"Adapt or perish, now as ever, is Nature's inexorable imperative. " -H. G. Wells, Mind at the End of Its Tether (1946) Doctors are trained to treat people suffering from various diseases. This is the main form of their activity and usually the reason for which they selected medicine as their profession. The notion that they should become managers and engage in activi ties such as programming, calculating cost, assessing cost-benefit ratios, and thinking about pricing in accordance with the social utility of their intervention, is both foreign and abhorrent to them. They are sometimes willing...

An array of international experts discuss aspects of health care, such as the sociology of health care in developing countries, the mental health aspects of general health care and the dangers to children through disease, malnutrition and other factors. These chapters are essential reading for those concerned with improving health care--be they health personnel, behavioral scientists, or laypeople interested in human behavior and its relation to health.

In order to help people with a mental illness it is important to be able to understand and measure the severity of distressing and disabling experiences that can affect behavior. SCAN is a form of interview, found acceptable to patients, which provides a detailed and accurate picture of the "mental state." When analyzed by computer, SCAN provides diagnoses that are comparable wherever the system is used. The ninth edition of the Present State Examination (PSE-9) was published in 1974 and served to link the two main approaches to the description and classification of psychological problems....

Until recently, the diagnosis and assessment of personality disorders had lagged considerably behind that of most other mental disorders. The IPDE is a new instrument that is compatible, through two modules, with both ICD-10 and DSM-IV criteria. In the form of a semistructured clinical interview, it now provides a means of measuring major categories of personality disorders that previously had been ignored. It is also unique in that it seeks to secure reliable and uniform diagnosis that is both internationally and cross-culturally acceptable. Written by leading international authorities, this...

An array of international experts discuss aspects of health care, such as the sociology of health care in developing countries, the mental health aspects of general health care and the dangers to children through disease, malnutrition and other factors. These chapters are essential reading for those concerned with improving health care--be they health personnel, behavioral scientists, or laypeople interested in human behavior and its relation to health.

In order to help people with a mental illness it is important to be able to understand and measure the severity of distressing and disabling experiences that can affect behavior. SCAN is a form of interview, found acceptable to patients, which provides a detailed and accurate picture of the "mental state." When analyzed by computer, SCAN provides diagnoses that are comparable wherever the system is used. The ninth edition of the Present State Examination (PSE-9) was published in 1974 and served to link the two main approaches to the description and classification of psychological problems....

Until recently, the diagnosis and assessment of personality disorders had lagged considerably behind that of most other mental disorders. The IPDE is a new instrument that is compatible, through two modules, with both ICD-10 and DSM-IV criteria. In the form of a semistructured clinical interview, it now provides a means of measuring major categories of personality disorders that previously had been ignored. It is also unique in that it seeks to secure reliable and uniform diagnosis that is both internationally and cross-culturally acceptable. Written by leading international authorities, this...

As Director of the Division of Mental Health at the World Health Organization, and President of the World Psychiatric Association, Norman Sartorius has surveyed the state of psychiatry worldwide and campaigned for greater equity and honesty in the clinical and research agenda. The essays collected here represent his latest thinking, and include some of his speeches and previously published articles. They range from trenchant critiques of mental health service delivery and prevention to more light-hearted, anecdotal pieces on language use and increasing productivity. All address core concerns...

It is well established that people suffering from schizophrenia have a higher prevalence of serious physical illness and a higher mortality than the general population. This book provides the first comprehensive and systematic review of current research evidence on the prevalence of physical diseases in people with schizophrenia, a disorder afflicting approximately 1% of the global population, and a group with mortality rates twice as high as the general population. The epidemiological data described in this book will provide the basis for improved awareness of these problems and better...