"This book is a rich source of information on the application of relapse prevention with sex offenders. It presents readers promising directions for change and areas that need revision based on new research findings and the integration of emerging theoretical models that show considerable promise in this field. . . . The material in this book should help us construct a better, safer vehicle for the treatment of sex offenders in the new millennium."

?from the Foreword by G. Alan Marlatt, University of Washington

It is estimated that relapse prevention methods are employed in more than 90% of all North American sex offender treatment programs (of which there are more than 2,000). Comparable statistics are true in most industrialized countries around the world. Over the last decade a great deal has been learned about the treatment of sexual offenders, and particularly about relapse prevention. This sourcebook provides clinicians with the most current, practical information about working with sex offenders to prevent relapse. It reflects the advances and insights of the past decade since the publication of Relapse Prevention with Sex Offenders, focusing on the major reconceptualizations, revisions, and innovations that will chart treatment programs for the first decade of the new millennium.

Metapsychology for Contemporary Psychoanalysis is a complete revision of the theoretical underpinnings of psychoanalysis and psychodynamic psychotherapy. It seeks to replace the traditional drive-defence model of Freudian tradition with an information processing model of the mind. This book argues that the central human need is for self-knowledge, and that drives are best understood as means towards this end. Richard Sembera begins with a close reading of Freud's own metapsychological writings, isolating the many unresolved difficulties and inconsistencies which continue to burden psychoanalytical theory today. By returning to the actual observable clinical phenomena in the analytic situation, it is shown that an alternative interpretation is possible that eliminates the theoretical difficulties in question. In the analytic situation, Sembera argues that clinicians do not in fact see individuals struggling against the expression of biological drives, rather they observe individuals struggling to clarify their experience of themselves in the presence of the analyst and put this experience into words. When this process is formalized and expressed in theoretical terms, it is found to consist of three distinct aspects: objectification, imagination, and symbolization. This process as a whole-ascent towards the other, relationship with the other, disclosure of self in the light of the other-is termed the dialectical structure of the self. It is conceptualized as the main accomplishment of the core mental process, the process of contextualization. This work is distinguished from other attempts at theoretical revision by its fundamental commitment to coherence and clarity as well as its determination to challenge accepted psychoanalytic dogma. It argues for the complete irrelevance of biology and neuroscience to the psychoanalytic enterprise and rejects the theory of drives in its entirety. Instead it affirms the centrality of the traumatic response to mental functioning, emphasises the social matrix in which drives are embedded, re-examines the concepts of free will, accountability, and responsibility, and concludes with an attempt to understand waking life as a creative product analogous to the lucid dream. Drawing on major psychoanalytic thinkers including Bollas and Benjamin, and current philosophy of mind, this book provides readers with a clear, updated model of metapsychology. Metapsychology for Contemporary Psychoanalysis will appeal to psychoanalysts and psychotherapists, as well as philosophy scholars and anyone with an interest in the philosophy of psychoanalysis.

The Handbook of the Sociology of Death, Grief, and Bereavement sets issues of death and dying in a broad and holistic social context. Its three parts explore classical sociology, developments in sociological thought, and the ways that sociological insights can be useful across a broad spectrum of grief-related topics and concerns. Guidance is given in each chapter to help spur readers to examine other topics in thanatology through a sociological lens. Scholars, students, and professionals will come away from the handbook with a nuanced understanding of the social context -cultural differences, power relations, the role of social processes and institutions, and various other sociological factors - that shape grief experiences.

Ethics in Mental Health-Substance Use aims to explore the comprehensive concerns and dilemmas occurring from mental health and substance use problems, and to inform, develop, and educate by sharing and pooling knowledge, and enhancing expertise, in this fast developing region of ethics and ethical care and practice. This volume concentrates on ethical concerns, dilemmas, and concepts specifically interrelated, as a collation of problem(s) that directly or indirectly affect the life of the individual and family. Whilst presenting a balanced view of what is ethically best practice today, this title challenges concepts and stimulates debate, exploring all aspects of the development in treatment, intervention and care responses, and the adoption of research-led best practice.

Art Therapy for Psychosis presents innovative theoretical and clinical approaches to psychosis that have developed in the work of expert clinicians from around the world. It draws on insights that have emerged from decades of clinical practice to explain why and how specialised forms of art therapy constitute a particularly appropriate psychotherapeutic approach to psychosis. The contributors present a diverse range of current theoretical perspectives on the subject, derived from the fields of neuroscience, phenomenology and cognitive analytic theory, as well as from different schools of psychoanalysis. Collectively, they offer insights into the specific potentials of art therapy as a psychotherapeutic approach to psychosis, and describe some of the specialised approaches developed with individuals and with groups over the past 20 years. Throughout the book, the meaning and relevance of art-making as a medium for holding and containing unbearable, unthinkable and unspeakable experiences within the psychotherapeutic setting becomes apparent. Several of the chapters present detailed illustrated case studies which show how making visual images with an appropriately trained art psychotherapist can be a first step on the path into meaningful relatedness. This book offers fresh insights into the nature of psychosis, the challenges encountered by clinicians attempting to work psychotherapeutically with people in psychotic states in different settings, and the potentials of art therapy as an effective treatment approach. It will be essential reading for mental health professionals who work with psychosis, including psychiatrists, psychoanalysts, psychotherapists and arts therapists, and those in training. Full colour versions of the illustrations can be viewed at http://isps.org/index.php/publications/book-series/publication-photos Please see p. ix of the book for details of how to access them.

The number of sexual abuse disclosures by children has been increasing at a steady rate. Therapists are faced with the dilemma of limited resources and training to help them best serve this vulnerable population. Choosing to Heal breaks new ground as the first resource to use Reality Therapy and Choice Therapy in focusing on the treatment of sexually abused children. Mental health professionals are provided with numerous techniques and strategies to utilize during the treatment process. Parents, caretakers, teachers and anyone helping children heal from sexual abuse can obtain an understanding of the process in simple and understandable language. Choosing to Heal is a must-have resource for anyone helping a child heal from sexual abuse.

Three years ago, when Cavan footballer Alan O'Mara was twenty-two, he spoke out about his battle with depression which led him to contemplate suicide. Only the thought of his parents and the pain that they would experience in his death prevented him from taking his own life. Now, in The Best is Yet to Come, he tells his story. From the role the GAA played in his life, to the decision he made to share his journey, this is an account of an ordinary young man, a GAA star, who found a way to move past the dark thoughts that beset his mind during his worst days, and who discovered that the only way out of the darkness is to ask for help. 'In summoning his courage and becoming the first active inter-county player to speak of his experiences with depression, Alan O'Mara gives a much needed voice to an aspect of human experience that has been cloaked in silence and stigma. This book, which is needed now more than ever, gives a rare glimpse into the complex inner world of depression and will give hope to those suffering in silence, guidance to those seeking solutions and inspiration for families and friends supporting loved ones.' Conor Cusack

The best way to grasp the essence of death scene investigation (DSI) is to witness its application, called the psychological autopsy, by an expert forensic scientist/clinician. This remarkable book affords the opportunity to delve into the challenges that the forensic mental health specialist and public safety professional confront in DSI. Suicides, and often death, are complex, multidetermined events. People, whether police investigators or mental health professionals, are generally perplexed, and even confused, when they are confronted by the equivocal case. Was it a suicide? Homicide? Accident? These are critical questions. Dr. Leenaars shows that DSI is, however, not mysterious; the reader can learn the generally accepted, evidence-based protocols of the psychological autopsy. Illuminated by individual (idiographic) case studies and general (nomothetic) research, this definitive guide allows the investigator to uncover the bare bones of a suicide or death.

The motif of human movement has long been understood as central to Hermann Rorschach's strikingly innovative inkblot experiment. But owing to Rorschach's untimely death a year after publishing his famous work, Psychodiagnostics, the world has lacked an adequate understanding of how he came to put so much stress on human movement in his unique perceptual theory. Now historian Naamah Akavia changes that with her illuminating study of the intellectual and clinical development of this Swiss pioneer. Based on new archival researches and an unprecedented appreciation for Rorschach's milieu and his times, Subjectivity in Motion: Life, Art, and Movement in the Work of Hermann Rorschach is destined to become an instant classic in the history of psychology and psychiatry-and an important new contribution to our understanding of how movement figures in modernity generally. The historian will appreciate the intricate analysis of Rorschach's engagement with a wide variety of figures and movements ranging from Mourly Vold and Freud to Jung and Eugen Bleuler, from schizophrenia to Russian Futurism and Eurhythmics, from the word association experiment to the works of Alfred Kulbin and Ferdinand Hodler. But it is the psychologist who will benefit most profoundly from this richly detailed exploration, for the topic of human movement, how it is perceived, and how that figures in personality generally will never quite look the same again.

The world of mental illness is typically framed around symptoms and cures, where every client is given a label. In this challenging new book, Professor Bernard Guerin provides a fresh alternative to considering these issues, based in interdisciplinary social sciences and discourse analysis rather than medical studies or cognitive metaphors. A timely and articulate challenge to mainstream approaches, Guerin asks the reader to observe the ecological contexts for behavior rather than diagnose symptoms, to find new ways to understand and help those experiencing mental distress. This book shows the reader: how we attribute 'mental illness' to someone's behavior why we call some forms of suffering 'mental' but not others what Western diagnoses look like when you strip away the theory and categories why psychiatry and psychology appeared for the first time at the start of modernity the relationship between capitalism and modern ideas of 'mental illness' why it seems that women, the poor and people of Indigenous and non-Western backgrounds have worse 'mental health' how we can rethink the 'hearing of voices' more ecologically how self-identity has evolved historically how thinking arises from our social contexts rather than from inside our heads. Offering solutions rather than theory to develop a new 'post-internal' psychology, How to Rethink Mental Illness will be essential reading for every mental health professional, as well as anyone who has either experienced a mental illness themselves, or helped a friend or family member who has.

This book provides a comprehensive review of new developments in the study of language processing and related neural networks in schizophrenia by addressing the complex link between psychopathology, language and evolution at different levels of analysis. Psychopathological symptoms in schizophrenia are mainly characterized by thought and language disorders, which are strictly intertwined. In particular, language is the distinctive dimension of human beings and is ontologically related to brain development. Although normal at the levels of segmental phonology and morphological organization, the speech of patients suffering from schizophrenia is often characterized by flattened intonation and word-finding difficulties. Furthermore, research suggests that the superior temporal gyrus and specific prefrontal areas which support language in humans are altered in people with schizophrenia. Brambilla and Marini bring together international contributors to explore the link between brain evolution and the psychopathological features of schizophrenia, with a focus on language and its neural underpinnings. Divided into three sections the book covers: * brain evolution and language phylogenesis * brain abnormalities in schizophrenia * psychopathology and schizophrenia. This theoretical approach will appeal to professionals including clinical psychologists, cognitive neuroscientists, neuropsychiatrists, neuropsychologists, neurolinguists, and researchers considering the links between brain evolution, language and psychopathology in schizophrenia.

The best way to grasp the essence of death scene investigation (DSI) is to witness its application, called the psychological autopsy, by an expert forensic scientist/clinician. This remarkable book affords the opportunity to delve into the challenges that the forensic mental health specialist and public safety professional confront in DSI. Suicides, and often death, are complex, multidetermined events. People, whether police investigators or mental health professionals, are generally perplexed, and even confused, when they are confronted by the equivocal case. Was it a suicide? Homicide? Accident? These are critical questions. Dr. Leenaars shows that DSI is, however, not mysterious; the reader can learn the generally accepted, evidence-based protocols of the psychological autopsy. Illuminated by individual (idiographic) case studies and general (nomothetic) research, this definitive guide allows the investigator to uncover the bare bones of a suicide or death.

The set of techniques known collectively as real-time data capture (RTDC) is becoming increasingly important in medical research. Based on the collection of data in people's typical environments, RTDC is primarily used with self-reported data, such as medical symptoms and psychological states. Now, its guiding principles and supporting technologies also provide a framework for scientists to monitor physiological information such as heart rate, blood pressure, and skin conductance. This volume gives the most complete view yet of the state of RTDC science and its potential for use across the health and behavioural sciences.

This book provides an analysis of the social representations of leading self-help genres, including neurolinguistic programming, cognitive self-help therapy, mindfulness, self-management, self-esteem, self-leadership and self-control. Exploring the globalised therapeutic culture of today, the book argues that psychology as 'science' is often abandoned to aid the individual pursuit for self-realization and self-optimization. Opposing the view that self-help culture is external to psychology, Madsen argues that it is firmly embedded within psychology, playing an important role in people's lives. Each chapter traces and critically interprets a range of self-help philosophies and techniques, examining the claims of self-help literature to represent the most innovative psychological, medical or neurobiological research. Discussing each genre in turn, chapters examine key research alongside self-help literature to explore the effectiveness and impact of leading self-help genres in various social contexts and environments. The book offers a contemporary critical overview of issues concerning self-help, combining critical psychology with the theory of social representation to provide a broad perspective on self-help as a valid psychology. Optimizing the Self will be of interest to academics, researchers and postgraduate students in the fields of social representation, critical and cultural psychology and theory, clinical psychology, and the sociology of culture and science. The book will also be of use to critical and cultural psychologists and theorists, as well as clinical psychologists.

Art Therapy for Psychosis presents innovative theoretical and clinical approaches to psychosis that have developed in the work of expert clinicians from around the world. It draws on insights that have emerged from decades of clinical practice to explain why and how specialised forms of art therapy constitute a particularly appropriate psychotherapeutic approach to psychosis. The contributors present a diverse range of current theoretical perspectives on the subject, derived from the fields of neuroscience, phenomenology and cognitive analytic theory, as well as from different schools of psychoanalysis. Collectively, they offer insights into the specific potentials of art therapy as a psychotherapeutic approach to psychosis, and describe some of the specialised approaches developed with individuals and with groups over the past 20 years. Throughout the book, the meaning and relevance of art-making as a medium for holding and containing unbearable, unthinkable and unspeakable experiences within the psychotherapeutic setting becomes apparent. Several of the chapters present detailed illustrated case studies which show how making visual images with an appropriately trained art psychotherapist can be a first step on the path into meaningful relatedness. This book offers fresh insights into the nature of psychosis, the challenges encountered by clinicians attempting to work psychotherapeutically with people in psychotic states in different settings, and the potentials of art therapy as an effective treatment approach. It will be essential reading for mental health professionals who work with psychosis, including psychiatrists, psychoanalysts, psychotherapists and arts therapists, and those in training. Full colour versions of the illustrations can be viewed at http://isps.org/index.php/publications/book-series/publication-photos Please see p. ix of the book for details of how to access them.

The handbook provides thoughtful and provocative critiques of the science and practice of school mental health. It examines intervention science and implementation science and the study of professional development and stakeholder engagement. The volume outlines the relevant issues facing the field of school mental health and provides a framework for the areas of study. Chapters critique the science in a specific area, draw innovative connections between findings, and present new information about their area of expertise. This handbook provides a concise and critical update of the literature in school mental health and is an essential resource for those from the wide range of disciplines that constitute the science and practice of school mental health. Key topics featured include: Promoting meaningful engagement and leadership in school mental health by diverse stakeholders. Training, coaching, and workforce development in school mental health. Intervention science for children with specific needs (e.g., anxiety, depression, trauma, autism). Innovations in scaling-up and Implementation science, focusing on such topics as multitiered systems of support and scaleup of positive behavior support strategies. The handbook is an essential reference for researchers, graduate students, and other professionals in child and school psychology, special and general education, public health, school nursing, occupational therapy, psychiatry, social work and counseling, educational policy, and family advocacy.

Gender and body-based distinctions continue to be a defining component of women's identities, both in psychoanalytic treatment and in life. Although females have made progress in many areas, their status within the human community has remained unstable and subject to societal whim. A Womb of Her Own brings together a distinguished group of contributors to explore, from a psychoanalytic perspective, the ways in which women's sexual and reproductive capabilities, and their bodies, are regarded as societal and patriarchal property, not as the possession of individual women. It further examines how women have been viewed as the "other" and thus become the focus of mistreatment such as rape, sexual slavery, restriction of reproduction rights, and ongoing societal repression. Postmodern gender theories have greatly enhanced understanding of the fluidity of gender and freed women from repressive stereotypes, but attention has shifted prematurely from the power differential that continues to exist between men and women. Before the male/female binary is transcended, the limitations imposed upon women by the still prevailing patriarchal order must be addressed. To this end, A Womb of Her Own addresses issues such as the prevalence of rape culture and its historical roots; the relationship of the LGBT movement to feminism; current sexual practices such as sexting and tattooing and their meaning to women; reproductive issues including infertility; adoption; postpartum depression and the actual experience of birthing-all from the perspectives of women. The book also explores the cultural definitions of motherhood, and how such definitions set exacting standards both for the acceptable face of motherhood and for women generally. While women's unique anatomy and biology have historically contributed to their oppression in a patriarchal society, it is the exploration and illumination of these capabilities from their own perspective that will allow women to claim and control them as their own. Covering a broad, topical range of contemporary subjects, A Womb of Her Own will appeal to psychoanalysts, psychoanalytic psychotherapists, as well as scholars and students of gender and women's studies.

The Handbook of Traumatic Loss adopts a broad, holistic approach that recognizes traumatic loss much more fully as a multidimensional human phenomenon, not simply a medical condition. Initial chapters build a foundation for understanding traumatic loss and explore the many ways we respond to trauma. Later chapters counterbalance the individualistic focus of dominant approaches to traumatic loss by highlighting a number of thought-provoking social dimensions of traumatic loss. Each chapter emphasizes different aspects of traumatic loss and argues for ways in which clinicians can help deal with its many and varied impacts.

Luigi Zoja presents an insightful analysis of the use and misuse of paranoia throughout history and in contemporary society. Zoja combines history with depth psychology, contemporary politics and tragic literature, resulting in a clear and balanced analysis presented with rare clarity. The devastating impact of paranoia on societies is explored in detail. Focusing on the contagious aspects of paranoia and its infectious, self-replicating dynamics, Zoja takes such diverse examples as Ajax and George W. Bush, Cain and the American Holocaust, Hitler, Stalin and Othello to illustrate his argument. He reconstructs the emblematic arguments that paranoia has promoted in Western history and examines how the power of the modern media and mass communication has affected how it spreads. Paranoia clearly examines how leaders lose control of their influence, how the collective unconscious acquires an autonomous life and how seductive its effects can be - more so than any political, religious or ideological discourse. This gripping study will be essential reading for depth and analytical psychologists, and academics and students of history, cultural studies, psychology, classical studies, literary studies, anthropology and sociology.

Hungry for Ecstasy: Trauma, The Brain, and the Influence of the Sixties by Sharon Klayman Farber explores the hunger for ecstatic experience that can lead people down the road to self-destruction. In an attempt to help mental health professionals and concerned individuals understand and identify the phenomenon and ultimately intervene with patients, friends, and loved ones, Farber speaks both personally and professionally to the reader. She discusses the different paths taken on the road to ecstatic states. There are religious ecstasies, ecstasies of pain and near-death experiences, cult-induced ecstasies, creative ecstasies, and ecstasies from hell. Hungry for Ecstasy explores not only the neuroscientific processes involved but also the influence of the sixties in driving people to seek these states. Finally, Farber draws from her own personal and professional experience to advise others how to intervene on behalf of the person whose behavior puts his or her life at risk.

There are certain assumptions about the practice of counseling that are accepted as "truths," beliefs that are so pervasive that they remain unchallenged by almost all practitioners of all persuasions and approaches. In this book noted authors Jeffrey Kottler and Rick Balkin cover a wide range of myths, misconceptions, and assumptions that have remained unchallenged or that have little research to support their efficacy. Topics covered include the sacrosanct "50 minute hour," how basic research is conducted and whether the results inform actual practice, why progress made in therapy often doesn't last, what social justice actually means, and what makes someone an effective therapist. Each chapter describes an issue, explores the way it operates in daily practice, and then presents empirical evidence to question or challenge its current use. In cases where there is little or no definitive research to support or refute the procedure, belief, or practice the authors present some critical questions that will at the very least encourage counselors to reflect on what they do and why.

The clinician needs to make sense of many client experiences in the course of daily practice: do these experiences reflect the simple product of complex neurochemical activity, or do they represent another dynamic involving the subjective self? When research findings from the neurosciences are applied to clinical psychology, reductionist thinking is typically followed, but this creates problems for the clinical practitioner. In this book Tony Schneider draws together the three strands of philosophy, neuroscience, and psychology to explore the mind/body question as it affects the clinician. Taking a position more closely aligned with dualism, he argues for the utility in making distinctions between brain activity and 'I' - the subjective self - both in general psychological functioning and in psychopathology. Schneider considers traditional psychological topics contextualized by neuroscience research and the mind/body issue, as well as applying the ideas to various areas of clinical practice. Topics include: -the mind and body from the clinician's perspective -fundamental aspects of the role and mechanics of the brain -the developing self and the relationship of 'I' with the self and with others -psychological functioning such as focus and memory, sleep and dreaming, and emotions and pain. The idea that 'I am not my brain' will resonate with many clinicians, and is systematically argued for in clinical literature and neuropsychology research here for the first time. The book will be of particular interest to psychologists, psychiatrists, counsellors and clinicians who wish to incorporate advances in neuroscience research in the conceptualization of their clinical work, and are looking for a working model that allows them to do so.

American Board and Academy of Psychoanalysis Book Prize Winner for 2018 (Theoretical Category) We have entered the age of perversion, an era in which we are becoming more like machines and they more like us.The Age of Perversion explores the sea changes occurring in sexual and social life, made possible by the ongoing technological revolution, and demonstrates how psychoanalysts can understand and work with manifestations of perversion in clinical settings. Until now theories of perversion have limited their scope of inquiry to sexual behavior and personal trauma. The authors of this book widen that inquiry to include the social and political sphere, tracing perversion's existential roots to the human experience of being a conscious animal troubled by the knowledge of death. Offering both creative and destructive possibilities, perversion challenges boundaries and norms in every area of life and involves transgression, illusion casting, objectification, dehumanization, and the radical quest for transcendence. This volume presents several clinical cases, including a man who lived with and loved a sex doll, a woman who wanted to be a Barbie doll, and an Internet sex addict. Also examined are cases of widespread social perversion in corporations, the mental health care industry, and even the government. In considering the continued impact of technology, the authors discuss how it is changing the practice of psychotherapy. They speculate about what the future may hold for a species who will redefine what it means to be human more in the next few decades than during any other time in human history. The Age of Perversion provides a novel examination of the convergence of perversion and technology that will appeal to psychoanalysts and psychoanalytic psychotherapists, social workers, mental health counselors, sex therapists, sexologists, roboticists, and futurists, as well as social theorists and students and scholars of cultural studies.

This book examines a collaboration between traditional Maori healing and clinical psychiatry. Comprised of transcribed interviews and detailed meditations on practice, it demonstrates how bicultural partnership frameworks can augment mental health treatment by balancing local imperatives with sound and careful psychiatric care. In the first chapter, Maori healer Wiremu NiaNia outlines the key concepts that underpin his worldview and work. He then discusses the social, historical, and cultural context of his relationship with Allister Bush, a child and adolescent psychiatrist. The main body of the book comprises chapters that each recount the story of one young person and their family's experience of Maori healing from three or more points of view: those of the psychiatrist, the Maori healer and the young person and other family members who participated in and experienced the healing. With a foreword by Sir Mason Durie, this book is essential reading for psychologists, social workers, nurses, therapists, psychiatrists, and students interested in bicultural studies.

This volume demonstrates how multimethod forensic assessment with the Rorschach adds incremental validity, insight, and practical value. Case discussions by leading forensic psychologists illustrate the integration of contemporary Rorschach assessment with the MMPI-2 and MMPI-2-RF, the PAI, and the HCR-20. This text addresses a wide range of forensic applications including child custody, psychological trauma, personal injury, psychotic offenders, competency evaluations, immigration cases, and impression management. It also shows how the recently developed Rorschach Performance Assessment System (R-PAS) effectively enhances the use of the Rorschach in forensic cases, while offering guidance for Comprehensive System users as well.