The psychiatric emergency room, a fast-paced combat zone with pressure to match, thrusts its medical providers into the outland of human experience where they must respond rapidly and decisively in spite of uncertainty and, very often, danger. In this lively first-person narrative, Paul R. Linde takes listeners behind the scenes at an urban psychiatric emergency room, with all its chaos and pathos, where we witness mental health professionals doing their best to alleviate suffering and repair shattered lives.
As he and his colleagues encounter patients who are hallucinating, drunk, catatonic, aggressive, suicidal, high on drugs, paranoid, and physically sick, Linde examines the many ethical, legal, moral, and medical issues that confront today's psychiatric providers. He describes a profession under siege from the outside - health insurance companies, the pharmaceutical industry, government regulators, and even "patients' rights" advocates - and from the inside - biomedical and academic psychiatrists who have forgotten to care for the patient and have instead become checklist-marking pill-peddlers.
While lifting the veil on a crucial area of psychiatry that is as real as it gets, Danger to Self also injects a healthy dose of compassion into the practice of medicine and psychiatry.
©2010 Paul R. Linde (P)2012 Audible, Inc.
I want to hear the book and strongly dislike narrators who fancy them selves actors with accents and over the top inflection in their voice.
As soon as I hit the narrators obnoxious rendition of a woman's southern accent I had to turn it off. Like nails on a chalkboard.
Despite how stressful the author's position is and how easy it is to burn out in his field, he still cares deeply for his patients and it shows in how he speaks about his career.
His description of a homeless man trying to be polite in turning down an inpatient treatment program for alcoholism. He is perceptive in reading the man's cues and doesn't become frustrated when the patient refuses treatment.
The perfect accompaniment to my final few weeks of a nursing school acute inpatient psychiatric rotation. It was fascinating to see the process of the psychiatrist's thinking and to recognize how that differed from the nursing process I was learning.
I am inspired by the beautiful women, girls, and men who I’ve met over the years that lack the self-esteem to recognize their own beauty.
I liked three or four chapters about the cases, but other chapters go off on to a lot of cut and paste quotes about the industry and they are dull. Could be half as big.Really need a case like Hannibal Lector but I guess that is not really what goes on.
Aspects about Meth addiction, and comment on how doctors withhold treatment when resources are scarce.
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