This book presents a vast collection of radiologic images of cases seen in a very busy emergency room. It encompasses common and very unusual pathology and every imaging modality. The book is divided into four parts on pathology of the vascular system, chest, abdomen and pelvis and reproductive organs. Images obtained with the modalities that best depict the abnormality in question are presented, with marking of the salient pathology and explanation of the abnormal imaging features in concise captions. Whenever possible, differential diagnosis is covered using further images and guidance is also provided on selection of additional modalities to confirm the diagnosis. The book will help residents to analyze different diseases and relate pathophysiology to imaging and assist students in appreciating what is abnormal. It will be a useful guide for the busy practicing radiologist and aid clinicians in understanding the complexity of these cases and delivering better focused treatment.p>

One cause of the behavioral, emotional and mental torment in a person's life is the psychological trauma that results from the actions and words of parents and others. This volume, "Grendel and His Mother: Healing the Traumas of Childhood Through Dreams, Imagery and Hypnosis" by Nicholas E. Brink examines the effect of such trauma on a child's development and how the resulting torment eventually brings this child as an adult to psychotherapy. This trauma may be as subtle as a parental sigh of disappointment or as direct as physical or sexual abuse. Six clients are then led on a journeying through the unconscious mind using dream work, hypnosis and imagery in the course of therapy to uncover and heal these traumas to free the client of torment.

Rediscovering Pierre Janet explores the legacy left by the pioneering French psychologist, philosopher and psychotherapist (1859-1947), from the relationship of between Janet and Freud, to the influence of his dissociation theory on contemporary psychotraumatology. Divided into three parts, the first section places Janetian psychological analysis and psychoanalysis in context with the foundational tenets of psychoanalysis, from Freud to relational theory, before the book explores Janet's work on trauma and dissociation and its influence on contemporary thinking. Part three presents several contemporary psychotherapy approaches directly influenced by Janetian theory, including the treatment of posttraumatic stress disorder and dissociative identity disorder. Rediscovering Pierre Janet draws together eminent scholars from a variety of backgrounds, each of whom has developed Janetian constructs according to his or her own theoretical and clinical models. It provides an integrative approach that offers contemporary perspectives on Janet's work, and will be of significant interest to practicing psychoanalysts, psychiatrists and psychotherapists, especially those treating trauma-related dissociative disorders, as well as researchers with an interest in psychological trauma.

Rediscovering Pierre Janet explores the legacy left by the pioneering French psychologist, philosopher and psychotherapist (1859-1947), from the relationship of between Janet and Freud, to the influence of his dissociation theory on contemporary psychotraumatology. Divided into three parts, the first section places Janetian psychological analysis and psychoanalysis in context with the foundational tenets of psychoanalysis, from Freud to relational theory, before the book explores Janet's work on trauma and dissociation and its influence on contemporary thinking. Part three presents several contemporary psychotherapy approaches directly influenced by Janetian theory, including the treatment of posttraumatic stress disorder and dissociative identity disorder. Rediscovering Pierre Janet draws together eminent scholars from a variety of backgrounds, each of whom has developed Janetian constructs according to his or her own theoretical and clinical models. It provides an integrative approach that offers contemporary perspectives on Janet's work, and will be of significant interest to practicing psychoanalysts, psychiatrists and psychotherapists, especially those treating trauma-related dissociative disorders, as well as researchers with an interest in psychological trauma.

This second edition of Ambulance Care Essentials offers a complete guide to the skills, knowledge and understanding required to work as a support worker or similar within the ambulance service. Covering fundamental elements of the role, the book combines theoretical aspects of communication, legal and ethical issues and safeguarding with more practical areas such as manual handling, medical emergencies and a range of clinical skills. It includes in-depth chapters on the primary areas of patient assessment as well as covering different patient populations across the lifecourse. Key features include: *Clearly illustrated, step-by-step instructions for range of practical skills and procedures including how to handle different types of trauma and cardiac arrest *Detailed anatomical diagrams to provide the reader with the necessary context to carry out the practical elements of their job more effectively *Evidence-based throughout and up-to-date with the latest guidance, policy and research *Specific chapters on each area of patient assessment and how to manage this effectively *Chapters dedicated to various patient populations such as obstetrics, paediatrics and older people *In-depth chapter on supporting senior clinicians and how best to assist the paramedic as a support worker This second edition has been brought up to-date with the latest national guidance. The book is appropriate for a Level 3 diploma course or similar that qualifies you to work as a support worker and covers learning objectives from a range of courses offered by ambulance services. It is an essential resource for anyone wanting to prepare themselves for a role within the ambulance service as well as those hoping to become a more effective member of an emergency ambulance crew.

Misogyny, Projective Identification, and Mentalization looks at how the psychoanalytic concepts of projective identification and mentalization may explain the construction of society and how they have enabled misogyny to be expressed in social, political, and institutional settings. Karyne E. Messina explores how misogyny has affected the perception and treatment of women through analysis of a range of examples of individual women and groups. The first part explores projective identification as a mechanism for the suppression of women, looking at the origins of the concept in psychoanalysis and its expansion. The author examines the story of Clara Thompson as an example, arguing that her virtual disappearance from the history of psychiatry and psychoanalysis itself is a telling example of this process at work. The second part of the book uses four examples of individuals, including the recent election loss by Hillary Clinton in 2016, to show that projective identification can (particularly in political and cultural settings) overtake and motivate groups as well as individuals, and lead to violence, atrocity, humiliation, and dismissal of and against women. Part three then features case studies of four groups of women from the 20th century, including victims of the 1994 Rwandan genocide, showing how projective identification against groups has occurred. With specific reference to the erasure of women's contributions in society, both individually and collectively, and the trauma that arises from the many effects of regarding women as a group as "less" or "other", this is a book which sets a new agenda for understanding how misogyny is expressed socially. Misogyny, Projective Identification, and Mentalization will be of interest to psychoanalysts and psychoanalytic psychotherapists as well as scholars of politics, gender, and cultural studies.

Misogyny, Projective Identification, and Mentalization looks at how the psychoanalytic concepts of projective identification and mentalization may explain the construction of society and how they have enabled misogyny to be expressed in social, political, and institutional settings. Karyne E. Messina explores how misogyny has affected the perception and treatment of women through analysis of a range of examples of individual women and groups. The first part explores projective identification as a mechanism for the suppression of women, looking at the origins of the concept in psychoanalysis and its expansion. The author examines the story of Clara Thompson as an example, arguing that her virtual disappearance from the history of psychiatry and psychoanalysis itself is a telling example of this process at work. The second part of the book uses four examples of individuals, including the recent election loss by Hillary Clinton in 2016, to show that projective identification can (particularly in political and cultural settings) overtake and motivate groups as well as individuals, and lead to violence, atrocity, humiliation, and dismissal of and against women. Part three then features case studies of four groups of women from the 20th century, including victims of the 1994 Rwandan genocide, showing how projective identification against groups has occurred. With specific reference to the erasure of women's contributions in society, both individually and collectively, and the trauma that arises from the many effects of regarding women as a group as "less" or "other", this is a book which sets a new agenda for understanding how misogyny is expressed socially. Misogyny, Projective Identification, and Mentalization will be of interest to psychoanalysts and psychoanalytic psychotherapists as well as scholars of politics, gender, and cultural studies.

Posttraumatic Stress and Substance Use Disorders summarizes the state of the field from a biopsychosocial perspective, addressing key domains of interest to clinicians, students, instructors, and researchers. This book is a valuable resource and reference guide for multidisciplinary practitioners and scientists interested in the evidence-based assessment and treatment of posttraumatic stress and substance use disorders. Chapters written by leaders in the field cover the latest research on assessment, diagnosis, evidence-based treatments, future directions, and much more.

Developmental Couple Therapy for Complex Trauma provides therapists with comprehensive and practical guidance for integrating DCTCT into their work with traumatized couples. The book includes an evidence-based framework which emphasizes the importance of containing conflict and helps clients to build emotional regulation and mentalizing skills. The framework is an invaluable asset to all clinicians working with couples dealing with the ravaging impacts of complex trauma, who may not be able to benefit from traditional forms of couple therapy due to challenges in regulating emotions, mentalizing and other aspects of the complex trauma response that limit capacity to engage in relationships and couple therapy. The chapters guide you through the four key stages of DCTCT: Psychoeducation, Building Capacity, Dyadic Processing, and Consolidation. Each stage has accompanying activities and narratives in which to engage traumatized couples and includes a variety of case transcripts to illustrate the approach. Throughout the manual the author provides the reader with: insights from real-world scenarios based on her extensive clinical experience; worksheets that can be used as part of the therapeutic process; systematic analyses of the therapeutic process from the therapist's point of view; comprehensive recommendations for further reading so that you can develop your expertise in any area of DCTCT. Never losing sight of the fact that the therapist plays an essential role as a coach and mentor for those undertaking couple therapy, this manual is a valuable tool for any clinician working to engage traumatized couples and equip them with the skills they need to develop and maintain a strong and vibrant couple relationship.

AMLS: Advanced Medical Life Support (Soporte vital medico avanzado) es el mejor curso para profesionales prehospitalarios sobre evaluacion medica avanzada y el tratamiento de afecciones medicas frecuentes. AMLS, que se ensena en todo el mundo desde 1999, fue el primer programa de educacion de servicios medicos de urgencia (EMS) en abordar por complete como manejar mejor a los pacientes en crisis medicas. Creado por la Asociacion Nacional de Tecnicos en Medicina de Emergencia (National Association of Emergency Medical Technicians, NAEMT) y con el respaldo de la Asociacion Nacional de Medicos de EMS (National Association of EMS Physicians, NAEMSP), AMLS hace hincapie en el uso de la Via de evaluacion del soporte vital medico avanzado. Este instrumento de evaluacion esencial les brinda a los profesionales prehospitalarios las herramientas necesarias para diagnosticar rapidamente a los pacientes medicos e iniciar una gestion eficaz en el terreno. AMLS es el unico libro de texto aprobado para usarse en el curso de Soporte Vital Medico Avanzado de la NAEMT. Su contenido medico se revisa y actualiza continuamente para reflejar los conocimientos y las practicas actuales basados en pruebas. La filosofia del AMLS se centra en el uso del pensamiento critico para evaluar a los pacientes y formular planes de manejo. Un enfoque claro para evaluar a los pacientes medicos En el terreno, cada segundo cuenta. La Via de evaluacion de AMLS proporciona un enfoque sistematico para la evaluacion de pacientes medicos que permite a los profesionales prehospitalarios diagnosticarlos con precision urgente. Soluciones de tecnologia dinamica El contenido de primera categoria une un diseno instructivo solido con una interfaz facil de usar para ofrecer a los instructores y a los estudiantes una experiencia de aprendizaje verdaderamente interactiva y atractiva: El libro electronico del Manual del Curso de AMLS refuerza los conceptos clave presentados en el curso El Conjunto de herramientas para instructores en linea de AMLS contiene clases interactivas basadas en casos

Disaster Mental Health Case Studies is a riveting collection of case studies by master clinicians that reveal how disaster mental health interventions must be tailored to meet the needs of survivors. Each unique case study is structured to give the reader an introduction to the community affected pre-disaster; a glimpse into the thought processes of the disaster mental health responders pre- and post-disaster; and a reflective selection of lessons learned as a result of the experiences. The 17 case studies offer the reader: Guidance on how to develop an empathic approach to disaster mental health response; Exposure to a diverse sample of disaster contexts, including naturally-occurring disasters, human-caused disasters, and disasters which occurred in an international setting; An understanding of the strategic approaches needed for disaster mental health service response, as well as an appreciation of the need for self-care when responding; A grounded and accessible writing style, bookended by chapters from the editors which thematically link and analyze the case studies. Offering a rare and compelling view into the challenges, tragedies, pain, frustrations, and grief at the heart of disaster mental health work, this must-have collection is tailored to appeal to students of mental health and counseling, psychology, and social work; and working mental health professionals who would like to learn directly from experienced responders.

Drawing on clinical data obtained through the study of children adopted from overseas orphanages, the author of this cutting-edge text applies the Developmental Trauma Disorder (DTD) conceptual framework to the analysis of psychological, educational and mental health impact of the early childhood trauma on development. A massive scale of international adoption of children, victims of profound neglect and deprivation, combined with the fundamental change in a child's social situation of development after adoption, offers a valuable opportunity to explore the concept of Developmental Trauma Disorder, in particular, developmental delays, emotional vulnerability, "mixed maturity", cumulative cognitive deficit, and post-orphanage behavior patterns, being presented by many adoptees long after the adoption. By focusing on the neurological and psychological nature of childhood trauma, Dr. Gindis offers a unique approach to understanding the ongoing impacts of DTD and the ways in which any subsequent neuropsychological, educational, and mental health issues might be assessed. Offering an evidence-based exploration of DTD, and a critique of "conventional" approaches to rehabilitation and remediation of international adoptees, this book will be of great interest to researchers in the fields of psychology, mental health, education and child development; as well as clinicians involved in trauma treatment and international adoption.

Social Aspects of Memory presents a compelling study of how ordinary people remember war. Whilst the book focuses on the cities of Sarajevo and East Sarajevo during the 1992-1995 war in Bosnia-Herzegovina, Jeftic also presents narratives from other war-torn cities and countries around the world. This book adopts a unique approach, by looking at how perpetrators and victims (as well as new generations who may not remember the war directly) manage in the aftermath of war. Jeftic explores how our memories of war and violence are formed, and how we can learn to reconcile those memories, individually and as a collective. Drawing on the author's own extensive empirical research, the book explores the connections between memories for significant war events, transgenerational transmission of memories, bias for in-group wrongdoings and readiness for reconciliation between two groups. Giving a voice to underrepresented narratives and prioritising the importance of expression as a necessary catalyst for reconciliation, this book is essential reading for those interested in collective and transgenerational memory and memory studies, especially in relation to the aftermath of the 1992-1995 war in Bosnia-Herzegovina.

Trauma and Primitive Mental States: An Object Relations Perspective offers a clinically based framework through which adult survivors of early childhood trauma can re-engage with painful past events to create meaningful futures for themselves. The book highlights the use of the body and the mind in working with these early unmentalized and unrepresented states, illustrating the value of finding language that embodies emotions, and working in the here and now of transference and counter-transference. Including a range of examples of how early trauma can thus be re-presented and clinically understood, the book illustrates how patients can discover themselves and leave their repetitive patterns of suffering behind. Written by a clinician with over 30 years' experience, this will be fascinating reading for psychoanalysts and psychotherapists as well as any mental health professional working with childhood trauma.

Corporate Social Responsibility: Failures in the Oil Industry directly challenges the oil industry's claims of corporate good citizenship, now widely advanced as part of a global public relations initiative. The volume spans the industry's reach, from the troubled waters of the UK offshore Continental Shelf, with its horrendous legacy of the Piper Alpha oil rig disaster, to the inhospitable shores of Newfoundland with its own tragic legacy of lost lives; to the new frontier of oil corporate colonialism in the former Soviet Union and the icy plains of Alaska. The central theme of violations of basic labour rights and of health and environmental protection standards will make uncomfortable reading in the boardroom. It is equally essential reading for those who seek to improve the position of workers and industries within the oil industry's global reach.

En el ambiente tactico civil, cada segundo cuenta. TECC: Atencion tactica a victimas en emergencias, segunda edicion ensena a los proveedores de atencion prehospitalaria como responder y atender a pacientes durante una emergencia tactica civil, incluso en tiroteos activos. Este atractivo programa esta disenado para preparar a los proveedores de servicios medicos de emergencia (EMS) para atender pacientes en un entorno tactico. Desarrollada por la Asociacion Nacional de Tecnicos en Emergencias Medicas (National Association of Emergency Medical Technicians, NAEMT) y aprobado por el Colegio Estadounidense de Cirujanos (American College of Surgeons), TECC, segunda edicion aborda los dominios actuales de los Servicios Tacticos de Emergencia Medica (Tactical Emergency Medical Services, TEMS) y es consistente con las pautas actuales del Comite sobre TECC. NAEMT es un socio educativo reconocido del Comite de TECC. Componentes del programa dinamico El manual del curso TECC, segunda edicion refuerza y clarifica los conceptos clave del curso, tiene un diseno atractivo e interactivo, y esta escrito de modo que sienta que esta participando en una conversacion, en lugar de escuchando una leccion. El manual del curso incluye las siguientes caracteristicas clave: * Compruebe sus conocimientos: aplique los conocimientos presentados en la leccion y refuerce sus habilidades de tratamiento de pacientes. * Estaciones de habilidades: revision paso a paso de como utilizar habilidades que salvan vidas en el entorno tactico.

"Homicide Survivors: Misunderstood Grievers" is about families that have faced murder and how they have dealt with the trauma. It offers an interpretation of personal accounts of homicide survivors in order to understand the particular nature of homicide bereavement. The author herself a homicide survivor, Judie Bucholz offers a unique perspective and experiential base for examining the phenomenon of homicide bereavement. Her intent is to help the reader understand the homicide griever's situation both as one who grieves and one who grieves within a social context, as one who confronts horrific death at the personal level as well as at the social level.

Developmental Couple Therapy for Complex Trauma provides therapists with comprehensive and practical guidance for integrating DCTCT into their work with traumatized couples. The book includes an evidence-based framework which emphasizes the importance of containing conflict and helps clients to build emotional regulation and mentalizing skills. The framework is an invaluable asset to all clinicians working with couples dealing with the ravaging impacts of complex trauma, who may not be able to benefit from traditional forms of couple therapy due to challenges in regulating emotions, mentalizing and other aspects of the complex trauma response that limit capacity to engage in relationships and couple therapy. The chapters guide you through the four key stages of DCTCT: Psychoeducation, Building Capacity, Dyadic Processing, and Consolidation. Each stage has accompanying activities and narratives in which to engage traumatized couples and includes a variety of case transcripts to illustrate the approach. Throughout the manual the author provides the reader with: insights from real-world scenarios based on her extensive clinical experience; worksheets that can be used as part of the therapeutic process; systematic analyses of the therapeutic process from the therapist's point of view; comprehensive recommendations for further reading so that you can develop your expertise in any area of DCTCT. Never losing sight of the fact that the therapist plays an essential role as a coach and mentor for those undertaking couple therapy, this manual is a valuable tool for any clinician working to engage traumatized couples and equip them with the skills they need to develop and maintain a strong and vibrant couple relationship.

Posttraumatic Joy presents the major themes and ideas of Nietzsche’s corpus from a continental and psychoanalytic perspective with a particular bent toward how they might illuminate ways of coping with and living beyond trauma and suffering. Through a series of transcribed and edited lectures—originally delivered as a part of the "Nietzsche for Clinicians" workshop run through the Center for Psychological Humanities and Ethics at Boston College—this work traces the genesis of such fundamental psychoanalytic concepts as repression, the death drive, and the Oedipus complex to the works of one of philosophy’s most audacious and original thinkers. Reading Nietzsche not as a philosopher in the traditional sense, but as a proto-psychoanalyst, a precursor to Freud and Lacan, this work explores his understanding of the origins of morality, the value of sublimation, the movement from mourning to melancholia—or, in Nietzsche’s terms, from trauma to tragedy—and the possibility of a life lived in affirmation and self-overcoming. This interdisciplinary book will be of interest to scholars and practitioners whose work intersects with continental philosophy and theoretical and philosophical psychology. This includes any psychotherapist, social worker, psychoanalyst, or pastoral counselor with an interest in understanding the deeply psychological philosophy of one of history’s greatest thinkers.

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.

This issue of Critical Care Clinics focuses on Post-intensive Care Syndrome & Chronic Critical Illness, with topics including: Chronic Critical Illness; Chronic Critical Illness and Predicting Outcomes; Persistent Critical Illness; Rehospitalization and Preventing CCI; Measuring Post-Intensive Care Syndrome; Post-Intensive Care Syndrome and teh Role of the ICU Clinician; Frailty and the Association between Long-Term Recovery After ICU; The Role of the Muscles in Post-Intensive Care Syndrome; Intensive Care Nutrition and Post-Intensive Care Recovery; Early mobilization in the ICU to Improve Long Term Recovery; The Use of Sedation in the ICU and Long-Term Outcomes; Cognitive Function after Critical Illness; Anxiety and Depression after ICU; and Family and Support Networks after ICU.

This practical and evidence-based workbook offers a series of assessment, implementation and evaluation activities for professionals working in critical care contexts. Designed to improve the quality of care delivery, it looks both at collaboration between professionals and between patients and/or family members. Collaborative Practice in Critical Care Settings: identifies the issues relating to the "current state" of collaboration in critical care through a series of assessment activities; provides a series of interventional activities which can address shortfalls of collaboration previously identified; and offers advice on generating evidence for the effects of any interventions implemented. The activities presented in this book are based on extensive empirical research, ensuring this book takes into account the everyday work environment of professionals in critical care units. It is suitable for practitioners and educators, as well as patient safety leads and managers.

Bearing Witness to the Witness examines the different methods of testimony given by trauma victims and the ways in which these can enrich or undermine the ability of the reader to witness them. Years of listening to both direct and indirect testimonies on trauma has lead Dana Amir to identify four modes of witnessing trauma: the "metaphoric mode", the "metonymic mode," the "excessive mode" and the "Muselmann mode." In doing so, the author demonstrates the importance of testimony in understanding the nature of trauma, and therefore how to respond to trauma more adequately in a clinical psychoanalytic setting. To follow these four modes of interaction with the traumatic memory, the various chapters of the book present a close reading of three genres of traumatic witnessing: literary accounts by Holocaust survivors, memoirs (located between autobiographic recollection and fiction) and "raw" testimonies taken from Holocaust survivors. Since every traumatic testimonial narrative contains a combination of all four modes with various shifts between them, it is of crucial importance to identify the singular combination of modes that characterizes each traumatic narrative, focusing on the specific areas within which a shift occurs from one mode to another. Such a focus is extremely important, as illustrated and analyzed throughout this book, to the rehabilitation of the psychic metabolic system which conditions the digestion of traumatic materials, allowing a metaphoric working through of traumatic zones that were so far only accessible to repetition and evacuation. Bearing Witness to the Witness will appeal to trauma researchers of all research areas, including psychologists, psychoanalysts, literary scholars as well as philosophers of language and philosophers of the mind. The book will also be of interest and relevance to clinical psychologists, psychoanalytic candidates and graduate students in literary theory and criticism.

This issue of Critical Care Clinics focuses on Mechanical Ventilation and Ventricular Assist Devices, with topics including: Targeted management approach to cardiogenic shock; Prevention and treatment of right heart failure during left ventricular assist device support therapy; Complications of durable left ventricular assist device support therapy; Patient and device management on left ventricular assist device support therapy; Challenges and future directions in left ventricular assist device support therapy; Monitoring global and regional mechanics; Asynchrony consequences and management; Determinants and prevention of ventilator-induced lung injury; Extracorporeal gas exchange; Non-invasive options; Mobilization and VIDD avoidance; Initiating and discontinuing invasive support; and Automation of ventilation.

Archetypal Grief: Slavery's Legacy of Intergenerational Child Loss is a powerful exploration of the intergenerational psychological effects of child loss as experienced by women held in slavery in the Americas and of its ongoing effects in contemporary society. It presents the concept of archetypal grief in African American women: cultural trauma so deeply wounding that it spans generations. Calling on Jungian psychology as well as neuroscience and attachment theory, Fanny Brewster explores the psychological lives of enslaved women using their own narratives and those of their descendants, and discusses the stories of mothering slaves with reference to their physical and emotional experiences. The broader context of slavery and the conditions leading to the development of archetypal grief are examined, with topics including the visibility/invisibility of the African female body, the archetype of the mother, stereotypes about black women, and the significance of rites of passage. The discussion is placed in the context of contemporary America and the economic, educational, spiritual and political legacy of slavery. Archetypal Grief will be an important work for academics and students of Jungian and post-Jungian studies, archetypal and depth psychology, archetypal studies, feminine psychology, women's studies, the history of slavery, African American history, African diaspora studies and sociology. It will also be of interest to analytical psychologists and Jungian psychotherapists in practice and in training.