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Psychological Treatment of Bipolar Disorder (Englisch) Taschenbuch – 1. Oktober 2005

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Pressestimmen

"This comprehensive presentation on all aspects of bipolar disorder is certainly a landmark. Authorities in each of the domains provide detailed descriptions of diagnostic and assessment issues, ways to integrate psychosocial and pharmacological treatments, and approaches to such specific problem areas as noncompliance and suicidality. This volume is a 'must read' for all professionals charged with diagnosing and/or treating patients with bipolar disorder."--Aaron T. Beck, MD, Department of Psychiatry, University of Pennsylvania School of Medicine
"During the past 10 years it has become increasingly clear that, for many sufferers, bipolar affective disorder is a chronic and disabling illness whose devastating impact on quality of life approaches that of schizophrenia. For these patients, treatment plans limited to medical management are often inadequate and fail to address critical psychosocial processes that can either promote or interfere with recovery. This excellent volume brings together in one concise source the psychosocial therapies that have been developed for use with this population. The psychoeducational, cognitive, behavioral, family, and interpersonal approaches described herein represent the state of the art in evidence-based psychotherapies that can complement, not detract from, the effects of pharmacotherapy for bipolar illness."--Michael Thase, MD, University of Pittsburgh Medical Center
"This is an up-to-date, outstanding, and comprehensive book on psychological treatments for bipolar disorder. All of the contributors are experts in the field and they have been generous in sharing their knowledge. A broad range of topics are covered, from defining and diagnosing the disorder to implementing a variety of different treatments. Appendices contain useful scales and recommended books for consumers and their families. Mental health professionals and students across the mental health disciplines will find this book an invaluable source of information, and it is a 'must have' for medical and academic libraries."--Dominic Lam, PhD, Department of Psychology, Institute of Psychiatry, King's College London, UK

Synopsis

From leading scientist-practitioners, this volume presents a range of effective psychosocial approaches for enhancing medication adherence and improving long-term outcomes in adults and children with bipolar illness. Authors review the conceptual and empirical bases of their respective modalities - including cognitive, family-focused, group, and interpersonal and social rhythm therapies - and provide clear descriptions of therapeutic procedures. Separate chapters address assessment and diagnosis, analyze available outcome data, and provide guidance on managing suicidality. Offering a framework for clinical understanding, and yet packed with readily applicable insights and tools, this is a state-of-the-science resource for students and practitioners.

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4.0 von 5 Sternen 4 or 5 stars--depends who you are 8. Januar 2013
Von I Survived High School - Veröffentlicht auf Amazon.com
Format: Gebundene Ausgabe Verifizierter Kauf
This is a tough one. I respect the authors, especially Leahy, but my prediction is this will be obsolete by 2015.

The reason is I am an insider on a similar project, and I know loads about their work, but they know nothing of ours. This gives me an unfair advantage when I say that they are--how shall I say it?--more off-target than they realize. Of course, I may be biased in favor of my work, but I am an open-minded guy, and would praise them to the ceiling two years ago.

Also unfair to them: we haven't published yet, and we follow different models. I think our model will be considered a long-awaited breakthrough and correction to medical model excesses, but of course, I could be wrong and have not been extensively reviewed. Many of our critics will not be gracious because they'll feel we are undermining their work and careers. To an extent we are--a big extent--but we provide an important role for their often valuable contributions and effort.

One problem with books like this--and this one is addressed to clinicians and therapists, not patients--is that even the people who read the book retain little of it unless they refer to it often, along with similar books on the topic. The only thing worse than a clinician or therapist who thinks they know how to treat Bipolar Disorder but can't is one who settles the matter by putting people on heavy-duty drugs that relieve symptoms but cause unacceptable side effects, including poor recovery prospects and reduced lifespan.

So what to do? If only specialists buy the book, it doesn't pay to write it. The compromise: rate case severity from 1-10 and stick to the milder cases (1-3) until you develop a lot of experience. Meanwhile, try to keep people on the rails, nourish SCARF deficits and teach emotional processing until the patient is doing it many times a day, intensely or staccato. Focus on fixing entitlement, comorbids, social relationships, stressors that attack self-esteem, work with the psychiatrist to move away from antipsychotics outside of emergencies or ultra-low doses to alleviate misery (they will not cure bipolar, after all), heal substance abuse and provide problem-solving for financial distress (don't refer to untested agencies unless you seek to make the patient worse).

Oh, and for the love of ----, stop saying bipolar disorder is incurable, unless you want to look like an outdated, misinformed has-been. It's very frustrating not to be able to publish immediately, but that's life. Think of it this way: "incurable" means that if someone cures it, you look dumb, and no one wants that. Saying, "hasn't been cured yet" or "there is news of a cure and the authors expect to publish by next year, so we'll see just what liars they are" is better. Incurable = hopeless, which is contrary to the Hippocratic Oath. I despise false hope and swindles, but the ideas supporting the label "incurable" do not stand up to scrutiny--and I am talking complete recovery, with almost no evidence the disorder was present, for life.

In sum, big changes are coming, and will be stomped out for years by vested interests. If we were endorsed, even conditionally, by either author, it would be an honor to swoon over and a huge boost. They probably get many requests. I have books and/or have read many papers by both; many people are enthusiastic about Dr. Johnson's hypothesis on bipolar causation. It's almost a stampede. I found it compelling for a long time until developments here, which came in a period that felt like a mini version of Einstein's 1905, made me update my thoughts. Her model is remarkably similar to what we found, yet different, and reconciling them, if it can be done, will be interesting work. It is also missing the beginning and the end, though I may have missed something.

The authors are heavyweights, and even if their ideas are modified or overtaken by others, they are important reading for anyone seeking a broad knowledge of this disorder. I admire them both, especially Dr. Leahy's CBT books, which filled a big hole. It's a privilege to joust with them in the marketplace of ideas. I'd love to be personally acquainted with either of them, if they can stand me. (I get a bit defiant when I think I am right--a tremendous character flaw to be sure, but I am human.)

If in doubt, use Look Inside (if available) and see if what you find is useful.
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