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.

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.

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.

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.

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.

How close is spirituality to psychosis? Covering the interrelation of psychosis and spirituality from a number of angles, Insanity and Divinity will generate dialogue and discussion, aid critical reflection and stimulate creative approaches to clinical work for those interested in the connections between religious studies, psychoanalysis, anthropology and hagiography. Bringing together an international range of contributors and covering many different types of religious experience, this book presents its theme in three parts: Psychoanalysis, belief and mysticism Anthropology, history and hagiography Psychology, psychosis and religious experience. Each section includes discussion of the hinterland between madness and religious experience from the perspective of a number of religions, autobiographical accounts of those who have experienced a psychosis in which spirituality played a key part and a comprehensive review of the position of psychology research into the meaning and function of spirituality in relation to the psychoses. Insightful, enlightening and wide-ranging, Insanity and Divinity is ideal for clinicians, academics and chaplains working in clinical settings.

Many counselors learn about ethics in graduate school by applying formal, step-by-step ethical decision-making models that require counselors to be aware of their values and refrain from imposing personal values that might harm clients. However, in the real world, counselors often make split-second ethical decisions based upon personal values. Values and Ethics in Counseling illustrates the ways in which ethical decisions are values-but more than that, it guides counselors through the process of examining their own values and analyzing how these values impact ethical decision making. Each chapter presents ethical decision making as what it is: a very personal, values-laden process, one that is most effectively illustrated through the real-life stories of counselors at various stages of professional development-from interns to seasoned clinicians-who made value-based decisions. Each story is followed by commentary from the author as well as analysis from the editors to contextualize the material and encourage reflection.

For professionals working with people who experience severe psychosis, increasing empirical evidence for the benefits of psychotherapy for psychosis has been especially welcome. Given the limitations of medication-only approaches and the need for an expanded perspective, including for those diagnosed with schizophrenia, Surviving, Existing, or Living takes a fresh look at severe psychosis, offering a heuristic model for understanding psychosis along a continuum of severity, from the extreme experience of acutely impairing psychosis to a more enriched life experience. Pamela Fuller emphasizes that facilitating recovery from psychosis requires appropriately and effectively matching the type and timing of interventions to client readiness and capabilities. The need to consider each individual according to which of three primary issues/phases preoccupy the person with psychosis is essential for tailoring treatment. She identifies these phases as: Surviving Phase - preoccupation with survival Existing Phase - preoccupation with restriction of life experiences in order to cope Living Phase - preoccupation with quality of life and relationships Surviving, Existing, or Living examines the rationale for these three phases, and provides details of phase-specific treatment interventions as well as a 'how to' guide for facilitating engagement and for determining 'what to do when,' including with those experiencing acute, severe psychosis. Rich clinical case examples are provided to highlight concepts and the types of interventions. Trauma-specific and group interventions for psychosis are also described, as well as ways to foster resilience in the professional who works with individuals with psychosis. Surviving, Existing, or Living offers a detailed guide to help individuals experiencing psychosis move from suffering to recovery, beyond surviving or existing toward more fully living. The book will be essential reading for professionals in the fields of psychology, psychiatry, counseling, medicine, social work, nursing, occupational, recreational, and vocational therapies, experience-based experts, and students.

Surviving and Thriving in Stepfamily Relationships draws on current research, a wide variety of clinical modalities, and thirty years of clinical work with stepfamily members to describe the special challenges stepfamilies face. The book presents the concept of "stepfamily architecture" and the five challenges it creates, and delineates three different levels of strategies psychoeducation, building interpersonal skills, and intrapsychic work for meeting those challenges in dozens of different settings.

The model is designed to be useful both to stepfamily members themselves and to a wide variety of practitioners, from a highly trained clinician who needs to know how and when to work on all three levels, to a school counselor or clergy person who may work on the first two levels but refer out for level three. It will also be useful to educators, judges, mediators, lawyers and medical personnel who will practice on the first level, but need to understand the other two to guide their work."

For professionals working with people who experience severe psychosis, increasing empirical evidence for the benefits of psychotherapy for psychosis has been especially welcome. Given the limitations of medication-only approaches and the need for an expanded perspective, including for those diagnosed with schizophrenia, Surviving, Existing, or Living takes a fresh look at severe psychosis, offering a heuristic model for understanding psychosis along a continuum of severity, from the extreme experience of acutely impairing psychosis to a more enriched life experience. Pamela Fuller emphasizes that facilitating recovery from psychosis requires appropriately and effectively matching the type and timing of interventions to client readiness and capabilities. The need to consider each individual according to which of three primary issues/phases preoccupy the person with psychosis is essential for tailoring treatment. She identifies these phases as: Surviving Phase - preoccupation with survival Existing Phase - preoccupation with restriction of life experiences in order to cope Living Phase - preoccupation with quality of life and relationships Surviving, Existing, or Living examines the rationale for these three phases, and provides details of phase-specific treatment interventions as well as a 'how to' guide for facilitating engagement and for determining 'what to do when,' including with those experiencing acute, severe psychosis. Rich clinical case examples are provided to highlight concepts and the types of interventions. Trauma-specific and group interventions for psychosis are also described, as well as ways to foster resilience in the professional who works with individuals with psychosis. Surviving, Existing, or Living offers a detailed guide to help individuals experiencing psychosis move from suffering to recovery, beyond surviving or existing toward more fully living. The book will be essential reading for professionals in the fields of psychology, psychiatry, counseling, medicine, social work, nursing, occupational, recreational, and vocational therapies, experience-based experts, and students.

A journey of new routes of healing with/by Indigenous and non-Indigenous participants is shared under the Two Eyed-Seeing Perspective of Elder Albert Marshall. The Universal Human Right of Indigenous self-determination and Relationality are the togetherness presented in a "mangrove tree" that lives between salty and sweet waters emerging as a protective place of rich ecosystems. The relatuhedron (shapes of relationality) a co-construction of a home, a Wigwam, Long House, Maloca, Ue, crystalizes knowledge and practices in the process of individual and community healing and cultural transactions. A set of neologisms such as relatuhedron, pedagomiologies, and social grammars, is proposed to challenge our views of mental health, healing, cultural transactions, stereotypes, recovery, and public policy and include simplicities and complexities required to support Indigenous well-being. It is a "machine of possibilities" for students and professionals working with/by and for Indigenous communities. In this book healing is presented as a process through scholarly practice and reflection. Healing is a process of emergence of meaning by improving relationality with the self, nature and others, in a practical approach to socio-cultural transformations. In sum, healing is based on individual and community processes both honoring and respective Indigenous knowledge and scientific research to create endless opportunities for well-being. This book presents healing as a process of growth, a complex, dynamic and evolutive journey of transforming how we stablish and maintain relationships with the self, nature and others inside of our cultural negotiations.

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.

This book explores what the American Civil Liberties Union calls the "third era" in cyberspace, in which filters "fundamentally alter the architectural structure of the Internet, with significant implications for free speech." Although courts and nongovernmental organizations increasingly insist upon constitutional and other legal guarantees of a freewheeling Internet, multi-national corporations compete to produce tools and strategies for making it more predictable. When Google attempted to improve our access to information containing in books and the World Wide Web, copyright litigation began to tie up the process of making content searchable, and resulted in the wrongful removal of access to thousands if not millions of works. Just as the courts were insisting that using trademarks online to criticize their owners is First Amendment-protected, corporations and trade associations accelerated their development of ways to make Internet companies liable for their users' infringing words and actions, potentially circumventing free speech rights. And as social networking and content-sharing sites have proliferated, so have the terms of service and content-detecting tools for detecting, flagging, and deleting content that makes one or another corporation or trade association fear for its image or profits. The book provides a legal history of Internet regulation since the mid-1990s, with a particular focus on efforts by patent, trademark, and copyright owners to compel Internet firms to monitor their online offerings and remove or pay for any violations of the rights of others. This book will be of interest to students of law, communications, political science, government and policy, business, and economics, as well as anyone interested in free speech and commerce on the internet.

This book explores what the American Civil Liberties Union calls the "third era" in cyberspace, in which filters "fundamentally alter the architectural structure of the Internet, with significant implications for free speech." Although courts and nongovernmental organizations increasingly insist upon constitutional and other legal guarantees of a freewheeling Internet, multi-national corporations compete to produce tools and strategies for making it more predictable. When Google attempted to improve our access to information containing in books and the World Wide Web, copyright litigation began to tie up the process of making content searchable, and resulted in the wrongful removal of access to thousands if not millions of works. Just as the courts were insisting that using trademarks online to criticize their owners is First Amendment-protected, corporations and trade associations accelerated their development of ways to make Internet companies liable for their users' infringing words and actions, potentially circumventing free speech rights. And as social networking and content-sharing sites have proliferated, so have the terms of service and content-detecting tools for detecting, flagging, and deleting content that makes one or another corporation or trade association fear for its image or profits. The book provides a legal history of Internet regulation since the mid-1990s, with a particular focus on efforts by patent, trademark, and copyright owners to compel Internet firms to monitor their online offerings and remove or pay for any violations of the rights of others.

This book will be of interest to students of law, communications, political science, government and policy, business, and economics, as well as anyone interested in free speech and commerce on the internet.

The gap between psychotherapeutic practice and clinical theory is ever widening. Therapists still don't know what role interpersonal relations play in the development of the most common psychopathologies. Valeria Ugazio bridges this gap by examining phobias, obsessive-compulsions, eating disorders, and depression in the context of the family, using an intersubjective approach to personality. Her concept of "semantic polarities" gives a groundbreaking perspective to the construction of meaning in the family and other interpersonal contexts. At no point is theory left in the wasteland of abstraction. The concreteness of the many case studies recounted, and examples taken from well-known novels, will allow readers to immediately connect the topics discussed with their own experience.

In Trauma and the Soul, Donald Kalsched continues the exploration he began in his first book, "The Inner World of Trauma "(1996) this time going further into the mystical or spiritual moments that often occur around the intimacies of psychoanalytic work. Through extended clinical vignettes, including therapeutic dialogue and dreams, he shows how depth psychotherapy with trauma s survivors can open both analytic partners to "another world" of non-ordinary reality in which daimonic powers reside, both light and dark. This mytho-poetic world, he suggests, is not simply a defensive product of our struggle with the harsh realities of living as Freud suggested, but is an everlasting fact of human experience a mystery that is often at the very center of the healing process, and yet at other times, strangely resists it.

With these "two worlds" in focus, Kalsched explores a variety of themes as he builds, chapter by chapter, an integrated psycho-spiritual approach to trauma and its treatment including:

• images of the lost soul-child in dreams and how this "child" represents an essential core of aliveness that is both protected and persecuted by the psyche s defenses;
• Dante s guided descent into the Inferno of Hell as a paradigm for the psychotherapy process and its inevitable struggle with self-destructive energies;
• childhood innocence and its central role in a person s spiritual life seen through the story of St. Exupery s The Little Prince;
• how clinical attention to implicit processes in the relational field, as well as discoveries in body-based affective neuroscience are making trauma treatment more effective;
• the life of C.G. Jung as it portrays his early trauma, his soul s retreat into an inner sanctuary, and his gradual recovery of wholeness through the integration of his divided self.

This is a book that restores the mystery to psychoanalytic work. It tells stories of ordinary patients and ordinary psychotherapists who, through working together, glimpse the reality of the human soul and the depth of the spirit, and are changed by the experience. "Trauma and the Soul" will be of particular interest to practicing psychotherapists, psychoanalysts, analytical psychologists, and expressive arts therapists, including those with a "spiritual" orientation.

Donald Kalsched is a Jungian analyst in private practice in Albuquerque, New Mexico, and a training analyst with the Inter-Regional Society of Jungian Analysts. He is the author of numerous articles in analytical psychology, and lectures widely on the subject of early trauma and its treatment. His books include The Inner World of Trauma (1996).

The literature on psychological trauma and traumatic attachment has progressed over the past few decades, however issues of coerced and internalized perpetration have not been fully explored and deconstructed. This book presents a synthesis of relational and archetypal psychology, trauma and dissociation theory, and highly relevant child soldier literature, to offer new clinical perspectives to assist psychotherapists and trauma patients to achieve more successful therapy outcomes. The Alchemy of Wolves and Sheep offers instructive, cautionary and innovative therapeutic approaches to help transform the lives of survivors of complex trauma. Providing an explanation of how the effects of coerced perpetration trauma are built, and the damage done to the psyches and lives of most trauma victims, the book extends our knowledge base in a thorough deconstruction of the nature of perpetration and its effects on the psyche. Chapters include: - trauma, dissociation, and coerced perpetration - the child soldier as a model of internalized perpetration - relational concepts in the treatment of trauma and dissociative disorders - treatment trajectory - archetypal constructs as a vehicle for integration. This book provides valuable new perspectives on the psychodynamic challenges and opportunities for mental health professionals treating internalized perpetration in survivors of complex trauma, and will prove essential reading for psychotherapists, psychoanalysts and post-graduate students as well as researchers, legal scholars and policy makers.

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.

"Rik Cheston is one of the pioneers of psychotherapy in dementia. This book integrates his clinical expertise and research, and is brought vividly to life by Rik's personal reflections and case examples drawn from his vast experience [...] this book will be one that I keep coming back to and share." Dr Emma Wolverson, Clinical Psychologist, Senior Lecturer in Ageing and Dementia, Research Lead Dementia, UK "This is a thoughtful and, at times, provocative book, providing knowledge and insights from theoretical and practical perspectives [...] Cheston has set out to challenge you; which he does extremely well." Professor Ian Andrew James, Innovations Team, CNTW NHS Trust and honorary professor at the University of Bradford, UK "In this brilliant and timely book, Richard Cheston [...] draws upon [...] over 30 years of insightful clinical practice to discuss not only psychotherapy but a whole lot more. The book is lucidly written so can be valuable not only to specialists but to anyone whose work or personal life brings them into contact with dementia. Actually, that's most of us." Tom Dening, Professor of Dementia Research, Mental Health & Clinical Neurosciences, University of Nottingham, UK "The author joins the dots between scientific understanding, clinical practice and lived experience in a consummate, compassionate way, resulting in a book that is a 'must read'. Everyone involved in delivering psychotherapeutic care to those living with dementia should have it on their shelf." Jan R Oyebode, Professor of Dementia Care, Centre for Applied Dementia Studies, University of Bradford, UK "This is a clear, accessible and beautifully written legacy of psychotherapeutic endeavour in dementia care [...] This book is a seminal text for all who are committed to continually improving their practice in person-centred dementia care." Esme Moniz-Cook Professor Emerita (Clinical Psychology, Ageing and Dementia Care), University of Hull, UK. Founder Chair, now board member INTERDEM. There is little opportunity for people living with dementia to talk about their experiences and what is happening to them. This often makes it harder for them to adjust to, and to accept, the diagnosis. Dementia and Psychotherapy Reconsidered introduces a new and distinctive way of thinking about dementia. Each of the four sections is augmented with examples from the author's 30 years of clinical and research experience and offers an accessible approach from mainstream psychotherapeutic and psychological frameworks that: * Places dementia into a psychological context of loss, threat and change * Addresses the research and clinical evidence underpinning psychotherapy; whether this is delivered to individuals, couples or groups * Sets out a model of adjustment to dementia and outlines how talking about dementia needs to be tailored to the stage of change * Explores how psychotherapy and counselling can be adapted to accommodate the client's cognitive changes and why we need to acknowledge that talking about dementia is not always possible or desirable Dementia and Psychotherapy Reconsidered is applicable not only to psychotherapists and counsellors, but to clinicians and families who are supporting people living with dementia post-diagnosis and want to find new ways of talking about their experiences. The dementia field has developed rapidly in its scope and practice over the past 10 years, the Reconsidering Dementia Series is a unique and innovative series published by Open University Press applicable to all audiences. Series Editors: Keith Oliver and Dawn Brooker. Richard Cheston worked as a Clinical Psychologist in the NHS before becoming Professor of Dementia Research at the University of the West of England,

As healthcare costs rise, so too do the costs of assessment instruments, critical tools for mental health professionals. While some traditional assessment instruments have become prohibitively expensive, as with many other fields, the Internet offers a host of more affordable and equitable alternative assessment tools at little or no cost. The pitfall of this alternative, thus far, has been the lack of vetting and quality assessment. "Assessing Common Mental Health and Addiction Issues With Free-Access Instruments" fills this gap by providing the first analysis and assessment of these tools, provided by some of the leading names in mental health assessment instruments. This resource identifies the most efficient free access instruments and provides summary information about administration, scoring, interpretation, psychometric integrity, and strengths and weaknesses. The book is organized around the most common broad range issues encountered by helping professionals, and whenever possible, a link to the instrument itself is provided. This is an essential text for all mental health professionals looking to expand the scope and range of their assessment instruments.

As healthcare costs rise, so too do the costs of assessment instruments, critical tools for mental health professionals. While some traditional assessment instruments have become prohibitively expensive, as with many other fields, the Internet offers a host of more affordable and equitable alternative assessment tools at little or no cost. The pitfall of this alternative, thus far, has been the lack of vetting and quality assessment. Assessing Common Mental Health and Addiction Issues With Free-Access Instruments fills this gap by providing the first analysis and assessment of these tools, provided by some of the leading names in mental health assessment instruments. This resource identifies the most efficient free access instruments and provides summary information about administration, scoring, interpretation, psychometric integrity, and strengths and weaknesses. The book is organized around the most common broad range issues encountered by helping professionals, and whenever possible, a link to the instrument itself is provided. This is an essential text for all mental health professionals looking to expand the scope and range of their assessment instruments.