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.

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."

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.

Therapeutic Songwriting provides a comprehensive examination of contemporary methods and models of songwriting as used for therapeutic purposes. It describes the environmental, sociocultural, individual, and group factors shaping practice, and how songwriting is understood and practiced within different psychological and wellbeing orientations.

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.

"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,

This book examines how video game mechanics and narratives can teach players skills associated with increased psychological well-being. It integrates research from psychology, education, ludology, media studies, and communication science to demonstrate how game play can teach skills that have long been associated with increased happiness and prolonged life satisfaction, including flexible thinking, openness to experience, self-care, a growth mindset, solution-focused thinking, mindfulness, persistence, self-discovery and resilience. The chapters in this volume are written by leading voices in the field of game studies, including researchers from academia, the video gaming industry, and mental health practitioners paving the way in the field of "geek therapy." This book will advance our understanding of the potential of video games to increase our psychological well-being by helping to mitigate depression, anxiety, and stress and foster persistence, self-care, and resilience.

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.

Wisdom Mind is a scientifically tested mindfulness program for older adults - those who are cognitively healthy, as well as those who may be experiencing what is referred to as subjective cognitive decline. While mindfulness is already known to benefit a wide variety of individuals, the unique strengths of this program are the ways in which it is tailored specifically to older adults. Session content is keyed to common concerns of older adults (such as cognitive slip-ups, loss, and grief), and incorporates strategies for building upon mindfulness practices in a sequence of increasing difficulty as well as strategies to promote learning and integration. Designed to be used alongside the companion Facilitator Guide, this session-by-session Participant Workbook provides detailed information on how to take part in the program, as well as the reasoning behind why certain practices and strategies are provided at different times and in different ways. As such, it will be of interest to those familiar with mindfulness as well as those new to the practice. A companion website provides downloadable meditation audio recordings that participants can access throughout the program.

Psychologists are under increasing pressure to demonstrate the ecological validity of their assessment procedures--to show that the recommendations concluding their evaluations are relevant to urgent concerns in the legal and social policy arenas, such as predicting dangerousness, awarding compensation, and choosing a custodial parent. How much damage does a referred patient have? Who or what "caused" the damage? What impact will it have on his or her future life, work, and family? And what can be done to remediate the damage? The purpose of this book is to provide sound objective methods for answering these questions. It integrates the knowledge of experienced practitioners who offer state-of-the-art summaries of the best current approaches to evaluating difficult cases with that of basic theorists who describe emerging methods in both predictive and inferential statistics, such as Bayesian networks, that have proven their value in other scientific fields. Arguably, the enterprise of psychological assessment is so interdependent with that of data analysis that attempts to make inferences without consideration of statistical implications is malpractice. Prediction in Forensic and Neuropsychology: Sound Statistical Practices clarifies the process of hypothesis testing and helps to push the clinical interpretation of psychological data into the 21st century. It constitutes a vital resource for all the stakeholders in the assessment process--practitioners, researchers, attorneys, and policymakers.

The enormous human and economic toll of Alzheimer's Disease in societies in which more and more people are living into old age is well-recognized. Scientists and practitioners alike have been working to limit it. Their major focus has been patients in the later stages of the disease, when dementia is fully established. Yet patients in the early stages of cognitive decline, far more numerous, often still living independently with family members, present a bewildering variety of challenges. Bringing together leading authors with diverse expertise, this Handbook offers the first comprehensive overview of approaches to the management of early-stage issues. The authors summarize the important implications of the latest research in their own fields for: * the recognition and formal diagnosis of cognitive problems; * the assessment of specific difficulties in daily functioning; * the formulation of a management plan integrating pharmacological, neuropsychological, behavioral, and cognitive strategies; and * the facilitation and support of caregivers' efforts. All professionals involved in any way with the care of early Alzheimer's patients and their families will find this book an indispensable reference.

Although primary advanced vitamin and mineral deficiencies are rare in the developed world, many common health conditions deplete nutritional status, including sub-optimal dietary intake, frequent alcohol consumption, changes in appetite due to aging, food allergies or sensitivities, special diets, and eating disorders. Covering topics as diverse as aging, the brain, eating habits, genetics, lifestyle, nutrients, and psychology, this book brings together two extremely complex aspects of life-human nutrition and mental health. Organized by mental health concern as well as nutrient group, Nutrition and Mental Health reviews the scientific literature from many fields of science: health, psychology, nutrition, mental well-being, and the interface with chronic disease. It provides a straightforward, readable report of broadly selected scientific research on how various nutrients affect mental health. Professional resources are provided in easy-to-access tables as well as suggested formats for assessing nutritional status and guidelines for interpretation. Chapter summaries, a descriptive table of contents, an index, and glossary assist the reader in finding specific topics of interest. A variety of mental health conditions may affect a person's ability and interest in getting and eating a well-rounded selection of foods. An examination of the role diet plays in mental health, this book reviews the scientific literature from many fields of science: health, psychology, nutrition, mental well-being, and chronic disease management.

The field of social anxiety and shyness is defined by research and practice in child development, psychophysiology, social and personality psychology, clinical psychology, psychiatry and psychotherapy.

This Handbook reflects the field with major sections on the origin and development of shyness and social anxiety, on social and personality factors, and on clinical perspectives and interventions. The editors have brought together original chapters by some of the leading international experts, to provide a state-of-the-art account of knowledge in this field. The purpose was to review and synthesize a very extensive literature from diverse disciplines, with a critical focus on knowledge that is research-based, central to the understanding of social anxiety, and of essential interest to a wide range of students, researchers and professionals.

This comprehensive, authoritative and up-to-date volume will be of value to students, teachers and researchers in developmental, social and abnormal psychology, as well as to trainees and practitioners in clinical psychology, psychiatry, psychotherapy and counselling.

Volume 4 considers the importance of health behavior research in practical settings. Particularly notable are treatments of the "narrative approach," the taxonomy of health behavior, and the organization of health behavior knowledge. Each volume features extensive supplementary and integrative material prepared by the editor, the detailed index to the entire four-volume set, and a glossary of health behavior terminology.

Art, Psychotherapy and Psychosis reveals the unique role of art therapy in the treatment of psychosis. Illustrating their contributions with clinical material and artwork created by clients, experienced practitioners describe their work in a variety of settings. Writing from different theoretical standpoints they reflect the current creative diversity within the profession and its links with psychotherapy, psychoanalysis, analytical psychology and psychiatry. In part I specific issues involved in working with psychosis are explored. These include discussion of the therapeutic relationship, the process of symbolisation, the nature and meaning of art made by psychotic patients and the interplay between words and pictures. Part II recounts the history of art therapy and psychosis, tracing its origins in art, to its present-day role as a respected treatment in psychiatric, community and therapeutic settings. Art, Psychotherapy and Psychosis extends the existing theory, develops analytical approaches in art psychotherapy and offers innovative perspectives for students and practitioners on the treatment of borderline states as well as psychosis.

In this exploration of a radical approach to the psychoanalytical treatment of people on the verge of mental breakdown, Christopher Bollas offers a new and courageous clinical paradigm. He suggests that the unconscious purpose of breakdown is to present the self to the other for transformative understanding; to have its core distress met and understood directly. If caught in time, a breakdown can become a breakthrough. It is an event imbued with the most profound personal significance, but it requires deep understanding if its meaning is to be released to its transformative potential. Bollas believes that hospitalization, intensive medication and CBT/DBT all negate this opportunity, and he proposes that many of these patients should instead be offered extended, intensive psychoanalysis. This book will be of interest to clinicians who find that, with patients on the verge of breakdown, conventional psychoanalytical work is insufficient to meet the emerging crisis. However, Bollas's challenging proposal will provoke many questions and in the final section of the book some of these are raised by Sacha Bollas and presented in a question-and-answer form.

In this exploration of a radical approach to the psychoanalytical treatment of people on the verge of mental breakdown, Christopher Bollas offers a new and courageous clinical paradigm. He suggests that the unconscious purpose of breakdown is to present the self to the other for transformative understanding; to have its core distress met and understood directly. If caught in time, a breakdown can become a breakthrough. It is an event imbued with the most profound personal significance, but it requires deep understanding if its meaning is to be released to its transformative potential. Bollas believes that hospitalization, intensive medication and CBT/DBT all negate this opportunity, and he proposes that many of these patients should instead be offered extended, intensive psychoanalysis. This book will be of interest to clinicians who find that, with patients on the verge of breakdown, conventional psychoanalytical work is insufficient to meet the emerging crisis. However, Bollas's challenging proposal will provoke many questions and in the final section of the book some of these are raised by Sacha Bollas and presented in a question-and-answer form.