Contrary to the view of trauma popularized by literary theorists, Trauma and Forgiveness argues that the traumatized are capable of representing their experience and that we should therefore listen more and theorize less. Using stories and case studies, including testimonies from Holocaust survivors, as well as the victims of 'ordinary' trauma, C. Fred Alford shows that, while the traumatized are generally capable of representing their experience, this does little to heal them. He draws on the British Object Relations tradition in psychoanalysis to argue that forgiveness, which might be expected to help heal the traumatized, is generally an attempt to avoid the hard work of mourning losses that can never be made whole. Forgiveness is better seen as a virtue in the classical sense, a recognition of human vulnerability. The book concludes with an extended case study of the essayist Jean Amery and his refusal to forgive.

"This much-needed volume brings to the clinician or student some of the best critical-minded analysis by some of the most insightful thinkers about psychiatric diagnosis today. The thought-provoking questions these essays raise, and the multifaceted and provocative answers they provide, cultivate sensitivity to the nuances of diagnostic assessment that often makes the difference between clinical success and failure." - Jerome C. Wakefield, PhD, DSW, New York University Silver School of Social Work, New York This transformative resource challenges social workers and mental health professionals to rethink their approaches to assessment and diagnosis from the ground up. Among the book's unique features are its use of diverse lenses to examine a common case and its illustration of how multiple perspectives can be integrated for a richly textured portrait of the individual in context. Equally crucial is the book's commitment to professional development, from exercises to improve case conceptualization to strategies for teaching and learning. Topics include: The DSM-5 definition of mental disorder: critique and alternatives. Making assessment decisions: macro, mezzo, and micro perspectives. Neuroscience, resilience, and the embodiment of "mental" disorder. Narrative, psychodynamic, and cultural conceptualizations of disorder. Person-centered and contextualized diagnosis in mental health. Meeting the challenge of teaching integrated assessment. Critical Thinking in Clinical Assessment and Diagnosis has much to offer professionals, researchers, and educators in the fields of social work and mental health. .

Psychotherapy, in order to survive, must shift from curing to caring. The pathological model is giving way to the growth model. Finding wholeness in our confusion requires imagination and transcendence. Healing requires more than self-knowledge and awareness. Only through experiencing oneself, in a struggle of mutual acceptance, are the blocks to the life force removed. The book is about being fully alive. It leads to the thinking of the most profound psychotherapy into the next century. Existentialism is the framework by which the author addresses our deepest life needs. It alone gives meaning to our experience. A seasoned and thoughtful clinician, the author furnishes rich techniques and approaches toward a new understanding of patients' life dilemmas. His solid and dramatic case material shows how he keeps himself and his patients deeply engaged in experiencing life in abundance. This nourishing book will lead both therapist and client away from burnout into deeper lives of optimism, freshness and creativity.

This text reference provides state-of-the-art information on juvenile firesetters and reviews the current research on youthful firesetters and arsonists. The work illustrates methods of fire scene investigation and assessment relating to child-parent and family factors. This information is then used to prescribe interventions with the individual along with community-wide programs. The work also provides current information on fire safety education and curricula, with explicit training materials. Finally, the book addresses the need for residential treatment centers and training schools on methods for handling firesetting youth and maintaining a fire safe environment.
Key Features
* Presents a multidisciplinary approach
* Describes and illusrates current tools and techniques
* Includes materials encouraging both fire safety and mental health intervention
* Contributors are nationally known experts in their field
* Covers a full range of topics - content has both depth and breadth

Approximately 70% of all Americans receive health services through some form of managed care. Patients who seek psychotherapy through their managed care provider can usually expect only about half a dozen therapy sessions to be covered by their healthcare plans. This increasingly common constraint calls for models of psychotherapy that combine effectiveness and brevity and that are easily adaptable to an eclectic group of clients. In Brief Collaborative Therapy, Dr. Bonnie Rudolph offers a practical model of time-limited therapy that brings together recent theoretical advances and empirical findings on effective brief therapy techniques. The model's focus on measurable goals makes it compatible with the policies of managed care providers, and practitioners will find the model comfortable to use and responsive to diverse client groups. Most Americans now receive health services through some form of managed care. Patients seeking psychotherapy and other counseling services through their managed care provider can usually expect only about half a dozen therapy sessions to be covered by their healthcare plans. This increasingly common constraint calls for models of psychotherapy and counseling that combine effectiveness and brevity and that are adaptable to an eclectic group of clients. In Brief Collaborative Therapy, Bonnie Rudolph offers a practical model for time-limited therapy that brings together theoretical advances and empirical findings on effective brief therapy techniques. Her focus on measurable goals makes the model compatible with the policies of managed care providers and responsive to the needs of diverse client groups. Students, as well as practitioners, will find the model easy to learn and employ. This is an indispensable text for courses in Counseling Process, Family Counseling & Therapy, Methods of Social Work.

Empathy has long been regarded as central to the art of medicine and especially to the practice of psychotherapy. The ability of a therapist to appreciate the patient's state of mind and frame of reference is the foundation of a therapeutic alliance and key to the process of healing. However, these subjective aspects of practice are rendered suspect by today's emphasis on objectivity: formal diagnosis, with biological treatments, and standardized methodologies that appear to be aimed more at disease than at the person who suffers from it. Pressured by the practice climate and by the advances of science, practitioners have become treatment specialists and the empathic healer has become an endangered species.
In this book, the author establishes a new foundation for the use and value of clinical empathy that is based on a distinction between treatment and healing and a model for using psychotherapy as a component of an organized system of care: focused, attuned to the patient's presenting motive, and consistent with our understanding of the relationship between mind and brain.
Practicing mental health professionals and students find the rationale for assessment and treatment planning in The Empathic Healer an invaluable aide as they seek to adapt to the marvelous discoveries about how the brain shapes and recovers from mental disorder, and how an empathic environment fosters recovery and healing within and beyond the treatment setting.
Key Features
* Establishes the historical roots of the concept of clinical empathy and its relationship to healing
* Elaborates the ideological and environmental factors that enhance or interfere with empathy
* Explores the biological importance of empathy as a feature of the normal human brain
* Argues for the integration of mind and brain in a new dualism
* Presents a vision of psychotherapy as an important component of an organized system of care
* Differentiates between the treating and healing functions, and suggests how each relies on empathy
* Suggests how an endangered species may be preserved in the present technological era

Contemporary psychiatry has fallen under the sway of biological reductionism, where our patients do not receive proper care. They are treated primarily or exclusively with psychoactive drugs. The result has been a pharmaceutical epidemic, with psychiatric drug sales topping $70 billion a year. Pharmaceutical psychiatry ignores the complexities of the human condition as if the agency of human suffering can be cured by a pill. In Psychotherapy of Character, Dr. Berezin presents a much-needed alternative to the prevailing doctrine, one that is grounded in an understanding of human nature. Suffering is not a brain problem, it is a human problem. He illuminates the practice and effectiveness of psychotherapy through the story of his patient, Eddie. Eddie's complicated inner life, varied experiences, and ultimate breakthrough, stand in contrast to the destructive and false promises of a magical cure. He introduces a new and inclusive paradigm of consciousness for the twenty-first century.

Research shows that many adults with serious mental illness live with or maintain contact with their families. But families are rarely given information about their relative's illness and their own needs for support are ignored. To be optimally beneficial, family members and other caregivers need education about the disorder, some knowledge of illness management techniques, and personal support. Family psychoeducation (FPE) is a powerful evidence-based psychosocial intervention that serves consumers and their families.
FPE has proven efficacious in reducing relapse and hospitalization, reducing symptoms, increasing employability of persons with severe and persistent mental illness, and, in many cases, enhancing their families' well-being. Its success rests with a state-of-the-art education model for improving caregivers' understanding of their loved one's illness through learning what is known and not known about it and how to assess and cope with its manifestations. Here, in the first book of its kind, Harriet P. Lefley traces the history of FPE -- including the developments in mental health services and systems and theoretical approaches that inform it -- and the robust empirical evidence it now claims after a quarter-century of development and evaluation at major research centers around the world. Presenting first the approach's generic components, training models, and required competencies, Lefley then discusses the available variations, such as Family Education (FE), a brief manualized form of FPE offered by professionally trained family members that has some empirical support for knowledge gains and easing family distress. The result is a comprehensive, practical introduction to family psychoeducation that critically appraises the evidence and examines the model's place in contemporary mental health systems.
This groundbreaking volume is an ideal training tool for graduate students of social work, psychology, and psychiatry and a valuable addition to the clinician's armamentarium of evidence-based practices for clients with serious mental illness.

Although philosophy has become a purely academic discipline over the last few centuries, it once played an important role in the politics of many Western nations. Now, the end of the 20th century, philosophy seems to be returning to its original, practical purposes, thanks to the new practice of philosophical counseling, which is now emerging as an alternative to psychoanalysis and other clinical approaches. This volume describes the main theoretical aspects of this practice based on an open-ended dialogue between a philosophical practitioner and a client or a group, and places it in a historical context, while contrasting it with various forms of psychological counseling. To illustrate how philosophy can be beneficial, the author, a practicing philosophical counselor, also presents several case studies from her own practice.

Play therapy training clinics are an important aspect of the clinical mental health field. An approved play therapy training center should offer direct play therapy services to children and families and provide quality education, training, research, and supervision. While each setting may have a set of contractual standards for supervision, few offer advice for setting up such approved centers and training clinics. Developing and Sustaining Play Therapy Clinics is a collection of innovative research on policies and procedures for university-based play therapy clinical settings to help guide practitioners in multiple areas including emergency and crisis situations, paperwork requirements, and mandated reporting requirements. While highlighting topics including adventure therapy, clinic branding, and playroom design, this book is ideally designed for clinic directors, psychologists, psychiatrists, play therapy practitioners, academics, administrative supervisors, and researchers.

This book focuses on the role of the psychiatric, medical and nutritional assessment and management of severely ill patients with anorexia and bulimia nervosa. Lead clinicians and researchers address the essentials of risk assessment, the identification of complications and the monitoring of treatment progress. Location of care and the role of the team are fully addressed, with due consideration of legal and ethical issues. Practical guidelines are included on risk assessment, management of acute and chronic physical problems, feeding during treatment and consent, as outlined in the MARSIPAN (2010) and Junior MARSIPAN (2012)documents. Assessment and Management of Medical Problems in Eating Disorders will be of value for GPs, psychiatrists, medical teams and all health-care professionals involved in the treatment and management of anorexia and bulimia nervosa and related eating disorders. "

The motivation for this volume is simple. For a variety of reasons, clinical psychologists have long shown considerable interest in the philosophy of science. When logical positivism gained currency in the 1930s, psychologists were among the most avid readers of what these philosophers had to say about science. Part of the critique of Skinner s radical behaviorism and thus behavior therapy was that it relied on, and thus was logically dependent on, the truth of logical positivism a claim decisively refuted both historically and logically by L.D. Smith (1986) in his important Behaviorism and Logical Positivism: A Reassessment of the Alliance. "

This rigorous survey offers a comprehensive rethinking of the assessment and treatment of sexual offenders for a bold challenge to practitioners. It critiques what we understand about offenders and the mechanisms of offending behaviors, and examines how this knowledge can best be used to reduce offending and relapses. To this end, experts weigh the efficacy of common assessment methods and interventions, the value of prevention programs, and the validity of the DSM's classifications of paraphilias. This strengths/weaknesses approach gives professional readers a guide to the current state as well as the future of research, practice, and policy affecting this complex and controversial field. Included in the coverage: Strengths of actuarial risk assessment. Risk formulation: the new frontier in risk assessment and management. Dynamic risk factors and offender rehabilitation: a comparison of the Good Lives Model and the Risk-Need-Responsivity Model. The best intentions: flaws in sexually violent predator laws. Desistance from crime: toward an integrated conceptualization for intervention. From a victim/offender duality to a public health perspective. A call to clear thought and accurate action, Treatment of Sex Offenders will generate discussion and interest among forensic psychologists, psychiatrists, clinical psychologists, and social workers.

Elisabeth Roudinesco gives us a life Balzacian in its sweep: the story of a young man from the provinces determined to leave his family fortune and its old-fashioned values behind; the young doctor in Paris who set out to reinvent clinical psychotherapy and ended up transforming fundamental notions of the self, sexuality and the culture that shapes it all.

Roudinesco follows the development of Lacan's career from his early clinical practice and conflicts with the establishment, as he constantly pushed the boundaries of psychoanalysis from its roots in biology and neurology to a powerful critical tool that resonated in fields ranging from literary theory to feminist politics.

• Provides accessible, engaging ideas for a creative, nature-based learning programme. • Supports key learning goals: oracy, creativity, collaboration, wellbeing, care of environment, diversity, respect, tolerance. • Gives children an opportunity to relate and engage with nature in creative ways. • Helps children to develop as storytellers both individually and as a group. • Supports innovative outdoor learning in a time when we need new learning environments, due to pressures of current pandemic and climate change issues.

A Proven Technique Applying Brief Therapy to Difficult and Challenging Disorders

Changing the Unchangeable is a myth shattering book that reveals how short-term therapy can be used as a powerful tool for treating clients who present a range of complex psychological disorders including severe depression, delusions and paranoia, anorexia, alcoholism, obsessive-compulsive behavior, and borderline personality disorder.

"Fisch and Schlanger have done an admirable job of addressing the difficult. They have done this with detailed description of cases and of step-by-step explanations for dealing with the 'unchangeable' briefly."--Paul Watzlawick, emeritus clinical professor, Department of Psychiatry and Behavioral Sciences, Stanford University

"Filled with rich examples, this is an incisive, carefully analyzed exploration of the pioneering practices created at MRI's Brief Therapy Center."-Carlos E. Sluzki, clinical professor of psychiatry, University of California Los Angeles

This work shows how interviews help child survivors of the Jewish experience during World War II. It is unique in that it features different aspects of the interviewer-interviewee relationship. The contributions are personal as well as analytical in nature, and the narrative is an informed psychological analysis. The work should be of interest to Holocaust centers, researchers, oral historians, psychiatrists, psychologists, social workers, sociologists, and trauma researchers as well as survivors.

In the 21st century, we tend to expect more than ever from our relationships without knowing how to sustain them. Often a married couple juggling the many demands of life, work and children take their bond for granted. They fail to cultivate and nurture the positive interactions they share, neglecting the fun, playful and sexy side of the relationship. Over time, this neglect creates an increasing spiral of dysfunction. We're No Fun Anymore reminds therapists and the couples they treat that marriage does not have to mean forfeiting the passion, playfulness and joy in a relationship. With 50 combined years of clinical experience backing it, the program outlined in this book will help to build up a relationship without first tearing it down, examining its weaknesses, or trying to fix its problems. Integrating findings from neuroscience, social psychology, positive psychology and marriage research, We're No Fun Anymore shows couple therapists how to create and magnify positive energy between their clients to refortify the foundation of their relationship and help it stand strong, even in times of strife and crisis. Readers will find a practical (and fun) plan to get their marriage out of the rut that's robbing it of fun, recapture the pleasure of dating, romance, and love, and revive the playful quality of sex that makes it the pleasurable and enjoyable experience it's supposed to be. Clinicians will also get the bonus of increasing the fun that they have in their personal lives and in their clinical work with clients.

The concepts of psychological literacy and the psychologically literate citizen promise to invigorate a new global approach to psychology education. They pose a basic question: What attributes and capabilities should undergraduate psychology majors acquire? Many psychological organizations have defined psychological literacy by guidelines and lists of student learning outcomes, but although psychology educators across the globe have been working towards helping students to acquire these attributes over the past 50 years, educators have only recently explicitly delineated attributes and learning outcomes, and sought to develop appropriate learning, teaching, and assessment strategies, including whole program approaches.
The contributors to this volume argue that psychological literacy is the most important outcome of an undergraduate psychology education and that psychologically literate citizens use their knowledge of psychology to problem-solve in ethical and socially responsible ways that directly benefit their communities. In this book, a rich variety of international perspectives contribute to the development of the two key concepts of psychological literacy and the psychologically literate citizen. Authors provide practical guidance for classroom psychology educators, as well as curriculum developers and reviewers. Ultimately, they make the case for a paradigm shift in psychology education.

The need for a new method for assessment and imaging of families, couples, and individuals has emerged in response to changes in family forms during the twentieth century. In the twentieth century divorce, remarriage, out-of wedlock child bearing, and alternate life styles have replaced monogamy as predominant form of marriage and the family. The methods of representation and assessment on the other hand remain based on the nineteenth century eugenics models embedded in the modern day genograms. This book is based on the premise that changes in family structure require changes in methods of representation, assessment, research, and teaching. This book introduces such a method in the form of a model named the affinograph. The affinograph provides a method which allows a greater respect for individuals, especially if their relationships contradict the preconceived institutional notions of marriage and the family.

Improvement in visualizing families of various types and complexities can make affinographs an important new method that can bring together the theory, research, and application across varied disciplines that comprise family sciences.

Today, individuals have greater access to information about their healththaneverbefore(Randeree,2009;Eysenbach,2008).Muchofthis changeisdue, inlargepart, toadvancesinbiotechnologyandtheseque- ing of the human genome (Manolio & Collins, 2009). It is now possible, forexample, forindividualstologontotheInternetand, forafeeofs- eral hundred dollars, order an at-home DNA collection kit and have the resultsofamyriadofgenetictestsdelivereddirectlytotheire-mailinbox (Gurwitz&Bregman-Eschet,2009).Insomecases, thesetestresultsmay indicatepersonalriskforcommonchronicdiseases, suchascertainforms ofcancer, diabetes, cardiovasculardisease, andseveralothers.Companies marketing these test kits often claim that promoting greater access to and awareness of the association between genes and health, and one's genetic susceptibilities to disease, leads to more proactive and insig- fulmethodsofindividualhealthmanagement(Hogarth, Javitt,&Melzer, 2008). Moreover, it is consistent with an emerging trend in medicine - that of consumer-oriented medicine - which places health information toolsdirectlyinthehandsofpatientsunderthepremiseoffosteringbetter patient-providercollaboration(Silvestre, Sue,&Allen,2009). Though the principles behind this direct-to-consumer approach to genetics seem laudable and perhaps even exciting, there is consid- ablecontroversyastowhat, ifany, utilitytheinformationactuallyholds (Geransar&Einsiedel,2008;Wasson, Cook,&Helzlsouer,2006).Unlike geneticteststhatarediagnostic(e.g., chromosomeanalysisforDowns- drome)orhighlypredictive(e.g., BRCA1andBRCA2testingforhereditary breast-ovarian cancer risk), this new wave of presymptomatic predictive genetictestsforcommondiseaseyieldsresultsthataremuchmoreunc- tainbecausethestatisticalmodelsonwhichtheyarepresentlybasedare imperfectandwithlimiteddata(Ng, Murray, Levy,&Venter,2009). Theabovescenarioraisesmanyquestionsfortoday'shealth-carec- sumers. For example, for whom is this information applicable, and for whatpopulationsorsubpopulationsisitnot?Underwhatcircumstances might this information be useful, and when should it be disregarded as irrelevant?Andperhapsmostimportantly, what, ifanything, canbedone inlightofinformationaboutpersonalgeneticrisktoeffectivelylowerthe oddsofbecomingsickandraisetheoddsofstayinghealthy? vii viii PREFACE Becausetheprevalenceofmostdiseasesvariesasafunctionofage, gender, race/ethnicity, and other personal characteristics, answers to these questions are complex and many are just beginning to be und- stood(Khouryetal.,2009).Someexpertshaveconcludedthattheanswers tosuchquestionsremainoutofreachatthepresenttimeandmayc- tinue to be elusive for another 5-10 years (Frazer, Murray, Schork, & Topol,2009).Yet, twenty-?rstcenturyhealth-careconsumers, providers, and policy makers face these choices now about incorporating personal genetic information into health management and often do so without a complete and accurate understanding of the potential impact of their decisionsonmultiplelevels(Carlson,2009).