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Books > Medicine > Other branches of medicine > Clinical psychology
Psychological assessment is practiced in wide-ranging settings to
address the varied clinical and administrative needs of veteran
populations. Such assessment blends record review, clinical
interviews of the veteran and collateral sources of information,
behavioral observations, and psychological testing.
This book promotes the care and well-being of veterans by bringing
together knowledgeable and experienced psychologists to discuss a
range of psychological assessment methods and procedures. It aims
to help patients and their families, healthcare providers, and
concerned citizens gain an improved understanding of veterans'
cognitive functioning, emotional states, personality traits,
behavioral patterns, and daily functioning.
The book begins with a history of the psychological assessment of
veterans and investigates its efficacy in different settings,
including outpatient mental health, long-term care, primary care,
home-based primary care, and telemental health. Later chapters
address assessment of a variety of disorders or presenting
problems, including substance use disorders, psychotic disorders,
mood disorders and suicidal thoughts and behavior, PTSD and other
anxiety disorders, attention-deficit/hyperactivity disorder,
dementia, pain and pain-related disorders, and polytrauma. The book
concludes with important special considerations, including
assessment of symptom and performance validity, assessment of
homeless veterans and health-related quality of life, and ethical,
legal, and professional issues.
Psychological Assessment of Veterans provides an essential
reference and guide for clinical psychologists, including those
working in the subspecialties, and psychology trainees who work
with veterans.
Anxiety is ubiquitous in everyday life and avoiding sources of
anxiety is often at the core of our everyday choices and can even
shape our life plans. But why are we all so anxious, when is this
normal uniqueness as opposed to a diagnosable anxiety disorder, and
why have anxiety disorders become more prevalent than ever? In All
We Have to Fear, Horwitz and Wakefield argue that psychiatry has
largely generated this epidemic by inflating our socially
inconvenient, yet natural, fears into psychiatric disorders and
ignoring our biologically designed natures, thus allowing the
overdiagnosis of anxiety disorders and facilitating a culture of
medicalization. The result is a society that is afraid of natural,
biologically designed feelings of fear and, overall, anxious about
feeling anxious. All We Have to Fear is a groundbreaking and fresh
look at how to distinguish between anxiety conditions that are
mental disorders, those that are natural reactions to threats, and
those that are natural products of evolution. Building on the new
science of evolutionary psychology, Horwitz and Wakefield
demonstrate a mismatch between our basic biological natures and the
environment that we have created for ourselves. Some of our natural
anxiety is born from situations and objects that posed serious
risks during prehistory, but that are no longer usually dangerous,
for example, a city dweller who is terrified of snakes. This
mismatch generates normal anxiety when there is, in fact, no real
danger. Evolutionary psychology shows that beyond the context in
which the symptoms occur, our biological heritage as a species must
be considered in any psychiatric diagnosis as we are otherwise
bewildered by our own primitive fears and beset by diffuse
anxieties that seem to have no function in our lives. All We Have
to Fear argues that only by paying attention to our evolutionary
shaping can we understand ourselves, our fears, what is normal
versus disordered in what we fear, and make informed choices about
how to approach these fears. The mismatch between our natures,
environment, and our fears is not pathological, but rather reveals
the forces that shaped us and provides an "emotional time machine,"
shedding light on who we were when we were shaped as a species, and
thus, allowing us more insight into who we are today.
After her diagnosis of triple negative breast cancer (TNBC), health
journalist Patricia Prijatel did what any reporter would do: start
investigating the disease, how it occurs, and how it's treated.
While she learned that important research was emerging, she found a
noticeable lack of resources on the disease, which affects 70,000
women a year and differs from hormone-positive breast cancer in
important ways, including prognosis and treatment options. Hormone
negative breast cancer disproportionately affects younger women and
African-American women - and it can be more dangerous than other
types of breast cancer. But there are many reasons to be hopeful,
as Prijatel learned. Through her blog, Positives About Negative,
she has met hundreds of women who have told her their stories and
shared their fears, confusion, and frustration. After her recovery,
she began writing this book to provide the first dedicated resource
for women diagnosed with TNBC. Surviving Triple Negative Breast
Cancer delivers research-based information on the biology of TNBC;
the role of genetics, family history, and race; how to navigate
treatment options; and a plethora of strategies to reduce the risk
of recurrence, including diet and lifestyle changes. In clear,
approachable language, Prijatel provides an accessible guide to
understanding a pathology report and a vast array of scientific
studies. Woven throughout the book are stories of women who have
faced TNBC. These are mothers, wives, daughters, and sisters who
went through a variety of medical treatments and then got on with
life - one competes in triathlons, two had babies after being
treated with chemo, one got remarried in her 50s, and one just
celebrated the 30th birthday of the son she was nursing when she
was diagnosed. With honesty and humor, Prijatel's inspiring story
shows the heart of a survivor. Her message is that TNBC is a
disease to take seriously, with proper and occasionally aggressive
treatment, but it is not automatically a killer. Most women
diagnosed with the disease do survive. Surviving Triple Negative
Breast Cancer is a roadmap for women who want to be empowered
through their treatment and recovery.
Of the approximately 38,500 deaths by suicide in the U.S. annually,
about two percent - between 750 and 800 - are murder-suicides. The
horror of the murder-suicide looms large in the public
consciousness-they are reported in the media with more frequently
and far more sensationalism than most suicides, and yet very little
research has been conducted on this grave form of violence. In The
Perversion of Virtue, suicide researcher Thomas Joiner explores the
nature of murder-suicide and offers a unique new theory to explain
this nearly unexplainable act: that 'true' murder-suicides always
involve the wrongheaded invocation of one of four interpersonal
virtues: mercy, justice, duty, and glory. The parent who murders
his child and then himself seeks to 'save' his child from a
fatherless life of hardship; the wife who murders her husband and
then herself seeks to right the wrongs he committed against her,
and so on. Rather than distorting these four virtues beyond
recognition, murder-suicide involves the gross misperception of
when and how these virtues should be applied. Drawing on case
studies from the media as well as from scholarly literature, Joiner
meticulously examines, deconstructs, and finally rebuilds our
understanding of murder-suicide in such a way as to bring tragic
reason to what may seem an unfathomable act of violence. Along the
way he also dispels some of the most enduring myths of suicide -
for instance, that suicide is usually an impulsive act (it is
almost always premeditated), or that alcohol or drugs are involved
in most suicides (usually they are not). Sure to be controversial,
this book seeks to make sense of one of the most
difficult-to-comprehend types of violence in modern society,
shedding new light that will ultimately lead to better
understanding and even prevention.
Over the years, psychologists have devoted uncountable hours to
learning how human beings make judgments and decisions. As much
progress as scholars have made in explaining what judges do over
the past few decades, there remains a certain lack of depth to our
understanding. Even where scholars can make consensual and
successful predictions of a judge's behavior, they will often
disagree sharply about exactly what happens in the judge's mind to
generate the predicted result. This volume of essays examines the
psychological processes that underlie judicial decision making. The
first section of the book takes as its starting point the fact that
judges make many of the same judgments and decisions that ordinary
people make and considers how our knowledge about judgment and
decision-making in general applies to the case of legal judges. In
the second section, chapters focus on the specific tasks that
judges perform within a unique social setting and examine the
expertise and particular modes of reasoning that judges develop to
deal with their tasks in this unique setting. Finally, the third
section raises questions about whether and how we can evaluate
judicial performance, with implications for the possibility of
improving judging through the selection and training of judges and
structuring of judicial institutions. Together the essays apply a
wide range of psychological insights to help us better understand
how judges make decisions and to open new avenues of inquiry into
the influences on judicial behavior.
Frontotemporal Dementia provides an in-depth look at the history,
various types, genetics, neuropathology and psychosocial aspects of
one of the most common but least understood causes of dementia,
frontotemporal lobar degeneration, from one of the world's leading
centers for the study of dementia. Aided by the latest research in
diagnosis, mechanism and treatment, this book captures the rich and
quickly changing landscape of a devastating neurodegenerative
disease, and offers up-to-date clinical advice for patient care.
Frontotemporal dementia, in particular, raises psychological and
philosophical questions about the nature of self, free will,
emotion, art and behavior - important topics for practitioners and
families to appreciate as they care for the sufferer. This book
includes case studies, photographs and figures from the leaders in
the field and personal communication from the researchers driving
these developments.
Originally published in 1995, the first edition of Managing Your
Mind established a unique place in the self-help book market. A
blend of tried-and-true psychological counseling and no-nonsense
management advice grounded in the principles of CBTand other
psychological treatments, the book straddled two types of self-help
literature, arguing that in one's personal and professional life,
the way to success is the same. By adopting the practical
strategies that mental health experts Butler and Hope have
developed over years of clinical research and practice, one can
develop the "mental fitness" necessary to resolve one's personal
and interpersonal challenges at home and work and to live a
productive, satisfying life.
The first edition addressed how to develop key skills to mental
fitness (e.g., managing one's time better, facing and solving
problems better, keeping things in perspective, learning to relax,
etc.), how to improve one's relationships, how to beat anxiety and
depression, and how to establish a good mind-body balance. For this
new edition, Butler and Hope have updated all preexisting material
and have added five new chapters-on sexuality and intimate
relationships; anger in relationships; recent traumatic events and
their aftermath; loss and bereavement; and dealing with the past.
Self-criticism is a personality trait that has been implicated in a
wide range of psychopathologies and developmental arrests. Defined
as the tendency to set unrealistically high standards for one's
self and to adopt a punitive stance towards the self once these
standards are not met, self-criticism is both active and cyclical.
Self-critics actively create the social-interpersonal conditions
that generate their distress, and their distress itself exacerbates
self-criticism. Erosion offers a comprehensive treatment of
self-criticism based in philosophy, developmental science,
personality and clinical psychology, social theories, and
cognitive-affective neuroscience. Professor Golan Shahar expertly
summarizes the most recent research on the topic and synthesizes
theory, empirical research, and clinical practice guidelines for
assessment, prevention, and treatment. The book rests upon three
elements that, as Shahar argues, are central to the maintenance of
self-critical vulnerability: the importance of a concept of an
authentic self or the need to "feel real"; the importance of
intentionality and goal-directedness; and the power of
interpersonal relationships and cultural context. Shahar argues
that exploring these elements requires an integrated clinical
approach that incorporates multidimensional assessment and
interventions which reconcile science, practice, and policy. The
result is a broad and scholarly volume that is useful to
practitioners, researchers, and theorists interested in
self-criticism.
Psychoneuroimmunology (PNI) -- the interactions among the mind,
nervous system, and immune system -- is a new discipline that has
emerged only in the last fifty years. Even more recent but no less
important have been the many advances in and applications of
psychology to PNI, the contributions of which are essential to the
vitality of the rapidly growing field.
The Oxford Handbook of Psychoneuroimmunology comprises perspectives
on the state-of-the-art applications of psychological theory to
PNI. Chapters in the volume represent the entire range of levels of
analysis in psychoneuroimmunology. Genes within cells, cells within
organs, organs within individuals, and individuals within both
close social groups and large social structures are considered.
Furthermore, chapters address the effects of psychological factors
on markers of chronic, low-grade, systemic inflammation, which can
indicate risk for many disorders including atherosclerosis,
Alzheimer's disease, frailty, and some cancers. The volume provides
specific applications of psychoneuroimmunological models to
fatigue, cancer, neuroinflammation, and pain -- and a superb review
of the ways psychotherapeutic approaches integrated with
psychoneuroimmunological knowledge can mitigate against adverse
health outcomes.
This volume samples from the best and most sophisticated
applications of psychology to PNI, whether those applications arise
from affective science, development, behavioral neuroscience, or
clinical psychology.
The study of moderation and mediation of youth treatment outcomes
has been recognized as enormously beneficial in recent years.
However, these benefits have never been fully documented or
understood by researchers, clinicians, and students in training.
After nearly 50 years of youth treatment outcome research,
identifying moderators and mediators is the natural next
step-shifting focus to mechanisms responsible for improved
outcomes, identifying youth who will benefit from certain
treatments or who are in need of alternative treatments, and
recognizing the challenges associated with the study of moderators
and mediators and their routine use in clinical practice.
Moderators and Mediators of Youth Treatment Outcomes examines
conceptual and methodological challenges related to the study of
moderation and mediation and illustrates potential treatment
moderators and mediators for specific disorders. The volume also
considers empirical evidence for treatment moderators and mediators
of specific disorders and illustrates how theoretical and empirical
knowledge regarding moderators and mediators can be harnessed and
disseminated to clinical practice. This book will be invaluable to
researchers conducting treatment outcome studies (both efficacy and
effectiveness), clinicians interested in evidence-based work and in
understanding for whom and why certain treatments work, and
students of clinical child and adolescent psychology and
psychiatry.
From smartphones to social media, from streaming videos to fitness
bands, our devices bring us information and entertainment all day
long, forming an intimate part of our lives. Their ubiquity
represents a major shift in human experience, and although we often
hold our devices dear, we do not always fully appreciate how their
nearly constant presence can influence our lives for better and for
worse. In this second edition of How Fantasy Becomes Reality,
social psychologist Karen E. Dill-Shackleford explains what the
latest science tells us about how our devices influence our
thoughts, feelings, and behaviors. In engaging, conversational
prose, she discusses both the benefits and the risks that come with
our current level of media saturation. The wide-ranging
conversation explores Avatar, Mad Men, Grand Theft Auto, and Comic
Con to address critical issues such as media violence, portrayals
of social groups, political coverage, and fandom. Her conclusions
will empower readers to make our favorite sources of entertainment
and information work for us and not against us.
Using the authors' over thirteen years of experience at the
psychosis-risk clinic at Yale University School of Medicine, The
Psychosis-Risk Syndrome presents a concise handbook that details
the diagnostic tools and building blocks that comprise the
Structural Interview for Psychosis-Risk Syndromes, or SIPS. Clear
and to the point, this volume provides an in-depth description of
this new clinical high-risk population, along with instructions on
how to use the SIPS to evaluate persons for psychosis-risk.
The handbook's main section takes the reader step-by-step through
the SIPS evaluation, tracking how patients and families find their
way to the clinic, the initial interview, the evaluation process,
and the summary session consisting of findings and future options.
The core diagnostic symptoms of the SIPS and psychosis-risk states
are illustrated with dozens of symptom and case examples drawn from
real but disguised patients from the Yale clinic. With an emphasis
on clinical usefulness, the handbook finishes with "practice cases"
for the reader to test his or her new skills at evaluating clinical
populations for psychosis-risk.
This is a practical guide to the management of mild head injury, or concussion. It is now generally accepted that post-concussion syndrome has an organic basis and this has resulted in the emergence of clinics, staffed by interdisciplinary teams, dedicated to addressing the problem. After a short account of the history of thinking on mild head injury and its epidemiology, a section on pathology provides the background to the clinical picture. The coverage then moves on to look at the acute stage and management in the emergency department, followed by a description of the clinical features of the persisting symptoms. There are clear descriptions of the measurements, investigations and examinations to be completed. The authors then move on to look at the neurological, cognitive-behavioural and psychiatric aspects of management and treatment. Specific cases are discussed, including the special considerations when dealing with children, the elderly, executives and sportspeople. At the end of the book there are copies of information sheets and booklets for patients. Philip Wrightson and Dorothy Gronwall are pioneers in this field. They were the first to define test procedures to measure the changes following concussion, and to establish a clinic for those with persisting problems.
Keeping doctors happy and productive requires a thorough
understanding of the systemic causes and consequences of physician
stress, as well as the role of resilience in maintaining a healthy
mental state. The pressure of making life-or-death decisions along
with those associated with the day-to-day challenges of doctoring
can lead to poor patient care and communication, patient
dissatisfaction, absenteeism, reductions in productivity, job
dissatisfaction, and lowered retention. This edited volume will
provide a comprehensive tool for understanding and promoting
physician stress resilience. Specifically, the book has six
interrelated objectives that, collectively, would advance the
evidence-based understanding of (1) the extent to which physicians
experience and suffer from work-related stress; (2) the various
manifestations, syndromes, and reaction patterns directly caused by
work-related stress; (3) the degree to which physicians are
resilient in that they are successful or not successful in coping
with these stressors; (4) the theories and direct evidence that
account for the resilience; (5) the programs during and following
medical school which help to promote resilience; and (6) the agenda
for future theory, research, and intervention efforts for the next
generation of physicians.
A TIME magazine Must-Read Book of the Year Ever wonder what your
therapist is thinking? Now you can find out, as therapist and New
York Times bestselling author Lori Gottlieb takes us behind the
scenes of her practice - where her patients are looking for answers
(and so is she). When a personal crisis causes her world to come
crashing down, Lori Gottlieb - an experienced therapist with a
thriving practice in Los Angeles - is suddenly adrift. Enter
Wendell, himself a veteran therapist with an unconventional style,
whose sessions with Gottlieb will prove transformative for her. As
Gottlieb explores the inner chambers of her own patients' lives - a
self-absorbed Hollywood producer, a young newlywed diagnosed with a
terminal illness, a senior citizen who feels she has nothing to
live for, and a self-destructive twenty-something who can't stop
hooking up with the wrong guys - she finds that the questions they
are struggling with are the very questions she is bringing to
Wendell. Taking place over one year, and beginning with the
devastating event that lands her in Wendell's office, Maybe You
Should Talk to Someone offers a rare and candid insight into a
profession that is conventionally bound with rules and secrecy.
Told with charm and compassion, vulnerability and humour, it's also
the story of an incredible relationship between two therapists, and
a disarmingly funny and illuminating account of our own mysterious
inner lives, as well as our power to transform them.
The common, existing distance between children and adults is the
basis of this work, which has been addressed in many literary and
cultural works throughout history. Not being able to remember how
we, now adults, thought as children -like their spontaneity or
magic and omnipotent form of thinking- would leave children
completely isolated, like a helpless immigrant in a foreign land.
This book attempts to comprehend, how parents' misunderstanding,
can induce loneliness and helplessness in children, that with time
will become traumatic, and will remain unconsciously present in all
of us forever. It will continue to repeat using infantile emotions,
children form of thinking, and experiencing as well, loneliness,
anxiety, depression, fears and the chronic need of finding a
'rescuer', in the form of power, fame, drugs, money, religion, and
so on. This very innovative approach to the understanding of
children's segregation and its repercussion on adult's emotional
life, will be of invaluable interest to all practicing
psychoanalysts, psychotherapists, and parents included.
"A warm, profound and cleareyed memoir. . . this wise and
sympathetic book's lingering effect is as a reminder that a deeper
and more companionable way of life lurks behind our self-serious
stories."-Oliver Burkeman, New York Times Book Review A remarkable
exploration of the therapeutic relationship, Dr. Mark Epstein
reflects on one year's worth of therapy sessions with his patients
to observe how his training in Western psychotherapy and his
equally long investigation into Buddhism, in tandem, led to greater
awareness-for his patients, and for himself For years, Dr. Mark
Epstein kept his beliefs as a Buddhist separate from his work as a
psychiatrist. Content to use his training in mindfulness as a
private resource, he trusted that the Buddhist influence could, and
should, remain invisible. But as he became more forthcoming with
his patients about his personal spiritual leanings, he was
surprised to learn how many were eager to learn more. The divisions
between the psychological, emotional, and the spiritual, he soon
realized, were not as distinct as one might think. In The Zen of
Therapy, Dr. Epstein reflects on a year's worth of selected
sessions with his patients and observes how, in the incidental
details of a given hour, his Buddhist background influences the way
he works. Meditation and psychotherapy each encourage a willingness
to face life's difficulties with courage that can be hard to
otherwise muster, and in this cross-section of life in his office,
he emphasizes how therapy, an element of Western medicine, can in
fact be considered a two-person meditation. Mindfulness, too, much
like a good therapist, can "hold" our awareness for us-and allow us
to come to our senses and find inner peace. Throughout this deeply
personal inquiry, one which weaves together the wisdom of two
worlds, Dr. Epstein illuminates the therapy relationship as
spiritual friendship, and reveals how a therapist can help patients
cultivate the sense that there is something magical, something
wonderful, and something to trust running through our lives, no
matter how fraught they have been or might become. For when we
realize how readily we have misinterpreted our selves, when we stop
clinging to our falsely conceived constructs, when we touch the
ground of being, we come home.
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