An examination of how novice psychiatrists come to understand the workings of the mind—and the nature of medical expertise—as they are trained in psychotherapy.
 
While many medical professionals can physically examine the body to identify and understand its troubles—a cardiologist can take a scan of the heart, an endocrinologist can measure hormone levels, an oncologist can locate a tumor—psychiatrists have a much harder time unlocking the inner workings of the brain or its metaphysical counterpart, the mind.  

In From Skepticism to Competence, sociologist Mariana Craciun delves into the radical uncertainty of psychiatric work by following medical residents in the field as they learn about psychotherapeutic methods. Most are skeptical at the start. While they are well equipped to treat brain diseases through prescription drugs, they must set their expectations aside and learn how to navigate their patients’ minds. Their instructors, experienced psychotherapists, help the budding psychiatrists navigate this new professional terrain by revealing the inner workings of talk and behavioral interventions and stressing their utility in a world dominated by pharmaceutical treatments. In the process, the residents examine their own doctoring assumptions and develop new competencies in psychotherapy. Exploring the world of contemporary psychiatric training, Craciun illuminates novice physicians’ struggles to understand the nature and meaning of mental illness and, with it, their own growing medical expertise.
 

"Could I be sued?" The exploding number of malpractice lawsuits in recent years has brought this question to the mind of every clinician---the conscientious as well as the negligent.

A unique and practical guide to clinical risk management, this book combines the expertise of mental health professionals, judges, attorneys, and insurance industry experts, to help the clinician provide effective treatment while reducing the risk of legal liability. Wide-ranging, clinically based, and up to date, it will be a welcome guide for medical and surgical practitioners as well.

The first section gives clinicians a working knowledge of legal regulation in psychiatry and medicine, covering informed consent, documentation of patient care, and potential conflicts of interest. The second section identifies high-risk areas for lawsuits, including managing suicidal and violent patients, boundary violations, supervision issues, prescription of medications, liability in managed care settings, and treatment termination. The book concludes with a primer on clinical testimony in the courtroom.

The broad range of distinguished contributors to this volume will provide a survival guide to clinicians in the increasingly complex and rapidly changing world of health care.

A War of Nerves is a history of military psychiatry in the twentieth century—an authoritative, accessible account drawing on a vast range of diaries, interviews, medical papers, and official records, from doctors as well as ordinary soldiers. It reaches back to the moment when the technologies of modern warfare and the disciplines of psychological medicine first confronted each other on the Western Front, and traces their uneasy relationship through the eras of shell-shock, combat fatigue, and post-traumatic stress disorder.

At once absorbing historical narrative and intellectual detective story, A War of Nerves weaves together the literary, medical, and military lore to give us a fascinating history of war neuroses and their treatment, from the World Wars through Vietnam and up to the Gulf War. Ben Shephard answers recurring questions about the effects of war. Why do some men crack and others not? Are the limits of resistance determined by character, heredity, upbringing, ideology, or simple biochemistry?

Military psychiatry has long been shrouded in misconception, and haunted by the competing demands of battle and of recovery. Now, for the first time, we have a definitive history of this vital art and science, which illuminates the bumpy efforts to understand the ravages of war on the human mind, and points towards the true lessons to be learned from treating the aftermath of war.

Daniel Burston chronicles Laing's meteoric rise to fame as one of the first media psychogurus of the century, and his spiraling decline in the late seventies and eighties. Here are the successes: Laing's emergence as a unique voice on the psychiatric scene with his first book, The Divided Self, in 1960; his forthright and articulate challenges to conventional wisdom on the origins, meaning, and treatment of mental disturbances; his pioneering work on the families of schizophrenics, Sanity, Madness and the Family (coauthored with A. Esterson). Here as well are Laing's more dubious moments, personal and professional, including the bizarre experiment with psychotic patients at Kingsley Hall. Burston traces many of Laing's controversial ideas and therapeutic innovations to a difficult childhood and adolescence in Glasgow and troubling experiences as an army doctor; he also offers a measured assessment of these ideas and techniques.

The R. D. Laing who emerges from these pages is a singular combination of skeptic and visionary, an original thinker whose profound contradictions have eclipsed the true merit of his work. In telling his story, Burston gives us an unforgettable portrait of an anguished human being and, in analyzing his work, recovers Laing's achievement for posterity.