The Modern Psychiatrist’s Guide to Contemporary Practice: Discussion, Dissent, and Debate in Mental Health Care

Cover
Half Title
Title Page
Copyright Page
Dedication
Table of Contents
About the Author
Disclaimer
Acknowledgements
Introduction
Chapter 1 Why Does Psychiatry Exist?
	Introduction
	What Is Mental Disorder or Mental Illness?
	Epidemiology of Mental Illness
	The Costs of Mental Illness
	The ‘Crisis’ in Mental Health
	The Rationale for Psychiatry
	The State of Psychiatry Today
	Key Messages
	Note
	References
Chapter 2 The History of Psychiatry
	Introduction
	Early Accounts of Mental Illness
	The History of Psychiatry as a Medical Discipline
	Asylums, Infections, and Diagnoses
	Experimental Surgical Bacteriology and Malaria Therapy
	Insulin Treatment, Convulsive Therapy, and Lobotomy
	Varied Practices and Perspectives
	Psychiatry, Institutions, Stories
	Key Messages
	References
Chapter 3 Diagnosing Mental Illness
	Introduction
	The Purpose and Nature of Diagnosis in Psychiatry
	Merits and Demerits of Diagnostic Systems
	Psychiatric Diagnosis and Human Rights
	Stigma, Critiques, and the Social Context of Diagnosis
	Risks of Diagnosis, Perils of a ‘Tick Box’ Approach, and Diagnostic Acceleration
	Diagnosis as a Tool for Shared Understanding
	Key Messages
	References
Chapter 4 Treating Symptoms and Disorders
	Introduction
	Bio-Psycho-Social Psychiatry
	Cognitive-Behaviour Therapy and Other Psychological and Social Therapies
	Mindfulness-Based Interventions
	Antidepressant Medication and Electro-Convulsive Therapy
	Antipsychotic Medication
	New Treatments for Mental Illness
	Key Messages
	References
Chapter 5 Treatment Without Consent
	Introduction
	Legal Models of Involuntary Care
	Human Rights Standards
	United Nations’ Convention on the Rights of Persons with Disabilities
	Other United Nations’ Views on Treatment Without Consent
	Variations in Rates of Involuntary Hospitalisation
	Should Admission and Treatment Without Consent Ever Occur?
	Key Messages
	Notes
	References
Chapter 6 Neuroscience and Psychiatry
	Introduction
	Unravelling the Brain
	Neuroscience and Mental Illness
	Bringing Realism, Pragmatism, and Context to Neuroscience
	Searching for the ‘Science’ in Neuroscience in Psychiatry
	Multidisciplinarity, Interdisciplinarity, Transdisciplinarity
	Moving Forward with Neuroscience
	Key Messages
	References
Chapter 7 Psychiatry, Culture, and Society
	Introduction
	Psychiatry and Culture
	Public Expectations of Psychiatry
	‘A Pill for Every Ill’?
	Misuse of Psychiatric Practices, Institutions, and Diagnoses
	Professionalism in Psychiatry
	Cultural Psychiatry
	Discrimination and Psychiatry
	Key Messages
	References
Chapter 8 Self-Harm and Suicide
	Chapter Content Advisory
	Introduction
	Definitions of Self-Harm and Suicide
	Self-Harm and Suicide in the History of Psychiatry
	Global Rates of Suicide
	Assessing Risk of Self-Harm and Suicide
	Evidence-Based Approaches to Suicide Prevention
	Suicide and the Law
	Future Directions for Research and Service Development
	Key Messages
	References
Chapter 9 Global Injustice in Mental Health Care
	Introduction
	Global Inequity in Mental Health Care
	Social Exclusion and Mental Illness
	Structural Violence and Mental Illness
	Responses to Global Injustice in Mental Health Care
	Dignity
	Manifesto for Change
	Key Messages
	References
Chapter 10 The Future of Psychiatry: Person-Centred Care and System-Level Change
	Introduction
	The Future of Diagnosis in Psychiatry
	The Right to Mental Health Care
	The Future of Mental Health Legislation
	Roles and Risks of Artificial Intelligence (AI) in Mental Health Care
	Global Mental Health Policy
	The Future of Psychiatry
	Key Messages
	References
Chapter 11 Epilogue
	Introduction
	Notes
	References
Index