Advances In The Care Of The Mentally Handicapped

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Mental Disorders and Disabilities Among Low-Income Children

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309376882
Total Pages : 397 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Mental Disorders and Disabilities Among Low-Income Children by : National Academies of Sciences, Engineering, and Medicine

Download or read book Mental Disorders and Disabilities Among Low-Income Children written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-10-28 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children living in poverty are more likely to have mental health problems, and their conditions are more likely to be severe. Of the approximately 1.3 million children who were recipients of Supplemental Security Income (SSI) disability benefits in 2013, about 50% were disabled primarily due to a mental disorder. An increase in the number of children who are recipients of SSI benefits due to mental disorders has been observed through several decades of the program beginning in 1985 and continuing through 2010. Nevertheless, less than 1% of children in the United States are recipients of SSI disability benefits for a mental disorder. At the request of the Social Security Administration, Mental Disorders and Disability Among Low-Income Children compares national trends in the number of children with mental disorders with the trends in the number of children receiving benefits from the SSI program, and describes the possible factors that may contribute to any differences between the two groups. This report provides an overview of the current status of the diagnosis and treatment of mental disorders, and the levels of impairment in the U.S. population under age 18. The report focuses on 6 mental disorders, chosen due to their prevalence and the severity of disability attributed to those disorders within the SSI disability program: attention-deficit/hyperactivity disorder, oppositional defiant disorder/conduct disorder, autism spectrum disorder, intellectual disability, learning disabilities, and mood disorders. While this report is not a comprehensive discussion of these disorders, Mental Disorders and Disability Among Low-Income Children provides the best currently available information regarding demographics, diagnosis, treatment, and expectations for the disorder time course - both the natural course and under treatment.

The Future of Disability in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309104726
Total Pages : 619 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Future of Disability in America by : Institute of Medicine

Download or read book The Future of Disability in America written by Institute of Medicine and published by National Academies Press. This book was released on 2007-10-24 with total page 619 pages. Available in PDF, EPUB and Kindle. Book excerpt: The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.

The Surgeon General's Call to Action to Improve the Health and Wellness of Persons with Disabilities

Author : United States. Public Health Service. Office of the Surgeon General
Publisher :
ISBN 13 :
Total Pages : 46 pages
Book Rating : 4.:/5 (613 download)

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Book Synopsis The Surgeon General's Call to Action to Improve the Health and Wellness of Persons with Disabilities by : United States. Public Health Service. Office of the Surgeon General

Download or read book The Surgeon General's Call to Action to Improve the Health and Wellness of Persons with Disabilities written by United States. Public Health Service. Office of the Surgeon General and published by . This book was released on 2005 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Psychosocial Aspects of Disability

Author : Irmo Marini, PhD, DSc, CRC, CLCP
Publisher : Springer Publishing Company
ISBN 13 : 082610603X
Total Pages : 517 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Psychosocial Aspects of Disability by : Irmo Marini, PhD, DSc, CRC, CLCP

Download or read book Psychosocial Aspects of Disability written by Irmo Marini, PhD, DSc, CRC, CLCP and published by Springer Publishing Company. This book was released on 2011-07-27 with total page 517 pages. Available in PDF, EPUB and Kindle. Book excerpt: "What a marvelous and amazing textbook. Drs. Marini, Glover-Graf and Millington have done a remarkable job in the design of this highly unique book, that comprehensively and very thoughtfully addresses the psychosocial aspects of the disability experience. These highly respected scholars have produced a major work that will be a central text in rehabilitation education for years to come." From the Foreword by Michael J. Leahy, Ph.D., LPC, CRC Office of Rehabilitation and Disability Studies Michigan State University "This is an excellent book, but the best parts are the stories of the disabled, which give readers insights into their struggles and triumphs." Score: 94, 4 Stars--Doody's Medical Reviews What are the differences between individuals with disabilities who flourish as opposed to those who never really adjust after a trauma? How are those born with a disability different from individuals who acquire one later in life? This is the first textbook about the psychosocial aspects of disability to provide students and practitioners of rehabilitation counseling with vivid insight into the experience of living with a disability. It features the first-person narratives of 16 people living with a variety of disabling conditions, which are integrated with sociological and societal perspectives toward disability, and strategies for counseling persons with disabilities. Using a minority model perspective to address disability, the book focuses on historical perspectives, cultural variants regarding disability, myths and misconceptions, the attitudes of special interest and occupational groups, the psychology of disability with a focus on positive psychology, and adjustments to disability by the individual and family. A wealth of counseling guidelines and useful strategies are geared specifically to individual disabilities. Key Features: Contains narratives of people living with blindness, hearing impairments, spinal cord injuries, muscular dystrophy, polio, mental illness, and other disabilities Provides counseling guidelines and strategies specifically geared toward specific disabilities, including "dos and don'ts" Includes psychological and sociological research relating to individual disabilities Discusses ongoing treatment issues and ethical dilemmas for rehabilitation counselors Presents thought-provoking discussion questions in each chapter Authored by prominent professor and researcher who became disabled as a young adult

Neurological, Psychiatric, and Developmental Disorders

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309170931
Total Pages : 458 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Neurological, Psychiatric, and Developmental Disorders by : Institute of Medicine

Download or read book Neurological, Psychiatric, and Developmental Disorders written by Institute of Medicine and published by National Academies Press. This book was released on 2001-01-01 with total page 458 pages. Available in PDF, EPUB and Kindle. Book excerpt: Brain disordersâ€"neurological, psychiatric, and developmentalâ€"now affect at least 250 million people in the developing world, and this number is expected to rise as life expectancy increases. Yet public and private health systems in developing countries have paid relatively little attention to brain disorders. The negative attitudes, prejudice, and stigma that often surround many of these disorders have contributed to this neglect. Lacking proper diagnosis and treatment, millions of individual lives are lost to disability and death. Such conditions exact both personal and economic costs on families, communities, and nations. The report describes the causes and risk factors associated with brain disorders. It focuses on six representative brain disorders that are prevalent in developing countries: developmental disabilities, epilepsy, schizophrenia, bipolar disorder, depression, and stroke. The report makes detailed recommendations of ways to reduce the toll exacted by these six disorders. In broader strokes, the report also proposes six major strategies toward reducing the overall burden of brain disorders in the developing world.

Common Mental Health Disorders

Author : National Collaborating Centre for Mental Health (Great Britain)
Publisher : RCPsych Publications
ISBN 13 : 9781908020314
Total Pages : 316 pages
Book Rating : 4.0/5 (23 download)

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Book Synopsis Common Mental Health Disorders by : National Collaborating Centre for Mental Health (Great Britain)

Download or read book Common Mental Health Disorders written by National Collaborating Centre for Mental Health (Great Britain) and published by RCPsych Publications. This book was released on 2011 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

Issues in the Developmental Approach to Mental Retardation

Author : Robert M. Hodapp
Publisher : Cambridge University Press
ISBN 13 : 9780521467575
Total Pages : 352 pages
Book Rating : 4.4/5 (675 download)

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Book Synopsis Issues in the Developmental Approach to Mental Retardation by : Robert M. Hodapp

Download or read book Issues in the Developmental Approach to Mental Retardation written by Robert M. Hodapp and published by Cambridge University Press. This book was released on 1995-01-27 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Issues in the Developmental Approach to Mental Retardation is one of the first books exclusively devoted to applying the theories, findings and approaches used in work with nonretarded children to several types of retarded individuals. The editors and contributors define the developmental approach and explore theoretical issues as they relate to retarded populations. Problems involving similar sequences of development, cross-domain relations, the environment, and motivation are all discussed, as is the importance of separating the various etiological groups for research and intervention purposes. The contributors also examine the nature of development in specific etiological groups; types of retardation that are addressed include: cultural-familial retardation, Down syndrome, fragile X syndrome, autism, and children with sensory and motor handicaps. This significant volume demonstrates how data from nonretarded development can inform work with retarded populations and how findings from children with mental retardation enrich developmental theory.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133661
Total Pages : 528 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving the Quality of Health Care for Mental and Substance-Use Conditions by : Institute of Medicine

Download or read book Improving the Quality of Health Care for Mental and Substance-Use Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 2006-03-29 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Parenting Matters

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309388570
Total Pages : 525 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Parenting Matters by : National Academies of Sciences, Engineering, and Medicine

Download or read book Parenting Matters written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-21 with total page 525 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

Recovery From Disability

Author : Robert P. Liberman
Publisher : American Psychiatric Pub
ISBN 13 : 1585628883
Total Pages : 630 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Recovery From Disability by : Robert P. Liberman

Download or read book Recovery From Disability written by Robert P. Liberman and published by American Psychiatric Pub. This book was released on 2009-02-20 with total page 630 pages. Available in PDF, EPUB and Kindle. Book excerpt: The time is right for recovery from serious mental disorders. Mental health professionals and state and local mental health agencies are responding to a national call for action on recovery: from the President's Commission on Mental Health, the Surgeon General, the National Alliance on Mental Illness, and the Substance Abuse and Mental Health Services Administration. But how can recovery from mental disorders become a reality? Recovery From Disability describes the principles and practices of psychiatric rehabilitation to bridge the gap between what is known and what actually can be used to achieve recovery for patients in real-life mental health programs. The book draws on Dr. Robert Paul Liberman's 40 years of designing, testing, and disseminating innovative treatments for persons with mental disabilities. Illuminating up-to-date treatment techniques that reflect a consensus of experts regarding evidence-based practices, Dr. Liberman shows how recovery can be the rule rather than the exception. This practical book addresses day-to-day realities faced by practitioners who must wrestle with the individualized needs and personal goals of each patient while drawing up a rehabilitation roadmap to recovery. Written in a down-to-earth manner with minimal jargon, this clinical manual is intended for everyday use. Brimming with clear advice and ideas for effective services, the book is relevant to the work of all mental health disciplines, administrators, consumer advocates, and clinicians with all levels of experience. Practice-based evidence is highlighted by an abundance of real-life examples and a host of graphic aids. The author addresses the particular needs of Latino patients and takes up the latest developments in rehabilitation, such as illness management, social and independent living skills training, neurocognitive pharmacology, cognitive remediation, and use of computers in rehabilitation. Each chapter contains information, techniques, and treatment methods that enable clinicians to: Help patients select realistic yet personally meaningful goals for enriching their lives Teach patients how to stabilize their symptoms and cognitive impairments Train patients in social and independent living skills for empowerment and autonomy Educate family members and other caregivers to collaborate with mental health professionals in overcoming their loved one's disability Provide access to vocational rehabilitation, including supported employment Facilitate comprehensiveness, continuity, and coordination of competency-based rehabilitation, using personal support specialists, assertive community treatment, and integrated mental health care Dr. Liberman also describes how to customize services that are effective for individuals with more than one disorder, whose disorder is refractory to customary pharmacological and psychosocial treatments, or whose adaptation to community life is marred by aggressive behavior. With its wealth of rich and immediately applicable treatment approaches, Recovery From Disability will help professionals equip mentally disabled patients to reach their personally relevant goals and progress on the road to recovery.

Mad at School

Author : Margaret Price
Publisher : University of Michigan Press
ISBN 13 : 0472071386
Total Pages : 295 pages
Book Rating : 4.4/5 (72 download)

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Book Synopsis Mad at School by : Margaret Price

Download or read book Mad at School written by Margaret Price and published by University of Michigan Press. This book was released on 2011-02-17 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explores the contested boundaries between disability, illness, and mental illness in higher education

A History of Mental Retardation

Author : R. C. Scheerenberger
Publisher : Brookes Publishing Company
ISBN 13 :
Total Pages : 344 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis A History of Mental Retardation by : R. C. Scheerenberger

Download or read book A History of Mental Retardation written by R. C. Scheerenberger and published by Brookes Publishing Company. This book was released on 1987 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Mental Retardation in America

Author : Steven Noll
Publisher : NYU Press
ISBN 13 : 0814782485
Total Pages : 524 pages
Book Rating : 4.8/5 (147 download)

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Book Synopsis Mental Retardation in America by : Steven Noll

Download or read book Mental Retardation in America written by Steven Noll and published by NYU Press. This book was released on 2004-02 with total page 524 pages. Available in PDF, EPUB and Kindle. Book excerpt: The expressions "idiot, you idiot, you're an idiot, don't be an idiot," and the like are generally interpreted as momentary insults. But, they are also expressions that represent an old, if unstable, history. Beginning with an examination of the early nineteenth century labeling of mental retardation as "idiocy," to what we call developmental, intellectual, or learning disabilities, Mental Retardation in America chronicles the history of mental retardation, its treatment and labeling, and its representations and ramifications within the changing economic, social, and political context of America. Mental Retardation in America includes essays with a wide range of authors who approach the problems of retardation from many differing points of view. This work is divided into five sections, each following in chronological order the major changes in the treatment of people classified as retarded. Exploring historical issues, as well as current public policy concerns, Mental Retardation in America covers topics ranging from representations of the mentally disabled as social burdens and social menaces; Freudian inspired ideas of adjustment and adaptation; the relationship between community care and institutional treatment; historical events, such as the Buck v. Bell decision, which upheld the opinion on eugenic sterilization; the evolution of the disability rights movement; and the passage of the Americans with Disabilities Act (ADA) in 1990.

Refusing Care

Author : Elyn R. Saks
Publisher : University of Chicago Press
ISBN 13 : 0226733998
Total Pages : 315 pages
Book Rating : 4.2/5 (267 download)

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Book Synopsis Refusing Care by : Elyn R. Saks

Download or read book Refusing Care written by Elyn R. Saks and published by University of Chicago Press. This book was released on 2010-02-15 with total page 315 pages. Available in PDF, EPUB and Kindle. Book excerpt: It has been said that how a society treats its least well-off members speaks volumes about its humanity. If so, our treatment of the mentally ill suggests that American society is inhumane: swinging between overintervention and utter neglect, we sometimes force extreme treatments on those who do not want them, and at other times discharge mentally ill patients who do want treatment without providing adequate resources for their care in the community. Focusing on overinterventionist approaches, Refusing Care explores when, if ever, the mentally ill should be treated against their will. Basing her analysis on case and empirical studies, Elyn R. Saks explores dilemmas raised by forced treatment in three contexts—civil commitment (forced hospitalization for noncriminals), medication, and seclusion and restraints. Saks argues that the best way to solve each of these dilemmas is, paradoxically, to be both more protective of individual autonomy and more paternalistic than current law calls for. For instance, while Saks advocates relaxing the standards for first commitment after a psychotic episode, she also would prohibit extreme mechanical restraints (such as tying someone spread-eagled to a bed). Finally, because of the often extreme prejudice against the mentally ill in American society, Saks proposes standards that, as much as possible, should apply equally to non-mentally ill and mentally ill people alike. Mental health professionals, lawyers, disability rights activists, and anyone who wants to learn more about the way the mentally ill are treated—and ought to be treated—in the United States should read Refusing Care.

Handbook of Mental Health and Aging

Author : Nathan Hantke
Publisher : Academic Press
ISBN 13 : 0128004932
Total Pages : 513 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Handbook of Mental Health and Aging by : Nathan Hantke

Download or read book Handbook of Mental Health and Aging written by Nathan Hantke and published by Academic Press. This book was released on 2020-04-11 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Mental Health and Aging, Third Edition provides a foundational background for practitioners and researchers to understand mental health care in older adults as presented by leading experts in the field. Wherever possible, chapters integrate research into clinical practice. The book opens with conceptual factors, such as the epidemiology of mental health disorders in aging and cultural factors that impact mental health. The book transitions into neurobiological-based topics such as biomarkers, age-related structural changes in the brain, and current models of accelerated aging in mental health. Clinical topics include dementia, neuropsychology, psychotherapy, psychopharmacology, mood disorders, anxiety, schizophrenia, sleep disorders, and substance abuse. The book closes with current and future trends in geriatric mental health, including the brain functional connectome, repetitive transcranial magnetic stimulation (rTMS), technology-based interventions, and treatment innovations. - Identifies factors influencing mental health in older adults - Includes biological, sociological, and psychological factors - Reviews epidemiology of different mental health disorders - Supplies separate chapters on grief, schizophrenia, mood, anxiety, and sleep disorders - Discusses biomarkers and genetics of mental health and aging - Provides assessment and treatment approaches

A Disability of the Soul

Author : Karen Nakamura
Publisher : Cornell University Press
ISBN 13 : 0801467985
Total Pages : 265 pages
Book Rating : 4.8/5 (14 download)

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Book Synopsis A Disability of the Soul by : Karen Nakamura

Download or read book A Disability of the Soul written by Karen Nakamura and published by Cornell University Press. This book was released on 2013-06-13 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This is a terrific book―moving, clear, and compassionate. It not only illustrates the way psychiatric illness is shaped by culture, but also suggests that social environments can be used to improve the course and outcome of the illness. Well worth reading." — T. M. Luhrmann, author of Of Two Minds: An Anthropologist looks at American Psychiatry Bethel House, located in a small fishing village in northern Japan, was founded in 1984 as an intentional community for people with schizophrenia and other psychiatric disorders. Using a unique, community approach to psychosocial recovery, Bethel House focuses as much on social integration as on therapeutic work. As a centerpiece of this approach, Bethel House started its own businesses in order to create employment and socialization opportunities for its residents and to change public attitudes toward the mentally ill, but also quite unintentionally provided a significant boost to the distressed local economy. Through its work programs, communal living, and close relationship between hospital and town, Bethel has been remarkably successful in carefully reintegrating its members into Japanese society. It has become known as a model alternative to long-term institutionalization. In A Disability of the Soul, Karen Nakamura explores how the members of this unique community struggle with their lives, their illnesses, and the meaning of community. Told through engaging historical narrative, insightful ethnographic vignettes, and compelling life stories, her account of Bethel House depicts its achievements and setbacks, its promises and limitations. A Disability of the Soul is a sensitive and multidimensional portrait of what it means to live with mental illness in contemporary Japan.

Mental Disability and the Death Penalty

Author : Michael L. Perlin
Publisher : Rowman & Littlefield Publishers
ISBN 13 : 1442200588
Total Pages : 295 pages
Book Rating : 4.4/5 (422 download)

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Book Synopsis Mental Disability and the Death Penalty by : Michael L. Perlin

Download or read book Mental Disability and the Death Penalty written by Michael L. Perlin and published by Rowman & Littlefield Publishers. This book was released on 2013-01-17 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is no question that the death penalty is disproportionately imposed in cases involving defendants with mental disabilities. There is clear, systemic bias at all stages of the prosecution and the sentencing process – in determining who is competent to be executed, in the assessment of mitigation evidence, in the ways that counsel is assigned, in the ways that jury determinations are often contaminated by stereotyped preconceptions of persons with mental disabilities, in the ways that cynical expert testimony reflects a propensity on the part of some experts to purposely distort their testimony in order to achieve desired ends. These questions are shockingly ignored at all levels of the criminal justice system, and by society in general. Here, Michael Perlin explores the relationship between mental disabilities and the death penalty and explains why and how this state of affairs has come to be, to explore why it is necessary to identify the factors that have contributed to this scandalous and shameful policy morass, to highlight the series of policy choices that need immediate remediation, and to offer some suggestions that might meaningfully ameliorate the situation. Using real cases to illustrate the ways in which the persons with mental disabilities are unable to receive fair treatment during death penalty trials, he demonstrates the depth of the problem and the way it’s been institutionalized so as to be an accepted part of our system. He calls for a new approach, and greater attention to the issues that have gone overlooked for so long.