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Books > Medicine > Nursing & ancillary services > Occupational therapy > Creative therapy (eg art, music, drama)

A Guide to Art Therapy Materials, Methods, and Applications - A Practical Step-by-Step Approach (Hardcover): Ellen G Horovitz A Guide to Art Therapy Materials, Methods, and Applications - A Practical Step-by-Step Approach (Hardcover)
Ellen G Horovitz
R4,164 Discovery Miles 41 640 Ships in 12 - 17 working days

Written by a well-respected author and practitioner in the field of art therapy, A Guide to Art Therapy Materials, Methods, and Applications is an innovative, comprehensive text that guides readers in how to use basic to advanced art materials and methods in a wide range of clinical settings. Through the lens of both developmental stages and assessment, the book offers practical, step-by-step instructions to incorporate these materials and methods into therapeutic work with clients of all ages and populations. In addition to such classic tools as drawing, paints, pastels, and clay, coverage of materials and special topics extends beyond the existing literature to include glass, knitting, quilting, wood burning, felting, digital applications, phototherapy, byproducts, and more. Unlike previous guides, this book specifies population benefits and contraindications for each material and technique. This research-based guide for using art materials in a safe and effective manner will be a welcome resource for students, seasoned art therapists, and mental health counselors.

Therapy Services: Organistion - Organisation, Management and Autonomy (Hardcover): John Outrevelt Therapy Services: Organistion - Organisation, Management and Autonomy (Hardcover)
John Outrevelt
R4,120 R3,317 Discovery Miles 33 170 Save R803 (19%) Ships in 12 - 17 working days

First published in 1992. Routledge is an imprint of Taylor and Francis, an informa company.

Introduction to Art Therapy Research (Hardcover, 2nd edition): Lynn Kapitan Introduction to Art Therapy Research (Hardcover, 2nd edition)
Lynn Kapitan
R3,349 Discovery Miles 33 490 Ships in 12 - 17 working days

Since the initial publication of Introduction to Art Therapy Research, interest in this field has grown dramatically along with public policy demands for an up-to-date, culturally relevant evidence base on which to practice. This revised and expanded edition pays particular attention to the field's unique and compelling questions, most current literature, and emerging trends in research, while guiding readers through the basics of qualitative, quantitative, and art-based research design. Written by a prominent figure in the world of art therapy, this pragmatic text is organized into three parts: Part I provides an overview of the basic steps in conceptualizing an art therapy research study, with an emphasis on perspectives that are intrinsic to art therapy. Chapters in Part II cover an inclusive methodological framework from quantitative and outcomes research to qualitative, practitioner-based field research, critical-participatory orientations, phenomenological and narrative approaches, and the growing influence of art-based research in art therapy. Part III offers up-to-date ethical guidelines and valuable tools for understanding and evaluating research reports, as well as practical guidance for publication in scholarly journals based on the author's long experience as the editor of the field's leading scholarly publication. Also included are added coverage on cross-cultural research as well as high quality examples from published, peer-reviewed art therapy research studies that illustrate material throughout the text.

Shame and Creativity - From Affect towards Individuation (Hardcover): Vibeke Skov Shame and Creativity - From Affect towards Individuation (Hardcover)
Vibeke Skov
R3,459 Discovery Miles 34 590 Ships in 12 - 17 working days

Shame and Creativity: From Affect Towards Individuation is about shame and the ways in which we can use creative methods to transform shame into a lifelong process of self-development. Using a Jungian understanding of the personal and collective unconscious, shame is described as a key affect in relation to self-worth and quality of life. The book is divided into three parts. Part One is about shame, based on affect theory, Jungian psychology and psychological creativity. Part Two discusses shame in relation to seven primary affects, introducing the 'Blue Diamante model' to describe how shame is often hidden behind other affects and suggesting that all affects must be involved in processing shame. Part Three identifies the steps in the 'Blue Diamante model' with the ancient myth of Inanna's descent to the underworld; it discusses the development of the original self behind shame and presents a new model for transforming the relationship between the masculine and feminine aspects of the psyche, together with art therapy methods. The originality of Shame and Creativity lies in its combination of affect theory, Jungian psychology and a creative methodology. It aims to inspire clinicians to recognize shame and to work more directly with shame as it appears in therapy. The book will be of great interest to art therapists and students of art therapy. It will also appeal to all readers interested in creativity, shame, Jungian analysis and affect theory.

Theraplay (R) - The Practitioner's Guide (Paperback): Vivien Norris Theraplay (R) - The Practitioner's Guide (Paperback)
Vivien Norris; Foreword by Phyllis Booth; Dafna Lender
R962 Discovery Miles 9 620 Ships in 12 - 17 working days

The Definitive Guide to Theraplay (R) for Practitioners, officially endorsed by the Theraplay (R) Institute Theraplay is an intervention that focuses on enhancing the connection, trust and joy between a child and a parent. It involves interactive, playful activities using simple face-to-face reciprocal interactions, and involves using all of the senses, including rhythm, movement and touch. This comprehensive guide outlines the theory, reflection, and skill development of the practitioner - the true power house of Theraplay. By maintaining a focus on practice throughout, embedding theory into practice examples, it brings the spirit of Theraplay to life. Part 1 covers the key principles of the intervention; Part 2 addresses Theraplay in Practice: how to use the Marschak Interaction Method (MIM), how to set up a room and choose activities and considerations for working with different client groups; Part 3 encourages the reader to engage in their own development and the stages involved; and Parts 4 and 5 provide a wealth of useful resources, checklists, handouts, sample sessions and an up-to-date list of Theraplay activities. Whether you are a Theraplay practitioner, or simply want to find out how this remarkable intervention works, this book is essential reading.

Dramatherapy with Children and Adolescents (Paperback): Sue Jennings Dramatherapy with Children and Adolescents (Paperback)
Sue Jennings; Foreword by Iona Opie
R1,162 Discovery Miles 11 620 Ships in 12 - 17 working days


Art and Music: Therapy and Research (Paperback): Andrea Gilroy, Colin Lee Art and Music: Therapy and Research (Paperback)
Andrea Gilroy, Colin Lee
R1,218 Discovery Miles 12 180 Ships in 12 - 17 working days


This is the first comprehensive overview of the present state of research in art therapy and music therapy in the UK. It challenges assumptions about research in these areas, and makes use of research models from art history and music analysis as well as the more orthodox psychological and medical models used in clinical work. Informative and reassuring for those interested in undertaking research, the book gives lively accounts of the personal process of the art therapy and music therapy researcher. It presents the reader with many original ideas and strategies, and will be an invaluable reference book for practitioners and students of art therapy and music therapy, as well as for health professionals who work with them.

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Young Children And Their Drawings (Hardcover): Joseph Di Leo Young Children And Their Drawings (Hardcover)
Joseph Di Leo
R5,029 R4,749 Discovery Miles 47 490 Save R280 (6%) Ships in 12 - 17 working days

First published in 1996. Routledge is an imprint of Taylor and Francis, an informa company.

Classic Morita Therapy - Consciousness, Zen, Justice and Trauma (Hardcover): Peg LeVine Classic Morita Therapy - Consciousness, Zen, Justice and Trauma (Hardcover)
Peg LeVine
R4,292 R4,012 Discovery Miles 40 120 Save R280 (7%) Ships in 12 - 17 working days

Shoma (Masatake) Morita, M.D. (1874-1938) was a Japanese psychiatrist-professor who developed a unique four stage therapy process. He challenged psychoanalysts who sanctioned an unconscious or unconsciousness (collective or otherwise) that resides inside the mind. Significantly, he advanced a phenomenal connection between existentialism, Zen, Nature and the therapeutic role of serendipity. Morita is a forerunner of eco-psychology and he equalised the strength between human-to-human attachment and human-to-Nature bonds. This book chronicles Morita's theory of "peripheral consciousness", his paradoxical method, his design of a natural therapeutic setting, and his progressive-four stage therapy. It explores how this therapy can be beneficial for clients outside of Japan using, for the first time, non-Japanese case studies. The author's personal material about training in Japan and subsequent practice of Morita's ecological and phenomenological therapy in Australia and the United States enhance this book. LeVine's coining of "cruelty-based trauma" generates a rich discussion on the need for therapy inclusive of ecological settings. As a medical anthropologist, clinical psychologist and genocide scholar, LeVine shows how the four progressive stages are essential to the classic method and the key importance of the first "rest" stage in outcomes for clients who have been embossed by trauma. Since cognitive science took hold in the 1970s, complex consciousness theories have lost footing in psychology and medical science. This book reinstates "consciousness" as the dynamic core of Morita therapy. The case material illustrates the use of Morita therapy for clients struggling with the aftermath of trauma and how to live creatively and responsively inside the uncertainty of existence. The never before published archival biographic notes and photos of psychoanalyst Karen Horney, Fritz Perls, Eric Fromm and other renowned scholars who took an interest in Morita in the 1950s and 60s provide a dense historical backdrop.

A Healing Art: Regeneration Through Autobiography (Paperback): Marilyn Chandler McEntyre A Healing Art: Regeneration Through Autobiography (Paperback)
Marilyn Chandler McEntyre
R1,007 Discovery Miles 10 070 Ships in 12 - 17 working days

Originally published in 1990. Many post-World War I autobiographies focus on episodes of crisis. In a century torn by global strife and breakdown of cultural institutions, autobiography provides a way of recovering from crisis and restructuring reality-a healing act that involves the writer in a "wrestle with words and meanings" that can be deeply regenerative. Narration can be a way of purging guilt and pain, re-centering the self, and reconnecting with community after a shattering experience has driven one into silence and isolation. This book considers the problems, such as finding words for the inexplicable, the narrative perspective chosen and the traditional forms or narrative structures as means of re-patterning consciousness. It looks at seven autobiographies as crisis narratives and demonstrates how therapy and art merge in autobiography so that the literature acts back upon life. Works considered: Vera Brittain's Testament of Youth; Elie Wiesel's Night; Christa Wolf's Kinheitsmuster (A Model Childhood); C. S. Lewis' A Grief Observed; Peter Handke's Wunschloses Unglueck (A Sorrow Beyond Dreams); Adrienne Rich's Of Woman Born; Robert Prisig's Zen and the Art of Motorcycle Maintenance.

Children In Treatment - A Primer For Beginning Psychotherapists (Hardcover): Shirley Cooper, Leon Wanerman Children In Treatment - A Primer For Beginning Psychotherapists (Hardcover)
Shirley Cooper, Leon Wanerman
R5,005 Discovery Miles 50 050 Ships in 12 - 17 working days

First published in 1988. Routledge is an imprint of Taylor and Francis, an informa company.

Music of the Soul - Composing Life Out of Loss (Hardcover): Joy S. Berger Music of the Soul - Composing Life Out of Loss (Hardcover)
Joy S. Berger
R5,013 Discovery Miles 50 130 Ships in 12 - 17 working days

Music of the Soul guides the reader through principles, techniques, and exercises for incorporating music into grief counseling, with the end goal of further empowering the grieving person. Music has a unique ability to elicit a whole range of powerful emotional responses in people - even so far as altering or enhancing one's mood - as well as physical reactions. This interdisciplinary text draws in equal parts from contemporary grief/loss theory, music therapy research, historical examples of powerful music, case studies, and both self-reflecting and teaching exercises. Music is as much about beginnings as endings, and thus the book moves through life's losses into its new beginnings, using musical expression to help the bereaved find meaning in loss and hurt, and move forward with their lives. With numerous exercises and examples for implementing the use of music in grief counseling, the book offers a practical and flexible approach to a broad spectrum of mental health practitioners, from thanatologists to hospice staff, at all levels of professional training and settings.

What We See and What We Say - Using Images in Research, Therapy, Empowerment, and Social Change (Paperback): Ephrat Huss What We See and What We Say - Using Images in Research, Therapy, Empowerment, and Social Change (Paperback)
Ephrat Huss
R1,456 Discovery Miles 14 560 Ships in 12 - 17 working days

Image-based research methods, such as arts-based research, can fill the absence of the voice of impoverished, under-privileged populations. In What We See and What We Say, Ephrat Huss argues that images are deep and universally psycho-neurological constructs through which people process their experiences. The theoretical model demonstrated in this book demonstrates that images can be used to enable three different levels of communication: with self, with others similar to oneself, and with others who differ in terms of culture and power. Dr. Huss centers her argument on a case study of impoverished Bedouin women's groups in Israel who used art as self-expression, and includes many additional examples such as unemployed women and teenage girls in slums, women who have underwent sexual abuse, and the experiences of illegal immigrants. Ultimately, the author points to how the inherent structural characteristics of images help to intensify the voices of marginalized groups in research, therapy, empowerment, and social action.

The Handbook of Dramatherapy (Paperback): Sue Jennings, Ann Cattanach, Steve Mitchell, Anna Chesner, Brenda Meldrum, Steve... The Handbook of Dramatherapy (Paperback)
Sue Jennings, Ann Cattanach, Steve Mitchell, Anna Chesner, Brenda Meldrum, …
R1,070 Discovery Miles 10 700 Ships in 12 - 17 working days


Dramatherapy is being increasingly practised in a range of therapeutic settings and is of growing interest to theatre practitioners and teachers. The Handbook of Dramatherapy brings together five authors who have considerable experience of clinical, artistic and educational work to provide an easy-to-read introduction to the major models of dramatherapy. The authors explain the differences between dramatherapy and psychodrama, discuss its relationship with theatre art, look at assessment and evaluation techniques, and argue the need for more appropriate methods of research for this increasingly popular form of therapeutic treatment.
The Handbook of Dramatherapy provides a comprehensive basis for theory and practice and will be an invaluable resource for all students of dramatherapy and theatre.

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Dance Movement Psychotherapy with People with Learning Disabilities - Out Of The Shadows, Into The Light (Hardcover): Geoffery... Dance Movement Psychotherapy with People with Learning Disabilities - Out Of The Shadows, Into The Light (Hardcover)
Geoffery Unkovich, Celine Butte, Jacqueline Butler
R3,452 Discovery Miles 34 520 Ships in 12 - 17 working days

This book provides an overview of dance movement psychotherapy for young people and adults with learning disabilities. Contributors from a variety of backgrounds examine their work with clients from across the disabilities spectrum, ranging from mild to complex needs. The book chapters present theory and practice relating to the client group and subsequent therapy processes. This comprises psychotherapeutic interventions, dance movement interventions, theoretical constructs, case study material, practitioner care, and practitioner learning and development related to individual and group therapy work. The logistics of a Dance Movement Psychotherapy intervention, the intervention itself and the ripples of influence into the clients' wider socio-cultural context are discussed. This stance speaks to current research and practice discourse in health and social care. The book champions acceptance of difference and equality in the health and social care needs for people with learning disabilities whilst emphasising the importance of dance movement psychotherapy for people with non-verbal communication. Dance Movement Psychotherapy with People with Learning Disabilities: Out of the Shadows, into the Light will provide a practical and theoretical resource for practitioners and students of dance movement psychotherapy as well as allied health professionals, service providers and carers.

Essentials of Dance Movement Psychotherapy - International Perspectives on Theory, Research, and Practice (Hardcover, 3rd... Essentials of Dance Movement Psychotherapy - International Perspectives on Theory, Research, and Practice (Hardcover, 3rd Revised Ed.)
Helen Payne
R3,335 Discovery Miles 33 350 Ships in 12 - 17 working days

Essentials of Dance Movement Psychotherapy contributes to the global interest in embodiment approaches to psychotherapy and to the field of dance movement psychotherapy specifically. It includes recent research, innovative theories and case studies of practice providing an inclusive overview of this ever growing field. As well as original UK contributions, offerings from other nations are incorporated, making it more accessible to the dance movement psychotherapy community of practice worldwide. Helen Payne brings together well-known, experienced global experts along with rising stars from the field to offer the reader a valuable insight into the theory, research and practice of dance movement psychotherapy. The contributions reflect the breadth of developing approaches, covering subjects including: * combining dance movement psychotherapy with music therapy; * trauma and dance movement psychotherapy; * the neuroscience of dance movement psychotherapy; * the use of touch in dance movement psychotherapy; * dance movement psychotherapy and autism; * relational dance movement psychotherapy. Essentials of Dance Movement Psychotherapy will be a treasured source for anyone wishing to learn more about the psychotherapeutic use of creative movement and dance. It will be of great value to students and practitioners in the arts therapies, psychotherapy, counselling and other health and social care professions.

Implementing the Expressive Therapies Continuum - A Guide for Clinical Practice (Hardcover): Sandra Graves-Alcorn, Christa Kagin Implementing the Expressive Therapies Continuum - A Guide for Clinical Practice (Hardcover)
Sandra Graves-Alcorn, Christa Kagin
R4,305 Discovery Miles 43 050 Ships in 12 - 17 working days

Implementing the Expressive Therapies Continuum aims to explore the use of the Expressive Therapies Continuum (ETC) in the form of specific expressive therapy initiatives intended to be used in both educational and professional settings. Drawing on materials co-developed by Dr. Sandra Graves-Alcorn, co-author and developer of the ETC, as well as tried and tested curriculum by Professor Christa Kagin, this interdisciplinary resource will be of great value to students, teachers, mental health clinicians, as well as other healthcare practitioners interested in utilizing the ETC developmental model. All of this is delivered in a clear and easy to follow presentation designed to engage readers.

The Mindfulness Activity Book - Colouring and Creative Challenges to Keep You in the Moment (Paperback): Gareth Moore The Mindfulness Activity Book - Colouring and Creative Challenges to Keep You in the Moment (Paperback)
Gareth Moore
R325 R260 Discovery Miles 2 600 Save R65 (20%) Ships in 5 - 10 working days

This large-format activity book contains a wealth of creative, mindful pursuits and puzzles to soothe the mind and enable you to park any worries and stresses and focus on the moment. Mindfulness is the practice of bringing our attention to the present moment without judgement or evaluation - which sounds as if it might be easy but isn't. Scientifically proven to reduce anxiety and depression, improve concentration, even improve the immune system, enabling us to fight off diseases, training our brain to live in the moment is crucially important to our mental and physical health and wellbeing. In The Mindfulness Activity Book Dr Gareth Moore presents creative challenges that will help you focus on yourself and live in the moment. Featuring over 120 fantastic puzzles, mazes, dot-to-dots, crosswords, spot the difference, hanjie, sudoku and more, as well as colouring pages, this book is perfect for any adult who loves a challenge but also craves a creative outlet that allows them to use their artistic and inventive side too. With the help of this book, you will find that taking time for yourself and concentrating on an activity has real therapeutic, mindful benefits, as it allows you to recharge your batteries and better cope with the stresses we all face every day. Take time for yourself, focus your thoughts and feel the proven benefits of being in the moment.

The Routledge International Handbook of Sandplay Therapy (Hardcover): Barbara Turner The Routledge International Handbook of Sandplay Therapy (Hardcover)
Barbara Turner
R5,727 Discovery Miles 57 270 Ships in 12 - 17 working days

The Routledge International Handbook of Sandplay Therapy provides a comprehensive overview of this therapeutic method, developed to provide a means of helping clients of all ages with mental suffering. The contributors, from a range of therapeutic and cultural backgrounds, demonstrate core theory and practice, and explore the implications of current neuroscientific research. The chapters illustrate the effectiveness of this seemingly simple psychotherapeutic tool in its contemporary applications. Split into six parts, this handbook considers: Sandplay therapy in medicine Sandplay with special populations Sandplay in analysis and general practice Adaptions of the Sandplay method in education Sandplay and the spirit Non-Jungian uses of the sand tray in therapeutic applications Unique in scope and breadth, this handbook will appeal to academics and students of Jungian psychotherapy, as well as occupational therapists, art and play therapists, and all clinicians using Sandplay therapy as part of their professional practice.

Play and Creativity in Psychotherapy (Hardcover): Terry Marks-Tarlow, Daniel J. Siegel, Marion F. Solomon Play and Creativity in Psychotherapy (Hardcover)
Terry Marks-Tarlow, Daniel J. Siegel, Marion F. Solomon
R964 Discovery Miles 9 640 Ships in 12 - 17 working days

Through play, as children, we learn the rules and relationships of culture and expand our tolerance of emotion. Here, leading writers such as Jaak Panksepp, Allan Schore, Pat Ogden and Louis Cozolino illuminate what play and creativity mean for the healing process at any stage of life.

Psychodrama with Children - Healing children through their own creativity (Hardcover): Hanna Kende Psychodrama with Children - Healing children through their own creativity (Hardcover)
Hanna Kende
R3,743 R3,464 Discovery Miles 34 640 Save R279 (7%) Ships in 12 - 17 working days

In this book, Hanna Kende uses her wealth of experience to explain how psychodrama can allow psychotherapists to fundamentally change their relationships with children presenting with psychosocial, mental, or behavioral problems. Based on Kende's extensive and wide-ranging knowledge, Psychodrama with Children explores the origins and roots of psychodrama, and uses detailed case studies to show how psychodramatists can encourage groups of children to draw upon their natural creativity as a force for healing. The method draws on a rich theoretical base starting from the foundational work of Moreno and Adler. The method is applicable to a wide range of children with varied symptoms (psychosomatic problems, distractibility, hyperactivity, inhibition, capable children performing poorly at school, etc.). By creating a warm climate of reciprocal tolerance and acceptance, psychodramatists allow children to express themselves freely in a group of their peers and to reshape their negative self-image. Psychodrama lets children use their natural language of play to mobilize their creative imagination, and to express their anxieties, conflicts and problems in a symbolic mode. This approach helps children heal through their own creativity. Psychodrama with Children will be of interest to psychodramatists, dramatherapists and child psychotherapists, as well as psychologists, psychiatrists and other child and adolescent mental health professionals.

Psychodrama with Children - Healing children through their own creativity (Paperback): Hanna Kende Psychodrama with Children - Healing children through their own creativity (Paperback)
Hanna Kende
R1,210 Discovery Miles 12 100 Ships in 12 - 17 working days

In this book, Hanna Kende uses her wealth of experience to explain how psychodrama can allow psychotherapists to fundamentally change their relationships with children presenting with psychosocial, mental, or behavioral problems. Based on Kende's extensive and wide-ranging knowledge, Psychodrama with Children explores the origins and roots of psychodrama, and uses detailed case studies to show how psychodramatists can encourage groups of children to draw upon their natural creativity as a force for healing. The method draws on a rich theoretical base starting from the foundational work of Moreno and Adler. The method is applicable to a wide range of children with varied symptoms (psychosomatic problems, distractibility, hyperactivity, inhibition, capable children performing poorly at school, etc.). By creating a warm climate of reciprocal tolerance and acceptance, psychodramatists allow children to express themselves freely in a group of their peers and to reshape their negative self-image. Psychodrama lets children use their natural language of play to mobilize their creative imagination, and to express their anxieties, conflicts and problems in a symbolic mode. This approach helps children heal through their own creativity. Psychodrama with Children will be of interest to psychodramatists, dramatherapists and child psychotherapists, as well as psychologists, psychiatrists and other child and adolescent mental health professionals.

Body-Mind Dissociation in Psychoanalysis - Development after Bion (Hardcover): Riccardo Lombardi Body-Mind Dissociation in Psychoanalysis - Development after Bion (Hardcover)
Riccardo Lombardi
R5,009 Discovery Miles 50 090 Ships in 12 - 17 working days

The conflict and dissociation between the Body and the Mind have determinant implications in the context of our current clinical practice, and are an important source of internal and relational disturbances. Body-Mind Dissociation in Psychoanalysis proposes the concept as a new hypothesis, different from traumatic dissociation or states of splitting. This approach opens the door to a clinical confrontation with extreme forms of mental disturbance, such as psychosis or borderline disorders, and strengthens the relational power of the analytic encounter, through a focus on the internal sensory/emotional axis in both analyst and analysand. The book details this importance of the analyst's intrasubjective relationship with the analysand in constructing new developmental horizons, starting from the body-mind exchange of the two participants. Body-Mind Dissociation in Psychoanalysis will be of use to students, beginners in psychotherapy, mental health practitioners and seasoned psychoanalysts.

Children Draw And Tell - An Introduction To The Projective Uses Of Children's Human Figure Drawing (Hardcover): Marvin... Children Draw And Tell - An Introduction To The Projective Uses Of Children's Human Figure Drawing (Hardcover)
Marvin Klepsch, Laura Logie
R4,584 R4,304 Discovery Miles 43 040 Save R280 (6%) Ships in 12 - 17 working days

First published in 1988. Routledge is an imprint of Taylor & Francis, an informa company.

Substance Abuse as Symptom - A Psychoanalytic Critique of Treatment Approaches and the Cultural Beliefs That Sustain Them... Substance Abuse as Symptom - A Psychoanalytic Critique of Treatment Approaches and the Cultural Beliefs That Sustain Them (Hardcover, New)
Louis S Berger
R1,792 Discovery Miles 17 920 Ships in 12 - 17 working days

What can psychoanalysis contribute to an understanding of the etiology, treatment, and prevention of substance abuse? Here, Louis Berger contests both the orthodox view of substance abuse as a "disease" explicable within the medical model, and the fashionable dissenting view that substance abuse is a habit controllable through the "willpower" fostered by superficial treatment approaches. According to Berger, substance abuse is first and foremost a symptom. He argues that it is only by grasping this fact that we can understand why standard approaches to treatment and prevention have failed. Berger invokes a wide spectrum of recent analytic insights about infant and child development, the psychology of narcissism, and primitive character disorders in making the case that substance abuse masks serious preoedipal (or "midrange") psychopathology. Such psychopathology, operating at both cultural and person levels, explains why certain individuals become dependent on illicit drugs; it is equally revelatory of why the substance abuse "establishment" -- and society at large -- continues to misconstrue the nature of the problem and to proffer ill-conceived and ineffective remedies. After thoroughly examining the motives, conscious and unconscious, that maintain "mainstream" myths about substance abuse, Berger points the way to alternative approaches to prevention and treatment.

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