well, i suppose i should thank julie holland for reinforcing yet again why i think psychotherapy is better than psychiatry at least in terms of wherewell, i suppose i should thank julie holland for reinforcing yet again why i think psychotherapy is better than psychiatry at least in terms of where i want to be and what i want to be doing with my life.
this is a woman that loves to push pills. don't get me wrong, i am certainly not against psychopharmocology. but three days a week in private practice, dr. holland has 20-30 minute sessions where she convinces people to go on psychiatric meds, and then lets them go. she is dismissive of psychotherapy (despite the fact that we hear oh so much about her and mary, her own therapist for three years) and while i certainly agree that some diagnoses (bi-polar, schizophrenia) warrant a drug regimen almost without thought, i do not agree that the worried well she treats in her private practice necessarily need all the prozac, paxil and lamictal they can withstand. i am sure she's charging somewhere between $350 and $450 for it, as well. sure, julie, you can start to "dig deep" with these patients now that you've quit bellevue. sure.
even her assessments leave something to be desired - she rarely sees the complicated patients, giving those instead to the resident. instead she focuses on the "T&R"'s - where her job is basically to decide if the person is suicidal or not - in the briefest of terms. i understand that her job puts demands and limits on what she can do in the ER. but i still think you can do that and be compassionate. besides, you don't even have time to get through ANY of the standardized assessments, much less motives, in the time she gives to these patients. i'd like to see her try to give a hamilton depression inventory while watching tv because her patient is "boring".
she is so arrogant, "butch" and basically condescending toward all her patients that it makes me sad.
clearly, holland has issues with loss. when her best friend becomes sick, she withdraws and leaves her to deal with the knowledge of her death alone (all the while resenting daniel, the one doctor that doesn't ignore lucy's illness and works along side her), when 9/11 hits, she hides in a bath tub with her daughter upstate and doesn't come in (everyone deals with trauma like this differently, i know, but dang, it was her job), and mostly she sees the world as revolving around her and everyone only in reference to her. who cares what daniel was going through? who cared really about lucy's daily struggle with her illness and her fears? who even really cared about the patients in handcuffs in the middle of the night in a locked ward while dr. holland taunted them, holding all the keys to the castle?
i found a lot of what dr. holland did, said and thought morally reprehensible. especially when she admits that she lied to a patient about what meds she was giving him, and got the medical student in it, and got her lying too. i mean, what the hell? i get that the end justify the means sometimes. i do. i really, really do. but she manages to trivialize everything that these people are suffering through.
this was no step forward for mental illness. and that makes me quite disappointed. but maybe if i just get myself some psychotropic meds, i'll get over it! ...more
there was no plot. there was no real depth. there were basic cursory outlines and sketches, but really? iokay.
how is this being turned into a movie?
there was no plot. there was no real depth. there were basic cursory outlines and sketches, but really? i wanted so much more.
frankly, i was kind of bored. it was so thin, writing wise and character wise - it felt a little like the author expected us to know everything already, know dr. r and GH and so on. which i don't think is really fair.
only four stars because i think this is the first book that has felt like it was part of a series, in that it felt like filler of some sort.
however,only four stars because i think this is the first book that has felt like it was part of a series, in that it felt like filler of some sort.
however, fi and homer and kevin and lee and ELLIE are so freaking awesome. i can't explain how much i adore this series. i also liked audrey, and how ellie is both trying to work through the important things in her head, how her identity is changing and she doesn't know exactly who she is any more or why or if anything has actually changed in her - countered by the fact that she has to survive.
it's so realistic it hurts.
brilliant. i am going to cry when this series is over, i just know it. ...more
i read this pretty quickly. it flows the way you would expect a YA book to, in this category, which is not supposed to demean thTHANK YOU, MISS ABBY.
i read this pretty quickly. it flows the way you would expect a YA book to, in this category, which is not supposed to demean the genre, but just saying it flows a little easier.
there were a lot of things i wanted more of. i wanted more of dr. rubenstein. of the doctors after. of more time back in school. how it felt to graduate. if he still has scars. etc. etc.
it was written though, in the first person, when he was 14. i think the best thing was how realistic the burn unit was. i have done some work on a burn unit, and god. i can't even imagine the pain of grafts and cleaning the new skin. i mean, really. i was very pleased that this was not glossed over, not at all.
however, i was a little disturbed by the fact that brent never acknowledged why he did what he did. there were things at play that dr. rubenstein touched on. i don't think it's true that he didn't know why he did it. maybe he had this great wake-up moment upon setting the fire, but he does know why he did some things. even at 14. there's fear there, of failure, of disappointing people, etc. i was sad that he didn't take the time to acknowledge that, that he left the book on the end of "yay, happy ending! i'm all cured!" and boom. life doesn't work that way. i wish it.
so, i love the realism of the burn injury, but i don't love the false-realism of the whole "i'm saved!" shock-attack. or, really, that the psychological repercussions were so weak. i mean, craig! his parents! etc! stephen leaving! megan!
i want a follow up, personally. i want life at 20. i want more.
but it was really quite good. life on a burn unit - not a place i think i could stay for a long time. ...more
if ever there was a book designed specifically to hit my personal reading kinks, this is it. (if it had been in new york and gotten everything as righif ever there was a book designed specifically to hit my personal reading kinks, this is it. (if it had been in new york and gotten everything as right as she did about the bay area, we might have hit the trifecta.)
jo beckett is a forensic psychiatrist. as in, she "shrinks the dead". jo is called in to determine whether a suicide is a suicide, or if there is foul play.
the concept of "suicide autopsies" has long been something that interests me, ever since i stumbled on Edwin Schneideman's work in suicidology. then add a really well thought out thriller, a beautifully researched book (driving times were accurate, the sense of the bay area made me wonder if the author had lived there extensively, the facts on suicide were all in line) and a kind of broken protagonist, not to mention the concept of confession and secrets and who you tell and why, and you've got a book i love.
my only complaint is the ending - i didn't think the last bit was necessary, and i'm not sure if it made complete sense to me. i might have to reread it. (what a pity.)
but i'm so pleased with the setting, with the way the characters fleshed out over the course of the story, that there was development (possibly a little lacking in the big bad guy, and also skunk - i never really got his motivation or connection) but i still want to read more and more and more.
i mean, the cypress viaduct! there aren't many people who know what that is, much less use it as character backstory, but i remember that moment like the back of my hand, thinking my parents were there, watching the news before cnn became what it is today. so i might be a little sentimental about it, but it's a quality read regardless. ...more
i found this to be a very interesting read, especially coming from a behavior stand-point. Judith Bluestone created a program called HANDLE for use wii found this to be a very interesting read, especially coming from a behavior stand-point. Judith Bluestone created a program called HANDLE for use with people on the autism spectrum, as well as people with social issues, etc. she herself suffered from a form of autism, so i think the strength of the book lies in her ability to explain why these things we think are "so strange" actually make sense.
i was frustrated, however, with her clear implication that ABA or any behavior therapy was basically useless - especially when so much of what she talked about intersects perfectly with quality behavior therapy. we don't hate coping mechanisms!! just ones that are self-destructive/quality of life impairing, and i wish she could have seen that.
the book is a great introduction to HANDLE, however, and explains how you can do it yourself - as a person with autism, or as a "helper". it's refreshing in its simplicity, and inventive with new "holistic" approaches to dealing with issues of the receptive systems.
i thought it was a little too simple at times, and a little too "it's so easy!", and it might have benefited from an update with new findings in the field related to neurology, etc. but all in all, it's a good foundation book. especially now that i've been to a training, i can see how well the book really does explain how to do the exercises, which is always great for people who can't afford to have a training session, etc. ...more
just reading the SCID, DIS and a few other sections, DIB because i'm interested.
the SCID section is fairly good. it's not very entertaining, but it'sjust reading the SCID, DIS and a few other sections, DIB because i'm interested.
the SCID section is fairly good. it's not very entertaining, but it's clear enough. good intro to the scales, but a lot of important ones are missing, so this definitely isn't a need-to-buy. i would suggest just reading the relevant chapters if you are curious or want more info, but just get it from your library. ...more
this is the companion book to the HBO documentary with the same title. having just watched the doc again, i have to say, i like the book so much more.this is the companion book to the HBO documentary with the same title. having just watched the doc again, i have to say, i like the book so much more. while it is a sort of "supplement" you get to see more into the lives of the girls than i felt you did in the film. there are excerpts from journals, lots of photos, and way more history and background to shelly, polly and britney, especially. (also alicia.) with the fact that polly passed away late last year, this book takes an even more poignant turn, and fills the holes i wish the film did - it lists agencies/hotlines to call/contact if you think you have an eating problem, or if someone you know does.
the book is more "responsible", if that makes sense. it doesn't sensationalize the illness, or glamorize any of it, which i appreciate. and it ends on a note of hope, which i felt the film lacked. (at least, it's cautiously hopefully.)
it's also presented in a large coffee table book-type fashion, which makes me wonder if i would ever put this out on my coffee table. still, it's very insightful, especially when combined with the film, but i think the book stands better alone than the film does. ...more
this is an excellent introduction to both VB and ABA, and is written in a way that parents and everyone really, can understand. there are a lot of excthis is an excellent introduction to both VB and ABA, and is written in a way that parents and everyone really, can understand. there are a lot of excellent ideas in here about VB (verbal behavior), though i found some of her practices to be a bit problematic - for example, she recommends figuring out the ABC of any action your child makes. i am all for that, as a budding behaviorist. (A-antecedent/trigger, B-behavior/action, C-consequence/result). and i agree that trying to get rid of triggers is excellent and worthy of your time.
however, and this is the DBT behaviorist side of me coming out, there are times when your child will be forced to face the trigger, and you need to be able to figure out what to do on the spot so as not to make the situation worse. if your child throws a tantrum if he doesn't get candy when you take him to the grocery store, she suggests giving him a lollipop on the way. this way he will remain calm, and already have the candy.
i might do that twice, or so. but then i would work on what happens when we go in and he doesn't have the lollipop. this isn't just a language deficit problem, this is a basic behavior problem. so. i was a little confused with that.
i also think that sometimes she errs too much on the side of not "pushing" the kids - her theory is that kids should want to learn, and should be running over to the work table, etc. but all kids are going to have off days, and all kids are going to try to find short-cuts to the reward they know is coming. i also think she positively reinforces a little too much (ironic, i know) but if the goal is to get the child speaking, you need more than five minutes at a time of attention.
all that said, she has a lot of great suggestions and insights into the more communication related problems - biting, pinching, etc. and she references a lot of excellent people - i highly recommend nancy kaufman's box of cards, for one. (one of the children i am working with LOVES the kaufman cards, and mands for them all the time.)
i think this is a great introduction to VB, but now i want to find sandberg's book and figure it out for myself. still, it's really excellent, even though i know i spent the entire review criticizing parts of it. i just think you need to look at it, like anything, not as a bible, but as a guide. ...more
i don't know if i'll ever finish this book. it was written before most of the revolutionary work on BPD was published, and usually i like seeing how fi don't know if i'll ever finish this book. it was written before most of the revolutionary work on BPD was published, and usually i like seeing how far things have come/changed - treat it kind of like a history project.
but i got really frustrated with the constant stereotypes of the "difficult patient" as always having a personality disorder, and the way these disorders are understood, and the way to deal with it.
i frankly got kind of disgusted that this came from a national organization of such reputable status less than 15 years ago. ...more
i have to say, she totally won me over. it was amazing because i wasn't sure if Marya Hornbacher could do it, but she redeemed herself by being morei have to say, she totally won me over. it was amazing because i wasn't sure if Marya Hornbacher could do it, but she redeemed herself by being more honest and upfront and REAL about her illness and willingness to get better than she was in Wasted, and more than Elizabeth Wurtzel ever, ever did.
this is best example of mania i have ever read. it is so true to life, and so true to form. it's really impressive how much insight she has into her illness when she lacked so much before - but it's like the eating disorder was just a cover for the bipolarity, and once she got the "true" diagnosis, she was able to kind of figure things out.
but she doesn't take the easy way out. she admits the mistakes she makes, she says that she does things she doesn't understand herself. it's so true - when you are manic/depressed, there often isn't any rationality to your behavior - or at least any that you can see at the time. it's amazing how honest she is with herself. she admits her mistakes, she knows when she is screwed up - she doesn't blame the fact that she doesn't listen to her doctors on anyone other than herself.
i'll probably write a more glowing review later, but this really is one of the most incredible books that actually grasps mental illness and what it's like without blaming anyone at all. and unlike the end of Wasted, i really believe that she wants to get better, and that she knows what she is facing.
an excellent textbook for abnormal, it resists a lot of the impulse to simply follow DSM criteria and the medical model. i appreciated the integratedan excellent textbook for abnormal, it resists a lot of the impulse to simply follow DSM criteria and the medical model. i appreciated the integrated approach taken to the disorders, the mentions about research being done, and the depth with which the disorders were discussed. i was also pleased to see things like DBT mentioned with BPD, and certain meds with bi-polar - it takes it a step further from simply describing the disorders to discussing how people are treating them today.
all in all quite excellent - my only complaint is that the copy my school ordered was a paperback with three-hole-punched loose leaf, so it was difficult to work with and i'm still afraid of losing pages. ...more
this book was so timely when it came out, and now it seems a little dated, but it still has a lot of resonance. there are parts of me that hate Marythis book was so timely when it came out, and now it seems a little dated, but it still has a lot of resonance. there are parts of me that hate Mary Pipher, but there are parts of me that love her too. oh, the beginning of the studies of adolescent girls! ...more
definitely not a favorite, when compared to Irvin Yalom's other works. Love's Executioner shows both his growth as a therapist and as a writer whendefinitely not a favorite, when compared to Irvin Yalom's other works. Love's Executioner shows both his growth as a therapist and as a writer when you compare it to this book.
the thing that really unsettled me about the book was the sense that ginny was on a completely different page from yalom and that he was, in a sense, using her - in exchange for free sessions, she had to write these write-ups which he would later put together with his own. it's incredible for that feature - that you can see both sides of one therapy session, but at the same time, it felt a little dirty. much of it is dated, but i do appreciate yalom's constant honesty - he admits where he screwed up, missed the boat - if not with ginny, at least with the reader.
probably my least favorite of yalom, but one of the best conceptual ideas for a book i've come across in a long time. ...more
some good stuff, but huge and difficult to work through the entire book. interesting though for the chapters on traumatic attachment as related to SI,some good stuff, but huge and difficult to work through the entire book. interesting though for the chapters on traumatic attachment as related to SI, which i think is often overlooked in the literature....more
good, not great, but what it does well, it does excellently. however i think it needs to be more up to date with all the current research - admittedlygood, not great, but what it does well, it does excellently. however i think it needs to be more up to date with all the current research - admittedly, i know tons of people studying the effect of difference substances on the brain and so i'm biased, but there's a lot more to say about basic things like nicotine, for example. also, marijuana is proving to be more dangerous long term than this book leads you to believe (turns out TCH is actually a really nasty thing).
but it does attempt to remove also of the random info about drugs and reduce stigma and tell the truth. it's just that even being updated in 2003, it's already outdated. it's amazing the stuff they are learning about the brain now. really kind of creepy. ...more
this is a fairly brilliant book. i have to read it again to give it five stars, but honestly, anything by this author is worth picking up.
this book tthis is a fairly brilliant book. i have to read it again to give it five stars, but honestly, anything by this author is worth picking up.
this book talks about the story of one woman's struggle with eating and appetites, and also the cultural phenomenons that play into women not being "fed". it has been said before, but it is said eloquently and beautifully in this book. i am so sad caroline knapp passed away - she was such a great writer (and person). ...more
oh my lord. HOW DID IT TAKE ME THIS LONG TO FIND THIS BOOK??!
honestly, i think this might be the one book i would give someone who wanted to know abouoh my lord. HOW DID IT TAKE ME THIS LONG TO FIND THIS BOOK??!
honestly, i think this might be the one book i would give someone who wanted to know about mindfulness. it not only has EXCELLENT examples of what mindfulness is, it incorporates it in a very real, healthy way into how we eat.
this is sincerely one of the best books i have read in a long, long time about either subject - mindfulness, or eating. i would give this as a gift to everyone i know. i probably will.
but dude, annice and amy, you SO NEED this book. i can't even . . . i am so glad that mindfulness is the next module we are doing in dbt group because this elucidates the methods and the strategies in new and very easy but CLEAR AND GENIUS ways.
apparently people have criticized the author for being "ungrateful" for her heart transplant - i would argue that they didvery smart, very real book.
apparently people have criticized the author for being "ungrateful" for her heart transplant - i would argue that they did not read the same book i did, because she grapples with the fact that she herself thinks she is ungrateful, and what that means.
this addresses all the real questions of life and death and hope and despair, and what to do when you've hit the end of your rope and you've already added all you can to it. it's a little bleak, it's not exactly uplifting, but it is REAL. i would recommend this to anyone who wants to know what it's like being defined by an illness - whether by heart transplant, a mental illness, or something like chronic fatigue. while amy's life is certainly in the extreme end of the "bad luck" scale, most of what she says holds true to so many people i know.
especially the duality between how you feel and how you present yourself - amy's story of her wedding day will resonate with me for a long time. because it's true, you set out wanting to fool people but at the same time you want them to understand - but of course they can't, because you haven't told them anything except how fine you are. ...more
hmmm. weird book. i mean, i get it, in that it sought to let teens give voice to their own lives/struggles. the problem, i felt, was that there wasn'thmmm. weird book. i mean, i get it, in that it sought to let teens give voice to their own lives/struggles. the problem, i felt, was that there wasn't enough really there. the pieces of poetry worked better than the prose, for that reason, but i read through this so fast and really didn't learn anything new. i can't decide whether or not i think it was detrimental to have the seventeen year old author write intros to each piece - i think i would have preferred an older, more objective voice. or a more understanding of the issues voice.
however, i am reading this much later in my life. i can't say that i wouldn't have loved this when i read Reviving Ophelia for the first time. so. i don't know. i would probably give this to girls i was treating in the very early stages of our work together, if they were having problems with the idea that they are not alone in their struggle.
(i actually kind of hate that phrase, because the truth is, we all experience things differently. you can never know truly how i feel. even if two people share a diagnosis, that doesn't mean much. but it's true that i felt better once i realized that people survive with the things i was dealing with - though honestly, Prozac Nation almost killed me.) ...more
if you look at this book, you would never think that i would like it. heck, i was shocked i even started to read it before just taking it back (the joif you look at this book, you would never think that i would like it. heck, i was shocked i even started to read it before just taking it back (the joys of buying books before seeing them) simply because there is a weird use of white space in the book, crazy little drawings, and the font is large and child-handwriting-like. (also, it bears the dubious category placement of "self-improvement".)
but, with one minor exception, gosh darn it, i kind of agree with the whole damn thing. and it's presented in such a way that makes it really really accessible - for people that know about sitting meditation/mindfulness/buddhism/etc. and those that have no clue. which is good - because the message is something that should be shouted loud and clear over and over again.
(my slight contention with the book is that quality therapy does allow you to get beyond the self-hatred - you don't necessarily need a spiritual element in the sense that you need sitting meditation and buddha to arrive at a more peaceful place. i didn't like how she just dismissed therapy, when so much of therapy is about reducing self-hatred. (her definition is quite inclusive, so it's basically everything you would ever go to therapy for.) but the beginning, when she's talking about the perfection circles - that's brilliant.)
i kind of want someone to somehow combine this with thich naht hahn's Anger and make the best and most logical self-help book ever. ...more
if i could make one book mandatory for everyone who is somehow connected to SPED (special education), i think this would be it.
it warmed my sad heartif i could make one book mandatory for everyone who is somehow connected to SPED (special education), i think this would be it.
it warmed my sad heart. guess what, people?? medication is not a death sentence!! it is not saying, "YOU ARE A CRAZY ASS FUCK!!" it's just that people's brain chemistry is different, and changes, especially in response to huge environmental events, and so.
the book is broken down by diagnoses, and then meds you probably will encounter if you work with them - what they do, what they should do, what to expect if they get messed with.
if i wasn't so tired i would go on and on - seriously. if you have a question about psychopharmacology and treatment, this is an excellent, excellent book. (it also assumes that the client/student is in therapy, which i appreciate. no crazy meds without talk therapy, dammit!)...more