Few problems are as complicated as drug misuse. Drug addiction is a major public health issue with implications for healthcare systems and society at large. As well as expenditure on prevention, treatment and rehabilitation, costs are also incurred by the welfare, social service and the criminal justice systems. In addition, there are further human costs associated with impaired health, damaged relationships and lowered productivity.

This book is about treatment options. The history of addiction treatment has been characterised by fads and fashions. Some of the treatments used have been, at best ineffective, at worst harmful, and occasionally even dangerous. However, in the past two decades, many promising treatment interventions and procedures, and new theraputic agents have been developed. Different forms of psychological treatments have been tested and provided in a systematic manner. There are a range of pharmacological options where once there were very few. Most importantly, there is increasing evidence about the effectiveness of many of these treatments, and there is a clearer understanding of the importance of the social, environmental, behavioural and cognitive processes involved, as well as the use of active coping strategies during recovery.

Addiction treatment involves a variety of different practices and procedures used with different populations and which are designed to achieve different goals. Drug Addiction and its Treatment explains why no single treatment is effective for everyone with a drug addiction problem.

Treatment is provided by a range of personnel from differing backgrounds and in a range of settings. This book should be read by psychiatrists, clinical psychologists, social workers, nurses, policy makers, service managers, and researchers with an interest in addiction.

Therapists around the world ask similar questions and struggle with similar challenges treating highly dissociative patients. This book arose not only out of countless hours of treating patients with dissociative disorders, but also out of the crucible of supervision and consultation, where therapists bring their most urgent questions, needs and vulnerabilities. The book offers an overview of the neuropsychology of dissociation as a disorder of non-realisation, as well as chapters on assessment, prognosis, case formulation, treatment planning, and treatment phases and goals, based on best practices. The authors describe what to focus on first in a complex therapy and how to do it; how to help patients establish both internal and external safety without rescuing; how to work systematically with dissociative parts of a patient in ways that facilitate integration rather than further dissociation; how to set and maintain helpful boundaries; specific ways to stay focused on process instead of content; how to deal compassionately and effectively with disorganised attachment and dependency on the therapist; how to help patients integrate traumatic memories; what to do when the patient is enraged, chronically ashamed, avoidant or unable to trust the therapist; and how to compassionately understand and work with resistances as a co-creation of both patient and therapist. Relational ways of being with the patient are the backbone of treatment and are themselves essential therapeutic interventions. As such, the book also focuses not only on highly practical and theoretically sound interventions, not only on what to do and say, but places strong emphasis on how to be with patients, describing innovative, compassionately collaborative approaches based on the latest research on attachment and evolutionary psychology. Throughout the book, core concepts-fundamental ideas that are highlighted in the text in bold so they can be seen at a glance-are emphasised. These serve as guiding principles in treatment as well as a summing-up of many of the most important notions in each chapter. Each chapter concludes with a section for further examination. These sections include additional ideas and questions, exercises for practising skills and suggestions for peer discussions based on topics in a particular chapter, meant to inspire further curiosity, discovery and growth.

Borderline personality disorder is a multidimensional disorder best considered as severe personality dysfunction. Around 2% of the population are thought to meet the criteria for the disorder, with approximately 1 in 10,000 people experiencing the most severe difficulties. This group is over-represented in the challenges facing mental health services.

Once seen as 'untreatable', people meeting diagnostic criteria for borderline personality disorder are all too often mistreated and misdiagnosed, resulting in prolonged and unhelpful relationships with services that are taxing to clients and clinicians alike.

Borderline Personality Disorder: A Practical Guide for Treatment draws on the latest research and clinical experience to provide an accessible and practical summary of treatment options. It provides hope and evidence that people meeting diagnostic criteria for the disorder can be treated effectively and successfully.

The book presents a pragmatic approach to care to be read by all members of mental health and substance use teams including psychiatrists, clinical psychologists, counsellors, mental health nurses and social workers.

Sleep has long been a topic of fascination for artists and scientists. Why do we sleep? What function does sleep serve? Why do we dream? What significance can we attach to our dreams?

We spend so much of our lives sleeping, yet its precise function is unclear, in spite of our increasing understanding of the processes generating and maintaining sleep. We now know that sleep can be accompanied by periods of intense cerebral activity, yet only recently has experimental data started to provide us with some insights into the type of processing taking place in the brain as we sleep. There is now strong evidence that sleep plays a crucial role in learning and in the consolidation of memories. Once the preserve of psychoanalysts, 'dreaming' is now a topic of increasing interest amongst scientists. With research into sleep growing, this volume is both timely and valuable in presenting a unique study of the relationship between sleep, learning, and memory. It brings together a team of international scientists researching sleep in both human and animal subjects. Aimed at researchers within the fields of neuroscience, cognitive neuroscience, psychiatry, and neurology, this book will be an important first step in developing a full scientific understanding of the most intriguing state of consciousness.

Many debate whether religion is good for our health. Starting with this question, Janet Sayers, author of Mothering Psychoanalysis and Freudian Tales, provides a fascinating account of today's psychotherapy.

Divine Therapy is told through love stories. They highlight the risks and healing transformations of what some call 'at-one-ment' with another in love, mysticism, art and psychoanalysis. Sayers movingly explores this by drawing on the philosophical and psychological writings of William James, Sigmund Freud, Carl Jung, Sabina Spielrein, Simone Weil, Erich Fromm, Paul Tillich, Viktor Frankl, Melanie Klein, Adrian Stokes, Marion Milner and Donald Winnicott. She ends with one of the major figures of current psychoanalysis, Wilfred Bion, and with the insights of his followers, notably Christopher Bollas, Neville Symington and Julia Kristeva.

Illustrated with love letters, pictures, biographical details and case histories, Divine Therapy tells an intriguing chronicle of science, religion and therapy that also constitutes an engaging overview for students, specialists and general readers alike.

Developmental Pathways to Disruptive, Impulse-Control, and Conduct Disorders provides essential understanding on how disruptive behavior disorder (DBD) is characterized, its early markers and etiology, and the empirically-based treatment for the disorder. The book covers features and assessment of various DBDs, including oppositional-defiant disorder, conduct disorder, and antisocial personality disorder, the psychological markers of externalizing problems, such as irritability and anger, common elements of effective evidence-based treatments for DBD for behavioral treatments, cognitive therapies, and family and community therapies. A final section discusses new and emerging insights in the prevention and treatment of DBD.

Thomas Tryon (1634-1703) was an English merchant, author of popular self-help books, and early advocate of vegetarianism, best known for The Way to Health, published in 1691, which inspired Benjamin Franklin to adopt vegetarianism.

This book is written to meet the growing interest in a synthesis of somatic psychology with EMDR Therapy as a comprehensive trauma treatment model. Interventions are presented as scripted protocols to enhance embodiment within the 8-phases of EMDR Therapy. This integrative treatment model teaches therapists how to increase the client's capacity to sense and feel the body which is a necessary part of helping the client work through traumatic memories in a safe and regulated manner in order to facilitate lasting integration. Grounded in the science of interpersonal neurobiology, therapists are guided to increase their own embodied awareness which provides a foundation for an attuned therapeutic rapport, a core component of successful trauma treatment. In all, readers will come away with advanced ways to help clients reclaim their lives from the costs of PTSD.

The neuropathology of schizophrenia is one of the most controversial areas of research in psychiatry; however, in the last twenty years, there have been significant advances in our understanding of the topic. This book provides a much needed, balanced, comprehensive and up-to-date overview of this rapidly moving field. It starts by describing the findings derived from new imaging techniques and histological studies, focusing specifically on the morphology, arrangement and connectivity of the neurons making up the cortical cytoarchitecture, a feature thought to be central to understanding the pathology. This is followed by critical appraisal of the various interpretations placed upon these findings, such as the neurodevelopmental hypothesis. Finally, there are chapters considering the conceptual and methodological problems affecting the subject. This is a timely and unique book on this classic and controversial issue, with contributions from many of the leading international experts in the field.

This book integrates neuroscience research on neuroplasticity with clinical investigation of reorganization of function after brain injury, especially from the perspective of eventually translating the findings to rehabilitation. Historical foundationw in neuroplasticity research are presented to provide a perspective for recent findings. Leading investigators synthesize their work with research from other laboratories to provide a current update on neuroanatomic features which enhance enuroplasticity and provide a substrate for reorginaization of function. The capacity for recovery from brain injury associated with focal lesions as compared to diffuse cerebral insult is discussed. Interventions such as environmental enhancement and drugs to enhance reorganizatioin of function after brain injury have been studied in animalmodels and in human studies. Methodologies to study neurophysiological measures, trancranial magnetic stimulation, and computational modeling. Implications of neuroplasticity research for innovations in rehabilitation of persons with brain injury are critically reviewed.

This review of recent evolutionary theories on psychopathology takes on controversies and contradictions both with established psychological thought and within the evolutionary field itself. Opening with the ancestral origins of the familiar biopsychosocial model of psychological conditions, the book traces distinctive biological and cultural pathways shaping human development and their critical impact on psychiatric and medical disorders. Analyses of disparate phenomena such as jealousy, social anxiety, depressive symptoms, and antisocial behavior describe adaptive functions that have far outlasted their usefulness, or that require further study and perhaps new directions for treatment. In addition, the book's compelling explorations of violence, greed, addiction, and suicide challenge us to revisit many of our assumptions regarding what it means to be human. Included in the coverage: * Evolutionary foundations of psychiatric compared to non-psychiatric disorders. * Evolutionary psychopathology, uncomplicated depression, and the distinction between normal and disordered sadness. * Depression: is rumination really adaptive? * A CBT approach to coping with sexual betrayal and the green-eyed monster. * Criminology's modern synthesis: remaking the science of crime with Darwinian insight. * Anthropathology: the abiding malady of the species. With its wealth of interdisciplinary viewpoints, The Evolution of Psychopathology makes an appropriate supplementary text for advanced graduate courses in the evolutionary sciences, particularly in psychology, biology, anthropology, sociology, and philosophy.

Tyrique (Ty), a bright young boy who intrigues all who know him, love him and want to be a part of his life. With the help of God, hopefully, we are finding out who Ty really is "through Grandma's eyes." Follow the heart of my grandmother as she and I inform, enlighten, and bring out truths about me, my behavior, and the medicines that I have experienced.

In the past few decades, awareness of bipolar disorder has significantly increased, but understanding of the condition remains vague for most of the general public. Though the term itself is relatively recent, the condition has affected individuals for centuries and no more profoundly than in the arts. The historical connections among manic depression and such fields as poetry, writing, music, and painting have been previously documented. However, the impact of bipolar disorder on movie makers and its depiction on the screen has yet to be thoroughly examined. In The Bipolar Express: Manic Depression and the Movies, David Coleman provides an in-depth examination of the entwined natures of mood disorders and moviemaking. In this volume, Coleman looks at the writers, directors, and actors who have faced the mood swings and behavior that are hallmarks of this condition from Greta Garbo, Orson Welles, and Marilyn Monroe to Jonathan Winters, Carrie Fisher, and Catherine Zeta-Jones. In addition to recognizing the cinematic contributions of manic depressive filmmakers, the author also looks at movies that have portrayed bipolar disorder with varying degrees of accuracy including Citizen Kane, Rebel without a Cause, Breakfast at Tiffany s, Hannah and Her Sisters, The Aviator, and Silver Linings Playbook. From early silents of the twentieth century through critically acclaimed films of today, this book compares depictions of mood swings on screen with clinical examples of actual manic depression, carefully distinguishing real from stereotypical portrayals. This fascinating study is augmented by a concise filmography of more than 400 feature-length films from around the world with themes or characters relating to manic depressive illness. Though aimed at film fans and anyone interested in manic depression, mental illness, or related medical studies, this book will also prove valuable to medical and mental health professionals."

Schizophrenia was 20th century psychiatry's arch concept of madness. Yet for most of that century it was both problematic and contentious. This history explores schizophrenia's historic instability via themes such as symptoms, definition, classification and anti-psychiatry. In doing so, it opens up new ways of understanding 20th century madness.

In Suicide Prevention Contracting: The Pitfalls, Perils, and Seven Safer Alternatives, Edwards and Goj expose one of the biggest myths operating in health care and human services for forty years or more. This book will challenge clinicians and their superiors who see Suicide Prevention Contracting (SPC) as a state-of-the-art standard of care intervention. No medical or mental health care professional, educator, lawyer, or health and human services decision maker can afford to ignore what this book presents. A family of new clinical terms and interlinked concepts, describing virtually every aspect of SPC is clearly articulated and ready for use in the workplace. Not until now has a book so simply yet comprehensively explained the widespread troubling practice of SPC. Written in an accessible narrative style, this landmark book presents vital information about a questionable suicide prevention intervention operating within this era of evidence-based practice and personal legal risk protection and, in doing so, offers seven safer alternative procedures.

* Presents a proposal for a new conceptualization of sports passion and sports addiction * Addresses the methodological weaknesses of sports addiction research resulting from the insufficient separation of passion and addiction * The chapters on measuring exercise addiction and presentations of undiagnosed exercise addiction make it relevant for clinicians, researchers and lay exercisers.

This book examines the complex issue of familicide-suicide - the murder of a partner and children followed by suicide. The purpose of the book is two-fold: to advance a feminist sociological analysis of familicide as a form of gender-based violence, and to examine how it is reported on in news. The first section contextualises interpretations of familicide against the dual ascendancy of - and contestation around - feminist and mental illness discourses in public policy and debate. Advancing a feminist sociological analysis of familicide-suicide, it shows the value of 'continuum thinking' for understanding complex and varied forms of gender-based violence. Section Two examines Australian news reporting on familicide-suicide, showing the ways cultural assumptions about domestic and family violence and mental illness shape news reporting. It analyses how discourses of gender, disability, age, and the 'family' serve to rationalise certain news frames and reflects on the thorny ethical issues inherent in reporting on familicide. Arguing for a nuanced approach to gender-based violence and how it is reported, this book will be of interest for scholars of gender and violence, as well as media and journalism.

The new edition of this successful text builds on the very latest research to present an original and unique exploration of the psychology of both spirituality and psychosis. The editor brings together fascinating perspectives from a broad range of distinguished contributors. * This new edition covers the most recent body of research, both qualitative and quantitative, in its exploration of the interface between psychosis and spirituality, and investigation into anomalous experiences * Ten new chapters added and the remaining text completely updated * New to this edition is an expanded clinical section, relevant to clinicians working with psychosis * Offers a fundamental rethink of the concept of psychosis, and proposes new insights into spirituality * Includes feature chapters from a distinguished list of contributors across a broad range of disciplines, including Peter Fenwick, Peter Chadwick, David Kingdon, Gordon Claridge, Neil Douglas Klotz and David Lukoff

Do we remember only the stories we can live with?

The ones that make us look good in the rearview mirror? In "The Night of the Gun," David Carr redefines memoir with the revelatory story of his years as an addict and chronicles his journey from crack-house regular to regular columnist for "The New York Times." Built on sixty videotaped interviews, legal and medical records, and three years of reporting, "The Night of the Gun" is a ferocious tale that uses the tools of journalism to fact-check the past. Carr's investigation of his own history reveals that his odyssey through addiction, recovery, cancer, and life as a single parent was far more harrowing -- and, in the end, more miraculous -- than he allowed himself to remember. Over the course of the book, he digs his way through a past that continues to evolve as he reports it.

That long-ago night he was so out of his mind that his best friend had to pull a gun on him to make him go away? A visit to the friend twenty years later reveals that Carr was pointing the gun.

His lucrative side business as a cocaine dealer? Not all that lucrative, as it turned out, and filled with peril.

His belief that after his twins were born, he quickly sobered up to become a parent? Nice story, if he could prove it.

The notion that he was an easy choice as a custodial parent once he finally was sober? His lawyer pulls out the old file and gently explains it was a little more complicated than that.

In one sense, the story of "The Night of the Gun" is a common one -- a white-boy misdemeanant lands in a ditch and is restored to sanity through the love of his family, a God of his understanding, and a support group that will go unnamed. But when the whole truth is told, it does not end there. After fourteen years -- or was it thirteen? -- Carr tried an experiment in social drinking. Double jeopardy turned out to be a game he did not play well. As a reporter and columnist at the nation's best newspaper, he prospered, but gained no more adeptness at mood-altering substances. He set out to become a nice suburban alcoholic and succeeded all too well, including two more arrests, one that included a night in jail wearing a tuxedo.

Ferocious and eloquent, courageous and bitingly funny, "The Night of the Gun" unravels the ways memory helps us not only create our lives, but survive them.

Clinical Guide to Exposure Therapy provides evidence-based guidance on how to incorporate and tailor exposure therapy for patients who present with problems beyond fear and its disorders. Exposure therapy is a relatively easy-to-implement intervention with powerful effects. Helping clinicians expand their reach and effectiveness, this clinician's guide includes chapters on (1) considerations for deviating from standard exposure protocols when patients present with comorbid psychiatric or medical conditions and (2) how to use exposure therapy in the treatment of conditions that do not center on fear or anxiety (e.g., eating disorders, obesity, depression, substance use disorders, chronic pain). Complementing existing resources for clinicians on exposure therapy for the treatment of anxiety disorders, this volume provides guidance on issues related to the planning and implementation of exposure interventions more broadly. This clinical guide an essential resource for the advanced trainee and clinician providing exposure therapy for complex comorbidities and unique populations.