PARENTAL PSYCHIATRIC DISORDER: DISTRESSED PARENTS AND THEIR FAMILIES; ED. BY MICHAEL GOPFERT

A unique and innovative approach to family issues in psychiatric disorders. The authors tackle a broad range of complex issues that are rarely covered in the depth or with the expertise that this volume brings. This book is a major contribution to the field and provides the kind of international perspective that enhances our understanding of the complex dimensions of psychiatric disorders from a multigenerational and cross-cultural perspective.' From a review of the first edition by Carol Nadelson, Professor of Psychiatry, Harvard Medical School. It is indisputable that mental illness in a parent has serious and often adverse effects on the child, something which is surprisingly unreflected in clinical service provision. In this completely rewritten second edition, an international, multidisciplinary team of professionals review the most up-to-date treatment interventions from a practical, clinical point of view. It is essential reading for all professionals dealing with adult mental illness and child-care. Read more... Cover......Page 1 Half-title......Page 3 Title......Page 5 Copyright......Page 6 Dedication......Page 7 Contents......Page 9 Contributors......Page 12 Foreword......Page 15 Preface......Page 17 Acknowledgements......Page 18 Part I Basic issues......Page 19 Introduce yourself, tell us who you are and what your job is......Page 21 Ask us what we know and what we think — we live with our parents, we know how they are behaving — ask us!......Page 22 Please don’t ignore us, remember we are part of the family and we live there too......Page 23 REFERENCES......Page 24 Introduction......Page 26 Perspectives of power and hierarchy in mental health services......Page 27 Why does it matter?......Page 29 Prevention......Page 30 Gender......Page 32 Legal/ethical issues......Page 33 Issues for the psychiatrist......Page 34 Conclusion......Page 35 REFERENCES......Page 36 Childhood disorder......Page 40 Death......Page 42 Child maltreatment......Page 44 Attachment and the quality of the mother—child relationship......Page 46 Attachment and decisions regarding placement......Page 47 Distress......Page 48 Case 1: Amanda......Page 50 Case 2: Stephen......Page 51 Constitutional factors......Page 52 Temperament......Page 53 Genetic endowment......Page 54 Early mother—infant relationships......Page 55 Socio-cultural factors......Page 56 Life events......Page 57 The interaction of risk and protective factors......Page 58 REFERENCES......Page 59 Attachment — background......Page 68 Attachment — the parent’s contribution......Page 69 The risks for psychiatric disorder also affect the parent—child relationship......Page 72 Psychiatric disorder alone may affect the parent—child relationship......Page 74 Factors that might be associated with preservation of secure attachment in the face of parental psychiatric disorder......Page 75 REFERENCES......Page 77 Definition......Page 80 The relative value of parents and children......Page 81 The role-relationship paradigm......Page 82 Parent role and mental disorder......Page 83 The parent as patient and the helping relationship......Page 84 Professional role in relation to patient......Page 85 Parental role and mental illness......Page 86 Parental role and personality disorder......Page 87 Spouse/partner......Page 88 Parentification: the effects on the child of role reversal; becoming a young carer......Page 89 The role of extended family and community in relation to the task of parenting......Page 90 Clinical implications of the role-relationship model......Page 92 Swings and roundabouts of policy between statute and therapeutic support......Page 93 The contribution of service culture to outcome......Page 94 Conclusion......Page 95 REFERENCES......Page 96 Part II Comprehensive assessment and treatment......Page 103 6 ‘The same as they treat everybody else’......Page 105 Professionals should be more willing to listen to and value a parent’s points of view and experience......Page 106 Professional support is needed for the partner when a parent is acutely ill, and education to prepare for ongoing treatment, convalescence and recovery......Page 107 Respect a right to privacy......Page 108 Acknowledgements......Page 109 REFERENCES......Page 110 Commitment to the parent......Page 111 Timing......Page 112 Take time to clarify the reason for the assessment......Page 113 Coordination of professional contributions......Page 114 Focus on role of parent......Page 115 Focus on mental illness and the interface of role of parent and role of patient......Page 117 Focus on role of context/extended family......Page 118 Standards......Page 119 Content......Page 120 Methods of assessment/intervention......Page 121 Family group conferences......Page 122 Assessment of the needs of mentally ill parents and their children......Page 123 REFERENCES......Page 127 Components of a comprehensive evaluation......Page 130 Maternal attachment......Page 131 Services for pregnant mothers......Page 132 Psychotic denial of pregnancy......Page 133 Intervening in the postpartum period......Page 134 Parent coaching, skills training and parenting groups......Page 135 The parent’s clinic at the University of Illinois......Page 136 Mother—infant psychotherapy......Page 137 REFERENCES......Page 138 Part IV Specific treatments and service needs......Page 257 16 Psychopharmacology and motherhood......Page 259 Breast-feeding......Page 261 REFERENCES......Page 265 Introduction......Page 267 Case example: Linda......Page 268 Implications of the case example......Page 269 Parent and service provider perceptions of the child welfare agency......Page 271 Two systems at odds......Page 272 Conclusion......Page 273 REFERENCES......Page 274 Termination of parental rights......Page 275 ‘Harm to the child’......Page 276 ‘Inability to care for the child’......Page 277 Americans with Disabilities Act......Page 278 The ‘best interests of the child’ standard......Page 280 Parental fitness......Page 281 Effect of custodial disputes on emotional health......Page 282 Visitation rights......Page 283 Recommendations for attorneys......Page 284 REFERENCES......Page 286 The issues......Page 289 Why are legal frameworks required?......Page 290 Potential conflict of interest?......Page 291 Searching for a balance in the law......Page 293 Supporting families......Page 294 Protection of children......Page 295 Family support or child protection. What works? Striking the balance in legal intervention......Page 297 Summary and conclusions......Page 300 REFERENCES......Page 301 Part V Child-sensitive therapeutic interventions......Page 303 20 The child grown up: ‘on being and becoming mindless’: a personal account......Page 305 Does it help to talk?......Page 310 Who should do the talking?......Page 311 What do children require and what can they understand?......Page 312 Engaging a child in an ‘active’ conversation about his parent’s illness and treatment......Page 313 Didactic and dialectical approaches to talking with children......Page 314 Stress the child’s competence......Page 315 Make no interpretations or presumptions about a child’s experience...but ask......Page 316 The goal is to help the child think, not to elicit feelings — a child will show what he feels as and when he chooses......Page 317 Case example......Page 318 REFERENCES......Page 322 Why work with the family?......Page 324 Who is the family to be worked with?......Page 326 Protection and stress in families......Page 327 The Family Project at University College Hospital, London (Camden and Islington Mental Health Trust)......Page 328 Case example 1......Page 330 Case example 2......Page 332 Family ‘Mental Health Matters’ workshops......Page 333 Children’s workshops......Page 334 Working from a child-centred service: additional approaches......Page 335 Developing alternative descriptions of a parent who is also a patient......Page 336 REFERENCES......Page 337 Part VI Models for collaborative services and staff training......Page 341 Why change is necessary......Page 343 The policy context......Page 344 Building for participation......Page 345 Trust and continuity of staff......Page 346 Better joint working between child and adult services......Page 347 Conclusion......Page 348 REFERENCES......Page 349 Introduction......Page 351 Background......Page 352 Case example: John and his family vs. the system......Page 353 A survey of the needs of parents with psychotic disorders......Page 355 The needs of parents with psychotic disorders — the perspective of the health-care provider......Page 356 How can we improve services for parents with a psychotic disorder?......Page 358 Conclusions......Page 359 REFERENCES......Page 361 Problem and need......Page 363 Legal representation was missing......Page 364 The Family Support Collaborative, New Haven, Connecticut, USA......Page 365 New programme services......Page 366 Programme partnership......Page 367 Introduction and project aims......Page 368 What has been implemented......Page 369 Specific interventions......Page 370 Conclusions......Page 371 The project today......Page 372 The Building Bridges Project for parent-users of mental health services and their children, Lewisham, UK......Page 374 Review and evaluation......Page 375 Conclusion......Page 376 REFERENCES......Page 377 The ‘problem’ for families and service providers......Page 379 The European dimension......Page 380 The research methodology......Page 381 Barriers to interagency collaboration......Page 382 Organization of services......Page 383 Shared knowledge and training......Page 385 Resources......Page 386 Time, communication and trust......Page 387 Translating findings into action......Page 389 REFERENCES......Page 391 Background and context......Page 393 Crossing Bridges — The Department of Health (UK) training programme......Page 394 Requirements for the programme......Page 395 Key conceptual frameworks......Page 397 Aims......Page 398 Content......Page 399 Conceptual underpinnings — the family model......Page 400 Use of the materials......Page 401 Training the trainers — A county-wide implementation of Crossing Bridges......Page 402 Challenges to systematic implementation and evaluation of training......Page 403 Developing protocols to integrate training and practice......Page 404 Conclusion......Page 407 REFERENCES......Page 408 Afterword......Page 411 Index......Page 414

this Completely Rewritten Second Edition Is Essential Reading For Professionals Dealing With Adult Mental Illness And Child-care.

doody Review Services

reviewer:huma Pandit, Md(rush University Medical Center)
description:this Second Edition, Written By Various National And International Authors, Provides A Thorough And In-depth Description Of Parental Psychiatric Disorders. It Also Makes A Giant Leap By Talking About The Paradigm Shift Towards A Family Context Perspective And Rethinking About The Conventional Treatment Approaches.
purpose:the Purpose Of The Book Is To Enlighten Mental Health Professionals About Thinking Of The Family And Not Just The Patient. The Authors Are Masterful In Their Use Of Literary Examples To Illustrate This Point.
audience:this Is An Excellent Book For Anyone Interested In The Developmental Perspective, I.e. Mental Health Workers, Psychiatrists, Pediatricians, Social Workers, Nurses And Trainees In Child And Adolescent Psychiatry.
features:this Book Is Divided Into Six Sections, Beautifully Written And Easy To Read. Part I Is Focused On Parenthood, Attachment In The Context Of Parental Mental Disorder And Also The Role Of Adult Psychiatrists In Identifying It. Part Ii Is A Superb Guide To Do A Thorough Assessment And Planning. Part Iii Talks About Specific Disorders Through Well-illustrated Examples Which Make It Easy To Understand. Part Iv Focuses On Specific Needs Ranging From Medications To Social Work Needs. It Also Discusses The Involvement Of Law And Gives An Excellent International Perspective About It. Part V Talks About The Child's Perspective And Their Understanding Of The Parental Illness And Also How To Deal With It. Part Vi Raises Interesting And Thoughtful Questions About Our Existing Resources And Also Explores The Other Possibilities That Haven't Been Tapped Yet.
assessment:this Book Is An Excellent Example Of International Teamwork. It Brings Home The Message About How Our Current Approach Towards Mental Illness Needs To Change. It Also Clearly Voices The Limitations Of Our Existing System. It Is Very Empathically Written And Makes One Think About The Developmental Perspective, Which Is Often Ignored. It Is Well-edited And All Chapters Have Enough Information Without Being Too Lengthy. It Is A Job Well-done As It Stimulates The Reader To Think Developmentally. It Will Be The Harbinger For Future Research In This Field.

Basic Issues What we want from adult psychiatrists and their colleagues: 'telling it like it is' / Sandra Bilsborough Parenthood and mental illness / Mary V. Seeman and Michael Göpfert Parental psychiatric disorder and the developing child / Alyson Hall Parental psychiatric disorder and the attachment relationship / Jonathan Hill The construction of parenting and its context / Michael Göpfert, Jenni Webster and Julia Nelki Comprehensive Assessment and Treatment 'The same as they treat everybody else' / Vicki Cowling Formulation and Assessment of Parenting / Michael Göpfert, Jenni Webster and Julia Nelki Mentally ill mothers in the Parenting role: Clinical management and treatment / Theresa Jacobsen Perinatal mental illness: nature/nurture / Gertrude Seneviratne and Sue Conroy Assessment and treatment issues when parents have personality disorders / Eia Asen and Heiner Schuff Specific Disorders: the Impact on Parent-Child Relationships Schizophrenia and motherhood / Mary V. Seeman When a parent suffers from an affective disorder: effect on the child / Christine Puckering Alcohol and drug problems in parents: an overview of the impact on children and implications for practice / Richard Velleman When mothers abuse drugs / Sydney L. Hans Personality disorders in parents: developmental perspectives and intervention / Adrian Falkov, Gwen Adshead and Michael Göpfert Specific Treatments and Service Needs Psychopharmacology and motherhood / Mary V. Seeman and Neil Seeman Social work issues / David Clodman Parental psychiatric disorder and the law / Colby C. Brunt Parenting and mental illness, Legal frameworks and issues - some international comparisons / Amy Weir Child-Sensitive Therapeutic Interventions The child grown up: 'on being and becoming mindless': a personal account / Denise Roberts Talking with children and their understanding of mental illness / Alan Cooklin Family therapy when a parent suffers from a psychiatric disorder / Alan Cooklin and Gorell Barnes Models for Collaborative Services and Staff Training Keeping the family in mind: setting a local agenda for change / Clare Mahoney Are our services for families with a mentally ill parent adequate? / Duncan McLean, Jennifer Hearle and John McGrath Models of service provision in three countries: Marlboro, New Haven, Sydney, Melbourne and Lewisham / Vicky Cowling Overcoming obstacles to interagency support: learning from Europe / Karen Blaistow and Rachael Hetherington Training and practice protocols / Adrian Falkov It is indisputable that mental illness in a parent has serious and often adverse effects on the child, a fact which is surprisingly unreflected in clinical service provision. An international, multidisciplinary team of professionals reviews the most up-to-date treatment interventions from a practical, clinical point of view in this completely rewritten new edition, It will be essential reading for all professionals dealing with adult mental illness and child-care. First Edition Hb (1996): 0-521-45259-7 First Edition Pb (1996): 0-521-45892-7 "It is indisputable that mental illness in a parent has serious and often adverse effects on the child, something which is surprisingly not reflected in clinical service provision. In this completely rewritten new edition, an international, multidisciplinary team of professionals review the most up-to-date treatment interventions from a practical, clinical point of view. It is essential reading for all professionals dealing with adult mental illness and child-care."--Jacket.