Autonomy and rigid character

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James Morrison

Rewritten to incorporate the new DSM criteria, The First Interview updates a text that is rapidly becoming a standard in the field. This timely, accessible volume covers a broad range of personalities and problems typically encountered in the first interview, offering fresh insight on how to elicit key diagnostic details from even the most challenging patient. Completely up to date, all references to DSM-III-R have been revised, and outlines of the most common diagnoses have been rewritten in accordance with the new criteria. The First Interview specifies what you need to ask, and how best to frame your questions. Presented in a conversational, forthright style, these techniques are further brought to life by illustrative clinical vignettes. . The author takes you through each stage of an interview, demonstrating how to derive maximum information while establishing and maintaining trust and rapport. Effective verbal and nonverbal communication skills are emphasized, with techniques provided to help draw out feelings and determine symptoms, mental status, family background, personal strengths, and vulnerabilities such as a history of violence or childhood abuse. The volume concludes with a detailed discussion of how clinicians can most effectively present findings and recommendations to patients and their families in a manner that offers information with a sense of trust and hope. Clinically useful appendices include a sample interview and written report, DSM-IV diagnoses in abbreviated form for easy reference, standards for scoring the initial interview, and a list of recommended readings. For the seasoned clinician, this new edition of The First Interview provides a refresher course on the initial interview, and alternative approaches for interviewing difficult patients. It is also an ideal introductory text for students in psychology, psychiatry, social work, pastoral counseling, medicine, and nursing.

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Sigmund Freud

Freud investigates the function and structure of totemic systems among primitive peoples and presents a psychoanalytical study of modern taboos.

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Judith L. Rapoport

Up to six million Americans are afflicted with Obsessive-Compulsive Disorder (OCD), a serious, emotionally crippling disease. Cleaning, counting, washing, checking, avoiding—these are just some of the rituals that sufferers are powerless to stop. Now an expert on OCD reveals breakthroughs in diagnosis, successful new behaviorist therapies, drug treatments, and more.

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Kathleen Degen and Ellen Nasper

By the mid-eighties, the provision of psychotherapy for people who could not get out of bed, bathe, get dressed, prepare meals, and manage their own money had diminished. Treatment centered on case management and rehabilitation. This virtual elimination of psychotherapy made sense economically as well as therapeutically: traditional psychotherapy had little success with people suffering from schizophrenia. However, the advent of novel antipsychotic medications has created a need for psychotherapy tailored to this population. Sudden reduction in pervasive, persistent delusions and hallucinations, and recovery of motivation, energy, volition, and the ability to experience pleasure from something other than cigarettes is a mixed blessing. Patients are relieved of terrible suffering but left with new problems. Shedding the lifelong identity of a mental patient, they no longer need case management but require help adjusting to major changes in their thinking and functioning. Kathleen Degen and Ellen Nasper describe group therapy that helps patients identify and cope with unexpected, intense feelings such as sadness or painful memories of childhood trauma, increase their interpersonal skills, and advance their sense of self beyond that of their label as mental patients. Degen and Nasper show how to build on the phenomenal changes that the new medications provide.