A free ebook version of this title is available through Luminos, University of California Press's Open Access publishing program. Visit www.luminosoa.org to learn more. Unprecedented numbers of young people are in crisis today, and our health care systems are set up to fail them. Breaking Points explores the stories of a diverse group of American young adults experiencing psychiatric hospitalization for psychotic symptoms for the first time and documents how patients and their families make decisions about treatment after their release. Approximately half of young people refuse mental-health care after their initial hospitalization even though we know that better outcomes depend on early support for youth and families. In attempting to determine why this is the case, Neely Laurenzo Myers identifies what matters most to young people in crisis, passionately arguing that health care providers must attend not only to the medical and material dimensions of care but also to a patient's moral agency.

The author explores the case of Andrea Yates, the Houston, Texas, mother suspected in the deaths of her five children, ages six months to seven years, whom she allegedly drowned in the family home's bathtub in June 2001.

Uncommon valor in the line of duty and unconditional devotion in the name of love are the salient qualities of the daring men and women who risk it all in the heart-pounding thrillers of New York Times bestselling author Suzanne Brockmann. Crafted with precision and power, her characters come alive with a depth of emotion few writers have achieved. Now, with Breaking Point, Brockmann breaks even further through the pack and delivers a stunning payload. As commander of the nation’s most elite FBI counterterrorism unit, agent Max Bhagat leads by hard-driving example: pushing himself to the limit and beyond, taking no excuses, and putting absolutely nothing ahead of his work. That includes his deep feelings for Gina Vitagliano, the woman who won his admiration and his heart with her courage under fire. But when the shocking news reaches him that Gina has been killed in a terrorist bombing, nothing can keep Max from making a full investigation–and retribution–his top priority. At the scene of the attack, however, Max gets an even bigger shock. Gina is still very much alive–but facing a fate even worse than death. Along with Molly Anderson, a fellow overseas relief worker, Gina has fallen into the hands of a killer who is bent on using both women to bait a deadly trap. His quarry? Grady Morant, a.k.a “Jones,” a notorious ex-Special Forces operative turned smuggler who made some very deadly enemies in the jungles of Southeast Asia . . . and has been running ever since. But with Molly’s life on the line, Jones is willing to forfeit his own to save the woman he loves. Together with Max’s top agent Jules Cassidy as their only backup, the unlikely allies plunge into a global hot zone of violence and corruption to make a deal with the devil. Not even Jones knows which ghosts from his past want him dead. But there’s one thing he’s sure of–there’s very little his bloodthirsty enemies aren’t willing to do. Count on the intense action and raw honesty that Suzanne Brockmann consistently delivers, as she goes for broke in Breaking Point–and never looks back.

Vicky Fallon can't take it. Her father has lost his job. Her parents are constantly fighting, and her troubled little brother is out of control. Once an honor student, Vicky is quickly falling behind in her classes at Bluford High. Now her teachers, friends, and new boyfriend, Martin Luna, want answers. Pressured from all sides, Vicky knows something is about to snap. But the explosion that hits her home is worse than anything she could image.--Book back cover.

This book informs the public for the first time about the impact of American psychiatry on soldiers during World War II. Breaking Point is the first in-depth history of American psychiatry in World War II. Drawn from unpublished primary documents, oral histories, and the author’s personal interviews and correspondence over years with key psychiatric and military policymakers, it begins with Franklin Roosevelt’s endorsement of a universal Selective Service psychiatric examination followed by Army and Navy pre- and post-induction examinations. Ultimately, 2.5 million men and women were rejected or discharged from military service on neuropsychiatric grounds. Never before or since has the United States engaged in such a program. In designing Selective Service Medical Circular No. 1, psychiatrist Harry Stack Sullivan assumed psychiatrists could predict who might break down or falter in military service or even in civilian life thereafter. While many American and European psychiatrists questioned this belief, and huge numbers of American psychiatric casualties soon raised questions about screening’s validity, psychiatric and military leaders persisted in 1942 and 1943 in endorsing ever tougher screening and little else. Soon, families complained of fathers and teens being drafted instead of being identified as psychiatric 4Fs, and Blacks and Native Americans, among others, complained of bias. A frustrated General George S. Patton famously slapped two “malingering” neuropsychiatric patients in Sicily (a sentiment shared by Marshall and Eisenhower, though they favored a tamer style). Yet psychiatric rejections, evacuations, and discharges mounted. While psychiatrist Roy Grinker and a few others treated soldiers close to the front in Tunisia in early 1943, this was the exception. But as demand for manpower soared and psychiatrists finally went to the field and saw that combat itself, not “predisposition,” precipitated breakdown, leading military psychiatrists switched their emphasis from screening to prevention and treatment. But this switch was too little too late and slowed by a year-long series of Inspector General investigations even while numbers of psychiatric casualties soared. Ironically, despite and even partly because of psychiatrists’ wartime performance, plus the emotional toll of war, postwar America soon witnessed a dramatic growth in numbers, popularity, and influence of the profession, culminating in the National Mental Health Act (1946). But veterans with “PTSD,” not recognized until 1980, were largely neglected.