Trichotillomania

出版者:Amer Psychiatric Pub Inc

作者:Stein, Dan J. (EDT)/ Christenson, Gary (EDT)/ Hollander, Eric (EDT)

页数:372

出版时间:1999-1

价格:$ 111.87

装帧:HRD

isbn号码:9780880487597

具体描述

The phenomenon of trichotillomania, or hair pulling, has been observed for centuries. The ancient Greek physician Hippocrates noted hair pulling as one of the many symptoms that the physician was advised to assess as a routine matter. In our present time and culture, Apulling oneAs hair outA is more typically referred to in the context of depression, frustration, boredom, or other emotional turmoil. In truth, hair pulling is a highly prevalent behavior that may be associated with significant morbidity. Edited by experts in the field, Trichotillomania addresses the importance of the study of hair pulling from both a clinical and a research perspective. Documenting the clinical phenomenology, morbidity, and management of trichotillomania, it discusses the phenomenology of childhood trichotillomania, providing a comprehensive description of its symptoms and sequelae. Of particular value for the clinician are contributions on the assessment of trichotillomania and a detailed cognitive-behavioral treatment plan. The uses of medication, the place of a psychodynamic perspective, the value of behavioral interventions, and the role of hypnotherapy are also thoroughly discussed. This discerning text further documents the significance of research on trichotillomania for obtaining a broader understanding of complex brain-behavior relationships. While recent research has suggested that hair pulling lies on the spectrum of obsessive-compulsive disorder, a range of evidence is presented that indicates important differences between trichotillomania and OCD. As such, attention by clinicians to hair pulling may be of enormous value to patients, whose condition was previously unrecognized, while leading to a better understanding of the range of OCD-like disorders.

用户评价

这部作品最吸引我的是其叙事视角的频繁切换。我们时而被拉入一个宏大的历史背景，成为历史洪流中的一粒尘埃；下一秒，视角又被聚焦到最微小、最私密的个人感受上，仿佛能听见角色内心的每一次悸动。这种变幻莫测的镜头语言，使得故事既有史诗般的厚度，又不失个体生命的温度。它成功地在宏大叙事和个人悲喜之间找到了一种微妙的平衡，读完后脑海中留下的是一幅幅色彩浓烈、层次分明的画面，久久不散。

说实话，这本书的阅读过程是一场折磨，但却是那种你明知会痛却又忍不住一头扎进去的“甜蜜的折磨”。它挑战了我对道德边界的既有认知，让我不得不去面对那些灰色地带的复杂性。角色之间的对话充满了火药味，每一句话都暗藏机锋，信息量巨大，读起来需要全神贯注，甚至需要反复回溯才能领会其中深意。它不是一本让人放松的读物，更像是一场对心智的严酷训练，读完后感觉心力交瘁，但精神上却得到了极大的升华。

这本书的文字功底着实令人惊叹。作者对叙事节奏的把控达到了炉火纯青的地步，每一个转折都如同精心编排的乐章，在最恰当的时机引爆情感的高潮。我尤其欣赏书中对人物内心世界的细腻刻画，那种近乎透明的剖析，让人感觉自己不再是旁观者，而是和主角一同呼吸、一同煎熬。那些关于选择与命运的哲学探讨，并非空泛的说教，而是紧密地镶嵌在情节的肌理之中，自然而然地流淌出来，带着一种无可辩驳的真实感。

初读这本书，我被其磅礴的世界观所震撼。它构建了一个复杂而又逻辑自洽的设定，历史的厚重感和未来的不确定性交织在一起，形成了一种独特的张力。书中对社会结构的解构和对权力运作机制的揭示，非常具有启发性，迫使我不断停下来思考我们现实世界中的诸多隐喻。语言风格上，时而如山洪爆发般热烈奔放，时而又如同冰川融化般缓慢而深沉，这种强烈的对比，极大地丰富了阅读体验。

我必须承认，这本书的节奏掌握得极其精妙。开篇平淡如水，几乎让人提不起兴趣，但随着情节的推进，那种潜藏的暗流开始涌动，先是涓涓细流，然后迅速汇集成不可阻挡的洪流。作者高明之处在于，他没有用花哨的辞藻堆砌场景，而是专注于事件本身的情感冲击力。特别是书中关于“失去”的描写，没有大肆渲染悲伤，反而用一种近乎冷静的笔触，勾勒出一种深入骨髓的空洞感，非常高级。