Introduction Part I: Limitations in current psychiatric practice and research 1. Categorical classification 2. Scientific research and its omissions 3. The nature of social contact 4. Mystic experiences 5. The mind-brain problem Part II: Possibilities and opportunities for change in psychiatry 6. Transdiagnostic phenomenological symptom-dimensions 7. Biological markers in psychiatric disorders 8. From clinical staging and profiling to prevention in psychiatry 9. Evidence for preventive treatment in psychiatry 10. The stress-relaxation continuum 11. Redefinition of health and illness in psychiatry 12. The authentic self Part III: Case examples 13. Thomas 14. Lizzie 15. Martin Conclusions and future directions
Dorien Nieman is associate professor and Head of the Cognition lab at the Department of Psychiatry, Academic Medical Center, University of Amsterdam, Netherlands, where she has worked since 1996. She has (co)authored more than 80 articles in (inter)national journals, several book-chapters and a book on topics such as psychotherapy, biomarkers, prediction and prevention of psychiatric disorders.
'Until recently, prevention in mental health was regarded as
something for the future and, without clear biological markers,
probably a fool’s gold. Well, the future has arrived! This
scholarly and well-argued book by Dorien Nieman covers the
philosophical, scientific and pragmatic aspects of this new
science. We learn from the history of public health that much
disease was preventable without necessarily understanding all the
biological and environmental risk factors, so long as we apply
basic principles and pragmatic thinking alongside the available
science.This book is testimony to that and sketches out what a
prevention paradigm might look like and illustrates with great
examples. It is an outstanding contribution and will be widely
read.' - Max Birchwood, Research Director, YouthSpace & Professor
of Youth Mental Health, University of Warwick 'In this excellent
book, Dorien Nieman reflects on the essential problems of
contemporary psychiatry, eloquently bringing together
philosophical, clinical and neuroscientific expertise. Dorien
Nieman pleas scientifically for a dimensional perspective in
psychiatry. Dimensions may be more difficult to grasp, but are more
apt to reality. Clinically, she pleas for a more individual
approach. We need to see the persons again behind diagnoses. Nieman
illustrates nicely how these paradigm shifts may advance our
troubled discipline. Psychiatry is notoriously difficult and
fatiguing since we have to think and reflect continually on the
possibilities and boundaries of our discipline. Dorien Nieman
testifies with this book of her capacity of critical contemplation
and is an example to all of us clinicians, philosophers and
neuroscientists.' - Damiaan Denys, Professor of Psychiatry,
Academic Medical Center, University of Amsterdam, The
Netherlands'How can mental health transform itself so that these
benefits can flow to people with mental illness and to society more
broadly? Dorien Nieman addresses these issues in her ambitious new
book on prevention and early intervention. She captures the views
of many philosophers and shows how psychiatry, above all other
medical disciplines, can realize a level of personalized medicine
much greater than any other, in her discussion of the "authentic
self".' – Patrick McGorry, Professor of Youth Mental Health,
University of Melbourne and Executive Director of Orygen Youth
Health, Australia (from the foreword)‘Dorien Nieman belongs to the
rare experts in psychiatric research who venture to publish not
only scholarly articles but an erudite book as well. Whereas many
focus on narrow research questions, Nieman does not eschew the
basic topics of her field. Prevention in Mental Health Care: Time
for a new approach is brave, comprehensive and profound. The volume
candidly faces the vexed issues of psychiatric research and
clinical practice. It does so in a critical yet inoffensive way,
while also proposing possible solutions.’ - Professor Trudy Dehue,
Philosopher and sociologist of science (more specifically,
psychiatry and psychology), University of Groningen
'Until recently, prevention in mental health was regarded as
something for the future and, without clear biological markers,
probably a fool’s gold. Well, the future has arrived! This
scholarly and well-argued book by Dorien Nieman covers the
philosophical, scientific and pragmatic aspects of this new
science. We learn from the history of public health that much
disease was preventable without necessarily understanding all the
biological and environmental risk factors, so long as we apply
basic principles and pragmatic thinking alongside the available
science.This book is testimony to that and sketches out what a
prevention paradigm might look like and illustrates with great
examples. It is an outstanding contribution and will be widely
read.' - Max Birchwood, Research Director, YouthSpace & Professor
of Youth Mental Health, University of Warwick 'In this excellent
book, Dorien Nieman reflects on the essential problems of
contemporary psychiatry, eloquently bringing together
philosophical, clinical and neuroscientific expertise. Dorien
Nieman pleas scientifically for a dimensional perspective in
psychiatry. Dimensions may be more difficult to grasp, but are more
apt to reality. Clinically, she pleas for a more individual
approach. We need to see the persons again behind diagnoses. Nieman
illustrates nicely how these paradigm shifts may advance our
troubled discipline. Psychiatry is notoriously difficult and
fatiguing since we have to think and reflect continually on the
possibilities and boundaries of our discipline. Dorien Nieman
testifies with this book of her capacity of critical contemplation
and is an example to all of us clinicians, philosophers and
neuroscientists.' - Damiaan Denys, Professor of Psychiatry,
Academic Medical Center, University of Amsterdam, The
Netherlands'How can mental health transform itself so that these
benefits can flow to people with mental illness and to society more
broadly? Dorien Nieman addresses these issues in her ambitious new
book on prevention and early intervention. She captures the views
of many philosophers and shows how psychiatry, above all other
medical disciplines, can realize a level of personalized medicine
much greater than any other, in her discussion of the "authentic
self".' – Patrick McGorry, Professor of Youth Mental Health,
University of Melbourne and Executive Director of Orygen Youth
Health, Australia (from the foreword)‘Dorien Nieman belongs to the
rare experts in psychiatric research who venture to publish not
only scholarly articles but an erudite book as well. Whereas many
focus on narrow research questions, Nieman does not eschew the
basic topics of her field. Prevention in Mental Health Care: Time
for a new approach is brave, comprehensive and profound. The volume
candidly faces the vexed issues of psychiatric research and
clinical practice. It does so in a critical yet inoffensive way,
while also proposing possible solutions.’ - Professor Trudy Dehue,
Philosopher and sociologist of science (more specifically,
psychiatry and psychology), University of Groningen"Prevention in
Mental Health Care: Time for a new approach by Professor Dorien
Nieman attempts to find a way that is empirically valid and
practically useful. The first part of the book comprises short
chapters concerning the limitations of current psychiatric practice
and research, the second part addresses opportunities for change,
and the third describes three illustrative cases in detail. In
total, this book spans less than 200 pages, but the writing is
succinct and attention-holding." Alex Langford, The Lancet
Psychiatry'Prevention in Mental Health Care provides key insights
into redesigning mental health services. It describes current
limitations and shows the promise and potential impact of emerging
neurocognitive enhancements to mental health assessment and
treatment.' Patrick J. Fowler, APA PsycCRITIQUES
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