Trouble in Mind: An Unorthodox Introduction to Psychiatry

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Overview

Orthodox psychiatric texts are often rich in facts, but thin in concept. Depression may be defined as a dysfunction of mood, but of what use is a mood? How can anxiety be both symptom and adaptation to stress? What links the disparate disabilities of perception and reasoning in schizophrenia? Why does the same situation push one person into drink, drugs, danger, or despair and bounce harmlessly off another?

Trouble in Mind is unorthodox because it models adaptive mental function...

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Trouble in Mind: An Unorthodox Introduction to Psychiatry

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Overview

Orthodox psychiatric texts are often rich in facts, but thin in concept. Depression may be defined as a dysfunction of mood, but of what use is a mood? How can anxiety be both symptom and adaptation to stress? What links the disparate disabilities of perception and reasoning in schizophrenia? Why does the same situation push one person into drink, drugs, danger, or despair and bounce harmlessly off another?

Trouble in Mind is unorthodox because it models adaptive mental function along with mental illness to answer questions like these. From experience as a Johns Hopkins clinician, educator, and researcher, Dean F. MacKinnon offers a unique perspective on the nature of human anguish, unreason, disability, and self-destruction. He shows what mental illness can teach about the mind, from molecules to memory to motivation to meaning.

MacKinnon’s fascinating model of the mind as a vital function will enlighten anyone intrigued by the mysteries of thought, feeling, and behavior. Clinicians in training will especially appreciate the way mental illness can illuminate normal mental processes, as medical illness in general teaches about normal body functions. For students, the book also includes useful guides to psychiatric assessment and diagnosis.

Johns Hopkins University Press

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Editorial Reviews

Metapsychology
Written for the medical student and the psychiatric resident and the psychology and social work intern. For those readers, it is a masterly summary of what we know about the normal brain, and how it goes awry.
BMJ
Trouble in Mind is rich with ideas and I think that it will become a classic of non-mainstream psychiatric thinking.

— Stephen Ginn

PsycCRITIQUES
MacKinnon is a wonderful guide and interpreter...an excellent resource for new trainees, and experienced clinicians.

— Chad Sylvester, Barry A. Hong

PsycCRITIQUES - Chad Sylvester
MacKinnon is a wonderful guide and interpreter... an excellent resource for new trainees, and experienced clinicians.
Metapsychology - Nassir Ghaemi
A masterly summary of what we know about the normal brain, and how it goes awry.
BMJ - Stephen Ginn
Trouble in Mind is rich with ideas and I think that it will become a classic of non-mainstream psychiatric thinking.
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Product Details

  • ISBN-13: 9780801898075
  • Publisher: Johns Hopkins University Press
  • Publication date: 12/3/2010
  • Series: SMW Productions
  • Pages: 352
  • Sales rank: 1,392,811
  • Product dimensions: 9.14 (w) x 11.30 (h) x 0.85 (d)

Meet the Author

Dean F. MacKinnon, M.D., is an associate professor in the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine.

Johns Hopkins University Press

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Table of Contents

Preface ix

Acknowledgments xvii

1 Organic Mind 1

1.1 Why Mind Matters 8

1.2 A Brain Primer 11

1.3 Summary: Organic Mind 26

2 Elementary Mind 29

2.1 Not Shaken, Stirred: Inappropriate Arousal 33

2.2 Sate Ain't So: Immoderate Appetites 39

2.3 Sense Insensibility: Misperceptions 48

2.4 Nominal Anomaly: Confounded Cognition 54

2.5 Inaction in Action: Motion Sickness 59

2.6 Order Disorder: Dysregulated Actions 63

2.7 Summary: Elementary Mind 69

3 Integral Mind 72

3.1 Off-Track Vetting: Disrupted Attention 75

3.2 Forget-Me-Not, Not: Faulty Memory 78

3.3 Stark, Craving Mad: Bad Habits 85

3.4 Executive Bummery: Value Misjudgment 92

3.5 You Can't Always Want What You Get: Emotional Miscue 98

3.6 Displeasure Principle: Displaced Desire 103

3.7 Fear Factory: Hyperactive Alarm 108

3.8 Summary: Integral Mind 116

4 Synthetic Mind 120

4.1 Leaning Disability: Unbalanced Bias 127

4.2 Veer Goggles: Personality Non Grata 132

4.3 Cardinal Knowledge: Beyond Belief 136

4.4 No Thyself: Misshapen Identity 142

4.5 Quid Pro Woe: Cooperative Contretemps 147

4.6 Piece of Mind: Communication Breakdown 154

4.7 Social Insecurity: Disaffiliation 158

4.8 Complain Speaking: Help-Seeking Misbehavior 163

4.9 Summary: Synthetic Mind 168

5 Psychiatric Mind 173

5.1 Psychiatry Rebuilt 174

5.2 Mending Mentation 182

5.3 Summary: Psychiatric Mind 195

Appendix A The Official Version: A Guided Tour of the DSM 201

Appendix B The Novice's Guide to Psychiatric Assessment 227

Glossary 273

References 289

Additional Reading 311

Index 313

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