can access the complete contents of this Expert Consult title online, and tap into its unparalleled guidance wherever and whenever you need it most! Equips you to select the most appropriate tests and imaging studies for diagnosing and staging each type of cancer, and manage your patients most effectively using all of the latest techniques and approaches. Explores all of the latest scientific discoveries' implications for cancer diagnosis and management. Employs a multidisciplinary approach - with contributions from pathologists, radiation oncologists, medical oncologists, and surgical oncologists - for well-rounded perspectives on the problems you face. Offers a user-friendly layout with a consistent chapter format • summary boxes • a full-color design • and more than 1,445 illustrations (1,200 in full color), to make reference easy and efficient. Offers access to the book's complete contents online – fully searchable – from anyplace with an Internet connection. Presents discussions on cutting-edge new topics including nanotechnology, functional imaging, signal transduction inhibitors, hormone modulators, complications of transplantation, and much more. Includes an expanded color art program that highlights key points, illustrates relevant science and clinical problems, and enhances your understanding of complex concepts.
The new edition of this comprehensive, practical, and richly illustrated atlas covers a broad range of both surgical and medical aspects of cosmetic dermatology, including laser resurfacing, chemical peels, blepharoplasty and face lifts, hair transplantation, hair removal, and so much more. Dr. Kaminer along with an esteemed team of respected leaders in dermatology, oculoplastic surgery, facial plastic surgery, anesthesiology, and ophthalmology provide in-depth, descriptions of today's most widely used techniques. Every nuance of every procedure is clearly defined with more than 700 full-color crisp illustrations and high-quality clinical photographs. And best of all, this remarkable text now includes a DVD containing step-by-step videos demonstrating exactly how to proceed and what outcomes you can expect. Provides a thorough review of each procedure followed by a step-by-step description on how the procedure is performed to help you see exactly how to proceed. Presents extensive information on how to perform laser procedures such as laser hair removal.laser treatment of vascular lesions.and more, so you can offer your patients a wide range of services. Features detailed visual guidance on how to perform liposuction and Botox injections, keeping you on the cusp of cosmetic dermatology. Includes chapters on photoaging and the psychosocial elements of cosmetic surgery to help you handle any challenges that arise. Discusses patient selection, pre- and post-operative care, and how to avoid complications and minimize risks. Reviews local and regional anesthesia techniques so you know precisely which anesthetic to use for what procedure. Features new chapters or expanded coverage of imaging, cosmetic camouflage, non-ablative rejuvenation, non-surgical tissue tightening, ablative and micro-ablative skin resurfacing, soft-tissue augmentation autologous fat transplantation, aesthetic surgical closures, and suture suspension lifts so you can implement the latest techniques into your practice. Includes a DVD with over 60 step-by-step procedural video clips, to help you perform every technique correctly and know what outcomes to expect. Presents a 'pearls' section in each chapter that covers complications and secondary procedures to help you avoid mistakes and perfect your technique.
The leading and definitive reference on the surgical and prosthetic management of acquired and congenital limb loss. The fourth edition of the Atlas of Amputations and Limb Deficiencies is written by recognized experts in the fields of amputation surgery, rehabilitation, and prosthetics.
No other book reviews clinical neuropsychological assessment from an empirical psychometric perspective. In this completely revised and updated 2nd edition, the concepts and methods of psychometric neuropsychology are presented as a framework by which to evaluate current instruments. Newer methodologies and statistical techniques are discussed, such as meta analysis, effect size, confirming factor analysis and ecological validity. The explosion of research in this area since the publication of the first edition in 1989, has been incorporated, including a greatly expanded chapter on child assessment instruments. This volume is a must for the bookshelf of every clinical neuropsychologist as well as researchers and students. Anyone conducting forensic evaluations will especially find useful the information on reliability and validity when preparing for court appearances.
Responding to demographic changes among physicians and six years of new experiences since the first edition, Dr. Myers has revamped his well received work. He includes new information on older physicians, gay and lesbian physicians, medical student abuse, economic strain on interns, depression, malpractice, ethical violations, and other stressors which may cause marital difficulties. Therapists seeking to council symptomatic physicians, as well physicians themselves, will find this a humane, readable, and useful book.
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