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BOOK

REVIEWS

an environment
supportive
protection,
cultivation,
and
of a sense
person
Thus

of will

part

the premises

ADA

writers

derlying

disability
itself
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book

for an integrated
The

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benefits;
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the urgent
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approach.

editors

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ADA;

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job

tasks

ahead.

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ideas

about

and

of framing

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facilitating

rooted
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in biological
the individual

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egory

This

book

is informative

and

are

it does

whether

an

for disability

employment,

wages

nor
it

contin-

receives

neither

or

disability

vividly

individual

benefits,
benefits.

captures

problems

with

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the

the

enor-

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tern ofdisability
benefits
and discrirnination
law and lays the foundation
for an integrated
solution.
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the

perspective

crirnination
maintain

law:
highly
work

psychiatric

same

that

against

in

that

impact

employees?

ways

ply supports

this

a long

way

dissirn-

thesis
to go

search,

followed

implications.
The
of the gulfbetween

conditions

that

we

by the authors

and

the

real

world:

rich

chotherapy
ety disorders.

reviews

of depression
Chapters

summaries

of

psyanxistage

of literature

prevalence,

on defi-

and

natural

comes
and
treatments.
Because

the significance

of various

cognitive,

behavioral,

interpersonal

modalities

have
stanresearch
diag-

for efficacy
proaches.

in the right

direction.

noses,

the

therapy

for

What
Works
Psychotherapy
by Anthony
Press,

Roth,

1996,

Norman

Whom?

A Critical

Ph.D.,

484pages,

A. Clemens,

and

Peter

Fonagy,

of evidence-based
the average
clinician
hand.
search

on

This
basis

New

practice
affects
like the sound
Help

brings

of psychotherapy

Dr. Clemens
is clinicalprofessor
atry at Case Western
Reserve

1596

Guilford

is at

the

reinto

focus for clinicians.


Relatively
cornpact considering
the exhaustive
bibliography
it covers,
it is up to date,
wise,

range

thoughtful,

of

of psychiUniversity
and chair of the American
Associations
commission
on
by psychiatrists.

and

studies

readable.

from

includes
of psychology

er disciplines

not

well

as a text

tice guidelines.
Ifyou
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cept

of effect

easily

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English-lan-

guage
literature
contributions
psychiatrists.

in Cleveland
Psychiatric
psychotherapy

York City,

M.D.

a blackboard.

volume

Ph.D.;

substantial
and othaccessible

book

will

a resource

to
serve

for prac-

size,

with
there

the conis a lucid

definitive

evidence

comes
from
Psychoanalytic

shows

more

these
appsycho-

strongly

in the

on personality
disorders,
more global
functioning
is inand on children
and adoles-

cents,

where

and

cially

relevant.

gard

to children,

dimensions

of

functioning

are

Particularly
the

devel-

espein

authors

re-

stress

the need
for a multiplicity
of treatment
modalities
to be available
because
of the wide
range
of individual, family,
social,
and developmental variables
that influence
selection
of treatment.
chotherapy
unequivocal
ways

It is clear
that
psyworks,
but it is rarely
that one modality
is al-

superior

Studies

to another.

making

pharmacotherapy

bined
struggled

most

chapters
where
volved,
oprnent

the new world


of accountability
and managed
care, the shibboleth

nails

of

$48.95

In
of

Review

Research

his-

tory ofthe
disorder,
providing
benchmarks
against
which
to measure
out-

good

start

The

and
set the

tions

it under-

view

authors
are
research

been
far more
systematically
dardized
and
studied
in
settings
for symptom-based

First,

end

practice
that
is rooted
in empirical
findings
but
not circumscribed
by them.
Many
chapters
focus
on specific
DSM-IV
diagnostic
categories,
with

and

in under-

the

standing
and responding
to the employrnent
needs
and constraints
experienced
by people
diagnosed
with
mental
disabilities.
This book is a very

threefold.

and
of

is to achieve

nitions,

female

suggestion

the books

have

have
and

At

oftheir
mindful

with

prohibited

on minority
But

ef-

although

are

well.

particularly

people

disabilities,

employers

acting

dis-

employers
and even

environments

discriminate

from

still

why can
stressful

story

challenge

included

of employment

the

rate and can be understood


and appreciated
by readers
across
a wide
range
of expertise
and experience.
Overall,
its most important
contribuare

made

each
section
is a bulleted
summary
of salient
conclusions
from
the re-

underlie

parate

accu-

research

that

the

should
not be permitaccount?

Second,

of outcome

clear in the introductory


chapter
illustrated
in the
presentation

it

with

cat-

kind

of malinger-

considerin any

of

fectively

characteristics

to work,

myths

for you. The


ofmethodology

tells

abusive

under-

it is for them

mental

each study,
review,
or meta-analysis.
While
the book is not easy reading,

mous

constructed

individual

that employers
ted to take into

best

appendix
just
able problems

with

an outstanding
job of reflecting
the
complexity
of peoples
lives, and the
many
different
forces
and pressures

third,

perhaps

is disability

of

manipulation.

labor

factors
over
has no control?

as a politically

ing

write

Does
disability
refer
to an
defined
category
of major

impairments

crucial

and

to work,

people
to and

to shatter

ues

the

force
p4rticipation
by people
with
mental
disabilities
have not yet been
integrated
with the body of disability
benefit
laws.
They
also
skillfully
pose
questions
that need
to be answered:
objectively

how

need

badly
want

helping

applies

recognize

excellent

how

disabilities

writers

ofthe

reflect

scores

of the

with schizophrenia.
the disability
benefits

embody

do

on the

of the
recovery

modalities

psychotherapy
more
effective

PSYCHIA1RIC SERVICES #{149}


December

comparisons

with

or addressing

corn-

demonstrate
is often
or that
1997

that

equally
or
it augments
Vol.

48

No.

12

BOOK
medication

treatment

compliance

and

The

by

improving

sist

range

and

healthy,

long-term
outcome.
ofutility
of psychotherapy

invite

inhibit

development

productive
a high priority

adulthood
for research

is

REVIEWS

into

material

also
at-

clinical
points.
Nevertheless,

presented

to

Adolescent

and

illustrate
Suicide

is evident
in chapters
on schizophrenia, bipolar
disorder,
addictive
disorders,
eating
disorders,
and psychotherapy
with
older
people.
Studies

tention.

is a well-written

Throughout
the book,
the authors
are mindful
of economic
considerations and the current
evolution
to or-

but

on the effect
ing, experience,

ganized
systems
in both the U.S. and
their native
United
Kingdom.
It may
seem
fanciful
in todays
profit-dri-

should
be read by all mental
professionals
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agement
add

of the therapists
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of the

another

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cially

therapeutic

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highlight
in many

for widely

such

the need for


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practiced

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py that have
but a paucity
search

psychothera-

The

and

adolescents

and

the fact

disorders

tend

to per-

childhood

unique

needs

competitive

environment,

of

but

It

cents.
The

Suicidal

by

tice

Centre
and
Into
Adolescent

would

be

predicated

and users ofservices


er for the ultimate
mental

on

re-

service
manbodies,
funders,
working
benefit

well-being

togethof the

of society.

Moses

graph

Suicide
on Adolescence
D.C., American

the Advancement

oftbe
GroupJor
Psychiatric
Press,

1996,

of Psychi$28

Connecticut,

International

Metz,

M.D.

Suicide
underscores
the
central
fact
that
suicidal
adolescents
can no longer
bear their
pain, that their isolation
from others

with

is complete,
and abandon

and

the

140th

for

the

( GAP),

of the

book

covers

Group

adolescents;
medicolegal

PSHIATWC

of the division

and

1997

also

current
to lethal
are

of

Vol.

the

well

presented.
does

book

concern
lescence
cide.

abuse
especially
not

that homosexuality
increases
the

chapters

It also

does

No.

12

the

to a study

of attempted

the

that

Brent
are

suicide

was

Centre.

carried

material,
into
discussion

toward

tive.
some

Overall,
practical

with

suicidal

psychoanalytic

perspec-

the
essays
insights
into

provide
dealing

adolescents,

with

emphasis
on prevention
tern as early
as possible,
context

of an

the
rich
in
are not
whole,
biased

ranging

clinical
organized
and the

out

Although

and
the parts
a cohesive
is heavily

far

is comprehensive

an

ofthe
proband from

outpatient

treat-

setting.

These

two

books
well:

complement

the

volume

ly limited

in case

monograph

from

the

of con-

is

case

descriptions

rich

in

eclectic

and

but

material,

suicide

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monograph.
Mental
professionals
interested
in

the

psychoanalytic

while

and
view

from

Laufer

clinically
of

text

in

Anyone
inof adoles-

GAP

pressionistic
find
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the

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limited

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of its review.
terested
in an overview
cent

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somewhat

from
relative-

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in the psyof adoles-

cents
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practitioners
cxperiences
with
suicidal
adolescents

GAP

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presents

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rarity
deal of
Data

pact of managed
care on reviewing
treatment
issues
and
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considerations.
Relatively
little case
48

part

range

other

risk

not discuss

Research
locat-

for suicidality
development

each

discuss

staff

Adolescent

of a conference
Adolescent
Centre

the cornparticular

and access
firearms,

mono-

group:

second

ment

importance

Brent

reviews

given
the relative
and despite
a great
about
risk factors.
substance
means,

the

ger signs
chological

the

emphasizing

psychiatry
and ditraining
in child and
at the University
Medical
Center
in

SERVICES #{149}
December

public-policy

Suicide

individual,
of suicide
knowledge

The
is director

issues;

The volume
is
more than 250

the difficulty
of predicting
pletion
of suicide
by any

cross-

suicidal
behavior;
current
research
into suicidality;
and psychodynamics and psychopathology
associated

Dr. Metz

training
and

Adolescent

cultural
and
sociological
perspectives;
the relevance
of normal
adolescent
development
and developmental
deviations
to suicide
and

child and adolescent


rector
ofresidency
adolescent
psychiatry
of Massachusetts
Worcester.

are

early intertreatment
of

citations.

comprehensive
suicide.
historical,

included

aspects
of treatment.
well referenced,
with

of Psychiatry

provides
a
of adolescent

overview
The

publication

Also

on prevention,
and
ongoing

suicidal

and that they lose hope


the future.
This book,

Advancement

suicide.

chapters
vention

edited

also

Centre
for
Breakdown,

in adolescence

Universi-

health
adoles-

1993.

at

dolescent

the

proceedings
at the Brent

essays

Peter

by

of

cide,

and

The Suicidal
Adolescent
edited by Moses Laufer, Ph.D.; Madison,
ties Press, 1995, I54pages,
$28.50

is

as

in print.
and
it

ed in London.
The first part is a collection
of essays
on adolescent
suithe
held

l96pages,

provides

Adolescent,

written

The

by the Committee
atry; Washington,

that

Laufer,

mernl)erS

in

Adolescent

text

an overview
as exists
is highly
recommended,

one may wish for the fulfillment


of
their final idealistic
hope that continuously
refined,
evidence-based
pracsearchers,
clinicians,
agers,
professional

a broad
experience
base
of studies
that meet re-

criteria.

children
that

alliance

dimension.

succinct

good

comprehensive

the

health
a more
im-

suicide
will
to be worth-

reading.
1597

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