Give and Take: A Roadmap to Understanding a Psychiatrist
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Dr. Stephanie Hathaway Mullany practiced psychiatry full-time for over thirty years and relies on her diverse professional and personal experiences to provide valuable information for making informed decisions regarding appointments, clinical conditions, and treatment options. While dispelling myths and stigmas associated with psychiatric illness, Dr. Mullany offers an intriguing insiders glimpse into the compelling research that helps psychiatrists formulate a unique treatment plan for each patient.
An initial visit for psychiatric diagnostic and treatment assessment is often a journey into unfamiliar territory. Give and Take: A Roadmap to Understanding a Psychiatrist takes the scary out of the unknown and guides prospective patients through the process of taking charge of their mental health.
Stephanie H. Mullany MD MAR
Stephanie Hathaway Mullany, MD, has practiced psychiatry full-time since 1978. In her diverse career, she managed a private practice, practiced psychiatry at the Department of Veterans Affairs Outpatient Clinics, and taught bioethics to medical students and psychiatric residents. Now retired, she lives with her husband and their three dogs in Terra Ceia, Florida.
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Give and Take - Stephanie H. Mullany MD MAR
Copyright © 2011 by Stephanie H. Mullany, MD, MAR
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ISBN: 978-1-4620-2686-9 (sc)
ISBN: 978-1-4620-2687-6 (e)
ISBN: 978-1-4620-2688-3 (dj)
Library of Congress Control Number: 2011909303
Printed in the United States of America
iUniverse rev. date: 7/22/2011
This reflection on a lifetime of learning is written in memory of my father, Stephen G. Hathaway, who launched me on my way with a universal compass.
And to my former patients, I credit this conversation with future patients who will also bring their courage, interest, and habit of taking responsibility for themselves.
Contents
Preface
Acknowledgments
Introduction
Part 1
Chapter 1 One History—The Making Of This Psychiatrist
Chapter 2 A View From Both Sides Of The Historical Fence
Chapter 3 The Past Is Always Present
Chapter 4 The Patient’s Past Is Prologue To Treatment
Part 2
Chapter 5 Pitfalls
Chapter 6 The Diagnostic Process
Chapter 7 Informed Consent
Chapter 8 Treatment Considerations
Part 3
Chapter 9 Where Will We Go From Here?
Chapter 10 Summing Up
Afterword
Epigraph Sources
Bibliography
Biography
Glossary
Resources
Endnotes
PREFACE
So many people have contributed to the fabric of my being. This has allowed me the privilege of trying to keep other human beings company along a stretch of their life journeys. I shall address only a relevant few, otherwise the intended primer, Give and Take, will not begin.
Primary acknowledgment must go to my father, Stephen G. Hathaway, who set a powerful example for me of the fundamental life meaning of producing something of value to the larger world. He believed a goal was worthy only if it demanded the best of which one was capable and, above all, adhered to strict early New England values, such as honesty with oneself as well as with others. I treasure his most endearing traits: absolute reliability, generosity, authenticity, the tenacity never to quit, and his sense of humor.
The second influence on my life to which I am indebted, and which led me to work closely with others, was my high school Russian teacher. In the early 1960s, Russian-language instruction was a rarity in US high schools. I had chosen it because my junior high school guidance counselor recommended either German- or Russian- language skills for anyone interested in science as a career.
Paul S. Skrigan, the Russian instructor at New London High School in Connecticut during the 1960s, was an unusually gifted teacher with a talent for connecting with his students. His perceptiveness in discovering their uniqueness and endurance in scaling their best defenses taught me considerably more important lessons than language instruction. In retrospect, I realized that he had been the unconscious motive for my later choice of specialization in psychiatry and a role model of someone who was interested in understanding others; he was someone who cared enough to persist until he attained his goal. As described by the Jungian observation that the product of a chemical reaction does not resemble either of the reagents, each member of a relationship is affected and becomes a new being, if each takes the chance to allow change. He taught me that I, a unique human being, would find and bring meaning to the world, if I would allow myself to grow and change. Ultimately, I was able to let go of the unresolvable dilemma of being unable to reciprocate, by accepting the compromise—determination to pass the gift on.
I am indebted deeply to my husband, Dr. Lawrence D. Mullany, and our sons, Lawrence A. Mullany and Timothy E. Mullany. They, and our extended family, have provided life texture and given me sustained support and inspiration.
The last chapter of my learning and growth has been continuously refreshed and enhanced by the individuals with whom I have had the fortune to meet and work with professionally in psychiatric practice.
ACKNOWLEDGMENTS
My patients may take credit for the inspiration and joy in writing this book. I am grateful to my husband, Dr. Larry Mullany, who has provided