With an increasing number of Muslims living in the West, and studies suggesting that mental illness may be more prevalent and chronic amongst Muslim cultural groups, there is a pressing need for appropriate treatment options. This book provides mental health professionals with a practical guide to delivering culturally adapted therapy to Muslim immigrants, refugees, and those with a Muslim religious or cultural background. It takes into account the religious, spiritual, social and cultural dimensions of individuals, framing elements such as mindfulness, emotion regulation and sleep problems within well-known Islamic terms and concepts. The book covers issues such as prominent somatic symptoms, multiple comorbidities, low education, ongoing life difficulties and mental health stigma. As Multiplex Therapy is transdiagnostic, targeting anxiety and mood disorders, the treatment is applicable to a large proportion of patients. Each chapter guides the reader through therapy sessions, giving clinicians an invaluable everyday manual for delivering treatment.

How should we understand transgenderism, especially as it affects children and adolescents? Psychiatric manuals include transgenderism among mental illnesses (Gender Identity Disorder). Such inclusion is relatively recent, and even the words transsexual and transgender were coined only a few decades ago. Yet stories of children with an in-between gender have always been, albeit symbolically, a part of popular culture. Drawing on fairy tales, as well as from personal narratives and clinical studies, this book explains how "Gender Identity Disorder" manifests in children, critically evaluating various clinical approaches and examining the ethical and legal issues surrounding the care and treatment of these youths. The book argues that Gender Identity Disorder is not pathology, and that medicine and society should assist children in expressing themselves, without attempting to force them to adapt to a gender that does not match with their perceived identity.

After decades of neglect, researchers have begun to focus attention on the development and outcomes of girlhood aggression. This comprehensive volume provides an account of some of the pioneering research in the field. Its central aims are to highlight current understanding, identify key components for preventing and treating the complex array of problems experienced by aggressive girls, and raise new questions for future research. The perspectives presented by the authors highlight the diverse factors that moderate the emergence of aggression while offering insight into how to target that aggression at various stages of development. The problem is presented as a continuum from normative forms of behavior to extreme and serious attacks. The importance of relationships--particularly family relationships--is a theme that permeates the entire volume. A growing body of research indicates that aggression in girls is a predictor of long-term psychological, social, academic, health, and intergenerational problems. The knowledge provided by the authors has tremendous potential to inform practice with troubled girls, their families, and support systems.

Originally published as a special issue of Psychoanalytic Psychotherapy, this collection was timed to coincide with the publication of the new NICE guideline for the treatment of depression, which will shape the context of NHS talking therapy services for the next decade. In 2005, Professor Lord Layard demonstrated for the first time that mental health should matter to the UK Treasury. Layard showed that the cost of untreated depression was huge due to welfare spending on invalidity benefits, and that this was a social problem rising across the OECD, but more so in the UK. NICE had already published a clinical guideline recommending several talking therapies that were cost-effective. Why could no one still get them? In 2007, under New Labour, the world's first universal free-at-the-point-of-need service was launched to remedy this: IAPT Improving Access to Psychological Therapies. Thus began a race against depression, predicted by the World Health Organisation to become the leading cause of disability worldwide by 2020. But on the eve of NICE's new guideline for depression, due in 2021, it is now clear that across large parts of the UK we are set to lose this race. Badly. Why? What went wrong? Clarke, Cundy and Yakeley have brought together a group of researchers and experts in this collection who address some of the fundamental flaws in the policy design for IAPT. By drawing attention to neglected social and interpersonal origins of depression, pointing us towards more effective approaches, and seeking to pinpoint some of the gaps in thinking during IAPT's first decade, this book offers alternative answers to what still remains Britain's biggest social problem.

The Aesthetics of Self-Harm presents a new approach to understanding parasuicidal behaviour, based upon an examination of online communities that promote performances of self-harm in the pursuit of an idealised beauty. The book considers how online communities provide a significant level of support for self-harmers and focuses on relevant case studies to establish a new model for the comprehension of the online supportive community. To do so, Alderton explores discussions of self-harm and disordered eating on social networks. She examines aesthetic trends that contextualise harmful behavior and help people to perform feelings of sadness and vulnerability online. Alderton argues that the traditional understanding of self-violence through medical discourse is important, but that it misses vital elements of human group activity and the motivating forces of visual imagery. Covering psychiatry and psychology, rhetoric and sociology, this book provides essential reading for psychologists, sociologists and anthropologists exploring group dynamics and ritual, and rhetoricians who are concerned with the communicative powers of images. It should also be of great interest to medical professionals dealing with self-harming patients.

Sex offending, and in particular child sex offending, is a complex area for policy makers, theorists and practitioners. A focus on punishment has reinforced sex offending as a problem that is essentially other to society and discourages engagement with the real scale and scope of sexual offending in the UK. This book looks at the growth of work with sex offenders, questioning assumptions about the range and types of such offenders and what effective responses to these might be.

Divided into four sections, this book sets out the growth of a broad legislative context and the emergence of child sexual offenders in criminal justice policy and practice. It goes on to consider a range of offences and victim typologies arguing that work with offenders and victims is complex and can provide a rich source of theoretical and practical knowledge that should be utilised more fully by both policy makers and practitioners. It includes work on female sex offenders, electronic monitoring and animal abuse as well as exploring interventions with sex offenders in three different contexts; prisons, communities and hostels.

Bringing together academic, practice and policy experts, the book argues that a clear but complex theoretical and policy approach is required if the risk of re- offending and further victimisation is to be reduced. Ultimately, this book questions whether it makes sense to locate responsibility for responding to sexual offending solely within the criminal justice domain.

Why has the female body been marginalised in psychoanalysis, with a focus on female problems and pains only? How can we begin to think about body pleasure, power, competition and aggression as normal in females? In Women's Bodies in Psychoanalysis, Rosemary Balsam argues that re-tracing theoretical steps back to the biological body's attributes is fruitful in searching for the clues of our mental development. She shows that the female biological body, across female gender variants and sexual preferences, including the 'vanished pregnant body', has been largely overlooked in previous studies. It is how we weave these images of the body into our everyday lives that informs our gendered patterning. These details about being female free up gender studies in the postmodern era to think about the body's contribution to gender - rather than continuing the familiar postmodern trend to repudiate biology and perpetuate the divide between the physical and the mental. There are four main areas explored: * clinical contributions on female development * assessments of past and present psychoanalytic theories in relation to the body * inner portraits of gender building blocks * a conscious and unconscious focus on the potentially procreative female body. Women's Bodies in Psychoanalysis will be of particular interest to psychodynamic, psychotherapeutic and psychoanalytic practitioners, teachers, students, feminist academicians, college undergraduates, graduates and faculty in women's studies and gender studies. Rosemary Balsam is Associate Clinical Professor of Psychiatry, Yale School of Medicine; Staff Psychiatrist, Yale University Student Mental Health and Counselling Services; Training and Supervising Analyst, Western New England Institute for Psychoanalysis.

Why has the female body been marginalised in psychoanalysis, with a focus on female problems and pains only? How can we begin to think about body pleasure, power, competition and aggression as normal in females?

In Women's Bodies in Psychoanalysis, Rosemary Balsam argues that re-tracing theoretical steps back to the biological body's attributes is fruitful in searching for the clues of our mental development. She shows that the female biological body, across female gender variants and sexual preferences, including the 'vanished pregnant body', has been largely overlooked in previous studies. It is how we weave these images of the body into our everyday lives that informs our gendered patterning. These details about being female free up gender studies in the postmodern era to think about the body's contribution to gender rather than continuing the familiar postmodern trend to repudiate biology and perpetuate the divide between the physical and the mental.

There are four main areas explored:

clinical contributions on female development
assessments of past and present psychoanalytic theories in relation to the body
inner portraits of gender building blocks
a conscious and unconscious focus on the potentially procreative female body.

Women's Bodies in Psychoanalysis will be of particular interest to psychodynamic, psychotherapeutic and psychoanalytic practitioners, teachers, students, feminist academicians, college undergraduates, graduates and faculty in women's studies and gender studies.

Rosemary Balsam is Associate Clinical Professor of Psychiatry, Yale School of Medicine; Staff Psychiatrist, Yale University Student Mental Health and Counselling Services; Training and Supervising Analyst, Western New England Institute for Psychoanalysis.

"Still practicing" has several meanings. Still practicing suggests that the balance of heartaches and joys must not deter us from pursuing a clinical practice. At the same time, still practicing suggests that for the clinician "practice" never "makes perfect." We continue to refine our clinical instruments over our entire working lives. Framed by her previous work on the concept of emotional balance, Sandra Buechler investigates how vicissitudes in a clinical career can have a profound and lasting impact on the clinician's emotional balance, and considers how the clinician's resilience is maintained in the face of the personal fallout of a lifetime of clinical practice. At each juncture, from training to early phases of clinical experience, through mid and late career, she asks, what can help us maintain a vital interest in our work? How do we not burn out? Aimed at the nexus of the personal and theoretical, Still Practicing concentrates on the sadness, feelings of shame, and satisfactions inherent in practice, and encourages newcomers and veterans alike to make career choices mindful of their potential long-term impact on their feelings about being therapists. It poses a question vital to the life of the clinician: How can we strike a balance between the work's inevitable pain and its potential joy?

"Still practicing" has several meanings. Still practicing suggests that the balance of heartaches and joys must not deter us from pursuing a clinical practice. At the same time, still practicing suggests that for the clinician "practice" never "makes perfect." We continue to refine our clinical instruments over our entire working lives. Framed by her previous work on the concept of emotional balance, Sandra Buechler investigates how vicissitudes in a clinical career can have a profound and lasting impact on the clinician's emotional balance, and considers how the clinician's resilience is maintained in the face of the personal fallout of a lifetime of clinical practice. At each juncture, from training to early phases of clinical experience, through mid and late career, she asks, what can help us maintain a vital interest in our work? How do we not burn out? Aimed at the nexus of the personal and theoretical, Still Practicing concentrates on the sadness, feelings of shame, and satisfactions inherent in practice, and encourages newcomers and veterans alike to make career choices mindful of their potential long-term impact on their feelings about being therapists. It poses a question vital to the life of the clinician: How can we strike a balance between the work's inevitable pain and its potential joy?

Thoroughly revised and updated, this third edition offers a comprehensive and up-to-date overview of the social psychology of aggression, covering all the relevant major theories, individual differences, situational factors, and applied contexts. Understanding the causes, forms, and consequences of aggression and violence is critical for dealing with these harmful forms of social behavior. Addressing a range of sub-topics, the first part deals with the definition and measurement of aggression, presents major theories, examines the development of aggression and discusses individual and gender differences in aggressive behaviour. It covers the role of situational factors in eliciting aggression and the impact of exposure to violence in the media. The second part examines specific forms and manifestations of aggression, including chapters on aggression in everyday contexts and in the family, sexual aggression, intergroup aggression, and terrorism. The new edition also includes additional coverage of gender differences, gun violence, and terrorism, to reflect the latest research developments in the field. Also discussing strategies for reducing and preventing aggression, this book is essential reading for students and researchers in psychology and related disciplines, as well as practitioners and policy makers.

This book presents principles and methods for working with emotion in psychotherapy to address the core maladaptive processes that cause anxiety, depression, and other common mental health disorders. Mental health providers confront emotional suffering every day, yet working with emotion is rarely explicitly taught in most clinical graduate programs. There is evidence that emotional experience in therapy relates to therapy outcome, across multiple diagnoses. This research has given rise to strategies that address the core maladaptive processes that cause distress and dysfunction, rather than specific diagnoses. Methods described in this book can help clients with all types of disorders to 'arrive at,' or fully experience, their painful maladaptive emotions, and then 'leave' these emotions by accessing new, adaptive emotions. These methods include helping clients sit with painful feelings, access bodily felt experience, identify unmet needs, and articulate the meaning of an emotion. Excerpts from moment-to-moment clinical dialogues help demonstrate techniques such as memory reconsolidation, providing corrective emotional experiences, chair work, and imaginal re-entry to past situations.

Most investigations of foreign-born migrants emphasize the successful adjustment and settlement of newcomers. Yet suicide, heavy drinking, violence, family separations, and domestic disharmony were but a few of the possible struggles experienced by those who relocated abroad in the nineteenth and twentieth centuries, and were among the chief reasons for committal to an asylum. Significant analysis of this problem, addressing the interconnected issues of migration, ethnicity, and insanity, has to date received little attention from the scholarly community. This international collection examines the difficulties that migrants faced in adjustment abroad, through a focus on migrants and mobile peoples, issues of ethnicity, and the impact of migration on the mental health of refugees. It further extends the migration paradigm beyond patients to incorporate the international exchange of medical ideas and institutional practices, and the recruitment of a medical workforce. These issues are explored through case studies which utilize different social and cultural historical methods, but with a shared twin purpose: to uncover the related histories of migration, ethnicity, and mental health, and to extend existing scholarly frameworks and findings in this under-developed field of inquiry.

Anhedonia is a risk factor for poor prognosis and suicidality, and yet treatments to date have been relatively ineffective for anhedonia. Based on advances in behavioral and neural science, Positive Affect Treatment was developed to specifically target areas of reward sensitivity that are believed to contribute to anhedonia. These include the anticipation and motivation for reward, the response to attainment of reward, and the learning of associations between actions and reward outcomes. Positive Affect Treatment for Depression and Anxiety: Therapist Guide is intended to be used by clinicians who are familiar with cognitive-behavioral therapy (CBT) generally and with clinical presentation of depression, anxiety and anhedonia. Results show that Positive Affect Treatment not only improves positive mood state but also decreases depression and anxiety. This guide will be an indispensable resource for all practitioners who wish to effectively and efficiently help individuals regain interest and enjoyment in their usual activities while improving their quality of life.

The military imposes unique and often severe challenges to couples, which clinicians - particularly the growing numbers of civilian clinicians who see military couples - often struggle to address. These problems are only compounded by misunderstandings and misconceptions about what it means to be part of a specific branch of the military and part of the military as a whole. Handbook of Counseling Military Couples includes a clear, thorough introduction to military culture and to couple relationships in the military. But more than that, it provides readers with expert analyses of the special types of issues that come up for military couples and shows clinicians how to address them productively. In the chapters, readers will find the answers to questions such as how are military couples' rights different from those of civilians? What attitudes and beliefs about relationships might military members bring to a session, and how are those different from those of civilians? What is the state of marriage and divorce in each of the branches and within the military in general? For a particular treatment modality, how does research in with military members compare to that of civilians? When should particular treatment strategies be used, and why - and how?

Trauma, Dissociation and Multiplicity provides psychoanalytic insights into dissociation, in particular Dissociative Identity Disorder (DID), and offers a variety of responses to the questions of self, identity and dissociation. With contributions from a range of clinicians from both America and Europe, areas of discussion include:

• the concept of dissociation and the current lack of understanding on this topic
• the verbal language of trauma and dissociation
• the meaning of children s art
• the dissociative defence from the average to the extreme
• pioneering new theoretical concepts on multiple bodies.

This book brings together latest findings from research and neuroscience as well as examples from clinical practice and includes work from survivor-writers. As such, this book will be of interest to specialists in the field of dissociation as well as psychoanalysts, both experienced and in training.

This book follows on from Valerie Sinason s Attachment, Trauma and Multiplicity, Second Edition and represents a confident theoretical step forward.

Trauma, Dissociation and Multiplicity provides psychoanalytic insights into dissociation, in particular Dissociative Identity Disorder (DID), and offers a variety of responses to the questions of self, identity and dissociation. With contributions from a range of clinicians from both America and Europe, areas of discussion include:

• the concept of dissociation and the current lack of understanding on this topic
• the verbal language of trauma and dissociation
• the meaning of children s art
• the dissociative defence from the average to the extreme
• pioneering new theoretical concepts on multiple bodies.

This book brings together latest findings from research and neuroscience as well as examples from clinical practice and includes work from survivor-writers. As such, this book will be of interest to specialists in the field of dissociation as well as psychoanalysts, both experienced and in training.

This book follows on from Valerie Sinason s Attachment, Trauma and Multiplicity, Second Edition and represents a confident theoretical step forward.

Bariatric surgery plays an important role in the treatment of obesity; in this comprehensive resource the worldwide leaders of the field provide the most up-to-date information on the psychosocial issues that affect their patients. Included is an overview and history of surgical procedures, complete with illustrations, practical advice on topics such as physical activity and nutritional care after surgery, and essential information that allows clinicians to assist their clients as much as possible; for example, how pre-weight loss surgery psychosocial evaluations can serve as clinical interventions in their own right, and how structured interviews and questionnaires can be used in multiple contexts such as screening, treatment planning, and prognostic assessment. A distinctive chapter includes an overview of the special issues present in treating adolescents, who increasingly are the target of bariatric surgery procedures. This book is an essential reference for clinicians from the evaluation through the follow-up and aftercare of bariatric surgery patients.

Art, Psychotherapy and Psychosis defines the unique role of art therapy in the treatment of psychosis. Using clinical material and many examples of clients'work, experienced practitioners describe working with patients in a variety of settings. Writing from different theoretical standpoints, they reflect the current diversity within the profession and its origins in psychotherapy, psychoanalysis, Jungian psychology and psychiatry.
Part One explores issues involved in working with psychosis, examining the problem of symbolisation, the nature and meaning of art made by psychotic patients and the historical context of art therapy and psychosis tracing its development in psychiatric and psychotherapeutic settings to its new position in the community.
Art, Psychotherapy and Psychosis extends the existing theory surrounding analytical art psychotherapy and offers fresh perspectives for students and practitioners on working with borderline, acute or long-term sufferers.

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This study, based on extensive use of eighteenth-century newspapers, hospital registers and case notes, examines the experience of suffering from nervous disease - a supposedly upper-class malady. Beatty concludes that, far from the stereotyped portrayal of nervous patients in contemporary fiction, 'nervousness' was a legitimate medical diagnosis with a firm basis in eighteenth-century medical theory.

Summarizes various approaches to schizophrenia and points to their weaknesses and strengths. To gain a better understanding of the condition, the text considers factors including deprivation, cultural influences and brain function. It also challenges over-reliance on 19th century phenomenology.

Leadership and Diversity in Psychology explores the topic of leadership and diversity from a range of different perspectives. The authors draw from professional experience and research to support their reflections on leadership with diverse populations, leadership in organizations and developing leadership style. Incorporating current theory and up-to-date research concerning current trends towards more relational and integrative work, the book emphasises practitioners' reflections of their own experience. It reflects the contemporary focus towards more pluralistic/integrative practice, which has moved away from traditional orientations involving specific ways of working. Leadership and Diversity in Psychology will be of great interest to academics and researchers in the fields of clinical and counselling psychology and organizational psychology as well as professional practitioners.

Extensive scientific research has been conducted into understanding and learning more about psychotic experiences. However, in existing research the voice of subjective experience is rarely taken into consideration. In this book, first-person accounts are brought centre-stage and examined alongside current research to suggest how personal experience can contribute to professional understanding, and therefore the treatment, of psychosis.

Experiencing Psychosis brings together a range of contributors who have either experienced psychosis on a personal level or conducted research into the topic. Chapters are presented in pairs providing information from both personal and research perspectives on specific aspects of psychosis including: hearing voices, delusional beliefs, and trauma as well as cultural, existential and spiritual issues. Experts from the field recognise that first and foremost psychosis is a human experience and that those who suffer from psychotic episodes must have some involvement in any genuine attempts to make sense of the experience.

This book will be essential reading for all mental health professionals involved with psychosis. The accessible style and compelling personal histories will also attract service users and their families.

In this book, Charles Stewart discusses how the positive affects of the life instinct such as interest and joy, and the crisis affects such as fear, anguish, rage, shame and contempt, condition and can even dissociate the hunger drive, thereby contributing to either positive or negative attitudes toward eating.

New Ideas About Eating Disorders presents clinical case studies of individuals from infancy to adulthood suffering from various eating disorders, a new theory as to their etiology, and suggestions for treatment and prevention.

This book will be essential reading for all professionals engaged in caring for patients experiencing an eating disorder and for those developing theories to deepen our knowledge of these disturbances. It will also be of interest to those in the field of analytical psychology, as well as anyone wanting to know how contemporary affect theory can help us understand eating and its disorders.

In this book, Charles Stewart discusses how the positive affects of the life instinct such as interest and joy, and the crisis affects such as fear, anguish, rage, shame and contempt, condition and can even dissociate the hunger drive, thereby contributing to either positive or negative attitudes toward eating.

New Ideas About Eating Disorders presents clinical case studies of individuals from infancy to adulthood suffering from various eating disorders, a new theory as to their etiology, and suggestions for treatment and prevention.

This book will be essential reading for all professionals engaged in caring for patients experiencing an eating disorder and for those developing theories to deepen our knowledge of these disturbances. It will also be of interest to those in the field of analytical psychology, as well as anyone wanting to know how contemporary affect theory can help us understand eating and its disorders.