For most of us the words madness and psychosis conjure up fear and images of violence. Using short stories, the authors consider complex philosphical issues from a fresh perspective. The current debates about mental health policy and practice are placed into their historical and cultural contexts.

"Interesting and fresh-represents an important and vigorous challenge to a discipline that at the moment is stuck in its own devices and needs a radical critique to begin to move ahead." --Paul McHugh, Johns Hopkins University School of Medicine "Remarkable in its breadth-an interesting and valuable contribution to the burgeoning literature of the philosophy of psychiatry." --Christian Perring, Dowling College Moving Beyond Prozac, DSM, and the New Psychiatry looks at contemporary psychiatric practice from a variety of critical perspectives ranging from Michel Foucault to Donna Haraway. This contribution to the burgeoning field of medical humanities contends that psychiatry's move away from a theory-based model (one favoring psychoanalysis and other talk therapies) to a more scientific model (based on new breakthroughs in neuroscience and pharmacology) has been detrimental to both the profession and its clients. This shift toward a science-based model includes the codification of the Diagnostic and Statistical Manual of Mental Disorders to the status of standard scientific reference, enabling mental-health practitioners to assign a tidy classification for any mental disturbance or deviation. Psychiatrist and cultural studies scholar Bradley Lewis argues for "postpsychiatry," a new psychiatric practice informed by the insights of poststructuralist theory.

Psychiatry is increasingly dominated by the reductionist claim that mental illness is caused by neurobiological abnormalities. Critical psychiatry disagrees with this and proposes a more ethical foundation for practice. This book describes an original framework for renewing mental health services in alliance with people with mental health problems.

This book shows how psychological and social interventions can help people with psychosis. It brings together both theoretical chapters that contribute to the reconceptualization of psychosis and clinical cases illustrating how contemporary psychotherapeutic intervention models can be applied in the treatment of this mental health condition, with reflections, strategies and practical guidelines demonstrating how these models can inform professional practice in mental healthcare. Chapters brought together in this volume aim to reflect a paradigm shift in psychosis care. They present person-centered models that lead to a way of seeing, understanding and treating psychosis that is very different from the traditional biomedical model. Current authors and approaches are revolutionizing an outdated model trapped in purely pharmacological actions and tautological explanations of a biological nature, where symptom control is the basic and fundamental form of approach, and in which psychotherapeutic actions take second place as subsidiary to the former. Approaches such as Acceptance and Commitment Therapy, Acceptance and Recovery Therapy by Levels, Open Dialogue, Compassion-Centered Therapy or the Hearing Voices movement, to name but a few of those presented in this book, represent a journey of self-knowledge and learning for those recovering from psychosis, and have an intense transformative potential for the therapeutic team. The fundamental principle that guides this book is to share models belonging to psychology that aim at personal development while respecting the needs, values and goals of each person, and that can be adopted by any professional or student of clinical psychology, psychiatry, nursing, social work or any other discipline searching for more humanistic approaches to treat psychosis.

Philosophy has much to offer psychiatry, not least regarding ethical issues, but also issues regarding the mind, identity, values, and volition. The Oxford Handbook of Philosophy and Psychiatry offers the most comprehensive reference resource for this area every published - one that is essential for both students and researchers in this field.

Psychiatry has lagged behind many clinical specialties in recognizing the importance of narrative for understanding and effectively treating disease. With this book, Bradley Lewis makes the challenging and compelling case that psychiatrists need to promote the significance of narrative in their practice as well. Narrative already holds a prominent place in psychiatry. Patient stories are the foundation for diagnosis and the key to managing treatment and measuring its effectiveness. Even so, psychiatry has paid scant scholarly attention to the intrinsic value of patient stories. Fortunately, the study of narrative outside psychiatry has grown exponentially in recent years, and it is now possible for psychiatry to make considerable advances in its appreciation of clinical stories. Narrative Psychiatry picks up this intellectual opportunity and develops the tools of narrative for psychiatry. Lewis explores the rise of narrative medicine and looks closely at recent narrative approaches to psychotherapy. He uses philosophic and fictional writings, such as Anton Chekhov’s play Ivanov, to develop key terms in narrative theory (plot, metaphor, character, point of view) and to understand the interpretive dimensions of clinical work. Finally, Lewis brings this material back to psychiatric practice, showing how narrative insights can be applied in psychiatric treatments—including the use of psychiatric medications. Nothing short of a call to rework the psychiatric profession, Narrative Psychiatry advocates taking the inherently narrative-centered patient-psychiatrist relationship to its logical conclusion: making the story a central aspect of treatment.

In this groundbreaking book, psychiatrist and ethicist Mona Gupta analyzes the basic assumptions of Evidence-based medicine (EBM), and critically examines their applicability to psychiatry. Highlighting ethical tensions between psychiatry and EBM, she asks the controversial question - should psychiatrists practice evidence-based medicine at all?