As the average age of the population rises, mental health professionals have become increasingly aware of the critical importance of personality in mediating successful adaptation in later life. Personality disorders were once thought to "age out," and accordingly to have an inconsequential impact on the lives of the elderly. But recent clinical experience and studies underscore not only the prevalence of personality disorders in older people, but the pivotal roles they play in the onset, course, and treatment outcomes of other emotional and cognitive problems and physical problems as well. Clearly, mental health professionals must further develop research methods, assessment techniques, and intervention strategies targeting these disorders; and they must more effectively integrate what is being learned from advances in research and theory into clinical practice.
Inspired by these needs, the editors have brought together a distinguished group of behavioral scientists and clinicians dedicated to understanding the interaction of personality and aging. Offering a rich array of theoretical perspectives (intrapsychic, interpersonal, neuropsychological, and systems), they summarize the empirical literature, present phenomenological case reports, and review psychodynamic, cognitive-behavioral, and pharmacological treatment approaches. This comprehensive state-of-the-art guide will be welcomed by all those who must confront the complexity and the challenge of working with this population.

Suicide kills and maims victims; traumatizes loved ones; preoccupies clinicians; and costs health care and emergency agencies fortunes. It should therefore demand a wealth of theoretical, scientific, and fiduciary attention. But in many ways it has Why? Although the answer to this question is multi-faceted, this volume not. supposes that one answer to the question is a lack of elaborated and penetrating theoretical approaches. The authors of this volume were challenged to apply their considerable theoretical wherewithal to this state of affairs. They have risen to this challenge admirably, in that several ambitious ideas are presented and developed. Ifever a phenomenon should inspire humility, it is suicide, and the volume's authors realize this. Although several far-reaching views are proposed, they are pitched as first approximations, with the primary goal of stimulating still more conceptual and empirical work. A pressing issue in suicide science is the topic of clinical interventions, and clinical approaches more generally. Here too, this volume contributes, covering such topics as therapeutics and prevention, comorbidity, special populations, and clinicalrisk factors.

It is important to understand the relationship between the brain, cognition and behavior when providing care to the elderly. Behavioral Neurology in the Elderly provides a comprehensive overview of this significant relationship, one of the most important topics concerning medical and behavioral gerontology today. It provides insight into how the aging brain affects memory and language, as well as motor, emotional, and executive functioning.

Beginning with a historical view of aging and healthy living, this practical and informative book describes the most important neurobehavioral issues such as information processing, motor function, language and communication. It also provides essential information on neurobehavioral disorders such as depression, sleep disorders, epilepsy, apraxia, dementia and stroke. Furthermore, it offers an ultimate guide to medical and neuropsychological geriatric assessment and evaluation. A resource for all professionals working with elderly people, Behavioral Neurology in the Elderly points out new directions in research methods for assessment, diagnosis, and treatment.

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.

First published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

The book offers a challenging reading of the legacy of C. G. Jung, who produced fascinating insights into the psyche but did not provide a theoretical framework for clinical work. Thus, clinicians are faced with both the richness and lacunae of Jung s legacy and how to work with it. This challenge is taken up by distinguished post-Jungian thinkers from Britain, Europe and the US who, in fertile contact with psychoanalysis, reassess Jung s work and propose new tools for clinical practice. By looking anew at concepts such as maternal containment, affect, ego formation and ego strength, infantile loss, envy and friendship they find ways of working that integrate Jung s thought with Post-Jungian developments and a psychoanalytic approach."

The interaction between emotion and cognition is a fundamental issue which has only recently been reintroduced as a legitimate object of study in experimental psychology. This book examines the significant impact that affective processes have on reasoning, and demonstrates how emotional reasoning cannot simply be equated with faulty reasoning. Emotion and Reasoning presents contributions from leading researchers from a variety of disciplines, including experimental cognitive psychology, cognitive neuroscience, clinical neuropsychology, and experimental psychopathology. The opening chapters consider how emotions affect reasoning processes in individuals living with psychopathology. A second section focuses upon experimental investigations of emotion and basic reasoning processes, and a final section explores the physiological bases of emotion-reasoning interaction. Together, the chapters in this volume provide a multidisciplinary overview of key topics on emotion and reasoning, and a survey of recent research in this area. Emotion and Reasoning will be of great interest to advanced students, researchers, and practitioners in the fields of cognitive psychology, clinical psychology, and affective neuroscience.

In The Play within the Play: The Enacted Dimension of Psychoanalytic Process Gil Katz presents and illustrates the "enacted dimension of psychoanalytic process." He clarifies that enactment is not simply an overt event but an unconscious, continuously evolving, dynamically meaningful process. Using clinical examples, including several extended case reports, Gil Katz demonstrates how in all treatments, a new version of the patient's early conflicts, traumas, and formative object relationships is inevitably created, without awareness or intent, in the here-and-now of the analytic dyad. Within the enacted dimension, repressed or dissociated aspects of the patient's past are not just remembered, they are re-lived. Katz shows how, when the enacted dimension becomes conscious, it forms the basis for genuine and transforming experiential insight.

This clear and easy-to-use workbook provides clinicians, clients, and those interested in self-improvement with a practical guide to understanding and improving body image through the latest research findings and clinical tools. The key components of positive body image, such as embodiment, body appreciation, self-care, intuitive eating, social comparison, and body talk, are all covered, with reliable assessments and guidelines for applications accompanying each topic. An array of assignments are also included for clients and readers to complete based on their values, needs and interests to provide positive body image. Clinicians will appreciate the practical treatment planning sections (including talking points for sessions, goals and objectives) to assist in clinical interventions. Additionally, a specific chapter is devoted to how clinicians can prepare themselves both professionally and personally for body image work. Access to downloadable assignments available at: www.cambridge.org/PBIW

Managing Fear examines the growing use of risk assessment as it relates to preventive detention and supervision schemes for offenders perceived to be at a high risk of re-offending, individuals with severe mental illness, and suspected terrorists. It outlines a number of legislative regimes in common law countries that have broadened 'civil' (as opposed to criminal) powers of detention and supervision. Drawing on the disciplines of criminology and social psychology, it explores how and why such schemes reflect a move towards curtailing liberty before harm results rather than after a crime has occurred. Human rights and ethical issues concerning the role of mental health practitioners in assessing risk for the purposes of preventive detention and supervision are explored, and regimes that require evidence from mental health practitioners are compared with those that rely on decision-makers' notions of 'reasonable belief' concerning the risk of harm. Case studies are used to exemplify some of the issues relating to how governments have attempted to manage the fear of future harm. This book aims to educate mental health practitioners in the law relating to preventive detention and supervision schemes and how the legal requirements differ from clinical assessment practices; examine the reasons why there has been a recent renewal of preventive detention and supervision schemes in common law countries; provide a comparative overview of existing preventive detention and supervision schemes; and analyse the human rights implications and the ethics of using forensic risk assessment techniques for preventive detention and supervision schemes.

Is there a baby in the relational consulting room? How and when can/should we try to hold our patients? What happens to the analyst's subjectivity when she tries to hold? In Holding and Psychoanalysis: A Relational Perspective (second Edition), Joyce Slochower brings a contemporary relational framework to bear on Winnicott's notion of the holding environment. Revisiting the clinical impact and theoretical underpinnings of holding, Slochower explores its function in those moments when "ordinary" interpretive or interactive work cannot be tolerated. Slochower expands the holding construct beyond the needs of dependent patients by examining its therapeutic function across the clinical spectrum. Emphasizing holding's coconstructed nature, Slochower explores the contribution of both patient and analyst the holding moment. This second Edition introduces new theoretical and clinical material, including four additional chapters. Two of these address holding's impact on the patient's capacity to access, articulate and process affect states; the third moves outside the consulting room to explore how holding functions in acts of memorial ritual across the lifespan. A final chapter presents Slochower's latest ideas about holding's clinical function in buffering shame states. Integrating Winnicott's seminal contributions with contemporary relational and feminist/psychoanalytic perspectives, Joyce Slochower addresses the therapeutic limitations of both interpretive and interactive clinical work. There are times, she argues, when patients cannot tolerate explicit evidence of the analyst's separate presence and instead need a holding experience. Slochower conceptualizes holding within a relational frame that includes both deliberate and enacted elements. In her view, the analyst does not hold alone; patient and analyst each participate in the establishment of a co-constructed holding space. Slochower pays particular attention to the analyst's experience during moments of holding, offering rich clinical vignettes that illustrate the complex struggle that holding entails. She also addresses the therapeutic limits of holding and invites the reader to consider the analyst's contribution to these failures. Slochower locates the holding process within a broader clinical framework that involves the transition toward collaboration-a move away from holding and into an explicitly intersubjective therapeutic frame. Holding and Psychoanalysis offers a sophisticated integration of Winnicottian and relational thought that privileges the dynamic impact of holding moments on both patient and analyst. Thoroughly grounded in case examples, the book offers compelling clinical solutions to common therapeutic knots. Clearly written and carefully explicated, it will be an important addition to the libraries of psychoanalysts and psychoanalytic psychotherapists.

Rape in marriage is a global problem affecting millions of women - it is still legal in many countries and was only criminalized in all U.S. states in 1993. In much of the world, marital rape is too often understood as an oxymoron due to the fact that the ideology of permanent consent underlies the legal and cultural definitions of sex in marriage. From Vietnam to Guatemala to South Africa and beyond, this volume examines how cultural, legal, public health, and human rights policies and practices impact intimate partner violence. While legal and cultural conceptions of marital rape vary widely - from criminal assault to wifely duty - this volume offers evidence from different societies that forced sex undermines the physical and psychological well-being of the women who experience it, regardless of their cultural context. Globally, the nature of marriage is changing and so are notions of individual choice, love, intimacy, and rigid gender roles. Marital Rape documents wide ranging and fluid understandings of sex, consent, and rape in marriage; such an array of perspectives demands an international and interdisciplinary approach to the study of sex and gender-based violence. This text brings together an international group of scholars from the fields of anthropology, sociology, criminology, law, public health, and human rights; their work points to the importance of understanding the lived experience of sexual violence for the design of effective and culturally sensitive public policy and practice.

Is there a baby in the relational consulting room? How and when can/should we try to hold our patients? What happens to the analyst's subjectivity when she tries to hold? In Holding and Psychoanalysis: A Relational Perspective (second Edition), Joyce Slochower brings a contemporary relational framework to bear on Winnicott's notion of the holding environment. Revisiting the clinical impact and theoretical underpinnings of holding, Slochower explores its function in those moments when "ordinary" interpretive or interactive work cannot be tolerated. Slochower expands the holding construct beyond the needs of dependent patients by examining its therapeutic function across the clinical spectrum. Emphasizing holding's coconstructed nature, Slochower explores the contribution of both patient and analyst the holding moment. This second Edition introduces new theoretical and clinical material, including four additional chapters. Two of these address holding's impact on the patient's capacity to access, articulate and process affect states; the third moves outside the consulting room to explore how holding functions in acts of memorial ritual across the lifespan. A final chapter presents Slochower's latest ideas about holding's clinical function in buffering shame states. Integrating Winnicott's seminal contributions with contemporary relational and feminist/psychoanalytic perspectives, Joyce Slochower addresses the therapeutic limitations of both interpretive and interactive clinical work. There are times, she argues, when patients cannot tolerate explicit evidence of the analyst's separate presence and instead need a holding experience. Slochower conceptualizes holding within a relational frame that includes both deliberate and enacted elements. In her view, the analyst does not hold alone; patient and analyst each participate in the establishment of a co-constructed holding space. Slochower pays particular attention to the analyst's experience during moments of holding, offering rich clinical vignettes that illustrate the complex struggle that holding entails. She also addresses the therapeutic limits of holding and invites the reader to consider the analyst's contribution to these failures. Slochower locates the holding process within a broader clinical framework that involves the transition toward collaboration-a move away from holding and into an explicitly intersubjective therapeutic frame. Holding and Psychoanalysis offers a sophisticated integration of Winnicottian and relational thought that privileges the dynamic impact of holding moments on both patient and analyst. Thoroughly grounded in case examples, the book offers compelling clinical solutions to common therapeutic knots. Clearly written and carefully explicated, it will be an important addition to the libraries of psychoanalysts and psychoanalytic psychotherapists.

Alessandra Lemma - Winner of the Levy-Goldfarb Award for Child Psychoanalysis! By now the internet and other forms of virtual communication have been in place for at least twenty years. However, surprisingly little has been written about the use of new technologies in the psychoanalytical literature. As such, Psychoanalysis in the Technoculture Era is a timely exposition on the subject of both virtual and analytic space. Bringing together the work of several psychoanalysts, the Editors Alessandra Lemma and Luigi Caparrotta illustrate how new technologies have become an integral part of our everyday lives and how they have silently and subtly permeated the psychoanalytic setting. The contributors explore how new technologies have affected psychoanalytic practice and discuss the advantages and disadvantages of its use. Psychoanalysis in the Technoculture Era unravels some of the meanings of virtual world terms, and opens this field to greater scrutiny, stimulating and promoting discussion about new technologies in psychoanalytic practice. This book will be of interest to the psychoanalytic community including psychotherapy professionals, psychoanalysts, post graduate, graduate and undergraduate students.

Who are the people we describe as having learning or intellectual disability? Many clinical psychologists working in a mental health setting are now encountering people with learning disabilities, in some cases for the first time. This book provides the background information and understanding required to provide a basis for a truly inclusive and effective service for people with learning disability. In A Guide to Psychological Understanding of People with Learning Disabilities, Jenny Webb argues that we need a new, clinically-based definition of learning disability and an approach which integrates scientific rigour with humanistic concern for this group of people, who are so often vulnerable to misunderstanding and marginalisation. Psychological approaches need to be grounded in an understanding of historical, theoretical and ethical influences as well as a body of knowledge from other disciplines. The Eight Domains is a simple but holistic method for information gathering, while The Three Stories is an integrative model of formulation for use in relation for those people whose needs do not fit neatly into any one theory. Divided into three sections, the book explores: Understanding the context Understanding the person: eight domains Making sense: three stories. This book provides an invaluable guide for trainee clinical psychologists and their supervisors and tutors, working with adults with learning disability. It will also be valuable for clinical psychologists working in mainstream settings who may now be receiving referrals for people with learning disability and want to update their skills.

Alessandra Lemma - Winner of the Levy-Goldfarb Award for Child Psychoanalysis! By now the internet and other forms of virtual communication have been in place for at least twenty years. However, surprisingly little has been written about the use of new technologies in the psychoanalytical literature. As such, Psychoanalysis in the Technoculture Era is a timely exposition on the subject of both virtual and analytic space. Bringing together the work of several psychoanalysts, the Editors Alessandra Lemma and Luigi Caparrotta illustrate how new technologies have become an integral part of our everyday lives and how they have silently and subtly permeated the psychoanalytic setting. The contributors explore how new technologies have affected psychoanalytic practice and discuss the advantages and disadvantages of its use. Psychoanalysis in the Technoculture Era unravels some of the meanings of virtual world terms, and opens this field to greater scrutiny, stimulating and promoting discussion about new technologies in psychoanalytic practice. This book will be of interest to the psychoanalytic community including psychotherapy professionals, psychoanalysts, post graduate, graduate and undergraduate students.

This book provides a critical introduction to Heidegger's impact on psychiatry and psychology, and has a focus on the application of his philosophy to psychiatry. This is a complete revision of Heidegger's existential philosophy in the light of psychopathological phenomena. Readers will find here a philosophical inquiry into the problem of mental disorder, which shows Heidegger's own philosophy in a new light, uncovering both its strengths and its weak points. The author maps not only Heidegger's interaction with psychiatric thought, as depicted in his Zollikon Seminars, but also his influence on Swiss phenomenological psychiatry. The work treats Heidegger in a critical way, taking the phenomenon of mental disorder as a touchstone on which Heidegger's thought is tested. The results of such a critical examination are important, not only for a better understanding of psychopathological phenomena, but also for a new understanding of Heidegger's approach to human existence. This work treats the phenomenon of mental disorder as a philosophical problem that reflects the ontological character of human existence. Heidegger's approach to mental disorder is confronted with the conceptions of Foucault, Deleuze and Guattari in a novel way. The book is more than just an historical overview as it highlights the limits of phenomenological thought in the area of psychiatry and it shows a possible way of moving beyond them. This is a philosophical work with an interdisciplinary range. Scholars of philosophy and those in the growing field of philosophy of psychiatry, as well as those with an interest in Heidegger Studies will be particularly interested in this work.

This timely volume explains the pitfalls and problems of managed care for those practitioners, especially child clinicians, who wish to take part in it, while mapping out independent financing strategies for those who wish to remain outside the system. Managing Managed Care provides an overview of the managed care marketplace as it currently affects children and families, reviews relevant legal and financial issues, and illustrates with case examples some problems of the system.

In The Play within the Play: The Enacted Dimension of Psychoanalytic Process Gil Katz presents and illustrates the "enacted dimension of psychoanalytic process." He clarifies that enactment is not simply an overt event but an unconscious, continuously evolving, dynamically meaningful process. Using clinical examples, including several extended case reports, Gil Katz demonstrates how in all treatments, a new version of the patient's early conflicts, traumas, and formative object relationships is inevitably created, without awareness or intent, in the here-and-now of the analytic dyad. Within the enacted dimension, repressed or dissociated aspects of the patient's past are not just remembered, they are re-lived. Katz shows how, when the enacted dimension becomes conscious, it forms the basis for genuine and transforming experiential insight.

The world is looking East. While in the West psychoanalysis is fighting to maintain its position among the other therapies in a society which has less time for introspection and self-reflective thought, in Asia a new frontier is opening up: there is a surge of interest for psychoanalysis among the mental health professionals and among the younger generations, interest which is articulated and nuanced differently in the different Asian countries. In Asia and particularly in India, Japan, South Korea, Taiwan and China, the development of psychoanalysis reflects separate socio-political historical contexts, each with a rich cultural texture and fuelled by the interest of a new generation of mental health professionals for psychoanalysis as a therapeutic method. "Psychoanalysis Encounters the Far-East" is a collection of papers presented at the first IPA Psychoanalytic Conference in Asia on the occasion of the 100 Anniversary of the foundation of the IPA. They examine how psychoanalysis, developed and rooted in Western culture, finds more and more interest in Asian societies. This means a new challenge for psychoanalysis in the dialogue with Eastern cultures.

Postpartum depression has become a more recognized mental illness over the past decade as a result of education and increased awareness. Traumatic childbirth, however, is still often overlooked, resulting in a scarcity of information for health professionals. This is in spite of up to 34% of new mothers reporting experiencing a traumatic childbirth and prevalence rates rising for high risk mothers, such as those who experience stillbirth or who had very low birth weight infants.

This ground-breaking book brings together an academic, a clinician and a birth trauma activist. Each chapter discusses current research, women s stories, the common themes in the stories and the implications of these for practice, clinical case studies and a clinician s insights and recommendations for care. Topics covered include: mothers perspectives, fathers perspectives, the impact on breastfeeding, the impact on subsequent births, PTSD after childbirth and EMDR treatment for PTSD.

This book is a valuable resource for health professionals who come into contact with new mothers, providing the most current and accurate information on traumatic childbirth. It also presents mothers experiences in a manner that is accessible to women, their partners, and families.

Feminist Therapy with Latina Women highlights the principles of feminist and multicultural counselling and therapy with Latinas and Latin American women, providing both theoretical approaches and applied frameworks. The authors are all experienced therapists and researchers with a deep understanding of the issues relevant to this particular population. In presenting their expertise, they discuss individual concerns and social context, applying it concretely to the personal and collective lives of Latina women. Chapters focus on the intersecting principles of feminism and multiculturalism, providing a much needed contribution to the field, with topics including domestic violence, eating disorders and body image, addictive behaviours, sexuality, immigrant and refugee experiences, and balancing the multiple roles of work and family. This book was originally published as a special issue of Women & Therapy.

First Published in 1999. This is Volume II of twenty-one of the Individual Differences Psychology series. Written in 1921, this study outlines a comparative Individualistic Psychology and Psychotherapy.

There is increasing recognition that emotional distress plays a significant part in the onset of psychosis, the experience of psychosis itself and in the unfolding of recovery that follows. This book brings together leading international experts to explore the role of emotion and emotion regulation in the development and recovery from psychosis. Psychosis and Emotion offers extensive clinical material and cutting-edge research with a focus on: the diverse theoretical perspectives on the importance of emotion in psychosis the interpersonal, systemic and organisational context of recovery from psychosis and the implications for emotional distress the implications of specific perspectives for promoting recovery from psychosis With thorough coverage of contemporary thinking, including psychoanalytic, cognitive, developmental, evolutionary and neurobiological, this book will be a valuable resource to clinicians and psychological therapists working in the field.