Front Cover

Physiotherapy in Mental Health: A Practical Approach

Copyright Page

Table of Contents

Contributors

Foreword

Introduction

Acknowledgements

Part I

Chapter 1. Psychiatric illnesses

Introduction

What are psychiatric illnesses?

When does a symptom cluster become an illness?

What different types of symptom clusters are there?

What are the characteristics of psychiatric illnesses?

Why do people get psychiatric illnesses?

The relevance of an individual's personality

How to recognize that someone has psychiatric illness?

What help is available for those with psychiatric illness?

How to deliver help to those with psychiatric illness

Appendix

Chapter 2. Models of mental disorder

Introduction

Biomedical model

Neurophysiological model

Genetics and psychiatry

Models of social control

Psychological models

Conclusion

References

Chapter 3. Communication in the clinical mental health setting

Introduction

The clinical interview: doctor and patient communication

First encounters with the physiotherapist

Non-compliance

Communication with the mentally ill

Patients within the community

Conclusion

References

Chapter 4. The multidisciplinary team approach to group practice

Introduction

Development of group work in physiotherapy

The individual counselling process

The group process

Conclusion

References

Chapter 5. Community care and working with carers

Introduction

Historical perspective

The physiotherapeutic role

The function of the care programme approach

Conclusion

Appendix: Useful addresses

References and further reading

Chapter 6. Practical guidelines for service evaluation

Synopsis

The Introduction

The Method section

The results and analysis section

The Discussion section

Conclusion

References

Part II

Chapter 7. Touch and handling

Introduction

Touch as a form of non-verbal communication

Sensory healing touch

Caring therapeutic touch

Touch and quality of life

Dementia and communication

Boundaries to touch

Touch for relaxation

Touch and the elderly

Conclusion

References

Chapter 8. Neuroendocrine-immune network, nociceptive stress and the general adaptive response

Introduction

Detection of nociceptive information

Processing of nociceptive information in the spinal cord

Processing of nociceptive information in the brainstem and hypothalamus

Neural control of the hypothalamic-pituitary-adrenal axis

Dysregulation of the neuroendocrine-immune network: health-related outcomes

Conclusion

References

Chapter 9. Pain, stress and misdiagnosis

Introduction

The problem

Diagnosis or misdiagnosis?

Empirical evidence

Conclusion

References

Chapter 10. Challenging behaviour

Introduction

Aggression

Self-injury

Violence to property

Inappropriate social behaviour

Wandering

Institutional behaviour

Modifying behaviour

References

Chapter 11. Stress management

Introduction

Effects of stress

Stressors

Assessment

Stress management techniques

Behavioural techniques

Simple cognitive strategies

Body awareness training

Alleviating inpatient stress

References

Chapter 12. Relaxation training

Introduction

What is relaxation?

Why physiotherapy in relaxation training?

Relaxation training

Breath control

Specific relaxation techniques

References

Chapter 13. Exercise and mental health

Introduction

Rationale for the role of exercise in mental health

Exercise and stress, anxiety and depression

What kind of exercise?

Exercise dosage

Exercise adherence

Practical implications

Evaluation

Safe exercising

Conclusion

References

Chapter 14. Agoraphobia and panic attacks: a physical cause for a psychiatric problem

Introduction

The primitive reflexes

Oculomotor functioning

The INPP remedial programme

Appendix: Example of a reflex examination: the symmetrical tonic neck reflex (Field and Blythe, 1988)

References

Chapter 15. Movement therapy: old roots, new profession

Introduction

Definition

The origins of movement therapy

Movement and child development

Movement and non-verbal communication

Movement and psychopathology

A common vocabulary

Some useful concepts

Therapy in action

Conclusion

Appendix: Useful addresses

References

Chapter 16. Complementary medicine

A. An introduction to the subject

B. Aromatherapy in the mental health setting

C. Reflextherapy

D. Connective tissue massage

Part III

Chapter 17. Child psychiatry

A. Physiotherapy in a children's psychiatric unit

B. A physiotherapist's contribution to a child guidance clinic

C. Creative visualization with children

Chapter 18. Eating disorders

Introduction

Definition

Epidemiology

Social and cultural context

Nature of illness

Pattern of illness and movement through it

Complications of low weight

Therapy in general: principles and aims

Physiotherapy techniques

Conclusion

References and further reading

Chapter 19. Substance misuse

A. The medical approach

B. The natural health care approach

Chapter 20. Post-traumatic stress disorder

History of the Disorder

Description of the syndrome

Diagnostic issues

Events which may lead to PTSD

Treatment

Conclusion

References

Chapter 21. Forensic psychiatry

A. Behavioural science in forensic psychiatry

B. Physiotherapy in forensic psychiatry

Chapter 22. Dementia

Introduction

The mobility problems in dementia

Influence of environmental stimulation

Rehabilitative framework for physiotherapy management

Are reservations to the adoption of a rehabilitative approach justified?

Physiotherapy assessment

Physiotherapy intervention

Physiotherapy evaluation

Conclusion

Acknowledgements

Appendix:

References

Chapter 23. Mental illness in old age

Introduction

Changing services

Functional psychiatric problems

The role of physiotherapy

Care in the community

Conclusion

References and further reading

Index