"Vital for all working in the mental health field . . . . Fascinating reading for anyone." —Choice E. Fuller Torrey, the author of the definitive guides to schizophrenia and manic depression, chronicles a disastrous swing in the balance of civil rights that has resulted in numerous violent episodes and left a vulnerable population of mentally ill people homeless and victimized. Interweaving in-depth accounts of landmark cases in California, Wisconsin, and North Carolina with a history of legislation and changes in the mental health care system, Torrey gives shape to the magnitude of our failure and outlines what needs to be done to reverse this ongoing—and accelerating—disaster. A new epilogue on the 2011 shooting in Tucson, Arizona, brings this tragic story up to date.

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.

The author "reveals how we have failed our mentally ill and offers a viable, provocative blueprint for change."--Jacket.

Outlines the down side of deinstitutionalization, tracing how steps taken in the 1960s caused patients with severe psychiatric disorders to be discharged from hospitals and rendered untreatable, in an account that makes recommendations for reform.

Religions and mythologies from around the world teach that God or gods created humans. Atheist, humanist, and materialist critics, meanwhile, have attempted to turn theology on its head, claiming that religion is a human invention. In this book, E. Fuller Torrey draws on cutting-edge neuroscience research to propose a startling answer to the ultimate question. Evolving Brains, Emerging Gods locates the origin of gods within the human brain, arguing that religious belief is a by-product of evolution. Based on an idea originally proposed by Charles Darwin, Torrey marshals evidence that the emergence of gods was an incidental consequence of several evolutionary factors. Using data ranging from ancient skulls and artifacts to brain imaging, primatology, and child development studies, this book traces how new cognitive abilities gave rise to new behaviors. For instance, autobiographical memory, the ability to project ourselves backward and forward in time, gave Homo sapiens a competitive advantage. However, it also led to comprehension of mortality, spurring belief in an alternative to death. Torrey details the neurobiological sequence that explains why the gods appeared when they did, connecting archaeological findings including clothing, art, farming, and urbanization to cognitive developments. This book does not dismiss belief but rather presents religious belief as an inevitable outcome of brain evolution. Providing clear and accessible explanations of evolutionary neuroscience, Evolving Brains, Emerging Gods will shed new light on the mechanics of our deepest mysteries.

Free yourself from emotional turmoileven when that turmoil is caused by others! We have a much greater understanding of human behavior now than we did just a few decades ago. Yet even with this greater understanding of the human mind, why we do what we do can sometimes seem like a mystery. People are often left with unsettling questions about their own (or others') behavior. We ask ourselves, Why did I make a spectacle of myself? Why am I so stressed? Why am I constantly so negative? In his years as a clinician, Dr. Ted George has been struck by how much easier it is for people to say they have a physical illness than it is to admit they feel out of control with an emotion—be it anger, fear, or depression. With a physical issue, you have the source of the problem in concrete terms, such as in a lab report, but with an emotional issue, it can be much harder to define what's gone wrong. Untangling the Mind helps make sense of what's happening—and why. With knowledge of how the brain translates sensory signals into emotions, you will increase your understanding of your own—and others'—behaviors. As you learn about your psychological and neurological makeup, you will begin to see new possibilities for optimism, motivation, and well-being. We can control our behavior and our feelings, no matter how much they may have ruled us in the past, and Dr. George helps us know how. Once you understand the deeply rooted instincts that activate your emotions, you can live more peacefully, behave in ways that are more in keeping with the person you'd like to be, and enjoy your life more fully. And you'll be better able to remain unaffected by the drama of other people's emotional storms.

When hospitals release seriously mentally ill patients too soon without outpatient follow-up, the patients can end up homeless, jailed, harming others, or even dead. When patients are deemed suitable for inpatient care, they can languish for weeks in hospital emergency departments before placements become available. Meanwhile, patients who fake the need for care are smoothly and swiftly moved to inpatient settings. Breakdown opens a dialogue with anyone interested in improving the system of care for the seriously mentally ill population. This book helps to answer questions such as: Is inpatient care too inaccessible to those who need it most? Do mental health professionals discriminate against mentally ill patients? Are more stringent measures needed to ensure that patients take their medication? Is borderline personality disorder too serious to be classified as just a personality disorder? Using vignettes based on real interactions with patients, their families, police officers, and other mental health providers, Lynn Nanos shares her passion for helping this population. With more than twenty years of professional experience in the mental health field, her deep interest in helping people who don’t know how to request help is evident to readers. A woman travels from Maine to Massachusetts because she was ordered by her voice, a spirit called "Crystal," to make the trip. A foul-smelling and oddly dressed man strolls barefooted into the office, unable to stop talking. A man delivers insects to his neighbors' homes to minimize the effects of poisonous toxins that he says exist in their homes. Breakdown uses objective and dramatic accounts from the psychiatric trenches to appeal for simple and common-sense solutions to reform our dysfunctional system. This book will benefit anyone interested in seeing a glimpse of the broken mental health system way beyond the classroom. It can guide legislative officials, family members, mental health professionals, and law enforcement officers toward a better understanding of the system.