This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

Perhaps you had a difficult birth. Hopefully, you have a healthy baby. That, after all, is the most important thing. Or is it? So why are you struggling to move on? Why do you keep thinking about the birth or replaying it in your mind? Why do you feel guilty when other people say "at least you have a healthy baby"? In Birth Shock, perinatal clinical psychologist Mia Scotland explains clearly what can be harmful about birth, how birth trauma can affect mothers, fathers and health professionals, and why it seems to be on the rise. If you are suffering from the effects of a difficult birth, even if the birth doesn't sound bad to others, then this book is for you. Perhaps the birth was really bad and your baby isn't okay. Perhaps you are a partner who feels traumatised, or you are a midwife or a doctor. In these pages you will find: a clear, concise, psychological explanation of what birth trauma actually is discussion of what causes birth trauma clear tips and advice on how to put yourself on the path to recovery Birth Shock draws on what we know about trauma, PTSD and the nature of birth and maternity systems to show how you can take steps toward letting go of any guilt, self-blame or confusion that you may be feeling.

The vagus nerve is responsible for the regulation of all our internal organ functions. When it is damaged, the wide-ranging impact on our nervous system can manifest in a multitude of ways, including anxiety, hormonal imbalances, gastrointestinal distress, and vertigo. Based on current research into the vagus nerve and vagus nerve stimulation, this practical guide addresses a crucial missing link in healthcare and functional medicine by providing an innovative protocol on the management of anxiety and vagus nerve dysfunction through nutrition, exercise, and lifestyle. With a holistic, whole-person approach, this protocol bridges the divide between the physical and the psychological, providing a holistic approach that can be applied widely across various disciplines within healthcare, bodywork, and mental health. It provides detailed theory and is supplemented with an abundance of practical guidance including various recipes whilst also helping practitioners understand how clients may transition to a more sustainable, long-term protocol.

This book explores the psychological trauma affecting soldiers and civilians who have encountered the violence of war or terrorism, arguing that the enigmas surrounding war trauma are rooted in culture, collective memory and social norms. Focusing primarily on a large-scale sociological study in Israel, chapters detail the ideological, political, historical and economic factors that shape the multifaceted connection between individual and collective trauma, probing the exterior layers of Israeli society and exposing the complex relationship between society and emotionally scarred individuals everywhere. Divided into three main parts, particular attention is paid to the treatment of soldiers and civilians, and the tension between the medical and societal approaches to PTSD, shedding light on the intricate relationships between war trauma and society worldwide. Part 1 looks at traumatized soldiers and the changing attitudes towards CSR and PTSD; Part 2 explores civilian trauma and shock, including the first published research on the implications of war trauma in Israeli Arab society; and Part 3 analyses the deficiencies and contradictions in current international definitions and discourses of trauma, and the profound consequences of war trauma in society as a whole. Psychological War Trauma and Society will be of key value for academics and postgraduate students in the fields of psychology, sociology, history, Jewish studies, military studies, social work, terrorism studies and political science, as well as professionals who work with traumatised individuals, either directly or indirectly, including psychologists, psychotherapists and social workers. The Hebrew edition of the book was the winner of the 2012 AIS (Association for Israel Studies) Shapiro Award for Best Book in Israel Studies.

EMDR in Family Systems provides clinicians with a clear account of the EMDR process and a comprehensive, step-by-step approach to healing trauma through integrating EMDR with other therapeutic tools. The book provides a unique protocol utilizing numerous evidence-based diagnostic assessments; in-depth psychoeducation on attachment issues, Internal Family Systems therapy, and mindfulness; and Metaframeworks, a Family Systems modality, as a model to enhance EMDR. Filled with a wealth of information on the latest clinical studies on topics from the neurobiology of trauma to the effectiveness of mindfulness practices in EDMR, this book will open up a host of productive new avenues for EMDR therapists to pursue with their clients.

This book provides a comprehensive insight into the multilayered effects experienced by directly affected victims and their indirectly affected family members following terrorist incidents and other world disasters. Chapters draw primarily on interviews with fifty victims of the Bali bombings, but also consider terrorist incidents including the London and Boston bombings, and disasters such as the Boxing Day tsunami and the Fukusima nuclear disaster. The book provides a detailed exploration of experiences and perceptions of those involved in the traumatic events, as well as their families, emergency response teams and community volunteers. Chapters discuss community responses to major incidents, appropriate non-medical models of intervention and vulnerable groups that may require special attention. The findings and analysis presented contribute to our understanding of the multilayered effects of terrorism on victims of all levels, and the importance of a planned and informed response, which includes the local community and its wealth of pre-existing resources. Terrorism, Trauma and Psychology: A multilevel victim perspective of the Bali bombing will be key reading for researchers and academics in the fields of social and clinical psychology, as well as scholars of victimology and terrorism studies.

This book, based upon a series of psychological research studies, examines Sierra Leone as a case study of a constructivist and narrative perspective on psychological responses to warfare, telling the stories of a range of survivors of the civil war. The authors explore previous research on psychological responses to warfare while providing background information on the Sierra Leone civil war and its context. Chapters consider particular groups of survivors, including former child soldiers, as well as amputee footballers, mental health service users and providers, and refugees. Implications of the themes emerging from this research are considered with respect to how new understandings can inform current models of trauma and work with its survivors. Amongst the issues concerned will be post-traumatic stress and post-traumatic growth; resilience; mental health service provision; perpetration of atrocities; and forgiveness. The book also provides a critical consideration of the appropriateness of the use of Western concepts and methods in an African context. Drawing upon psychological theory and rich narrative research, Trauma, Survival and Resilience in War Zones will appeal to researchers and academics in the field of clinical psychology, as well as those studying post-war conflict zones.

Shoma (Masatake) Morita, M.D. (1874-1938) was a Japanese psychiatrist-professor who developed a unique four stage therapy process. He challenged psychoanalysts who sanctioned an unconscious or unconsciousness (collective or otherwise) that resides inside the mind. Significantly, he advanced a phenomenal connection between existentialism, Zen, Nature and the therapeutic role of serendipity. Morita is a forerunner of eco-psychology and he equalised the strength between human-to-human attachment and human-to-Nature bonds. This book chronicles Morita's theory of "peripheral consciousness", his paradoxical method, his design of a natural therapeutic setting, and his progressive-four stage therapy. It explores how this therapy can be beneficial for clients outside of Japan using, for the first time, non-Japanese case studies. The author's personal material about training in Japan and subsequent practice of Morita's ecological and phenomenological therapy in Australia and the United States enhance this book. LeVine's coining of "cruelty-based trauma" generates a rich discussion on the need for therapy inclusive of ecological settings. As a medical anthropologist, clinical psychologist and genocide scholar, LeVine shows how the four progressive stages are essential to the classic method and the key importance of the first "rest" stage in outcomes for clients who have been embossed by trauma. Since cognitive science took hold in the 1970s, complex consciousness theories have lost footing in psychology and medical science. This book reinstates "consciousness" as the dynamic core of Morita therapy. The case material illustrates the use of Morita therapy for clients struggling with the aftermath of trauma and how to live creatively and responsively inside the uncertainty of existence. The never before published archival biographic notes and photos of psychoanalyst Karen Horney, Fritz Perls, Eric Fromm and other renowned scholars who took an interest in Morita in the 1950s and 60s provide a dense historical backdrop.

The baby boomer generation grew up in the 1950s when there existed the general belief that the Cold War was the greatest threat to the world order, and a frightening possibility. It was difficult to believe, then, that it could get worse, but the same threat of violence is now a daily occurrence around the globe. People are being shot, slaughtered, maimed, and disappear for a multitude of reasons, none having any connection, most of the time, with the victims. The scale of loss when these tragedies occur is devastating, leaving the public as well as policy makers and legislators scrambling for solutions, clarification, and understanding of how we have become a society where violence is so rampant, so frequent, and so senseless. This book includes contributions by leading experts on violence and its ramifications, who review the devastation, reasons, and consequences of violence which is senseless, cruel, and aims to hurt and destroy anyone in its path. This book was originally published as a special issue of The Journal of Psychology.

There is a need to not only understand psychiatric emergencies in low- and middle-income countries but also to formulate logical and acceptable forms of intervention. This book gives the reader an overview of the kinds of psychiatric emergencies that can occur and the strategies employed to manage these in developing countries. The book covers anxiety disorders, psychotic disorders, personality disorders, substance abuse disorders, grief, suicidal behaviour and psychiatric emergencies following disasters. It also deals with special population groups, such as women, children and the elderly, who require different modes of intervention.

There is a need to not only understand psychiatric emergencies in low- and middle-income countries but also to formulate logical and acceptable forms of intervention. This book gives the reader an overview of the kinds of psychiatric emergencies that can occur and the strategies employed to manage these in developing countries. The book covers anxiety disorders, psychotic disorders, personality disorders, substance abuse disorders, grief, suicidal behaviour and psychiatric emergencies following disasters. It also deals with special population groups, such as women, children and the elderly, who require different modes of intervention.

Fundamentals of Frontline Surgery is an easy to read text, written by world class faculty, that provides clinicians with succinct and didactic information about what to do in high intensity, resource limited situations.With global conflicts and humanitarian emergencies on the rise, there has been a dramatic uptake in the number of volunteers for both military and humanitarian operations. This manual aids best practice and fast decision making in the field.

Fundamentals of Frontline Surgery is an easy to read text, written by world class faculty, that provides clinicians with succinct and didactic information about what to do in high intensity, resource limited situations.With global conflicts and humanitarian emergencies on the rise, there has been a dramatic uptake in the number of volunteers for both military and humanitarian operations. This manual aids best practice and fast decision making in the field.

A user-friendly, pocket-sized reference for all physicians faced with endocrine care and challenges in hospitalized patients, this handbook covers the most common issues leading to an inpatient endocrine consult, providing differential diagnoses, a reasonable and practical approach to investigating and managing the condition, and advice for follow-up. Conditions discussed include thyrotoxicosis and thyroid storm, calcium disorders, osteoporosis, Cushing's syndrome, pheochromocytoma and paraganglioma, primary hyperaldosteronism, hypoglycemia in diabetic and non-diabetic patients, and endocrine issues during pregnancy, among others. Suggestions for further reading are included, providing more context for well-established clinical approaches. Written by experts with years of experience providing endocrinology consultations in a hospital setting, Handbook of Inpatient Endocrinology is a valuable, high-yield resource for endocrine residents and fellows, but it will be equally useful for any busy hospitalist or primary care physician when endocrinology consults are not available.

When Therapists Cry addresses one of the most authentic and singularly human experiences a therapist can have in therapy: crying. While therapist crying in therapy is the explicit focus of this book, it is used as a springboard for understanding the various ways in which therapists' emotions come alive-and become visible-in the therapy room. In depth clinical examples and conceptualizations from expert contributors illustrate what the experience of therapist crying looks and feels like: why therapists cry, how crying impacts the therapist and the treatment, what therapists feel about their tears, and the many ways in which therapists may engage with their own tears in order to facilitate therapeutic progress, ensure appropriate professional conduct, and deepen their clinical work.

This comprehensive third edition provides robust support to clinicians providing perioperative care for patients. Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This book offers evidence and experience-based information, advice, and guidelines on all aspects of perioperative medicine. Care around surgeries in many major clinical areas are included, including cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and so on. This new edition has been updated throughout with the latest literature, more visual content (tables and algorithms), and eleven new chapters on topics such as: chronic pain, congestive heart failure, hormone therapy and transgender patients, and postoperative hypoxemia. This new edition focuses on high value care in order to improve outcomes, including minimizing complications and readmissions. It also provides streamlined key points for caring for patients with medical diagnoses that may be especially complicated around surgery. This resource is invaluable for practicing physicians (including medical consultants, surgeons, and anesthesiologists) and other professionals who aim to optimize care of surgical patients.

The best way to grasp the essence of death scene investigation (DSI) is to witness its application, called the psychological autopsy, by an expert forensic scientist/clinician. This remarkable book affords the opportunity to delve into the challenges that the forensic mental health specialist and public safety professional confront in DSI. Suicides, and often death, are complex, multidetermined events. People, whether police investigators or mental health professionals, are generally perplexed, and even confused, when they are confronted by the equivocal case. Was it a suicide? Homicide? Accident? These are critical questions. Dr. Leenaars shows that DSI is, however, not mysterious; the reader can learn the generally accepted, evidence-based protocols of the psychological autopsy. Illuminated by individual (idiographic) case studies and general (nomothetic) research, this definitive guide allows the investigator to uncover the bare bones of a suicide or death.

The best way to grasp the essence of death scene investigation (DSI) is to witness its application, called the psychological autopsy, by an expert forensic scientist/clinician. This remarkable book affords the opportunity to delve into the challenges that the forensic mental health specialist and public safety professional confront in DSI. Suicides, and often death, are complex, multidetermined events. People, whether police investigators or mental health professionals, are generally perplexed, and even confused, when they are confronted by the equivocal case. Was it a suicide? Homicide? Accident? These are critical questions. Dr. Leenaars shows that DSI is, however, not mysterious; the reader can learn the generally accepted, evidence-based protocols of the psychological autopsy. Illuminated by individual (idiographic) case studies and general (nomothetic) research, this definitive guide allows the investigator to uncover the bare bones of a suicide or death.

A fundamental and respected resource book in critical care, The ICU Book, Fourth Edition , continues to provide the current and practical guidance that have made it the best-selling text in critical care. The text addresses both the medical and surgical aspects of critical care, delivering the guidance needed to ensure sound, safe, and effective treatment for patients in intensive care-regardless of the specialty focus of the unit. Traditionally available as a printed textbook, the print version now comes with a completely revamped digital experience, powered by Inkling. Viewable through a browser or as a download to your tablet or smartphone , the digital version includes:" The complete text with optimized navigation A powerful, index-based search function All referenced content is linked throughout for instant access Regular literature and commentary updates integrated into the text The ability to share notes with friends and colleagues NEW to the Fourth Edition Fully rewritten content (including eight new chapters plus a new Appendix on drug dosing) assures readers of only the most up-to-date and practical information availableFull-color format emphasizes clinical anatomy and facilitates visual learning Key Features Problem-based approach teaches critical thinking and mirrors the decision-making process of the intensive care unit Expert perspectives from Dr. Marino help sharpen technique, minimize error, and improve outcomes Reader-friendly format makes essential information easy to locate and apply "Final Word" summaries at the conclusion of each chapter highlight salient points and improve retention of key concepts

The Mystical Exodus in Jungian Perspective explores the soul loss that results from personal, collective, and transgenerational trauma and the healing that unfolds through reconnection with the sacred. Personal narratives of disconnection from and reconnection to Jewish collective memory are illuminated by millennia of Jewish mystical wisdom, contemporary Jewish Renewal and feminist theology, and Jungian and trauma theory. The archetypal resonance of the Exodus story guides our exploration. Understanding exile as disconnection from the Divine Self, we follow Moses, keeper of the spiritual fire, and Serach bat Asher, preserver of ancestral memory. We encounter the depths with Joseph, touch collective grief with Lilith, experience the Red Sea crossing and Miriam's well as psychological rebirth and Sinai as the repatterning of traumatized consciousness. Tracing the reawakening of the qualities of eros and relatedness on the journey out of exile, the book demonstrates how restoring and deepening relationship with the Sacred Feminine helps us to transform collective trauma. This text will be key reading for scholars of Jewish studies, Jungian and post-Jungian studies, feminist spirituality, trauma studies, Jungian analysts and psychotherapists, and those interested in healing from personal and collective trauma. Cover art: 'Radiance' by Elaine Greenwood

While film and video has long been used within psychological practice, researchers and practitioners have only just begun to explore the benefits of film and video production as therapy. This volume describes a burgeoning area of psychotherapy which employs the art of filmmaking and digital storytelling as a means of healing victims of trauma and abuse. It explores the ethical considerations behind this process, as well as its cultural and developmental implications within clinical psychology. Grounded in clinical theory and methodology, this multidisciplinary volume draws on perspectives from anthropology, psychiatry, psychology, and art therapy which support the use and integration of film/video-based therapy in practice.

* Provides detailed guidance on how to implement trauma-responsive educational practices for use with justice-impacted persons in a classroom setting * Meets the growing need for trauma-informed teaching skills that results from expanded offerings of post-secondary courses to correctional populations * Offers lessons gleaned from decades of experience by a master educator who has taught a spectrum of learners with high trauma burdens

Demons in the Consulting Room: Echoes of Genocide, Slavery and Extreme Trauma in Psychoanalytic Practice isthe second of two volumes addressing the overwhelming, often unmetabolizable feelings related to mourning, both on an individual and mass scale. Authors in this volume explore the potency of ghosts, ghostliness and the darker, often grotesque aspects of these phenomena. While ghosts can be spectral presences that we feel protective of, demons haunt in a particularly virulent way, distorting experience, our sense of reality and our character. Bringing together a collection of clinical and theoretical papers, emons in the Consulting Room, reveals how the most extreme types of trauma can continue to have effects across generations, and how these effects manifest in the consulting room. Essays in this volume consider traumas that have affected multiple generations of people, such as the Holocaust, experiences in the gulags, and the experience of slavery. Authors here consider the clinical challenges of working with the demonic force in severe childhood abuse and the effects of serious and prolonged physical injury and illness. Inevitably, there is in such difficult clinical work, the combined effects of hauntings in the analysts and in patients and often in the surrounding culture. In this book, distinguished psychoanalysts explore the myriad forms of ghosts and the demonic, which interfere and disrupt the endlessly difficult psychic work of mourning. It will be of interest to psychotherapists and psychoanalysts, as well as social workers, family therapists, psychologists, and psychiatrists. emons in the Consulting Room ill appeal to those specializing in bereavement and trauma and, on a broader level, to sociologists and historians interested in understanding means of coping with loss and grief on both an individual and larger scale basis.

This unique reference fulfills the unmet need of a textbook that addresses the scope of practice for surgeons practicing in rural regions. The text provides up-to-date content covering a wide breadth of topics relevant to surgical care in rural areas, with focus on the surgical diseases that are often treated by surgical subspecialists in the urban setting. Written by experts in each subspecialty, the text focuses on procedural aspects of surgical patient care. The first section discusses practice issues unique to rural surgery and provides an overview of applying principles of quality improvement to surgical practice. Subsequent chapters cover specific surgical procedures. Each chapter includes a brief discussion of indications and contraindications for surgery. The surgical technique is described with attention to important anatomic details. Key portions of the procedure are highlighted including potential complications and how to avoid them. Procedure specific perioperative care is also discussed. Supported with ample illustrations and images, Advanced Surgical Techniques for Rural Surgeons is a valuable resource for surgeons currently in practice or preparing to practice in a rural area, as well as surgical technicians, surgical nurse practitioners and physician's assistants.

Demons in the Consulting Room: Echoes of Genocide, Slavery and Extreme Trauma in Psychoanalytic Practice isthe second of two volumes addressing the overwhelming, often unmetabolizable feelings related to mourning, both on an individual and mass scale. Authors in this volume explore the potency of ghosts, ghostliness and the darker, often grotesque aspects of these phenomena. While ghosts can be spectral presences that we feel protective of, demons haunt in a particularly virulent way, distorting experience, our sense of reality and our character. Bringing together a collection of clinical and theoretical papers, emons in the Consulting Room, reveals how the most extreme types of trauma can continue to have effects across generations, and how these effects manifest in the consulting room. Essays in this volume consider traumas that have affected multiple generations of people, such as the Holocaust, experiences in the gulags, and the experience of slavery. Authors here consider the clinical challenges of working with the demonic force in severe childhood abuse and the effects of serious and prolonged physical injury and illness. Inevitably, there is in such difficult clinical work, the combined effects of hauntings in the analysts and in patients and often in the surrounding culture. In this book, distinguished psychoanalysts explore the myriad forms of ghosts and the demonic, which interfere and disrupt the endlessly difficult psychic work of mourning. It will be of interest to psychotherapists and psychoanalysts, as well as social workers, family therapists, psychologists, and psychiatrists. emons in the Consulting Room ill appeal to those specializing in bereavement and trauma and, on a broader level, to sociologists and historians interested in understanding means of coping with loss and grief on both an individual and larger scale basis.