Four years in the making, this entirely revised edition of a classic text provides a lucid and erudite review of the state of psychiatry today. Since the publication of the last edition in 1988, remarkable advances have been made in laboratory and clinical psychiatric research; the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) has been published; managed care has radically altered the provision of all medical care; and the profession of psychiatry has come to a sophisticated new understanding of the interplay between psychiatric knowledge and issues in the larger society.

All these changes are reflected in the new text. Of particular interest are the masterful and lucid reviews of current knowledge in the neurobiology of mental disorders, in the section on brain and behavior. The section on psychopathology clarifies newly emerging diagnostic categories and offers new insight into addictions, anxiety disorders, and disorders of cognition.

Like its predecessors, The Harvard Guide To Psychiatry focuses throughout on the relationship between the physician and the patient. Its unspoken motto is that the art of psychiatry is as important as the science. For this recognition of what is relevant clinically as well as technically, this book will be an essential reference and support for both the new and the experienced psychiatrist.

This new edition includes up-to-date discussions of:DSM-IVManaged careImprovements in neuroimagingThe increased use of psychoactive drugsRecent advances in molecular biologyResearch on the biology of schizophrenia, depression, anxiety, and addictive disorders

Compiling decades of fieldwork, two acclaimed scholars offer strategies for strengthening democracies by nurturing the voices of children and encouraging public awareness of their role as citizens.

Voice, Choice, and Action is the fruit of the extraordinary personal and professional partnership of a psychiatrist and a neurobiologist whose research and social activism have informed each other for the last thirty years. Inspired by the 1989 United Nations Convention on the Rights of the Child, Felton Earls and Mary Carlson embarked on a series of international studies that would recognize the voice of children. In Romania they witnessed the consequences of infant institutionalization under the Ceaușescu regime. In Brazil they encountered street children who had banded together to advocate effectively for themselves. In Chicago Earls explored the origins of prosocial and antisocial behavior with teenagers. Children all over the world demonstrated an unappreciated but powerful interest in the common good.

On the basis of these experiences, Earls and Carlson mounted a rigorous field study in Moshi, Tanzania, which demonstrated that young citizens could change attitudes about HIV/AIDS and mobilize their communities to confront the epidemic. The program, outlined in this book, promoted children’s communicative and reasoning capacities, guiding their growth as deliberative citizens. The program’s success in reducing stigma and promoting universal testing for HIV exceeded all expectations.

Here in vivid detail are the science, ethics, and everyday practice of fostering young citizens eager to confront diverse health and social challenges. At a moment when adults regularly profess dismay about our capacity for effective action, Voice, Choice, and Action offers inspiration and tools for participatory democracy.

“A book for these times as we confront the fault lines in our democracy…A deeply provocative work about the place of children in strengthening our sense of community.”
—Alex Kotlowitz, author of There Are No Children Here

“Earls and Carlson have discovered…an aspect of development previously unrecognized: how children and youth can find their voice, feel empowered to use that voice, and translate that voice into political action. This is a remarkable book.”
—Gordon Harper, Journal of the American Academy of Child & Adolescent Psychiatry

“An inspiring vision of a newly inclusive democracy.”
—Kirkus Reviews (starred review)

Voice, Choice, and Action is the fruit of the extraordinary personal and professional partnership between a psychiatrist and neurobiologist whose research and social activism have informed each other for the last thirty years. Inspired by the UN Convention on the Rights of the Child, Felton Earls and Mary Carlson embarked on a series of studies to help children find their voice in the adult world. In Romania, they saw the devastating consequences of infant institutionalization. In Brazil, they found street children who had banded together to advocate for themselves. In Chicago, Earls sought to understand the origins of antisocial behavior in teenagers, and in Tanzania, they piloted a program to guide children’s growth as deliberative citizens.

Here in vivid detail are the science, ethics, and everyday practices needed to foster young citizens eager to confront social challenges. At a moment when adults regularly decry the state of our democracy, Voice, Choice, and Action offers invaluable tools to build a new generation of active citizens.