Trouble in Mind: An Unorthodox Introduction to Psychiatry

Trouble in Mind: An Unorthodox Introduction to Psychiatry

by Dean F. MacKinnon MD
Trouble in Mind: An Unorthodox Introduction to Psychiatry

Trouble in Mind: An Unorthodox Introduction to Psychiatry

by Dean F. MacKinnon MD

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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.


Product Details

ISBN-13: 9780801898075
Publisher: Johns Hopkins University Press
Publication date: 01/15/2011
Series: SMW Productions
Pages: 352
Product dimensions: 9.14(w) x 11.30(h) x 0.85(d)
Age Range: 18 Years

About the Author

Dean F. MacKinnon, MD, is an associate professor in the Department of Psychiatry and Behavioral Science at Johns Hopkins University School of Medicine, where he specializes in treatment-resistant mood disorders. He is the author of Trouble in Mind: An Unorthodox Introduction to Psychiatry.

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

What People are Saying About This

Ronald Pies

Dr. MacKinnon's thoughtful and provocative book begins with the premise that 'psychiatry has no coherent concept of mind' and that the orthodox approach to psychiatric diagnosis neglects the nature of mind and mental illness. As an alternative to the superficial symptom checklists of the DSMs, MacKinnon provides a richly detailed model for understanding both our mental life and its breakdown in various forms of mental illness. By conceptualizing 'mind' as a function of brain, MacKinnon is able to present a compelling and systematic account of our mental life, in both health and disease. He gives due weight to both biological and humanistic modes of explaining psychiatric illness, and his book will greatly enrich the understanding of trainees and seasoned clinicians alike.

Ronald Pies, M.D., SUNY Upstate Medical University, Tufts University School of Medicine, Editor-in-Chief Emeritus, Psychiatric Times

Steven Hyman

Dean MacKinnon has written an ambitious book for psychiatrists and psychologists, and indeed for the interested general reader. Most texts that address normal brain function keep it compartmentalized in separate chapters (often written by separate authors) from theories of psychopathology. Such texts almost never take on the risky project of connecting neurobiology with concepts of mind. MacKinnon has made rich connections that will fire the imagination of clinicians, giving them a way to situate human experience in the function and malfunction of our brains.

Steven Hyman, M.D., Provost, Harvard University, Former director, National Institute of Mental Health

From the Publisher

Dean MacKinnon has written an ambitious book for psychiatrists and psychologists, and indeed for the interested general reader. Most texts that address normal brain function keep it compartmentalized in separate chapters (often written by separate authors) from theories of psychopathology. Such texts almost never take on the risky project of connecting neurobiology with concepts of mind. MacKinnon has made rich connections that will fire the imagination of clinicians, giving them a way to situate human experience in the function and malfunction of our brains.
—Steven Hyman, M.D., Provost, Harvard University, Former Director, National Institute of Mental Health

Dr. MacKinnon's thoughtful and provocative book begins with the premise that 'psychiatry has no coherent concept of mind' and that the orthodox approach to psychiatric diagnosis neglects the nature of mind and mental illness. As an alternative to the superficial symptom checklists of the DSMs, MacKinnon provides a richly detailed model for understanding both our mental life and its breakdown in various forms of mental illness. By conceptualizing 'mind' as a function of brain, MacKinnon is able to present a compelling and systematic account of our mental life, in both health and disease. He gives due weight to both biological and humanistic modes of explaining psychiatric illness, and his book will greatly enrich the understanding of trainees and seasoned clinicians alike.
—Ronald Pies, M.D., SUNY Upstate Medical University, Tufts University School of Medicine, Editor-in-Chief Emeritus, Psychiatric Times

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