Eric Hollander - Böcker

Throughout history, people have invented many different ways to inflict direct and deliberate physical injury on themselves - without an intent to die. Even today, the concept and practice of self-injury is sanctioned by some cultures, although condemned by most. This insightful work fills a gap in the literature on pathologic self-injury. The phenomenon of people physically hurting themselves is heterogeneous in nature, disturbing in its impact on the self and others, frightening in its blatant maladaptiveness, and often indicative of serious developmental disturbances, breaks with reality, or deficits in the regulation of affects, aggressive impulses, or self states. Further complicating our understanding is the large and diverse scope of psychiatric conditions, such as pervasive developmental disorders, Tourette's syndrome, and psychosis, in which these behaviors occur.This volume presents a comprehensive nosology of self-injurious behaviors, classifying them as stereotypic, major, compulsive, and impulsive (with greater emphasis on the last two categories because they are the most commonly seen). The chapter on stereotypic self-injurious behaviors (highly repetitive, monotonous behaviors usually devoid of meaning, such as head-banging) focuses on the neurochemical systems underlying the various forms of stereotypic movement disorders with self-injurious behaviors, typically seen in patients with mental retardation and autism, and discusses their psychopharmacological management. The chapter on psychotic, or major, self-injurious behaviors (severe, life-threatening behaviors, such as castration) presents a multidimensional approach to evaluating and treating patients with psychosis and self-injurious behaviors, including the neuroanatomy and neurobiology of sensory information processing as background for its discussion of neurobiological studies and psychopharmacological treatments. Chapters on the neurobiology of and psychopharmacology and psychotherapies for compulsive self-injurious behaviors (repetitive, ritualistic behaviors, such as trichotillomania [hair-pulling]) offer much-needed biological research and the first empirical treatment studies on compulsive self-injurious behaviors, and argue that a distinction can indeed be made between compulsive and impulsive self-injurious behaviors. Chapters on the neurobiology, psychopharmacology, and dialectic behavior and psychodynamic theory and treatment of impulsive self-injurious behaviors (habitual, chronic behaviors, such as skin picking) supplement the few neurobiological studies measuring impulsivity, aggression, dissociation, and suicide and detail the efficacy of various medications and psychotherapies. An eminently practical guide with exhaustive references to the latest data and research findings, this concise volume contains clinical material and therapeutic interventions that can be used right away by clinicians to better understand and treat patients with these complex and disturbing behaviors.

Obsessive-Compulsive Spectrum Disorders: Refining the Research Agenda for DSM-V offers clinicians, academicians, and nosologists an in-depth look at how obsessive-compulsive phenomena are represented in the current diagnostic system and how DSM-V might better address the needs of patients with these disorders.

This guide summarizes the latest research and translates it into practical treatment strategies for the best clinical outcomes. Designed for daily use in the clinical setting, it serves as a source of information, quick to access and easy to understand and it should be of interest to psychiatrists, residents and medical students, psychologists and mental health professionals. Anxiety-related illnesses including panic disorder, obsessive-compulsive disorder, generalized anxiety disorder, post-traumatic stress disorder, social phobia and specific phobia are featured. The discussion of each disorder includes information on aetiology, diagnosis and differential diagnosis, course and prognosis, biological and psychological theories, medications and interventional treatments and psychotherapeutic treatments.

Beginning with the conceptualization and classification of ICDs, including the phenomenology, assessment, and classification of impulsivity as a core symptom domain that cuts across and drives the expression of these disorders, experts provide cutting-edge, concise, and practical information.

Reflecting gains over the past decade in our understanding of the causes of autism, this book meets the need for clear, up-to-date, and evidence-based treatment. Internationally known researchers share treatment approaches they have either developed or thoroughly tested for safety and efficacy.

The book's emphasis on types of assessment, genetic testing and counseling, and medical and psychological treatment will be exceedingly useful to health care providers navigating the new diagnostic criteria introduced in DSM-5.

Designed for clinicians at every level, The American Psychiatric Association Publishing Textbook of Anxiety, Trauma, and OCD-Related Disorders addresses the origin, assessment, diagnosis, and treatment of these disorders in a comprehensive, up-to-date, and compelling manner. Fresh voices are everywhere in this authoritative revision of the classic text, as more than 60% of the contributors are new. They join stalwarts from the previous edition -- experts who bring stellar credentials and a discerning eye to the task of revising the text to reflect cutting-edge scholarship and evidence-based clinical knowledge. Following a comprehensive overview of core principles, the book provides detailed coverage of specific DSM-5 diagnoses: generalized anxiety disorder, obsessive-compulsive and related disorders, panic disorder and agoraphobia, social anxiety disorder, specific phobia, and trauma- and stressor-related disorders. Each section presents the latest thinking on phenomenology and pathogenesis, then provides evidence-based clinical recommendations for pharmacotherapy and psychotherapy.New and noteworthy material includes the following: • Two new chapters focus on the features, phenomenology, and course of acute and integrated grief, as well as the epidemiology, clinical features, evaluation, and pathophysiology of complicated grief (CG), which affects a significant minority. Proper treatment of CG is critical, because once it persists beyond 6 months, impairment may last for years, if not a lifetime. Accordingly, a separate chapter is devoted to treatment options, including a hybrid of cognitive-behavioral, interpersonal, motivational interviewing, and psychodynamic methods.• The Unified Protocol (UP) for Transdiagnostic Treatment of Emotional Disorders is examined in a fascinating new chapter. The UP is a promising treatment with empirical support for reduction of both symptoms and higher-order temperamental changes, such as changes in neuroticism, an underlying mechanism associated with onset and maintenance of emotional disorders.• The chapter on anxiety disorders in late life is completely new and emphasizes the prevalence of anxiety in this population and its likelihood of remaining undetected and untreated. The epidemiology, diagnosis, and treatment of these disorders are examined in detail so that the reader will recognize the clinical features, be able to differentiate them from depression, and can identify appropriate treatment, whether pharmacological or psychotherapeutic.• Each chapter features a concise list of key clinical points to help the reader focus on the most important material for study, as well as a list of recommended reading for those who wish to learn more. Grounded in the latest research, clinically rich, and pedagogically strong, The American Psychiatric Association Publishing Textbook of Anxiety, Trauma, and OCD-Related Disorders is the go-to text for mental health clinicians looking for evidence-based knowledge and support.