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Deep Brain Stimulation: A Case-based Approach
DEEP BRAIN STIMULATION provides expert advice to the reader on selection guidelines and programming techniques for straight-forward as well as for challenging case management in movement and neuropsychiatric disorders. The collection offers a broad DBS experience that is delivered directly to you by leaders in neuromodulation. There are both common and uncommon case presentations and each case is accompanied by a literature review and pearls to improve your practice. The book improves fundamental DBS techniques as well as expands the skills necessary for troubleshooting more difficult presentations. The case-based problem-solving approach makes this a fun and practical read.
Deep Brain Stimulation: A Case-based Approach
by Shilpa Chitnis, Pravin Khemani, Michael S. OkunDEEP BRAIN STIMULATION provides expert advice to the reader on selection guidelines and programming techniques for straight-forward as well as for challenging case management in movement and neuropsychiatric disorders. The collection offers a broad DBS experience that is delivered directly to you by leaders in neuromodulation. There are both common and uncommon case presentations and each case is accompanied by a literature review and pearls to improve your practice. The book improves fundamental DBS techniques as well as expands the skills necessary for troubleshooting more difficult presentations. The case-based problem-solving approach makes this a fun and practical read.
Ethics and Research with Children: A Case-Based Approach
Fundamental questions about the morality of pediatric medical research persist despite years of debate and the establishment of strict codes of ethics. Is it ever permissible to use a child as a means to an end? How much authority should parents have over decisions about research involving their children? Should children or their parents be paid for participation in research? Most importantly, how can the twin goals of access to the benefits of clinical research and protection from research risk be reconciled? Promoting more thoughtful attention to the complex ethical problems that arise when research involves children, this fully updated new edition of Ethics and Research with Children presents 14 case studies featuring some of the most challenging and fascinating ethical dilemmas in pediatric research. Each chapter begins with a unique case vignette, followed by rich discussion and incisive ethical analysis. Chapters represent a host of current controversies and are contributed by leading scholars from a variety of disciplines that must grapple with how to best protect children from research risk while driving innovation in the fight against childhood diseases. Chapters end with questions for discussion, providing faculty and students with accessible starting points from which to explore more in depth the thorny issues that are raised. In the final chapter, the editors provide a synthesis and summary that serve as a capstone and companion to the case-based chapters. Unique in its specific focus on research, Ethics and Research with Children provides a balanced and thorough account of the enduring dilemmas that arise when children become research subjects, and will be essential reading for those involved with pediatric research in any context.
Advancing the Science of Implementation across the Cancer Continuum
While many effective interventions have been developed with the potential to significantly reduce morbidity and mortality from cancer, they are of no benefit to the health of populations if they cannot be delivered. In response to this challenge, Advancing the Science of Implementation across the Cancer Continuum provides an overview of research that can improve the delivery of evidence-based interventions in cancer prevention, early detection, treatment, and survivorship. Chapters explore the field of implementation science and its application to practice, a broad synthesis of relevant research and case studies illustrating each cancer-focused topic area, and emerging issues at the intersection of research and practice in cancer. Both comprehensive and accessible, this book is an ideal resource for researchers, clinical and public health practitioners, medical and public health students, and health policymakers.
Advancing the Science of Implementation across the Cancer Continuum
by David A. Chambers, Cynthia A. Vinson and Wynne E. NortonWhile many effective interventions have been developed with the potential to significantly reduce morbidity and mortality from cancer, they are of no benefit to the health of populations if they cannot be delivered. In response to this challenge, Advancing the Science of Implementation across the Cancer Continuum provides an overview of research that can improve the delivery of evidence-based interventions in cancer prevention, early detection, treatment, and survivorship. Chapters explore the field of implementation science and its application to practice, a broad synthesis of relevant research and case studies illustrating each cancer-focused topic area, and emerging issues at the intersection of research and practice in cancer. Both comprehensive and accessible, this book is an ideal resource for researchers, clinical and public health practitioners, medical and public health students, and health policymakers.
The Group: Seven Widowed Fathers Reimagine Life
by Donald Rosenstein Justin YoppOn a mid-October evening, a group of fathers gathered around a conference table and met each other for the first time. None of the men had ever thought of himself a "support group kind of guy" and each felt entirely out of place. In fact, nothing about their lives felt normal anymore. The Group: Seven Widowed Fathers Reimagine Life chronicles the challenges and triumphs of seven men whose wives died from cancer and were left to raise their young children entirely on their own. Brought together by tragedy, the fathers - Neill, Dan, Bruce, Karl, Joe, Steve, and Russ - forged an uncommon bond. Over time, group meetings evolved into a forum for reinvention and transformed the men in unexpected ways. Through the fathers' poignant interactions, The Group illustrates that while some wounds never fully heal, each of us has the potential to construct a new and meaningful future. Rosenstein and Yopp, co-leaders of the support group, weave together the fathers' stories with contemporary research on grief and adaptation. The Group traces a compelling journey of healing and personal discovery that no book has ever captured before. The men's touching efforts to care for their families, grieve for their wives, and reimagine their futures will inspire anyone who has suffered a major loss.
The Group: Seven Widowed Fathers Reimagine Life
by Donald Rosenstein Justin YoppOn a mid-October evening, a group of fathers gathered around a conference table and met each other for the first time. None of the men had ever thought of himself a "support group kind of guy" and each felt entirely out of place. In fact, nothing about their lives felt normal anymore. The Group: Seven Widowed Fathers Reimagine Life chronicles the challenges and triumphs of seven men whose wives died from cancer and were left to raise their young children entirely on their own. Brought together by tragedy, the fathers - Neill, Dan, Bruce, Karl, Joe, Steve, and Russ - forged an uncommon bond. Over time, group meetings evolved into a forum for reinvention and transformed the men in unexpected ways. Through the fathers' poignant interactions, The Group illustrates that while some wounds never fully heal, each of us has the potential to construct a new and meaningful future. Rosenstein and Yopp, co-leaders of the support group, weave together the fathers' stories with contemporary research on grief and adaptation. The Group traces a compelling journey of healing and personal discovery that no book has ever captured before. The men's touching efforts to care for their families, grieve for their wives, and reimagine their futures will inspire anyone who has suffered a major loss.
The Oxford Handbook of Evolutionary Psychology and Behavioral Endocrinology (Oxford Library of Psychology)
The Oxford Handbook of Evolutionary Psychology and Behavioral Endocrinology offers a comprehensive and compelling review of research in behavioral endocrinology from an evolutionary perspective on human psychology. Chapters, written by renowned experts on human behavior, explore a number of subtopics within one of three themes (1) development and survival, (2) reproductive behavior, and (3) social and affective behavior. Such topics include hormonal influences on life history strategy, mate choice, aggression, human hierarchical structure, and mood disorders. This Handbook is situated at the intersection of evolutionary psychology and behavioral endocrinology. Its interdisciplinary approach makes it an important resource for a broad spectrum of researchers, graduate students, and advanced undergraduates who are interested in studying the motivations and mechanisms that affect behavior.
Mayo Clinic General Surgery (Mayo Clinic Scientific Press)
by Jad M. Abdelsattar Moustafa M. El Khatib T. K. Pandian Samuel J. Allen David R. FarleyMayo Clinic General Surgery is a concise text that aims to provide learners with knowledge crucial to the development of surgical skill. Featuring nearly 200 "challenge" questions designed to reveal the gaps in your surgical knowledge and over 200 instructional videos, with accompanying video stills and transcripts, this book offers multiplatform educational content in a learner-friendly format. Contents include surgery by organ system, such as the esophagus and colon, and a special chapter for trauma assessment. Each chapter contains information on the organ system, including embryology, anatomy, and physiology, as well as clinical presentations and imaging techniques. Finally, every chapter offers descriptions of operations and potential postoperative complications. Dr. Farley and his coauthors present the core concepts of general surgery instruction at Mayo Clinic, offering a unique glimpse at surgical training in this world-renowned institution. This book provides succinct and accurate information in a written, visual, and audiovisual format that allows efficient access to surgical learners-especially those with just a few minutes to spare. Ultimately, the goal is to better prepare students, residents, and fellows for their surgical experiences and lead to better understanding with long-term retention.
Neurointerventions and the Law: Regulating Human Mental Capacity (Oxford Series in Neuroscience, Law, and Philosophy)
This volume makes a contribution to the field of neurolaw by investigating issues raised by the development, use, and regulation of neurointerventions. The broad range of topics covered in these chapters reflects neurolaw's growing social import, and its rapid expansion as an academic field of inquiry. Some authors investigate the criminal justice system's use of neurointerventions to make accused defendants fit for trial, to help reform convicted offenders, or to make condemned inmates sane enough for execution, while others interrogate the use, regulation, and social impact of cognitive enhancement medications and devices. Issues raised by neurointervention-based gay conversion "therapy", efficacy and safety of specific neurointervention methods, legitimacy of their use and regulation, and their implications for authenticity, identity, and responsibility are among the other topics investigated. Dwelling on neurointerventions also highlights tacit assumptions about human nature that have important implications for jurisprudence. For all we know, at present such things as people's capacity to feel pain, their sexuality, and the dictates of their conscience, are unalterable. But neurointerventions could hypothetically turn such constants into variables. The increasing malleability of human nature means that analytic jurisprudential claims (true in virtue of meanings of jurisprudential concepts) must be distinguished from synthetic jurisprudential claims (contingent on what humans are actually like). Looking at the law through the lens of neurointerventions thus also highlights the growing need for a new distinction between analytic jurisprudence and synthetic jurisprudence to tackle issues that increasingly malleable humans will face when they encounter novel opportunities and challenges.
Immunity: The Evolution of an Idea
by Alfred I. TauberModern immunology traditionally conceives of the immune system as providing defense against pathogens. Alfred I. Tauber criticizes this conception of immunity as too narrow, because it discounts much of the immune system's other normal functions. These include active tolerance of nutritional exchanges with the environment and the stabilization of cooperative relationships with resident micro-organisms. An expanded account extends immunity's functional role from singular 'defense' to broadened discernment of environmental 'exchange.' This ecological perspective has profound theoretical implications, for the basic notion of immune identity is reconfigured: highlighting the organism as a holobiont (a consortium of diverse organisms living in cooperative relationships) challenges prevailing concepts of individuality and the self/nonself dichotomy heretofore organizing immune theory. Indeed, if theoretical interest is focused on the challenges of maintaining immune balance in the full ecological context of the organism, then immune regulation assumes new complexity. Tauber maintains that the key to unravelling that puzzle requires a critical re-assessment of the cognitive processes that underlie immune effector functions. Accordingly, he provides the outline of a re-formulated 'cognitive paradigm' that dispenses with agent-based models and adopts an ecologically conceived understanding of perception and information processing. The implications of this revised configuration of immunity and its deconstructed notions of individuality and selfhood have wide significance for philosophers and life scientists working in immunology, ecology, and the cognitive sciences.
Immunity: The Evolution of an Idea
by Alfred I. TauberModern immunology traditionally conceives of the immune system as providing defense against pathogens. Alfred I. Tauber criticizes this conception of immunity as too narrow, because it discounts much of the immune system's other normal functions. These include active tolerance of nutritional exchanges with the environment and the stabilization of cooperative relationships with resident micro-organisms. An expanded account extends immunity's functional role from singular 'defense' to broadened discernment of environmental 'exchange.' This ecological perspective has profound theoretical implications, for the basic notion of immune identity is reconfigured: highlighting the organism as a holobiont (a consortium of diverse organisms living in cooperative relationships) challenges prevailing concepts of individuality and the self/nonself dichotomy heretofore organizing immune theory. Indeed, if theoretical interest is focused on the challenges of maintaining immune balance in the full ecological context of the organism, then immune regulation assumes new complexity. Tauber maintains that the key to unravelling that puzzle requires a critical re-assessment of the cognitive processes that underlie immune effector functions. Accordingly, he provides the outline of a re-formulated 'cognitive paradigm' that dispenses with agent-based models and adopts an ecologically conceived understanding of perception and information processing. The implications of this revised configuration of immunity and its deconstructed notions of individuality and selfhood have wide significance for philosophers and life scientists working in immunology, ecology, and the cognitive sciences.
The Patient as Agent of Health and Health Care: Autonomy in Patient-Centered Care for Chronic Conditions
by Mark Sullivan, MD, PhDPatient-centered care for chronic illness is founded upon the informed and activated patient, but we are not clear what this means. We must understand patients as subjects who know things and as agents who do things. Bioethics has urged us to respect patient autonomy, but it has understood this autonomy narrowly in terms of informed consent for treatment choice. In chronic illness care, the ethical and clinical challenge is to not just respect, but to promote patient autonomy, understood broadly as the patients' overall agency or capacity for action. The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice, but clinicians dictating the nature of the clinical problem. The patient's perspective on clinical problems is now often added to the objective-disease perspective of clinicians as health-related quality of life (HRQL). But HRQL is merely a hybrid transitional concept between disease-focused and health-focused goals for clinical care. Truly patient-centered care requires a sense of patient-centered health that is perceived by the patient and defined in terms of the patient's vital goals. Patient action is an essential means to this patient-centered health, as well as an essential component of this health. This action is not extrinsically motivated adherence, but intrinsically motivated striving for vital goals. Modern pathophysiological medicine has trouble understanding both patient action and health. The self-moving and self-healing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms. Taking the patient as the primary perceiver and producer of health has the following policy implications: 1] Care will become patient-centered only when the patient is the primary customer of care. 2] Professional health services are not the principal source of population health, and may lead to clinical, social and cultural iatrogenic injury. 3] Social justice demands equity in health capability more than equal access to health services.
The Patient as Agent of Health and Health Care: Autonomy in Patient-Centered Care for Chronic Conditions
by Mark Sullivan, MD, PhDPatient-centered care for chronic illness is founded upon the informed and activated patient, but we are not clear what this means. We must understand patients as subjects who know things and as agents who do things. Bioethics has urged us to respect patient autonomy, but it has understood this autonomy narrowly in terms of informed consent for treatment choice. In chronic illness care, the ethical and clinical challenge is to not just respect, but to promote patient autonomy, understood broadly as the patients' overall agency or capacity for action. The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice, but clinicians dictating the nature of the clinical problem. The patient's perspective on clinical problems is now often added to the objective-disease perspective of clinicians as health-related quality of life (HRQL). But HRQL is merely a hybrid transitional concept between disease-focused and health-focused goals for clinical care. Truly patient-centered care requires a sense of patient-centered health that is perceived by the patient and defined in terms of the patient's vital goals. Patient action is an essential means to this patient-centered health, as well as an essential component of this health. This action is not extrinsically motivated adherence, but intrinsically motivated striving for vital goals. Modern pathophysiological medicine has trouble understanding both patient action and health. The self-moving and self-healing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms. Taking the patient as the primary perceiver and producer of health has the following policy implications: 1] Care will become patient-centered only when the patient is the primary customer of care. 2] Professional health services are not the principal source of population health, and may lead to clinical, social and cultural iatrogenic injury. 3] Social justice demands equity in health capability more than equal access to health services.
Exercises in Epidemiology: Applying Principles and Methods
by Noel S. WeissTraditional epidemiology coursework is centered on the design and analysis of disease control. This important knowledge forms the backbone of what epidemiology is, but it can sometimes become a rote exercise in calculations rather than what it can and should be--training in thinking like an epidemiologist. EXERCISES IN EPIDEMIOLOGY enriches the core epidemiology coursework with a set of living, breathing problems from the real-world epidemiology literature. Comprising nearly 200 questions and answers drawn from published studies, this one-of-a-kind text allows students in epidemiology and public health to cultivate their skills in a real-world context while familiarizing themselves with core epidemiologic principles: rates and proportions, causal inference, and confounding. Answers to every question, along with each step in the reasoning that supports them, are included so that students can compare notes with a senior epidemiologist. With its practical, analytically sophisticated approach to this vital subject matter, EXERCISES IN EPIDEMIOLOGY prepares readers to make the transition from student to professional like no other text.
Exercises in Epidemiology: Applying Principles and Methods
by Noel S. WeissTraditional epidemiology coursework is centered on the design and analysis of disease control. This important knowledge forms the backbone of what epidemiology is, but it can sometimes become a rote exercise in calculations rather than what it can and should be--training in thinking like an epidemiologist. EXERCISES IN EPIDEMIOLOGY enriches the core epidemiology coursework with a set of living, breathing problems from the real-world epidemiology literature. Comprising nearly 200 questions and answers drawn from published studies, this one-of-a-kind text allows students in epidemiology and public health to cultivate their skills in a real-world context while familiarizing themselves with core epidemiologic principles: rates and proportions, causal inference, and confounding. Answers to every question, along with each step in the reasoning that supports them, are included so that students can compare notes with a senior epidemiologist. With its practical, analytically sophisticated approach to this vital subject matter, EXERCISES IN EPIDEMIOLOGY prepares readers to make the transition from student to professional like no other text.
Handbook of Community-Based Participatory Research
Community-based participatory research (CBPR) emerged in response to the longstanding tradition of "top-down" research-studies in which social scientists observe social phenomena and community problems as outsiders, separate from the participants' daily lives. CBPR is more immersive, fostering partnerships between academic and community organizations that increase the value and consequence of the research for all partners. The current perspectives gleaned from this school of research have been wildly well-received, in no small part because they address the complexity of the human experience in their conclusions. HANDBOOK OF COMMUNITY-BASED PARTICIPATORY RESEARCH codifies the methods and theories of this research approach and articulates an expansive vision of health that includes gender equality, safe and adequate housing, and freedom from violence. Topic-based chapters apply the theory and methods of CBPR to real world problems affecting women, ethnic and racial minorities, and immigrant communities such as sexual violence, exposure to environmental toxins, and lack of access to preventive care as well as suggesting future directions for effective, culturally sensitive research. HANDBOOK OF COMMUNITY-BASED PARTICIPATORY RESEARCH is required reading for academics, policy makers, and students seeking meaningful social change through scholarship.
Handbook of Community-Based Participatory Research
by Steven S. Coughlin and Maria E. FernandezCommunity-based participatory research (CBPR) emerged in response to the longstanding tradition of "top-down" research-studies in which social scientists observe social phenomena and community problems as outsiders, separate from the participants' daily lives. CBPR is more immersive, fostering partnerships between academic and community organizations that increase the value and consequence of the research for all partners. The current perspectives gleaned from this school of research have been wildly well-received, in no small part because they address the complexity of the human experience in their conclusions. HANDBOOK OF COMMUNITY-BASED PARTICIPATORY RESEARCH codifies the methods and theories of this research approach and articulates an expansive vision of health that includes gender equality, safe and adequate housing, and freedom from violence. Topic-based chapters apply the theory and methods of CBPR to real world problems affecting women, ethnic and racial minorities, and immigrant communities such as sexual violence, exposure to environmental toxins, and lack of access to preventive care as well as suggesting future directions for effective, culturally sensitive research. HANDBOOK OF COMMUNITY-BASED PARTICIPATORY RESEARCH is required reading for academics, policy makers, and students seeking meaningful social change through scholarship.
Ethics in Palliative Care: A Complete Guide
by Robert C. MacauleyNo specialty faces more diverse and challenging ethical dilemmas than palliative medicine. What is the best way to plan ahead for the end of life? How should physicians respond when patients refuse treatments likely to be beneficial, or demand treatments not likely to be? Who makes medical decisions for patients who are too ill to decide for themselves? Do patients have the "right to die" (and, if so, what exactly does that mean)? In this volume noted palliative care physician and bioethicist Robert C. Macauley addresses a broad range of issues from historical, legal, clinical, and ethical perspectives. Clinically nuanced and philosophically rigorous, Ethics in Palliative Care analyzes hot-button subjects like physician assisted dying and euthanasia, as well as often overlooked topics such as pediatric palliative care, organ donation, palliative care research, and moral distress. Drawing on real cases yet written in non-technical language, this complete guide will appeal to both medical professionals and lay readers.
Ethics in Palliative Care: A Complete Guide
by Robert C. MacauleyNo specialty faces more diverse and challenging ethical dilemmas than palliative medicine. What is the best way to plan ahead for the end of life? How should physicians respond when patients refuse treatments likely to be beneficial, or demand treatments not likely to be? Who makes medical decisions for patients who are too ill to decide for themselves? Do patients have the "right to die" (and, if so, what exactly does that mean)? In this volume noted palliative care physician and bioethicist Robert C. Macauley addresses a broad range of issues from historical, legal, clinical, and ethical perspectives. Clinically nuanced and philosophically rigorous, Ethics in Palliative Care analyzes hot-button subjects like physician assisted dying and euthanasia, as well as often overlooked topics such as pediatric palliative care, organ donation, palliative care research, and moral distress. Drawing on real cases yet written in non-technical language, this complete guide will appeal to both medical professionals and lay readers.
Neuropsychology: Science and Practice
Compiled reviews of the recent literature are a long established tradition in the laboratory and clinical sciences, and bring to their professions a useful and timely summary of the advances that have been made in the field. Neuropsychology has matured as a science and profession to support a like effort to summarize, across domains, the direction and momentum in the field. The authors are authorities in the subjects they review and provide for the investigator, practitioner and student an overview of the important developments in neuropsychology that cannot be realized from perusal of the journals alone. Interest in the reviews are likely to go beyond the discipline of neuropsychology, and will extend to all with an interest in science of brain-behavior relationships, in the study of disease and injury as they affect brain function, and in the rehabilitation of the individual who has suffered insult to brain. Chapters cover the pragmatic application of tests and test findings to improve our understanding of the behavior of individuals who present with neurocognitive disorders. Where there is interest in efficiently acquiring a sound perspective of the important advances and the future direction of neuropsychology, Neuropsychology: A Review of Science and Practice will provide the means for so doing as no other publication can offer.
Neuropsychology: Science and Practice
by Sandra Koffler, E. Mark Mahone, Bernice A. Marcopulos, Douglas Johnson-Greene, and Glenn SmithCompiled reviews of the recent literature are a long established tradition in the laboratory and clinical sciences, and bring to their professions a useful and timely summary of the advances that have been made in the field. Neuropsychology has matured as a science and profession to support a like effort to summarize, across domains, the direction and momentum in the field. The authors are authorities in the subjects they review and provide for the investigator, practitioner and student an overview of the important developments in neuropsychology that cannot be realized from perusal of the journals alone. Interest in the reviews are likely to go beyond the discipline of neuropsychology, and will extend to all with an interest in science of brain-behavior relationships, in the study of disease and injury as they affect brain function, and in the rehabilitation of the individual who has suffered insult to brain. Chapters cover the pragmatic application of tests and test findings to improve our understanding of the behavior of individuals who present with neurocognitive disorders. Where there is interest in efficiently acquiring a sound perspective of the important advances and the future direction of neuropsychology, Neuropsychology: A Review of Science and Practice will provide the means for so doing as no other publication can offer.
Psychotic Disorders: Comprehensive Conceptualization and Treatments
Psychotic Disorders: Comprehensive Conceptualization and Treatments emphasizes a dimensional approach to psychosis--one of the most fascinating manifestations of altered brain behavior--that cuts across a broad array of psychiatric diagnoses from schizophrenia to affective psychosis and organic disorders like epilepsy and dementias. Written by an international roster of over seventy leading experts in the field, this volume comprehensively reviews, critiques, and integrates available knowledge on the etiology, mechanisms, and treatments of psychotic disorders, and outlines ways forward in both research and clinical practice towards more objective, mechanistically-based definitions of psychotic disorders. Chapters address topics such as psychosis phenomenology, biomarkers and treatments, the overlaps and interfaces between psychiatric disorders within the psychosis dimension, and novel disease definitions. Furthermore, the volume incorporates findings on potential mechanisms, bridges between various system levels (i.e., genetic, epigenetic, molecular and cellular, brain circuit and function, psychological, social, environmental and cultural) and their interactions, as well as the potential role in causation and/or mediation in psychotic disorders. Finally, the volume outlines a broad array of treatment approaches, from the readily available (e.g., psychopharmacology, various modalities of psychotherapy) to the experimental (e.g., cognitive interventions, neuromodulation). With a concluding section of forward perspectives conjecturing future directions and related challenges, this book aspires to stimulate new knowledge, generate novel frameworks, and carry new directions forward on psychotic disorders.
Deprescribing in Psychiatry
by Swapnil Gupta John Cahill Rebecca MillerThe current state of medicine has witnessed the long-term adverse effects of certain medications, an increased rate of polypharmacy, and a cultural shift that emphasizes patient-centered practice. The term "deprescribing" refers to the optimization of the pharmacological regimen by reducing or cessing medications that incur more risks than benefits. Many people consider stopping their psychiatric medications, but prescribers may not know how to do this in a collaborative, systematic way. Deprescribing in Psychiatry presents a framework for deprescribing to guide the prescriber-patient dyad through the process of deciding if and when to reduce psychiatric medication, how to go about doing it, and at the same time, acknowledge the inherent risks in such an endeavour. As the first book on the subject, Deprescribing in Psychiatry stands to serve as a definitive text in this burgeoning field and as a 'rallying call' to raise crucial and topical questions in psychiatric practice, promote innovation, and act as a resource on the current state-of-the-art care. It describes the ins and outs of how clinicians can work closely with their patients to consider whether or not to try decreasing medications. It also discusses the anticipated future research directions, considerations for the field, and emphasizes collaboration with the patient, transparency, and the acknowledgement of uncertainty in psychiatric practice.
Deprescribing in Psychiatry
by Rebecca Miller John Cahill Swapnil GuptaThe current state of medicine has witnessed the long-term adverse effects of certain medications, an increased rate of polypharmacy, and a cultural shift that emphasizes patient-centered practice. The term "deprescribing" refers to the optimization of the pharmacological regimen by reducing or cessing medications that incur more risks than benefits. Many people consider stopping their psychiatric medications, but prescribers may not know how to do this in a collaborative, systematic way. Deprescribing in Psychiatry presents a framework for deprescribing to guide the prescriber-patient dyad through the process of deciding if and when to reduce psychiatric medication, how to go about doing it, and at the same time, acknowledge the inherent risks in such an endeavour. As the first book on the subject, Deprescribing in Psychiatry stands to serve as a definitive text in this burgeoning field and as a 'rallying call' to raise crucial and topical questions in psychiatric practice, promote innovation, and act as a resource on the current state-of-the-art care. It describes the ins and outs of how clinicians can work closely with their patients to consider whether or not to try decreasing medications. It also discusses the anticipated future research directions, considerations for the field, and emphasizes collaboration with the patient, transparency, and the acknowledgement of uncertainty in psychiatric practice.