A psychoanalytic process from its beginning to its termination is described to illustrate crucial technical issues in the treatment of individuals with narcissistic personality organization and the countertransference manifestations such patients stimulate in the analyst. The subject of this book exhibited cruelty to confirm and stabilize his grandiosity. His internal world was a "reservoir" of the deposited image of his father figure, an individual most severely traumatized during World War II. The patient was given the task to be a mass-"killer" of animals instead of being a hunted one.This book most clearly illustrates how the transgenerational transmission of trauma takes place and how the impact of war continues in future generations. The book also provides an understanding of a special kind of psychological motivation that directs a person to use weapons for mass killing. In this era of pluralism in psychoanalysis, providing the story of a psychoanalytic case in its duration opens ways for comparison and discussion of technique and can be used as a teaching tool.

Shame is a common and pervasive feature of the human response to death and other losses, yet this often goes unrecognized due to a reluctance to acknowledge and confront it. This book intends to expose shame for what it is, allowing clinicians to see that it is the central psychological force in the understanding of death and mourning. Kauffman and his fellow authors explore the psychology of shame via observation, reflection, theory, and practice in order to demonstrate the significant role it can play in our processing of grief, death, and trauma. The authors avoid defining a unified theory of shame in order to emphasize its multitude of meanings and the impact this has on grief and grief therapy. First-person narratives provide a personal look at death and associated feelings of guilt, shock, and grief; and other chapters consider shame in the context of cultural differences, recent events, and contemporary art, literature, and film. This is the first book to offer a comprehensive examination of this topic and, as such, will be a valuable resource for all clinicians who work with clients affected by grief and loss.

Practitioners today are confronted by a bewildering array of therapies as 'cure alls.' This book provides an integrated approach to working with children, parents and families that can be applied by all professionals in a variety of settings. Informed by a psychodynamic perspective, it identifies how we can avoid pathologising the behaviour of children by instead considering: the meaning of behaviour as an important source of communication the commonality of all experience for children, parents and families the emotional milestones of development the core principles of assessment and therapeutic communication and how they are applied Through the presentation of sound clinical evidence and research Core Principles of Assessment and Therapeutic Communication with Children, Parents and Families creates connections between clinical practice and community action and, as such, is essential reading for anyone working to promote child and family wellbeing.

In this volume, Elena Garralda and Jean-Philippe Raynaud aim to contribute to advancing awareness of child and adolescent mental health within an international framework that gives special consideration to problems arising in different contexts around the world and through expert views supported by empirical evidence and considering clinical implications. There is increasing recognition worldwide of the importance of child and adolescent mental health problems, of the distress and impairment they can cause to children and their families, and of the markedly adverse effects on education and on adult psychiatric adjustment when left untreated. Globally, however, services to attend to these problems in children are uneven and patchy. There is a need to advance awareness of child and adolescent mental health and of factors that influence them. Chapters address the effects on child mental health of issues ranging from secular changes in family composition in both western and eastern countries, rapid industrialization, poverty, deprivation, and adoption, to refugee status and aboriginal life. It considers emerging issues, such as cyber addiction, PTSD, ADHD across different cultures, and the autistic "epidemic." They discuss new service developments (Eastern Europe, paediatric liaison services) in the context of traditional methods (traditional Chinese medicine).

This book focuses on the crucial importance of developmental work to psychotherapy and psychopathology. It offers an account of psychotherapy to integrate scientific knowledge of psychological development and represents psychological states in the minds of infants, children, adolescents, and adults.

This book explores psychosis as knowledge cut off from history, truth that cannot be articulated in any other form. It gives a nuanced picture of delusion as a repair of language itself, following Freud and Lacan in historic and contemporary forms of psychotic art, writing and speech.

In this book, the author discusses on "eternal debate" between those who see asexual attachment as the earliest bond and those who see infantile sexuality as primary. Eight major contributors to psychoanalytic child studies set forth the current state of thinking in both camps.

This book presents a practical comparative study of models of interpretation in different schools of psychoanalytic thought through a series of amusing cartoon drawings. It is intended for all those interested in psychotherapy, counselling, and psychoanalysis.

This book represents some of Wilfred Bion's basic concepts, which are reconsidered from the perspective of mental growth. It elucidates Bion's significant legacy of the differentiation between the psychotic and non-psychotic parts of the personality and its evolution in his writings.

This book offers a challenging reading of the legacy of C.G. Jung, who offered fascinating insights into the psyche. It is intended for clinicians of different schools who are interested in a deeper understanding of the relationship between patient and analyst.

This book focuses on the clinical treatment of disability from French researchers in the fields of psychology, anthropology, psychiatry, and philosophy. It provides English-speaking readers with an insight into the way French authors raise the relevant issues and implement innovative practices.

This book challenges the very idea of "profound and multiple learning disabilities" (PMLD) itself, and what constitutes appropriate educational provision for children described as having PMLD. It considers the role of ambiguity in articulating the life-worlds of children with PMLD.

This book examines the key ordering-disordering processes of the psychotic self. It draws on Sigmund Freud, Jung, object relation and selfpsychologies, and, particularly, the work of Winnicott, Bion, and Elkin.

This book looks at the phenomenon of self-directed disgust and examines the role of self-disgust in relation to psychological experiences and potential ensuing psychopathology and to physical functioning such as disability, chronic physical health, and sexual dysfunction.

In this book the author examines the series of connections that give rise to the intimate relationship between environment and individual in the construction of emotional suffering, emphasising both the undisputed pathogenic action of environmental stimuli and the active participation of whoever is obliged to suffer the negative situation. The author shows that the way in which one tries to escape suffering is what often seriously jeopardises growth. Working with Difficult Patients points out the intrinsic link between some forms of mental suffering and the distorted responses that the patient has received from his or her original environment. For this reason the author explores the concept of the emotional trauma in particular, since this trauma, which occurs in the primary relationship, often impels the child into relational withdrawal and towards constructing pathological structures that will accompany him or her for the rest of their life. The chapters are ordered according to a scale of increasing treatment difficulty, which is proportional to the potential pathogenicity of the underlying psychopathological structure.

In this book it is made plain that complex and powerful understanding can take place in brief work. The baby's development is carried forward, the family re-groups differently, and understanding brings a change in behaviour.'- Lisa Miller, from the Foreword.'This book focuses on young children as old as five and the parents and siblings who live with them. It wants to explore deep, unconscious connections between children and parents, especially in those cases where symptomatic behaviours develop and turn a potentially pleasant and satisfying family life into hell.' - Maria Pozzi, from the Introduction.This fascinating and comprehensive work is divided into two parts. The first gives the theoretical background to the subject, outlining the main theories of the pioneering Melanie Klein, Wilfred Bion and Donald Winnicott. The second part deals with the clinical cases that illustrate issues such as post-natal depression, separation difficulties, eating problems, bereavement and loss, learning disabilities and hyperactivity. Pazzi also provides a chapter on "Parents' Line" - a form of telephone counselling that she developed to help parents and their children before they are placed on a long waiting list. This is an absorbing volume that will be of interest to all who work with children and families.

Originally published in 1979, this introductory text approaches schizophrenia as a complex biopsychological condition. Drawing from the fields of descriptive psychiatry, psychopathology, neurochemistry, genetics, life history research, and institutional practice, the author details our increasing understanding of the nature and etiology of schizophrenia at the time. He organizes and evaluates current concepts and findings from these areas, with a view towards integration. This volume was intended to serve as an introduction for advanced undergraduate and graduate students in psychology, as well as for students in psychiatry, psychiatric nursing, and clinical social work. The author assumes that a comprehensive understanding of schizophrenia requires a synthesis of findings from diverse fields and emphasizes the compatibility of, and points of contact between, clinical psychological, and biological approaches. Here is a text that introduces the reader to this challenging subject and to contributions from a variety of allied disciplines. Today it can be read in its historical context.

Treatment of abuse and neglect needs to be family-focused in order to reduce troubling symptoms, address family risk and relapse potential, treat cross-generational patterns, and remediate attachment deficits. Evidence-based practices are available for child and family abuse treatment, including Trauma Focused CBT, but new intervention strategies are needed that reduce family and client denial, lower defensiveness, and prevent re-traumatization during the treatment process. Family-Focused Trauma Intervention: Using Metaphor and Play with Victims of Abuse and Neglect translates issues central to abuse and neglect recovery into metaphorical stories and family-based interventions. Each chapter provides a summary of an issue or theme, one or more pertinent stories, and parallel family, group, and individual interventions. These stories and family-focused interventions help clients regulate affect in order to reduce frequency and intensity of troubling symptoms. This volume is the "missing link" in the current literature on therapy and metaphor, as it focuses specifically on parent-child interaction and trauma. The content of this book, which may be used within any theoretical framework, provides a wide variety of practitioners with a needed bridge between theory and practice.

Sex offenders, and in particular paedophiles, have been the subject of much political and media attention, producing intensive debates about the best way of dealing with them. This book explores these issues, evaluating the measures in use or being considered, including drug treatment, MAPPA, the use of the Sex Offender Register, restorative justice techniques, and treatment programmes. It is concerned with high-risk sex offenders both when they are sentenced to a community order, and also when they are released back into the community after a custodial sentence.

The introductory section opens with a discussion on how terms such as paedophilia are constructed and viewed, and then looks at how government policy regarding sex offending has developed over recent years. Section two looks at issues concerned with risk management, questioning whether enough is being done to monitor the risk that high-risk offenders pose when released into society; whilst section three, on risk reduction covers the main methods of treatment, including sex offender treatment programmes, pharmacotherapy (chemical castration) and restorative and reintegration techniques.

Section Four focuses on specific offender groups; including female sexual offenders, sexual harm by youth, mentally disordered sexual offenders and intellectual disabled offenders. These assess in what ways these offenders are different to the 'norm' and look at how we should be dealing and treating these differences.

The final section looks at social and moral responsibilities, including the patterns, prevention and protection of cyber-sex offences and media constructions of and reactions to paedophilia. In the final chapter the concept of dignity is addressed and the balance between community protection and the rights of sex offenders involved is evaluated.

Clinical Applications of the Personality Assessment Inventory demonstrates the broad clinical utility of this modern multi-scale self-report measure of psychological functioning. By bringing together leading experts in psychological assessment from diverse applied settings, the book illustrates the impressive range of current Personality Assessment Inventory (PAI) applications while providing recommendations for expanding the instrument s research base and clinical use. Many authors also present population specific PAI reference data. In this timely volume, experts from specialized areas of psychological assessment integrate the relevant research with their extensive clinical knowledge of the PAI, making this a valuable text for practitioners, students, and researchers.

This comprehensive handbook provides community psychology approaches to addressing the key issues that impact individuals and their communities worldwide. Featuring international, interdisciplinary perspectives from leading experts, the handbook tackles critical contemporary challenges. These include climate change, immigration, educational access, healthcare, social media, wellness, community empowerment, discrimination, mental health, and many more. The chapters offer case study examples to present practical applications and to review relevant implications within diverse contexts. Throughout, the handbook considers how community psychology plays out around the world: What approaches are being used in different countries? How does political context influence the development and extension of community psychology? And what can nations learn from each other as they examine successful community psychology-based interventions? This is essential reading for researchers, students, practitioners, and policy makers involved with community well-being.

In this volume, Elena Garralda and Jean-Philippe Raynaud aim to contribute to advancing awareness of child and adolescent mental health within an international framework that gives special consideration to problems arising in different contexts around the world and through expert views supported by empirical evidence and considering clinical implications. There is increasing recognition worldwide of the importance of child and adolescent mental health problems, of the distress and impairment they can cause to children and their families, and of the markedly adverse effects on education and on adult psychiatric adjustment when left untreated. Globally, however, services to attend to these problems in children are uneven and patchy. There is a need to advance awareness of child and adolescent mental health and of factors that influence them. Chapters address the effects on child mental health of issues ranging from secular changes in family composition in both western and eastern countries, rapid industrialization, poverty, deprivation, and adoption, to refugee status and aboriginal life. It considers emerging issues, such as cyber addiction, PTSD, ADHD across different cultures, and the autistic 'epidemic.' They discuss new service developments (Eastern Europe, paediatric liaison services) in the context of traditional methods (traditional Chinese medicine).

As a group, babies later diagnosed as autistic are found to have more complications during gestation and delivery than their normal siblings and others. In addition to all these complications, infants later diagnosed on the autistic spectrum have a two-fold rate of residence in neonatal intensive care units. Over the past 50 years, ever younger previously non-viable very low weight babies are being kept alive, some born as much as four months before term. However, it is becoming apparent that miraculous procedures to counteract organ immaturity and prolonged incubation contribute to a new gamut of hitherto unknown forms of neurological damage. With pregnancy curtailed, prematurely separated mothers and their babies both experience a prolonged state of limbo, with the fragile infant being exposed to excruciating medical interventions and overwhelming stimulation. International researchers and clinicians renowned for their work in the field of early autism come together to resolve queries around the long debate on the development and resolution of autism.

Many people are responsible for taking care of an aging parent, an ailing spouse, or a handicapped child and do so out of love, devotion, or obligation, and many others have caretaking occupations in the areas of nursing, social work, counseling, and so on. But there are other less benign caretakers in our midst. These people have an excessive need to be needed, and they assume the caretaking role not out of love, obligation, or choice of profession but due to unconscious motivations over which they have little control. This addiction to pleasing others can be as debilitating as substance addictions. Les Barbanell shows that this addiction, which he calls "caretaker personality disorder," masks psychological conflicts and can be a self-destructive force leading to exhaustion, emptiness, even suicide. Barbanell provides strategies for learning to say no, retraining one's focus from others to oneself, gaining freedom from past traumas and abuse, and learning to express rather than repress feelings in order to find a balance between kindness and a pathological level of selflessness. This book is a must-read for those suffering from the addiction to please, their families, and psychotherapists and counselors who work with them. Praise for Les Barbanell's Removing the Mask of Kindness "Barbanell delineates the pathological side of selflessness and argues, as the title suggests, that kindness can serve as a psychological mechanism for concealing emotional problems....The author effectively charts the defining characteristics of a heretofore-unrecognized diagnostic category: caretaker personality disorder (CPD). ...Recommended." -CHOICE "Les Barbanell reveals a new and shocking defense mechanism that individuals use to hid psychological conflicts. The caretaker personality disorder helps explain why an accommodating, sacrificing individual, who is always concerned with others, can end up miserable and feeling incomplete. A must read for anyone in the helping professions." -United States Association fo

In Adolescent Depression, psychiatrists Francis Mark Mondimore, MD, and Patrick Kelly, MD, explain that serious depression in adolescents goes beyond "moodiness." Depression is in fact an illness-one that can be effectively treated. The authors describe the many forms of depression and the many symptoms of depression in young people-from sadness to irritability, self-harm, drug and alcohol abuse, and violent rages. Incorporating the latest research from the field of adolescent psychiatry, this comprehensive and compassionate guide answers questions that many parents have, including: What are the symptoms of depression in teenagers? How is depression diagnosed? What is the difference between depression and bipolar disorder, and which does my child have? How can I find the best mental health professional team for my child? What kinds of counseling and psychotherapy are available? Are medications safe, and how does a doctor choose a medication for my child? What can I do if my adolescent is using alcohol, crystal meth, marijuana, or other substances? How do autism and Asperger's syndrome, eating disorders, premenstrual dysphoric disorder, ADHD, and disruptive mood dysregulation disorder interact with depression? What should I do if I sense that my child is in danger? With all of this going on, how can I take care of myself?