This is one of the standard international textbooks on child and adolescent mental health. Its strengths lie in its up-to-date, evidence-based approach to practical clinical issues and its comprehensive multidisciplinary perspective. A well-established and popular comprehensive textbook, it combines the shared knowledge, experience and expertise of three major, internationally recognised, academic and clinical practitioners in this field. It covers all aspects of developmental psychology, behavioural and emotional disorders, types of therapy and prevention, with a special emphasis on developmental considerations and on ways in which physical health and psychological problems interact. The up-to-date content gives scholarly overviews of all relevant areas including genetics, neurodevelopment, developmental psychology, attachment theory, social aspects, service provision and child and adolescent mental health. The new edition also includes comprehensive sections on developmental disabilities, as well as adolescence and psychological aspects of physical disorder in young people. Updated throughout, the 'Child and Adolescent Psychiatry' provides necessary and useful information for all professionals dealing with emotionally, behaviourally and developmentally disordered children and their families. It will be essential for all trainees in child and adolescent mental health, as well as paediatricians, psychiatrists, psychologists, nurses, speech and language therapists, social workers, clinical service managers and commissioners.

Nearly every professional counselor will encounter clients with a history of complex trauma. Yet many counselors are not adequately prepared to help those suffering from complex posttraumatic stress disorder (C-PTSD), including survivors of child abuse, religious cult abuse, and domestic violence. A lack of consistent terminology in the field makes finding resources difficult, but without reliable training counselors risk inadvertently retraumatizing those they are trying to help. In this second edition of Restoring the Shattered Self, Heather Davediuk Gingrich provides an essential resource for Christian counselors to help fill the gap between their training and the realities of trauma-related work. Drawing on over thirty years of experience with complex trauma survivors in the United States, Canada, and the Philippines, she ably integrates the established research on trauma therapy with insights from her own experience and an intimate understanding of the special concerns related to Christian counseling. In addition to presenting a three-phase treatment model for C-PTSD based on Judith Herman's classic work, Gingrich addresses how to treat dissociative identity disorder clients, respond to survivors' spiritual issues, build resilience as a counselor in this taxing work, and empower churches to help in the healing process. This new edition is updated throughout to match the DSM-5 and includes new content on how the body responds to trauma, techniques for helping clients stay within the optimal zone of nervous system arousal, and additional summary sidebars. With this thoughtful guide, counselors and pastors will be equipped to provide the long-term help that complex trauma survivors need to live more abundantly. Christian Association for Psychological Studies (CAPS) Books explore how Christianity relates to mental health and behavioral sciences including psychology, counseling, social work, and marriage and family therapy in order to equip Christian clinicians to support the well-being of their clients.

In this ambitious follow-up to Achilles in Vietnam, Dr. Jonathan Shay uses the Odyssey, the story of a soldier's homecoming, to illuminate the pitfalls that trap many veterans on the road back to civilian life. Seamlessly combining important psycho- logical work and brilliant literary interpretation with an impassioned plea to renovate American military institutions, Shay deepens our understanding of both the combat veteran's experience and one of the world's greatest classics.

Worldwide, at least 1 million people die by suicide each year and many millions more attempt suicide. However, suicide has been increasingly recognised as a preventable problem in many cases. Because of this, and the rising rates of suicide in young people, many countries have established national suicide prevention strategies. These include the United Kingdom, the USA, Scandinavian countries, other countries in Europe, Australia and New Zealand. There is also increasing emphasis on the treatment of suicidal people and those who have made suicide attempts. In order to be effective it is imperative that strategies for treatment and prevention are based on sound scientific evidence.
In this book leading figures from psychiatry, psychology, epidemiology, public health, and social medicine bring together the research evidence concerning the key elements in suicide prevention and treatment of suicidal behaviour and translate it into implications for practical action. This includes social and public health policy as well as clinical practice. The book draws together the evidence relevant to treatment and prevention, and uses this in order to highlight the most effective approaches. The range of initiatives covered is wide, reflecting the complex nature of suicide and hence the need for a range of approaches. This book will be an essential source for anyone concerned with the design and implementation of effective suicide prevention strategies, including clinicians working with individual patients, strategic policy makers, and researchers.

Bipolar disorder (BPD) is a severe mental illness which has a substantial impact on the sufferer, carers, and mental health services. Its impact is similar to that of schizophrenia. However, in contrast to schizophrenia, it has, until recently, been almost entirely neglected by psychological researchers. It is only in the last few years that substantial psychological research programmes in the UK and USA have begun to explore the role of psychosocial factors in the disorder. Yet an understanding of these influences will be essential for those trying to understand how we can treat those suffering from BPD. This volume is the first to bring together reviews of the exciting developments taking place in this field, with chapters from the leading researchers. It presents a broad overview of the psychological and psychosocial factors involved in bipolar disorder, including chapters, amongst others, on risk factors, early warning signs, and treatment.

Worldwide, at least 1 million people die by suicide each year and many millions more attempt suicide. However, suicide has been increasingly recognised as a preventable problem in many cases. Because of this, and the rising rates of suicide in young people, many countries have established national suicide prevention strategies. These include the United Kingdom, the USA, Scandinavian countries, other countries in Europe, Australia and New Zealand. There is also increasing emphasis on the treatment of suicidal people and those who have made suicide attempts. In order to be effective it is imperative that strategies for treatment and prevention are based on sound scientific evidence. In this book leading figures from psychiatry, psychology, epidemiology, public health, and social medicine bring together the research evidence concerning the key elements in suicide prevention and treatment of suicidal behaviour and translate it into implications for practical action. This includes social and public health policy as well as clinical practice. The book draws together the evidence relevant to treatment and prevention, and uses this in order to highlight the most effective approaches. The range of initiatives covered is wide, reflecting the complex nature of suicide and hence the need for a range of approaches. This book will be an essential source for anyone concerned with the design and implementation of effective suicide prevention strategies, including clinicians working with individual patients, strategic policy makers, and researchers.

What produces emotions? Why do we have emotions? How do we have emotions? Why do emotional states feel like something? This book seeks explanations of emotion by considering these questions. Emotion continues to be a topic of enormous scientific interest. This new book, a successor to 'The Brain and Emotion', (OUP, 1998), describes the nature, functions, and brain mechanisms that underlie both emotion and motivation. 'Emotion Explained' goes beyond examining brain mechanisms of emotion, by proposing a theory of what emotions are, and an evolutionary, Darwinian, theory of the adaptive value of emotion. It also shows that there is a clear relationship between motivation and emotion. The book also examines how cognitive states can modulate emotions, and in turn, how emotions can influence cognitive states. It considers the role of sexual selection in the evolution of affective behaviour. It also examines emotion and decision making, with links to the burgeoning field of neuroeconomics. The book is also unique in considering emotion at several levels - the neurophysiological, neuroimaging, neuropsychological, behavioural, and computational neuroscience levels.

The public, mental health consumers, as well as mental health practitioners wonder about what kinds of values mental health professionals hold, and what kinds of values influence psychiatric diagnosis. Are mental disorders socio-political, practical, or scientific concepts? Is psychiatric diagnosis value-neutral? What role does the fundamental philosophical question "How should I live?" play in mental health care? In his carefully nuanced and exhaustively referenced monograph, psychiatrist and philosopher of psychiatry John Z. Sadler describes the manifold kinds of values and value judgements involved in psychiatric diagnosis and classification systems like the DSM. Professor Sadler takes the reader on a fascinating conceptual tour of the inner workings of psychiatric diagnosis, considering the role of science, culture, sexuality, politics, gender, technology, human nature, patienthood, and professions in building his vision of a more humane psychiatric diagnostic process.

Despite a rich and turbulent history spanning several centuries, malingering continues to be a controversial and neglected clinical condition that has significant implications for medical, social, legal and insurance interests. Estimates of malingering - the wilful, intentional attempt to simulate or exaggerate illness in the pursuit of a consciously desired end - vary greatly, despite the fact that malingering is believed to contribute substantially to fraudulent health care and social welfare costs.

There is little consensus about what would constitute a coherent assessment of malingering, and base rates have been difficult to establish. Malingering remains a difficult attribution to make not least since it falls outside the remit of the formal psychiatric classifications. Labelling a person as a malingerer however, has significant medico-legal, personal and economic ramifications for both subject and accuser. Viewed in this way, malingering is not so much illness behaviour in search of a disease, as the manifestation of a conflict between personal and social values.

The aim of this book is to effect an integration of the different medical, forensic, neuropsychological, legal and social perspectives. The book provides an overview of progress in disparate fields relevant to the subject, including how recent social and neuroscience findings regarding volition, intentional states and theory of mind may have implications for informing detection, management and ultimately its explanation.

Nature and Narrative is the launch volume in a new series of books entitled International Perspectives in Philosophy and Psychiatry. The series will aim to build links between the sciences and humanities in psychiatry.

Our ability to decipher mental disorders depends to a unique extent on both the sciences and the humanities. Science provides insight into the 'causes' of a problem, enabling us to formulate an 'explanation', and the humanities provide insight into its 'meanings' and helps with our 'understanding'. Psychiatry, if it is to develop as a balanced discipline, must draw on input from both of these spheres.

Nature (for causes) and Narrative (for meanings) will help define the series as a whole by touching on a range of issues relevant to this 'border country'. With contributions from an international star-studded cast, representing the field of psychiatry, psychology and philosophy, this volume will set the scene for this new interdisciplinary field.

This will be of interest to all those with practical experience of mental health issues, whether as providers or as users/consumers of services, as well as to philosophers, social scientists, and bioethicists.

Writing for both EMDR therapists and substance abuse counsellors, Laurel Parnell provides user-friendly tools to help support clients in recovery with EMDR-based techniques that can be easily integrated into all levels of addiction treatment. Emphasising the practical clinical application of principles and techniques helpful for addictions and addictive disorders, this book interweaves case material throughout the text, with some chapters presenting in-depth cases to illustrate the techniques. Topics include treating trauma and supporting resilience, tools for affect regulation, and rewiring the motivation-reward circuits.

Deb Dana is the foremost translator of polyvagal theory into clinical practice. Here, in her third book on this groundbreaking theory, she provides therapists with a grab-bag of polyvagal-informed exercises for their clients, to use both within and between sessions. These exercises offer readily understandable explanations of the ways the autonomic nervous system directs daily living. They use the principles of polyvagal theory to guide clients to safely connect to their autonomic responses and navigate daily experiences in new ways. The exercises are designed to be introduced over time in a variety of clinical sessions with accompanying exercises appropriate for use by clients between sessions to enhance the therapeutic change process. Essential reading for any therapist who wants to take their polyvagal knowledge to the next level and is looking for easy ways to deliver polyvagal solutions with their clients.

Although it has been known for 100 years that cognitive functioning is impaired in schizophrenia, the implications of this impairment have only recently been clearly understood. While in the past, cognitive deficits were thought to be the result of other aspects of the illness, such as poor co- operation, or as a result of the treatment of the illness, it is now known that these factors exert only a very minor influence on cognitive deficit. This book, with contributions from the major international names in the field, reviews the most recent research on the impairment of cognitive functioning in schizophrenia, covering: what it is, how wide-ranging it can be, what the clinical implications are, and how it can be treated? The book is divided into three sections. The first section provides background information on the important aspects of cognitive functioning in schizophrenia. The second section provides information on the correlates of cognitive functioning, examining classical symptoms of the illness, as well as social and adaptive functional deficits. The final section provides information on the treatment of cognitive functioning in schizophrenia, from the older less effective treatments with conventional antipsychotics, to the developing treatment strategies using experimental compounds. A clear insight into cognitive deficit is the key to understanding why previous treatments have failed, and the key by which new treatments may change this terrible illness, treatments significantly more effective than earlier interventions.

This unique volume focuses on the relationship between basic research in emotion and emotional dysfunction in depression and anxiety. Each chapter is authored by a highly regarded scientist who looks at both psychological and biological implications of research relevant to psychiatrists and psychologists. And following each chapter is engaging commentary that raises questions, illuminates connections with other bodies of work, and provides points of integration across different research traditions. Topics range from stress, cognitive functioning, and personality to affective style and behavioral inhibition, and the book as a whole has significant implications for understanding and treating anxiety disorders.

In the wake of a suicide, the most troubling questions are invariably the most difficult to answer: How could we have known? What could we have done? And always, unremittingly: Why? Written by a clinical psychologist whose own life has been touched by suicide, this book offers the clearest account ever given of why some people choose to die.

Drawing on extensive clinical and epidemiological evidence, as well as personal experience, Thomas Joiner brings a comprehensive understanding to seemingly incomprehensible behavior. Among the many people who have considered, attempted, or died by suicide, he finds three factors that mark those most at risk of death: the feeling of being a burden on loved ones; the sense of isolation; and, chillingly, the learned ability to hurt oneself. Joiner tests his theory against diverse facts taken from clinical anecdotes, history, literature, popular culture, anthropology, epidemiology, genetics, and neurobiology--facts about suicide rates among men and women; white and African-American men; anorexics, athletes, prostitutes, and physicians; members of cults, sports fans, and citizens of nations in crisis.

The result is the most coherent and persuasive explanation ever given of why and how people overcome life's strongest instinct, self-preservation. Joiner's is a work that makes sense of the bewildering array of statistics and stories surrounding suicidal behavior; at the same time, it offers insight, guidance, and essential information to clinicians, scientists, and health practitioners, and to anyone whose life has been affected by suicide.

This book provides an up-to-date analysis of major issues in the field of sexual abuse, both established and emerging, and asks how we can develop the most evidence-based, fit-for-purpose approach in responding to and preventing it. Sexual abuse is a multi-disciplinary, international issue that exists at the crossroads of theory, practice, and research. Therefore, the book is future-facing and asks the reader to critically reflect upon current and future research and practice, and to ask: what next? In doing this the book examines the theory, research, and practice on a range of topics including, grooming behaviors, risk management, risk assessment, sexual fantasies, professional engagement, and policy development. These, and other essential topics for effective and efficient care for people who have committed sexual offenses, are addressed as part of the ultimate goal to reduce and even eliminate sexual victimization in the future.

This book addresses the over-prescribing of antidepressants in people with mostly mild and subthreshold depression. It outlines the steep increase in antidepressant prescription and critically examines the current scientific evidence on the efficacy and safety of antidepressants in depression. The book is not only concerned with the conflicting views as to whether antidepressants are useful or ineffective in various forms of depression, but also aims at detailing how flaws in the conduct and reporting of antidepressant trials have led to an overestimation of benefits and underestimation of harms. The transformation of the diagnostic concept of depression from a rare but serious disorder to an over-inclusive, highly prevalent but predominantly mild and self-limiting disorder is central to the books argument. It maintains that biological reductionism in psychiatry and pharmaceutical marketing reframed depression as a brain disorder, corroborating the overemphasis on drug treatment in both research and practice. Finally, the author goes on to explore how pharmaceutical companies have distorted the scientific literature on the efficacy and safety of antidepressants and how patient advocacy groups, leading academics, and medical organisations with pervasive financial ties to the industry helped to promote systematically biased benefit-harm evaluations, affecting public attitudes towards antidepressants as well as medical education, training, and practice.

This text describes principles for understanding and managing permanent neuropsychological impairment in brain-damaged adults. It also presents a new perspective on disorders of self-awareness and recovery as well as deterioration after brain injury, which have clear implications for neurorehabilitation.

Obsessive self-promotion, an aggressive triggering response, and retaliatory rants.

“Both sensitive and incisive, beautifully capturing the paradoxical dynamic of narcissism―that the grandiosity and surrounding bravado belies an underlying fragility and brittleness.” ―Kenneth N. Levy, PhD, Associate Professor, Penn State University; Senior Fellow, Personality Disorders Institute, Cornell University

Even before Donald Trump entered America’s highest office, an international survey revealed that narcissism is part of the assumed “national character” of Americans. While only a small number actually meet the criteria for Narcissistic Personality Disorder, those exploitive few have a way of gaining center stage in our culture.

Fragile Bully: Understanding Our Destructive Affair With Narcissism in the Age of Trump looks beyond the sound bites of self-aggrandizing celebrities and selfish tweets to the real problem of narcissism. We see past the solo act to the vicious circles that arise in relationships with a fragile bully, and how patterns like this generate both power and self-destruction. We also look at the problem of Echo, how so many of us get hooked by the narcissist, and how variations on the destructive affair leave both partners dehumanized and diminished. Once we recognize the steps in each dance, we can break the cycle and allow and the possibility of true engagement.

Chronic Fatigue Syndrome has been the subject of intense media debate over recent years. Such interest has been partially due to the scarcity of professional and scientific explorations of the topic - what is it, and what causes it? One school of thought argues that there is no medical basis to chronic fatigue and hence any such investigation is fruitless. An alternative view is that we should look at CFS purely as a physical problem, and that to attempt any psychological perspective is to trivialize the illness in the eyes of the sufferers. Chronic fatigue and its syndromes presents a comprehensive review of the problem of chronic fatigue, mixing medical, psychological, social, and historical perspectives. The book examines the historical origins of CFS, considering the epidemiology, and the various aetiological theories for the condition - viral, immunological, psychological, psychiatric, and neurological. The book concludes with a clinical section discussing the assessment and treatment of CFS. Throughout, the authors argue that chronic fatigue and its various syndromes cannot easily be pigeon holed into physical or psychological categories, and that the ambiguous nature of the illness actually provides us with a valuable chance to explore contemporary attitudes to sickness and health, one not offered by better defined or classified disorders.