Saturday, October 26, 2013

Falling into the Fire: a Psychiatrist's Encounters with the Mind in Crisis / Christine Montross 239 pp.

Montross is a young-ish practicing psychiatrist and very fine writer.  She presents case studies of various patients and delves into the ethical, financial, legal and emotional aspects of treating these patients.  In the most memorable portion, she describes in detail a young woman who visits the same emergency room on a very regular basis, always because she has swallowed dangerously sharp metal objects.  She cannot be cured of this behavior, seemingly, but her repeated treatments to remove the objects and stabilize her mentally are fantastically expensive and consume vast amounts of staff time and supervision.  Montross is not afraid to express her own vulnerabilities in the face of this and other challenging situations.  Fluid and fascinating.

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