The concept of compensation in psychology refers to processes through which a gap or mismatch between current accessible skills and environmental demands is reduced or closed. These gaps can be principally the result of losses, such as those associated with aging or interpersonal role changes; injuries, such as those that may occur to the neurological or sensory systems; organic or functional diseases, such as the dementias or schizophrenia; and congenital deficits, such as those apparent in autism or some learning disabilities. Whether the demand-skill gaps can be bridged completely, reduced only moderately, or are impossible to close, depends on a variety of factors. In every case, however, the guiding notions of compensation are that: * some such deficits may be amendable, * the continuation of the effects of the gap may be avoidable, and * some functioning may be recoverable. In this sense, compensation is related to adaptation; it is about overcoming deficits, managing the effects of losses, and promoting improvement in psychological functioning. Compensation is a concept that has a long and rich history in numerous domains of psychological research and practice. To date, however, few of the relevant research domains have benefitted explicitly or optimally from considering alternative perspectives on the concept of compensation. Although researchers and practitioners in several areas of psychology have actively pursued programs with compensation as a central concept, communication across disciplinary divides has been lacking. Comparing and contrasting the uses and implications of the concept across neighboring (and even not-so-adjacent) areas of psychology can promote advances in both theoretical and practical pursuits. The goal of this book is to carry inchoate integrative efforts to a new level of clarity. To this end, the editors have recruited major authors from selected principal areas of research and practice in psychological compensation. The authors review the current state of compensation scholarship in their domains of specialization. State-of-the-art reviews of this rapidly expanding area of scholarship are, therefore, collected under one cover for the first time. In this way, a wide variety of readers who might otherwise rarely cross professional paths with one another, can quickly learn about alternative preferences, agendas and methods, as well as novel research results, interpretations, and practical applications. Designed to contain broad, deep, and current perspectives on compensation, this volume continues the processes of: * explicating the concept of compensation; * linking and distinguishing compensation from neighboring concepts; * describing the variety of compensatory mechanisms operating in a wide range of phenomena; and * illustrating how compensatory mechanisms can be harnessed or trained to manage losses or deficits and to promote gains or at least maintenance of functioning.

Nicotine is almost universally believed to be the major factor that motivates smoking and impedes cessation. Authorities such as the Surgeon General of the USA and the Royal College of Physicians in the UK have declared that nicotine is as addictive as heroin and cocaine. This book is a critique of the nicotine addiction hypothesis, based on a critical review of the research literature that purports to prove that nicotine is as addictive drug. The review is based on a re-examination of more than 700 articles and books on this subject, including animal and human experimental studies, effects of nicotine replacement therapies', and many other relevant sources. This review concludes that on present evidence, there is every reason to reject the generally accepted theory that nicotine has a major role in cigarette smoking. A critical examination of the criteria for drug addiction demonstrates that none of these criteria is met by nicotine, and that it is much more likely that nicotine in fact limits rather than facilitates smoking.

This book is an effort to integrate some clinical observations, theoretical concepts, and promising clinical procedures that relate psychological variables to physiological variables. My primary emphasis is on what psychological and behavioral concepts and procedures are most likely to enable us to influence physiological functions. The book covers ques tions that have fascinated me and with which I have struggled in daily clinical practice. What types of people are most at risk for physical disor ders or dysfunctions? Why do some people present psychosocial con flicts somatically and others behaviorally? What is the placebo effect and how does it work? How do you arrange the conditions to alter maladap tive belief systems that contribute to psychopathology and patho physiology? Do beliefs have biological consequences? When I was in private clinical practice, and even today in my medi cal school clinical practice situation, I set aside one day each week to puzzle over the theoretical questions that my clinical experience gener ates. Often isolating these underlying theoretical questions provides guidance into the most relevant empirical literature. I have found that this weekly ritual, which I started in private practice many years ago, appears to increase my clinical efficacy or at least makes clinical work more exciting. I find the unexamined clinical practice hard to endure. Kurt Lewin once said, "There is nothing so practical as a good theory."

Acclaimed professional organizer Judith Kolberg and Dr. Kathleen Nadeau, renowned ADHD clinical psychologist, are back with an updated edition of their classic text for adults with ADD. Their collaboration offers the best understanding and solutions for adults who want to get and stay organized. Readers will enjoy all new content on organizing digital information, managing distractions, organizing finances, and coping with the "black hole" of the Internet. This exciting new resource offers three levels of strategies and support: self-help, non-professional assistance from family and friends, and professional support; allowing the reader to determine the appropriate level of support.

This book applies the psychopathy concept toward the understanding of crime. Drawing on hundreds of studies and his own clinical, research, and practitioner experience working with the most antisocial and violent offenders, the author demonstrates that psychopathy can explain all forms of crime across the life course, and also examines the biosocial foundations of the disorder. With an abundance of case studies and historical references, written in a distinctive writing style, the book is equally fascinating to the academic scholar and the true crime buff alike.

The impetus for the present volume was provided by a European conference held at St. Martens Latem (Belgium) in September 1994 and sponsered by the Directorate General XII (Science, Research and Development) of the European Commission. Preparation of the volume was also financially supported by the Direc- torate General. The editor, the contributors and all the participants in the conference are grateful to the European Commission for the generous help received. vii CONTRIBUTORS Hennann ACKERMANN, Department of Neurology, University of Ttibingen, 3 Hoppe- Seyler-StraBe, 72076 Tiibingen (Gennany). Henny BIJLEVELD, Philologie Germanique, Faculte de Philosophie et Lettres, Universite Libre de Bruxelles, 50 avo F. Roosevelt, 1050 Brussels (Belgium). Veronique CAPPAERT, University Hospital Ghent, 2PI Centrum voor Gehoor- en Spraakrevalidatie, 185 De Pintelaan, 9000 Gent (Belgium). Patrick COPPENS, Speech-Language-Hearing Sciences, Moorhead State University, Moorhead, MN 56563 (USA). Jeanine DELEVAL, Department of Neurology, University Hospital 'Erasme', 808 Route de Lennik, 1070 Brussels (Belgium). Christine EECKHAUT, University Hospital Ghent, 2PI Centrum voor Gehoor- en Spraakrevalidatie, 185 De Pintelaan, 9000 Gent (Belgium). Ingo HERTRICH, Department of Neurology, University of Ttibingen, 3 Hoppe-Seyler- StraBe, 72076 Ttibingen (Gennany). Margaret LEAHY, Clinical Speech and Language Studies, Trinity College, Dublin 2 (Ire- land). Yvan LEBRUN, Neurolinguistics Department, School of Medicine VUB, 103 Laar- beeklaan, 1090 Brussels (Belgium). Nadine MOREAU, Laboratoire de Neuropsycholinguistique Jacques Lordat, Departement des Sciences du Langage, Universite de Toulouse-Le Mirail, 5 allee A. Machado, 31058 Toulouse Cedex (France).

Our knowledge of the cognitive and social-emotional functioning of developmentally disabled infants and preschoolers derives, in large part, from our assessment of such children. This book has been developed to familiarize readers with the characteristics of developmentally disabled children, and to introduce to readers aspects of measurement that are of relevance to the assessment of atypical infants and preschoolers. The book has been developed with clinicians and prospective clinicians in mind. These are individuals who are committed to the care and education of developmentally disabled infants and preschoolers and the families of those children. The book has thus been written to provide support for the use of assessment data in planning early interven tion programs. Of special note in the development of this edited book is that it is divided into four major parts with interrelated chapters in each part. The authors of chapters in Parts II and III had access to the chapters in Part I before writing their chapters. The summary chap ters found in Part IV were similarly written by authors having access to all chapters in Parts I-III. This approach to the development of an edited book was chosen as a way of ensuring an integration of major concepts throughout the book. This process is also a reflection of our belief that assessment is an interdisciplinary process, involving the syn thesis of a number of diverse interests."

The Oxford Handbook of Functional Brain Imaging in Neuropsychology and Cognitive Neurosciences describes in a readily accessible manner the several functional neuroimaging methods and critically appraises their applications that today account for a large part of the contemporary cognitive neuroscience and neuropsychology literature. The complexity and the novelty of these methods often cloud appreciation of the methods' contributions and future promise. The Handbook begins with an overview of the basic concepts of functional brain imaging common to all methods, and proceeds with a description of each of them, namely magnetoencephalography (MEG), functional magnetic resonance imaging (fMRI), positron emission tomography (PET), diffusion tensor imaging (DTI), and transcranial magnetic stimulation (TMS). Its second part covers the various research applications of functional neuroimaging on issues like the function of the default mode network; the possibility and the utility of imaging of consciousness; the search for mnemonic traces of concepts; human will and decision-making; motor cognition; language; the mechanisms of affective states and pain; the presurgical mapping of the brain; and others. As such, the volume reviews the methods and their contributions to current research and comments on the degree to which they have enhanced our understanding of the relation between neurophysiological activity and sensory, motor, and cognitive functions. Moreover, it carefully considers realistic contributions of functional neuroimaging to future endeavors in cognitive neuroscience, medicine, and neuropsychology.

In this book, the history of the Brazilian Psychiatric Reform is told by one of its main protagonists. In the early 1980s, there were about 80 thousand people admitted to psychiatric hospitals in Brazil, with average lengths of hospital stay of approximately 25 years. The psychiatric reform process that took place in the country was responsible for closing more than 60 thousand beds in mental asylums, most of them characterized by conditions of violence and abandonment.The Brazilian Psychiatric Reform was inspired by the psychosocial care model introduced by psychiatrist Franco Basaglia in Italy and was marked by the broad participation of social movements, such as the anti-asylum movement and other human rights movements. This process gave rise to a model of mental health care based on open-door territorial mental health services, guided by the principle of treatment in liberty, in addition to other strategies of deinstitutionalization. More than a proposal to restructure or modernize the mental health care model, the objective of the Brazilian Psychiatric Reform was the construction of a new social place for the diverse and singular subjective experience of madness. By intending to produce new imaginaries, new social representations and new meanings for these experiences, the Brazilian Psychiatric Reform led to one of the larger experiences of deinstitutionalization in the world and to the large scale implementation of a new model of mental health care in which the old asylum-centric paradigm was replaced by a new democratic psychosocial care model.

This book examines military families' well-being and health outcomes by providing a critical theoretical perspective on their position and the risks and challenges affecting them. Authors explore the tension between demands made by two greedy institutions-the military and the family-and how the well-being of families is negotiated between the two. Uniquely, the book employs an integrative approach to observing and analyzing military-specific risk and protective factors for health outcomes of military families on various social-ecological levels, including relationship satisfaction and dissatisfaction, intimate partnership violence, parent-child relationships, child well-being, psychoactive substance abuse, depression, and PTSD. Throughout the chapters, the authors analyze research findings that reveal new health outcomes and present an empirically-tested model of military-specific risk and protective factors.

Sometimes living with a condition like type 1 diabetes can be a mammoth task. How to Manage a Mammoth is a book for children and families living with type 1 diabetes. Join Jake, his Mum and Mel the diabetes mammoth as they join forces with their friends to become a super-team and work out how to shrink Mel to a manageable size. This fun and imaginative story helps children to understand the challenges they face living with diabetes and assists them in communicating with their carers about their feelings. Featuring a list of tasks and activities that children and parents can do to help manage the psychological challenges of living with diabetes. An ideal resource for parents and carers supporting a child with type 1 diabetes, as well as the wider diabetes healthcare team, including clinical psychologists, specialist nurses, endocrinologists and general practitioners.

The Skeleton Cupboard is Professor Tanya Byron's account of her years of training as a clinical psychologist, when trainees find themselves in the toughest placements of their careers. Through the eyes of her naive and inexperienced younger self, Tanya shares remarkable stories inspired by the people she had the privilege to treat. Gripping, poignant and full of daring black humour, this book reveals the frightening and challenging induction faced by all mental health staff and highlights their incredible commitment to their patients. Powerfully moving and beautifully written, The Skeleton Cupboard shares the tales of ordinary people with an amazing resilience to the challenges of life.

This book contains the first complete translation of the first half of the Pedology of the Adolescent by the Soviet thinker, educator, and teacher L.S. Vygotsky. It was the longest work published in his lifetime and was a correspondence course written by Vygotsky for teachers across the Soviet Union. The book is a sustained argument about the borders of pedology, the nature of the transition between childhood and adulthood, and the concrete character of the distinction between the lower psychological functions that we largely share with animals and those that are specific to fully socialized humans. After an initial methodological introduction, three kinds of maturation-general anatomical, sexual, and sociocultural-are explored. This book will be followed by a companion volume covering pedology of the transitional age as a psychological and social problem.

This volume is about shyness: its definitions and conceptualization as a psy chological construct, research on its causes and consequences, methods for meas uring shyness, strategies for alleviating the unpleasant experiences associated with shyness, and its connection to other forms of social anxiety and inhibition. the book together was to provide a resource for The principal goal in putting psychologists from several subdisciplines, most notably social, personality, clin ical, and development13-l psychology, in addition to social scientists from other disciplines. We do riot assume that these chapters, considered collectively or individually, provide answers to every conceivable issue with respect to shyness. Rather, we hope that the book will serve to integrate what is known about shyness on the basis of current research and theorizing and to provide both directions and impetus for continued research, theoretical evolution, and improved techniques of assessment and intervention. But one might ask, why another book on shyness? In particular, why a book at this time given the recent appearance of other books on the topic and in view of the extensive literature on related topics such as introversion and anxiety-topics that would seem to compete with shyness for the same concep tual space? Our decision to edit this volume was prompted by several consid erations, some practical, others more substantive in nature."

This book explores a new way of applying clinical ethics. Empathy-based ethics is based on the patient-doctor relationship and seeks to encourage a more humane form of medical practice. The author argues that the current emphasis on the biomedical model of medicine and a detached concern form of professionalism have damaged the patient-doctor relationship. He investigates examples of the dehumanization of patients and demonstrates a contrasting view of humane care. The book presents empathy as a relational construct - it provides an in-depth analysis of the process of empathizing. It discusses an empathy-based ethics approach underpinned by clinical examples of the practical application of this new approach. It suggests how empathy-based ethics can be embedded in clinical practice, medical education and research. The book concludes by examining the challenges in implementing such an approach and looks to a future which redresses the current imbalance between biomedical and psychosocial approaches to medicine.

This is a practical guide to the management of mild head injury, or concussion. It is now generally accepted that post-concussion syndrome has an organic basis and this has resulted in the emergence of clinics, staffed by interdisciplinary teams, dedicated to addressing the problem. After a short account of the history of thinking on mild head injury and its epidemiology, a section on pathology provides the background to the clinical picture. The coverage then moves on to look at the acute stage and management in the emergency department, followed by a description of the clinical features of the persisting symptoms. There are clear descriptions of the measurements, investigations and examinations to be completed. The authors then move on to look at the neurological, cognitive-behavioural and psychiatric aspects of management and treatment. Specific cases are discussed, including the special considerations when dealing with children, the elderly, executives and sportspeople. At the end of the book there are copies of information sheets and booklets for patients. Philip Wrightson and Dorothy Gronwall are pioneers in this field. They were the first to define test procedures to measure the changes following concussion, and to establish a clinic for those with persisting problems.

The field of transplantation has grown exponentially over the last few decades, and leaders in the field may argue that we have seen only the tip of the iceberg. Perhaps in no other discipline is there a need for multidisciplinary dialogue, debate, and approaches to patient care. In preparing this book, we have attempted to introduce readers to a few of the key clinical and ethical issues confronting the field of transplantation today. In so doing, we recognize that the face of transplantation may change dramatically in the years to come. Nevertheless, the issues raised throughout this book will serve as a useful introduction to important clinical issues and as a catalyst for clinicians and researchers to expand the horizons of transplantation. Health professionals involved in evaluating and treating transplant patients must be knowledgeable of the indications for transplantation and patient outcomes and the process of evaluation and management. Chapters 1 and 2, focusing on solid organ transplantation and blood/marrow transplantation, provide this important contextual information. The next two chapters address what is often considered the most significant issue facing the field of transplantation - organ donation. While the number of patients needing transplantation has risen dramatically in recent years, the rate of organ donation has remained relatively stable. Chapter 3 highlights the many ethical issues surrounding the more general concept of organ donation, while Chapter 4 focuses specifically on the burgeoning interest in living organ donation.

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This book examines new developments in the area of human competence and coping behavior. It sets forth a conceptual framework that considers the interplay between environmental contexts and personal resources and their impact on how indi viduals cope with life transitions and crises. The selections cover the tasks confronted in varied life crises and describe the coping strategies employed in managing them. The material identifies the long-term effects of such life events as divorce and bereave ment as well as the way in which these stressors can promote personal growth and maturity. The book contains a broad selec tion of recent literature on coping and adaptation, integrative commentaries that provide the background for each of the areas as well as conceptual linkages among them, and an introductory overview that presents a general perspective on human compe tence and coping. Illustrative case examples are included. The first part of the book is organized chronologically ac cording to developmental life transitions confronted by many people-from the childhood years through adolescence, career choice and parenthood, divorce and remarriage, middle age and retirement, and death and bereavement. The second part covers unusual life crises and other hazards that typically involve ex treme stress such as man-made and natural disasters and terrorism. The book highlights effective coping behavior among healthy individuals rather than psychological breakdown and psychiatric symptoms. The emphasis is on successful adaptation, the ability to cope with life transitions and crises, and the process by which such ix x PREFACf. .""

Handbook of Effective Psydwtherapy is the culmination of 15 years of personal interest in the area of psychotherapy outcome research. In my view, this is one of the most interesting and crucial areas in the field: it has relevance across disparate clinical disciplines and orientations; it provides a measure of how far the field has progressed in its efforts to improve the effectiveness of psychotherapeutic inter vention; and it provides an ongoing measure of how readily clinicians adapt to scientific indications in state-of-the-art care. Regrettably, as several of the chapters in this volume indicate, there is a vast chasm between what is known about the best available treatments and what is applied as the usual standard of care. On the most basic level there appears to be a significant number of clinicians who remain reluctant to acknowledge that scien tific study can add to their ability to aid the emotionally distressed. I hope that this handbook, with its many delineations of empirically supported treatments, will do something to remedy this state of affairs."

This book provides an in-depth examination of Lacanian oriented psychotherapy and supervision, drawing on a wide range of Lacanian texts and rich interview data. Beginning with a comprehensive overview of the Lacanian psychoanalytic therapeutic process, it next considers this in relation to Lacanian texts - including, 'The Function and Field of Speech and Language in Psychoanalysis', 'Direction of the Treatment', 'Lacanian Discourses' and 'Seminar XXIII' - and interview data from ex-analysants and psychoanalysts.The second part of the book offers the first systematic discussion of Lacanian supervision. Through a sophisticated theoretical analysis and unique research material, Dries Dulsster has created an important reference point for students, scholars and clinicians that will appeal to those new to Lacanian practice, and those already deeply involved in it.

This book focuses on energy metabolism and brain functions related to Cortical Spreading Depression of Leao (CSD), an important issue in brain pathophysiology. The first part of the book offers a comprehensive overview of the history and early research on CSD, and then discusses the recent advances in the technology used to map and monitor brain mitochondrial NADH redox state and other physiological functions during CSD. The chapters explore the connection between CSD and mitochondrial function under hypoxia, Ischemia and various drugs treatment, and provide a resource to scientists researching the development of CSD during various brain pathophysiological conditions. This book is essential to scientists and students working in the field of bioenergetics of the brain and various organs and tissues in the body. The use of this technology is also crucial and applicable in the neuroscience field.

Despite general agreement that psychosocial factors play an important role in various facets of the etiology, onset, treatment response and outcome of depressive disorders, the replicability of research results has left much to be desired. Because much of this unreliability has been attributed to variability in diagnostic criteria, this volume focuses on efforts to identify sources of variability in the definition and diagnosis of depressive disorders within Western society and cross-culturally. It also explicates the elusive role of aversive life events in the development and course of depressive disorders, deals with the interpersonal experiences and dispositions related to the vulnerability and maintenance of depression, and addresses an often neglected issue: how stress and social support affect the quality and response to treatment received. The text concludes with the presentation of an integrative framework for vulnerability to recurrent depressions which emphasizes the interaction of biological and psychosocial factors as largely mediated by personality and temperament.

Brain, Decision Making, and Mental Health acknowledges that thinking is not a constant phenomenon but varies considerably across cultures. Critical thinking is particularly important in bridging thinking divisions and its applicability across sciences, particularly medical sciences. We see critical thinking as educable and the arts as means to achieve this purpose. We address the multidimensional relationship between thinking and health and related mechanisms. Thinking mainly affects emotion regulation and executive function; in other words, both mental and physical health are related as a function of thoughts. Considering the thinking-feeling-emotion regulation/executive function pathway, it would be reasonable to propose thinking capacities-based interventions to impact emotion regulation and executive function, such as mindfulness and psychotherapy. We review decision-making taking place in integrated and social contexts and discuss the decision-making styles-decision outcomes relation. Finally, artificial thinking and intelligence prepare us for decision-making outside the human mind.