Once upon a time I dreamed myself a butterfly, floating like petals in the air, happy to be doing as I pleased, no longer aware of myself! But soon enough I awoke and then, frantically clutching myself, Chuang Tzu I was! I wonder: Was Chuang Tzu dreaming himself the butterfly, or was the butterfly dreaming itself Chuang Tzu? -Chuang Tzu Dreams are an endless source of mystery and fascination. Those we remember bring to our conscious awareness a variety of characters, circumstances, and situations often implausible or even bizarre in our everyday world. Sometimes dreams are more mundane and common place, reflecting memories of recent events of obvious importance. It is perhaps because of our lack of ability to under stand fully the origin of dreams or interpret their exact VII viii Preface meaning that dreams are the subject of such interest and speculation. Or perhaps, as the Chinese philosopher Chuang Tzu suggested, they allow us the freedom to ex pand our thoughts, associations, or spirit in a way that no other experience, waking or otherwise, can. Clinical interest in dream content has primarily been limited to the psychoanalytical perspective. This modern clinical interest in dreams is the direct result of Freud's landmark contribution concerning the importance of dreams in unconscious thought and in the practice of psychoanalysis. Theoretically, psychoanalytical interpre tation of dream content as a repressive-defensive content function dominated clinical practice and application for many years and remains an influential school of thought.

This book sets out to clarify five key Freudian concepts (the pleasure principle, the primary processes, the unconscious, transference, and the reality principle) elaborated early on in Freud's work but, it is argued, rarely understood-even by psychoanalysts themselves. It examines in turn the post-Freudian paradigms employed in neuropsychoanalysis, Lacan, Zizek, object relations, and psychoanalytic approaches to identity politics, and in doing so reveals the extent to which they have been distorted and repressed in these new contexts. Over the course of the book the author demonstrates how Freud's unpublished Project for a Scientific Psychology can be seen as a complete system of core concepts that both ground psychoanalysis in neurology and also introduce a vital challenge to the brain sciences. This book will appeal to students and scholars of psychoanalysis, clinical psychology, and psychoanalytic theory.

Over the past decade, significant advances in research methodology have stimulated dramatic progress in the field of child psychiatry in general, and in pediatric anxiety disorders, more specifically. Pediatric Anxiety Disorders: A Clinical Guide is a comprehensive and vital addition to the literature at an exciting time in the field of psychiatry. This state-of-the-art reference aims to bridge the most up-to-date research findings with relevant clinical perspectives, making it a unique and essential resource for established clinicians and researchers, as well as for students and trainees. The book is organized into four sections, each of which includes chapters on a specific area of interest. The first section reviews the current research regarding etiological mechanisms of pediatric anxiety. The second section provides in-depth descriptions of the anxiety disorders that affect children and adolescents. The third section summarizes the literature on empirically supported assessment tools and evidence based cognitive-behavioral and pharmacological interventions. Of special practical note, the authors of these chapters have included comprehensive summary tables that can serve as quick reference tools. The final section of the text is dedicated to understanding how anxiety manifests in two special populations, children with chronic medical illnesses and those with autism spectrum disorders. Pediatric Anxiety Disorders: A Clinical Guide is an authoritative new volume developed by a renowned collection of clinicians and researchers in the field of childhood anxiety disorders.

Anxiety in Children and Adolescents with Autism Spectrum Disorder: Evidence-Based Assessment and Treatment begins with a general overview of the history of research on anxiety in ASD and the path towards evidence-based assessment and treatment methods. Thereafter, chapters focus on the nature of ASD and anxiety comorbidity, the assessment of anxiety in ASD, and its treatment. Later chapters are devoted to future directions for research on this topic, including a discussion of anxiety assessment and treatment for adults and minimally verbal individuals. Anxiety disorders in children with autism spectrum disorder (ASD) can cause substantial distress and impairment over and above that caused by ASD alone. Emerging research on genetic, psychological, psychophysiological, and psychometric aspects of ASD establish anxiety as a valid and necessary treatment target in this population. This book is designed to help a broad array of providers who work with children with ASD understand cutting-edge, empirically supported treatments for anxiety, including specific treatment plans and strategies.

The rate of suicides is at its highest level in nearly 30 years. Suicide notes have long been thought to be valuable resources for understanding suicide motivation, but up to now the small sample sizes available have made an in-depth analysis difficult. Explaining Suicide: Patterns, Motivations, and What Notes Reveal represents a large-scale analysis of suicide motivation across multiple ages during the same time period. This was made possible via a unique dataset of all suicide notes collected by the coroner's office in southwestern Ohio 2000-2009. Based on an analysis of this dataset, the book identifies top motivations for suicide, how these differ between note writers and non-note writers, and what this can tell us about better suicide prevention. The book reveals the extent to which suicide is motivated by interpersonal violence, substance abuse, physical pain, grief, feelings of failure, and mental illness. Additionally, it discusses other risk factors, what differentiates suicide attempters from suicide completers, and lastly what might serve as protective factors toward resilience.

This contributed volume reflects on the collective wisdom and ongoing efforts of the social work profession that has been in the forefront of the global pandemic of COVID-19. The contributors are seasoned social work academics, practitioners, administrators, and researchers. Working on the frontlines with patients and families, these social workers have garnered experiences and insights, and also have developed innovative ways to mitigate the impact of the coronavirus on the psychosocial well-being of their clients and themselves. The 36 reflections, experiences, and insights in this curated collection address the behavioral, mental health, socioeconomic, and other repercussions of the coronavirus pandemic that have impacted their client base, most of whom are vulnerable populations: Repurposed, Reassigned, Redeployed Safety Planning with Survivors of Domestic Violence: How COVID-19 Shifts the Focus COVID-19 and Moral Distress/Moral Anguish Therapeutic Support for Healthcare Workers in Acute Care: Our Voice Shared Trauma and Harm Reduction in the Time of COVID-19 Wholeheartedness in the Treatment of Shared Trauma: Special Considerations During the COVID-19 Pandemic The Role of Ecosocial Work During the COVID-19 Pandemic: The Natural World Black Lives, Mass Incarceration, and the Perpetuity of Trauma in the Era of COVID-19: The Road to Abolition Social Work Teaching Social Work Practice in the Shared Trauma of a Global Pandemic The COVID-19 Self-Care Survival Guide: A Framework for Clinicians to Categorize and Utilize Self-Care Strategies and Practices Shared Trauma, Shared Resilience During a Pandemic: Social Work in the Time of COVID-19 is an early and essential work on the impact of the pandemic on the social work field with useful practice wisdom for a broad audience. It can be assigned in masters-level social work practice and elective courses on trauma, as well as inform both neophyte and experienced practitioners. It also would appeal to the general public interested in the work of social workers during a pandemic.

The Electrified Mind helps therapists understand and empathize with patients who rely heavily upon cell phones and the internet for the purposes of self-expression as well as for defensive avoidance of actual interpersonal contact. The chapters by distinguished mental health professionals delineate therapeutic strategies for dealing with the dilemmas that arise in working with children, adolescents, and adults excessively involved with cyberspace at the cost of meaningful human relationships.

This provocative volume updates L' Abate's signature ideas, focusing in particular on the concepts of concreteness and specificity as basic tenets of evaluation and therapy. Noting society's growing familiarity with technology, current concerns about treatment accessibility, and widespread interest in wellness promotion, he argues for remote-writing exercises targeted to specific client issues and monitored by the clinician instead of relying on traditional talk-based therapy. This attention to concreteness and specificity in baseline evaluation, post-treatment evaluation, and follow-up, the author asserts, is central to making treatment replicable, less subject to impasses or missteps, and more professional, with the potential of changing how therapy is conducted as well as how clinicians are trained and practice. The book's framework includes rationales, models, empirical data, and examples of prescriptive remote-writing exercises. Featured in the coverage: Online interventions: here to stay and to grow. Verifiability in clinical psychology practices. Present status and future perspectives for personality and family assessment. Practice without theory/combining theory with practice. Toward a unifying framework of human relationships PIPES: Programmed Interactive Practice Exercise and Prescriptions. Concreteness and Specificity in Clinical Psychology will bring a new level of discussion and debate among clinical psychology practitioners and practicing psychotherapists in private practice and the public sector.

Self-Regulation and Ego Control examines the physiological effects of depletion, the effects of psychological variables in self-control depletion effects, the role of motivational and goal states on self-control depletion effects, and a number of cognitive perspectives on self-control exertion. This insightful book begins with an introduction of self-control theories, ego depletion phenomena, and experimental examples of research in self-control, and concludes by delineating more inclusive and comprehensive models of self-regulation that can account for the full spectrum of findings from current research. In recent years, researchers have had difficulty identifying the underlying resources responsible for depletion effects. Moreover, further research has identified several psychological and motivational factors that can ameliorate depletion effects. These findings have led many to question assumptions of the dominant strength model and suggest that capacity limitations alone cannot account for the observed effects of depletion. Self-Regulation and Ego Control facilitates discourse across researchers from different ideological camps and advances more integrated views of self-regulation based on this research.

This is the first comprehensive two-volume collection on anhedonia, a disorder that played an important role in psychopathology theories at the beginning of the twentieth century. Anhedonia is a condition in which the capacity of pleasure is partially or completely lost, and it refers to both a personality trait, and a "state symptom" in various neuropsychiatric and physical disorders. It has a putative neural substrate, originating in the dopaminergic mesolimbic and mesocortical reward circuit. Over the past three decades cognitive psychology and behavioral neuroscience have expanded our understanding of anhedonia and other reward-related processes. The aim of this new two-volume collection on anhedonia is to highlight the contributions of eminent scientists in this field as well as to provide readers with comprehensive accounts of recent developments as perceived by the authors. This monograph is divided into five parts. Volume I contains parts one and two (Conceptual Issues and Neurobiological Advances) including 14 chapters that serve as an introduction and overview of conceptual issues. Volume II contains three parts (Anhedonia in Psychotic Disorders, Anhedonia in Mood and Personality Disorders, and Anhedonia in Neurological and Physical Disorders) including 15 chapters that provide an overview of the construct, measurement of anhedonia in schizophrenia spectrum disorders, hedonic capacity and related factors in schizophrenia and schizoaffective disorder, anhedonia as an indicator of genetic liability for schizophrenia, and as a trait marker for depression, the role of an anhedonia in trauma-related disorders, anorexia nervosa, stress-induced eating disorders, schizotypal traits and risk of suicide. This book will be of interest to a broad spectrum of readers including psychiatrists, psychologists, neurologists, neuroscientists, endocrinologists, pharmacologists, general practitioners, geriatricians, graduate students, and health care providers in the fields of mental health.

Based on information gathered from the internationally used Spiritual Needs Questionnaire, this book offers analyses of the spiritual and existential needs among different groups of people such as the chronically ill, elderly, adolescents, mothers of sick children, refugees, patients' relatives, and others. The theoretical background, specific empirical findings and the relevance of addressing spiritual needs is discussed by experts from different professions and cultural contexts. Supporting a person's spiritual needs remains an important task of future healthcare systems that wish to more comprehensively care for the healthcare needs of patients, and of religious communities to ensure that spiritual concerns of all persons, independent of their religious orientations, are met in and outside healthcare settings.

The Neurobiology of Schizophrenia begins with an overview of the various facets and levels of schizophrenia pathophysiology, ranging systematically from its genetic basis over changes in neurochemistry and electrophysiology to a systemic neural circuits level. When possible, the editors point out connections between the various systems. The editors also depict methods and research strategies used in the respective field. The individual backgrounds of the two editors promote a synthesis between basic neuroscience and clinical relevance.

In From Sign to Symbol: Transformational Processes in Psychoanalysis, Psychotherapy, and Psychology, Joseph Newirth describes the evolution of the unconscious from the psychoanalytic concept that reflected Freud's positivist focus on symptoms and repressed memories to the contemporary structure that uses symbols and metaphors to create meaning within intimate, intersubjective relationships. Newirth integrates psychoanalytic theory with cognitive, developmental, and neuropsychological theories, and he differentiates two broad therapeutic strategies: an asymmetrical strategy that utilizes the logic of consciousness and emphasizes the differentiation of person, place, time, and causality in the world of objects, and a symmetrical strategy that utilizes the logic of the unconscious in the world of emotional, intersubjective experience. He presents multiple approaches to the use of these symmetrical therapeutic strategies, including the use of humor, dreams, metaphors, and implicit procedural learning, in transforming concrete symptoms and signs into the symbolic organizations of meaning. Examples from both psychotherapeutic practice and supervision are presented to illustrate the development of the capacity for symbolic thought or mentalization.

The present volume deals with the experience of ambivalence in family relations - a well-known phenomenon that has inspired more and more research and theorizing in the last years but that is however sometimes difficult to capture. Bringing together junior and senior researchers from different parts of the world, ideas on theory and research are elaborated following qualitative and quantitative approaches. This book thus contributes to theory-building as well as outlining research results and helping to develop measurement in interpersonal and intergenerational relations.

The field of academic psychiatry is in crisis, everywhere. It is not merely a health crisis of resource scarcity or distribution, competing claims and practice models, or level of development from one country to another, but a deeper, more fundamental crisis about the very definition and the theoretical basis of psychiatry. The kinds of questions that represent this crisis include whether psychiatry is a social science (like psychology or anthropology), whether it is better understood as part of the humanities (like philosophy, history, and literature), or if the future of psychiatry is best assured as a branch of medicine (based on genetics and neuroscience)? In fact, the question often debated since the beginning of modern psychiatry concerns the biomedical model so that part of psychiatry's perpetual self-questioning is to what extent it is or is not a branch of medicine. This unique and bold volume offers a representative and critical survey of the history of modern psychiatry with deeply informed transdisciplinary readings of the literature and practices of the field by two professors of psychiatry who are active in practice and engaged in research and have dual training in scientific psychiatry and philosophy. In alternating chapters presenting contrasting arguments for the future of psychiatry, the two authors conclude with a dialogue between them to flesh out the theoretical, research, and practical implications of psychiatry's current crisis, outlining areas of divergence, consensus, and fruitful collaborations to revision psychiatry today. The volume is scrupulously documented but written in accessible language with capsule summaries of key areas of theory, research, and practice for the student and practitioner alike in the social and human sciences and in medicine, psychiatry, and the neurosciences.

This book provides a comprehensive view of rational suicide in the elderly, a group that has nearly twice the rate of suicide when chronically ill than any other demographic. Its frame of reference does not endorse a single point-of-view about the legitimacy of rational suicide, which is evolving across societies with little guidance for geriatric mental health professionals. Instead, it serves as a resource for both those clinicians who agree that older people may rationally commit suicide and those who believe that this wish may require further assessment and treatment. The first chapters of the book provides an overview of rational suicide in the elderly, examining it through history and across cultures also addressing the special case of baby boomers. This book takes an ethical and philosophical look at whether suicide can truly be rational and whether the nearness of death in late-life adults means that suicide should be considered differently than in younger adults. Clinical criteria for rational suicide in the elderly are proposed in this book for the first time, as well as a guidelines for the psychosocial profile of an older adult who wants to commit rational suicide. Unlike any other book, this text examines the existential, psychological, and psychodynamic perspectives. A chapter on terminal mental illness and a consideration of suicide in that context and proposed interventions even without a diagnosable mental illness also plays a vital role in this book as these are key issues in within the question of suicide among the elderly. This book is the first to consider all preventative measures, including the spiritual as well as the psychotherapeutic, and pharmacologic. A commentary on modern society, aging, and rational suicide that ties all of these elements together, making this the ultimate guide for addressing suicide among the elderly. Rational Suicide in the Elderly is an excellent resource for all medical professionals with potentially suicidal patients, including geriatricians, geriatric and general psychiatrists, geriatric nurses, social workers, and public health officials.

This book brings together psychological and psychotherapeutic contributions in clinical practice with at-risk children and their families. Chapters by experts working in a range of edge-of-care settings give an essential account of real-world clinical challenges and dilemmas; whilst drawing on relevant theory and the growing evidence base for edge of care work with children and families. This title will be of interest to both clinical and social work practitioners, those commissioning and developing best practice in edge of care services, scholars and students of Clinical Psychology, Systemic Psychotherapy and related disciplines.

An analysis of a scandal involving a doctor accused of allowing a number of women to develop cervical cancer from carcinoma in situ as part of an experiment he had been conducting since the 1960s into conservative treatment of the disease, to more broadly explore dramatic changes in medical history in the second half of the twentieth century.

Becoming a Marriage and Family Therapist is a practical "how to" guide designed to help trainee therapists successfully bridge the gap between classroom and consulting room. Readers will learn how to apply empirically-based methods to the core tasks of therapy in order to improve competency, establish effective supervision, and deliver successful client outcomes. * A practical guide to improving competency across the core tasks of therapy, based on over 40 years of observation and teaching by an internationally acclaimed author * Presents treatment protocols that show how to apply therapy task guidelines to a range of empirically-supported marriage and family treatments * Provides extended coverage on assessing and beginning treatment with crisis areas such as suicidal ideation, and family violence with children, elders, and spouses * Suggests how supervisors can support trainees in dealing with crisis and other challenging areas, to build competence and successful delivery

This collection investigates the social and cultural history of trauma to offer a comparative analysis of its individual, communal, and political effects in the twentieth century. Particular attention is given to witness testimony, to procedures of personal memory and collective commemoration, and to visual sources as they illuminate the changing historical nature of trauma. The essays draw on diverse methodologies, including oral history, and use varied sources such as literature, film and the broadcast media. The contributions discuss imaginative, communal and political responses, as well as the ways in which the later welfare of traumatized individuals is shaped by medical, military, and civilian institutions. Incorporating innovative methodologies and offering a thorough evaluation of current research, the book shows new directions in historical trauma studies.

* represent developments in personality theory, research, and measurement in the past 30-50 years in a compelling manner * includes contributions from some of the most notable figures in the field in personality assessment * allows readers to see how major changes in personality have emerged, how personality research has evolved, and what future trends and patterns are

In this book, Marcus Evans makes a strong case for the importance of psychoanalytic supervision in mental health practice and its role in helping frontline staff to "tune in" to their patients' unconscious communications or the "psychotic wavelength".

Human Strengths and Resilience is intended to serve as a bridge between these two rapidly expanding disciplines by focusing on the critical issue of human strengths and resilience in cross-cultural and international perspective. To achieve these ambitious goals the editors have assembled an international group of leading contributors who, taken together, have taught, counseled, consulted, and conducted research in all regions of the world, including North America, Europe, Asia, Africa, the Pacific Region, Latin America, the Caribbean Region, and the Middle East. Chapters focus on posttraumatic growth and resilience in such nations as Cambodia, Haiti, India, Syria, Armenia, Sierra Leone, Taiwan, Guatemala, and South Africa.

Adult Attachment: A Concise Introduction to Theory and Research is an easy-to-read and highly accessible reference on attachment that deals with many of the key concepts and topics studied within attachment theory. This book is comprised of a series of chapters framed by common questions that are typically asked by novices entering the field of attachment. The content of each chapter focuses on answering this overarching question. Topics on the development of attachment are covered from different levels of analysis, including species, individual, and relationship levels, working models of attachment, attachment functions and hierarchies, attachment stability and change over time and across situations, relationship contexts, the cognitive underpinnings of attachment and its activation of enhancement via priming, the interplay between the attachment behavioral system and other behavioral systems, the effects of context on attachment, the contribution of physiology/neurology and genetics to attachment, the associations/differences between attachment and temperament, the conceptualization and measurement of attachment, and the association between attachment and psychopathology/therapy. TEDx talk: The Power of (Secure) Love by Omri Gillath: https://youtu.be/PgIQv-rTGgA

Alzheimer's Disease: Lifecourse Perspectives on Risk Reduction summarizes the growing body of knowledge on the distribution and causes of Alzheimer's disease (AD) in human populations, providing the reader with knowledge on how we define the disease and what its risk and protective factors are in the context of a life-course approach. At the conclusion of the book, the reader will understand why Alzheimer's disease likely begins at conception, then progresses through early-life and adult risk factors that ultimately impact the balance between pathologic insults in the brain and the ability of the brain to modify disease symptoms. In contrast to edited volumes that may have little cohesion, this book focuses on an integrated life-course approach to the epidemiology of dementia, in particular, Alzheimer's disease.