This edited volume explores the roles of socially-channeled play and performance in the developmental trajectories of young people who fall on the autism spectrum. The contributors offer possibilities for channels of activity through which youth on the autism spectrum may find acceptance, affirmation, and kinship with others. "Positive social updraft" characterizes the social channels through which people of difference might be swept up into broader cultural currents such that they feel valued, appreciated, and empowered. A social updraft provides cultural meditational means that include people in a current headed "upward," allowing people of atypical makeups to become fully involved in significant cultural activity that brings them a feeling of social belonging.

The Invisible Brain Injury recounts, in her own words, the experience of Aurora Lassaletta, a clinical psychologist who suffered a traumatic brain injury (TBI) after a traffic accident. Presenting her unique dual perspective as both a patient and a clinician, Aurora highlights the less visible cognitive, emotional and behavioural symptoms common to acquired brain injury (ABI). This moving account showcases Aurora's growing awareness of her impairments, their manifestation in daily life, how they are perceived, or not, by others and the tools that helped her survive. Each chapter combines Aurora's perspective with the scientific view of a professional neuropsychologist or physiatrist who provide commentaries on her various symptoms. This book is valuable reading for professionals involved in neurorehabilitation and clinical neuropsychology and for clinical psychology students. It is a must read for ABI survivors, those around them and clinicians, who are all an essential part of the rehabilitation, adjustment and acceptance process involved with ABI.

For some, life's introduction to death and grief comes early, and when it does it can take many forms. Not only does Dealing with Dying, Death, and Grief during Adolescence tackle them all, it does so with David Balk's remarkable sensitivity to and deep knowledge of the pressures and opportunities adolescents face in their transition from childhood to adulthood. In seamless, jargon-free language, Balk brings readers up to date with what we know about adolescent development, because over time such changes form the backstory we need to comprehend the impact of death and bereavement in an adolescent's life. The book's later chapters break down the recent findings in the study of life-threatening illness and bereavement during adolescence. And, crucially, these chapters also examine interventions that assist adolescents coping with these difficulties. Clinicians will come away from this book with both a grounded understanding of adolescent development and the adolescent experience of death, and they'll also gain specific tools for helping adolescents cope with death and grief on their own terms. For any clinician committed to supporting adolescents facing some of life's most difficult experiences, this integrated, up-to-date, and deeply insightful text is simply the book to have. David E. Balk is professor in the department of health and nutrition sciences at Brooklyn College (CUNY), where he directs the graduate program in thanatology. He is the author of Adolescent Development: Early Through Late Adolescence, Helping the Bereaved College Student, and several other books on death and bereavement. He is also co-editor of the 2nd edition of the Handbook of Thanatology (Routledge, 2013).

For some years now, psychoanalysts have been trying to understand the implications of neuroscientific findings for psychoanalytic theory and practice. In On Psychoanalysis, Disillusion, and Death: Dead certainties Antonie Ladan looks at how findings from neuroscience and memory research can inform our understanding of some of the most important psychoanalytic concepts, such as transference and unconscious fantasy. Central to the book are the 'dead certainties' that, to a great extent, determine how we lead our lives. Antonie Ladan argues that these certainties are too self-evident to be seen, as invisible as the air we breathe. He shows how in our associations with others, we are in large measure 'guided' by 'dead certain' relational patterns of which we are not conscious, but that remain implicit. Using clinical examples, Ladan illustrates how a specific form of observation, where the analysand and the analyst pay careful attention to their relationship over an extended period of time, makes it possible to gradually recognise these automatic expectations and behaviours in relational situations. On Psychoanalysis, Disillusion, and Death explores how the psychoanalyst can bring the implicit patterns, within which analysands find themselves trapped, to their attention enabling them to look at the world from a 'disillusioning' perspective in order to accept life and the prospect of death for what they are. This book will be of interest to psychotherapists, analytical psychologists, psychoanalysts, therapists and students.

Psychoanalytic Complexity is the application of a multidisciplinary, explanatory theory to clinical psychoanalysis and psychotherapy. It carries with it incisive and pivotal attitudes that aim to transform our understanding of therapeutic action and the change process. Here, William Coburn offers a revolutionary and far-reaching counterpoint to the remnants of Cartesianism and scientism, respecting and encouraging human anomaly rather than pathologizing or obliterating the uniqueness of the individual person.

In Psychoanaltyic Complexity, William Coburn explores the value of complexity theory previously understood as an explanatory framework with which clinicians can better understand, retrospectively, therapeutic action and the change process. He further extends this sensibility by examining the ways in which such a rich theoretical framework can inform what clinicians can do, prospectively, to effect positive change within the therapeutic relationship. He persuasively argues that the medium of bringing to light new ways of relating, emotional experiencing, and meaning making resides in the fundamental attitudes derived from a complexity theory sensibility as applied to psychoanalysis and psychotherapy.

Using a variety of clinical illustrations throughout, "Psychoanalytic Complexity" is a radical corrective to reductionism and the more traditional presumption that the problem lies with the patient and the cure lies with the therapist. It offers a new language, vocabulary, way of thinking, and a new way of being with others that are pivotal in arriving at affirmative therapeutic change. This book is intended for psychoanalysts, clinical psychologists, therapists, mental health counsellors, academics and teachers who are interested in new trends in psychoanalysis and psychotherapy.

This book provides a definitive account of koro, a topic of long-standing interest in the field of cultural psychiatry in which the patient displays a fear of the genitals shrinking and retracting. Written by Professor A.N. Chowdhury, a leading expert in the field, it provides a comprehensive overview of the cultural, historical and clinical significance of the condition that includes both cutting-edge critique and an analysis of research and accounts from the previous 120 years published literature. The book begins by outlining the definition, etymology of the term, and clinical features of koro as a culture-bound syndrome, and contextualizes the concept with reference to its historical origins and local experience in Southeast Asia, and its subsequent widespread occurrence in South Asia. It also critically examines the concept of culture-bound disorder and the development of the terminology, such as cultural concepts of distress, which is the term that is currently used in the DSM-5. Subsequent chapters elaborate the cultural context of koro in Chinese and South Asian cultures, including cultural symbolic analysis of associations with animals (fox and turtle) and phallic imagery based on troubling self-perceived aspects of body image that is central to the concept. The second section of the book offers a comprehensive, global literature review, before addressing the current status and relevance of koro, clinically relevant questions of risk assessment and forensic issues, and research methodology. This landmark work will provide a unique resource for clinicians and researchers working in cultural psychiatry, cultural psychology, anthropology, medical sociology, social work and psychosexual medicine.

Many practitioners within health and social care come into contact with people with intellectual disabilities and want to work in ways that are beneficial to them by making reasonable adjustments in order to meet clients' needs and expectations. Yet the health and wellbeing of people with learning disabilities continues to be a neglected area, where unnecessary suffering and premature deaths continue to prevail. This text provides a comprehensive insight into intellectual disability healthcare. It is aimed at those who are training in the field of intellectual disability nursing and also untrained practitioners who work in both health and social care settings. Divided into five sections, it explores how a wide range of biological, health, psychological and social barriers impact upon people with learning disability, and includes: Six guiding principles used to adjust, plan and develop meaningful and accessible health and social services Assessment, screening and diagnosis of intellectual disability across the life course Addressing lifelong health needs Psychological and psychotherapeutic issues, including sexuality, behavioural and mental health needs, bereavement, and ethical concerns. The changing professional roles and models of meeting the needs of people with intellectual and learning disabilities. Intellectual Disability in Health and Social Care provides a wide-ranging overview of what learning disability professionals' roles are and provides insight into what health and social care practitioners might do to assist someone with intellectual disabilities when specific needs arise.

Wellness medicine is the field that focuses on improving overall functioning, quality of life, and wellbeing, beyond symptom management of medical illness, leading to restoration and maintenance of health. The Handbook of Wellness Medicine provides a practical guide to the latest in evidence-based medicine, as well as best practice, to assist healthcare professionals in utilizing the full range of interventions to improve wellness and help patients complete their journeys to full health. The volume is organized into five parts: Part I introduces the concept of wellness by detailing the definitions and assessment/measurement methods, and formulating wellness plans. Part II describes wellness plans in major illnesses, categorized by organ system/disorder. Part III covers the methods to improve wellness in special populations. Part IV details each wellness intervention, including the scientific evidence behind it and its practical application. Part V focuses on integrating and personalizing the interventions into one's life to maintain wellness.

Different Patients, Different Therapies is a guide to choosing among the many psychotherapeutic options available to patients and therapists today. Offering a systematic approach, Deborah L. Cabaniss and Yael Holoshitz outline more than twenty different types of therapy, including psychodynamic psychotherapy, CBT, DBT, MI and ACT. At the heart of the book are vignettes of typical clinical situations, accompanied by commentary about treatment choice from more than thirty psychotherapy experts. Written in accessible, jargon-free language, this book is as suitable for an introductory class on psychotherapy for any mental-health training programme as it is for a seasoned therapist or someone considering psychotherapeutic treatment. Chapters include exercises to help readers think through new ways of helping patients to optimise treatment decisions.

As the average age of the population rises, mental health professionals have become increasingly aware of the critical importance of personality in mediating successful adaptation in later life. Personality disorders were once thought to "age out," and accordingly to have an inconsequential impact on the lives of the elderly. But recent clinical experience and studies underscore not only the prevalence of personality disorders in older people, but the pivotal roles they play in the onset, course, and treatment outcomes of other emotional and cognitive problems and physical problems as well. Clearly, mental health professionals must further develop research methods, assessment techniques, and intervention strategies targeting these disorders; and they must more effectively integrate what is being learned from advances in research and theory into clinical practice. Inspired by these needs, the editors have brought together a distinguished group of behavioral scientists and clinicians dedicated to understanding the interaction of personality and aging. Offering a rich array of theoretical perspectives (intrapsychic, interpersonal, neuropsychological, and systems), they summarize the empirical literature, present phenomenological case reports, and review psychodynamic, cognitive-behavioral, and pharmacological treatment approaches. This comprehensive state-of-the-art guide will be welcomed by all those who must confront the complexity and the challenge of working with this population.

This exciting new resource offers a comprehensive guide to ADHD, the most frequently diagnosed neurodevelopmental disorder and one of the most researched areas in child mental health. It brings together high-level research with the latest scholarship and applies them to practice, providing a unique and innovative perspective. Inside readers will find a critical presentation of current scientific knowledge regarding the nature, etiology, diagnosis, and management of the disorder. The book covers ADHD from infancy to adulthood and presents the whole range of possible comorbidities. The authors explore the topic from the perspective of researchers, academics, and clinicians while also offering a structured assessment procedure, a complete early intervention and treatment program, as well as illuminative case studies and practical tools for educators.

Time and Body promotes the application of phenomenological psychopathology and embodied research to a broad spectrum of mental disorders. In a new and practical way, it integrates the latest research on the temporal and intersubjective constitution of the body, self and its mental disorders from phenomenological, embodied and interdisciplinary research perspectives. The authors investigate how temporal processes apply to the contribution of embodiment and selfhood, as well as to their destabilization, such as in eating disorders and borderline personality disorders, schizophrenia, depression, social anxiety or dementia. The chapters demonstrate the applicability of phenomenological psychopathology to a range of illnesses and its relevance to treatment and clinical practice.

The culmination of three decades of studying and treating survivors of adult onset trauma, Wounded by Reality is the first systematic attempt to differentiate adult onset trauma from childhood trauma, with which it is frequently confused. When catastrophic events overtake adult lives, they often scar the psyche in ways that psychodynamically oriented clinicians struggle to understand. For Ghislaine Boulanger, the enormous challenge of working with these patients is unsurprising. Survivors of major catastrophe, whether a natural disaster, a life-threatening assault, a serious accident, or an act of terrorism, experience a near-fatal disruption of fundamental aspects of self experience. The sense of agency, of affectivity, of bodily integrity, the capacity for self-reflection, the sense of time, and the ability to relate to others - all are called into question.

First published in 1990. Routledge is an imprint of Taylor & Francis, an informa company.

Research on human cognitive abilities has a long history in psychology and education, and has been widely applied to practical problems in schools, clinics, and employment settings. This book explores the historical background and current views of how human intelligence manifests itself in real-world contexts.

Managing Fear examines the growing use of risk assessment as it relates to preventive detention and supervision schemes for offenders perceived to be at a high risk of re-offending, individuals with severe mental illness, and suspected terrorists. It outlines a number of legislative regimes in common law countries that have broadened 'civil' (as opposed to criminal) powers of detention and supervision. Drawing on the disciplines of criminology and social psychology, it explores how and why such schemes reflect a move towards curtailing liberty before harm results rather than after a crime has occurred. Human rights and ethical issues concerning the role of mental health practitioners in assessing risk for the purposes of preventive detention and supervision are explored, and regimes that require evidence from mental health practitioners are compared with those that rely on decision-makers' notions of 'reasonable belief' concerning the risk of harm. Case studies are used to exemplify some of the issues relating to how governments have attempted to manage the fear of future harm. This book aims to educate mental health practitioners in the law relating to preventive detention and supervision schemes and how the legal requirements differ from clinical assessment practices; examine the reasons why there has been a recent renewal of preventive detention and supervision schemes in common law countries; provide a comparative overview of existing preventive detention and supervision schemes; and analyse the human rights implications and the ethics of using forensic risk assessment techniques for preventive detention and supervision schemes.

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.

This book illustrates the multifaceted applications of clinical psychology in multi-cultural contexts. It considers people's emotional, cognitive, interpersonal and psychological development across their lifespans. The book explores nine multicultural clinical cases that illustrate clinical assessment, biopsychosocial formulation, and evidence-based therapy. Further, it provides therapy outcomes for diverse clients throughout their lifespans, e.g. for cognitive behavioral therapy, integrative therapy, and narrative therapy; and examines clinical findings on e.g. social and emotional development, family trauma, child sexual abuse and its impact, as well as culturally sensitive assessment and interventions for a range of mental health issues. Further cases focus on co-morbid conditions, and physical ailments, across the lifespan.Bringing together contributions from both academics and practitioners, the book illustrates practical applications of theories and concepts relevant to the practice of clinical psychology. It also reviews the relevant literature with clinical recommendations, and provides multicultural perspectives and insights into contemporary clinical approaches from experienced clinical supervisors and practitioners, who are also academics and educators in the field. Accordingly, the book offers a valuable asset for students, academics, researchers and practitioners, as well as for postgraduate clinical training.

Who are the people we describe as having learning or intellectual disability? Many clinical psychologists working in a mental health setting are now encountering people with learning disabilities, in some cases for the first time. This book provides the background information and understanding required to provide a basis for a truly inclusive and effective service for people with learning disability. In A Guide to Psychological Understanding of People with Learning Disabilities, Jenny Webb argues that we need a new, clinically-based definition of learning disability and an approach which integrates scientific rigour with humanistic concern for this group of people, who are so often vulnerable to misunderstanding and marginalisation. Psychological approaches need to be grounded in an understanding of historical, theoretical and ethical influences as well as a body of knowledge from other disciplines. The Eight Domains is a simple but holistic method for information gathering, while The Three Stories is an integrative model of formulation for use in relation for those people whose needs do not fit neatly into any one theory. Divided into three sections, the book explores: Understanding the context Understanding the person: eight domains Making sense: three stories. This book provides an invaluable guide for trainee clinical psychologists and their supervisors and tutors, working with adults with learning disability. It will also be valuable for clinical psychologists working in mainstream settings who may now be receiving referrals for people with learning disability and want to update their skills.

It is estimated that approximately 300,000 children actively serve in various kinds of military groups around the world. Some of these children are forcibly conscripted through abduction or threats of violence to themselves or their families, others are coerced or manipulated into joining, and still others are more subtly compelled by circumstances that lead choosing to enlist to represent the lesser of the evils life has placed before them. No matter how they come to serve in war, however, child soldiers are exposed to, subjected to, and often forced to perpetrate horrors that meet or exceed our diagnostic criteria for trauma exposure.

This volume brings together leading investigators in the field to share new research regarding the traumatic impact of child soldiering from diverse international contexts, including Burundi, Colombia, Liberia, Mozambique, Nepal, Sierra Leone, Uganda, and provocatively among gang-involved youth in the United States. Contributions include data from longitudinal studies following former child soldiers into adulthood as well as investigations of the intergenerational impact of childhood conscription on former child combatants own children. In addition, research presented in this volume uncovers sources of resilience among these youth and details efforts to bring trauma-informed intervention and rehabilitation programs to these war-torn regions.

This book was originally published as a special issue of the "Journal of Aggression, Maltreatment and Trauma.""

The first book of its kind to provide a detailed analysis of the history of the unconscious from the underworlds of Greek and Egyptian mythology to psychoanalysis and metaphysics, Jon Mills presents here a unique study of differing philosophies of the unconscious. Mills examines how three major philosophical systems on the nature of the unconscious emerge after modern philosophy, finding their most celebrated elaborations in Freud, Lacan and Jung. These three psychoanalytic traditions, quite separate from one another in terms of their emphasis and philosophical presuppositions, are scrutinised alongside contemporaneous movements in existential phenomenology, semiotics, epistemology, transcendental psychology and Western metaphysics in the texts of Hegel, Heidegger, Sartre and Whitehead. Underworlds provides a scholarly exegesis and critique of the main philosophies of the unconscious to have transpired in the history of ideas. Exploring the unconscious from its philosophical beginnings in antiquity to its systematic articulation brought about by the rise of psychoanalysis, Underworlds is ideal for practicing psychoanalysts, academics of Freud, Jung and Lacan, and scholars of psychology, philosophy and the humanities.

The assessment and treatment of sexual deviance can be very difficult tasks, and it can be hard to find mentors to provide initial skills training and help in navigating the many complexities of a particular case. This book presents a series of case studies from international experts in the field that depict the evidence-based assessment and treatment of a variety of paraphilias. Intended as learning tools readers can use as models and from which they can gain insight, these case studies are offered as exemplars of clinical problem solving. The authors of each chapter provide research evidence that justifies treatment decisions, explain their assessment strategies and case formulations, and provide information about how to navigate common problems a clinician will encounter, such as denial, poor motivation, and co-morbid problems. A variety of assessment instruments and treatment strategies are also illustrated. Both new and experienced clinicians will find this book to be an invaluable resource in their own work.

For some, life's introduction to death and grief comes early, and when it does it can take many forms. Not only does Dealing with Dying, Death, and Grief during Adolescence tackle them all, it does so with David Balk's remarkable sensitivity to and deep knowledge of the pressures and opportunities adolescents face in their transition from childhood to adulthood. In seamless, jargon-free language, Balk brings readers up to date with what we know about adolescent development, because over time such changes form the backstory we need to comprehend the impact of death and bereavement in an adolescent's life. The book's later chapters break down the recent findings in the study of life-threatening illness and bereavement during adolescence. And, crucially, these chapters also examine interventions that assist adolescents coping with these difficulties. Clinicians will come away from this book with both a grounded understanding of adolescent development and the adolescent experience of death, and they'll also gain specific tools for helping adolescents cope with death and grief on their own terms. For any clinician committed to supporting adolescents facing some of life's most difficult experiences, this integrated, up-to-date, and deeply insightful text is simply the book to have. David E. Balk is professor in the department of health and nutrition sciences at Brooklyn College (CUNY), where he directs the graduate program in thanatology. He is the author of Adolescent Development: Early Through Late Adolescence, Helping the Bereaved College Student, and several other books on death and bereavement. He is also co-editor of the 2nd edition of the Handbook of Thanatology (Routledge, 2013).

The Handbook of Stress, Trauma, and the Family is broken down into three sections, compiling research, theory and practice. The first section focuses on how traumatic stress affects intimate others, what familial characteristics affect individual susceptibility to trauma, as well as evaluation of the effectiveness of various interventions. The section on theory explores concepts of stress and intrapsychic processes underlying the intergenerational transmission of trauma, addressesing how families can buffer or enhance anxiety. The final section, entitled practice, covers assessment (presenting both the Circumplex Model and Bowenian family theory models), treatment models and treatment formats for specific populations. The major family treatment models applicable to stress and trauma are discussed, including contextual, object relations, emotionally focused and critical interaction therapy.

This book provides a systematic and comprehensive discussion on drug dreams by considering the various perspectives involved (such as therapy in drug addiction, neurobiology of drug craving, affective neuroscience, dream research) and, ideally, at suggesting future clinical applications for therapists (counselors, psychotherapists, clinicians) in charge of treating drug-addicted patients, as well as input for dream researchers. The book draws from the author s clinical and research experience on drug dreams among heroin-addicted patients, as well as from the scientific literature in this field. The book is composed of three parts: the Phenomenology of drug dreams, their clinical and therapeutic aspects and their implications for the dream research and theory."