Gracefully Insane

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Publisher : PublicAffairs
ISBN 13 : 0786750367
Total Pages : 297 pages
Book Rating : 4.7/5 (867 download)

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Book Synopsis Gracefully Insane by : Alex Beam

Download or read book Gracefully Insane written by Alex Beam and published by PublicAffairs. This book was released on 2009-07-21 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Its landscaped ground, chosen by Frederick Law Olmsted and dotted with Tudor mansions, could belong to a New England prep school. There are no fences, no guards, no locked gates. But McLean Hospital is a mental institution-one of the most famous, most elite, and once most luxurious in America. McLean "alumni" include Olmsted himself, Robert Lowell, Sylvia Plath, James Taylor and Ray Charles, as well as (more secretly) other notables from among the rich and famous. In its "golden age," McLean provided as genteel an environment for the treatment of mental illness as one could imagine. But the golden age is over, and a downsized, downscale McLean-despite its affiliation with Harvard University-is struggling to stay afloat. Gracefully Insane, by Boston Globe columnist Alex Beam, is a fascinating and emotional biography of McLean Hospital from its founding in 1817 through today. It is filled with stories about patients and doctors: the Ralph Waldo Emerson prot'g' whose brilliance disappeared along with his madness; Anne Sexton's poetry seminar, and many more. The story of McLean is also the story of the hopes and failures of psychology and psychotherapy; of the evolution of attitudes about mental illness, of approaches to treatment, and of the economic pressures that are making McLean-and other institutions like it-relics of a bygone age. This is a compelling and often oddly poignant reading for fans of books like Plath's The Bell Jar and Susanna Kaysen's Girl, Interrupted (both inspired by their author's stays at McLean) and for anyone interested in the history of medicine or psychotherapy, or the social history of New England.

The Massachusetts General Hospital/McLean Hospital Residency Handbook of Psychiatry

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 0781795044
Total Pages : 288 pages
Book Rating : 4.7/5 (817 download)

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Book Synopsis The Massachusetts General Hospital/McLean Hospital Residency Handbook of Psychiatry by : James Niels Rosenquist

Download or read book The Massachusetts General Hospital/McLean Hospital Residency Handbook of Psychiatry written by James Niels Rosenquist and published by Lippincott Williams & Wilkins. This book was released on 2009-06-01 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepared by the residents and faculties of the renowned Massachusetts General Hospital and McLean Hospital, this pocket handbook is packed with succinct, practical, accessible information on the diagnosis and treatment of psychiatric disorders. Major sections include psychiatric emergencies, symptom-based diagnosis and treatment, special populations, and treatment approaches including psychopharmacology. The book is written in a quick-scanning outline format with boxes, tables, and lists to provide high-yield information at a glance. Compatibility: BlackBerry(R) OS 4.1 or Higher / iPhone/iPod Touch 2.0 or Higher /Palm OS 3.5 or higher / Palm Pre Classic / Symbian S60, 3rd edition (Nokia) / Windows Mobile(TM) Pocket PC (all versions) / Windows Mobile Smartphone / Windows 98SE/2000/ME/XP/Vista/Tablet PC

Girl, Interrupted

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Author :
Publisher : Vintage
ISBN 13 : 0804151113
Total Pages : 194 pages
Book Rating : 4.8/5 (41 download)

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Book Synopsis Girl, Interrupted by : Susanna Kaysen

Download or read book Girl, Interrupted written by Susanna Kaysen and published by Vintage. This book was released on 2013-06-19 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: 30th ANNIVERSARY EDITION • NATIONAL BESTSELLER • In 1967, after a session with a psychiatrist she'd never seen before, eighteen-year-old Susanna Kaysen was put in a taxi and sent to McLean Hospital. Her memoir of the next two years is a "poignant, honest ... triumphantly funny ... and heartbreaking story" (The New York Times Book Review). WITH A NEW INTRODUCTION BY THE AUTHOR The ward for teenage girls in the McLean psychiatric hospital was as renowned for its famous clientele—Sylvia Plath, Robert Lowell, James Taylor, and Ray Charles—as for its progressive methods of treating those who could afford its sanctuary. Kaysen's memoir encompasses horror and razor-edged perception while providing vivid portraits of her fellow patients and their keepers. It is a brilliant evocation of a "parallel universe" set within the kaleidoscopically shifting landscape of the late sixties. Girl, Interrupted is a clear-sighted, unflinching document that gives lasting and specific dimension to our definitions of sane and insane, mental illness and recovery.

Find Your Fierce

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Author :
Publisher : American Psychological Association
ISBN 13 : 1433837536
Total Pages : 140 pages
Book Rating : 4.4/5 (338 download)

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Book Synopsis Find Your Fierce by : Jacqueline Sperling

Download or read book Find Your Fierce written by Jacqueline Sperling and published by American Psychological Association. This book was released on 2021-09-07 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Teens will become their bravest and fiercest selves and overcome social anxiety disorder with this helpful, upbeat book written by an expert in the field. Social anxiety is tough, but teens don’t have to figure it out alone. This empowering book will walk them through strategies that work. From practicing mindfulness to relaxing their bodies, readers can train their brains to help them gradually get back to doing more of what they love to do. These tools will help teens manage anxiety in the future and keep it from managing them. This book uses evidence-based skills from cognitive behavioral therapy to give teens a toolkit to help kids overcome their anxiety and move toward becoming their bravest, fiercest selves. Lively chapters will engage teens and caregivers alike.

Handbook of Good Psychiatric Management for Borderline Personality Disorder

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1585624608
Total Pages : 182 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Handbook of Good Psychiatric Management for Borderline Personality Disorder by : John G. Gunderson, M.D.

Download or read book Handbook of Good Psychiatric Management for Borderline Personality Disorder written by John G. Gunderson, M.D. and published by American Psychiatric Pub. This book was released on 2014-01-15 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a complete guide to using the evidence-based Good Psychiatric Management (GPM) approach for the treatment of BPD. The book demystifies the disorder, supplying treatment guidelines, case studies, and online video demonstrations of core techniques needed to deliver effective short-term, intermittent, and non-intensive therapeutic care.

The High-Conflict Couple

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Publisher : New Harbinger Publications
ISBN 13 : 1608824268
Total Pages : 194 pages
Book Rating : 4.6/5 (88 download)

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Book Synopsis The High-Conflict Couple by : Alan Fruzzetti

Download or read book The High-Conflict Couple written by Alan Fruzzetti and published by New Harbinger Publications. This book was released on 2006-12-03 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: You hear and read a lot about ways to improve your relationship. But if you've tried these without much success, you're not alone. Many highly reactive couples—pairs that are quick to argue, anger, and blame—need more than just the run-of-the-mill relationship advice to solve their problems in love. When destructive emotions are at the heart of problems in your relationship, no amount of effective communication or intimacy building will fix what ails it. If you're part of a "high-conflict" couple, you need to get control of your emotions first, to stop making things worse, and only then work on building a better relationship. The High-Conflict Couple adapts the powerful techniques of dialectical behavior therapy (DBT) into skills you can use to tame out-of-control emotions that flare up in your relationship. Using mindfulness and distress tolerance techniques, you'll learn how to deescalate angry situations before they have a chance to explode into destructive fights. Other approaches will help you disclose your fears, longings, and other vulnerabilities to your partner and validate his or her experiences in return. You'll discover ways to manage problems with negotiation, not conflict, and to find true acceptance and closeness with the person you love the most. This book has been awarded The Association for Behavioral and Cognitive Therapies Self-Help Seal of Merit — an award bestowed on outstanding self-help books that are consistent with cognitive behavioral therapy (CBT) principles and that incorporate scientifically tested strategies for overcoming mental health difficulties. Used alone or in conjunction with therapy, our books offer powerful tools readers can use to jump-start changes in their lives.

The mental hospital; a study of institutional participation in psychiatric illness and treatment

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Author :
Publisher :
ISBN 13 :
Total Pages : 492 pages
Book Rating : 4.:/5 (19 download)

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Book Synopsis The mental hospital; a study of institutional participation in psychiatric illness and treatment by : Alfred Hodgin STANTON (and SCHWARTZ (Morris S.))

Download or read book The mental hospital; a study of institutional participation in psychiatric illness and treatment written by Alfred Hodgin STANTON (and SCHWARTZ (Morris S.)) and published by . This book was released on 1954 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Complete Family Guide to Addiction

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Author :
Publisher : Guilford Publications
ISBN 13 : 1462539645
Total Pages : 274 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis The Complete Family Guide to Addiction by : Thomas F. Harrison

Download or read book The Complete Family Guide to Addiction written by Thomas F. Harrison and published by Guilford Publications. This book was released on 2019-06-14 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The purpose of this book is to explain addiction and to help families and friends to deal with it successfully. People who are struggling with addiction can also use this book to understand their situation and the resources that are available to help them. And people who are wondering if they might have an addiction can use it to get a better sense of the nature and depth of their potential problem. Part I explains the science behind addiction. Part II looks at the emotional side of the problem and how families are affected. Part III discusses many of the real-world legal and practical issues that addicts often face, and ways to keep them out of trouble. Part IV provides a detailed overview of treatment options. And Part V describes the recovery process and the most effective strategies to keep it going for the long term"--

Be Mighty

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Publisher : New Harbinger Publications
ISBN 13 : 1684034434
Total Pages : 131 pages
Book Rating : 4.6/5 (84 download)

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Book Synopsis Be Mighty by : Jill A. Stoddard

Download or read book Be Mighty written by Jill A. Stoddard and published by New Harbinger Publications. This book was released on 2020-01-02 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: You are stronger than your anxiety—you are mighty. In this empowering guide, you’ll find practical tools to help you shed the shackles of worry and fear and embrace a more vibrant life. In a culture where women are still paid less for doing the same jobs, expected to juggle family and career effortlessly, and faced with the harsh realities of misogyny and sexism daily, it’s no wonder you’re also twice as likely to experience issues related to anxiety and trauma. But there are real tools you can use now to build personal resilience in a difficult world, move past anxious thoughts, and conquer your worries and fears. This book will help guide the way. Be Mighty leads you on a bold quest to gain a deeper understanding of your anxiety by exploring your own “origin story”—how your early experiences led to thoughts and behaviors that may have offered comfort and protection at one time, but are now keeping you from living your best life. Using practical tools and experiential exercises based in mindfulness and acceptance and commitment therapy (ACT), you’ll learn to respond to present-day triggers in a new way, making choices from a more conscious, values-driven place. So, drop that outdated armor and dive headlong into this book. You’ll emerge fresh and fierce, with the confidence to stand up for the life you want to live and the power to face life’s complexities as your best, most authentic self. It’s time to be who you truly want to be. It’s time for you to be mighty!

Chemotherapy in Psychiatry

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461437091
Total Pages : 279 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Chemotherapy in Psychiatry by : Ross J. Baldessarini

Download or read book Chemotherapy in Psychiatry written by Ross J. Baldessarini and published by Springer Science & Business Media. This book was released on 2012-09-28 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use of psychotropic drugs has come to dominate clinical practice in psychiatry worldwide—perhaps owing largely to perceived simplicity, ease of use, and apparent efficiency, as well as apparent cost-effectiveness of such treatments. Nevertheless, medicinal treatments for patients with psychiatric disorders are but one component of comprehensive clinical care of complex human problems. Extensively updated since its second edition in 1985, Chemotherapy in Psychiatry, Third Edition, again addresses basic aspects of modern psychopharmacology and clinical applications of drugs used in the treatment of major psychiatric disorders, with major emphasis on psychotic, bipolar, and depressive disorders. The presentation covers descriptions of the main classes of psychotropic drugs, selected information concerning their known action mechanisms and metabolic disposition, and their clinical applications for acute illnesses and to prevent recurrences and long-term morbidity. Also covered are limitations and adverse effects of each type of agent, with emphasis on the fact that all psychotropic medicines have adverse effects that range from annoying to potentially lethal. Chemotherapy in Psychiatry, Third Edition, outlines the need to balance benefits and risks at the level of individual persons. Authoritative, and an important contribution to the literature, Chemotherapy in Psychiatry, Third Edition is an invaluable resource for physicians, scientists, trainees, and policymakers.

Helping Your Troubled Teen

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Publisher : Fair Winds Press
ISBN 13 : 1616734272
Total Pages : 304 pages
Book Rating : 4.6/5 (167 download)

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Book Synopsis Helping Your Troubled Teen by : Cynthia S Kaplan

Download or read book Helping Your Troubled Teen written by Cynthia S Kaplan and published by Fair Winds Press. This book was released on 2007-07-01 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first "adolescent primer" on the market Destructive trends among today's youth are growing, making life very different from when their parents were growing up. The primary four self-destructive behaviors in adolescence today are excessive alcohol and substance abuse, promiscuity, self mutilation (ie: cutting and burning), and eating disorders. These will be covered in detail, along with other issues like Internet addiction and suicide. These problems are not only detrimental to teens' mental and physical health, but the legal consequences for injurious behavior have also changed. Identification and prevention are the most important aspects in stopping teenage self-destructive behavior. This book offers a comprehensive look at teens self destructive behavior and gives parents solutions for dealing with it. Helping Your Troubled Teen instructs parents on how to identify an at-risk adolescent and discuss warning signs of injurious behavior, before the problem(s) become severe enough that a child is in crisis and/or legal actions are taken against them. Personal anecdotes and testimonials from both parents and their teenagers who have been confronted with and have engaged in self-destructive behavior are also included. McLean Hospital is the largest psychiatric teaching facility of Harvard Medical School. Founded in 1811 as the original psychiatric department of the MGH, it moved to Belmont in 1895. McLean Hospital operates the largest psychiatric neuroscience research program of any Harvard University-affiliated facility and of any private psychiatric hospital in the country. The Child and Adolescent Program at McLean Hospital is one of the foremost clinical programs for helping young people and their families cope with psychiatric illness and the challenges it often brings. There are extensive ties with community services, and each therapeutic program of children and adolescents in inpatient, residential and outpatient services is tailored to the specific needs of the child and family.

Clinical Manual of Emergency Psychiatry, Second Edition

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1585625078
Total Pages : 378 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Clinical Manual of Emergency Psychiatry, Second Edition by : Michelle B. Riba, M.D., M.S.

Download or read book Clinical Manual of Emergency Psychiatry, Second Edition written by Michelle B. Riba, M.D., M.S. and published by American Psychiatric Pub. This book was released on 2015-09-16 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of Clinical Manual of Emergency Psychiatry is designed to help medical students, residents, and clinical faculty chart an appropriate course of treatment in a setting where an incorrect assessment can have life-or-death implications. Arranged by chief complaint rather than by psychiatric diagnosis, each chapter combines the fresh insights of an accomplished psychiatry trainee with the more seasoned viewpoint of a senior practitioner in the field, providing a richly integrated perspective on the challenges and rewards of caring for patients in the psychiatric emergency department. This newly revised edition presents current approaches to evaluation, treatment, and management of patients in crisis, including up-to-date guidelines on use of pharmacotherapy in the emergency setting; suicide risk assessment; evaluation of patients with abnormal mood, psychosis, acute anxiety, agitation, cognitive impairment, and/or substance-related emergencies; and care of children and adolescents. The editors have created an accessible text with many useful features: * A chapter devoted to effective strategies for teaching, mentoring, and supervision of trainees in the psychiatry emergency service.* Chapters focused on assessment of risk for violence in patients, determination of the need for seclusion or restraint, and navigation of the legal and ethical issues that arise in the emergency setting.* Clinical vignettes that contextualize the information provided, allowing readers to envision applicable clinical scenarios and thereby internalize important concepts more quickly* Constructive "take-home" points at the end of each chapter that summarize key information and caution against common clinical errors.* References and suggested readings to help readers pursue a deeper understanding of concepts and repair any gaps in knowledge. Emergency psychiatry is one of the most stressful and challenging areas of practice for the psychiatric clinician. The guidelines and strategies outlined in Clinical Manual of Emergency Psychiatry, Second Edition, will help psychiatric trainees and educators alike to make sense of the complex clinical situations they encounter and guide them to advance their skills as clinicians and educators.

Borderline Personality Disorder

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Author :
Publisher : Springer
ISBN 13 : 3319907433
Total Pages : 223 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Borderline Personality Disorder by : Brian Palmer

Download or read book Borderline Personality Disorder written by Brian Palmer and published by Springer. This book was released on 2018-09-29 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book brings together a series of experts and experienced clinicians to describe and discuss a series of BPD cases in a manner that emphasizes core descriptive and diagnostic features, generalizable principles and techniques, and key take-home messages for clinicians at all levels of experience. The book emphasizes consideration for the disorder from multiple perspectives to help identify effective responses to common clinical challenges and decision points. To enhance interest, narrative, and readability, each chapter uses a consistent format to present a common clinical challenge along with an effective therapeutic response and discussion of relevant theoretical and empirically validated principles. Each chapter title contains a patient’s (fictionalized) name and a subheading identifying the clinical dilemma or approach to be illustrated. The text includes key points and chapter summaries to help pull together the most important takeaways as quick reference. Borderline Personality Disorder is a vital resource for psychiatrists, psychologists, psychiatric nurses, general internists, social workers, and all medical professions working with patients suffering from Borderline Personality Disorder.

Rebuilding Shattered Lives

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 9780471247326
Total Pages : 298 pages
Book Rating : 4.2/5 (473 download)

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Book Synopsis Rebuilding Shattered Lives by : James A. Chu

Download or read book Rebuilding Shattered Lives written by James A. Chu and published by John Wiley & Sons. This book was released on 1998-04-30 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Rebuilding Shattered Lives, James A. Chu, MD, describes a proven approach to the assessment and treatment of post-traumatic and dissociative disorders developed at the Dissociative Disorders and Trauma Program at McLean Hospital and Harvard Medical School. Drawing on his extensive empirical research and more than a decade's clinical experience specializing in treating survivors of severe abuse, Dr. Chu also offers valuable insights into all the major areas of traumarelated symptomatology and provides the most detailed explanation of dissociative theory currently in print. And, with the help of numerous vignettes and case examples, he clearly illustrates common clinical dilemmas encountered when dealing with survivors of severe abuse as well as the most effective techniques for resolving them. Rebuilding Shattered Lives is an important working resource for mental health workers of all levels of experience. Throughout, the writing style is clear, and complex theories are explained with an emphasis on how they provide the conceptual basis for a rational, responsible, and safe approach to treatment.

Opium

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Author :
Publisher : Hachette Books
ISBN 13 : 0316417653
Total Pages : 331 pages
Book Rating : 4.3/5 (164 download)

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Book Synopsis Opium by : John H. Halpern

Download or read book Opium written by John H. Halpern and published by Hachette Books. This book was released on 2019-08-13 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: From a psychiatrist on the frontlines of addiction medicine and an expert on the history of drug use comes the "authoritative, engaging, and accessible" history of the flower that helped to build (Booklist) -- and now threatens -- modern society. Opioid addiction is fast becoming the most deadly crisis in American history. In 2018, it claimed nearly fifty thousand lives -- more than gunshots and car crashes combined, and almost as many Americans as were killed in the entire Vietnam War. But even as the overdose crisis ravages our nation -- straining our prison system, dividing families, and defying virtually every legislative solution to treat it -- few understand how it came to be. Opium tells the "fascinating" (Lit Hub) and at times harrowing tale of how we arrived at today's crisis, "mak[ing] timely and startling connections among painkillers, politics, finance, and society" (Laurence Bergreen). The story begins with the discovery of poppy artifacts in ancient Mesopotamia, and goes on to explore how Greek physicians and obscure chemists discovered opium's effects and refined its power, how colonial empires marketed it around the world, and eventually how international drug companies developed a range of powerful synthetic opioids that led to an epidemic of addiction. Throughout, Dr. John Halpern and David Blistein reveal the fascinating role that opium has played in building our modern world, from trade networks to medical protocols to drug enforcement policies. Most importantly, they disentangle how crucial misjudgments, patterns of greed, and racial stereotypes served to transform one of nature's most effective painkillers into a source of unspeakable pain -- and how, using the insights of history, state-of-the-art science, and a compassionate approach to the illness of addiction, we can overcome today's overdose epidemic. This urgent and masterfully woven narrative tells an epic story of how one beautiful flower became the fascination of leaders, tycoons, and nations through the centuries and in their hands exposed the fragility of our civilization. An NPR Best Book of the Year"A landmark project." -- Dr. Andrew Weil"Engrossing and highly readable." -- Sam Quinones"An astonishing journey through time and space." -- Julie Holland, MD"The most important, provocative, and challenging book I've read in a long time." -- Laurence Bergreen

Did That Just Happen?!

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Author :
Publisher : Beacon Press
ISBN 13 : 0807035882
Total Pages : 218 pages
Book Rating : 4.8/5 (7 download)

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Book Synopsis Did That Just Happen?! by : Stephanie Pinder-Amaker

Download or read book Did That Just Happen?! written by Stephanie Pinder-Amaker and published by Beacon Press. This book was released on 2021-06-15 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: An accessible guide showing all people how to create and sustain diversity and inclusivity in the workplace—no matter your identity, industry, or level of experience Offering real-life accounts that illustrate common workplace occurrences around inclusivity and answers to questions like “How do I identify and handle diversity landmines at work?” and “What can I do when I’ve made a mistake?” this handbook breaks down ways that organizations (and all people) can improve their cultural awareness and become more equitable in their work and personal relationships. We know that diverse teams are stronger, smarter, and more profitable, and many companies are attempting to hire more diverse teams, but most struggle to create a real culture of inclusivity in which people from all backgrounds feel comfortable. As clinical psychologists, as well as individuals with marginalized identities, Dr. Stephanie Pinder-Amaker and Dr. Lauren Wadsworth show the emotional and physical impact of marginalization and how that leads to a decrease in employee engagement and, often, increased job turnover. “Did That Just Happen?!” will be invaluable for employees who come from underrepresented communities and identities (identities discussed include race, age, disability, sexual orientation, citizenship status, and gender expression). But the book is essential for leaders of companies, supervisors, HR departments, and for anyone who wants to understand and support diversity/equity/inclusion practices. The book will also make readers feel more confident in their navigating of friendships/interactions with people who hold different identities.

Pocket Psychiatry

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975117948
Total Pages : 362 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Pocket Psychiatry by : John B. Taylor

Download or read book Pocket Psychiatry written by John B. Taylor and published by Lippincott Williams & Wilkins. This book was released on 2019-03-21 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pocket Psychiatry, a new addition to the Pocket Notebook series, is written by residents for residents. A resource for essential information, in a high-yield, easy-to-use format, designed to help students, trainees, and others navigate the initial psychiatric evaluation and management of the most commonly encountered psychiatric conditions. With an emphasis on evidence-based information, Pocket Psychiatry, provides a rare concise and accessible resource, for must-know information on hospital- and clinic-based psychiatric care — from history and physical exam to differential diagnosis testing to therapeutics — in the well known loose leaf pocket size format.