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Weekends at Bellevue de Julie Holland

Weekends at Bellevue (original: 2009; edição: 2009)

de Julie Holland

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3945848,403 (3.4)18
Documents a psychiatrist's employment at New York City's Bellevue Hospital while sharing the life lessons she learned from her patients and colleagues, describing some of the more remarkable cases of her career and their influences on her family life.
Título:Weekends at Bellevue
Autores:Julie Holland
Informação:Bantam (2009), Edition: 1, Hardcover, 320 pages
Coleções:Read digital books
Etiquetas:kindle, mrd

Detalhes da Obra

Weekends at Bellevue: Nine Years on the Night Shift at the Psych ER de Julie Holland (2009)


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This book rocked my socks off. I worked in the same professional mental health environment a few years earlier than Holland, overlapping her (in the same neighborhood) by a couple of years.

I know how being injured from a patient can have a deep and lasting effect on you. I was picked up, thrown into a wall and required stitches for a deep head wound. It still aches during cold weather. It was the beginning of my burn out in social work.

The only flaw I found was what she learned about the years of deinstitutionalization. I was working in the field for most of it. I turned off the lights in one of them. I worked in a couple of the community based options. Her explanation for their failure was far too simplistic.

Some of it was NIMBYism, yes. Absolutely. However, some of it was out of genuine concern for the individuals and their choices and wishes. For some individuals, their world became far more restrictive when they moved from an institutional setting to a community setting. I went to endless meetings with individuals who wanted their long term care to remain institutional and separate from the outside world. We're not talking about criminals here. We're talking about people who wanted control over their environment and they couldn't have that in the community based options.

In the outside world their medications were focused on controlling socially inappropriate behaviors. Some became the walking dead. Their personalities disappeared. When they were institutionalized the staff could deal with their odd behaviors (and occasional nudity) and the medical restraints were kept to a minimum. We could work with their socially inappropriate behaviors because we could see them and address them. That wasn't the case when they were stuffed to the gills with sedation.

Back to the book - Mostly I identified with Holland's lack of desire to advance within the field. More important, she knew when to leave the setting that was exhausting her of all sympathy. In the mid-90s the term was 'crispy-fried'. My own burn out was a simple lack of caring what happened day to day. I knew I had to exit the field.

I've read some of the other reviews slamming her for her attitude here - Just wait until you've worked in the system in NYC for a few years. It chews you up and spits you out. ( )
  authenticjoy | Mar 29, 2019 |
I'm not sure why I thought this would be a good read. Maybe the title snared me as to expect quirkiness and such from the nature of those who drift into the Psyche ward of Bellevue hospital. I was disappointed. Though there are a few intriguing cases mostly the book is about Dr. Holland's life experiences. That said the title might will have been, "Dr. Holland, A Life."

We are taken through her experiences coming out of school and into the fray of a large hospital. But the book relates more to her coming of age, getting married, finding a mentor, having children, and a huge political squabble for power and control with one of her colleagues.

Interspersed she does talk a bit about how our healthcare system when dealing with the many in need of mental care is lacking. Also briefly referring to the private practice she developed and how prescribing the medications that drive psychopharmacology I found interesting. The entire book though did not have much to offer in any way. ( )
  knightlight777 | Jun 13, 2017 |
Seemed to be a personal rant or confession rather than a cohesive narrative ( )
  tmscott13 | Jan 24, 2016 |
This is a memoir of one doctor’s nine years spent on the night shift at the psych E.R.

I majored in psychology and really wanted to like this book. I’ve read other memoirs about “becoming a doctor” and was expecting interesting insights and some colorful and entertaining “patient profiles” (altered to protect identities, of course). But this memoir isn’t about Bellevue and the many patients who come there. It’s about Holland.

I cannot remember when I’ve read a memoir that is more self-centered. There is a little bit of interesting information regarding Bellevue’s psychiatric emergency room, but not enough to redeem it. The jacket blurbs applaud her candor; I found her inappropriate behavior disturbing for the doctor in charge of a busy city psych E.R. (in one episode she stops at a cocktail party before going to work the night shift; in another she describes her efforts to have sex with as many residents as possible). I suppose it’s a good thing that she chose to become a psychopharmacologist (i.e. she does not treat patients with psychotherapy but with drugs); she certainly doesn’t seem to have enough insight to be successful at the traditional psychotherapy techniques.

If it weren’t for the fact that the book satisfied a challenge for a game I’m playing I would have abandoned it.
( )
  BookConcierge | Jan 14, 2016 |
This could have been a much more interesting book if Dr Holland had focused on more of her really challenging and interesting patients instead of on her personal growth as a medical professional. I very weary of her therapy and was very angry at her for her response to her good friend Lucy's death. The story is more about pharmacology in dealing with mental health than dealing with individuals. I skipped through the last chapters as the story was tiresome.Also, to the editor, why were some chapters so short, even though they were connected to the next one... ? ( )
  MaggieFlo | Aug 4, 2014 |
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On a warm day in early spring, two New York City cops and two EMS workers roll a gurney down the hallway, escorting a man to the entrance of Bellevue's psychiatric emergency room, where I work.
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Documents a psychiatrist's employment at New York City's Bellevue Hospital while sharing the life lessons she learned from her patients and colleagues, describing some of the more remarkable cases of her career and their influences on her family life.

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