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Pathophysiology of Heart Disease: An Introduction to Cardiovascular Medicine
by Leonard S. LillyEnthusiastically acclaimed by medical students and faculty worldwide, this text is specifically designed to prepare students for their first encounters with patients with cardiovascular disease. Thoroughly revised by internationally recognized Harvard Medical School faculty and a team of select cardiology fellows and internal medicine residents, this seventh edition equips students with a clear, complete, and clinically relevant understanding of cardiovascular pathophysiology, setting a strong foundation for patient diagnosis and management.
Pathophysiology of Obesity-Induced Health Complications (Advances in Biochemistry in Health and Disease #19)
by Naranjan S. Dhalla Paramjit S. Tappia Bram RamjiawanAccording to the World Health Organization, the epidemic of global obesity has nearly tripled since 1975. In 2016, more than 1.9 billion adults were overweight, over 650 million of which were obese. Being overweight and obese has been linked to a number of non-communicable, chronic diseases. Pathophysiology of Obesity-Induced Health Complications is a compilation of review articles dedicated to describe co-morbidities associated with obesity. The wide range that is covered is of significant interest to basic research scientists, clinicians and graduate students who are engaged in studying obesity-induced health complications. Furthermore, this book highlights the potential of novel approaches for the prevention and treatment of obesity and its related illnesses. Nineteen articles in this book are organized in four sections that are designed to provide an overview of obesity-induced health complications. The first section serves as an introductory section on the prevalence, causes, consequences, treatments and preventive approaches for obesity. Section two covers the metabolic disturbances and inflammation due to obesity. The third section is focused on neurological and visceral complications as a consequence of obesity. The final section covers strategies for the prevention of obesity-induced complications. The book illustrates that obesity can result in a diverse range of pathophysiological conditions that adversely affect health.
Pathophysiology of pregnancy complications
by L.L.H. Peeters P.W. de Leeuw E.D. Post UiterweerThis book provides an overview of the physiology of pregnancy and the pathophysiology of common pregnancy complications. Using this information, options are discussed for the early detection and prevention of these complications. <P><P> Chapter 1 outlines the maternal adaptation to pregnancy, which enables the fetus to grow, mature and thrive without compromising maternal health. Chapter 2 describes the pregnancy course in healthy women, who develop a common pregnancy complication, such as a placental syndrome, preterm birth or gestational diabetes. These complications are often superimposed on a latent defect in the cardiovascular, renal, immunologic and/or metabolic functions. Chapters 3 and 4 discuss pregnancy in women with a chronic disease that often affects one of these functions. Finally, chapter 5 uses the information provided in the preceding chapters to discuss the options for early detection and/or prevention of common pregnancy complications.<P><P> The emphasis of this book is on the pathophysiology of a complicated pregnancy rather than on its management. It explains the sequence of events that characterizes the development of common pregnancy complications. This insight is expected to assist in the deceision making and counseling by midwives and obstetricians of pregnant women, who at increased risk of these complications.
Pathophysiology of Respiration
by Mieczyslaw PokorskiThis book presents a range of research and clinical contributions, including observational studies, practical treatment examples, diagnostic test assessment, biomarkers, and systematic reviews. The objective is to seek to explain the processes or mechanisms whereby abnormal or undesired conditions develop and progress. The attention is given to disturbed carbohydrate metabolism in perpetuation of respiratory ailments or raising therapeutic problems. The psychosocial context of chronic respiratory conditions is tackled as well. Oxidative stress is conducive to both physical and cognitive aging, which raises the specter of using its biochemical markers in future antiaging therapeutic strategies. Critical information provided in the contributions will allow readers to make informed judgments. The book will hopefully serve to create awareness and apprehension about the developments in the field of pneumology and related areas of medical research.
Pathophysiology, Physical Assessment, And Pharmacology: Advanced Integrative Clinical Concepts
by Janie Best Grace Buttris Annette Hines F.A. Davis CompanyIntegrate the 3Ps for a real-world, holistic approach to nursing care. This first-of-its-kind text integrates the 3 Ps—pathophysiology, pharmacology, and physical assessment—into an integrative whole that reflects the real-world of how students learn and nurses practice. This groundbreaking approach promotes a deeper understanding of these three essential and often challenging content areas, paralleling the importance of integration in the planning, delivery, and evaluation of nursing care. Its lifespan approach features six major population-based sections cover the key conditions and disorders that nurses are likely to encounter in practice, reviewing the important pathophysiology, pharmacology, and physical exam and assessment information relative to each disorder. Each section concludes with a case study that presents a new disorder relative to the population in that section, reinforcing the authors’ application-focused approach and developing must-have critical-thinking skills.
Pathophysiology: A Practical Approach
by Lachel StoryPathophysiology: A Practical Approach, Fifth Edition provides an innovative, practice-ready, approach to foundational pathophysiology for pre-licensure nursing students. The text is organized by body system and is presented in an easy-to-read format with vibrant graphics and practice tools. Dr. Story takes a student-focused approach to the challenging subject. She organized the content into topical chapters that walk students through their base knowledge of A&P, what can go wrong with the human body, how to identify it, and what to do about it. This st-udent-friendly approach empowers readers to take a more active role in learning pathophysiology. Students and faculty praise Pathophysiology: A Practical Approach for its innovative presentation, helpful Next Generation NCLEX-style questions, approachable reading style, dynamic images, and coverage of current research.
Paths to Leadership in the Senior Living Industry (International Perspectives on Aging #29)
by Matthew Lifschultz Edward L. SchneiderThis book assembles many of the great leaders of the senior living and care industry to discuss their paths to and views on leadership. Each chapter provides readers with ideas, information, and inspiration on how to achieve leadership in this dynamic, mission-focused industry. It includes various strategies for success, such as promoting meaning and purpose in corporate culture, making decisions in the absence of perfect information, managing your personal assets of relationships and reputation, and finding competitive advantages through technology, training, and team-building. These leaders also share their experiences responding to COVID-19 and discuss how the pandemic may change the future of leadership in the industry. Whether your path starts in gerontology, nursing, social work, design, real estate, finance, law, operations, or technology, and whether one pursues work in the private, nonprofit, or government sectors, this volume provides a valuable resource for all aspiring and developing leaders in the senior living industry.
Paths to Parenthood: Emotions on the Journey through Pregnancy, Childbirth, and Early Parenting
by Renata Kokanović Paula A. Michaels Kate Johnston-AtaataThis interdisciplinary book explores the affective dimensions of becoming a parent, traversing the life-cycle journey of pregnancy, childbirth, and early parenting. Bringing together researchers from sociology, history, feminist studies, cultural studies, general medicine, and psychiatry, Paths to Parenthood analyses rich narratives that represent a diverse cross-section of parents, including migrants, same-sex couples, and single parents.
The Pathway to Publishing: A Guide to Quantitative Writing in the Health Sciences
by Stephen Luby Dorothy L. SouthernWriting manuscripts is central to the advance of scientific knowledge. For an early career aspiring scientist, writing first author manuscripts is an opportunity to develop critical skills and to credential their expertise. Writing manuscripts, however, is difficult, doubly so for scientists who use English as a second language. Many science students intentionally avoid a writing-intensive curriculum. Careful, thorough reviews of draft manuscripts are difficult to secure, and experienced scientific supervisors face more demands on their time than they have time available. Weak draft manuscripts discourage supervising scientists investing the time to coach revisions. It is easier for experienced scientists to ignore the request, or to simply rewrite the article. Early career scientists are motivated to address these barriers but specific advice is difficult to find, and much of this advice is behind a pay wall. This essential, open access text presents writing lessons organized as common errors, providing students and early-career researchers with an efficient way to learn, and mentors with a quick-reference guide to reviewing. Error descriptions include specific examples drawn from real-world experiences of other early-career writers, and suggestions for how to successfully address and avoid these in the future. Versions of this book have been used by Stanford University, UC Davis, Johns Hopkins, and numerous international institutions and organizations for over a decade.
Pathways Of Addiction: Opportunities In Drug Abuse Research
by Committee on Opportunities in Drug Abuse ResearchDrug abuse persists as one of the most costly and contentious problems on the nation's agenda. Pathways of Addiction meets the need for a clear and thoughtful national research agenda that will yield the greatest benefit from today's limited resources.The committee makes its recommendations within the public health framework and incorporates diverse fields of inquiry and a range of policy positions. It examines both the demand and supply aspects of drug abuse.Pathways of Addiction offers a fact-filled, highly readable examination of drug abuse issues in the United States, describing findings and outlining research needs in the areas of behavioral and neurobiological foundations of drug abuse. The book covers the epidemiology and etiology of drug abuse and discusses several of its most troubling health and social consequences, including HIV, violence, and harm to children.Pathways of Addiction looks at the efficacy of different prevention interventions and the many advances that have been made in treatment research in the past 20 years. The book also examines drug treatment in the criminal justice setting and the effectiveness of drug treatment under managed care.The committee advocates systematic study of the laws by which the nation attempts to control drug use and identifies the research questions most germane to public policy. Pathways of Addiction provides a strategic outline for wise investment of the nation's research resources in drug abuse. This comprehensive and accessible volume will have widespread relevance--to policymakers, researchers, research administrators, foundation decisionmakers, healthcare professionals, faculty and students, and concerned individuals.
Pathways to a Successful Accountable Care Organization
by Peter A. GrossA valuable guide to starting and running a successful accountable care organization.Health care in America is undergoing great change. Soon, accountable care organizations—health care organizations that tie provider reimbursements to quality metrics and reductions in the cost of care—will be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO?Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on• the essential ingredients of a successful ACO • monitoring and submitting Group Practice Reporting Option quality measures• mastering your patients' responses to the Consumer Assessment of Health Plans Survey• how bundled payments and CPC+ can meld with your ACO• how MACRA and MIPS affect your ACO• the role of an ACO/CIN• the complexities of post-acute care• data analytics• engaging and integrating physician practicesDr. Gross and his colleagues are in a perfect position to guide other health care leaders through the ACO process while also providing excellent case studies for policy professionals who are interested in how their work influences health care delivery. Readers will come away with the necessary knowledge to thrive and be rewarded with cost savings. Contributors: Joshua Bennett, Allison Brennan, Glen Champlin, Kris Corwin, Guy D'Andrea, Joseph F. Damore, Mitchel Easton, Andy Edeburn, Seth Edwards, Jennifer Gasperini, Kris Gates, Shawn Griffin, Peter A. Gross, Brent Hardaway, Mark Hiller, Beth Ireton, Thomas Kloos, Jeremy Mathis, Miriam McKisic, Morey Menacker, Denise Patriaco, Elyse Pegler, John Pitsikoulis, Michael Schweitzer, Bryan F. Smith
Pathways to Health (SpringerBriefs in Population Studies)
by George B. Ploubidis Benedetta Pongiglione Bianca De Stavola Rhian Daniel Lenka Benova Emily Grundy Sanna ReadThis book presents a rigorous enquiry into life course processes that are thought to influence health, integrating the latest methodologies for the study of pathways that link socio-demographic circumstances to health with an emphasis on the mediating factors that lie on these pathways. Following an introductory chapter on the application of formal mediation methods within the life course framework, the book offers insights on the pathways that link early life socio-economic circumstances to physical activity in later life, the role of physical activity as a moderator and/or mediator of the association between fertility history and later life health and the evolution of self-rated health over the life course in two generations born 12 years apart in 20th century Britain. Pathways to Health presents a dynamic view on how to investigate specific hypotheses within the life course framework and enhances the ability of the social science community to investigate specific mechanisms related to public health interventions.
Pathways to Illness, Pathways to Health
by Angele Mcgrady Donald MossThis book, designed for professionals, introduces a psychobiological model for understanding the paths that lead people to illness and provides recommendations for alterations of maladaptive pathways so that health is regained. Research findings are incorporated to identify causal variables for illness that can be targets for change. Evidence based recommendations for healthy behaviors and therapies are described. Throughout the book, the authors emphasize recognition of turning points on the path to illness that, through informed decision making and implementation of behavioral change, can be re-directed to pathways to health. This book presents case material to illustrate the directions that lead people to illness or to health. The pathways metaphor provides an organizing force, both in addressing variables contributing to illness onset, and in identifying interventions to restore health. This approach will guide the clinician to understanding how people become ill and the types of interventions that are appropriate for stress related illnesses. The clinician will also become better informed about ways to help clients make better decisions, mobilize clients' survival skills, and implement an interactive model of care. The book includes chapters on stress-related illnesses with high prevalence in today's society. For each illness, the genetic-psychobiological etiology is explored with enough detail so that the clinician understands the best method of patient assessment and treatment. One of the strengths of the book is the step-wise system of interventions that are applied to the stress-related illnesses. Beginning with re-establishment of normal daily psychobiological rhythms and continuing to evidence based state of the art interventions, the professional is presented with detailed intervention plans. For example, the section on "Applications to common illnesses: metabolic disorders of behavior: diabetes, hypertension, and hyperlipidemia" considers the confluence of genetics, behavior, and maladaptive mind body interactions to produce the metabolic syndrome. Then the personal and professional assessments are described to establish the baseline for recommending treatment while fully engaging the patient. Finally, multilevel interventions are formulated for these disorders. The plan begins with clinician guided self care recommendations to re-establish the normal rhythm of appetite and satiety. The next level of interventions consists of skill building techniques, such as relaxation and imagery. Lastly, psychotherapy and advanced applied psychophysiological interventions are detailed. Case examples are used throughout to illustrate the pathways to illness, the turning points, and the pathways to health. From the patients' viewpoints, the pathways metaphor is a motivator. The patient is guided to understand the paths that led to illness. Subsequently, the patient becomes empowered by the pathways framework to begin to make choices that lead to health.
Pathways to Pregnancy & Parturition, 3rd Edition
by P. L. SengerThe ultimate goal of Pathways to Pregnancy and Parturition - 3rd Edition is to enable people to understand the principles of reproductive physiology.
Pathways to Well-Being in Design: Examples from the Arts, Humanities and the Built Environment
by Richard Coles Sandra Costa Sharon WatsonHow can we achieve and promote well-being? Drawing on examples from the arts, humanities and design, this book brings together work from a wide range of areas to reveal the unique ways in which different disciplines approach the universal goal of supporting well-being. Pathways to Well-Being in Design recognises that the distinction between academics and practitioners often becomes blurred, where, when working together, a fusion of thoughts and ideas takes place and provides a powerful platform for dialogue. Providing new insights into the approaches and issues associated with promoting well-being, the book's multi-disciplinary coverage invites readers to consider these ideas within the framework of their own work. The book's 12 chapters are authored by academics who are involved in practice or are working with practitioners and features real world case studies which cover a range of situations, circumstances, environments, and social groups. Pathways to Well-Being in Design responds to those wishing to enquire further about well-being, taking the reader through different circumstances to consider approaches, discussing practice and theory, real world and virtual world considerations. This book is essential reading for anyone seeking to understand well-being, including students and professionals in architecture, landscape architecture, urban planning, design and health sciences.
Pathy's Principles and Practice of Geriatric Medicine
by Alan J. Sinclair John E. Morley Bruno Vellas Matteo Cesari Medha MunshiPathy’s PRINCIPLES AND PRACTICE OF GERIATRIC MEDICINE The latest edition of the gold standard in geriatric medicine references Pathy’s Principles and Practice of Geriatric Medicine, Sixth Edition delivers a comprehensive overview of the subject, offering up-to-date, evidence-based, information about the many, and varied, problems suffered by ageing patients. In this latest edition, the authors take a refreshed approach to the material by rigorously applying the latest scientific research to clinical practice and increasing the use of visual examples, algorithms, and clinical practice points. Thoroughly updated throughout, the chapters give readers a truly global perspective on geriatric medicine that reflect the most recent changes in treatment options and medical conditions. In addition to new chapters on a range of recent and emerging topics, clinical practice points, and visual evidence—including MRI scans—the book also offers a: Thorough introduction to relevant biological, social, and community perspectives on caring for mature and ageing patients, as well as medicine prescribing for older patients Comprehensive exploration of eating disorders that commonly occur in the aged and how to maximize the nutritional health of ageing patients Practical discussions of haematological and cardiovascular disorders and diseases in ageing patients In-depth examination of special issues in elder care, including elder abuse, alcoholism and substance abuse, transportation issues, and end-of-life care Perfect for all clinicians working with mature patients, Pathy’s Principles and Practice of Geriatric Medicine will also continue to earn a place in the libraries of allied healthcare workers with ageing patients and clients.
Pathy's Principles and Practice of Geriatric Medicine
by Bruno Vellas John E. Morley Alan J. SinclairThis new edition of the comprehensive and renowned textbook Principles and Practice of Geriatric Medicine offers a fully revised and updated review of geriatric medicine. It covers the full spectrum of the subject, features 41 new chapters, and provides up-to-date, evidence-based, and practical information about the varied medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters provide a global perspective of geriatric medicine, as well as reflect the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book includes expanded sections on acute stroke, dementia, cardiovascular disease, and respiratory diseases, and features a new section on end-of-life care. In the tradition of previous editions, this all-encompassing text continues to be a must-have text for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers, and general practitioners. Praise for the 4th edition: "...an excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." --Journal of the American Medical Association, November 2006 5th edition selected for 2012 Edition of Doody's Core TitlesTM
The Patient: A Novel
by Jane ShemiltA shocking and twisty novel of psychological suspense about a boundary-breaking love affair between a doctor and her patient, by Jane Shemilt, Edgar-nominated, #1 international bestselling author of The Daughter. What price would you pay for falling in love?Rachel is a respected doctor who lives in a picturesque and affluent English village where her husband Nathan teaches at an elite private school. Competent, unflappable, and nearing 50, Rachel has everything in her life firmly in her control, even if some of its early luster has worn off. But one day a new patient arrives at her practice for emergency treatment. Luc is a French painter married to a wealthy American woman who’s just bought and restored a historic home on the edge of Rachel’s posh neighborhood. The couple has only recently arrived, but Luc is struggling with a mental disorder, and so he goes to the nearest clinic…to Rachel.Their attraction is instant, and as Rachel’s sense of ethics wars with newly awakened passion, the affair blinds her to everything else happening around her. A longtime patient appears to be following her every movement, turning up unexpectedly wherever she goes. Her somewhat estranged adult daughter Lizzie is hiding a secret—or at least, hiding it from Rachel. Nathan has grown sour and cold as well—or is that merely Rachel’s guilty conscience weighing on her? But when one of her colleagues winds up murdered and Luc is arrested for the crime, everything Rachel didn’t know about her life explodes into the open—along with her affair with her patient—a disgrace and scandal that will have consequences no one could have predicted.
Patient Advocacy for Health Care Quality: Strategies for Achieving Patient-Centered Care
by Jo Anne L. Earp Elizabeth A. French Melissa B. GilkeyAs a contribution to the emerging healthcare quality movement, Patient Advocacy for Healthcare Quality: Strategies for Achieving Patient-Centered Care is distinct from any others of its kind in its focus on the consumer's perspective and in its emphasis on how advocacy can influence change at multiple social levels. This introductory volume synthesizes patient advocacy from a multi-level approach and is an ideal text for graduate and professional students in schools of public health, nursing and social work.
The Patient and Health Care System: Perspectives on High-Quality Care
by Pranavi V. Sreeramoju Stephen G. Weber Alexis A. Snyder Lynne M. Kirk William G. Reed Beverly A. Hardy-DecuirThis book focuses on the interface between the patient and the healthcare system as the entryway to high-quality care and improved outcomes. Unlike other texts, this book puts the patient back in the center of care while integrating the various practices and challenges. Written by interdisciplinary experts, the book begins by evaluating the entire quality landscape before giving voice to all parties involved, including physicians, nurses, administrators, patients, and families. The text then focuses on how to develop a structure that meets needs of all of these groups, effectively addressing common threats to positive outcomes and patient satisfaction. The text tackles the most common challenges clinicians face in a hospital setting, including infection prevention, medication error and stewardship that may jeopardize recovery, complex care, and employee-patient engagement.The Patient and Healthcare System: Perspectives on High-Quality Care is an excellent resource for physicians across broad specialties, nurses, hospital administrators, social workers, patient caregivers and all healthcare professionals concerned with infection prevention, quality and safety of care delivery, and patient satisfaction.
Patient and Public Involvement in Health and Social Care Research: An Introduction to Theory and Practice
by Jurgen Grotz Mary Ledgard Fiona PolandThis book provides a comprehensive overview of the latest theory and practice on Patient and Public Involvement (PPI) in research. Its seven chapters cover the historical and conceptual background; the various ways implementation can be approached and how they are put into practice; ethical considerations and critical perspectives, including on the potentially negative impacts of PPI; approaches to meaningful evaluation; a step by-step guide to planning PPI and conclusions with considerations for future research. Drawing on current literature, this book provides an essential reference work for research students and all who want to better understand PPI in practice. It offers exercises to address key questions, case examples and a checklist for planning PPI and includes a valuable glossary of terms.
Patient and Public Involvement Toolkit
by Rafael Perera Douglas Badenoch Carl Heneghan Julia Cartwright Sally CroweProviding information to implement a new core healthcare requirement - patient involvementIncluding real case scenarios to illustrate the principles of effective PPIFollowing the unique Toolkit series format of flowcharts and layouts that guide the reader through each section
Patient and Staff Voices in Primary Care: Learning from Dr Ockrim and her Glasgow Medical Practice
by Kenneth E CollinsThis unique work represents the recording and analysis of oral history interviews conducted by the pioneering general practitioner Dr Hetty Ockrim with over seventy patients, as well as office staff and members of the nursing team, between 1989 and 1992 in her former practice in the Ibrox/Govan areas of Glasgow, places of significant socio-economic deprivation. Her focus in undertaking this study was on personal and social, rather than just clinical, issues. The interviews are accompanied by background and commentary for the study, reflecting the full breadth of general practice. Many of the interviewees had memories stretching back before the NHS, providing a unique historical perspective of service development, as well as invaluable directions for improving current and future general practice. Key Features Provides a historical context for the developments in health over several decades prior to the study Shows how oral history methods have increasingly been used in medical history research and explores the benefits of this approach Covers many of the themes of the oral history which enabled and encouraged patients to comment on what was important to them in their encounters with health care Follows the increasing acceptance of women in medicine, demonstrating how women doctors were viewed by patients within the practice compared to changes in wider society Presents a ‘history from below’, using voices that are not normally heard in the medical discourse, illustrating the importance of the doctor–patient interface Supporting a wider understanding of what patient narratives can tell us about the delivery of health care from the perspective of the patients, the front-line users of health services, the book show how oral history can provide an understanding of health care more broadly, key at a time when social inequality is once again widening in many regions.
The Patient as a Person: An Integrated and Systemic Approach to Patient and Disease (New Paradigms in Healthcare)
by Alessandro Pingitore Alfonso Maurizio IaconoIn the current era, evidence-based medicine and various supporting technologies dominate everyday clinical practice, according to a disease-centred, as opposed to patient-centred, approach. They have obviously improved the clinical management of diseases and it is therefore unreasonable to think of a medicine in which they are not considered fundamental. In fact, the strength of the new medicine should be to adapt scientific knowledge to a specific clinical case. This book therefore looks at the prospect of a new 'person' centred medicine, which stands alongside the 'disease' and 'patient' centred medicine, which pays special attention to the subjectivity of scientific knowledge and the relationship between doctor and patient. It is important to emphasise that this book is written by several hands, i.e. by experts from different fields, doctors, philosophers, architects, sociologists, art critics, physicists and engineers. This is with the intention of providing as broad a perspective as possible on the doctor-patient relationship. Due to its translational and multicultural approach to the subject, the book will be of interest to a wide readership, from medical experts to students, psychologists, philosophers and institutional actors.
The Patient as Text: the Role of the Narrator in Psychiatric Notes, 1890-1990
by Petter AaslestadA commonly-held model of the doctor-patient relationship casts it as a subject/object relationship: broadly the patient is a 'text', and the doctor the reader or interpreter of that text. However, recent critical models preset notions of text and reader as complex and unstable, and the relationship of doctor and patient as similarly complicated. Explorations of psychiatry and 'madness' by critics such as Michel Foucault present a further background of complex ideological change. In The Patient as Text, Petter Aaslestad explores selections from over a century of psychiatric notes from Gaustad Hospital, Norway against this critical background, exploring the impact of ideological and medical changes surrounding the psychiatric clinical relationship and psychiatric professionals as constructors of narratives. This book will be of interest to researchers in the medical humanities, psychiatric practitioners, and those with an interest in medical history and critical theory.