During his lifetime John Bowlby, the founder of attachment theory, was unable to publish as he wished due to strong opposition to his ideas. Now, with the support of the Bowlby family, several complete and near-complete works from the John Bowlby Archive at the Wellcome Collection are published for the first time. The collection spans Bowlby's thinking from his early ideas to later reflections, and is split into four parts. Part 1 includes essays on the topic of loss, mourning and depression, outlining his thoughts on the role of defence mechanisms. Part 2 covers Bowlby's ideas around anxiety, guilt and identification, including reflections on his observations of and work with evacuated children. Part 3 features three seminars on the subject of conflict, in which Bowlby relates clinical concepts to both political philosophy and psychoanalysis in innovative ways. Part 4 consists of Bowlby's later reflections on trauma and loss, and on his own work as a therapist. This remarkable collection not only clarifies Bowlby's relationship with psychoanalysis but features his elaboration of key concepts in attachment theory and important moments of self-criticism. It will be essential reading for clinicians, researchers, and others interested in human development, relationships and adversity.

Raw and radical, strange and beguiling - a love letter to Britain's breathtaking flatlands, from Orford Ness to Orkney, and a reckoning with the painful, hidden histories they contain 'Noreen Masud fathoms the depths of flat landscapes - sharp, subtle and very moving' Robert Macfarlane 'Haunting and generous, beautifully written - this book is a gift' Preti Taneja 'A Flat Place reminds us that there is hope in the smallest of gestures' Sara Ahmed Noreen Masud has always loved flatlands. Her earliest memory is of a wide, flat field glimpsed from the back seat of her father's car in Lahore. As an adult in Britain she has discovered many more flat landscapes to love: Orford Ness, the Cambridgeshire Fens, Morecambe Bay, Orkney. These bare, haunted expanses remind her of the flat place inside herself: the place created by trauma. Noreen suffers from complex post-traumatic stress disorder: the product of a profoundly disrupted and unstable childhood. It flattens her emotions, blanks out parts of her memory, and colours her world with anxiety. Undertaking a pilgrimage around Britain's flatlands, seeking solace and belonging, she weaves her impressions of the natural world with poetry, folklore and history, and with recollections of her own early life. Noreen's British-Pakistani heritage makes her a partial outsider in these landscapes: both coloniser and colonised, inheritor and dispossessed. Here violence lies beneath the fantasy of pastoral innocence, and histories of harm are interwoven with nature's power to heal. Here, as in her own family history, are many stories that resist the telling. She pursues these paradoxes fearlessly across the flat, haunted spaces she loves, offering a startlingly strange, vivid and intimate account of the land beneath her feet.

Trauma, Guilt and Reparation identifies the emotional barriers faced by people who have experienced severe trauma, as well as the emergence of reparative processes which pave the way from impasse to development. The book explores the issue of trauma with particular reference to issues of reparation and guilt. Referencing the original work of Klein and others, it examines how feelings of persistent guilt work to foil attempts at reparation, locking trauma deep within the psyche. It provides a theoretical understanding of the interplay between feelings of neediness with those of fear, wrath, shame and guilt, and offers a route for patients to experience the mourning and forgiveness necessary to come to terms with their own trauma. The book includes a Foreword by John Steiner. Illustrated by clinical examples throughout, it is written by an author whose empathy and experience make him an expert in the field. The book will be of great interest to psychotherapists, social workers and any professional working with traumatized individuals.

First responders in the fire, emergency, and police agencies work in high-risk, critical situations, and require effective leadership. Using the approach of Servant Leadership, Dr. Russell explains how executive level/chief officers can lead their teams by helping responders develop and perform as highly as possible and meet the needs of their followers. To bring the power of this philosophical approach towards leadership to life, this book demonstrates how its many aspects come together as a system, in order to strengthen the community of emergency responders. Featuring case studies and questions as meditative exercises, the book offers readers a rich learning experience. Targeted at fire chiefs, fire commissioners, police chiefs, and Emergency Medical Service, and other first responders, this book will have a positive impact on these organizations and the communities they serve. It is also useful for training aspiring executive level leaders/chief officers.

Integrating trauma studies with historical research and social psychology, Landscapes of Trauma examines a range of battlefields from across history, including Waterloo, the Battle of Sedan, the Battle of the Ebro and the Battle of Normandy, to bring to light what these battlefields say about our collective and individual psyches. Hunt explores how war shapes the nature of trauma, not only by its innate horror but also by the historical and societal contexts it is fought in, from the cultural and social conventions of the period to the topography of the settings. This book provides a deep analysis of how war is experienced and remembered in different eras and by different generations. Moving beyond the clinical concept of post-traumatic stress disorder, Hunt discusses how trauma can be understood socially and historically, as well as through the lens of individual suffering. This book also investigates the psychological foundations of memorialisation, remembrance and commemoration that shape the legacy of the battles discussed. Using interviews with veterans, their letters, journals and diaries, as well as literary and historical sources, Hunt locates the battlefield as a place where humans explore the parameters of human behaviour, thought and emotion. This book is in important resource for students and scholars interested in the psychology of trauma and war, as well as military history.

This core textbook defines the pathophysiologic mechanisms underlying the disease states commonly encountered by pre-hospital care providers. The chapters are short, clinically focused and specific to the diseases, disorders, and traumatic conditions of critical interest to the EMT and pre-hospital environment. Each chapter identifies the appropriate drugs and management guidelines to be used. Designed to bridge the gap between EMT and the Physician in all emergent or acute conditions, the book includes management cautions and tips are highlighted throughout the presentation. The book is tailored specifically to the curriculum for EMT training.

This text presents epidemiologic methods for studying injuries and evaluating interventions to prevent them. It explains how to formulate research questions, the sources of reliable and valid data, and the best choice of research methods. The difficulties of applying rates and ratios to the evaluation of programs are discussed, and the use of economic concepts and policy analysis is covered. It provides specific objectives for research in the various stages of injury control planning and implementation, including the types of data needed to reach the objectives. This third edition is fully updated throughout with new studies used as discussion examples. The chapters have been reorganised into more precise topic areas, for ease of reference.

Since it was first published, Accident and Emergency Radiology: A Survival Guide has become the classic in-my-pocket-reference and an indispensable aid to all those who work in the Emergency Department. The core and substantial value lies in the step-by-step analytical approaches which help you to answer this question: "These images look normal to me, but . . . how can I be sure that I am not missing a subtle but important abnormality?" "This book will provide essential reading and support to A&E trainees, medical students, radiology trainees, reporting radiographers and clinical nurse specialists, all of whom may be faced with trauma cases requiring accurate diagnosis and treatment." Reviewed by: RAD Magazine Feb 2015 "... Very nearly flawless...contains just the right amount of information to accommodate readers from trainees through to consultant or attending level." Reviewed by African Journal of Emergency Medicine , Jun 2015 Ensure accuracy in reading and interpretation of any given image. Common sources of error and diagnostic difficulty are highlighted. Prevent mistakes. Pitfalls and associated abnormalities are emphasized throughout. Avoid misdiagnoses. Normal anatomy is outlined alongside schemes for detecting variants of the norm. Each chapter concludes with a summary of key points. Will provide a useful overview of the most important features in diagnosis and interpretation. Easily grasp difficult anatomical concepts. Radiographs accompanied by clear, explanatory line-drawings. Spend less time searching with an improved layout and design with succinct, easy-to-follow text. A templated chapter approach helps you access key information quickly. Each chapter includes key points summary, basic radiographs, normal anatomy, guidance on analyzing the radiographs, common injuries, rare but important injuries, pitfalls, regularly overlooked injuries, examples, and references. Grasp the nuances of key diagnostic details. Updated and expanded information, new radiographs, and new explanatory line drawings reinforce the book's aim of providing clear, practical advice in diagnosis. Avoid pitfalls in the detection of abnormalities that are most commonly overlooked or misinterpreted. Access the complete contents and illustrations online at Expert Consult-fully searchable!

Clinical research in critical care has exploded in the past several years and we now have a much better understanding of how to care for intensive care unit (ICU) patients in areas such as management of sepsis, fluid resuscitation, mechanical ventilation, antibiotic administration, and sedation and analgesia. However, despite improved clinical care, many critically ill patients continue to experience complications of critical illness - some complications are iatrogenic and preventable, while others are simply a component of the natural history of critical illness. These complications lead to increased mortality, morbidity, cost, and long-term chronic conditions. Non-Pulmonary Complications of Critical Care: A Clinical Guide is a valuable resource for trainees and clinicians who aim to better understand and improve the quality of critical care medicine. Armed with information about potential non-pulmonary complications of ICU care and strategies to minimize or prevent those complications, the critical care clinician will be able to help ICU patients potentially avoid much of the morbidity associated with critical illness.This book is organized by organ system such that it can be easily used as a bedside reference. Complications caused by pharmaceuticals are dispersed throughout every chapter and the concluding chapters provide a special emphasis on meticulous supportive care of the critically ill patient to allow the best chance for recovery.

'A striking memoir...A must-read for anyone healing from complex trauma' Jeanette McCurdy, bestselling author of I'm Glad My Mom Died Every cell in my body is filled with the code of generations of trauma, of death, of birth, of migration, of history that I cannot understand. . . . I want to have words for what my bones know. By the age of thirty, Stephanie Foo was successful on paper: she had her dream job as an award-winning radio producer at This American Life and a loving boyfriend. But behind her office door, she was having panic attacks and sobbing at her desk every morning. After years of questioning what was wrong with herself, she was diagnosed with complex PTSD - a condition that occurs when trauma happens continuously, over the course of years. Both of Foo's parents abandoned her when she was a teenager, after years of physical and verbal abuse and neglect. She thought she'd moved on, but her new diagnosis illuminated the way her past continued to threaten her health, relationships, and career. She found limited resources to help her, so Foo set out to heal herself, and to map her experiences onto the scarce literature about C-PTSD. In this deeply personal and thoroughly researched account, Foo interviews scientists and psychologists and tries a variety of innovative therapies. She returns to her hometown in California to investigate the effects of immigrant trauma on the community, and she uncovers family secrets in the country of her birth, Malaysia, to learn how trauma can be inherited through generations. Ultimately, she discovers that you don't move on from trauma - but you can learn to move with it. Powerful, enlightening and hopeful, What My Bones Know is a brave narrative that reckons with the hold of the past over the present, the mind over the body - and examines one woman's ability to reclaim agency from her trauma.

Obstetric emergencies are unplanned and often unanticipated. Management requires a clear understanding of the life-saving and damage-limiting treatments that can be implemented.

*Bestselling title with over 100,000 in print, updated: 40% new material reflects over 15 years of advances in the therapy, including findings from controlled studies. *Expanding market: beyond PTSD, EMDR is now being used to effectively treat complex trauma, anxiety, depression, addictions, and more. *Widely studied, EMDR is recognized as effective by the U.S. VA/DOD, American Psychiatric Association, ISTSS, WHO, and health care institutes of Australia, France, Germany, Israel, the Netherlands, Northern Ireland, and the UK. *The definitive clinical reference and training tool; workshops on the therapy are conducted worldwide.

Until the past decade, clinicians and researchers assumed that the medical evaluation and treatment of both women and men were the same. This archaic and dangerous notion persisted in spite of the clear anatomic and physiologic differences between the genders. Today, we fully understand that this paradigm is false. In all specialties of medicine, practitioners and researchers are beginning to consider the influence of sex and gender and how it should inform the care of their patients. This book focuses on the issue of sex and gender in the evaluation and treatment of patients specifically in the delivery of acute medical care. It serves as a guide both to clinicians interested in the impact of sex and gender on their practice and to researchers interested in the current state of the art in the field and critical future research directions.

More than 800 case-based Q&A combined with the authority of the field's leading text make this the best review for any Emergency Medicine examination McGraw-Hill Education Specialty Board Review: Tintinalli's Emergency Medicine Examination and Board Review, Eighth Edition delivers more than 800 case-based questions and answers. All answer options, both correct and incorrect, are keyed to Tintinalli's Emergency Medicine, Eighth Edition, the field's most authoritative and trusted text. This is an outstanding review for any examination in emergency medicine - including board certification - and can also be used as a clinical refresher. EKGs, radiographs, and clinical images are included to sharpen readers' diagnostic skills. This edition bolstered by enhanced answer explanations, an increased number of Q&A, and improved quality of photographs.

The primary goals of this brief are to invoke alertness and solidarity among the public in earthquake prone areas of India, and to empower the community to prepare themselves to face and manage the aftermath of an earthquake. The work presented here sheds new light on the action plans to be taken by the common public and public agencies, before, during and after earthquakes to safeguard lives of people and minimize loss of assets. This carefully presented book articulates various factors related to earthquake preparedness, and develops guidelines and useful tips for communicating them to relevant stakeholders. The book has been divided into three parts: (i) the first providing background which explains earthquakes in general and seismicity of India (ii) the second explores earthquake preparedness intended for individuals, families and various stakeholders, and (iii) the final section which describes various strategies for communities to prepare themselves for a future earthquake.

The care that a patient receives in the first hours after surgery is crucial to minimizing the risk of complications. The recovery room staff must manage both comatose and physiologically unstable patients, and deal with the immediate post-operative care of surgical patients. The Complete Recovery Room Book, Sixth edition, provides nurses, surgeons, and anaesthetists with up-to-date guidance and practical tips on the post-operative management of patients. Over 30 chapters, this resource covers key aspects of recovery room management from setting-up, monitoring and equipment, and managing symptoms as well as clear and concise explanations of physiology and pharmacology. Specific chapters address the unique post-operative needs of individual types of surgery and patient groups. Practical tips and short aphorisms are offered throughout the text to help retain practical information.

This book is one of the first to comprehensively summarise the latest thinking and research in the rapidly evolving field of quality management in intensive care. Quality indicators and outcome measures are discussed with a practical focus on patient-centred, evidence-based implementation for safer and more effective clinical practice. Chapters on topics such as teambuilding, patient satisfaction, mortality and morbidity, and electronic management systems are organised into three sections, covering quality management at the scale of the individual patient, the intensive care unit, and the national and international level. Written by a team of over forty international experts in the specialty, with editors who have been heavily involved for many years with the European Society of Intensive Care Medicine, the book reflects commonly accepted goals and guidelines for best practice, and will be valuable for practitioners worldwide. The ideal one-stop resource for intensive care physicians as well as ICU and hospital managers.

This practical and timely book provides comprehensive, state-of-the-art guidance on how primary care clinicians can best care for patients with substance use disorders. The book covers the major drugs of abuse, as well as the more recent ones, detailing the biology of various addictions and all dimensions of clinical diagnosis and management. It is organized in four parts: (1) The Basics, (2) Psychoactive Substance Dependencies, (3) Diagnosis, Treatment, Recovery, Relapse, and the Family, and (4) Special Groups. Part I, The Basics, consists of an overview, the various definitions of substance dependence, and the pharmacology of addictive substances. Chapter 1, Overview, is an introductory chapter that covers material common to the entire field of substance dependence. Chapter 2 covers the various definitions of substance dependence, and Chapter 3 reviews the pharmacology of addictive substances. Part II, Psychoactive Substance Dependencies, explains the various drug dependencies-alcohol dependence, sedative-hypnotic dependence, opioid dependence, stimulant dependence, nicotine dependence, cannabis dependence, dissociative dependence, inhalant dependence, hallucinogen dependence, and anabolic steroid dependence. Part III addresses diagnosis, treatment, recovery, relapse, and the family. Part IV, Special Groups, discusses substance dependence in women, adolescents, the elderly, ethnic minority groups, co-occurring disorders, LGBT patients, HIV positive patients, and the impaired physician. In addition to primary care physicians, Substance Use Disorders: A Guide for the Primary Care Provider will serve as an invaluable resource to primary care nurse practitioners and physician assistants, as well as medical students, primary care residents, emergency medicine physicians, ASAM and APA certified addictionists and those studying for certification in those specialties, psychiatrists, psychologists, and alcohol/drug counselors.

This workbook addresses the vital questions helpers, responders, and organizations have about self-care and its relationship to resilience and sustained effectiveness in the midst of daily exposure to trauma victims and or situations. Packed with activities, worksheets, and interactive learning tools, the text provides neuro-based and trauma-sensitive recommendations for improving the ways clinicians care for themselves. Each 'session' helps clinicians identify their personal self-care needs and arrive at an effective self-care plan that promotes resilience in the face of daily exposure to trauma-inducing situations and reduces the effects of compassion fatigue and burnout. Reducing Compassion Fatigue, Secondary Traumatic Stress, and Burnout is an essential workbook for any helper or organization looking to enhance compassionate care.

Clinical SAQs for the Final FRCEM offers a tailored solution to any person wishing to succeed in the clinical SAQ exam. Featuring over 200 Short Answer Questions mapped to the Royal College of Emergency Medicine curriculum, this comprehensive guide ensures high quality preparation. Designed specifically to reflect the examination format, each question presents clinical cases with diagnostic test results and, where relevant, imaging. Detailed model answers act as both a high yield revision guide and as a template for answering similar questions on exam day. 50 questions are illustration based including radiology, ultrasound, and ECGs allowing candidates to practice typical questions in this clinical exam. Further reading directs candidates to guidelines and articles for additional preparation. Written by a team including successful candidates and a senior consultant, Clinical SAQs for the Final FRCEM holds the key to passing the exam.

Forced Migration and Social Trauma addresses the topic of social trauma and migration by bringing together a broad range of interdisciplinary and international contributors, comprising refugee care practitioners, trauma researchers, sociologists and specialists in public policy from all along the Balkan refugee route into Europe. It gives the essence of a moderated dialogue between psychologists and psychoanalysts, sociologists, public policy and refugee care experts. Migration is connected to social trauma and cannot be handled without being aware of this context. The way refugees are treated in the transit or target countries is often determined by the socio-traumatic history of these countries. Social trauma can be collectively committed and perpetuated, leaving transgenerational traces in posttraumatic and attachment disorders, uprootedness and loss of social and political confidence. Media and cultural artefacts like press, TV and the internet influence collective coping as well as traumatic perpetuation. This book shows how xenophobia in the refugee receiving or transit countries can be caused by projection rather than by experience, and that the way refugees are received and regarded in a country may be connected to the country's cultural-traumatic history. Refugees, who are often individually and collectively traumatised, experience multiple re-enactments; however, such retraumatisations between refugees and receiving populations or institutions often remain unaddressed. The split between welcoming and hostile attitudes sometimes leads to unconscious institutional defences, such as lack of cooperation between medical, psychotherapeutic, humanitarian and legal institutions. An interdisciplinary and international exchange on migration and social trauma is necessary on all levels - this book gives convincing examples of this dialogue. Forced Migration and Social Trauma will be of great interest to all who are involved in the modern issues of refuge and migration.

This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics population. Sections are devoted to issues around capacity, surrogate decision making, end-of-life care, hemodialysis in the elderly, and futility as well as challenges presented by independence questions, such as dementia care, driving, feeding, and intimacy in nursing homes. The text also addresses questions around recognizing, reporting, and treating elder abuse and self-neglect, ethics related to research and technology in the geriatric population, and the use of e-mail, Facebook, and open notes. Written by experts in the field, Ethical Considerations and Challenges in Geriatrics is a valuable tool for trainees at a variety of levels including medical students, residents, and fellows. In addition, it provides practical guidance and a useful reference for practicing geriatricians, primary care physicians, geriatric nurses, social workers, nursing home workers, hospice care employees, and all medical health professionals working with the elderly.

This book is a one-stop guide to managing acute orthopedic injuries. Unlike other handbooks, this reference provides a comprehensive, yet concise, set of diagnostic and management tools to help readers deliver optimal, evidence-based, and efficient patient care. Additional focus on physical exam techniques, emergency room orthopedic procedures, and on-field athletic management strategies empowers readers with real tips and tricks used by orthopedic surgeons at top-tier institutions. This guide is a must have for emergency medicine providers, orthopedic surgeons, and other clinicians, trainees, and students caring for adult or pediatric patients in the emergency setting.

Despite the wide array of services offered to students with learning disabilities, attention-deficit disorder, and a variety of comorbid conditions, large numbers of students are caught in the struggle of surviving school. Unfortunate school experiences may impact their sense of self and the degree of tenacity with which they pursue further training or challenging opportunities in the workplace. These are the people for whom educational therapy provides relief, enlightenment, and the coveted prize of success. The second edition of The Clinical Practice of Educational Therapy, the first textbook in its field, provides a comprehensive perspective of this interdisciplinary profession and practice, reaching out to a more global audience. The book describes the scope and practice of educational therapy from its European roots to its growing presence in the United States, providing readers with case studies and research that illustrate the work of educational therapists across the lifespan in diverse settings. Interdisciplinary Perspective - Other books focus on either educational or therapeutic interventions but rarely discuss the blend and synergy of disciplines (e.g., special education, neuropsychology, assessment, and social work) that are the hallmark of this unique profession. Illustrative Cases - The text draws heavily on case studies as a means of understanding the practice of educational therapy, especially the dynamic relationship that exists between therapist and client. Numerous charts and tables provide visuals for educational therapists as well as allied professionals, parents, and those with learning challenges. Expertise - The editors are both highly visible educational therapists. Chapter authors are either experienced educational therapists or allied professionals who have made scholarly contributions to the profession, such as Trisha Waters, Roslyn Arnold, and George McCloskey. In addition to benefiting educational therapists and students, this book is appropriate for professionals who work in related fields such as special education, regular education, school and educational psychology, neuropsychology, school counseling, psychology, speech and language pathology, art therapy, occupational therapy, and social work, as well as in medicine and psychiatry. NEW TO THE SECOND EDITION The second edition of The Clinical Practice of Educational Therapy: Learning & Functioning with Diversity has revised and updated the chapters from the first edition, and added three new chapters which further define and broaden this field by exploring diverse perspectives: Chapter 10, "Cultivating Character Development: Educational Therapy's Impact on Individuals, Families, Schools, Educational Policy, and Society" by Maxine Ficksman Chapter 12, "Women and Girls Who Are Disenfranchised: A Global and Interdisciplinary Approach to Educational Therapy" by Jane Utley Adelizzi Chapter 17, "Examining the Efficacy of Graduate Programs in Educational Therapy at California State University, Northridge (CSUN): Educational Therapy Intern, Graduate and Parent Perspectives" by Marcy Dann, Nancy Burstein, Tamarah Ashton, and Sue Sears. These additional chapters, supported by brain-based research, characterize the shifts and changes experienced in a range of settings. Through the treatment alliance, educational therapists address students' and clients' ability to experience a more comprehensive model of learning, dependent upon the psychological, social, emotional, cultural and academic environments. The three new chapters range in focus from formal research and graduate training in the field of educational therapy to students throughout the lifespan whose social and educational experiences require a careful eye to not only the academic task at hand but also to the ways in which they cope and adapt to a range of environments and challenges. Lastly, educational therapy's empathic foundation in practice is exemplified when we consider the global experience of students who strive to learn in situations and settings that threaten their survival and disenfranchisement from society.

Mastering Emergency Medicine is a concise, revision-focused textbook that covers everything that candidates need to know in order to pass the College of Emergency Medicine's (CEM) membership examination (MCEM) to enter training, and to the pass fellowship examination (FCEM) to complete the Certificate of Specialist Training. With over 100 OSCE scenarios designed to stimulate everyday emergency department clinical encounters, Mastering Emergency Medicine covers all the key areas of the CEM syllabus, including: clinical examinations and practical skills, communication skills, teaching and management. This book takes a practical approach to the subject - core facts are presented and common scenarios are explored using an OSCE style, as used in the Part C MCEM and the FCEM examinations - which makes it an invaluable blueprint for management of cases. Closely linked to the current CEM syllabus, each chapter comprises three parts: Core topics that supplement revision for Part A and B. Clinical scenarios, including data and relevant practical skills that can be used to prepare for Parts B and C. Mock 'Scoring Scenarios' that give specific guidance on how to perform in OSCEs. Mastering Emergency Medicine is a highly detailed revision guide for the OSCE examinations and an essential study guide for all those who are preparing for the MCEM or FCEM examinations. It will also be useful to those who are wishing to pursue a career in Acute Medicine.