"Psychiatry and Its Discontents provides a wide-ranging and critical perspective on the psychiatric enterprise. The book's historical sweep is broad, ranging from the age of the asylum to the rise of psychopharmacology and the dubious triumphs of "community care." Freud and Foucault, Christian Science and Scientology, psychosurgery and modern drug treatments, trauma and the effects of war on the human psyche, the siren song of neuroscience, and the predicaments confronting the profession at the dawn of the new millennium are but some of the issues considered here. Collectively, the essays that make up Psychiatry and Its Discontents provide a vivid and compelling portrait of the recurring crises of legitimacy that mad-doctors (as they were once called) have endured, and of the impact of psychiatry's ideas and interventions on the lives of those afflicted with mental illness" --

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.

The Victorian Age saw the transformation of the madhouse into the asylum into the mental hospital; of the mad-doctor into the alienist into the psychiatrist; and of the madman (and madwoman) into the mental patient. In Andrew Scull's edited collection Madhouses, Mad-Doctors, and Madmen, contributors' essays offer a historical analysis of the issues that continue to plague the psychiatric profession today. Topics covered include the debate over the effectiveness of institutional or community treatment, the boundary between insanity and criminal responsibility, the implementation of commitment laws, and the differences in defining and treating mental illness based on the gender of the patient.

Both psychoanalysis and neurology have left equally prominent marks on the history of the twentieth century, yet they have been interpreted in vastly different ways. The two fields appear to manifest an insurmountable Cartesian dualism, one representing a psychological, the other a somatic approach to understanding personhood and subjectivity. Given this apparent opposition it is remarkable that both trace intellectual and practical roots back to the same "neuropsychiatry" that was dominant in the German-speaking world of the late nineteenth century. Katja Guenther investigates the significance of this historical connection, and in doing so not only reframes the relationship between psychoanalysis and the neurosciences but also provides resources for thinking about how they developed as independent fields. "Localization and Its Discontents "transforms how we think about their theory and practice. By understanding the historical connections and surprising parallels in their past development, we are newly positioned to reassess the assumptions that seem to determine their future.

Why do we eat? Is it instinct? Despite the necessity of food, anxieties about what and how to eat are widespread and persistent. In Appetite and Its Discontents, Elizabeth A. Williams explores contemporary worries about eating through the lens of science and medicine to show us how appetite—once a matter of personal inclination—became an object of science. Williams charts the history of inquiry into appetite between 1750 and 1950, as scientific and medical concepts of appetite shifted alongside developments in physiology, natural history, psychology, and ethology. She shows how, in the eighteenth century, trust in appetite was undermined when researchers who investigated ingestion and digestion began claiming that science alone could say which ways of eating were healthy and which were not. She goes on to trace nineteenth- and twentieth-century conflicts over the nature of appetite between mechanists and vitalists, experimentalists and bedside physicians, and localists and holists, illuminating struggles that have never been resolved. By exploring the core disciplines in investigations in appetite and eating, Williams reframes the way we think about food, nutrition, and the nature of health itself..

A Telegraph Book of the Year A Washington Post Notable Work A Times Book of the Year A Hughes Award Finalist “An indisputable masterpiece...comprehensive, fascinating, and persuasive.” —Wall Street Journal “Compulsively readable...Scull has joined his wide-ranging reporting and research with a humane perspective on matters that many of us continue to look away from.” —Daphne Merkin, The Atlantic “I would recommend this fascinating, alarming, and alerting book to anybody. For anyone referred to a psychiatrist it is surely essential.” —The Spectator “Meticulously researched and beautifully written, and even funny at times.” —The Guardian “Brimming with wisdom and brio, this masterful work spans the history of psychiatry. Exceedingly well-researched, wide-ranging, provocative in its conclusions, and magically compact, it is riveting from start to finish. Mark my words, Desperate Remedies will soon be a classic.” —Susannah Cahalan, author of Brain on Fire From the birth of the asylum to the latest drug trials, Desperate Remedies brings together a galaxy of mind doctors working in and out of institutional settings: psychologists and psychoanalysts, neuroscientists and cognitive behavioral therapists, as well as patients and their families desperate for relief. One of the most provocative thinkers writing about psychiatry today, Andrew Scull carefully reconstructs the rise and fall of state-run mental hospitals to explain why so many of the mentally ill are now on the street, and why victims of experimental therapies were so often women. He reveals how drug companies expanded their reach to treat a growing catalog of ills, while deliberately concealing the side effects of drugs now routinely prescribed from childhood through senescence. Carefully researched and compulsively readable, this passionate and compassionate account of America’s long battle with mental illness challenges us to rethink our deepest assumptions about how we think and feel.

This book is a guide for psychiatrists struggling to incorporate transformational strategies into their clinical work. The book begins with an overview of the concept of critical psychiatry before focusing its analytic lens on the DSM diagnostic system, the influence of the pharmaceutical industry, the crucial distinction between drug-centered and disease-centered approaches to pharmacotherapy, the concept of “de-prescribing,” coercion in psychiatric practice, and a range of other issues that constitute the targets of contemporary critiques of psychiatric theory and practice. Written by experts in each topic, this is the first book to explicate what has come to be called critical psychiatry from an unbiased and clinically relevant perspective. Critical Psychiatry is an excellent, practical resource for clinicians seeking a solid foundation in the contemporary controversies within the field. General and forensic psychiatrists; family physicians, internists, and pediatricians who treat psychiatric patients; and mental health clinicians outside of medicine will all benefit from its conceptual insights and concrete advice.