This product includes Babette Rothschild's The Body Remembers and Revolutionizing Trauma Treatment. For both clinicians and their clients, there is tremendous value in understanding the psychophysiology of trauma and knowing what to do about its manifestations. The Body Remembers illuminates that physiology, shining a bright light on the impact of trauma on the body and the phenomenon of somatic memory. Packed with engaging case studies, this perennial bestseller integrates body and mind in the treatment of post traumatic stress disorder. The paperback edition of Rothschild's The Body Remembers, Volume 2, Revolutionizing Trauma Treatment clarifies and simplifies autonomic nervous system (ANS) understanding and observation. Multiple therapeutic transcripts illuminate key points in trauma treatment, including stabilizing clients who dissociate, identifying and implementing hidden somatic resources, and utilizing good memories and somatic markers. It includes a full-color table that distinguishes six levels of arousal, which has proven to be an essential clinical tool. The full-color ANS table is also available separately as a laminated desk reference card.

Thomas Jefferson may have had it. The pianist Glenn Gould almost certainly had it. There are even those who insist (probably incorrectly) that Albert Einstein had it. Whether it is called "geek syndrome," "high-functioning autism," or simply "Asperger's," it is not just one of the most poorly understood of all neurological disorders, but amazingly one of the fastest-growing of all psychiatric diagnoses in America today. Some support organizations even claim that as many as one in five hundred people in the general population suffers from some aspect of the disease. Basing his report on memoirs, clinical histories, poems and stories, and visits with dozens of individuals afflicted with the disorder, journalist and essayist Lawrence Osborne shows us what life with Asperger's is really like. Often brilliant at math and able to perform savant-like feats of memory, those who are afflicted with the syndrome -- some 80 percent are boys or men -- are also wracked with bizarre obsessions. And strangely and characteristically, most of them are unable to understand even the most simple expressions of the human face. They may know everything there is to know about vacuum cleaners, the New York City subway system, or industrial deep-fat fryers (or, for that matter, J. S. Bach), but they are unable to hold a normal conversation about even the most basic of their own feelings, or anyone else's. They are, in their own words, the Mind Blind -- strange solitaires, anti-social loners -- in a world dominated by the ordinary people they call "neurotypicals." In this front-line report and very personal investigative journey, Osborne also asks hard questions. Just how different from the so-called normal are those with Asperger's, and is it possible that virtually all of us have a little of the syndrome in ourselves? Setting aside the usual pieties of medicine and rehabilitation, he embarks on a quest that casts a skeptical eye on American psychiatric culture, with its tendency to over-diagnose, then over-medicate. And even more, he ventures into the elusive but essential realm where one has to ask what is the difference between eccentricity (with all its potential for creativity, for enriching our society and ourselves) and normality, with its undertones of blandness, averageness, and uniformity?

New discoveries about the genetic underpinnings of many kinds of human experience are now continually being made. This book explores the impact of these discoveries on the ways in which the common mental disorders are best conceptualized and treated. Most people think of research in genetics as the search for genes. This is only one focus of effort, and even with the reliable identification of susceptibility genes, the clinical applications of their discovery, such as gene therapies and new drug development, are a long way off. For the present, the impact of genetic research on our understanding of mental illness is tied to our ability to estimate the effect of all genes by means of family, twin, and adoption studies. The results of these studies challenge some deeply cherished ideas and theories, and support others. Of course, the effect of genes is only half the equation. The role of experience, environment, and living conditions accounts for as much, often considerably more, of the variability in psychopathology. In this book, Kerry Jang attempts not to answer questions about what is "genetic" and what is not, but about what a knowledge of the relative influence of genes versus environment means at a psychological level of analysis--to show how it changes common assumptions about classification, etiology, diagnosis, and intervention. He first offers an overview of contemporary behavioral genetics, dispels common misconceptions, responds to the criticisms that have been leveled at this new field, and describes in basic terms how genetic and environmental effects are estimated and how susceptibility genes are pinpointed. He then points to new directions in which standard nosological systems are likely to evolve as new information about vulnerabilities and covariances emerges. Finally, he synthesizes and evaluates the consistency of the last decade's findings for the most common categories of psychopathology that have been studied by behavior geneticists: mood, personality, and anxiety disorders, substance abuse; and schizophrenia and the psychotic disorders. Clinicians and researchers alike need to understand the genetic influences on the feelings and behaviors they are seeking to change or study if they are to be effective in their work. The Behavioral Genetics of Psychopathology: A Clinical Guide empowers them with this understanding.

This groundbreaking volume concentrates on solution-oriented treatment of some of the most difficult pathologies - anorexia, bulimia and vomiting (as a separate category introduced by Nardone et al). The logic and apparent simplicity of the way these complex conditions are treated is truly outstanding. As opposed to a long-drawn psychotherapy, Nardone and his colleagues offer a relatively short period of treatment, consisting of dialogue between the patient and the therapist, and sometimes the patient's family. The patient is also given some "homework" to do in-between the sessions. Rather than looking at the "why" of the situation, this approach looks at "how" the problem manifests itself and what can be done about it.The book starts by outlining the pathologies and the logic behind this type of brief therapy. It then moves on to examine particular case studies and the reader gets immersed in the fascinating dialogue between the therapist and the client. The approach recognises the different needs of each individual but offers some more general and useful practical advice to think about, and to be adapted to each case. There are clarifying comments and subheadings in-between the lines to point out to the reader what the therapist is trying to achieve at that point."In order to solve a problem, we need to understand how the system of perception and reaction towards reality functions in the person s here and now. In other words, we must try to understand how the problem functions, not why it exists. In that sense, we leave behind the search for knowledge based on 'why' for a search of knowledge based on 'how' - going from a search for the causes of a problem to a search for its modes of persistence. This allows the resolving process to evolve from slow, gradual solutions to rapid and effective interventions." -- From the Introduction"

New discoveries about the genetic underpinnings of many kinds of human experience are now continually being made. This book explores the impact of these discoveries on the ways in which the common mental disorders are best conceptualized and treated. Most people think of research in genetics as the search for genes. This is only one focus of effort, and even with the reliable identification of susceptibility genes, the clinical applications of their discovery, such as gene therapies and new drug development, are a long way off. For the present, the impact of genetic research on our understanding of mental illness is tied to our ability to estimate the effect of all genes by means of family, twin, and adoption studies. The results of these studies challenge some deeply cherished ideas and theories, and support others. Of course, the effect of genes is only half the equation. The role of experience, environment, and living conditions accounts for as much, often considerably more, of the variability in psychopathology. In this book, Kerry Jang attempts not to answer questions about what is "genetic" and what is not, but about what a knowledge of the relative influence of genes versus environment means at a psychological level of analysis--to show how it changes common assumptions about classification, etiology, diagnosis, and intervention. He first offers an overview of contemporary behavioral genetics, dispels common misconceptions, responds to the criticisms that have been leveled at this new field, and describes in basic terms how genetic and environmental effects are estimated and how susceptibility genes are pinpointed. He then points to new directions in which standard nosological systems are likely to evolve as new information about vulnerabilities and covariances emerges. Finally, he synthesizes and evaluates the consistency of the last decade's findings for the most common categories of psychopathology that have been studied by behavior geneticists: mood, personality, and anxiety disorders, substance abuse; and schizophrenia and the psychotic disorders. Clinicians and researchers alike need to understand the genetic influences on the feelings and behaviors they are seeking to change or study if they are to be effective in their work. The Behavioral Genetics of Psychopathology: A Clinical Guide empowers them with this understanding.

This multi-disciplinary text lies in the general areas of forensic psychiatry, sociology, jurisprudence, criminal law and criminology. It questions traditional assumptions about illness and particularly mental disorder and deals with the controversial notion that they are not at least in part the fault of the sufferer. It examines how the law can take into account such culpable notions of mental disorder in determining criminal responsibility (if a person culpably causes a condition e.g. intoxication s/he cannot rely on that condition as the basis of a defence at trial; hence the law affords different levels of justification/excuse/mitigation to the crimes of those who have got themselves drunk and those who are drunk due to being slipped a mickey). This culpability for the defence-causing condition (or responsibility for level of criminal responsibility) is called meta-responsibility. illness models relate to meta-responsibility; the insanity defence and other mental condition defences; the relationship of clinical issues such as medication non-compliance and insight to meta-responsibility (with reference to critical psychiatric and social constructivist models of mental disorder which cast it not as an affliction but as a sometimes positive experience which may be under control of the sufferer); and the counterfactual notion that considers how the possible voluntary origins of mental disorder would benefit the criminal and non-criminal mentally disordered. jurors, examining the effect of a meta-responsibility insanity test (one which allows jurors to reflect their consideration of the defendant's culpability for their disorder in the jurors' verdict). The test made no difference to the number of insanity verdicts rendered (in comparison to a normal insanity test); however, the recommended length of detention in hospital for insanity acquittees significantly diminished using the new test. This suggests that the post-trial disposal to hospital, which has long been pointed as pseudo-therapeutic punishment by commentators (insanity acquittees are likely to spend twice as long in hospital than if they had simply pled guilty and gone to jail) is in part revenge by society and the criminal justice system for beating the rap using a condition which they deem to be at least partly the defendant's fault.

This book contains excerpts of life stories from 118 individuals diagnosed with schizophrenia, bipolar disorder, borderline personality disorder, and major depressive disorder. This library of personal narratives, heavily reproduced and quoted throughout the text, presents a composite image of the ways in which narrative identity can be affected by mental illness while also being a resource for personal recovery. Those researching, studying or practicing in mental health professions will find a wealth of humanizing first-person perspectives on mental illness that foster perspective-taking and aid patient-centered treatment and study. Researchers of narrative psychology will find a unique set of life stories synthesized with existing literature on identity and recovery. Moving towards intervention, the authors include a 'guide for narrative repair' with the aim of healing narrative identity damage and fostering growth of adaptive narrative identity.

Schizophrenia continues to be the most debilitating of the psychotic disorders with less than one third returning to a `normal' level of functioning. Our understanding of this disorder has advanced considerably over the last 10 years with major contributions from neurobiology but particularly from an understanding of the way in which psychosocial and psychological factors interact with underlying vulnerabilities to influence both the content and timing of psychotic symptoms and the personal and social difficulty they create. This book brings together this disparate and complex literature in a highly accessible and up-to-date way. It is written by two leading academic-clinical psychologists in the area who uniquely bring together an understanding of key scientific concepts with clinical reality. The section on treatment brings to the reader a clear account of psychological, social and drug treatments interspersed with clinical accounts. The text is aimed primarily at undergraduates attempting to gain some understanding of this exciting and rapidly developing field but with sufficient depth to engage the trainee clinical psychologist, community psychiatric nurse, and psychiatrist.

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Points of View is designed to provide students at various levels of experience and training with illustrative examples of individuals with different forms of psychopathology. The work is designed primarily for students who are studying descriptive psychopathology, including psychiatric residents, medical students on psychiatry rotations graduate students in psychology, or students in various related mental health fields, including psychiatric nursing, social work, and school counseling.
The stories are written to illustrate the key elements of psychopathology for these various disorders.
Each is written from two perspectives: the perspective of the individual who has the disorder, and the perspective of someone else in their environment (e.g. a family member, a friend, a doctor). The thoughts of these individuals, as opposed to their speech, are given in parentheses. This design was chosen to attempt to illustrate not only how people with these disorders think and feel themselves but also how they appear to other people around them. The emphasis, therefore, is on the difficulties, often the suffering, experienced by people with various mental illnesses, and also on the adverse impact these illnesses have on others, which is often substantial.

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The articles in this special issue seek to re-examine the relationship between creativity and the schizophrenia spectrum of disorders in the wake of recent research and theorizing. They revisit both empirical and conceptual findings and issues regarding connections between the schizophrenia spectrum of disorders: schizotypy, psychotic-like traits, and creativity.

Defined by stable, long-term, subjective distress and/or social impairment, personality disorders affect up to 18% of the population. Social impairment and health care usage are far more prevalent among people with personality disorders than among people with major depressive disorders. Personality disorders are highly prevalent, variable, and notoriously difficult to treat, and they continue to challenge the therapeutic community and represent a formidable public health concern. This volume ably addresses personality disorders as one of the top priorities of psychiatry for the new millennium, offering a thorough and updated review and analysis of empirical work to point up the issues central to developing a therapeutic model for treatment as well as current research challenges. A review of extant research yields the heartening conclusion that psychotherapy remains an effective treatment for people with personality disorders. An examination of psychodynamic treatment for borderline personality disorder speaks to its efficacy. An analysis of the rationale for combining psychotherapy and psychopharmacology emphasizes the importance of identifying temperament and target conditions. A well-documented and reasoned treatise on antisocial personality disorder makes the crucial point that clinicians must acquire a depth of understanding and skill sufficient to determine what the cut-off point is for treatable versus nontreatable gradations. With the caveat that evidence supporting the efficacy of cognitive treatments for personality disorders is slight and that such approaches require tailoring, a strong case is made for their validity. This timely volume both answers and reframes many stubborn questions about the efficacy of psychotherapy for treating personality disorders.

This sourcebook presents the history of sleep disorders, from restless legs to insomnia to night terrors, alongside emerging research, illustrations of sleep disorders in society, and treatments. Part of the Health and Psychology Sourcebooks series, this compact volume offers concise information on an issue threatening human health and well-being: sleep disorders. The authors are established psychologists and researchers specializing in the study of sleep and sleep disorders, one an editor for the Journal of Sleep Disorders and Therapy and the other a certified behavioral sleep medicine specialist. The book begins with an introduction that underscores how prevalent sleep disorders and the condition of sleep deprivation are in this nation and why they are considered a public health concern. Chapters explain and illustrate disorders including apnea, insomnia, narcolepsy, nightmares, night terrors, and sleepwalking, with each chapter providing an empirical review followed by a case study. For each disorder, history; signs and symptoms; incidence; theory; personal, familial, societal, and economic factors; treatments and solutions; and emerging research are included. t Integrates current and emerging theory and research Illustrates the disorders in society, at work, and in relationships in "Up Close" case studies Discusses treatments for sleep disorders Lists additional resources, such as websites and organizations, for further study

To be a human being (or indeed to be a primate) is to be attached to other fellow beings in relationships, from infancy on. This book examines what happens when the mechanisms of early attachment go awry, when caregiver and child do not form a relationship in which the child finds security in times of uncertainty and stress. Although John Bowlby, a psychiatrist and psychoanalyst, originally formulated attachment theory for the express purpose of understanding psychopathology across the life span, the concept of attachment was first adopted by psychologists studying typical development. In recent years, clinicians have rediscovered the potential of attachment theory to help them understand psychological/psychiatric disturbance, a potential that has now been amplified by decades of research on typical development. Attachment Issues in Psychopathology and Intervention is the first book to offer a comprehensive overview of the implications of current attachment research and theory for conceptualizing psychopathology and planning effective intervention efforts. It usefully integrates attachment considerations into other frameworks within which psychopathology has been described and points new directions for investigation. The contributors, who include some of the major architects of attachment theory, link what we have learned about attachment to difficulties across the life span, such as failure to thrive, social withdrawal, aggression, anxiety, depression, bipolar disorder, dissociation, trauma, schizo-affective disorder, narcissistic personality disorder, eating disorders, and comorbid disorders. While all chapters are illuminated by rich case examples and discuss intervention at length, half focus solely on interventions informed by attachment theory, such as toddler-parent psychotherapy and emotionally focused couples therapy. Mental health professionals and researchers alike will find much in this book to stimulate and facilitate effective new approaches to their work.

What do we wish to know about psychotherapy and its effects? What do we already know? And what needs to be accomplished to fill the gap? These questions and more are explored in this thoroughly updated book about the current status and future directions of psychotherapy for children and adolescents. It retains a balance between practical concerns and research, reflecting many of the new approaches to children that have appeared in the past ten years. Designed to change the direction of current work, this book outlines a blueprint or model to guide future research and elaborates the ways in which therapy needs to be studied. By focusing on clinical practice and what can be changed, it offers suggestions for improvement of patient care and advises how clinical work can contribute directly and in new ways to the accumulation of knowledge. Although it discusses in detail present psychotherapy research, this book is squarely aimed at progress in the future, making it ideal for psychologists, psychiatrists, and all mental health care practitioners.