email page print pageAll Topic Reviews
Health Care in America The Happiness of Burnout"Guns Don't Kill People, People Kill People""How Come Boys Get to Keep Their Noses?"17 Lies That Are Holding You Back20 Jazz Funk Greats50 Popular Beliefs That People Think Are TrueA Brief History of the SmileA Child of One's OwnA Citizen Legislature/A People's ParliamentA Clinician's Guide to Legal Issues in PsychotherapyA Colorful History of Popular DelusionsA Cultural History of Modern Science in ChinaA Cursing Brain?A History of Intelligence and "Intellectual Disability"A History of MarriageA History of PsychiatryA Little F'd UpA Loving Approach to Dementia CareA Man's Guide to Healthy AgingA Mind ApartA Mind So RareA Natural History of RapeA Natural History of VisionA Red Heart of MemoriesA Short History of MedicineA Student's Guide to the History And Philosophy of Yoga A Tear is an Intellectual ThingA Therapist's Guide to Understanding Common Medical ProblemsA Universe of ConsciousnessA User's Guide to the BrainA World Full of GodsABC of Eating DisordersABCs to Positive LivingAbnormal Psychology in ContextAbout FaceAccessible Yoga for Every Body DVDActs of ConscienceAdvances in Culture and PsychologyAfter HarmAfter the Ecstasy, the LaundryAfter the Globe, Before the WorldAgainst the MachineAging Our WayAIDS & People with Severe Mental IllnessAkhenatenAl-JununAlgernon, Charlie and IAll About LoveAllergy ReliefAlone TogetherAlpha GirlsAltered EgosAltered StatesAlways On CallAm I Making Myself Clear?Am I Okay?AM/PM YogaAmerica in the FortiesAmerican Science Fiction Film and TelevisionAmong the Great ApesAn American ObsessionAn Anthropologist on MarsAn Illustrated Book of Bad ArgumentsAn Odd Kind of FameAnatomy of an EpidemicAnger, Madness, and the DaimonicAnimal ArchitectsAnimal MindsAnimals in TranslationAnother CountryAntimatterAre the Rich Necessary? Updated and Expanded EditionArtemis FowlAs Nature Made HimAsylumAsylum on the HillAsylum to ActionAt Liberty to DieAtonement and ForgivenessAttention Deficit DisorderAttitudeAuthentic HappinessBe Very AfraidBeautiful MindsBeauty's NothingBeckett and AnimalsBecoming a DoctorBeing VirtualBelle and Sebastian's If You're Feeling SinisterBest of the Brain from Scientific AmericanBetrayal TraumaBetter Sex Through YogaBeyond AIBeyond GreekBeyond HealthBeyond ReasonBeyond ToleranceBibliotherapyBipolar DisorderBlack Man in a White CoatBlack MassBlind SpotsBlinkBlood and GutsBodies out of BoundsBody Piercing Saved My LifeBorn Standing UpBrain LongevityBrain-Based Teaching for All SubjectsBrainchildrenBrainwashingBread Upon the WatersBreaking Murphy's LawBreaking WomenBreathingBrian Eno's Another Green WorldBrief EncountersBritain on the CouchBrothelBuddhism and ScienceBuilding Healthy MindsBullspottingBullying PreventionBurn UnitBuzzC StreetCalling Our Spirits HomeCamp ZCancer on $5 a Day* *(chemo not included)Cato's TearsCaughtChained to the DeskChickenizing Farms and FoodChild Slaves in the Modern WorldChildren's Learning in a Digital WorldChina on the MindChoices and ConflictChoosing CivilityChronic Fatigue Syndrome (The Facts)Classical Pilates Technique DVDCleopatraClinical Psychopharmacology Made Ridiculously SimpleClosing the AsylumsCognition, Creativity, and BehaviorCognitive Neuroscience of EmotionCollege Inc.Coming of Age in AmericaComing of Age in Ancient GreeceConceptual BlockbustingConcrete ReveriesConducting Insanity EvaluationsConfronting Postmaternal ThinkingConnected, or What It Means to Live in the Network SocietyConsciousnessConsider the LobsterConsuming InnocenceContagiousControlConversations About Psychology and Sexual OrientationCool WomenCorpora in Language Acquisition ResearchCorrect EnglishCorrupted CultureCount Us InCovered in InkCreative AngerCreative Core AbsCreative ThinkeringCreative Writing In Health And Social CareCreatures of AccidentCrime and Punishment in AmericaCritical ConditionCritical Perspectives in Public HealthCritical Psychology: An IntroductionCross-Cultural Topics in PsychologyCrossingCrossing the Unknown SeaCruddyCultural Healing and Belief SystemsCulture and Subjective Well-BeingCustomers and Patrons of the Mad-TradeCyber BullyingCyber-Safe Kids, Cyber-Savvy TeensDance the Chakras Yoga WorkoutDancing After HoursDangerous EmotionsDarwin's Dangerous IdeaDarwin's LegacyDeaf Identities in the MakingDeath in the AirDebunked!DeceptionDecoding DarknessDeep GossipDefenders of the TruthDefining Moments in ScienceDefying DementiaDeinstitutionalization And People With Intellectual DisabilitiesDematerializingDementiaDementia Caregivers Share Their StoriesDemons of the Body and MindDemons of the Modern WorldDepression In Later LifeDirty DetailsDiscourse of Twitter and Social MediaDistractedDivine MadnessDMT and the Soul of ProphecyDo-It-Yourself Eye Movement Techniques for Emotional HealingDoes Science Need a Global Language?Doing GoodDon't Believe Everything You ThinkDon't Get Too ComfortableDr. Andrew Weil's Guide to Optimum HealthDr. Andrew Weil's Mindbody ToolkitDreaming and Other Involuntary MentationDSM-IV SourcebookDSM-IV-TR Case StudiesDuplicityDutiful DaughtersDying for TimeEarthly Bodies, Magical SelvesEastern Body, Western MindEating AnimalsEccentricsEcological MedicineEducating People to Be Emotionally IntelligentEinstein and OppenheimerElectroshockElliott Smith and the Big NothingEmergence and EmbodimentEmergencies in Mental Health PracticeEmotionEmotional Intelligence at WorkEmotions RevealedEncyclopedia of Asylum Therapeutics, 1750-1950sEntwined LivesErotic PassionsEssentials of Cas AssessmentEssentials of Wais-III AssessmentEthics for the New MillenniumEvamarie Pilipuf's Yoga Express DVDEvery Day Yoga for Every Body DVDEveryday GreensEveryday IrrationalityEveryday SimplicityEverything Is MiscellaneousEvolutionEvolution and Human BehaviorEvolution in MindEvolution's RainbowExploring the Edge Realms of ConsciousnessExuberanceEyes of SophiaFalling for ScienceFalse-Memory Creation in Children and AdultsFamilyFamily Desk Reference to Psychology Fashion and Its Social AgendasFashion, Desire And AnxietyFast, Fresh & GreenFat and FuriousFear and Other Uninvited GuestsFearless ConfessionsFeminist Philosophy And Science FictionFinal ExamFine LinesFixing My GazeFlesh of My FleshFlesh WoundsFlirting With DangerFlow and YinFlying ColorsFocusFood for Thought:Food, Medicine, and the Quest for Good HealthFool Me TwiceFreedom, Fame, Lying, and BetrayalFridaFrom Certainty to UncertaintyFrom Joy Division to New OrderFull Frontal Feminism: A Young Woman's Guide to Why Feminism MattersFull Steam Ahead!Galileo Goes to Jail and Other Myths about Science and ReligionGang of Four's EntertainmentGender and Its Effects on PsychopathologyGender and Mental HealthGeneration DigitalGenetics of Mental DisordersGeniusGenomeGetting a Good Night's SleepGetting Inside Your HeadGetting WastedGilded CityGirl in the CurlGirlfightingGirls Gone MildGirls on the VergeGod and the MultiverseGood FortuneGood KarmaGood MedicineGood WorkGracefully InsaneGrassroots SpiritualityGreat Psychologists and Their TimeGulpHabeas CorpusHalf a Brain Is EnoughHandbook of AttachmentHappinessHappinessHappiness Is.Hate Crimes in CyberspaceHealingHealing SpacesHealth And the MediaHealth OnlineHearing the Person With DementiaHeavier than HeavenHello from Heaven!HelmholtzHelvetica: A documentary filmHemalayaa's Yoga for Young Bodies DVDHemingway's Second WarHerbs for the MindHere Is New YorkHeroes, Rogues, and LoversHeterophobiaHidden MindsHistory of ShitHistory of SuicideHoly Sh*tHoly WarHooked!Hot Body Cool Mind - Level 1Hot Body Cool Mind: Waking Energy Hot Chocolate for the Mystical LoverHot SpotsHotHouseHouse and PsychologyHow Children Learn the Meanings of WordsHow Doctors ThinkHow Emotions WorkHow Our Lives Become StoriesHow Proust Can Change Your LifeHow Science WorksHow to Build a Robot ArmyHow to Cook Everything VegetarianHow to Grow OldHow to Handle a Hard-To-Handle KidHow We AgeHow We Are Changed by WarHumankindHungerHysteria Complicated by EcstasyI Contain MultitudesI Know Who You Are and I Saw What You Did: Social Networks and the Death of PrivacyI of the VortexI Only Say This Because I Love YouI, Little AsylumIdiot AmericaIf Men Could TalkIgnoranceIllness and ImageImagining NumbersImprove Your Writing With NLPIn Bed with MadnessIn Defense of FoodIn Praise of ScienceIn Pursuit of HappinessIn Search of FatimaIn the Line of DutyIn the Shadows of the NetIn Therapy We TrustIndivisible by TwoInsight Yoga with Sarah PowersIntegrative MedicineIntensive CareIntroduction to Ashtanga Yoga DVDIntroduction to Qi YogaIntroduction to Yoga DVDInvented KnowledgeInvestigating Digital CrimeIrrationalityIs Shame Necessary?It's Up to YouJanis Saffell Beverly Hills YogaJudo with WordsKanye West's My Beautiful Dark Twisted FantasyKids OnlineKilling MonstersKinds of MindsKissing DoorknobsKnowing the Nature of FearKnowledge MonopoliesKundalini Yoga for Beginners & BeyondLandscapes in My MindLaw, Mind and BrainLearning About School ViolenceLearning, Teaching and Education Research in the 21st CenturyLessons Learned on My Way HomeLicentious GothamLies! Lies! Lies!Life CoachingLife MakeoversLimboListening in the Silence, Seeing in the DarkListening to PainListening to the WorldLittle PeopleLittle Red Riding Hood UncloakedLiving DeeplyLiving Well with Pain and IllnessLiving with ArthritisLiving with SchizophreniaLiving, Thinking, LookingLoneliness as a Way of LifeLong Shadow of Small GhostsLosing My MindLove and Sex with RobotsLove Your Body, Love Your LifeLove, Sex & TragedyLust in TranslationMad Mary LambMade in AmericaMadhur Jaffrey's World VegetarianMadnessMadness in CivilizationMaidentripMake It CountMake It Fast, Cook It SlowMaking Babies the Hard WayMaking Dying IllegalMaking SpaceMaking the Big LeapMaking Your Mind MatterMale Female EmailMalefemaleMan As The PrayerManaged Care ContractingMandated Reporting of Suspected Child AbuseManic Depression and CreativityManlinessManning UpMapping the MindMarriage ConfidentialMary Pope Osborne's Tales from the OdysseyMaster PassionsMasters of the MindMatters of SubstanceMean GenesMedia ArgumentationMedia in the Digital AgeMediating MadnessMedical AnthropologyMedicine and Health Care in Early ChristianityMedicine and Philosophy in Classical AntiquityMedieval Writings on Female SpiritualityMemoires 1995Memory, Brain, and BeliefMental Health and Social SpaceMental Health MattersMental Illness in Popular MediaMerchants of DoubtMild Cognitive Impairment and Early Alzheimer's DiseaseMiles to Go for FreedomMillennium GirlsMind in Everyday Life and Cognitive ScienceMind WarsMind, Matter and Quantum MechanicsMindstormsMisconceptionsMistakes Were Made (But Not by Me)Mollie Katzen's RecipesMom's OK, She Just ForgetsMoody BitchesMoral PanicsMore Than MedicineMortificationMothers Who Kill Their ChildrenMusicophiliaMy Bloody Valentine's LovelessMy Life Among the Serial KillersMy Misspent YouthMy Stroke of InsightNakedNaked CityNarratives in PsychiatryNations Have the Right to KillNatureNear Death ExperienceNeurons and NetworksNeuroscience in Science Fiction FilmsNew Versions of VictimsNew YorkNew York September 11Not by DesignNot Your Mother's LifeNothing to HideNurembergNymphomaniaOath BetrayedObesityObjects of Our DesireObliquityOdd CouplesOf Spirits & MadnessOf Two MindsOld AgeOn BlindnessOn Fact and FraudOn the BrinkOn the Origin of StoriesOne Nation Under TherapyOpening to Love 365 Days a YearOptimizing Teaching and LearningOtherhoodOut of the DustOutliersOutsider ArtOver My HeadOxford Guide to the MindPainParanoia of Everyday LifeParents Do Make a DifferenceParty GirlPassingPassionate VegetarianPathways through PainPeople Like OurselvesPerceptual NeurosciencePersons and ThingsPestos, Tapenades, and SpreadsPhilosophy of MindPhotography and LiteraturePilates for MenPink ThinkPlanning for UncertaintyPoets on ProzacPostcards from the Brain MuseumPosthumanismPotatoes Not ProzacPower HerbsPower Yoga for HappinessPoxPractical ClassicsPractical Plans for Difficult Conversations in MedicinePracticing Feminist Ethics in PsychologyPrader-Willi SyndromePredictably IrrationalPretty in PunkPretty Is What ChangesPreventing Misbehavior in ChildrenPrime Ministers of CanadaPrint Literacy DevelopmentPrison MadnessPrivate Life in New Kingdom EgyptProblems in MindProtecting the GiftProust and the SquidPrudePsychiatryPsychiatry in the New MilleniumPsychiatrylandPsychologyPsychology and the MediaPsychology for ScreenwritersPsychotherapy and ConfidentialityPublic Health LawPunishment in Popular CulturePure Yoga Pilates with Kerry BestwickQuantum ArchetypesQuantum LeapsR.I.P.Race in Contemporary MedicineRacial ParanoiaRaising a Self-StarterRaising AmericaReady for AnythingReady or NotReady or Not, Here Life ComesReal SexReckoning With HomelessnessReclaiming Our ChildrenReclaiming Soul in Health CareRed Lotus YogaReligion ExplainedRemaking a WorldRepublic.com 2.0Rethinking CommodificationRethinking Middle YearsReviving OpheliaReviving the LeftRewarding Specialties for Mental Health CliniciansRights, Risk and Restraint-Free Care of Older PeopleSabbathSame DifferenceSamuel BeckettSatisfactionSavedScared SickScienceScience and NonbeliefScience in the MarketplaceScience TalkScience WarsScience, Consciousness and Ultimate RealitySecond OpinionsSeeds of HopeSelected Ambient Works Volume IISelf Hypnosis for Cosmic ConsciousnessSelf-Help NationSelf-Help, Inc.Selling the Fountain of YouthSells like Teen SpiritSerious ShoppingSeven Challenges To Change Your Life DVDSex, Mom, and GodSex, Time and PowerSexing the BodySexual Orientation and School PolicySexy FeminismShadow, Self, SpiritShop Class as SoulcraftShrink RapSick to Death and Not Going to Take It AnymoreSimulation and Its DiscontentsSinfully VeganSister CitizenSleeping With Extra-TerrestrialsSlut!Snake Oil ScienceSnoopSo Brilliantly CleverSocial RepresentationsSolar Flow Yoga DVDSold on LanguageSome Kind of GeniusSometimes Madness Is WisdomSorting Things OutSoul Made FleshSounds from the Bell JarSoupsSpace, Place and Mental HealthSpeaking Our MindsSpiritual CrisisSpontaneous HealingStates of MindStatus AnxietyStiffedStill HereStill LivesStrange BehaviorStrategies of Commitment and Other EssaysStrength, Grace, HealingStroke DiariesStumbling on HappinessSun SalutationsSuper Natural CookingSuperstitionSupersurvivorsSurgery JunkiesSwordfishtrombonesSylvia Plath ReadsTalk to HerTalking About RaceTalking Back to PsychiatryTalking Heads' Fear of MusicTalking ScienceTeach Yourself MeditationTeaching OnlineTeaching SexTeen LoveTeenageTextbook of Cultural PsychiatryThanks!The 101 Best Graphic NovelsThe Age of American UnreasonThe Alice Behind WonderlandThe American HotelThe American ParadoxThe American Psychiatric Publishing Textbook of Clinical PsychiatryThe Americanization of Social ScienceThe Anatomy of HopeThe Anatomy of MelancholyThe Angelica Home KitchenThe Antibiotic EraThe Ape and the Sushi MasterThe Architecture of MadnessThe Arctic IncidentThe Art of ChoosingThe Art of Exceptional LivingThe Bard on the BrainThe Barmaid's BrainThe Beginner's Guide to Healthy EatingThe Better to Eat You WithThe Biotech CenturyThe Birth of PleasureThe Birth of the PillThe Black DeathThe Blackwell Handbook of Organizational Learning and Knowledge ManagementThe Book of the PenisThe Brain That Changes ItselfThe Breathing FieldThe Bridge to HumanityThe Bully SocietyThe Cafe Brenda CookbookThe Call of the WeirdThe Cambridge Illustrated History of MedicineThe Case Against SugarThe Childless RevolutionThe Clitoral TruthThe Complete Guide to Herbal MedicinesThe Complete Vegetarian HandbookThe Consolations of PhilosophyThe Contemplative HeartThe Couch and the TreeThe Course of Gay and Lesbian LivesThe Creation of the Modern WorldThe Cult of PharmacologyThe Cultural Origins of Human CognitionThe Culture of FearThe Culture of PunishmentThe Da Vinci DogThe Dark Night of the SoulThe Deadly TruthThe Decency WarsThe Disobedience Of The Daughter Of The SunThe Dynamic NeuronThe Easy Yoga WorkbookThe Emotional BrainThe Emotional Journey of the Alzheimer's FamilyThe Employee Assistance Treatment PlannerThe End of MaterialismThe End of WarThe English and their HistoryThe Enigma of HealthThe Era of ChoiceThe Eternity CubeThe Event of LiteratureThe Evolving WorldThe f WordThe Fabulous ImaginationThe Faces of TerrorismThe Farm Colonies: Caring for New York City's Mentally Ill In Long Island's State HospitalsThe Fat Studies ReaderThe Fate of Early MemoriesThe Female ThingThe Final LeapThe Firmament of TimeThe Five Things We Cannot Change ...The ForgettingThe Game of TruthThe Get Healthy, Go Vegan CookbookThe Gift of FearThe Gold Leaf Lady and Other Parapsychological InvestigationsThe Good Enough ChildThe Great BetrayalThe Greatest Experiment Ever Performed on WomenThe HandThe Handbook of Disability StudiesThe Happiness HypothesisThe Healing Remedies SourcebookThe Health Psychology HandbookThe Healthy KitchenThe Heart of YogaThe Hedgehog's DilemmaThe Hero's JourneyThe History of Rhetoric and the Rhetoric of HistoryThe History of White PeopleThe Homework MythThe Hungry SoulThe Identity CodeThe Immortalization Commission:The Importance of Being LazyThe Indian VegetarianThe Insider's Guide to Mental Health Resources OnlineThe Insider's Guide to Mental Health Resources OnlineThe Insider's Guide to Mental Health Resources OnlineThe Insider's Guide to Mental Health Resources OnlineThe Intelligibility of NatureThe Interdisciplinary Science of ConsumptionThe Intuitive WriterThe Invisible PlagueThe Irreducible Needs of ChildrenThe Irritable Male SyndromeThe Jewel Tree of TibetThe Joy of MeditatingThe Language ImperativeThe Language Of YogaThe Language PoliceThe Language WarsThe Last PhysicianThe Last Self-Help Book You'll Ever NeedThe Law Is a White DogThe Lie DetectorsThe Little Book of Healthy TeasThe Little Book of HeartbreakThe Little Soy BookThe Little Yoga BookThe Lives and Loves of Daisy and Violet HiltonThe Lives of AnimalsThe Lolita EffectThe Lonely PatientThe Loss of Self: A Family Resource for the Care of Alzheimer's Disease and Related DisordersThe Lucifer EffectThe Lucifer PrincipleThe Madness of Adam and EveThe Madwoman in the AtticThe Magic of RealityThe Making of Dr. PhilThe Manual of EpictetusThe Marketplace of IdeasThe Mature MindThe Measure of Our DaysThe Meat Lover's Meatless CookbookThe Medical AdvisorThe Medicalization of SocietyThe Metaphysical ClubThe Mind's PastThe Misunderstood GeneThe MIT Encyclopedia of the Cognitive SciencesThe Monster WithinThe Mood CureThe Moral Intelligence of ChildrenThe Mystery of Mary RogersThe Myth of Freedom and the Way of MeditationThe New BrainThe New Cancer SurvivorsThe NineThe Nordic Theory of EverythingThe Norm ChroniclesThe Normal OneThe Omnivorous MindThe Orchid ThiefThe Origin and Evolution of CulturesThe Oxford Book of Modern Science WritingThe Pain AntidoteThe Paradox of ChoiceThe Paradox of SleepThe Paranoia SwitchThe Passion PlanThe Pastoral Counseling Treatment PlannerThe PDR Family Guide to Natural Medicines & Healing TherapiesThe Physics of ConsciousnessThe PlaceboThe Placebo Effect and HealthThe Playful BrainThe Pocket Life CoachThe Portfolio and the DiagramThe Power of FocusThe Power of Full EngagementThe Praeger Handbook of Learning and the BrainThe Private Life of the BrainThe Professor and the MadmanThe Psychoanalytic MysticThe Psychology of Religion and CopingThe Psychology Of The InternetThe Psychotherapy Documentation PrimerThe Quantum UniverseThe Quarter-Acre FarmThe Race for ConsciousnessThe Real Rules for GirlsThe Red DevilThe Republican BrainThe Richer SexThe Rise of Mental Health NursingThe Roman Search for WisdomThe Root of All EvilThe Routledge Companion to Landscape StudiesThe Same Stuff as StarsThe Savage CityThe Science of Good and EvilThe Science of Optimism and HopeThe Scientist In The CribThe Seat of the SoulThe Second SelfThe Secret History of DreamingThe Secret Lives of GirlsThe Secret World of Doing NothingThe Seven Sins of MemoryThe ShakeressThe ShallowsThe Social Psychology of StigmaThe Sociology of PhilosophiesThe Sociopath Next DoorThe Soul Knows No BarsThe Spa DeckThe Spiritual Anatomy of EmotionThe Split MindThe Star ThrowerThe Story Is TrueThe Storytelling AnimalThe Strange Case of Hellish NellThe Symmetry of GodThe Talking CureThe Thing You Think You Cannot DoThe Three CulturesThe Three Failures of CreationismThe Toxic ConsumerThe Triumph of NarrativeThe True PathThe Truth About Chronic PainThe UndertakingThe Volitional BrainThe Wages of SinThe War Against BoysThe Way of StretchingThe Weblog HandbookThe Weight of the NationThe Why CaféThe Wild Ass’s SkinThe Will to Live and Other MysteriesThe Wisdom of PsychopathsThe Wisdom of Your DreamsThe Words We Live ByThe World of CaffeineThe Worldwide Practice of TortureThe Worst-Case Scenario Survival HandbookThe Wow ClimaxTheaters of MadnessTheatre and AnimalsTheories of Scientific MethodTherapeutic LandscapesTheraScribe 4.0Think CatThink SmartThinking for a ChangeThinking With AnimalsThrough Deaf EyesToo Big to FailTooning InTop ChefTortured SubjectsTotal AstangaTotal PilatesTotally WiredTowards a Science of Consciousness IIITrain Your Brain to Get RichTransforming MadnessTraumatic PastsTreatment and Rehabilitation of Severe Mental IllnessTreatment Kind and FairTribal ScienceTrick or TreatmentTrusting DoctorsTry to RememberTutoring as a Successful BusinessTwelve Examples of IllusionTwinsUnder the Medical GazeUnderstanding and Treating Violent Psychiatric PatientsUnderstanding Child MolestersUnderstanding FitnessUnforgettableUnholy MadnessUnscientific AmericaUnspeakable Acts, Ordinary PeopleUnto OthersUp From DragonsUrban Tourism and Urban ChangeUseful BodiesValues in ConflictVarieties of Anomalous ExperienceVegan ExpressVegetarian Turkish CookingVertigo VisionsVictorian Popularizers of ScienceViniyoga Therapy for the Low Back, Sacrum and HipsViolence Against WomenVoices Of Alzheimer'sVoices of CaregivingVoices of MadnessVoluntary SimplicityWaking Up to What You DoWalkingWalking a Literary LabyrinthWall: A World DividedWarWays of KnowingWays of KnowingWe Shall Be No MoreWe Shall Not Be MovedWe've Got BlogWellbeingWhat Emotions Really AreWhat I Learned in Medical SchoolWhat in the World Are Your Kids Doing Online?What Makes Us Think?What Nietzsche Really SaidWhat Our Children Teach UsWhat Science Offers the HumanitiesWhat Video Games Have to Teach Us About Learning and LiteracyWhat's Holding You Back? What's So Wrong with Being Absolutely RightWhen a Family Member Has DementiaWhen Experiments TravelWhen Good Thinking Goes BadWhen History Is a NightmareWhen Johnny and Jane Come Marching HomeWhen Mothers KillWhen Sex Goes to SchoolWhen Someone You Know Is Living in a Dementia Care CommunityWhen Things Fall ApartWhere Biology Meets PsychologyWhere Good Ideas Come FromWhere is the Mango Princess?Wherever You Go, There You AreWhile They SleptWhispers from the EastWho Rules in ScienceWhy Does E=mc2?Why Don't Students Like SchoolWhy God Won't Go AwayWhy Have Kids?Will They Ever Trust Us Again?WisdomWise Mind, Open MindWitch Beliefs and Witch Trials in the Middle AgesWitchcrazeWith Their EyesWithin ReasonWomanWomen and Mental IllnessWorking With Emotional IntelligenceWriting in FlowYogaYoga & Pilates Workouts for DummiesYoga Beauty BodyYoga for EveryoneYoga for People Who Can't Be Bothered to Do ItYoga for Regular GuysYoga for Regular Guys DVDYoga In BedYoga on DemandYoga SanctuaryYoga SculptYoga ShaktiYoga To Go's Yoga Quick Fixes DVDYogalosophyYou Are Not Your IllnessYou'd Be So Pretty If . . .Your Miracle BrainZen Encounters with LonelinessZen-Brain Reflections
Violence in Red
"Violent patients readily provoke fear, anger, and revulsion" (Introduction); "After a serious assault, the entire ward, staff and patients, is in an uproar" (Chapter 1); "Abnormal aggression in children and adolescents in a major public heath problem
and one of the most common reasons for psychiatric referral" (Chapter 2); "There is little in psychiatry that is more frightening than the threat of imminent violence" (Chapter 3); "Aggression is a very serious problem within public psychiatric facilities, but its treatment and management have long been a controversial issues (sic)
(Chapter 4); "Violence is a great concern to anyone responsible for quality care and safety in psychiatric hospital" (Chapter 6).
The majority of first sentences in this nine-chapter volume (including its helpful, concise introduction) support emblazoning in red the word violence in the dust cover title. Yet, the editor, Dr. Martha Crowner, earnestly wishes clinicians to get beyond such strong emotions emotions too often driving them to distance themselves from "violent patients" by focusing on problematic behaviors rather than the ill persons. It is not that we should cease to be vigilant against violent outbursts, but that clinicians, and by implication all of us, should try to understand the context and causes of violence better. Then, Dr. Crowner insists, the clinicians should embrace their obligation to employ effective treatments for the "violent patients", not just the "nonviolent" patients.
The goals of this volume to promote understanding and treatment are intentionally captured in the title of this mostly descriptive, very readable collection of essays. Each chapter is clearly organized, including a helpful introduction and a conclusion capturing the major points. Bold subtitles mark a chapters structure, These features, along with numerous references and an index, makes the volume easy to return to as a resource. As a grace note, within chapters one occasionally finds a reference to other volume chapters where the same topic is dealt with in greater or different detail.
What Is To Be Learned:
This book is designed for the range of psychiatric health care workers. The essays, however, are accessible to a more general audience, such as this bioethicist reviewer who has only recently turned her clinical and academic eye to the field of mental health care. The occasional, technically detailed areas may be skipped without endangering ones comprehension of the surrounding material.
Would a more general reader benefit from reading this volume? "Violence" in red and the heightened concern communicated by the "first sentences" are likely to speak to many folks outside the mental health care field. Violence is, after all, vivid in the public mind. However, much of this volume is directed to the mental health care professional who works with hospitalized patients and would therefore benefit from the practical information and recommendations. For example, there is step by step information and concrete advice on how to respond to a person who acts out violently, as well as how to manage compassionately and effectively the aftermath of a violent outburst. Just as importantly, there is much of value offered regarding strategies for preventing assaultive outbursts and, when appropriate, for safely putting patients into restraints.
There is a real importance, salted with irony, to this inclusion of non-pharmaceutical treatment options in an era of managed care ("managed cost"?). After all, managed care has reduced its treatment support, where there is support, mostly to the arguably less expensive approach to "caring" for mentally ill persons drugs. This is not to diminish the fact that appropriate, careful use of pharmaceuticals has vastly improved the lives of many persons struggling with mental disorders. However, this volume underscores what we are missing if we cannot find the political will to support financially the often labor intensive but arguably highly effective non-pharmaceutical treatment strategies.
This volume does more than present the issues of practical understanding and treatment. The editor divides the book into two sections, with the first tackling the practical issues so far considered. Section II consists of four chapters that Dr. Crowner describes as "different conceptual approaches to understanding violent behavior in widely different contexts" (p. xii).
That Dr. Crowner needs to divide the chapters into sections reflects one of her challenges as editor. This volume is one in the Progress in Psychiatry Series that "is designed to capture in print the excitement that comes from assembling a diverse group of experts from various locations to examine in detail the newest information about a developing aspect of psychiatry" (p. ix). As I understand the editor of the series, David Spiegel, M.D., this assembly was a symposium at which this volumes essays were presented. I do not know how much leeway the volume editor had in selecting which symposium papers were to be included. From the perspective of a reader, though, I find that the volume lacks an organicity that I would favor but that is not promised by the series editor.
Section II is diverse. Its first essay, Chapter 6, seems to belong instead in the first section because this essay has the same practical focus and implications as do Section I essays. In fact, a reader interested only in practical, clinically applicable material might skip Section II, thereby missing Chapter 6s very practical, intriguing insights and recommendations.
Chapter 7 is a detailed, conceptual look at the relationship between violence and dissociation. This essay is at places pretty technical but nevertheless rich, provocative, and my favorite essay in the volume. While Chapter 8 focuses less on violence than on impulsivity, it does important work showing where these are different and where they come together. Both these chapters have strong implications for how we ought to deal with mentally ill persons whose violent acts propel them into a legal system unequipped to handle them appropriately.
Chapter 9 is for me disappointing. It is the final chapter in the volume, yet ends with a section that introduces briefly (lists) five ethically and professionally contested recommendations regarding (pre and post) commitment and treatment issues. The author is among those who believe that these admittedly controversial recommendations follow from research supporting his chapters thesis: "persons with acute mental disorder have a modestly elevated risk of violence and
clinicians have modest abilities to predict this violence" (p. 174). As a bioethicist, I was disheartened to see the recommendations merely briefly stated. There is no discussion of their merits and dismerits, particularly of the ethical values at stakes. There are no footnoted references to those who argue against any of these recommendations. It is not that I necessarily disagree with all the recommendations for one, mandatory out-patient treatment has much to recommend it but without any discussion, the reader is left hanging as the chapter and the volume abruptly come to a close.
What Is Missing:
My final comments concern what is not found in this volume. The first missing piece is an introductory, conceptual discussion of possible clinical and moral meanings of violence. This would have provided a critical and fundamental context for the volume. For all the diversity of the symposium presenters represented in this volume, this crucial perspective is missing.
Just why a framing discussion of violence would have been helpful can be illustrated by two discomforts that remain with me. The first discomfort arises from Dr. Crowner emphasis on the importance of understanding and treating the violent patient, not the violent behavior. She argues convincingly that the clinician should focus on the ill person in her complex individuality. It concerns me, though, that thinking about "the violent patient" requires a troubling act labeling. Labels can be stigmatizing and are sticky. Moreover, in at least one place in this volume it is suggested, and supporting evidence presented, that among hospitalized patients a violent act is rare. So, by virtue of a rare act, a person is labeled violent and distinguished from "nonviolent" patients. This raises an additional curiosity. If mentally ill persons only get hospitalized because they pose a danger to themselves or others (and that danger stems from their mental illness), then by necessity all hospitalized mentally ill person are categorized as violent if dangerous means violent, as it seems to in this volume.
This leads to my second discomfort, which stems from the use of various terms, such as assault, (abnormal) aggression, and danger, as if they are unproblematically interchangeable with violence . Different possible understandings and implications of these terms are overlooked. Violence ("in red", you will remember) is arguably an alarming, morally condemning word. Yet, as one author points out with respect to her study of in-hospital violence, the term violence captures actions that vary in their harmfulness and intent. Among these we find acts that turn out to be done in self-defense, whether mistakenly or not. Where not mistaken, perhaps the real violence is psychological, aimed at and provoking the targeted person, who then physically responds in self-defense. Then, too, some acts turn out to be fairly harmless, intended to be more playful. Perhaps "violence" is too strong a term, laden with too much emotional and moral baggage, to cover all the actions examined in this book? It would at least be good to have this kind of discussion up front.
There is a second missing piece in this volume: the clinically rich data presented could be rendered even more useful by being drawn together in a final chapter one identifying both common themes and conflicting findings. An especially important theme running quietly through the book is the fact that childhood abuse, neglect, and uninformed/unskilled parenting seem to be implicated for a number of young people in their eventual development of mental disorders. It seems plausible that many of the psychosocial treatments discussed in the book could be effectively modified for educational and training programs for children at risk in the general population. A summary chapter could emphasize the implications of these themes and findings for research and for public education concerning the critical need to improve the funding of mental health care and prevention programs.
All in All:
Given the insights within this volume and the fact that its implications go beyond the walls of the mental health institution, this volume is well worth reading. This is true not just for mental health professionals, but for all with a mind to finding ways to reduce aggression, assault, and violence in our society.
Linda A. Rankin, Ph.D., is a Clinical Ethicist and an Assistant Professor of Medicine in the Department of Medicine, University of Tennessee Medical Center at Knoxville, Knoxville, TN. She is also faculty in the Inter-Campus Graduate Program in Medical Ethics, based in the Department of Philosophy at the University of Tennessee. This past year she turned her attention to bioethical issues in mental health. Her responsibilities included redesigning and teaching the (Fall) academic course intended to prepare M.A. level Philosophy students for their (Spring) Masters Clinical Practicum at Lakeshore Mental Health Institute (state hospital) and Helen Ross McNabb Center (private community mental health center). She redesigned, expanded, and supervised this Masters Clinical Practicum.