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

The Modern Psychiatrist’s Guide to Contemporary Practice provides an overview of psychiatry, starting with the most fundamental question of all: why does psychiatry exist? Key topics are covered, such as: diagnosing mental illness, controversial treatments, involuntary admission, human rights, suicide, and global inequality. The book incorporates history, medicine, neuroscience, service development, legislation, and service-user movements. It summarises key findings and discussions, provides opinions based on evidence, presents clear conclusions, and describes useful, radical directions for the future of this most contested of medical disciplines. Each chapter includes useful chapter summaries, and case studies are provided throughout. This book is essential for mental health workers and trainees, academics, and those interested in what psychiatry is, why it exists, and its future potential. The Open Access version of this book, available at http://www.taylorfrancis.com, has been made available under a Creative Commons Attribution (CC-BY) 4.0 International license. 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