The purpose of the Whurr series in Psychoanalysis edited by Peter Fonagy and Mary Target of University College London, is to publish clinical and research based texts of academic excellence in the field. Each title makes a significant contribution and the series is open--ended. The readership is academic and graduate students in psychoanalysis, together with clinical practitioners, in Europe, North America and indeed worldwide. This book brings together a number of international writers who are concerned with understanding and treating psychoses. The orientation of the book is psychoanalytic, but it is also cognisant of the need for a multi--disciplinary approach to these disorders for which there remains no comprehensive cure. One of the greatest obstacles clinicians and patients face lies less in our ignorance than in failure by mental health services to integrate existing knowledge into workable treatment plans. Too often clinical disciplines (psychiatry, psychoanalysis, clinical psychology, neuropsychology, nursing etc.) work separately rather than together, employing languages that are mutually incomprehensible. As a result, patients are unlikely to have their different needs properly met. At the heart of the multi--disciplinary approach lies the therapeutic relationship between patient and psychoanalyst, psychodynamically--minded psychiatrist or psychotherapist. Detailed clinical cases are presented together with contemporary conceptualisations of psychotic states.

All human behaviour is, ultimately, a moral undertaking, in which each situation must be considered on its own merits. As a result ethical conduct is complex. Despite the proliferation of Codes of Conduct and other forms of professional guidance, there are no easy answers to most human problems. Mental Health Ethics encourages readers to heighten their awareness of the key ethical dilemmas found in mainstream contemporary mental health practice. This text provides an overview of traditional and contemporary ethical perspectives and critically examines a range of ethical and moral challenges present in contemporary 'psychiatric-mental' health services. Offering a comprehensive and interdisciplinary perspective, it includes six parts, each with their own introduction, summary and set of ethical challenges, covering: fundamental ethical principles; legal issues; specific challenges for different professional groups; working with different service user groups; models of care and treatment; recovery and human rights perspectives. Providing detailed consideration of issues and dilemmas, Mental Health Ethics helps all mental health professionals keep people at the centre of the services they offer.

Working in forensic settings with clients who have histories of damage and abuse can be a demanding, disturbing, thrilling and unique experience. It means building connections and instilling the capacity to think before acting - far more than just providing therapy. At a service level, it requires a compassionate culture that promotes the ability to reflect on complex interpersonal dynamics at all levels of the organization. Cognitive Analytic Therapy (CAT) is an accessible model for understanding human relationships that offers a common language for teams and organizations. Reflective Practice in Forensic Settings brings together a range of clinicians to share their experience and approaches, exploring ways in which the CAT model can be applied to develop reflective practice in secure contexts. Together, they also offer valuable guidance for any practitioner seeking ways in which to develop a more relationally informed and reflective therapeutic service.

A practical guide to the clinical use of biofeedback, integrating powerful mindfulness techniques. * A definitive desk reference for the use of peripheral biofeedback techniques in psychotherapeutic settings, backed by a wealth of clinical research * Introduces mindfulness and acceptance techniques and shows how these methods can be incorporated into biofeedback practice * Step-by-step instructions provide everything a clinician needs to integrate biofeedback and mindfulness including protocols, exemplar logs for tracking symptoms, and sample scripts for mindfulness exercises * Includes scientifically robust treatment protocols for a range of common problems including headaches, hypertension and chronic pain

Written in a lively and entertaining style, Facts and Fictions in Mental Health examines common conceptions and misconceptions surrounding mental health and its treatment. Each chapter focuses on a misconception and is followed by a discussion of related findings from scientific research. * A compilation of the authors' "Facts and Fictions" columns written for Scientific American Mind, with the addition of six new columns exclusive to this book * Written in a lively and often entertaining style, accessible to both the undergraduate and the interested general reader * Each chapter covers a different "fiction" and allows readers to gain a more balanced and accurate view of important topics in mental health * The six new columns examine myths and misconceptions of considerable interest and relevance to undergraduates in abnormal psychology courses * Introductory material and references are included throughout the book

The concept of executive functioning has become central in understanding normal and abnormal cognitive processes. This timely volume analyzes the diverse conditions that can result in executive function disturbances, providing research about underlying causes, exploring the differences between developmental and acquired executive "dysfunctions," and providing approaches for the assessment of executive dysfunction both in children and in adults. In doing so, it addresses a gap in the literature in its analysis of executive function deficits and their link with psychopathology in psychiatric patients for the management of clinical symptoms and social adjustment. Among the specific topics examined: Theoretical approaches for the analysis of the diverse dysexecutive syndromes Common executive dysfunction syndromes found during childhood development: attention deficit hyperactivity disorder and autism spectrum disorders Consequences of executive function deficits in the use of information technology Executive dysfunction and personality disorders Common executive function tests, assessment issues in executive dysfunction, and cross-cultural and bilingual questions in assessment of executive dysfunction Dysexecutive Syndromes: Clinical and Experimental Perspectives expertly extends the analysis of executive functions and dysfunctions from a fundamental and clinical perspective. It is essential reading for clinical psychologists, neuropsychologists, neurologists, and psychiatrists, and graduate and post-graduate students in psychology, neurology, and the health neurosciences, as well as clinicians, counselors, and psychometricians working with neuropsychiatric assessment.

How millions of PTSD suffers learned to live without fear, pain, depression, and self-doubt The Post-Traumatic Stress Disorder Sourcebook, Revised and Expanded Second Edition introduces survivors, loved ones, and helpers to the remarkable range of treatment alternatives and self-management techniques available today to break through the pain and realize recovery and growth. This updated edition incorporates all-new diagnostics from the DSM-5 and covers the latest treatment techniques and research findings surrounding the optimization of brain health and function, sleep disturbance, new USDA dietary guidelines and the importance of antioxidants, early childhood trauma, treating PTSD and alcoholism, the relationship between PTSD and brain injury, suicide and PTSD, somatic complaints associated with PTSD, and more.

Originally entitled 'Mental Health Needs of Children and Young People with Learning Disabilities', this new edition focuses on the care and support of those with moderate and severe intellectual disabilities. In addition to bringing the content fully up to date, the editors, both longstanding experts in this field, have commissioned the most experienced contributors from relevant disciplines to address topics such as forensic issues and risk assessment, transition and functional analysis. The importance of developing evidence-based practice is a key theme of the book, acknowledging its key role in helping professionals and practitioners to provide high-quality personalised care for children and young people with intellectual disabilities who have mental health needs. The book provides health and social care professionals with a sound knowledge base for shaping and enhancing their practice, along with the confidence to improve the outcomes for these young people. Each chapter includes short case illustrations, examples of good practice, reflections on current practice, key learning points, references and key websites for further exploration.

This brief offers understanding and insight into how to define, establish, and maintain personal safety to minimize risks of negative encounters with psychopaths. The author, through a behavioral science research lens sprinkled with autobiographical anecdotes, details causes of psychopathy, links between crime and psychopathy, and focuses particular attention on strategies and preventative measures that individuals who encounter psychopathic others can employ to assert their own personal mental and physical well-being.

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Understanding Abnormal Psychology" offers an animated and comprehensive introduction to common psychological problems, and guides beginning students in both psychology and clinical psychology through theoretical debates and practical therapies. The book assumes no prior knowledge of the subject and is written in a clear and non-technical way.

The author begins by considering the distinction between 'normal' and 'abnormal' behaviour and introduces issues related to the classification, diagnosis and assessment of psychological disorders. He then goes on to explore and discuss a range of topics including anxiety disorders, eating disorders, schizophrenia and sexual dysfunction, describing symptoms and theories of cause, and providing information on possible approaches to treatment.

The SAGE Guide to Careers for Counseling and Clinical Practice offers valuable insights into a range of career options in clinical work through the contributions of 15 counselors. The text opens with a discussion of the various roles and functions of counselors and includes guidance on educational, licensing, and fieldwork considerations, while subsequent chapters offer practical information on job requirements, salaries, and day-to-day activities. Aspiring counselors and clinicians will gain not only a factual knowledge about career possibilities, but also a deeper understanding of what it actually means to engage in this type of work.

Although numerous general studies of medieval women and a number of biographies of medieval queens have appeared in recent years, there have been comparatively few studies that combine biographical and prosopographical methodologies in order to develop portraits of specific women as case studies of the different life experiences of medieval women. The individual chapters can be read as separate histories of their specific subjects as well as case studies which together provide a coherent picture of the medieval English noblewoman.

This handbook examines the medical and therapeutic needs of individuals with autism spectrum disorder (ASD) and the effectiveness of treatments that are delivered through interdisciplinary teams. It analyzes the impact of interdisciplinary teams on assessment, diagnosis, treatment planning, and implementation and explores how evidence-based treatments can be developed and implemented. Chapters describe the wide-ranging effects of ASD and the challenges individuals and their family members face when seeking treatment. In addition, chapters provide an overview of the comorbidities and related disorders that often accompany ASD, including neurodevelopmental disorders, medical and behavioral problems, and psychopathology. The handbook also discusses the critical importance of caregivers in the treatment team as experts in their child's strengths, problem areas, and functioning. Topics featured in this handbook include: Legal considerations in interdisciplinary treatments. Ethical considerations in the development and implementation of interdisciplinary teams. Evidence-based interdisciplinary treatment and evaluation considerations. The role of primary care physicians and subspecialty pediatricians within interdisciplinary teams. The impact of school psychologists related to assessment and intervention development. Vocational interventions that promote independence in individuals with ASD. The Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder is a must-have resource for researchers, clinicians and professionals, and graduate students across such interrelated disciplines as clinical child, school, and developmental psychology, child and adolescent psychiatry, social work, rehabilitation medicine/therapy, pediatrics, and special education.

This book presents a new paradigm for distinguishing psychotic and mystical religious experiences. In order to explore how Presbyterian pastors differentiate such events, Susan L. DeHoff draws from Reformed theology, psychological theory, and robust qualitative research. Following a conversation among multidisciplinary voices, she presents a new paradigm considering the similarities, differences, and possible overlap of psychotic and mystical religious experiences.

As a clinician, do you suffer from "exposure phobia?" This breakthrough book offers 400 creative, innovative, and easy-to-implement exposure exercises to help you and your clients move past fears, energize treatment sessions, and improve client outcomes. In cognitive behavioral therapy (CBT), exposures are the gold standard for treating anxiety-related disorders, including obsessive-compulsive disorder (OCD), panic, and phobias. But if you're like many therapists, you've likely encountered clients who are fearful or reluctant to exposure therapy. As a result, you may also shy away from doing exposures out of fear of worsening your client's anxiety or rupturing the client/therapist rapport. So, how can you find a new approach for using this effective--yet intimidating--treatment? The Big Book of Exposures offers unconventional new exposures to help you provide the most effective treatment possible. In addition, you'll also find a comprehensive overview of exposure therapy; a rationale for its use in treating anxiety-related disorders; troubleshooting tips for dealing with common roadblocks, such as avoidance; and techniques for helping clients stay motivated during treatment. With this essential resource, you'll learn to create engaging and enjoyable exposure exercises to improve treatment outcomes and help your clients live better lives.

Fully updated to reflect the latest developments, the third edition of Research Methods In Clinical Psychology offers a comprehensive introduction to the various methods, approaches, and strategies for conducting research in the clinical psychology field. * Represents the most accessible, user-friendly introduction to conducting and evaluating research for clinical psychologists and related professionals * Ideal for students and practitioners who wish to conduct their own research or gain a better understanding of published research * Addresses important issues such as philosophical underpinnings of various methodologies, along with socio-political issues that arise in clinical and community settings * Step-by-step guidance through all phases of a clinical psychology research project from initial concept and groundwork, through to measurement, design, analysis, and interpretation * Updates to this edition include new or expanded coverage of such topics as systematic review and literature searching methods, modern psychometric methods, guidance on choosing between different qualitative approaches, and conducting psychological research via the Internet

Contemporary research on major emotional disorders emphasizes their commonalities rather than their differences. This research continues to lend support for a unified transdiagnostic approach to treatment of these disorders that considers their commonalities and is applicable to a range of emotional problems. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders provides an alternative to disorder-specific treatments of various emotional disorders, designed to be applicable to the wide range of anxiety and other disorders with strong emotional components. The Therapist Guide and accompanying client Workbook present an eight-module therapy program that puts substantial emphasis on emotion-focused approaches, helping clients confront and experience challenging emotions while teaching them how to regulate those emotions. Expanded considerably in this second edition, the volume provides guidance on using the Unified Protocol (UP) to address problems not only with anxiety, but also with depression, eating disorders, non-suicidal self-injury, substance use, and anger. Treatment procedures have been further elucidated and more guidance is provided to practitioners on how to present key treatment concepts. Chapters brand new to this updated edition introduce functional assessment and describe how to provide the UP in a group format, while patient materials have been revised, streamlined, and made more user-friendly.

Deliberate practice exercises provide trainees and students opportunities to build competence in essential schema therapy skills and hone their own personal therapeutic style. These exercises present role-playing scenarios in which two trainees act as a client and a clinician, switching back and forth under the guidance of a supervisor. The clinician improvises appropriate and authentic responses to client statements organized into three difficulty levels—beginner, intermediate, and advanced—that reflect common client questions and concerns. Each of the first 12 exercises focuses on a single skill. Two comprehensive exercises follow in which trainees integrate these essential skills into a single schema therapy session. Step-by-step instructions guide participants through the exercises, identify criteria for mastering each skill, and explain how to monitor and adjust difficulty. Guidelines to help trainers and trainees get the most out of training are also provided.

The World Health Organization states that depression is the leading cause of disability worldwide, and predicts that by 2030 the epidemic of depression raging across the world will be the single biggest contributor to the overall burden of disease of all health conditions. Yet this gloomy picture masks a number of paradoxes concerning the diagnosis and cultural interpretation of depression that appear to challenge the claimed prevalence rates on which it is based. This book's essays by some of the world's leading researchers and scholars on depression explores these anomalies in detail from multidisciplinary and multicultural perspectives, and in doing so reshapes the debate on the nature of depression that is currently under way in the US and abroad. At the book's core is the exploration from the multiple perspectives of a key dilemma: is the epidemic of depression real or is it just apparent? In particular, could it be the result of criteria laid down in the official American classification system of mental disorders, the DSM, interacting with cultural changes to reshape our view of melancholy, pathologizing what were formerly normal symptoms of grief or intense sadness? The debate over the DSM's conception of depression has an international relevance, with the WHO's upcoming revisions to its International Classification of Diseases requiring coordination with the DSM. This collection of perspectives has an unprecedented international dimension, as scholars from Europe and around the world join US academics to explore a central and controversial element of contemporary psychiatric diagnosis - and one that has enormous practical implications for the future of mental health care and how we view our emotions. The book's accessible essays will make it useful to scholars, practitioners, and students across a wide range of disciplines.

This expert reference provides a broad, comprehensive review of the major domains of sexual offending. Beginning with an integrated etiological model of sexual offending, chapters follow addressing the primary predisposing conditions related to sexual offending (e.g. pedophilic, hebephilic, paraphilic rape and non-contact paraphilic disorders, hyper sexuality and personality factors). In addition, special subgroups of sexual offenders (females, youth and the intellectually disable) are considered. Both broad and specific perspectives on the assessment of sexual offenders are provided. Overviews are offered of clinical and forensic evaluations of such offenders and the utility of structured psychological assessment. A novel conceptual model of risk assessment is proposed. More specifically, each of the primary approaches or instruments related to risk assessment of sexual offending are addressed: the Static risk assessment measures, the Sex Offender Risk Appraisal Guide, structured professional judgment, and the varied measures of dynamic or criminogenic needs assessment. Finally, multiple aspects of management of sexual offenders are discussed including models of psychosocial treatment, the question of the effectiveness of such treatment, biological interventions, civil commitment, circles of support, and the containment approach to community management. Chapters are authored by both prominent experts and experienced professionals for a breadth of perspective. Among the topics covered: Pedophilic, Hebephilic, Rape Paraphilic Disorders and the variety of Non Contact sexual offending conditions Personality, related conditions, & their association with sexual offending: motivators and disinhibition in context. Disorders of hyper sexuality. Assessments of sexual offenders, including the role of psychological testing, clinical & interview approaches, as well as forensic evaluations Conceptual models of risk assessment & discussion of specific static, dynamic & structured clinical risk assessment approaches Models of & reviews of treatment outcome with sexual offenders, including psychotherapy, psychopharmacology and castration, the containment approach, civil commitment & circles of support Overview of public policy issues & an evidence-based perspective on sex offender registration and residential restrictions. This breadth of material in Sexual Offenders will help practitioners gain multiple levels of clinical insight as well as giving them up-to-date practical tools and techniques for working with this problematic class of individuals.

This authoritative volume commemorates six decades of Rational Emotive Behavior Therapy by assembling its current state of theory, practice, and research. Bedrock chapters on defining features, assessment and measurement, and empirical findings place REBT squarely in the cognitive-behavioral landscape, reinforcing its status as a significant therapeutic approach. The book's palette of applications shows the flexibility and effectiveness of REBT in school, workplace, and other settings, with worried parents and "stuck" athletes, and as a foundation for brief interventions. And the survey of guiding principles and the evolution of the method by REBT founder Albert Ellis is a testament to its enduring clinical value. Included in the coverage: * A comparison of REBT with other cognitive behavior therapies. * The measurement of irrationality and rationality. * Empirical Research in REBT theory and practice. * Rational Emotive Behavior Therapy and the working alliance. * Brief interventions in Rational Emotive Behavior Therapy. * REBT and positive psychology. * Rational emotive behavior education in schools. Advances in REBT will be welcomed as a definitive reference across the REBT community: frontline clinicians, novices, trainees, students, and researchers. Seasoned practitioners looking to incorporate REBT into their repertoires will find it immensely helpful.

This book challenges the ways we experience, think about, and interact with children described as having profound and multiple learning disabilities (PMLD). Contrary to received wisdom, the book starts from the premise that traditional psychological approaches operating in the PMLD field are overly reductive and constrain our abilities to listen to and learn from children with PMLD. This in turn runs the risk of maintaining exclusionary practices such as segregated education, where such practices are predicated upon the notion that some children are too disabled to participate in mainstream life.To address the situation the authors explore new terrain in three areas: theory, research and practice. The authors draw from phenomenological notions of embodied consciousness and introduce how this gives rise to novel ways of understanding the agency of children with PMLD. This critique leads to examination of interpersonal methodology as a means to access the experiences of children with PMLD, which in turn culminates in a research project examining how inclusive education could support learning for a young boy with PMLD. What becomes apparent through this story is that children with PMLD engage with the world in ways far more complex than existing approaches can take account of.

This volume represents a clear, jargon-free overview of diagnostic categories with helpful hints regarding a psychiatric interview. Completely revised and updated, detailing current innovations in theory and practice, including recent changes in the DSM-IV.

In October of 2002, a series of sniper attacks paralyzed the Washington Beltway, turning normally placid gas stations, parking lots, restaurants, and school grounds into chaotic killing fields. After the spree, ten people were dead and several others wounded. The perpetrators were forty-one-year-old John Allen Muhammad and his seventeen-year-old prot?g?, Lee Boyd Malvo.

Called in by the judge to serve on Malvo's defense team, social worker Carmeta Albarus was instructed by the court to uncover any information that might help mitigate the death sentence the teen faced. Albarus met with Malvo numerous times and repeatedly traveled back to his homeland of Jamaica, as well as to Antigua, to interview his parents, family members, teachers, and friends. What she uncovered was the story of a once promising, intelligent young man, whose repeated abuse and abandonment left him detached from his biological parents and desperate for guidance and support. In search of a father figure, Malvo instead found John Muhammad, a veteran of the first Gulf War who intentionally shaped his prot?g? through a ruthlessly efficient campaign of brainwashing, sniper training, and race hatred, turning the susceptible teen into an angry, raging, and dissociated killer with no empathy for his victims.

In this intimate and carefully documented account, Albarus details the nature of Malvo's tragic attachment to his perceived "hero father," his indoctrination, and his subsequent dissociation. She recounts her role in helping to extricate Malvo from the psychological clutches of Muhammad, which led to a dramatic courtroom confrontation with the man who manipulated and exploited him. Psychologist Jonathan H. Mack identifies and analyzes the underlying clinical psychological and behavioral processes that led to Malvo's dissociation and turn toward serial violence. With this tragic tale, the authors emphasize the importance of parental attachment and the need for positive and loving relationships during the critical years of early childhood development. By closely examining the impact of Lee Boyd Malvo's childhood on his later development, they reach out to parents, social workers, and the community for greater awareness and prevention.

Mental Health and Well-Being provides a sound foundation for understanding alternatives to the medical model of mental health. Students and professionals alike will find an easy to understand overview of critiques of the dominant medical model of mental health and well-being, both longstanding and more recent, and will come away from the book with a more theoretically sound, holistic conception of mental health and well-being. Written by an experienced mental health expert and replete with practical anecdotes, exercises, and examples to help readers apply the book's material, this book offers an essential foundation for developing more humane mental health practices.