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Books > Medicine > Other branches of medicine > Clinical psychology
As the government strives for a more inclusive education policy, more and more teachers find themselves in the frontline when dealing with children with mental health problems. Many have not had training in such matters and so feel unprepared and uncertain when faced with difficult situations. The Mental Health Handbook for Schools provides valuable information on a comprehensive range of mental health problems with which teachers are often confronted. Drawing on up-to-date research and practice in these areas the book considers what schools can do, within the special needs framework, to help pupils with these problems. It usefully reflects on the role of the mental health services in relation to schools and how schools can adopt a whole-school preventative approach to mental health problems. The authors address an extensive range of mental health problems including Attention Deficit/Hyperactivity Disorder, eating disorders, substance abuse, obsessive-compulsive disorders and schizophrenia. They also cover situations that can often lead to the development of mental health problems including bullying, divorce and marital conflict, bereavement and physical, sexual and emotional abuse.
Recent estimates (Hallahan & Kauffman, 1978) indicate that over 4. 7 million children, 7.3% of the child population under the age of 19, are labeled emotionally disturbed, mentally retarded, or learning-disabled. Moreover, many of these children remain unserved or are inadequately served. The past decade has produced an increasing concern with the mental health needs of these children and their families. This trend had as much impact in behavior therapy as it did in any other branch of the helping professions. Behavioral work with children, with its emphasis on skill development and environmental modification, helped to build into child psychotherapy a true preventive mental health orientation. The ease of delivery and application of behavioral procedures allowed parents and other caregivers to become meaningfully involved in the clinical process, and so facilitated therapy gains and the maintenance and generalization of those gains. Perhaps the most significant change in behavior therapy in the 1970s was the move beyond interventions derived strictly from learning theories to applications based on knowledge from a variety of psycho logical research areas. The cognitive mediational activities of the client have received special attention, and this book presents the conceptual, methodological, and clinical issues in contemporary cognitive behavior therapy with children."
Wilhelm Stekel was an Austrian physician and psychologist and one of Freud's earliest followers. A prolific writer, this book originally published in 1921, was considered by the translator 'the best general introduction of its author to the English public', containing as is does many of his central ideas. Although the author had already fallen out with him by this time, in the preface to this book, he acknowledges Freud's significance to the field and says he regards his 'Psycho-Analysis as being a step towards a new psycho-therapy'.
Learn to initiate the integration of your clients' spirituality as an effective practical intervention. A client's spiritual and religious beliefs can be an effective springboard for productive therapy. How can a therapist sensitively prepare for the task? The Therapist's Notebook for Integrating Spirituality in Counseling is the first volume of a comprehensive two-volume resource that provides practical interventions from a wide range of backgrounds and theoretical perspectives. This volume helps prepare clinicians to undertake and initiate the integration of spirituality in therapy with clients and provides easy-to-follow examples. The book provides a helpful starting point to address a broad range of topics and problems. The chapters of The Therapist's Notebook for Integrating Spirituality in Counseling are grouped into five sections: Therapist Preparation and Professional Development; Assessment of Spirituality; Integrating Spirituality in Couples Therapy; Specific Techniques and/or Topics Used in Integrating Spirituality; and Use of Scripture, Prayer, and Other Spiritual Practices. Designed to be clinician-friendly, each chapter also includes sections on resources where counselors can learn more about the topic or technique used in the chapter-as well as suggested books, articles, chapters, videos, and Web sites to recommend to clients. Each chapter utilizes similar formatting to remain clear and easy-to-follow that includes objectives, rationale for use, instructions, brief vignette, suggestions for follow-up, contraindications, references, professional readings and resources, and bibliotherapy sources for the client. The first volume of The Therapist's Notebook for Integrating Spirituality in Counseling helps set a solid foundation and provides comprehensive instruction on: ethically incorporating spirituality into the therapeutic setting professional disclosure building a spiritual referral source through local clergy assessment of spirituality the spirituality-focused genogram using spirituality in couples therapy helping couples face career transitions dealing with shame addiction recovery the use of scripture and prayer overcoming trauma in Christian clients and much more! The Therapist's Notebook for Integrating Spirituality in Counseling is a stimulating, creative resource appropriate for any clinician or counselor, from novices to experienced mental health professionals. This first volume is perfect for pastoral counselors, clergy, social workers, marriage and family therapists, counselors, psychologists, Christian counselors, educators who teach professional issues, ethics, counseling, and multicultural issues, and students.
Taking Care established the author as an important social and political analyst whose background happened to be in clinical psychology. In this work the author develops the analysis of mental illness, and psychology in general, in the contexts of society, power and interest. People's experience is embodied in the world in which they exist. Notwithstanding the claims of some, psychology cannot, in the same way that magic cannot, change the nature of that experience fundamentally. At best, psychotherapy might provide a degree of understanding about that limitation. The historical relationship between psychology and magic is examined. The socio-political and economic structures of the society in which we live have the greatest influence on mental health, as on many other matters. Therefore, the individuation of focus in psychology on personal relationships, happiness, and sexuality can significantly miss the point. We need to develop political and social structures that 'take care' of people, to enable them to have meaningful 'public' lives.
countries in this region have been particularly limited (for an exception to this, see Petmesidou & Papatheodorou, 2006). The underlying assumption in this volume is that despite the diversity of welfare states bordering the Mediterranean Sea, some interesting commonalities are shared by these nations. Indeed, in his contribution to this volume Gal has described these nations as belonging to an extended family of welfare states that share some common characteristics and outcomes, one of which is the role of the family. By bringing together case analyses of the welfare states in the Mediterranean which focus on children, gender, and families, we maintain that it is possible to shed light on aspects of social policy that do not necessarily emerge in most discussions of these issues in the literature. The rationale inherent in a volume that focuses on a group of welfare states is of course embedded in the welfare regime typology notion that has dominated much of the comparative social policy literature over the last two decades. The publication of Esping Andersen's seminal work, The Three Worlds of Welfare Capitalism in 1990 (and his related 1999 book), which distinguished between three welfare regimes, became a landmark for comparative work of social policies in various countries. Esping-Andersen regarded his typology as a useful tool for comparison between welfare states because it allowed "for greater analytical parsimony and help s] us to see the forest rather than myriad trees" (1999, p. 73).
Narrative Psychiatry and Family Collaborations is about helping families with complex psychiatric problems by seeing and meeting the families and the family members, as the best versions of themselves, before we see and address the diagnoses. This book draws on ten years of clinical research and contains stories about helping people, who are heavily burdened with psychiatric illnesses, to find ways to live a life as close as possible to their dreams. The chapters are organized according to ideas, values, and techniques. The book describes family-oriented practices, narrative collaborative practices, narrative psychiatric practices, and narrative agency practices. It also talks about wonderfulness interviewing, mattering practices, public note taking on paper charts, therapeutic letter writing, diagnoses as externalized problems, narrative medicine, and family community meetings. Each chapter includes case studies that illustrate the theory, ethics, and practice, told by Nina Jorring in collaboration with the families and colleagues. The book will be of interest to child and adolescent psychiatrists and all other mental health professionals working with children and families.
Three years ago, when Cavan footballer Alan O'Mara was twenty-two, he spoke out about his battle with depression which led him to contemplate suicide. Only the thought of his parents and the pain that they would experience in his death prevented him from taking his own life. Now, in The Best is Yet to Come, he tells his story. From the role the GAA played in his life, to the decision he made to share his journey, this is an account of an ordinary young man, a GAA star, who found a way to move past the dark thoughts that beset his mind during his worst days, and who discovered that the only way out of the darkness is to ask for help. 'In summoning his courage and becoming the first active inter-county player to speak of his experiences with depression, Alan O'Mara gives a much needed voice to an aspect of human experience that has been cloaked in silence and stigma. This book, which is needed now more than ever, gives a rare glimpse into the complex inner world of depression and will give hope to those suffering in silence, guidance to those seeking solutions and inspiration for families and friends supporting loved ones.' Conor Cusack
Important clinical issues as the outcome of long term treatment with antidepressants, the time of onset of the antidepressant response and the limitations of the antidepressants currently available are covered in this monograph. Leading researchers in the area of clinical and experimental psychopharmacology critically assess the progress in their specialist fields. The mechanisms of action of antidepressants are considered, followed by clinical research into the role of the hypothalamic-pituitary-adrenal axis and the immune system in the biology of depression and in response to treatment. The final chapter deals with the important chemical entities now undergoing development as antidepressants. The purpose of this monograph is not only to inform but also to stimulate research into the biology of depression and the mechanisms behind the action of effective antidepressants. This monograph is of interest to psychiatrists, psychologists, pharmacologists, neuroscientists and endocrinologists.
The family therapy movement had from its earliest days been marked by a surge of creativity and by the energy of the new ideas it generated. Originally published in 1979, the authors of the original essays collected together in this book felt that the time had come to take stock and to scrutinise more carefully the meaning and effectiveness of this new psychotherapeutic method within the particular conditions prevailing Britain at the time. The book focuses on issues relating to theory, research and practice and, while concentrating on three sub-specialities of family therapy - family group therapy, marital therapy and network therapy - the papers cover a wide variety of topics. In addition to papers by practitioners and teachers of family therapy, two contributions are included from the field of academic psychology. Before this, much of the family therapy literature had been presented in the form of an uncritical eulogy of the method. The special interest of this book lies in its attempt to bring a critical perspective to bear upon family therapy and its application. Moreover, in contrast with much that had been previously written, the authors sought to make a distinctive contribution to the development of family therapy through their effort to integrate, rather than to polarise, what is valuable within a variety of different theoretical and empirical approaches.
The cat lady. The couple who won't let anyone in their apartment. The old man with all that junk in his yard. Their severe hoarding puts them, and often others, at risk for injury, disease, and even death. Most deny needing help, and for this reason, professionals are desperate to find more effective ways to offer and provide assistance to them. In response to this growing public health problem, Clinician's Guide to Severe Hoarding refines our understanding and presents in depth and innovative alternative to traditional interventions. Arguing that although treatment for hoarding can be effective for those who are open to help, people with severe hoarding are not. The Clinician's Guide to Severe Hoarding describes an alternative strategy to help those who adamantly refuse help and yet face significant health and safety risks due to the hoarding problem - harm reduction. This client-centered approach takes readers through harm reduction plan development, team building, goal setting, client collaboration, and progress assessment. The Clinician's Guide also explains that a successful harm reduction plan may encourage clients to seek further help, and offers insights into working with special populations such as people who hoard animals and children who exhibit hoarding behavior. The Clinician's Guide describes in detail a range of strategies for assisting people with severe hoarding: Strategies for engaging with clients who hoard. Guidelines for assessing harm potential. Guidelines for creating a harm reduction plan, building a harm reduction team, and conducting and evaluating home visits. Skills for client self-help: decision making, time management, and more. Guidelines for navigating the ethical and legal issues that arise in assisting people who hoard. Readings, links, and other resources. With its practical common-sense approach to a complex problem, Clinician's Guide to Severe Hoarding is a unique volume not only for mental health practitioners, but also other professionals who assist people who hoard, such as home health aides, social workers, and professional organizers.
This volume posits two theories of behavioral pediatrics: that scientific and clinical study of organism--environment transactions requires investigators to alter recognize the importance of systemic models over mechanistic models; and that attention must be given to environmental contexts of development, and to the events in the environment that trigger and regulate the organization, development, and expression of human behavior.
This first-of-its-kind volume describes the cognitive and educational characteristics of people with autism. Leading experts in the field contribute papers to this book, explaining intervention techniques and strategies. Parents, researchers, professionals, and clinicians interested in educating people with autism will appreciate this volume.
Rather than being an esoteric aspect of brain function, lateralization is a fundamental characteristic of the vertebrate brain essential to a broad range of neural and behavioral processes.' Professor Lesley J. Rogers, Chapter 1 of Side Bias: A Neuropsychological Perspective. This volume contains 14 chapters from a veritable United Nations' of experts in the field of lateralization of function. They write comprehensive reviews, present data, and pose new questions concerning the evolutionary origins and development of side bias, methodological concerns with the way we measure handedness and footedness, and some more unusual aspects of human beings' lateralized behavior, such as asymmetrical cradling and pseudoneglect. The book will be essential reading for students of behavioral neuroscience and neuropsychology interested in lateralization of function as well as for established researchers in the field.
Originally published in 1984, one of the few facts that emerged clearly in the beleaguered field of psychology and mental health at the time was the extent of poor social skills in psychiatric patients, the mentally handicapped and problem adolescents. As a result, during the 1970s, social skills training - espoused as a form of behaviour therapy - seemed to offer great promise, based on the notion that social skills, like any other skills, are learnt and can be taught if lacking. However, in evaluating social skills training, many investigators found that skills did not endure and generalise. This book attempts a major re-assessment of social skills training. It examines the underlying paradigms, which are shown to be fundamentally behaviourist. Such paradigms, it is argued, severely constrain the aims and method of current types of training. Thus the book develops what is termed an 'agency' approach, based on man as a social agent who actively constructs his own experiences and generates his own goal-directed behaviour on the basis of those constructs. This new model is developed in both theoretical and practical ways in the main body of the book and should, even today, be of great interest to all those involved with social skills training.
Originally published in 1986, one of the major developments in behavioural psychotherapy and mental health in the previous decade had been the growing involvement of non-psychologists in behaviour therapy. This was a result of the fact that there were too few psychologists to cope with problem behaviour and that other professionals or carers began to appreciate more clearly their potential as agents of behaviour change. Foremost among these 'mediators' of therapy were parents, nurses (particularly psychiatric nurses) and teachers (especially remedial teachers). Their involvement had greatly increased the efficiency of behaviour therapy at the time and opened up a new era in applied psychology. It also entailed the development of new training formats, evaluation procedures and implementation strategies. The main aim of this book was to provide a summary of the research relevant to these issues, and to offer practical guidelines to those who were interested in training or being trained as behaviour therapists. For this reason there are chapters by researchers who have been involved in training parents, nurses and teachers. These chapters provide a detailed account of training in a form that was rarely available in published form at the time, and even today should be of great assistance to readers.
The book addresses the problems that couples experience through the life cycle. Each chapter includes an up-to-date review of the literature pertinent to the topic, with a focus on practical interventions which are generally based upon, but not limited to, cognitive and rational emotive behavioral principles. Case studies or vignettes further illustrate application of principles. Worksheets, checklists, or other resources that would be useful in working with couples are also included where relevant. This book presents interventions based upon research, theory, and most of all on practice. And is relevant to marriage and family therapists, mental health counselors, psychologists and psychiatrists, nurse practitioners, family law experts, social workers and relationship coaches. In addition, it can serve as a textbook for students in marriage and family therapy.
Here, Daniel A. Hart analyzes the results of an intensive twenty-year longitudinal study of men's development. Integrating a wide range of research approaches, Hart assesses personality trait, structural-developmental, and crisis-transformational factors in the study of lives followed over time. The author then develops an original framework for understanding the psychological similarities and differences in men's lives.
Recent years have witnessed a revival of research in the interplay between cognition and emotion. The reasons for this renaissance are many and varied. In the first place, emotion theorists have come to recognise the pivotal role of cognitive factors in virtually all aspects of the emotion process, and to rely on basic cognitive factors insight in creating new models of affective space. Also, the successful application of cognitive therapies to affective disorders has promoted clinical psychologists to work towards a clearer understanding of the connections between cognitive processes and emotional problems. And whereas the cognitive revolutionaries of the 1960s regarded emotions with suspicion, viewing them as nagging sources of 'hot' noise in an otherwise cool, rational, and computer-like system of information processing, cognitive researchers of the 1990s regard emotions with respect, owing to their potent and predictable effects on tasks as diverse as object perception, episodic recall, and risk assessment. These intersecting lines of interest have made cognition and emotion one of the most active and rapidly developing areas within psychological science.
Childhood sexual abuse within the family of origin and society's institutions, such as the church, education, sports, and the world of celebrity, has been neglected as a significant issue by psychoanalysis and society. The incest trauma needs to be understood as one of the most significant problems of contemporary society. This book is an attempt to re-establish incest trauma as a significant psychological disorder by tracing the evolutionary trajectory of psychoanalysis from the Seduction Theory to the Oedipal Therapy to the Confusion of Tongues Theory. By examining the theoretical, emotional, interpersonal, and political issues involved in Freud's abandoning the Seduction Hypothesis and replacing it with the Oedipal Complex, we can see how system building became more important than the emotional welfare of children. In a series of chapters the authors demonstrate this neglect of the incest trauma.
Hardly anything in psychology is as irking as the trait concept. Psychologists and laypersons alike use primarily adjective trait-names to characterize and even concep tualize the individuals they encounter. There are more than a hundred well-defined personality traits and a great many questionnaires for their assessment, some of which are designed to assess the same or very similar traits. Little is known about their ontogenetic development and even less about their underlying dynamics. Psy choanalytic theory was invoked for explaining the psychodynamics underlying a few personality traits without, however, presenting sufficient empirical evidence for the validity of these interpretations. In a reductionistic vein, behaviorally inclined psy chologists have propounded the thesis that all traits are acquired behaviors. Yet, this view neither reduces the number of personality tests nor explains the resistance of traits to modification by means of reward and punishment. Dissatisfied with these and some other less well-known approaches to person ality traits, we decided to explore whether applying our psychosemantic theory of cognition to the trait concept would do better. The way we had to follow was anything but easy."
Embitterment is a distinct state of mood known to everyone. It
can be seen in the context of exceptional though "normal" negative
life events. It is an emotional reaction e.g. to humiliation, to
being severely disappointed by others, or to violations of basic
values. Embitterment is accompanied by other emotions like feelings
of hopelessness and helplessness, poor moods and a lack of drive,
and aggression towards oneself and others. It can end in suicide or
even murder-suicide and in adistinctpathological state known as
"Posttraumatic Embitterment Disorder (PTED)." But despite the high
prevalence rates, the detrimental effects on individuals and its
forensic and societal importance, embitterment has yet to receive
due scientific attention. "
In this innovative text, Carol Holmes provides students and professional psychotherapists with an historical account leading to the most up-to-date information on the core psychoanalytic concept of counter-transference and the subsequent changes that have occurred in its clinical application. This book uniquely examines the fundamental principles and practice that underpin some of the major schools of psychotherapy including psychoanalysis, existential, humanistic, integrative, systemic and communicative therapy. The author compares the philosophies that underline these diverse schools and explores their precepts in relation to the notion of counter-transference. In contrast to traditional psychoanalytic texts, the counter-transference theme of the book is examined in relation to the biased and contradictory aspect of the concept, and highlights some of the more radical and interpersonal ideas that endorse the relational and complementary qualities between therapist and client. The text offers concise and engaging introductions to the main schools of psychotherapy, and includes interviews and case study analyses from notable practitioners and trainers from these competing approaches. This book will be invaluable for those interested in understanding the importance of the hidden messages that are concealed in our communications.
It was during the course of the eighteenth and nineteenth centuries that the problem of chronic alcohol dependence in modern society and its consequent medical effects emerged. The topic of drunkenness figures prominently in the thinking and writing of social reformers, politicians, theorists, medical practitioners, and psychiatrists. Eventually, by the mid-nineteenth century, 'alcoholism' was named as the disease of habitual drunkenness. Possibly the most important book to predict this was Trotter's Essay, written in 1804. Through case studies based on wide experience, he detailed the manifestations of alcoholism, ventured therapeutic recommendations, and squarely termed drunkenness a disease - indeed, a mental disease. Originally published in 1988 as part of the Tavistock Classics in the History of Psychiatry series, Roy Porter's Introduction to this facsimile reprint locates Trotter's work within the wider history of the evolution of the idea of alcoholism. It also examines the Essay in the context of Trotter's own life and mind - a mind preoccupied with what he saw as the degenerative tendencies of modern civilization and with the wider issues of drug dependence.
When the late Heinz Kohut defined psychoanalysis as the science of empathy and introspection, he sparked a debate that has animated psychoanalytic discourse ever since. What is the relationship of empathy to psychoanalysis? Is it a constituent of analytical technique, an integral aspect of the therapeutic action of analysis, or simply a metaphor for a mode of observation better understood via 'classical' theory and terminology? The dialogue about empathy, which is really a dialogue about the nature of the analytic process, continues in this two-volume set, originally published in 1984. In Volume I, several illuminating attempts to define empathy are followed by Kohut's essay, 'Introspection, Empathy, and the Semicircle of Mental Health.' Kohut's paper, in turn, ushers in a series of original contributions on 'Empathy as a Perspective in Psychoanalysis.' The volume ends with five papers which strive to demarcate an empathic approach to various areas of artistic endeavour, including the appreciation of visual art. Volume II continues the dialogue with a series of developmental studies which explore the role of empathy in early child care at the same time as they chart the emergence of the young child's capacity to empathize. In the concluding section, 'Empathy in Psychoanalytic Work,' contributors and discussants return to the arena of technique. They not only theorize about empathy in relation to analytic understanding and communication, but address issues of nosology, considering how the empathic vantage point may be utilized in the treatment of patients with borderline and schizophrenic pathology. In their critical attention to the many dimensions of empathy - philosophical, developmental, therapeutic, artistic - the contributors collectively bear witness to the fact that Kohut has helped to shape new questions, but not set limits to the search for answers. The product of their efforts is an anatomical exploration of a topic whose relevance for psychoanalysis and psychotherapy is only beginning to be understood. |
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