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.

Key Features: * Presents the content in a comprehensive and logical manner with an appropriate level of illustrations. * Serves as a ready reference of clinical examination in an easy-to-use pocket-book format for residents and physicians who encounter hand injuries. * Covers crucial knowledge in the field of hand trauma.

Guest editor Lena Napolitano has assembled an expert team of authors on the topic of Trauma in the ICU. Articles will focus on: Non-compressible Torso Hemorrhage; Prediction of Massive Transfusion in Trauma; Coagulopathy of Trauma; Viscoelastic testing and Hyperfibrinolysis in Trauma; Tranexamic Update in Trauma; Optimal Reversal of Novel Anticoagulants in Trauma; Optimal Transfusion for Traumatic Hemorrhagic Shock; and more!

A practical guide to learning and using EMDR Trauma is a potential source of most types of emotional or behavioral problems. Extensive research has shown EMDR to be an effective and efficient trauma treatment. EMDR Within a Phase Model of Trauma-Informed Treatment offers mental health professionals an accessible plain-language guide to this popular and successful method. The book also introduces the Fairy Tale Model as a way to understand and remember the essential phases of treatment and the tasks in each phase. This manual teaches a clear rationale and a systematic approach to trauma-informed treatment, including often-neglected elements of treatment that are essential to preparing clients for EMDR. The reader is led step by step through the treatment process, with scripted hands-on exercises to learn each skill. In addition to presenting the fundamental EMDR procedures, EMDR Within a Phase Model of Trauma-Informed Treatment teaches a treatment system that can be applied to a variety of cases. Using research-supported and proven-effective methods, this book takes you through the treatment process with easily-understood dialogues and examples. Explicitly guided exercises produce hands-on skills and familiarize you with ways to explain trauma to clients and prepare them for EMDR. You will also learn to problem-solve challenging cases using the trauma framework. EMDR Within a Phase Model of Trauma-Informed Treatment also includes an Instructor's Manual with: sample syllabus teaching tips PowerPoint slides test bank. Additional discussions address: why trauma matters posttraumatic symptoms the trauma wall the structure of trauma treatment the role of EMDR the eight phases of EMDR preparing clients for EMDR legal and medical issues in EMDR problem solving strategies in EMDR sessions treatment strategies for a variety of presenting problems using EMDR with children and adolescents use and application of the fairy tale model on-line and digital resources Designed to be a comprehensive primer, companion/supplemental textbook, and valuable reference resource, EMDR Within a Phase Model of Trauma-Informed Treatment is ideal for clinicians already trained in EMDR, those actively learning EMDR, and mental health professionals interested in EMDR. Note that to practice EMDR requires formal supervised training.

Dr. Goldsworthy has created a state-of-the-art issue that emphasizes the nurse's role in mechanical ventilation. Pertinent clinical topics include the following: basics of mechanical ventilation for nurses; current modes for mechanical ventilation; best practices for managing pain, sedation, and delirium in the mechanically ventilated patient; mobilization of and optimal oxygenation for the mechanicaly ventilated patient; managing complications; and effective weaning strategies. Authors also address mechanical ventilation in both children and neonates. The current content in this issue will leave nurses with the clinical information they need to effectively manage mechanically ventilated patients.

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.

This issue of Emergency Medicine Clinics focuses on Neurologic Emergencies. Articles include: Headache; Back Pain; Dizziness; Generalized Weakness; Initial Diagnosis and Management of Coma; Neuro-ophthalmology; Diagnosis of Acute Ischemic Stroke; Treatment of Acute Ischemic Stroke; Acute Hemorrhagic Stroke; Status Epilepticus; Diagnosis and Emergency Management of Subarachnoid Hemorrhage and more!

Drawing on the experience of evaluating over 2000 emergency room patients, Rene Muller explores the important role of psychiatry in emergency room medicine. He discusses some of his most challenging cases, showing how psychiatry comes to the aid of medicine in managing the crises - real, imagined, and contrived - that are the everyday fare of clinicians who work in the ER. We are introduced to a world in which lies are exposed, manipulations revealed, diagnoses made, medications adjusted, and even very brief psychotherapy attempted. Muller begins with patient narratives rooted in the mental disorders most commonly encountered in the ER: Depression, panic disorder, drug dependence, bipolar depression, bipolar mania, schizophrenia, and Alzheimer's dementia. These stories pave the way for more puzzling ER cases, which Muller gathers into sections of "Veiled and Bizarre Stories" and "Stories with a Medical Component." He introduces us to the meanings of ER malingering and offers hard-won insights into managing "dumps" (when patients are dumped into the ER by families, police, doctors) and "stumbles" (when patients' bizarre behavior lands them in the ER). The stories patients tell - and the questions these stories raise - drive Muller's text. A young man has seriously overdosed, but with what? Why has a successfully medicated schizophrenic suddenly begun hearing voices again? And what are we to make of a patient who is willing to risk death attempting to "drown" his hiccups by drinking up to 12 liters of fluid a day? For these and equally fascinating questions, Muller is a sure-handed guide, working his way through one ER challenge after another with psychiatric acumen and a balanced appreciation of the medical, custodial, socioeconomic, and legal dimensions of ER work. An intriguing account of the competing agendas that enter into the handling of emergencies, Psych ER is also a compilation of evocative patient stories about the subjective experience of being ill.

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.

For those offering trauma-informed care, it can be difficult to maintain wellbeing and a balanced, positive outlook when the nature of their job requires frequent engagement with traumatic disclosures. Self-help for Trauma Therapists: A Practitioner's Guide intends to assist human service workers- such as those working as therapists, social workers and counsellors- to maintain their self- care and professional effectiveness when working in fields where stress and trauma play a key factor in their everyday working lives. Adopting a comprehensive, multi-layered approach to self-care based, the book grounds its exploration of practice through researched accounts with experience professionals. Including accounts from clinical psychologists, therapists, counsellors, social workers and the friends and family of people in these professions, this book creates a narrative on stress and trauma from the human service worker perspective. Interwoven with these stories of practice, the author includes reflections on her own experiences in practice over the past 25 years with trauma survivors. With discussions on risk and resilience, compassion fatigue and vicarious traumatisation, readers are introduced to the theories and practical applications of developing a professional model for maintaining wellbeing and self-care in their work. Self-help for Trauma Therapists: A Practitioner's Guide is the first book of its kind to be written solely for human service workers. It is essential reading for beginning and more advanced practitioners who are involved in working with trauma and recovery and will also be of interest to supporters of those working in the helping professions.

This volume reviews the state of the art in caring for patients dying in the ICU, focusing on both clinical aspects of managing pain and other symptoms, as well as ethical and societal issues that affect the standards of care recieved, The book also addresses the changing epidemiology of death in this setting related to managed care, practical skills needed to provide the highest quality of care to terminal patients, communicating with patients and families, the mechanics of withdrawing life supporting therapies, and the essential role of palliative care specialists in the ICU. The book briefly describes unique issues that arise when caring for patients with some of the more common diseases that preciptate death in the ICU. Contributors for the book were chosed because they have experience caring for patients in the ICU, and are also doing curent research to find ways to improve care for terminal patients in this setting.

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 book re-assesses director Jean Renoir's work between his departure from France in 1940 and his death in 1979, and contributes to the debate over how the medium of film registers the impact of trauma. The 1930s ended in catastrophe for both for Renoir and for France: La Regle du jeu was a critical and commercial disaster on its release in July 1939 and in 1940 France was occupied by Germany. Even so, Renoir continued to innovate and experiment with his post-war work, yet the thirteen films he made between 1941 and 1969, constituting nearly half of his work in sound cinema, have been sorely neglected in the study of his work. With detailed readings of the these films and four novels produced by Renoir in his last four decades, Davis explores the direct and indirect ways in which film, and Renoir's films in particular, depict the aftermath of violence.

Using Neuroscience in Trauma Therapy provides a basic overview of structure and function of the brain and nervous system, with special emphasis on changes that occur when the brain is exposed to trauma. The book presents a unique and integrative approach that blends soma and psyche beyond the purview of traditional talk therapy and introduces a variety of trauma-informed approaches for promoting resilience. Each chapter includes case studies, examples, and practical and adaptable tools, making Using Neuroscience in Trauma Therapy a go-to guide for information on applying lessons from neuroscience to therapy.

This issue of Emergency Medicine Clinics focuses on Geriatric Emergencies. Articles include: Recent Trends in Geriatric Emergency Medicine, Resuscitation of the Elderly, Pharmacology in the Geriatric Patient, Trauma and Falls in the Elderly, Sepsis and Infectious Emergencies in the Elderly, Evaluation of the Geriatric Patient with Chest Pain, Evaluation of Dyspnea in the Elderly, Abdominal Pain in the Geriatric Patient, Neurologic Emergencies in the Elderly, Evaluation of Syncope, Altered Mental Status and Delirium, and more!

Using Neuroscience in Trauma Therapy provides a basic overview of structure and function of the brain and nervous system, with special emphasis on changes that occur when the brain is exposed to trauma. The book presents a unique and integrative approach that blends soma and psyche beyond the purview of traditional talk therapy and introduces a variety of trauma-informed approaches for promoting resilience. Each chapter includes case studies, examples, and practical and adaptable tools, making Using Neuroscience in Trauma Therapy a go-to guide for information on applying lessons from neuroscience to therapy.

Emergency Department Technicians (EDTs) play a vital role in actively supporting the medical team in today's hospitals, and the role continues to expand in light of staffing shortages and increased emergency department volumes. The Emergency Department Technician Handbook is a reliable, comprehensive resource in this increasingly important field, filling a timely need in EDT workforce development for both technicians and educators. Concise, readable text, along with high-quality clinical photos and a video library that depict procedures and patient positioning, make this new handbook a must-have resource in every emergency department. Provides quick, convenient access to practical guidance and everyday answers in an easy-to-read outline format. Discusses key topics such as patient flow and assessment in the ED, triage, and point-of-care testing. Advises on best practices for wound care, including cleansing, dressing, and splinting a wound as well as how to set up a suture tray and advanced wound care techniques. Covers essential imaging-based procedures, including the use of ultrasound-guided IV. Features a companion video library with a range of clips depicting how to perform procedures and patient examinations in real time. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, videos, and references from the book on a variety of devices.

This book reviews the recent advances in the development of proteomics-based biomarkers for the non-invasive diagnosis of altitude sickness and explores the potential of antioxidant therapy for this sickness. The first chapters introduce the associated pathophysiology and provide mechanistic insights into the enhanced generation of reactive oxygen and nitrogen species (RONS), which leads to an increase in oxidative damage to lipids, proteins, and DNA. The book then highlights the current problems relating to the diagnosis and treatment of altitude sickness and summarizes novel approaches for identifying potential biomarkers and therapeutics. Lastly, it explores the therapeutic efficacy of antioxidant agents.

Alcohol Use Disorders and the Lung: A Clinical and Pathophysiological Approach is an excellent resource for clinicians who care for individuals affected by alcohol use disorders in diverse settings. Although alcohol abuse alone does not cause acute lung injury, it renders the lung susceptible to dysfunction in response to the inflammatory stresses of sepsis, trauma, and other clinical conditions recognized to cause acute lung injury. In parallel, these same pathophysiological effects of alcohol abuse significantly increase the risk of a wide range of serious lung infections. Many clinicians involved in the primary treatment of alcohol use disorders, such as addiction psychiatrists, will find this text of interest as it will expand their understanding of the health consequences of alcohol use disorders. In parallel, clinicians who specialize in pulmonary and/or critical care medicine will have a unique resource that provides a comprehensive review of the pathophysiology of alcohol-related lung disorders and insights into evolving therapeutic options in these vulnerable individuals. Alcohol Use Disorders and the Lung: A Clinical and Pathophysiological Approach fills a gap in the literature and presents the evolving clinical research that may soon lead to novel therapies that can improve lung health in individuals with alcohol use disorders and co-existing conditions such as HIV infection.

1. Features recent developments like 3-D surgery, telescopic IOL, bionic implants and robotic surgery. 2. Highlights case selection and important precautions to be taken by vitreoretinal surgeons and senior residents. 3. Covers the controversies surrounding primary VR versus RD surgery in Phakic, fresh retinal detachments; Positioning after macular hole/ VR surgery; and to peel or not peel ILM in non-macular hole retinal surgery.

This volume opens up new ground in the field of social representations research by focusing on contexts involving mass violence, rather than on relatively stable societies. Representations of violence are not only symbolic, but in the first place affective and bodily, especially when it comes to traumatic experiences. Exploring the responses of researchers, educators, students and practitioners to long-term engagement with this emotionally demanding material, the book considers how empathic knowledge can make working in this field more bearable and deepen our understanding of the Holocaust, genocide, war, and mass political violence. Bringing together international contributors from a range of disciplines including anthropology, clinical psychology, history, history of ideas, religious studies, social psychology, and sociology, the book explores how scholars, students, and professionals engaged with violence deal with the inevitable emotional stresses and vicarious trauma they experience. Each chapter draws on personal histories, and many suggest new theoretical and methodological concepts to investigate emotional reactions to this material. The insights gained through these reflections can function protectively, enabling those who work in this field to handle adverse situations more effectively, and can yield valuable knowledge about violence itself, allowing researchers, teachers, and professionals to better understand their materials and collocutors. Engaging Violence: Trauma, memory, and representation will be of key value to students, scholars, psychologists, humanitarian aid workers, UN personnel, policy makers, social workers, and others who are engaged, directly or indirectly, with mass political violence, war, or genocide.

This volume is the first to showcase the interdisciplinary nature of Terror Management Theory, providing a detailed overview of how rich and diverse the field has become since the late 1980s, and where it is going in the future. It offers perspectives from psychology, political science, communication, health, sociology, business, marketing and cultural studies, among others, and in the process reveals how our existential ponderings permeate our behavior in almost every area of our lives. It will interest a wide range of upper-level students and researchers who want an overview of past and current TMT research and how it may be applied to their own research interests.

Developmental Trauma offers a comprehensive introduction to the research findings that help us understand the effects on human development of early childhood trauma and adaptation to stress. It explains how DTD differs from PTSD and emerges from a toxic seed planted at the beginning of an individual's lifespan development. This important volume examines relational traumas and adverse childhood experiences, such as exposure to family and community violence, polyvictimization (multiple repeated childhood traumas), and disruptions to parent-child bonds, which lay the foundation for future relationships. The volume considers how DTD affects self-regulation capacities, identity development, self-esteem, and faith in oneself and others andincreases the likelihood of comorbidities including ADHD and autism spectrum disorders. Individuals with indications of developmental trauma face lifelong challenges in their ability to develop and maintain trusting relationships, to build and utilize healthy coping strategies, and to adjust to school and, eventually, the workplaceUniquely, Daniel Cruz goes beyond individual levels of analysis that focus almost exclusively on patients and explores toxic stress embedded in social systems and institutional policies and procedures that cause individuals to suffer, experience psychiatric and medical problems, and that lead to social and economic adversities such as poverty, homelessness, and involvement in criminal activity. Key topics explored include institutional betrayal, such as sexual assaults and workplace bullying, and judicial betrayal when failures from the legal system do not adequately protect victims of trauma, for example in cases of domestic violence. Developmental Trauma is for students of child and adolescent psychology, developmental psychology, clinical psychology, primary care and health psychology, education, social work, and urban studies. It is relevant for graduate students in applied fields such as clinical and counseling psychology, and those working with diverse children, and public health and policy.

This volume is the first to showcase the interdisciplinary nature of Terror Management Theory, providing a detailed overview of how rich and diverse the field has become since the late 1980s, and where it is going in the future. It offers perspectives from psychology, political science, communication, health, sociology, business, marketing and cultural studies, among others, and in the process reveals how our existential ponderings permeate our behavior in almost every area of our lives. It will interest a wide range of upper-level students and researchers who want an overview of past and current TMT research and how it may be applied to their own research interests.