Overwhelming empirical evidence indicates that new social workers, particularly those going into child welfare or other trauma-related care, will discover emotional challenges including the indirect or secondary effects of the trauma work itself, professional burnout, and compassion fatigue. However, the newly revised CSWE Educational Policy and Accreditation Standards (EPAS) does not mandate the inclusion of content related to self-care in social work curriculum or field education. In a textbook that bridges the gap between theoretical and pragmatic approaches to this important issue in human service work, Jason M. Newell provides a potential resolution by conceptualizing self-care as an ongoing and holistic set of practice behaviors described as the key to professional resilience. To address the effects of trauma-related care on direct practitioners, Newell provides a comprehensive, competency-based model for professional resilience, examining four key constructs-stress, empathy, resilience, and self-care-from a range of theoretical dimensions. For those who work with vulnerable populations, the tendency to frame self-care solely within organizational context overlooks the importance of self-care in domains beyond the agency setting. Alternatively, he uses a framework grounded in the ecological-systems perspective conceptualizing self-care as a broader set of practice behaviors pertaining to the whole person, including the physical, interpersonal, organizational, familial, and spiritual domains of the psychosocial self. Alongside professional self-care practices at the organizational level, Newell makes a case for the pragmatic role of recreational activities, time with family and friends, physical health, spirituality, and mindfulness. The application of a comprehensive approach to self-care practice has potential to empower practitioners to remain resilient and committed to the values, mission, and spirit of the social work profession in the face of trauma.

Evolutionary psychology explains why some mental illnesses developed, but to answer questions about how to improve our mental well-being in the face of these challenges-how the mind works to heal itself-we should look to more recent changes in mentality. In The Self-Healing Mind, mental health counsellor and anthropologist Brian J. McVeigh postulates that around 1000 BCE, population expansion and social complexity forced people to learn "conscious interiority"-a package of cognitive capabilities that culturally upgraded mentality. He argues that the mental processes that help us get through the day are the same ones that can heal our psyches. Adopting a common factors and positive psychology perspective, McVeigh enumerates and defines these active ingredients of the self-healing mind: mental space, introception, self-observing and observed, self-narratization, excerption, consilience, concentration, suppression, self-authorization, self-autonomy, and self-reflexivity. McVeigh shows how these capabilities underlie the effectiveness of psychotherapeutic techniques and interventions. Though meta-framing effects of psyche's recuperative properties correct distorted cognition and grant us remarkable adaptive abilities, they sometimes spiral out of control, resulting in runaway consciousness and certain mental disorders. This book also addresses how maladaptive processes snowball and come to need restraint themselves. With insights from counseling, psychotherapy, anthropology, and history, The Self-Healing Mind will appeal to practitioners, researchers, and anyone interested in neurocultural plasticity and how therapeutically-directed consciousness repairs the mind.

The distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public mental hospitals were the chief element in the American mental health system. Responsible for providing both treatment and care and supported by major portions of state budgets, they employed more than two-thirds of the members of the American Psychiatric Association and cared for nearly 98 percent of all institutionalized patients. This study shows how the consensus for such a program vanished, creating social problems that tragically intensified the sometimes unavoidable devastation of mental illness. Examining changes in mental health care between 1940 and 1970, Grob shows that community psychiatric and psychological services grew rapidly, while new treatments enabled many patients to lead normal lives. Acute services for the severely ill were expanded, and public hospitals, relieved of caring for large numbers of chronic or aged patients, developed into more active treatment centers. But since the main goal of the new policies was to serve a broad population, many of the most seriously ill were set adrift without even the basic necessities of life. By revealing the sources of the euphemistically designated policy of "community care," Grob points to sorely needed alternatives.

Originally published in 1991.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

In this groundbreaking book, psychologist Daniel Lobel offers essential skills based in dialectical behavior therapy (DBT) and cognitive behavioral therapy (CBT) to help you understand your daughter's disorder, define appropriate boundaries, put an end to daily emergencies, and rebuild the family's structure from the ground up. If you have a daughter with borderline personality disorder (BPD), you may feel frustration, shame, and your family may be at the breaking point dealing with angry outbursts, threats, and constant emergencies. You may even feel guilty for not enjoying spending time with your child--but how can you when her behavior is abusive toward you and the rest of your family? You need solid skills you can use now to help your daughter and hold your family together. In this important guide, you'll learn real solutions and strategies based in proven-effective DBT and CBT to help you weather the storm of BPD and restore a sense of normalcy and balance in your life. You'll find an overview of BPD so you can better understand the driving forces behind your daughter's difficult behavior. You'll discover how you can help your daughter get the help she needs while also setting boundaries that foster respect and self-care for you and others in your family. And, most importantly, you'll learn "emergency parenting techniques" to help you put a stop to abusive patterns and restore peace.

Voice-hearing experiences associated with psychosis are highly varied, frequently distressing, poorly understood, and deeply stigmatised, even within mental health settings. Voices in Psychosis responds to the urgent need for new ways of listening to and making sense of these experiences. It brings multiple disciplinary, clinical, and experiential perspectives to bear on an original and extraordinarily rich body of testimony: transcripts of forty in-depth phenomenological interviews conducted with people who hear voices and who have accessed Early Intervention in Psychosis services. The book addresses the social, clinical, and research contexts in which the interviews took place, thoroughly investigating the embodied, multisensory, affective, linguistic, spatial, and relational qualities of voice-hearing experiences. The nature, politics, and consequences of these analytic endeavours is a focus of critical reflection throughout. Each chapter gives a multifaceted insight into the experiences of voice-hearers in the North East of England and to their wider resonance in contexts ranging from medieval mysticism to Amazonian shamanism, from the nineteenth-century novel to the twenty-first century survivor movement. By deepening and extending our understanding of hearing voices in psychosis in a striking way, the book will be an invaluable resource not only for academics in the field, but for mental health practitioners and members of the voice-hearing community. An open access title available under the terms of a CC BY-NC-ND 4.0 International licence.

What is evil? Who does evil things? Who is evil? How do you know? Whether in response to witnessing mass suffering or feeling the sting of personal injustice, people confidently apply the "evil" label to perpetrators and the harm that they inflict, yet evil's essence remains mysterious to many. This book offers readers an accessible, social-scientific definition and analysis of evil in its various incarnations to foster a sophisticated and self-reflective understanding of the phenomenon, departing from ghoulish or self-righteous generalizations. Part 1 explores why most of us want to be seen as good, when and why we deem something evil, and what psychological and environmental factors increase our propensity for harming others in spite of our drive for social acceptance. Part 2 presents illustrative examples of how Part 1's insights can be applied, specifically examining hate, sadism, serial killers, group-based atrocities, organizational offenses, and familial abuse. The concluding chapter amplifies and integrates the book's big themes to foster a more mindful, informed confrontation of the elusive problem we call evil. Evil in Mind delivers a systematic, research-based psychological understanding of evil that is compact, digestible, and potentially transformative for academics, students, and educated lay readers.

As a clinician, you know how difficult it can be to treat clients with obsessive-compulsive disorder (OCD) using a one-size-fits-all approach. This powerful and evidence-based guide offers a variety of customizable treatment strategies-made simple and practical-for helping clients with OCD. Written by a psychologist and expert in treating obsessive-compulsive disorder, OCD Made Simple combines powerful, evidence-based therapies to help you create a concise and customizable treatment plan. The methods including cognitive behavioral therapy (CBT), exposure and response prevention therapy (ERP), inference-based therapy (IBT) and acceptance and commitment therapy (ACT)-are presented in an easy-to-follow format, incorporate the newest research, and offer a wide range of skills for helping OCD clients. The standalone treatment protocols outlined in each chapter represent a specific model and procedure for addressing the mechanisms underlying the OCD. In addition, you'll find worksheets and online resources to help you create individualized treatment programs to best suit your clients needs. If you're looking for a simple, customizable approach to treating clients with OCD, this book has everything you need to get started.

Many music therapists work in adult mental health settings after qualifying. For many, it will be a challenging and even daunting prospect. Yet until now, there has been no psychiatric music therapy text providing advice on illness management and recovery. The new edition of this established and acclaimed text provides the necessary breadth and depth to inform readers of the psychotherapeutic research base and show how music therapy can effectively and efficiently function within a clinical scenario. The book takes an illness management and recovery approach to music therapy specific to contemporary group-based practice. It is also valuable for administrators of music therapy, providing innovative theory-based approaches to psychiatric music therapy, developing and describing new ways to conceptualize psychiatric music therapy treatment, educating music therapists, stimulating research and employment, and influencing legislative policies. For the new edition, all chapters have been updated, and 2 new chapters added - on substance abuse, and the therapeutic alliance. An important aim of the book is to stimulate both critical thought and lifelong learning concerning issues, ideas, and concepts related to mental illness and music therapy. Critical thinking and lifelong learning have been - and will likely continue to be - essential aspirations in higher education. Moreover, contemporary views concerning evidence-based practice rely heavily upon the clinician's ability to think critically, seek a breadth of contradicting and confirmatory evidence, implement meta-cognition to monitor thoughts throughout processes, and synthesize and evaluate knowledge to make informed clinical decisions relevant and applicable to idiosyncratic contextual parameters. For both students and clinicians in music therapy, this is an indispensable text to help them learn, develop, and hone their skills in music therapy.

One of America's most courageous young journalists and the author of the #1 New York Times bestselling memoir Brain on Fire investigates the shocking mystery behind the dramatic experiment that revolutionized modern medicine (NPR). Doctors have struggled for centuries to define insanity--how do you diagnose it, how do you treat it, how do you even know what it is? In search of an answer, in the 1970s a Stanford psychologist named David Rosenhan and seven other people--sane, healthy, well-adjusted members of society--went undercover into asylums around America to test the legitimacy of psychiatry's labels. Forced to remain inside until they'd proven themselves sane, all eight emerged with alarming diagnoses and even more troubling stories of their treatment. Rosenhan's watershed study broke open the field of psychiatry, closing down institutions and changing mental health diagnosis forever. But, as Cahalan's explosive new research shows in this real-life detective story, very little in this saga is exactly as it seems. What really happened behind those closed asylum doors?

Psychotherapy is an indispensable approach in the treatment of mental disorders and, for some mental disorders, it is the most effective treatment. Yet, psychotherapy is abound with ethical issues. In psychotherapy ethics, numerous fundamental ethical issues converge, including self-determination/autonomy, decision-making capacity and freedom of choice, coercion and constraint, medical paternalism, the fine line between healthiness and illness, insight into illness and need of therapy, dignity, under- and overtreatment, and much more. The Oxford Handbook of Psychotherapy Ethics explores a whole range of ethical issues in the heterogenous field of psychotherapy thereby closing a widespread perceived gap between ethical sensitivity, technical language, and knowledge among psychotherapists. The book is intended not only for a clinical audience, but also for a philosophical/ethical audience - linking the two disciplines by fostering a productive dialogue between them, thereby enriching both the psychotherapeutic encounter and the ethical analysis and sensitivity in and outside the clinic. An essential book for psychotherapists in clinical practice, it will also be valuable for those professionals providing mental health services beyond psychology and medicine, including counsellors, social workers, nurses, and ministers.

A riveting, revelatory, and moving account of the author's struggles with anxiety, and of the history of efforts by scientists, philosophers, and writers to understand the condition
As recently as thirty-five years ago, anxiety did not exist as a diagnostic category. Today, it is the most common form of officially classified mental illness. Scott Stossel gracefully guides us across the terrain of an affliction that is pervasive yet too often misunderstood.
Drawing on his own long-standing battle with anxiety, Stossel presents an astonishing history, at once intimate and authoritative, of the efforts to understand the condition from medical, cultural, philosophical, and experiential perspectives. He ranges from the earliest medical reports of Galen and Hippocrates, through later observations by Robert Burton and Soren Kierkegaard, to the investigations by great nineteenth-century scientists, such as Charles Darwin, William James, and Sigmund Freud, as they began to explore its sources and causes, to the latest research by neuroscientists and geneticists. Stossel reports on famous individuals who struggled with anxiety, as well as on the afflicted generations of his own family. His portrait of anxiety reveals not only the emotion's myriad manifestations and the anguish anxiety produces but also the countless psychotherapies, medications, and other (often outlandish) treatments that have been developed to counteract it. Stossel vividly depicts anxiety's human toll--its crippling impact, its devastating power to paralyze--while at the same time exploring how those who suffer from it find ways to manage and control it.
"My Age of Anxiety" is learned and empathetic, humorous and inspirational, offering the reader great insight into the biological, cultural, and environmental factors that contribute to the affliction.

FROM NARCISSISM TO AGGRESSION, AN ORIGINAL LOOK AT THE PERSONALITY TRAITS AND BEHAVIORS THAT CONSTITUTE EVIL In this groundbreaking book, renowned psychiatrist Michael H. Stone explores the concept and reality of evil from a new perspective. In an in-depth discussion of the personality traits and behaviors that constitute evil across a wide spectrum, Dr. Stone takes a clarifying scientific approach to a topic that for centuries has been inadequately explained by religious doctrines. Stone has created a 22-level hierarchy of evil behavior, which loosely reflects the structure of Dante's Inferno. Basing his analysis on the detailed biographies of more than 600 violent criminals, hetraces two salient personality traits that run the gamut from those who commit crimes of passion to perpetrators of sadistic torture and murder. One trait is narcissism, as exhibited in people who are so self-centered that they have little or no ability to care about their victims. The other is aggression, the use of power over another person to inflict humiliation, suffering, and death. What do psychology, psychiatry, and neuroscience tell us about the minds of those whose actions could be described as evil? And what will that mean for the rest of us? Stone discusses how an increased understanding of the causes of evil will affect the justice system. He predicts a day when certain persons can safely be declared salvageable and restored to society and when early signs of violence in children may be corrected before potentially dangerous patterns become entrenched.

An expanded and revised edition of the first social work text to focus specifically on the theoretical and clinical issues associated with trauma, this comprehensive anthology incorporates the latest research in trauma theory and clinical applications. It presents key developments in the conceptualization of trauma and covers a wide range of clinical treatments. Trauma features coverage of emerging therapeutic modalities and clinical themes, focusing on the experiences of historically disenfranchised, marginalized, oppressed, and vulnerable groups. Clinical chapters discuss populations and themes including cultural and historical trauma among Native Americans, the impact of bullying on children and adolescents, the use of art therapy with traumatically bereaved children, historical and present-day trauma experiences of incarcerated African American women, and the effects of trauma treatment on the therapist. Other chapters examine trauma-related interventions derived from diverse theoretical frameworks, such as cognitive-behavioral theory, attachment theory, mindfulness theory, and psychoanalytic theory.