This volume contains current evidence-based diagnosis and therapeutic interventions for people with mental disorders. Students and professionals alike will find the mental health field addressed as a whole in a coherent and understandable way. Readers are offered a unified presentation of psychological and sociological approaches to diagnosis and treatment.

Many issues remain unresolved in sexuality. In some cases this is because the infor mation is not available to resolve them. In others it is, but the available conclusions the information supports block its acceptance, because they conflict with the posi tions of dominant groups in the politics of sexuality. Possibly the most obvious example is the determination of many theorists to ignore the evidence that while men rarely report being sexually assaulted, when questioned in community surveys, they make up a third of the victims, and a quarter of the perpetrators of sexual assault are women. These findings are incompatible with the feminist theory that sexual assault is not a sexual act, but normal male behavior motivated politically, to maintain men's dominance of women. Most research supporting the theory investigated women only as victims and men only as aggressors. Some feminists have dismissed the need for any research to support their beliefs on the ground that such research is "busy work" establishing what women already know. One belief considered not to require re search is that heterosexual pornography made for a male audience increases the prevalence of rape by encouraging rape-supportive attitudes of male aggression and female submission. No criticism has been directed at the soft-core pornography of "Mills and Boon" stories written for women that promote similar attitudes."

Recent estimates (Hallahan & Kauffman, 1978) indicate that over 4. 7 million children, 7.3% of the child population under the age of 19, are labeled emotionally disturbed, mentally retarded, or learning-disabled. Moreover, many of these children remain unserved or are inadequately served. The past decade has produced an increasing concern with the mental health needs of these children and their families. This trend had as much impact in behavior therapy as it did in any other branch of the helping professions. Behavioral work with children, with its emphasis on skill development and environmental modification, helped to build into child psychotherapy a true preventive mental health orientation. The ease of delivery and application of behavioral procedures allowed parents and other caregivers to become meaningfully involved in the clinical process, and so facilitated therapy gains and the maintenance and generalization of those gains. Perhaps the most significant change in behavior therapy in the 1970s was the move beyond interventions derived strictly from learning theories to applications based on knowledge from a variety of psycho logical research areas. The cognitive mediational activities of the client have received special attention, and this book presents the conceptual, methodological, and clinical issues in contemporary cognitive behavior therapy with children."

This volume posits two theories of behavioral pediatrics: that scientific and clinical study of organism--environment transactions requires investigators to alter recognize the importance of systemic models over mechanistic models; and that attention must be given to environmental contexts of development, and to the events in the environment that trigger and regulate the organization, development, and expression of human behavior.

This first-of-its-kind volume describes the cognitive and educational characteristics of people with autism. Leading experts in the field contribute papers to this book, explaining intervention techniques and strategies. Parents, researchers, professionals, and clinicians interested in educating people with autism will appreciate this volume.

Rather than being an esoteric aspect of brain function, lateralization is a fundamental characteristic of the vertebrate brain essential to a broad range of neural and behavioral processes.' Professor Lesley J. Rogers, Chapter 1 of Side Bias: A Neuropsychological Perspective. This volume contains 14 chapters from a veritable United Nations' of experts in the field of lateralization of function. They write comprehensive reviews, present data, and pose new questions concerning the evolutionary origins and development of side bias, methodological concerns with the way we measure handedness and footedness, and some more unusual aspects of human beings' lateralized behavior, such as asymmetrical cradling and pseudoneglect. The book will be essential reading for students of behavioral neuroscience and neuropsychology interested in lateralization of function as well as for established researchers in the field.

Headlines and television news reports feature accounts of reincarnation, the predictions of astrologers, and psychic 'miracles'. Citizens report UFO sightings. Police departments call on psychics to provide clues in baffling crimes. From every available information source, the public is bombarded with unsubstantiated claims of paranormal phenomena. How much of the evidence is reliable? What is the truth behind these claims? This is an exciting, well-informed examination of the most publicized and exotic claims of astrology, ESP, psychokinesis, precognition, UFOs, biorhythms, and other phenomena. Written by respected psychologists, astronomers and other scientists, philosophers, investigative journalists, and magicians, the 47 articles in this superb collection present a skeptical treatment of pseudo scientific claims - an aspect often sorely neglected in sensationalized media reports. The book is an effort to help readers sort fact from fiction and sense from nonsense among the astonishing variety of assertions labeled 'paranormal'. Never before published in book form, the essays in this anthology originally appeared in the "Skeptical Inquirer", a leading magazine devoted to the critical investigation of pseudoscience from a scientific viewpoint. Among the contributors are: Isaac Asimov (distinguished science fiction author), Martin Gardner ("Scientific American" columnist), James Randi ("The Amazing Randi"), Philip Klass (noted UFO sceptic), Scot Morris ("Omni"), and James Oberg (NASA). An essential contribution to skeptical literature, this book will be of lasting value to all those wishing to balance the case for paranormal claims by reading the dissenting critics.

Three years ago, when Cavan footballer Alan O'Mara was twenty-two, he spoke out about his battle with depression which led him to contemplate suicide. Only the thought of his parents and the pain that they would experience in his death prevented him from taking his own life. Now, in The Best is Yet to Come, he tells his story. From the role the GAA played in his life, to the decision he made to share his journey, this is an account of an ordinary young man, a GAA star, who found a way to move past the dark thoughts that beset his mind during his worst days, and who discovered that the only way out of the darkness is to ask for help. 'In summoning his courage and becoming the first active inter-county player to speak of his experiences with depression, Alan O'Mara gives a much needed voice to an aspect of human experience that has been cloaked in silence and stigma. This book, which is needed now more than ever, gives a rare glimpse into the complex inner world of depression and will give hope to those suffering in silence, guidance to those seeking solutions and inspiration for families and friends supporting loved ones.' Conor Cusack

Here, Daniel A. Hart analyzes the results of an intensive twenty-year longitudinal study of men's development. Integrating a wide range of research approaches, Hart assesses personality trait, structural-developmental, and crisis-transformational factors in the study of lives followed over time. The author then develops an original framework for understanding the psychological similarities and differences in men's lives.

Important clinical issues as the outcome of long term treatment with antidepressants, the time of onset of the antidepressant response and the limitations of the antidepressants currently available are covered in this monograph. Leading researchers in the area of clinical and experimental psychopharmacology critically assess the progress in their specialist fields. The mechanisms of action of antidepressants are considered, followed by clinical research into the role of the hypothalamic-pituitary-adrenal axis and the immune system in the biology of depression and in response to treatment. The final chapter deals with the important chemical entities now undergoing development as antidepressants. The purpose of this monograph is not only to inform but also to stimulate research into the biology of depression and the mechanisms behind the action of effective antidepressants. This monograph is of interest to psychiatrists, psychologists, pharmacologists, neuroscientists and endocrinologists.

Recent years have witnessed a revival of research in the interplay between cognition and emotion. The reasons for this renaissance are many and varied. In the first place, emotion theorists have come to recognise the pivotal role of cognitive factors in virtually all aspects of the emotion process, and to rely on basic cognitive factors insight in creating new models of affective space. Also, the successful application of cognitive therapies to affective disorders has promoted clinical psychologists to work towards a clearer understanding of the connections between cognitive processes and emotional problems. And whereas the cognitive revolutionaries of the 1960s regarded emotions with suspicion, viewing them as nagging sources of 'hot' noise in an otherwise cool, rational, and computer-like system of information processing, cognitive researchers of the 1990s regard emotions with respect, owing to their potent and predictable effects on tasks as diverse as object perception, episodic recall, and risk assessment. These intersecting lines of interest have made cognition and emotion one of the most active and rapidly developing areas within psychological science.

Hardly anything in psychology is as irking as the trait concept. Psychologists and laypersons alike use primarily adjective trait-names to characterize and even concep tualize the individuals they encounter. There are more than a hundred well-defined personality traits and a great many questionnaires for their assessment, some of which are designed to assess the same or very similar traits. Little is known about their ontogenetic development and even less about their underlying dynamics. Psy choanalytic theory was invoked for explaining the psychodynamics underlying a few personality traits without, however, presenting sufficient empirical evidence for the validity of these interpretations. In a reductionistic vein, behaviorally inclined psy chologists have propounded the thesis that all traits are acquired behaviors. Yet, this view neither reduces the number of personality tests nor explains the resistance of traits to modification by means of reward and punishment. Dissatisfied with these and some other less well-known approaches to person ality traits, we decided to explore whether applying our psychosemantic theory of cognition to the trait concept would do better. The way we had to follow was anything but easy."

It was during the course of the eighteenth and nineteenth centuries that the problem of chronic alcohol dependence in modern society and its consequent medical effects emerged. The topic of drunkenness figures prominently in the thinking and writing of social reformers, politicians, theorists, medical practitioners, and psychiatrists. Eventually, by the mid-nineteenth century, 'alcoholism' was named as the disease of habitual drunkenness. Possibly the most important book to predict this was Trotter's Essay, written in 1804. Through case studies based on wide experience, he detailed the manifestations of alcoholism, ventured therapeutic recommendations, and squarely termed drunkenness a disease - indeed, a mental disease. Originally published in 1988 as part of the Tavistock Classics in the History of Psychiatry series, Roy Porter's Introduction to this facsimile reprint locates Trotter's work within the wider history of the evolution of the idea of alcoholism. It also examines the Essay in the context of Trotter's own life and mind - a mind preoccupied with what he saw as the degenerative tendencies of modern civilization and with the wider issues of drug dependence.

Embitterment is a distinct state of mood known to everyone. It can be seen in the context of exceptional though "normal" negative life events. It is an emotional reaction e.g. to humiliation, to being severely disappointed by others, or to violations of basic values. Embitterment is accompanied by other emotions like feelings of hopelessness and helplessness, poor moods and a lack of drive, and aggression towards oneself and others. It can end in suicide or even murder-suicide and in adistinctpathological state known as "Posttraumatic Embitterment Disorder (PTED)." But despite the high prevalence rates, the detrimental effects on individuals and its forensic and societal importance, embitterment has yet to receive due scientific attention.
In this book pioneers in embitterment research summarize the current knowledge on embitterment, its triggers, phenomenology and consequences. The work is intended to stimulate international debate and to contribute to a better understanding of embitterment and a deeper appreciation of the impact of exceptional but normal negative life events on psychological well-being.

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Assisting someone with Alzheimer s disease or another illness that causes dementia is incredibly demanding and stressful for the family. Like many disabling conditions, Alzheimer s disease leads to difficulty or inability to carry out common activities of daily life, and so family members take over a variety of tasks ranging from managing the person s finances to helping with intimate activities such as bathing and dressing.

Key coverage in "Caregiving for Alzheimer s Disease and Related Disorders" includes:

Early diagnosis and family dynamics
Emotional needs of caregivers
Developmentally appropriate long-term care for people with Alzheimer s
Family caregivers as members of the Alzheimer s treatment Team
Legal and ethical issues for caregivers
Faith and spirituality
The economics of caring for individuals with Alzheimer s disease
Cultural, racial, ethnic, and socioeconomic issues of minority caregivers
Advances in Alzheimer s disease research

"Caregiving for Alzheimer s Disease and Related Disorders" offers a wealth of insights and ideas for researchers, practitioners, and graduate students across the caregiving fields, including psychology, social work, public health, geriatrics and gerontology, and medicine as well as public and education policy makers."

Like hiking off the well-traveled trail, attempting to bridge foreign do mains of research and practice entails certain risks. This volume repre sents an effort to explore the relatively uncharted territory of cognitive and social-cognitive processes embedded in child psychotherapy. The territory is largely uncharted, not because of a lack of interest in children and cognition, but because child psychotherapy has been chronically neglected by clinical researchers. For example, recent meta-analyses of the effectiveness of child psychotherapy draw on less than 30 non behavioral studies of child psychotherapy conducted over a 30-year period. The average of one study per year pales in comparison to the volume of research on adult psychotherapy. Moreover, research exam ining cognitive, affective, and language processes in child psycho therapy is virtually nonexistent. Consequently, the contributions to this volume should not be seen as reviews of an extant, clinical-research literature. Instead, they represent attempts to expand the more familiar and well-researched province of developmental psychology into the rel atively uncharted domain of child psychotherapy process. In addition to bridging the literature on child psychotherapy with research perspectives on children's cognitive and social-cognitive devel opment, this volume attempts to cross a second gap. Recent surveys of the utilization of psychotherapy research by practicing psychotherapists indicate the distance between these two domains is substantial. Only a small minority of practitioners find psychotherapy research to be a useful source of information for their practice."

This book focuses on the role of ethics in the application of mindfulness-based interventions (MBIs) and mindfulness-based programs (MBPs) in clinical practice. The book offers an overview of the role of ethics in the cultivation of mindfulness and explores the way in which ethics have been embedded in the curriculum of MBIs and MBPs. Chapters review current training processes and examines the issues around incorporating ethics into MBIs and MBPs detailed for non-secular audiences, including training clinicians, developing program curriculum, and dealing with specific client populations. Chapters also examine new, second-generation MBIs and MBPs, the result of the call for more advanced mindfulness-based practices . The book addresses the increasing popularity of mindfulness in therapeutic interventions, but stresses that it remains a new treatment methodology and in order to achieve best practice status, mindfulness interventions must offer a clear understanding of their potential and limits. Topics featured in this book include: * Transparency in mindfulness programs.* Teaching ethics and mindfulness to physicians and healthcare professionals. * The Mindfulness-Based Symptom Management (MBSM) program and its use in treating mental health issues.* The efficacy and ethical considerations of teaching mindfulness in businesses. * The Mindful Self-Compassion (MSC) Program. * The application of mindfulness in the military context. Practitioner's Guide to Mindfulness and Ethics is a must-have resource for clinical psychologists and affiliated medical, and mental health professionals, including specialists in complementary and alternative medicine and psychiatry. Social workers considering or already using mindfulness in practice will also find it highly useful.

Multicultural and feminist perspectives are characterized by a variety of similarities, and the integration of multicultural and feminist perspectives in counseling psychology has been a key aim of those in these fields for decades. However, the effective implementation this approach often has been proven challenging and elusive, with difficulties defining the complexity of feminist and multicultural factors in inclusive and meaningful ways. Rising to the challenging of integrating multicultural and feminist perspectives, this book features the accumulated knowledge of approximately 40 years of scholarship that flows out of feminist and multicultural efforts within counseling psychology. It brings a feminist multicultural perspective to core domains within counseling psychology such as ethical frameworks, lifespan development, identify formation and change, growth-oriented and ecological assessment, and career theory and practice. Emphasis is placed on the intersections among social identities related to gender, ethnicity/race, sexual orientation, social class and socioeconomic status, religion, disability, and nationality. Chapters provide insights and perspectives about specific groups of women include African American women, Latinas, women with disabilities, women in poverty, women who have experienced trauma, and American Muslim women. Also featured are a range of additional multicultural feminist psychological practices such as feminist multicultural mentoring, teaching, training, and social activism. Affectively blending multicultural and feminist approaches, the theme of working toward social justice for all people permeates all chapters of this handbook.

Childhood sexual abuse within the family of origin and society's institutions, such as the church, education, sports, and the world of celebrity, has been neglected as a significant issue by psychoanalysis and society. The incest trauma needs to be understood as one of the most significant problems of contemporary society. This book is an attempt to re-establish incest trauma as a significant psychological disorder by tracing the evolutionary trajectory of psychoanalysis from the Seduction Theory to the Oedipal Therapy to the Confusion of Tongues Theory. By examining the theoretical, emotional, interpersonal, and political issues involved in Freud's abandoning the Seduction Hypothesis and replacing it with the Oedipal Complex, we can see how system building became more important than the emotional welfare of children. In a series of chapters the authors demonstrate this neglect of the incest trauma.

This book presents new insights into Freud's famous "discovery" of the unconscious and the subsequent development of psychoanalytic theories. The authors explore the original context in which these ideas arose and the central debate about mind as matter or something that transcends matter. In the course of this examination, it is demonstrated that Freud was influenced not only by the 19th century scientific milieu, but also by ancient cultures. While it is known that Freud was an avid collector of ancient artifacts and generally interested in these older cultures, this book systematically investigates their profound effect on his thinking and theorizing. Two major influences, Egyptian mythology and Jewish mysticism are analyzed in terms of similarities to Freud's emerging ideas about the mind and its diseases. To further this line of investigation, Bakan supplies an illuminating discussion of what it means to interpret. Taken from the viewpoint that interpretation involves an u

Clinicians searching for evidence-based quantitative assessments on which to base diagnosis and treatment of patients with bipolar disorder need look no further. Advances in Treatment of Bipolar Disorders analyzes the benefits and harms for both older and more recently developed treatments, and places these analyses in the context of the authors' many years of clinical experience. The result is a book that is both quantitatively sound and qualitatively rich, and one that will help clinicians understand the latest research and integrate it into their practices with confidence. In addition to comprehensive coverage of the most important recent advances, the book addresses advances in more specific areas, including the treatment of particular populations such as women, children, and older adults. In addition, the book covers many critically important topics and boasts an abundance of helpful features: * Evidence-based quantitative assessments of benefits use "numbers needed to treat" for therapeutic effects and "numbers needed to harm" for side effects, ensuring that the quality of data supporting interventions meets a rigorous standard.* The book's information is based not only on controlled trials and FDA approvals but also on almost two decades of clinical research and clinical treatment experience by clinicians at Stanford University.* Plentiful figures and summary tables are provided to summarize the content and make it easy-to-grasp and clinician-friendly.* In addition to coverage of acute bipolar depression and acute manic and mixed episodes, the book provides chapters on the preventive treatment of bipolar disorder and the pharmacology of mood-stabilizing and second-generation antipsychotic medications. Bipolar disorders are challenging and complex mental illnesses, and clinicians need all the help they can get in managing the effects of these illness on their patients' lives. Advances in Treatment of Bipolar Disorders aims to provide everything clinicians need to know to update their knowledge of this rapidly evolving field and ensure an evidence-based standard of care for this patient population.

Originally published in 1940, this classic study of two schizophrenic case-histories further opened up the seemingly intractable problem of this condition; a task preceded by Jung's own Psychology of Dementia Praecox. It was Baynes's grasp of the meaning of the symbol coupled with his wide scholarship that enable him to explore the case-histories in such remarkable and fruitful depth, thus linking pathological psychology through graphic expression and the dream of the myths of mankind and the universal man. This was truly a scientific task. In case 1, the series of dreams, fantasies and active imagination, fully illustrated by the patients' spontaneous paintings, suggested to him a kind of mythological imagery. Baynes then demonstrates the emergence and development of a hero myth together with its therapeutic effect upon the patient, as an inner personal experience of death and rebirth. Baynes also applied the methods of synthesis to the understanding of modern art and its reflection of the spirit of the times - a realization of the basic split in the socio-religious structure of European Culture. In case 2, the subject was an artist, and out of his own split he seemed to have created a symbolic bridge that would be a therapeutic bridge for himself and a possible model for curing the evil of the times in which we then were living.

This volume is one of the first to concentrate on positive growth and development in a clinical arena, rather than loss and pathology. In contrast to the general theories and cross-sectional studies of existing adult developmental research, much of this volume looks at the whole-life level of development of adults through case studies. The book unites three compatible approaches to the study of adult development. The first considers the development of whole life. The second approach examines behavior during certain periods in adults' lives by combining clinical and developmental stage perspectives. The third approach examines periods of life following the work of Erikson, Levinson, and Vaillant. The editors of this volume believe that these three approaches form, in their synergy, a comprehensive and multifaceted approach to uniquely difficult problems of late adolescence and early adulthood. It is the unification of these three approches that makes this book unique in its field.

Forced hospitalization of people with mental disorders has long been a critical issue in the mental health services. Coercion and Aggressive Community Treatment is the first sustained description and analysis of what happens when aggressive' treatment becomes coerced' treatment. Mental health professionals poignantly discuss the tension they feel between wanting to do everything to treat desperately ill people and the need to respect the rights of these same people who want to make their own decisions, even if this means forgoing treatment.

This book is a cumulation of a research program that began in the sum mer of 1978, when I was a doctoral student at the University of Missouri. What started as a graduate student' s curiosity about individual differ ences in need for personal control led to a personality scale, a few pub lications, some additional questions, and additional research. For reasons I no longer recall, I named this personality trait desire for control. One study led to another, and questions by students and colleagues often spurred me to apply desire for control to new areas and new questions. At the same time, researchers around the globe began using the scale and sending me reprints of articles and copies of papers describing work they had done on desire for contro . In the past decade or so, I have talked or corresponded with dozens of students who have used the scale in their doctoral dissertation and master's thesis research. I have heard of or seen translations of the Desirability of Control Scale into German, Polish, Japanese, and French. There is also a children's version of the scale. I estirnate that there have now been more than a hundred studies conducted on desire for contro ."