This is the second edition of the book that sparked the current wave of interest in schema therapy. Although schema therapy was originally developed by Jeff Young in the USA, it was not until unprecedented outcome data was published from pioneering Dutch clinical trials with BPD patients that the clinical CBT community took serious notice. Schema therapy has now become one of the most popular forms of contemporary CBT. It has parallels to the 'third wave' of contextual behavioural science in that it develops traditional CBT in new directions, but while contextual behavioural science priorities behavioural techniques based on acceptance and mindfulness, schema therapy is more cognitive and draws on elements of experiential learning, object relations and psychodynamic therapy in addition to traditional CBT. The first edition of this book has sold more than 3,000 copies at a steady rate of around 500 units per year since 2009.

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.

The "epigenetic puzzle" which is schizophrenia, forms the focus of this Monograph, But The Authors Do Not Sit Comfortably With The Notion That this is an entity. Rather, they approach the non-affective psychoses on a broad epidemiological base, ascertaining cases of so-called "functional" psychoses over a quarter of a century. They examine admission policies, showing that patients are admitted to hospital on the grounds of their particular presentation, rather than their diagnosis. They explore Differences Between Males And Females With Psychotic Disorders, And Show that gender is a more powerful influence than diagnosis. They investigate trends over time, and find that demography is the major influence. Looking at criminality, they show that the factors predicting criminal Behaviour In Individuals With Psychotic Illness Are Much The Same In those without psychotic illness. And they trace the longitudinal course of illness, putting paid to the schizophrenia/manic depression dichotomy.; This monograph is an overview of the ideas and many of the findings generated by a highly productive group of researchers. It has a good chance to become one of the standard references in several of the key aspects of schizophrenia.

Slap and Slap-Shelton proffer the schema as the basis of an internally consistent and clinically relevant model of the mind. Wedded to the dynamic and genetic points of view, the schema model accommodates the clinical realities of trauma, repetition, and sublimation while dispensing entirely with the abstract concepts of traditional metapsychology.

There has been an increased awareness of hoarding in recent years, but clinical treatments aimed at helping people with this condition often have low success rates. In The Hoarding Impulse Renee M. Winters explores how depth psychology can enrich current conceptual models and treatment standards for compulsive hoarding. The book presents case studies of prominent sufferers including Edie and Edith Beale, the Collyer Brothers, and Andy Warhol and explores common themes of loss, shame and object clusters. Winters sets out to provide a clear understanding of a hoarder's lived experiences and their core schemas of value, worth and personal identity, revealing a direct connection to excessive acquisition of objects. She illuminates the process of how objects can come to possess a hoarder and become not only their main source of happiness but also part of their identity and in doing so puts forward a new treatment plan based on providing a deeper understanding of and potent treatment approach to what is a core issue for hoarding individuals: the wounding of the soul. This new perspective to treating individuals who hoard helps them in the long term understand their processes, value system, and struggles with negative interpersonal relationships. Providing a fascinating insight into the psyche of people who struggle with hoarding, this book will be essential reading for depth psychologists, Jungian psychotherapists, psychiatrists, social workers, students of analytical psychology and anyone interested in understanding the dynamics of this complex condition.

This book examines the processes at issue in the onset of psychiatric disorders linked to stress in the workplace. Six clinical observations are presented: an acute psychosomatic decompensation (status asthmaticus); a delirious episode; a dementia-like confusional state; a sexuality disorder; two successive decompensations (one in a victim of workplace harassment and one in her aggressor); and a suicide. Each is explored in detail, from aetiology to treatment, bringing into sharp relief the differences between conventional analysis and the interpretation of material in light of the reference to work. These studies have been written by psychoanalysts and may be used as a training resource for practitioners and students alike. For any professional or researcher involved in the world of work, these observations will offer a deeper understanding of this particular work-related mental pathology which characterises the development of our contemporary society.

The relevance of cognitive rehabilitation for people with dementia is becoming increasingly accepted by researchers and practitioners in the field. This special issue draws together examples of state-of-the-art research and systematic review by experts in this exciting and growing area. The contributors show how cognitive rehabilitation approaches can be applied, in different ways, to help optimise functioning and address specific difficulties across the full spectrum of severity. While the main focus is on the more commonly diagnosed forms of dementia, treatment possibilities for people with fronto-temporal dementia are also explored. Cognitive rehabilitation interventions need to be grounded in a clear assessment of the profile of strengths and limitations in cognitive functioning, and to demonstrate where possible that treatment effects extend beyond improvement on target measures to have a meaningful impact on wellbeing and quality of life. For this reason, the special issue includes contributions that explore detailed aspects of cognitive functioning or describe new developments in evaluating quality of life in dementia. Cognitive rehabilitation, it is suggested, should be viewed as one important component of a holistic approach to helping people with dementia, their families, and those who care for them. This special issue seeks both to provide information about what has already been achieved and to encourage and stimulate further progress.

In recent years, reported racial disparities in IQ scores have been the subject of raging debates in the behavioral and social sciences and education. What can be made of these test results in the context of current scientific knowledge about human evolution and cognition? Unfortunately, discussion of these issues has tended to generate more heat than light. Now, the distinguished authors of this book offer powerful new illumination. Representing a range of disciplines--psychology, anthropology, biology, economics, history, philosophy, sociology, and statistics--the authors review the concept of race and then the concept of intelligence. Presenting a wide range of findings, they put the experience of the United States--so frequently the only focus of attention--in global perspective. They also show that the human species has no "races" in the biological sense (though cultures have a variety of folk concepts of "race"), that there is no single form of intelligence, and that formal education helps individuals to develop a variety of cognitive abilities. Race and Intelligence offers the most comprehensive and definitive response thus far to claims of innate differences in intelligence among races.

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

This book is primarily for psychotherapists, but is also for professionals such as lawyers, judges, doctors, and the clergy, and for victims. Different perspectives describe worlds of sadistic violence, revealing how human beings are deliberately and persistently broken. It explores how victims are used and abused in the context of pornography, prostitution, and snuff videos; how they are deprived of their rights through mind control: degraded to nothing more than objects, abused at the push of a button according to the desires of the tormentors. Claims by the "false memory" movement aid the tormentors, and this is reflected in the language these groups use. With an explanation of the diverse structures of dissociation, ranging from dissociation as the reaction of an organism, through conditioning, all the way to programming, the author develops a structural model for treating victims of extreme violence and mind control.

How to Help People Who Have Only Their Minds to Love Can a person relate to his or her own mind as an object, depend upon it to the exclusion of other objects, idealize it, fear it, hate it? Can a person live out a life striving to attain the elusive power of the mind's perfection, yielding to its promise while sacrificing the body's truth? Winnicott was the first to describe how very early in life an individual can, in response to environmental failure, turn away from the body and its needs and establish "mental functioning as a thing in itself." Winnicott's elusive term, the mind-psyche, describes a subtle, yet fundamentally violent split in which the mind negates the role of the body, its feelings and functions, as the source of creative living. Later, Masud Khan elaborated on Winnicott's notions. This exciting book extends Winnicott's and Khan's ideas to introduce the concept of the mind object, a term that signifies the central dissociation of the mind separated from the body, as well as underscores its function. When the mind takes on a life of its own, it becomes an object separate, as it were, from the self. And because it is an object that originates as a substitute for maternal care, it becomes an object of intense attachment, turned to for security, solace, and gratification. Having achieved the status of an independent object, the mind also can turn on the self, attacking, demeaning, and persecuting the individual. Once this object relationship is established, it organizes the self, providing an aura of omnipotence. However, this precocious, schizoid solution is an illusion, vulnerable to breakdown and its associated anxieties. Making a unique contribution, The Mind Object explores the dangers of knowing too much the lure of the intellect for the patient as well as for the therapist. The authors illuminate the complex pathological consequences that result from precocious solutions."

There have been many recent developments in the research, theory, and practice of supervision in counseling, but few reliable resources are available for practitioners seeking to expand their knowledge in these areas. Culbreth and Brown have assembled a group of leading researchers, scholars, and professionals in the field to present a collection of chapters on the state of the art in clinical supervision. These chapters provide the reader with fresh approaches to core topics, such as multicultural competence, religion and spirituality, and the training of supervisors, as well as discussions of new areas of study. Alternative methods to conducting supervision are explored with expressive art techniques and the uses of narrative therapy and concepts of emotional intelligence. Triadic supervision and the use of the newest developments in technology are also considered. Current and future supervisors will no doubt find the innovative and informative strategies described in this book invaluable in their work with supervisees.

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.

This edited volume features evidence-based reviews and practical approaches for the professional in the hospital, clinic, community and school, with case examples throughout. Divided into five major sections, the book offers background historical and cultural information, discussion of self-injury etiology, assessment and intervention/prevention issues, and relevant resources for those working with youths who self-injure.

Torture is among the most disturbing and psychologically devastating of human behaviors. It dehumanizes its victims, leaving them with serious and lasting psychological wounds. Like other psychological trauma, torture frequently leaves in its wake denial and silence among both perpetrators and their victims. This communicative void creates a public and mental block that can make treatment of torture survivors very difficult.

Treating Victims of Torture and Violence is the definitive manual for therapists treating victims of torture, prisoners of war, and casualties of forced migration. Divided into five sections dealing with basic concepts of torture--violence and aggression, the torture syndrome, psychotherapeutic treatment, the cultural psychology of torture syndrome, and cultural psychological treatment-- Treating Victims of Torture and Violence employs both classic psychoanalytic and cognitive- behavioral methods. Realizing that torture victims are frequently from different cultures than those of their therapists, Peter Elsass provides in-depth aid to therapists dealing with a multicultural clientele.

This book explores the psychological trauma affecting soldiers and civilians who have encountered the violence of war or terrorism, arguing that the enigmas surrounding war trauma are rooted in culture, collective memory and social norms. Focusing primarily on a large-scale sociological study in Israel, chapters detail the ideological, political, historical and economic factors that shape the multifaceted connection between individual and collective trauma, probing the exterior layers of Israeli society and exposing the complex relationship between society and emotionally scarred individuals everywhere. Divided into three main parts, particular attention is paid to the treatment of soldiers and civilians, and the tension between the medical and societal approaches to PTSD, shedding light on the intricate relationships between war trauma and society worldwide. Part 1 looks at traumatized soldiers and the changing attitudes towards CSR and PTSD; Part 2 explores civilian trauma and shock, including the first published research on the implications of war trauma in Israeli Arab society; and Part 3 analyses the deficiencies and contradictions in current international definitions and discourses of trauma, and the profound consequences of war trauma in society as a whole. Psychological War Trauma and Society will be of key value for academics and postgraduate students in the fields of psychology, sociology, history, Jewish studies, military studies, social work, terrorism studies and political science, as well as professionals who work with traumatised individuals, either directly or indirectly, including psychologists, psychotherapists and social workers. The Hebrew edition of the book was the winner of the 2012 AIS (Association for Israel Studies) Shapiro Award for Best Book in Israel Studies.

Relational Psychoanalysis and Psychotherapy Integration traces the history of efforts to integrate psychoanalysis with other psychotherapeutic modalities, beginning with the early analysts, including Ferenczi and Rank, and continuing on to the present day. It explores the potential for integration made possible by contemporary developments in theory and technique that are fundamental to a relational psychoanalytic approach. Editors Jill Bresler and Karen Starr bring together an array of valuable theoretical and clinical contributions by relationally oriented psychoanalysts who identify their work as integrative. The book is organized in four segments: theoretical frameworks of psychotherapy integration; integrating multiple models of psychotherapy into a psychoanalytically informed treatment; working with specific populations; the future of integration, exploring the issues involved in educating clinicians in integrative practice. The contributions in this volume demonstrate that integrating techniques from a variety of psychotherapies outside of psychoanalysis can enrich and enhance psychoanalytic practice. It will be an invaluable resource for all practicing psychoanalysts, psychotherapists, and psychoanalysts and psychotherapists in training, particularly those with an interest in relational psychoanalysis and psychotherapy integration.

Popular interest in body image issues has grown dramatically in recent years, due to an emphasis on individual responsibility and self-determination in contemporary society as well as the seemingly limitless capacities of modern medicine; however body image as a separate field of academic inquiry is still relatively young. The contributors of Body Image and Identity in Contemporary Societies explore the complex social, political and aesthetic interconnections between body image and identity. It is an in-depth study that allows for new perspectives in the analysis of contemporary visual art and literature but also reflects on how these social constructs inform clinical treatment. Sukhanova and Thomashoff bring together contributions from psychoanalysts, psychotherapists, psychiatrists and scholars in the fields of the social sciences and the humanities to explore representations of the body in literature and the arts across different times and cultures. The chapters analyse the social construction of the 'ideal' body in terms of beauty, gender, sexuality, race, ethnicity, class and disability, from a broadly psychoanalytic perspective, and traces the mechanisms which define the role of the physical appearance in the formation of identity and the assumption of social roles. Body Image and Identity in Contemporary Societies' unique interdisciplinary outlook aims to bridge the current gap between clinical observations and research in semiotic theory. It will be of interest to psychoanalysts, psychotherapists, art therapists, art theorists, academics in the humanities and social sciences, and those interested in an interdisciplinary approach to the issues of body image and identity. Ekaterina Sukhanova is University Director of Academic Program Review at the City University of New York USA. She serves as Scientific Secretary of the Section for Art and Psychiatry and the Section of Art and Psychiatry of the World Psychiatric Association. She is also engaged in interdisciplinary research on cultural constructs of mental health and illness and curates exhibits of art brut as a vehicle for fighting stigma. Hans-Otto Thomashoff was born in Germany and lives in Vienna. He is a psychiatrist, psychoanalyst, art historian and author of fiction and non-fiction books. He has been curator of several art exhibitions highlighting the connection between the psyche and art as well as president of the section of Art and Psychiatry of the World Psychiatric Association and advisory committee member of the Sigmund Freud Foundation, Vienna.

Despite the steady acceptance of psychological interventions for people with psychosis in routine practice many people continue to experience problems in their recovery. The need to develop new approaches, particularly for those who are more difficult to engage and have significant co-morbidities is therefore important. Innovations in Psychosocial Interventions for Psychosis positions psychological formulation as a key organising principle for the delivery of care within multidisciplinary teams. The interventions described all have the common theme of supporting recovery and achieving goals that are of primary importance to the service user which targets interventions on broader obstacles to recovery. Along with their experienced contributors, Alan Meaden and Andrew Fox introduce new developments in psychological interventions for people affected by psychosis who are hard to reach, working in a variety of settings with people at various stages of recovery. The book is divided into three parts. In part one brief interventions and approaches aimed at promoting engagement are described as interventions in their own right. Part two is focused on longer-term interventions with individuals. Some of these highlight new developments in the evidence base whilst others draw on work applied less frequently to psychosis drawing from the broader psychological therapy practice-based evidence field. In part three attention is given to innovations in group settings and those aimed at promoting greater multidisciplinary working in settings where a whole team approach is needed. Each chapter describes the theory underpinning a different approach, its development, key strategies, principles and stages, and contain case examples that illustrate the use of the approach in a clinical setting. Innovations in Psychosocial Interventions for Psychosis will be an invaluable resource to professionals working with this client group, including clinical and counselling psychologists, psychiatrists, and other allied health professionals.

The concept of a "directing object" is based on extensive clinical observations linked to a combination of ego psychology and object relations theory in the tradition of Otto Kernberg and Anne Marie and Joseph Sandler. People with a phobic disposition are those who were not, during childhood, permitted to learn by trial and error and thus gain confidence in their actions. They did not learn to direct their own actions and did not develop confidence in their capability to act successfully. In their inner world, they did not establish an internal directing object. Thus, they now need an external directing object, who watches over them. This has considerable influence on interpersonal relationships and on work. Phobic persons can work without difficulty when there is a external directing object, but they will not be able to work without such a companion. In therapy, they use their therapist as a directing object, which can create the illusion that the phobic patient is already much better.

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.

This book explores the relationship between subjective experience and the cultural, political and historical paradigms in which the individual is embedded. Providing a deep analysis of three compelling case studies of schizophrenia in Turkey, the book considers the ways in which private experience is shaped by collective structures, offering insights into issues surrounding religion, national and ethnic identity and tensions, modernity and tradition, madness, gender and individuality. Chapters draw from cultural psychiatry, medical anthropology, and political theory to produce a model for understanding the inseparability of private experience and collective processes. The book offers those studying political theory a way for conceptualizing the subjective within the political; it offers mental health clinicians and researchers a model for including political and historical realities in their psychological assessments and treatments; and it provides anthropologists with a model for theorizing culture in which psychological experience and political facts become understandable and explainable in terms of, rather than despite each other. Meaning, Madness, and Political Subjectivity provides an original interpretative methodology for analysing culture and psychosis, offering compelling evidence that not only "normal" human experiences, but also extremely "abnormal" experiences such as psychosis are anchored in and shaped by local cultural and political realities.

Spanning six decades, this collection, Journeys in Psychoanalysis: The selected works of Elizabeth Spillius, traces the arc of her career from anthropology and entering psychoanalysis 'almost by accident', to becoming one of her generation's leading scholars of Melanie Klein. Born in 1924 in Ontario, Canada, Elizabeth arrived at the London School of Economics for postgraduate studies in the 1950s and soon embarked on a groundbreaking study of family life in the East End of London that produced a PhD and her first book, Family and Social Network, under her maiden name Elizabeth Bott. Published by the Tavistock Institute in 1957, it remains one of the most influential works published on the sociology of the family. These papers are a testament to the luminous intellect and understated compassion that Elizabeth has always brought to her work. They vividly map not just the evolution of Elizabeth's career but the development of Melanie Klein's thought, often drawing in compelling fashion on the writer's own experiences with her patients. Each is written with the clarity and concision that makes difficult concepts eminently comprehensible to psychoanalysts, psychoanalytic psychotherapists and laymen alike.

Originally published in 1988, this was the first textbook to review and integrate the cognitive theories underlying the practice of modern clinical psychology. Written in a clear and readable way, it uses many clinical examples to relate the theories to what therapists actually do. It describes the strengths and weaknesses of the theories and develops a common framework drawn from research in social and cognitive psychology to explain the mechanisms of behavioural and cognitive therapy. Among the topics covered are the validity of self-reports; experimental investigations of nonconscious processes; cognitive theories of conditioning; the relation between cognition and emotional disorders such as anxiety and depression; self-esteem and the development of self-schema; self-efficacy; explanation and causal attribution; personal values and goals; self-regulation and the techniques of cognitive therapy. This textbook is designed for advanced undergraduate and postgraduate courses in clinical and abnormal psychology. Its practical focus will also make it of particular interest to practising clinical psychologists, psychiatrists and other mental health professionals.

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.