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'This book fills a tremendous void...' wrote E. Fuller Torrey, M.D., about the first edition of I AM NOT SICK, I Don't Need Help! Ten years later, it still does. Dr. Amador's research on poor insight was inspired by his attempts to help his brother Henry, who developed schizophrenia, accept treatment. Like tens of millions of others diagnosed with schizophrenia and bipolar disorder, Henry did not believe he was ill. In this latest edition, 6 new chapters have been added, new research on anosognosia (lack of insight) is presented and new advice, relying on lessons learned from thousands of LEAP seminar participants, is given to help readers quickly and effectively use Dr. Amador s method for helping someone accept treatment. I AM NOT SICK, I Don't Need Help! is not just a reference for mental health practitioners or law enforcement professionals. It is a must-read guide for family members whose loved ones are battling mental illness. Read and learn as have hundreds of thousands of others...to LEAP-Listen, Empathize, Agree, and Partner-and help your patients and loved ones accept the treatment they need.
- Sales Rank: #8345 in Books
- Published on: 2011-10-19
- Original language: English
- Number of items: 1
- Dimensions: 8.40" h x .70" w x 5.40" l, .75 pounds
- Binding: Paperback
- 254 pages
Review
I strongly recommend this book for [both] families and therapists. - Aaron T. Beck, M.D., Professor of Psychiatry, University of Pennsylvania --University of Pennsylvania
I know of no other book even in the same league. - Gerry Spence, Author of the NY Times Best-Seller How to Argue and Win Every Time --Trial Lawyers College
This is a wonderful book bringing together the personal experiences of a psychologist [who had a brother with schizophrenia]. Dr. Amador s research and clinical experience makes this book a rich source of information and practical advice. It is one of the salutary characteristics of our culture that people who experience pain convert that pain into something productive. People who are victimized by, stressed by, and dismayed by serious mental illness will find this book enormously helpful. It contains information about new research and concrete advice that will be of enormous help to both the families of the seriously mentally ill and to the mental health professionals who care for them. - HERBERT PARDES, M.D., President, New York-Presbyterian --The University Hospital of Columbia
About the Author
Dr. Amador is an internationally sought-after speaker, clinical psychologist, professor at Columbia University Teachers College in New York City, the Founder and Director of the LEAPTM Institute and author of eight books including the national best seller I m Not Sick, I Don t Need Help!TM Dr. Amador s expertise has made him a regular contributor to the Today Show and a featured guest on ABC Good Morning America, Prime Time Live, CBS This Morning, NBC Nightly News, 60 Minutes, CNN, Dateline, ABC s World News Tonight, Fox News, New York Times, Wall Street Journal, USA Today and many others. Dr. Amador has been a consultant to numerous companies and government agencies including the National Institute of Health. His forensic cases include the Unabomber, PFC Lynndie England, Elizabeth Smart Kidnapping, and Zacarias Moussaoui trials. Dr. Amador has over 25 years experience working with adults, families, and couples. He lives in New York. Previously, Dr. Amador was a professor in the Department of Psychiatry at Columbia University, College of Physicians & Surgeons; on the Board of Directors of the National Alliance for the Mentally Ill (NAMI); Director of Research at NAMI; and the Director of Psychology at the New York State Psychiatric Institute. In addition to his books Dr. Amador has published over 100 peer-reviewed scientific papers, and many other publications that have been translated into more than 20 languages. Dr. Amador was co-chair of the last text revision of the Schizophrenia and related disorders section of the DSM IV-TR (often referred to as the Psychiatrists Bible ).
Most helpful customer reviews
14 of 14 people found the following review helpful.
Best book if you want to get someone with mental illness, who doesn't believe they are ill, to stay in treatment. Highly recco.
By Mental Illness Policy Org.
I have been an advocate for people with the most serious mental illnesses for over 20 years. I read an early edition of this book and decided to read the latest edition. It is even better than I remember. This offers practical, tangible, useful advice for families (and practitioners) on how to get someone who has serious mental illness, but does not believe they are ill, to comply with treatment. There is simply no other book like it. Dr. Amador knows who his audience is (families of loved ones with serious mental illness) and what their problem is (getting their loved one to stay in treatment). While he describes the theoretical underpinnings (anosognosia), the true value of the book is it's actionable, practical, advice to solve that particular problem.
DJ Jaffe
Executive Director
Mental Illness Policy Org.
[...]
125 of 129 people found the following review helpful.
Pass On to Others Sooner rather than Later
By H. Franke
Having read many books on bipolar and schizophrenia as we have gone through 4 years of trying to figure out what is wrong with our son, I landed on this fine book, way too late. But, I am devouring every page now. The photo on the jacket of the book really hits' home. How many times my son has left home are more than I can count. I would watch him leave and walk away from home, backpack in hand.
My son is diagnosed with bipolar disorder and has been in and out of treatment for 4 years. He is now in the hospital again, after having gone off of his medications, again, (and self medicating with marijuana and such) and close to having to do another stint at that state hospital. He is only 17, going on 18. I hope he reaches into adulthood. If he were to kill himself as he sometimes says he will do, having read this book and having tried everything within my power to help him, I will come out the other side with some solace for my heart. I know I am powerless to such a disease. Damn mental illness! It's as worse a curse as cancer.
I would put down every book you might be reading right now, even from Fuller Torrey, and read this first. Underline and keep going back to the reasoning behind the authors suggestions. (Some of the ideas in the book are usable when dealing with troubled people and youth in general.) Best of luck. I have recommend this book to the therapist now working with my son. I will send one in the mail to his current psychiatrist who could use this for her practice. She is not connecting with my son and it's causing very slow movement in his progress.
I so appreciate the author updating the book as time goes on! Hugs to you and all.
18 of 18 people found the following review helpful.
How To Dialogue Successfully in a Different Reality
By Thomas H. Pyle
Over 6 million Americans suffer from with severe mental illness. Incredibly, 50% of these who do believe they don't. Clinically speaking, they do not have "insight" into their diseases. They experience what is technically called anosognosia. Previously thought to be a deliberate act of denial on the part of a patient, anosognosia is today considered to be caused by a neurological deficit, probably in the frontal lobe of the brain. Its presence is a symptom of the brain disorder, not a subconscious or willful psychological state.
Anosognosia can cause myriad problems for loved ones, their families, and society as a whole. A lack of insight results in treatment refusal. How could it not? Anyone who thinks they are not sick would understandably refuse diagnosis and treatment for what they do not acknowledge. Treatment refusal leads to medications non-compliance, which in turn can lead to more florid delusions or hallucinations. Personal hygiene can deteriorate. Isolation can increase. Especially when someone with a severe mental lacks insight and also abuses street drugs or alcohol, there is a heightened potential for violence in a small percentage of cases.
How can family members cope with a loved one lacking insight? How can they get a loved one needed help if the loved one doesn't acknowledge the need for help? Many family members in the maelstrom know the frustration of getting an oppositional loved one to do what might be good for them, at least as the family members perceive. Those in the earlier stages of the psychodysseys may feel particularly stressed the apparent futility of talking a loved one out of his delusions or into a treatment for an illness he refuses to believe he has.
In his classic work, I'm Not Sick; I Don't Need Help!, clinical psychologist and Columbia University professor Xavier Amador proposes a simple technique. It is called LEAP, for Listen, Empathize, Agree, and Partner. "Listen" means listening without commenting, disagreeing, or arguing. It is based in reflective listening, in which the listener drops his or her own agenda and redoubles efforts to understand the loved one, whatever his psychological idiosyncrasies. Amador stresses the three A's of good listening: apologize, acknowledge, agree. "Empathize" means displaying genuine emotion even when relating to a loved one's delusions. "Agree" means agreeing as a neutral observer, acknowledging that the loved one has personal choice and responsibility for his decisions. "Partner" is an undertaking with the loved one to achieve shared goals.
The LEAP technique is an amalgam of three therapies. From Carl Rogers' client-centered therapy is drawn the concept of reflective listening without judgment or opinion. From Aaron Beck's Cognitive Therapy come the ideas of collaboration, agenda setting, and cost-benefit analysis. From William R. Miller and Stephen Rollnick's Motivational Interviewing derives the emphasis on the loved one keeping the locus of control for personal change.
Amador's approach is elegant in its simplicity. It is also authentically based in Amador's lived experience as younger brother to the late Henry Amador, a man with schizophrenia. (The evidently deep love that Amador felt for his brother is itself an inspiration for other family members with loved ones in similar circumstances.) I Am Not Sick; I Don't Help!, now in its 10th anniversary edition, is a classic text in the field of treatment of schizophrenia, an invaluable navigation tool for all families in the maelstrom of severe mental illness.
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