People with borderline personality disorder have problems coping with almost everything, and therefore anything can provoke them to impulsive actions, angry outbursts, and self-destructive behaviors. Their personal relationships are simultaneously overly dependent and strained, if not openly hostile, and frequently explosive. Incorporating the latest research and thinking on the disorder, Johns Hopkins psychiatrists Francis Mark Mondimore and Patrick Kelly conceptualize it in an original way. They explain that symptoms are the result of biological and behavioral problems, extremes of temperament, and impaired psychological coping, all of which may have a relationship with traumatic life events.
The authors advocate a therapeutic approach incorporating compassion and optimism in the face of what is often a tumultuous disease. With proper treatment, people with borderline personality disorder can enjoy long remissions and improved quality of life.
The result is A Natural History of Homosexuality, a generous work that synthesizes research in biology, history, psychology, and politics to explain how homosexuality has been understood and defined from ancient times until the present. Mondimore narrates tales of love and courage as well as discrimination and bigotry in settings as diverse as ancient Greece and Victorian England, early America and fin de siecle Vienna. He also tells fascinating stories about societies which accepted, incorporated, or institutionalized homosexuality into mainstream culture, stories illustrating that same-sex eroticism was often accepted as a normal aspect of human sexuality. In twentieth-century America, researchers first recognized that homosexuality might not be "pathological" when Alfred Kinsey and Evelyn Hooker conducted the first studies of sexuality not biased by preconceived notions of "normal" sexual behavior.
After exploring sexual development in the human fetus, Mondimore reviews current biological research into the nature of sexual orientation and examines recent scientific findings on the role of heredity and hormones, as well as Simon LeVay's 1991 brain studies. He then turns to a very important focus: on people and their individual experiences. He explores "what happens between childhood and adulthood in an individual that makes him or her come to identify himself or herself as having a sexual orientation." He also explains our current understanding of bisexuality and the transgender phenomena of transsexualism and transvestism.
Finally, Mondimore analyzes the circumstances of such prominent scandals as the anti-homosexual trials of Oscar Wilde and Philip von Eulenberg, and recounts the Nazi persecution of homosexuals during the Holocaust. This far-reaching discussion includes a description of the ex-gay ministries and reparative therapy as well as the Stonewall riots and AIDS, ending with the emergence of gay pride and community.
"The preponderance of the scientific evidence is converging on a view which homosexual people have had of themselves for as long as any had the courage to record it," writes Mondimore. "Homosexuality is a natural, abiding, normal sexuality for some people. It is not a disease state, not simply a behavior, and not subject to change."
"Thoughtful and readable. Dr. Mondimore tells us an enormous amount about homosexuality in a lively manner. This book belongs on the bookshelf of anyone who wants to be informed about this important subject."—Richard A. Isay, M.D., clinical professor of psychiatry, Cornell University Medical College, and author of Becoming Gay: The Journey to Self-Acceptance
Incorporating the latest research from the field of adolescent psychiatry, this comprehensive and compassionate guide answers questions that many parents have, including
· What are the symptoms of depression in teenagers? · How is depression diagnosed?· What is the difference between depression and bipolar disorder, and which does my child have? · How can I find the best mental health professional team for my child? · What kinds of counseling and psychotherapy are available? · Are medications safe, and how does a doctor choose a medication for my child?· What can I do if my adolescent is using alcohol, crystal meth, marijuana, or other substances?· How do autism and Asperger’s syndrome, eating disorders, premenstrual dysphoric disorder, ADHD, and disruptive mood dysregulation disorder interact with depression? · What should I do if I sense that my child is in danger? · With all of this going on, how can I take care of myself?-- Marcia Slomowitz, MD
In Adolescent Depression: A Guide for Parents, Johns Hopkins psychiatrist Francis Mondimore helps parents understand that serious depression in adolescents is an illness—an illness that can be effectively treated. He describes the many forms of depression and the many ways it can appear in young people—from intensely sad feelings to irritability, anger, and destructive rages. And he answers parents' questions, including: What are the danger signals of serious depression in teenagers? How are mood disorders diagnosed? How do medications work? What about talking therapies? How does depression relate to other problems, such as drug abuse, ADHD, and eating disorders and other self-injurious behavior? Of the one in five adults who go through a period of serious depression during their lifetime, many had their first experience of depression as teenagers. This comprehensive and compassionate guide detailing the symptoms, treatments, complications, and causes of adolescent depression provides parents with the information they need to ensure that their children receive the best possible treatment and become happy and healthy adults.
Dr. Mondimore discusses recent changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and reviews the exciting new findings of the largest multicenter evaluation of best-treatment practices for bipolar disorder ever carried out, the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). He describes how these findings, gleaned from the treatment experiences of thousands of patients, will improve treatment decisions.
With insight and sensitivity, Dr. Mondimore makes complex medical concepts easy to understand and describes what it is like for people to live with bipolar disorder. He recommends changes to daily routines and lifestyle that will improve the quality of life for patients and offers expert advice on planning for emergencies and identifying when and how to seek help. Throughout the book, Dr. Mondimore focuses on the importance of building a support system for everyone affected by this unpredictable illness.-- Kay Redfield Jamison, Ph.D., Johns Hopkins School of Medicine, author of An Unquiet Mind