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دسته بندی: روانشناسی ویرایش: Second Edition نویسندگان: David J. Miklowitz سری: ISBN (شابک) : 1606235427, 9781606235423 ناشر: The Guilford Press سال نشر: 2010 تعداد صفحات: 0 زبان: English فرمت فایل : EPUB (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود) حجم فایل: 5 مگابایت
در صورت تبدیل فایل کتاب The Bipolar Disorder Survival Guide: What You and Your Family Need to Know به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب راهنمای بقای اختلال دوقطبی: آنچه شما و خانواده تان باید بدانید نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
This book is crammed full of useful information for bipolar
patients, their family members, therapists, friends, lovers,
employers and anyone else interested in bipolar disorders.
Philosophers with a deterministic bent might take exception to
the accounts of bipolar patients who discover that, despite the
limitations of their illness, they are still able to use their
decision-making capacity--their free will--to minimize the
effects of their mood swings on their lives.
The author has an impressive educational and research
background and has earned numerous awards for the outstanding
quality of his work. The insights he shares with us were not
acquired simply by reading the voluminous literature on bipolar
disorder, although his doctoral and post-doctoral studies
required enough of that; during more than fifteen years of
clinical practice and research, Miklowitz has been personally
involved in the care and treatment of hundreds of bipolar
patients and their families.
Part I, "The Diagnosis and Course of Bipolar Disorder,"
describes the symptoms of bipolar disorder, how it is diagnosed
and explains how difficult it is for some individuals to accept
the diagnosis, which they consider tantamount to "a life
sentence."
Throughout this section of the book, the author, rather than
defining concepts, gives examples of actual episodes of
depressive and manic behavior, unusual thoughts, suicidal
ideation, sleep disturbance, and impulsive, self-destructive
and addictive behaviors. This reviewer counted more than
twenty-five separate examples of individuals with bipolar
disorder, who were quoted and described, adding substance and
verisimilitude to the four chapters of this section.
In this introductory part of his book, the author begins his
emphasis on the active part the patient should play in his own
diagnosis and treatment. Rather than unequivocally accepting
whatever diagnosis is offered by his doctor, the patient is
given a self-administered checklist to be used in arriving at
his own diagnostic impression and is advised to question his
doctor about possible diagnostic errors. He is given a list and
descriptions of other psychiatric disorders often confused with
bipolar disorder to assist him in the diagnostic dialogue with
his doctor. Differential diagnoses to be considered include:
Schizophrenia; ADHD: Borderline Personality Disorder;
Cyclothymia; Recurrent Major Depressive Disorder; and Substance
Induced Mood Disorder.
In Chapter 4, "Is It an Illness or Is It Me?" Miklowitz advises
patients to accept the diagnosis once it is firmly established
rather than trying to manage their feelings by rejecting or
underidentifying with it. However he also warns against
overidentifying and provides the patient with another
self-administered checklist to help him differentiate between
personality traits and normal mood swings on the one hand, and
symptoms of mania or depression on the other.
The three chapters of Part II, "Causes and Treatments," discuss
the genetic and experiential factors that combine to bring
about bipolar disorders; how medication and psychotherapy can
be best used by the patient to control his symptoms; and how to
win the many arguments he has with himself about the need to
continue taking medications despite their inevitable side
effects.
As he did in Part I, the author continues to emphasize the
importance of the patient's assuming control of his life,
rather than turning it over to medication prescribers,
psychotherapists, family members, or other caretakers.
To help understand the genetic component of his disorder, the
patient is shown the family pedigree of a known bipolar patient
and is given forms to use in drawing his own pedigree. There is
also a form to use in determining what role stress has played
in the causation and course of his disorder.
Patients are discouraged from blaming their parents for their
genetic contribution to the disorders, or other family members
for their contributions in the form of stress and conflict.
Rather than wasting time and energy in finger-pointing, or
bemoaning the fact that they have a disorder, patients are
encouraged to learn how to best use available treatment
modalities to minimize the symptoms and to find success and
satisfaction in their lives despite their disorder.
Chapters 6, "What Can Medication and Psychotherapy Do for Me?"
and 7, "Coming to Terms With Your Medication," provide a wealth
of detail about different kinds of psychotherapy and
medications, giving equal emphasis to the positive treatment
effects and negative side effects. To re-emphasize the
importance of patient-participation in all treatment
modalities, Miklowitz lists the objectives of psychotherapy for
persons with bipolar disorder. He also provides a form to be
used by patients to keep a daily record of side effects they
may experience with all medications prescribed, and another
form entitled "THE PROS AND CONS OF TAKING MEDICATION." where
the patients can list the reasons to take the medications,
their disadvantages, and things the patients can do to improve
their situations, like taking more responsibility for their own
regimens.
Part III, "Self-Management," is divided into five chapters:
"How Can I Manage My Disorder?--Practical Ways to Maintain
Wellness;" "What Can I Do If I Think I'm Getting Manic?" What
Can I Do If I Think I'm Getting Depressed?" "Dealing With
Suicidal Thoughts and Feelings;" and "Coping Effectively in the
Family and Work Settings."
This final section of the book is nearly as long as the
previous two sections together.
Patients are given very detailed instructions as to how to
manage their lives successfully, despite the negative
consequences of their disorders. They are given a list of risk
factors that increase their chances of becoming ill, such
things as family distress, drinking alcohol or using drugs,
sleep deprivation or missing medication; and another list of
protective factors that help protect them from becoming ill,
such as keeping charts of their moods, going to bed and getting
up at the same time every day and staying on their programs of
medication and psychotherapy.
Pages 209 and 210 contain a form entitled "CONTRACT FOR
PREVENTING MANIA." The patient is encouraged to put everything
he has learned so far into this written contract for relapse
prevention. He then lists the early warning signs of a manic
episode he has previously identified; the circumstances under
which these symptoms are most likely to occur; and what he
should do when these circumstances arise, to avoid a full-blown
manic episode. Then he signs this contract and arranges for his
physician, therapist, family members, friends, lovers and any
other interested parties to provide their signatures.
The chapter on depression contains similar recommendations for
recording prodromal symptoms, initiating preventive measures
before a clinically identifiable depressive episode develops,
and enlisting all social and professional members of the
patient's core circle in the prevention plans.
In the chapter on suicide, the author quotes from various
professional publications: ""By some estimates, people with
bipolar disorder are at 15 times the risk for committing
suicide of people in the general population. Up to 15% of
people with bipolar disorder die by suicide; as many as 50%
attempt suicide at least once in their lives." Miklowitz
emphasizes: "Suicide Prevention involves decreasing your access
to the means to commit suicide and increasing your access to
support systems (doctors, therapists, family members and
friends)." As with the chapters on mania and depression, this
chapter includes the outline for a written plan with specific
instructions as to what can be done by whom, when and where to
prevent suicide.
The final chapter on how to adjust to family and work settings
gives patients realistic advice as to how they can maintain
employment and preserve satisfying relationships with
significant others. Details include advice as to how to
maintain satisfactory sexual relations despite the impact of
manic or hypomanic overactivity or the loss of libidinal drive
during depression.
All-in-all, this book is so well written and so full of useful
advice as to how to plan and organize a life, that it could be
profitably studied by anyone, whether or not he or she has
bipolar disorder or knows someone who does. I believe that if
any one of us would take the time and energy to put into
practice Miklowitz's advice about keeping detailed records of
our feelings and relationships and taking responsibility for
maintaining and improving them, we would have more successful
lives. As for the meaning of "successful," I prefer Thoreau's
evocative lines:
"If the day and the night are such that you greet them with
joy, and life emits a fragrance like flowers and sweet-scented
herbs, is more elastic, more starry, more immortal,--that is
your success."
© Jack R. Anderson MD