Freud promised his patients absolute confidentiality, regardless of what they revealed, but privacy in psychotherapy began to erode a half-century ago. Psychotherapists now seem to serve as “double agents” with a dual and often conflicting allegiance to patient and society. Some therapists even go so far as to issue Miranda-type warnings, advising patients that what they say in therapy may be used against them. Confidentiality and Its Discontents explores the human stories arising from this loss of confidentiality in psychotherapy. Addressing different types of psychotherapy breaches, Mosher and Berman begin with the the story of novelist Philip Roth, who was horrified when he learned that his psychoanalyst had written a thinly veiled case study about him. Other breaches of privacy occur when the so-called duty to protect compels a therapist to break confidentiality by contacting the police. Every psychotherapist has heard about “Tarasoff,” but few know the details of this story of fatal attraction. Nor are most readers familiar with the Jaffee case, which established psychotherapist-patient privilege in the federal courts. Similiarly, the story of Robert Bierenbaum, a New York surgeon who was brought to justice fifteen years after he brutally murdered his wife, reveals how privileged communication became established in a state court. Meanwhile, the story of New York Chief Judge Sol Wachtler, convicted of harassing a former lover and her daughter, shows how the fear of the loss of confidentiality may prevent a person from seeking treatment, with potentially disastrous results. While affirming the importance of the psychotherapist-patient privilege, Confidentiality and Its Discontents focuses on both the inner and outer stories of the characters involved in noteworthy psychotherapy breaches and the ways in which psychiatry and the law can complement but sometimes clash with each other.

The definition of narcissism can be a moving target. Is it an excess of self-love? Profound insecurity? Low self-esteem? Too much self-esteem? Because of the multifaceted nature of narcissistic personality disorder (NPD), treating this disorder presents clinicians with a range of wholly unique challenges. Narcissism and Its Discontents recognizes the variable nature of NPD and provides a template for adjusting treatment to the patient rather than shoehorning the patient into a manualized treatment that may prove to be less effectual. This guide offers clinicians strategies, including transference and countertransference, to deal with the complex situations that often arise when treating narcissistic patients, among them, patient entitlement, disengagement, and envy. The authors provide a skillful integration of research and psychoanalytic theory while also addressing psychotherapeutic strategies that are less intensive but also useful-being cognizant of the fact that a majority of patients do not have access to psychoanalysis proper. A chapter on the cultural aspects of narcissism addresses the recent societal fascination with NPD in the discourse on politics and celebrity, particularly in the age of social media. Regardless of the treatment setting-psychoanalysis, psychotherapy, pharmacotherapy, partial hospital, or inpatient--clinicians will find a wealth of approaches to treating a diverse and challenging patient population in Narcissism and Its Discontents.

On what basis can we challenge Artificial Intelligence (AI) - its infusion, investment, and implementation across the globe? This book answers this question by drawing on a range of critical approaches from the social sciences and humanities, including posthumanism, ethics and human values, surveillance studies, Black feminism, and other strategies for social and political resistance. The authors analyse timely topics, including bias and language processing, responsibility and machine learning, COVID-19 and AI in health technologies, bio-AI and nanotechnology, digital ethics, AI and the gig economy, representations of AI in literature and culture, and many more. This book is for those who are currently working in the field of AI critique and disruption as well as in AI development and programming. It is also for those who want to learn more about how to doubt, question, challenge, reject, reform and otherwise reprise AI as it been practiced and promoted.

This ground-breaking book uses organizational ethics and stakeholder theory to explore the ethical accountability of leadership in healthcare organizations to their distinct vulnerable stakeholder communities. The book begins with a discussion of the moral agency of healthcare organizations and introduces stakeholder theory. It then looks at key ethical challenges in relation to the confidentiality and privacy of healthcare data, before turning to child health and interventions around issues such as obesity, maltreatment, and parenting. The book ends by focusing on ethics of care in relation to older people and people with disabilities. An insightful contribution to thinking about ethics for contemporary healthcare management and leadership, this interdisciplinary book is of interest to readers with a background in healthcare, business and management, law, bioethics, and theology.

In this, the latest in a series of books examining emotional states and psychological life, Salman Akhtar and Aisha Abbasi critically discuss a concept that remains, appropriately perhaps, elusive and hard to define: privacy. Overlapping with ideas of solitude, secrecy, and anonymity, the concept of privacy poses several crucial questions for analysts. How do our ideas of privacy evolve from childhood through adolescence to adulthood, for example, and when does the need for privacy become morbid and psychopathological? How is privacy conceived differently in different cultures and sub-cultures? Investigating the tension between anonymity and self-disclosure, the book also assesses the challenges posed to clinical privacy, as well as the analyst’s own privacy, by the impact of social media and the wider digital age. Privacy: Developmental, Cultural, and Clinical Realms represents an important contribution to psychoanalytic literature. It will be of great interest to psychoanalysts and psychotherapists in practice and training as well as to researchers interested in the concept of privacy from across the applied and social sciences and the humanities.

Life-course criminology has generated new energy and provoked sharp debate over competing ideas about the fundamental relationship between age and crime. A major catalyst for this debate – a 2003 American Society of Criminology (ASC) conference session entitled "Age, Crime, and Human Development: The Future of Life-Course Criminology," chaired by the editors of this issue – provided a springboard for this special issue of The Annals. With an eye to the future, this special issue provides critical debate on patterns of age and crime across the full life course – from infancy to late adulthood. Criminal career topics such as onset, continuation, termination, and career length are also discussed, along with the viability of developmental and taxonomic theories of crime, the suitability of existing data archives to test theories, and the prospects for marrying longitudinal and experimental studies. The distinguished papers that appear in this compelling collection include the full set of presentations from the inaugural Albany Symposium on Crime and Justice: "Developmental Criminology and Its Discontents: Offender Typologies and Trajectories of Crime," which took place in April 2005 and built upon the questions raised at the ASC conference session. In addition to the revised original papers and commentaries from the Albany symposium, this journal also includes never-before-published responses to the commentaries by each of the papers' authors. An overview by Alfred Blumstein of the central issues raised at the symposium and a book-review essay by Hans-Jürgen Kerner rounds out the volume and collectively provides a comprehensive representation of the provocative discussion ignited by these intriguing session panels. Centered on the fundamental discussions raised by the life-course paradigm in criminology, this historical issue of The Annals will potentially shape the theoretical and research agenda for years to come. It is an essential resource for scholars, researchers, and practitioners in the fields of criminology, sociology, psychology, criminal justice, aging, human development, and social policy. With a diverse set of viewpoints, this well-rounded and in-depth look at age, crime, and human development is a valuable contribution to existing studies and will serve as a foundation for future research into this lively topic.

Ethical issues inherent in psychiatric research and clinical practice are invariably complex and multi-faceted. Well-reasoned ethical decision-making is essential to deal effectively with patients and promote optimal patient care. Drawing on the positive reception of Psychiatric Ethics since its first publication in 1981, this highly anticipated 5th edition offers psychiatrists and other mental health professionals a coherent guide to dealing with the diverse ethical issues that challenge them. This edition has been substantially updated to reflect the many changes that have occurred in the field during the past decade. Its 25 chapters are grouped into three sections which cover: 1) clinical practice in child and adolescent psychiatry, consultation-liaison psychiatry, psychogeriatrics, community psychiatry and forensic psychiatry; 2) relevant basic sciences such as neuroethics and genetics; and 3) philosophical and social contexts including the history of ethics in psychiatry and the nature of professionalism. Principal aspects of clinical practice in general, such as confidentiality, boundary violations, and involuntary treatment, are covered comprehensively as is a new chapter on diagnosis. Given the contributors' expertise in their respective fields, Psychiatric Ethics will undoubtedly continue to serve as a significant resource for all mental health professionals, whatever the role they play in psychiatry. It will also benefit students of moral philosophy in their professional pursuits.