Psicologia clinica

Today's psychiatrists practice in an environment that poses difficult challenges. Both treatment time and duration are limited by insurance requirements; many facilities are understaffed; split treatment arrangements are typical; and high-risk, acutely suicidal patients are admitted to inpatient units for short lengths of stay. In addition, law now plays a pervasive role in the practice of psychiatry. The doctor-patient relationship is no longer defined solely by the involved parties. Clinicians must juggle these requirements and limitations while providing the very best care to their patients, especially those at high risk. Preventing Patient Suicide: Clinical Assessment and Management provides the wisdom of Dr. Robert I. Simon's vast clinical experience, combined with the latest insights from the evidence-based psychiatric literature, to offer a cutting-edge survey of suicide prevention and management techniques. The author: * Addresses sudden improvement in high-risk suicidal patients, a phenomenon both common and perilous, with techniques for determining whether the improvement is real or feigned.* Explores in depth the misuse of suicide risk assessment forms, with emphasis on their inherent limitations.* Examines the many entrenched myths and traditions about suicide, exposing them to the critical light of evidence-based medicine, including the concept of "imminent suicide risk" and the myth of "passive suicide ideation".* Discusses the continuum of chronic and acute high-risk suicidal patients, the fluidity with which one can become the other, and the difficulty in assessing these patients.* Explores how the law and psychiatry interact in frequently occurring clinical situations, and the importance of therapeutic risk management. In addition, the book contains a variety of features that illuminate the subject and enhance the reader's understanding, including: * Inclusion of illustrative case studies, combined with commentary on commonly occurring but complex clinical situations. * Key points at the end of each chapter that identify critical information. * A Suicide Risk Assessment Self-Test, a teaching instrument that consists of fifty questions designed to enhance clinician suicide risk assessment by incorporating evidence-based risk and protective factors. Dr. Simon provides a nuanced, empathic, yet pragmatic perspective on identifying, assessing, and managing the suicidal patient while successfully navigating a complex legal and clinical environment that poses its own risks to the practitioner.

This handbook is intended for clinicians with a range of expertise who employ a psychodynamic orientation in the assessment and/or treatment of patients with personality pathology. Well documented and articulate, this manual is appropriate for everyone from students of psychotherapy to experienced clinicians seeking to refine their practice. Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook gathers in one place the psychodynamic psychotherapy thinking on each of the Axis II personality disorders. This includes the work of 22 contributing writers in addition to the three primary authors, John F. Clarkin, Ph.D., Peter Fonagy, Ph.D., and Glen O. Gabbard, M.D. The material presented here is available elsewhere but, until now, not all in one place.The focus of the book is the psychodynamic conceptualization, assessment, and treatment of the personality disorders as currently described in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Included are 16 chapters in three sections: Defining Personality Pathology, Treatment Approaches, and Research for Future Directions. The background of models of personality and its pathology comprises Section I. Section II contains chapters on the treatment of specific personality disorder constellations. These treatment chapters provide information on the relevant empirical research, patient phenomenology and psychodynamics, treatment strategies, and techniques, woven together with clinical illustrations and vignettes. Section III includes a summary of the existing treatment outcome research and a glimpse of the diagnostic procedures in the near future. Each of the chapter authors has had extensive clinical, and sometimes research, experience with the assessment and treatment of one of the personality disorders described. Psychodynamic Psychotherapy for Personality Disorders: A Clinical Handbook is, as titled, a practical handbook and guide to clinicians with real-world applications. - Every patient a clinician treats has personality issues, if not a personality disorder. This book provides strategies and techniques for addressing personality issues- DSM-IV-TR is proceeding to DSM-V. This collection of papers provides up-to-date information on how the personality disorders will be handled in the upcoming DSM-V- The authors provide summaries of key concepts and suggested readings of particular value to residents and students in other disciplines The authors suggest that new research and reviews indicate, to the surprise of many, that psychodynamic treatments are effective for these personality disorders, and its impact is as great as, that of cognitive-behavioral treatments.

At the time Dr. Glen O. Gabbard's first edition of Long-Term Psychodynamic Psychotherapy came out in 2004, the Psychiatry Residency Review Committee (RRC) mandated that all psychiatric residents must become competent in five different psychotherapies, including psychodynamic psychotherapy. Just a few years later, the RRC reduced the number of mandated psychotherapies from five to three, with psychodynamic psychotherapy being one of the triad needed in training. Also during that time, much rigorous research appeared in the pages of major psychiatric and psychological journals further confirming the efficacy and value of psychodynamic psychotherapy. Long-Term Psychodynamic Psychotherapy: A Basic Text, Second Edition, is focused on the key concepts, assessment, indications, formulations, therapist interventions, goals of therapy, and the mechanisms of therapeutic action all mental health professionals need in their daily clinical experience. In this manual, Dr. Gabbard expands on the application of basic theory and techniques in actual clinical practice. Therapeutic topics are brought to life on a companion DVD that gives students and residents a visual reference to the text through video vignettes of a senior clinician at work. As useful to educators as it is to students, Long-Term Psychodynamic Psychotherapy serves as a guide to understanding the thinking behind the therapist's actions in a wide variety of situations. This "fly on the wall" glimpse into therapeutic mechanisms helps future psychologists, social workers, licensed counselors, nurses and others put psychodynamic psychotherapy into the proper context for long-term, successful treatment. This manual delves into the goals of therapy and the mechanisms for therapeutic action, including: * Assessment* Indications and formulation* Therapist intervention* Using fantasies and dreams in therapeutic action* Identifying and working with countertransference* Optimal use of supervision In addition to the DVD that serves as a guide to understanding the thinking behind the therapist's choices, this book also features a greatly expanded discussion of the evidence base for psychodynamic psychotherapy and a more extensive discussion on gender in transference. It also updates the neurobiological correlation between dreaming and its implications in psychotherapy and elaborates on the contribution of resistance to contemporary thinking. Equally important, Long-Term Psychodynamic Psychotherapy provides its readers with a clear road map to greater understanding through practical, hands-on application such as case writeups, oral presentations at case conferences, written examinations, oral examinations, videotaped recordings and direct observations, audiotape recordings, and supervision to help build competent skills and broad knowledge.

This book contains case vignettes and discussions to help residents, fellows, and practitioners maximize their competency in performing clinical assessments in psychiatry. Derived from a highly successful course at Yale University, the book focuses on the key clinical skills emphasized by the American Board of Psychiatry and Neurology in residency training and on the oral board examination. These skills include physician-patient relationship; psychiatric interview, including mental-status exam; case presentations; live patient; case formulation; differential diagnosis; and, treatment interventions. Dr. Tampi's training in the U.S., U.K., and India enables him to cross cultures around the globe. A companion website will contain videos demonstrating interview skills and patient assessments.

Mindfulness offers a path to well-being and tools for coping with life's inevitable hurdles. And though mindfulness may sound exotic, you can cultivate it--and reap its proven benefits--without special training or lots of spare time. Trusted therapist and mindfulness expert Dr. Ronald Siegel shows exactly how in this inviting guide. You'll get effective strategies to use while driving to work, walking the dog, or washing the dishes, plus tips on creating a formal practice routine in as little as 20 minutes a day. Flexible, step-by-step action plans will help you become more focused and efficient in daily life; cope with difficult feelings, such as anger and sadness; deepen your connection to your spouse or partner; feel more rested and less stressed; curb unhealthy habits; find relief from anxiety and depression; and resolve stress-related pain, insomnia, and other physical problems. Free audio downloads of the meditation exercises are available at the author's website: www.mindfulness-solution.com. Start living a more balanced life--today.