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Editorial Reviews
From Booklist
Psychiatrist Whybrow examines mania and depression generally but thoroughly, describing several individual cases to bring the generalities to life. Although many patients can have a specific disease, each individual's symptoms, developments, and responses are unique; that, it becomes obvious, is one reason why psychiatry appeals to Whybrow. Drawing on both the medical literature and works of fine literature, the author guides us through the evolutionary growth of both the so-called lizard, ancient mammal and the new mammal brains within the human brain, then examines areas of behavior, types of diseases, precipitating causes of disease, and treatments. Most mental diseases require both psychotherapy and drugs, he says. Probably several genetic variations, rather than just one, will be found to be the physiological causes that, together with experiential difficulties, produce these diseases. William Beatty
From Kirkus Reviews
The most thorough and wide-ranging discussion for lay readers about the interplay of the physical and emotional elements of depression and manic-depression. The popular and controversial antidepressant Prozac has made serotonin and other mood-related neurotransmitters in the brain familiar to many. But Whybrow (coauthor, The Hibernation Response, 1988), chairman of psychiatry at the University of Pennsylvania, shows how these messenger chemicals fit into the larger structure of the brain, and in particular of the limbic alliance, which includes the amygdala and the thalamus, and which governs our emotions. Whybrow defines mood disorders as a disruption of the limbic alliance's homeostasis--its self-regulating power--which in turn disrupts three areas of activity: thinking (such as memory), feeling (which becomes dominated by negativity), and ``housekeeping'' (such as sleeping and eating patterns). Sometimes the highly detailed scientific discussion becomes a little convoluted, a little redundant, and a little too full of gee-whizzing about the wonders of the human brain. But overall his presentation is illuminating, and the case histories demonstrate his sensitivity and skill as a clinician. In particular, the story of John Moorehead, a Jesuit academic with a generally optimistic and intellectually curious nature who suddenly plunged into a profound depression, illustrates the tortured and complex nature of manic-depression. His case also demonstrates one of Whybrow's most emphatic points: that experence, especially human attachment, is as important as biology in causing mood disorders. Thus, while Moorehead had a genetic predisposition to his illness, it flared up only after the breakup of a profound friendship. Whybrow therefore stresses that however effective drugs such as Prozac may be, they must be combined with psychotherapy. Because of its emphasis on complicated neurobiology, this is not the place to begin learning about mood disorders. But for those already familiar with the subject, Whybrow's presentation offers a deeper understanding of, along with a humane and wise approach to, these very troubling illnesses. -- Copyright ©1997, Kirkus Associates, LP. All rights reserved.
See all Editorial Reviews
Psychiatrist Whybrow examines mania and depression generally but thoroughly, describing several individual cases to bring the generalities to life. Although many patients can have a specific disease, each individual's symptoms, developments, and responses are unique; that, it becomes obvious, is one reason why psychiatry appeals to Whybrow. Drawing on both the medical literature and works of fine literature, the author guides us through the evolutionary growth of both the so-called lizard, ancient mammal and the new mammal brains within the human brain, then examines areas of behavior, types of diseases, precipitating causes of disease, and treatments. Most mental diseases require both psychotherapy and drugs, he says. Probably several genetic variations, rather than just one, will be found to be the physiological causes that, together with experiential difficulties, produce these diseases. William Beatty
From Kirkus Reviews
The most thorough and wide-ranging discussion for lay readers about the interplay of the physical and emotional elements of depression and manic-depression. The popular and controversial antidepressant Prozac has made serotonin and other mood-related neurotransmitters in the brain familiar to many. But Whybrow (coauthor, The Hibernation Response, 1988), chairman of psychiatry at the University of Pennsylvania, shows how these messenger chemicals fit into the larger structure of the brain, and in particular of the limbic alliance, which includes the amygdala and the thalamus, and which governs our emotions. Whybrow defines mood disorders as a disruption of the limbic alliance's homeostasis--its self-regulating power--which in turn disrupts three areas of activity: thinking (such as memory), feeling (which becomes dominated by negativity), and ``housekeeping'' (such as sleeping and eating patterns). Sometimes the highly detailed scientific discussion becomes a little convoluted, a little redundant, and a little too full of gee-whizzing about the wonders of the human brain. But overall his presentation is illuminating, and the case histories demonstrate his sensitivity and skill as a clinician. In particular, the story of John Moorehead, a Jesuit academic with a generally optimistic and intellectually curious nature who suddenly plunged into a profound depression, illustrates the tortured and complex nature of manic-depression. His case also demonstrates one of Whybrow's most emphatic points: that experence, especially human attachment, is as important as biology in causing mood disorders. Thus, while Moorehead had a genetic predisposition to his illness, it flared up only after the breakup of a profound friendship. Whybrow therefore stresses that however effective drugs such as Prozac may be, they must be combined with psychotherapy. Because of its emphasis on complicated neurobiology, this is not the place to begin learning about mood disorders. But for those already familiar with the subject, Whybrow's presentation offers a deeper understanding of, along with a humane and wise approach to, these very troubling illnesses. -- Copyright ©1997, Kirkus Associates, LP. All rights reserved.
See all Editorial Reviews
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11
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- The Years of Silence are Past: My Father's Life with Bipolar Disorder by Stephen P. Hinshaw on 4 pages
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- Behavioral Family Therapy for Psychiatric Disorders 2 Ed by Kim T. Mueser on page 117, and Back Matter
- The Childhood Depression Sourcebook (Sourcebooks) in Back Matter
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