Saturday, February 7, 2009

Understanding Depression or When Professionals Weep

Understanding Depression: What We Know and What You Can Do About It

Author: Raymond J Raymond DePaulo

From a leading medical expert at Johns Hopkins, here is an up-to-the-minute, definitive guide to whats known about depression and how it can be treated.

Around ten percent of North Americans suffer from depression at some point -- and more than half havent even sought help. Now, Dr. Raymond DePaulo, one of the worlds foremost authorities on depression, provides a sensitive, thorough, and reassuring book for sufferers from depression and those who care about them. This practical guide for individuals with depression and their families -- the only totally comprehensive book in the market -- shows readers how to identify the problem, then directs them to the various forms of treatment, including medications, psychotherapy, support groups, and exercise. It is one of the few books to discuss in depth manic depression, the bipolar form of depression. Dr. DePaulo discusses both mainstream (the latest medications and talk therapies) and alternative paths and reveals the truth about the dangerous fallacies that abound about depression. Comprehensive, compassionate, and grounded in the very latest research into brain chemistry, psychology, and medications, this is a definitive, landmark roadmap to one of the most devastating -- and common -- mental illnesses.

Kay Redfield Jamison

I have been privileged to work and teach with Dr. De Paulo at Johns Hopkins for the past fifteen years. He is, without doubt, one of the best clinicians and clinical teachers I have ever known. His understanding of depression is deeply grounded in science, and his treatment approach is characterized by compassion, pragmatism, subtlety, and an obvious affection and respect for the many thousands of patients he has so effectively treated. None of us has a choice about becoming depressed. We do, however, have a choice about becoming informed about our illnesses. Understanding Depression is the best place to begin the process of becoming informed.

Publishers Weekly

"No one system, organ, or other factor is responsible for depression not one steroid, not one gene, not one neurotransmitter, and not a lesion on one side of the brain or the other. What we seem to have is... a stew with lots of different and exotic ingredients." So explains DePaulo (How to Cope with Depression), psychiatry professor and director of the Affective Mental Disorders Clinic at the Johns Hopkins School of Medicine, in this thoughtful, exhaustive reference on depression for general readers. DePaulo covers all aspects of the illness what it feels like; who tends to have it (women are two or three times more likely to be diagnosed than men, not necessarily the same thing); the biology of depression; possible courses of therapy; and psychopharmacology. DePaulo also discusses bipolar disorder (manic depression), and he covers both mainstream and alternative treatments. He believes doctors should involve family and friends of the patient (which, though ideal, is probably impractical for doctors on most health-care plans), and explains how the children and other family members of those with depression are affected by the disease. The chapters on finding the right treatment and how doctors make diagnoses will be extremely useful for those suffering from the disease. Though some of the writing is a touch sloppy and clunky, readers will find this an invaluable resource. (Mar.) FYI: Dana Press is the publishing arm of the Dana Foundation, a 40-year-old organization that supports brain research. Copyright 2001 Cahners Business Information.



New interesting textbook: The Control Room or The Occupation

When Professionals Weep: Emotional and Countertransference Responses in End-of-Life Care

Author: Rene Katz

End-of-life care (EOL) is a specialized area encompassing such disciplines as social work, counseling, hospice, physical medicine, geriatrics, nursing and psychology. This important volume reveals the secret struggles afflicting most EOL professionals:

  • Do we bring our ghosts to work?
  • Do we empathize or do we rescue?
  • Do we deny or manage the politics that influence our decision-making at the end of life?
  • Whose needs are we really meeting?
  • Can we admit to our own needs to be loved and well thought of?
  • Can we be both objective and human at the same time?

    The authors disclose their personal successes and failures with these issues. They also provide a framework for identifying, confronting, and managing the impact of personal histories, biases, and assumptions on work with the dying, bereaved and those living with life-limiting illness.



    Table of Contents:
    Ch. 1When our personal selves influence our professional work : an introduction to emotions and countertransference in end-of-life care3
    Ch. 2Suffering and the caring professional13
    Ch. 3Caregiving of the soul : spirituality at the end of life27
    Ch. 4The seduction of autonomy : countertransference and assisted suicide39
    Ch. 5Futility and beneficence : where ethics and countertransference intersect in end-of-life care55
    Ch. 6Client, clinician, and supervisor : the dance of parallel process at the end of life75
    Ch. 7The influence of culture and ethnicity on end-of-life care91
    Ch. 8Torture, execution, and abandonment : the hospitalized terminally ill and countertransference105
    Ch. 9Surviving the Holocaust only to face death again : working with survivors at the end of life121
    Ch. 10The horror and helplessness of violent death139
    Ch. 11Professionalism and our humanity : working with children at the end of life157
    Ch. 12When the face across the room reflects my own : on being a psychotherapist and a bereaved parent171
    Ch. 13Before and after my fiancee's death : beliefs about rational suicide and other end-of-life decisions189
    Ch. 14Complex bonds : a personal-professional narrative203
    Ch. 15The respectful death model : difficult conversations at the end of life221
    Ch. 16Emotional barriers to discussing advance directives : practical training solutions237
    Ch. 17A group intervention to process and examine countertransference near the end of life255
    Ch. 18The journey inside : examining countertransference and its implications for practice in end-of-life care269
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