As a mental health clinician, you know that every client is unique, and a client’s symptoms are the result of a complex combination of psychological, environmental, genetic, and neural factors. However, the de facto DSM model poses considerable constraints on how you can treat clients—often resulting in a one-size-fits-all diagnosis. This important volume challenges the assumptions and approach made by the DSM, and provides a vision and plan for an evidence-based, process-based approach to individualized care. With contributions from renowned experts in the field—including Steven C. Hayes, Stefan G. Hofmann, Joseph Ciarrochi, Matthew McKay, Uma Vaidyanathan, Sarah Morris, David Sommers, J. Scott Fraser, and many more—this groundbreaking book will show you a new way to recognize the complexity of human suffering and human prosperity. You’ll find solid tips for treating a wide variety of psychological issues in a more flexible way. And, finally, you’ll come away with a greater understanding of the “processes of change,” and how to build a solid foundation for an alternative to syndromal diagnosis. The future of mental health treatment is process-based. Whether you’re a clinician, researcher, student, instructor, or other professional working in the mental health field, this breakthrough volume offers everything you need to understand process-based treatment and create a more customized and effective approach to treating clients.

"Interesting and fresh-represents an important and vigorous challenge to a discipline that at the moment is stuck in its own devices and needs a radical critique to begin to move ahead." --Paul McHugh, Johns Hopkins University School of Medicine "Remarkable in its breadth-an interesting and valuable contribution to the burgeoning literature of the philosophy of psychiatry." --Christian Perring, Dowling College Moving Beyond Prozac, DSM, and the New Psychiatry looks at contemporary psychiatric practice from a variety of critical perspectives ranging from Michel Foucault to Donna Haraway. This contribution to the burgeoning field of medical humanities contends that psychiatry's move away from a theory-based model (one favoring psychoanalysis and other talk therapies) to a more scientific model (based on new breakthroughs in neuroscience and pharmacology) has been detrimental to both the profession and its clients. This shift toward a science-based model includes the codification of the Diagnostic and Statistical Manual of Mental Disorders to the status of standard scientific reference, enabling mental-health practitioners to assign a tidy classification for any mental disturbance or deviation. Psychiatrist and cultural studies scholar Bradley Lewis argues for "postpsychiatry," a new psychiatric practice informed by the insights of poststructuralist theory.

Among today's astounding research discoveries, perhaps the most fascinating is the mapping of the human genome and its implications for a vastly improved understanding of how genes affect our physiology and behavior. With that understanding comes a critical need to establish a diagnostic taxonomy for psychiatric illness that is more precise but still clinically relevant. This volume responds to that need. It highlights the shortcomings of current categorical diagnoses, such as those used in DSM-IV, for future research needs in behavioral disorders in general and psychiatric genetics in particular. With a chapter by each distinguished neuroscientist who presented at the 2000 American Psychopathological Association (APPA) meeting, this volume is divided into four sections: Definitional Tensions, which discusses the difficulties with the current categorical diagnostic system; Imaging Psychopathology, which presents research demonstrating how imaging technologies can tremendously improve our illness definitions; Longitudinal Studies, which details what we can learn from epidemiological and other longitudinal studies; and Exploring Alternatives, which discusses the application of dimensional classification systems in genetics research in psychopathology, with a fascinating chapter on using new methodologies for treating subsyndromal or pre-schizophrenia, a taxonomic condition defined herein as "schizotaxia." This unique collection represents a significant step in developing approaches to classification that will lead to more accurate diagnoses and treatments for patients and a broader range of taxonomic options for researchers. As such, it will also be welcomed by psychiatric clinicians and educators, as well as by anyone interested in genetics and how it governs human behavior.

"Among many of the ethical issues clinicians encounter in their practice, diagnosing someone with a given mental disorder just for the purpose of reimbursement of services is perhaps the number one ethical dilemma. This book is an outstanding review of the conceptual and empirical literature on this particular dilemma. But the most important contribution of this book is that it provides an extensive discussion of clinical strategies and case vignettes that clinicians could use in diagnosing mental disorder and as the same time attending to ethical standards governing their discipline." —Freddy A. Paniagu, University of Texas Medical Branch-Galveston "Eriksen and Kress offer a well-formulated discussion of problems with the American Psychiatric Association′s The Diagnostic and Statistical Manual of Mental Disoders (DSM), Including almost 800 references, this volume covers the literature in the field extremely well." —W.P. Anderson, CHOICE Beyond the DSM Story presents challenges to the Diagnostic Statistical Model (DSM) system from ethical and cultural perspectives, critically evaluating its fit with other professional and theoretical orientations. It offers possible solutions or best practices for addressing ethical, theoretical, and contextual quandaries, along with experiential activities that challenge the reader to think critically about both the problems and the solutions associated with DSM diagnosis. Beyond the DSM Story presents an atheoretical model for incorporating alternative models with DSM assessment. Instructors, students and practitioners will benefit from this critical appraisal of the DSM. Features • Addresses the philosophical discrepancies between a medical model, DSM assessment approach, and most helping philosophies. • provides a thorough framework for utilizing the DSM in a contextually sensitive fashion • Comprehensively reviews the challenges to the DSM system, particularly multicultural and feminist challenges and addressing ethical concerns related to using the DSM system • Provides case studies and experiential/interactive activities that challenge the reader to consider the DSM from a contextual perspective

From "the most powerful psychiatrist in America" (New York Times) and "the man who wrote the book on mental illness" (Wired), a deeply fascinating and urgently important critique of the widespread medicalization of normality Anyone living a full, rich life experiences ups and downs, stresses, disappointments, sorrows, and setbacks. These challenges are a normal part of being human, and they should not be treated as psychiatric disease. However, today millions of people who are really no more than "worried well" are being diagnosed as having a mental disorder and are receiving unnecessary treatment. In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, warns that mislabeling everyday problems as mental illness has shocking implications for individuals and society: stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation. We also shift responsibility for our mental well-being away from our own naturally resilient and self-healing brains, which have kept us sane for hundreds of thousands of years, and into the hands of "Big Pharma," who are reaping multi-billion-dollar profits. Frances cautions that the new edition of the "bible of psychiatry," the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), will turn our current diagnostic inflation into hyperinflation by converting millions of "normal" people into "mental patients." Alarmingly, in DSM-5, normal grief will become "Major Depressive Disorder"; the forgetting seen in old age is "Mild Neurocognitive Disorder"; temper tantrums are "Disruptive Mood Dysregulation Disorder"; worrying about a medical illness is "Somatic Symptom Disorder"; gluttony is "Binge Eating Disorder"; and most of us will qualify for adult "Attention Deficit Disorder." What's more, all of these newly invented conditions will worsen the cruel paradox of the mental health industry: those who desperately need psychiatric help are left shamefully neglected, while the "worried well" are given the bulk of the treatment, often at their own detriment. Masterfully charting the history of psychiatric fads throughout history, Frances argues that whenever we arbitrarily label another aspect of the human condition a "disease," we further chip away at our human adaptability and diversity, dulling the full palette of what is normal and losing something fundamental of ourselves in the process. Saving Normal is a call to all of us to reclaim the full measure of our humanity.

“Gary Greenberg has become the Dante of our psychiatric age, and the DSM-5 is his Inferno.” —Errol Morris Since its debut in 1952, the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders has set down the “official” view on what constitutes mental illness. Homosexuality, for instance, was a mental illness until 1973. Each revision has created controversy, but the DSM-5 has taken fire for encouraging doctors to diagnose more illnesses—and to prescribe sometimes unnecessary or harmful medications. Respected author and practicing psychotherapist Gary Greenberg embedded himself in the war that broke out over the fifth edition, and returned with an unsettling tale. Exposing the deeply flawed process behind the DSM-5’s compilation, The Book of Woe reveals how the manual turns suffering into a commodity—and made the APA its own biggest beneficiary.

Substantially revised to include a wealth of new material, the second edition of this highly acclaimed work provides a concise, coherent introduction that brings structure to an increasingly fragmented and amorphous discipline. Paul R. McHugh and Phillip R. Slavney offer an approach that emphasizes psychiatry's unifying concepts while accommodating its diversity. Recognizing that there may never be a single, all-encompassing theory, the book distills psychiatric practice into four explanatory methods: diseases, dimensions of personality, goal-directed behaviors, and life stories. These perspectives, argue the authors, underlie the principles and practice of all psychiatry. With an understanding of these fundamental methods, readers will be equipped to organize and evaluate psychiatric information and to develop a confident approach to practice and research.

This important volume brings together leading child psychiatry researchers to critically review the current diagnostic system and work toward new, more clinically useful ways of understanding childhood problems. The authors examine how existing diagnostic categories as embodied in the DSM-IV do not adequately account for the interplay between maladaptive behavior on the one hand, and children's environmental contexts, relationships, and developmental needs on the other. Drawing on the latest findings from neurobiological and evolutionary research, the book offers fresh perspectives on the nature, causes, assessment, and treatment of a range of prevalent disorders. The concluding chapter offers specific, cogent suggestions for improving the forthcoming DSM-V.

Of all psychiatric disorders, posttraumatic stress disorder (PTSD) poses one of the greatest challenges to clinicians. Drs. Davidson and Foa, pioneers in the study of PTSD, have teamed up to edit this landmark volume. In Posttraumatic Stress Disorder: DSM-IV(R) and Beyond, members of the DSM-IV Subcommittee on PTSD present a comprehensive and fascinating review of the currently established knowledge about the etiology, epidemiology, neurobiology, course, and clinical presentations of posttraumatic stress syndromes and future directions for study.

Using Munchausen’s Syndrome by Proxy / Factitious Disorder by Proxy and Parental Alienation as exmplars, this book advances a new diagnostic category for addressing complex pathological phenomena that integrates individual characteristics and symptoms, family as well as other system dynamics, under one diagnosis. The author examines why current diagnostic categories within the DSM-5 are inadequate and provides a framework for this new category—Interrelated Multidimensional Diagnosis—to better capture the complexity of MSBP / FDBP and Parental Alienation. The book begins with case studies and other examples to make the material accessible, and then proposes step-wise processes of examining family systems to determine if the phenomena exist to a reasonable degree of scientific certainty. After new diagnostic process and criteria are provided, several interventions and recommendations for treatment are offered in a novel way that attends to the core aspects of these pathologies. This text will provide practitioners, professionals, and researchers with a unique vantage point from which to understand and treat these pathologies.