An insider's view of the state-supported AIDS denial of South African leaders Thabo Mbeki and Manto Shabalala-Msimang, this memoir describes a great triumph of citizen activism. The account begins with the efforts of the Treatment Action Campaign (TAC) to rouse public alarm over the puzzling intransigence of the government and the lack of drugs for people suffering from untreated AIDS. Finally, this book details how TAC ultimately succeeded on a much larger scale, as the group exposed corrupt doctors Matthias Rath and Zeblon Gwala and publicized the case of patient Andile Madondile, who had been deceived about his medicine.

We are all more primitive and irrational than we care to acknowledge, says Dr. Leonard Shengold in this profound and eloquent book. We all suffer to some degree from delusions--vestiges of infantile mental functioning that continue into adult life and that at times of crisis manifest themselves in narcissistic thoughts of omnipotence, immortality, or perfection. Dr. Shengold argues that we can never eliminate these delusions of everyday life, but we can lessen their effect if we acknowledge, or "own", them. He asserts that insight into what we are and what has happened to us is a prerequisite for caring about others and for accepting the transient conditions of life--both necessary to attain happiness. Dr. Shengold discusses delusions we all experience as well as delusions associated with paranoia, perversions, being in love, and identification with delusional parents. He illustrates his ideas by referring to the lives and works of such literary figures as Shakespeare, Swift, Tolstoy, Pascal, Rilke, Randall Jarrell, Dickens, Hardy, and, especially, Samuel Butler. Dr. Shengold also brings in relevant clinical material because, as he points out, delusions of everyday life are at the heart of misunderstanding and conflict in life and of resistance to change in psychological treatment. These delusions must be attenuated if therapy is to be successful.

Psychologists, psychotherapists, psychiatrists and nurses are increasingly involved in treatments which include psychological therapy, and particularly cognitive therapy, for serious mental disorders. The aim of this book is to guide such professionals towards better practice by treating the individual symptoms of delusions, voices and paranoia, rather than by the categorisation of schizophrenia. The authors provide an introduction to their cognitive model and show how therapy depends crucially on the collaborative relationship with the client. While earlier approaches to these distressing symptoms depended on an overall model of schizophrenia which emphasised fundamental discontinuities with normal thought and psychological processes, the authors? approach is supported by substantial research that indicates that delusions, voices and paranoia lie on a continuum of differences in thought and behaviour, and do not arise from fundamentally different psychological processes. This book offers a practical, research-based and essentially hopeful approach to the assessment and treatment of psychotic disorders and also an argument for the development of a person model for treatment, which is based on the person?s enduring psychological vulnerabilities. This book appears in The Wiley Series in Clinical Psychology Series Editor: J. Mark G. Williams University of Wales, Bangor, UK

In 1963, President John F. Kennedy delivered an historic speech on mental illness and retardation. He described sweeping new programs to replace "the shabby treatment of the many millions of the mentally disabled in custodial institutions" with treatment in community mental health centers. This movement, later referred to as "deinstitutionalization," continues to impact mental health care. Though he never publicly acknowledged it, the program was a tribute to Kennedy's sister Rosemary, who was born mildly retarded and developed a schizophrenia-like illness. Terrified she'd become pregnant, Joseph Kennedy arranged for his daughter to receive a lobotomy, which was a disaster and left her severely retarded. Fifty years after Kennedy's speech, E. Fuller Torrey's book provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public. Torrey examines the Kennedys' involvement in the policy, the role of major players, the responsibility of the state versus the federal government in caring for the mentally ill, the political maneuverings required to pass the legislation, and how closing institutions resulted not in better care - as was the aim - but in underfunded programs, neglect, and higher rates of community violence. Many now wonder why public mental illness services are so ineffective. At least one-third of the homeless are seriously mentally ill, jails and prisons are grossly overcrowded, largely because the seriously mentally ill constitute 20 percent of prisoners, and public facilities are overrun by untreated individuals. As Torrey argues, it is imperative to understand how we got here in order to move forward towards providing better care for the most vulnerable.

Delusions of persecution are common in conditions such as schizophrenia, but they also affect 10-20% of the general population. In this landmark book, the three major authorities in the field bring together the current knowledge about the assessment, understanding, and treatment of persecutory delusions.

Delusional disorder, once termed paranoia, was an important diagnosis in the late nineteenth and early twentieth centuries, and only in 1987 was it reintroduced into modern psychiatric diagnosis after being subsumed with schizophrenia. This book provides a comprehensive review of delusional disorder for psychiatrists and other clinicians. Beginning with the emergence of the concept of delusional disorder, the book goes on to detail its manifold presentations, differential diagnosis and treatment. Many instructive case histories are provided, illustrating manifestations of the various subtypes of delusional disorder, and related conditions in the paranoid spectrum. This is the most wide-ranging and authoritative text on the subject to have appeared for many years, and the first to suggest, based on the author's extensive experience, that the category of delusional disorder should contain not one but several conditions. It also emphasizes that, contrary to traditional belief, delusional disorder is a treatable illness.