The editors of this book aim to provide a comprehensive text and a practical guide to psychiatric treatment for women. These aims were, in my view, only partially met, although overall this text is a useful addition to the growing literature in this field. Interest in the treatment of women with mental health problems and the specific issues that relate to those women has grown in recent years. It has been subject to considerable discussion and the Department of Health's review and documentation.
Many areas covered by this book are not only important but also enlightening. Women who use psychiatric services often have multiple and complex needs. Unfortunately, issues of gender-specific assessment, treatment and risk management have frequently been overlooked in the development of those services and as a result the specific needs presented by women are often not met.
In 23 chapters, the 29 contributors cover background information, treatment settings, particular groups, specific disorders and therapies. The thought-provoking chapter on forensic settings has much to offer to those working in less secure environments. A number of the chapters covering specific disorders are thorough and informative, although this does not apply to all. Interestingly, the section addressing the management of the sequelae of trauma covers borderline personality disorder and self-harm, although in general, the book focuses on mental illness rather than all forms of mental disorder. While some of the specific issues more frequently faced by women, such as domestic violence, are considered, other areas, for example in specific treatments, do not receive significant emphasis. As would be expected with any multi-authored book, the style and quality of writing varies and at times this becomes frustrating, particularly when referencing is poor. Some chapters provide only anecdotal accounts, while others provide excellently referenced and evaluated consideration. I believe the text would have benefited from the adoption of a more consistent approach and perhaps clearer guidance or stronger editing.
In my view, the editors have produced an important book; however, its quality would have improved if they had not attempted to cover such a wide range of topics, or conversely, if they had been more ambitious and produced a larger, more comprehensive text. Women in Psychiatric Treatment has something to offer to many readers, although I feel it may disappoint those with more specialist involvement in this field.
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