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Good Reads - Falling Into The Fire

3/12/2014

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Falling Into The Fire: A Psychiatrist's Encounters With The Mind In Crisis was released this past August, and was written by assistant professor of psychiatry at Brown University and practicing psychiatrist Dr. Christine Montross.  In her book, Dr. Montross shares real life cases she has been privy to, which would be of interest to any budding psychiatrist or mental health worker, or even those curious to know more about life in psychiatry and work in the mental health field.  However, Dr. Montross's book is not just a collection of stories from her practice, rather through each patient's experience with a psychiatric disorder and their journey through the healthcare system, Dr. Montross explores the ethics of mental healthcare and our current strategies for diagnosis, treatment and recovery, which is one area all of us in the medical profession could spend a little more time thinking about.

Recommended For:
Anyone interested in the field of psychiatry, as well as any future physicians who want to gain a better understanding of what it's like to interact and treat patients with a psychiatric condition, develop more awareness of how medical staff relate to these patients and can affect the recovery process, and get a physician's firsthand perspective into the sometimes confusing and challenging area of ethics in healthcare.

Overview
Falling Into the Fire is psychiatrist Christine Montross’s thoughtful investigation of the gripping patient encounters that have challenged and deepened her practice. The majority of the patients Montross treats inFalling Into the Fire are seen in the locked inpatient wards of a psychiatric hospital; all are in moments of profound crisis. We meet a young woman who habitually commits self-injury, having ingested light bulbs, a box of nails, and a steak knife, among other objects. Her repeated visits to the hospital incite the frustration of the staff, leading Montross to examine how emotion can interfere with proper care. A recent college graduate, dressed in a tunic and declaring that love emanates from everything around him, is brought to the ER by his concerned girlfriend. Is it ecstasy or psychosis? What legal ability do doctors have to hospitalize—and sometimes medicate—a patient against his will? A new mother is admitted with incessant visions of harming her child. Is she psychotic and a danger or does she suffer from obsessive thoughts? Her course of treatment—and her child’s future—depends upon whether she receives the correct diagnosis.

Each case study presents its own line of inquiry, leading Montross to seek relevant psychiatric knowledge from diverse sources. A doctor of uncommon curiosity and compassion, Montross discovers lessons in medieval dancing plagues, in leading forensic and neurological research, and in moments from her own life. Beautifully written, deeply felt, Falling Into the Fire brings us inside the doctor’s mind, illuminating the grave human costs of mental illness as well as the challenges of diagnosis and treatment.

Throughout, Montross confronts the larger question of psychiatry: What is to be done when a patient’s experiences cannot be accounted for, or helped, by what contemporary medicine knows about the brain? When all else fails, Montross finds, what remains is the capacity to abide, to sit with the desperate in their darkest moments. At once rigorous and meditative,Falling Into the Fire is an intimate portrait of psychiatry, allowing the reader to witness the humanity of the practice and the enduring mysteries of the mind (Goodreads).

For more information, and to read reviews on this book, visit:
  • http://www.goodreads.com/book/show/16158544-falling-into-the-fire
  • http://www.theguardian.com/books/2014/mar/09/falling-into-the-fire-review-madness-christine-montross-review
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    Supporting and enhancing students' and health professionals' knowledge and understanding of mental health and psychiatry

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