Contributed by experts who've developed integrative healthcare initiatives with strengths in the areas of policy and principles, organizational systems, or clinical practice. These contributors will illustrate the concepts and describe the nuts and bolts of their integration initiatives. In the conclusion of each section, the editors will construct a template to systematically evaluate these essential elements. This template will organize the information to help stakeholders compare and contrast the strengths, resources, limitations, and challenges of how each model meets the vision of integrative healthcare. In the concluding section the information in the preceding sections connects to provide a coherent synopsis of the common themes and practices, from the macro to micro levels of care, which foster successful integration of the medical and psychosocial systems.

Liminality has become a key concept within the social sciences, with a growing number of publications devoted to it in recent years. The concept is needed to address those aspects of human experience and social life that fall outside of ordered structures. In contrast to the clearly defined roles and routines that define so much of industrial work and economic life, it highlights spaces of transition, indefiniteness, ambiguity, play and creativity. Thus, it is an indispensable concept and a necessary counterweight to the overemphasis on structural influences on human behavior. This book aims to use the concept of liminality to develop a culturally and experientially sensitive psychology. This is accomplished by first setting out an original theoretical framework focused on understanding the 'liminal sources of cultural experience,' and second an application of concept to a number of different domains, such as tourism, pilgrimage, aesthetics, children's play, art therapy, and medical diagnosis. Finally, all these domains are then brought together in a concluding commentary chapter that puts them in relation to an overarching theoretical framework. This book will be useful for graduate students and researchers in cultural psychology, critical psychology, psychosocial psychology, developmental psychology, health psychology, anthropology and the social sciences, cultural studies among others.

This forward-thinking volume outlines several approaches to therapeutic treatment for individuals who have experienced complex childhood and adult trauma, providing a novel framework for helping patients with a number of challenging symptoms, with clinical hypothesis testing and solid therapeutic relationships as a vital foundation. Responding to the intense disagreement and competition among clinicians championing their own approaches, the book identifies the strengths and limitations of multiple therapeutic approaches, addressing the need for qualified clinicians to be versed in multiple theories and techniques in order to alleviate suffering in their clients. Among the topics discussed: How to choose specific therapeutic methods and when to shift techniques The neurobiology of trauma and management of fear Cultural and ethnic considerations in trauma treatment Addressing avoidance and creating a safe therapeutic environment Management of dissociation, substance abuse, and anger Treating Complex Trauma: Combined Theories and Methods serves as a practical guide for clinicians looking to expand their knowledge of approaches for treating complex trauma. It aims to provide clinicians with options for different therapeutic methods, along with the necessary context for them to select the most effective approach in their treatments. "For the first time in the professional literature we are finally afforded a clear, cogent, and detailed explication of complex trauma and the multifaceted parameters of treatment. Dr. Tamara McClintock Greenberg provides perspicacious insight and clinical wisdom only a seasoned career therapist can yield. Offering sophisticated and nuanced distinctions between complex trauma and PTSD, she shows how treatment is necessarily contextual and tailored to the unique clinical and personality dynamics of the sufferer that is thoroughly client specific within the therapeutic dyad. She dispenses with simplistic and supercilious attitudes that embarrassingly boast a uniform or manualized treatment to trauma, instead carefully taking into consideration polysymptomatic, neurobiological, and socialcultural differences that inform the interpersonal, emotional, and safety milieu from the beginning of treatment to stabilization, the working-through process, and then onto successful recovery. This is a must-read book for those in training and senior clinicians alike." --Jon Mills, PsyD, PhD, ABPP, Faculty, Postgraduate Programs in Psychoanalysis & Psychotherapy, Adelphi University, NY; author of Treating Attachment Pathology "Dr. Greenberg has written an invaluable book on treating complex trauma. She delves into multiple approaches, assessing what techniques the client can tolerate at a given therapeutic stage. She covers how to maintain consistency and connection through a flexible approach and avoid pitfalls. This is a must read for clinicians wishing to treat clients with complex PTSD." --Louann Brizendine, MD, Clinical Professor UCSF; author of The Female Brain

This book presents the main theoretical and practical tools provided by behavior analysis to diagnose and treat substance use disorders. Based on the theoretical framework of radical behaviorism, first developed by B.F. Skinner, behavior analysis offers a distinctive biopsychosocial approach to substance use disorders by considering both the biogenetic and environmental influences on behaviors associated with substance use, enabling the development of more integrative and effective diagnostic, prevention, and treatment strategies at the individual and collective level. The volume is divided in three parts. Part one presents an introduction to core concepts in behavior analysis and related disciplines, such as behavioral pharmacology, and their specific applications in substance use disorders diagnostics and treatment. Part two shows how different types of behavioral-analytical clinical and social interventions can be applied in practice to treat substance use disorders, such as: Contingency Management Exposure Therapy Functional Analytical Psychotherapy (FAP) Dialectical Behavioral Therapy (DBT) Acceptance and Commitment Therapy (ACT) Therapy by Contingencies of Reinforcement (TCR) Motivational Interviewing Finally, part three covers special topics, such as the interfaces between neurosciences and behavior analysis on drug use and dependence, effects of substance use in romantic relationships and their relationship with violence against women. Behavior Analysis and Substance Dependence will be a valuable tool for clinical and health psychologists, as well as other health professionals and social workers dealing with substance use disorders, by presenting, in one single volume, an overview of the tools offered by behavior analysis to deal with this serious health issue.

This timely volume explores the multiple domains where Behavior Analysts can provide meaningful assessment and interventions. Selecting clinical areas in which behavior analysts already are active, chapters will describe unique features of the setting as well as the skills and competencies needed to practice in these areas. While providers of behavior analytic services have substantially increased in number, the field of behavior analysis itself has narrowed. Reimbursement policies and name recognition as a treatment specific to autism have raised concerns that other areas where it is helpful, such as behavioral gerontology or integrated behavioral health, will be de-emphasized. This volume aims to promote workforce development and support broad behavior analytic training, considering the Behavior Analyst Certification Board's 5th edition task list (effective in 2020).

This book explores the reality of ageing and old age from the perspectives of the individual and society. It emphasizes cross-cultural aspects of ageing and communication issues both within and across generations. The authors approach the understanding of ageing from a multi-disciplinary perspective, integrating biology, psychology, linguistics, sociology, and history. The book is organized as follows: historical and broader cross-cultural issues of ageing, followed by biomedical, psychological, social, and communicative aspects of ageing. The book concludes with an in-depth analysis of the existential dimension of ageing followed by an evolutionary perspective.

This book presents an up-to-date review of behavioral factors in diabetes management across the lifespan: an update on medical management, epidemiology, and prognosis, and utilize an ecological framework to address various aspects of diabetes management for children and adults on the individual, social, community and medical system, and policy levels. The individual level examines biobehavioral and neuroendocrine factors for their role in the etiology of diabetes, as well as various demographic factors involved in health disparities, and specific psychological issues including distress and quality of life, depression and anxiety, eating disorders, and intervention approaches. Zooming out, the social level addresses the role of social support and family influences as well as group and family interventions to promote more effective diabetes management. The community level addresses medical system factors including the patient-physician relationship and transition programs, as well as community and school-based prevention programs. Finally, chapters also address how the policy level impacts diabetes management considering the role of health care, insurance, and school and workplace policy. Topics featured in this book include: Neuroendocrine and biobehavioral influences on diabetes Eating disorders in individuals with diabetes Family influences and family therapies for children and adults with diabetes Depression and anxiety in children and adults with diabetes Behavioral Diabetes is a must-have resource for researchers, graduate students and fellows, as well as clinicians, therapists, and other practitioners involved in diabetes management across the lifespan. A secondary audience comprises individuals working in the community and policy levels, including but not limited to health care and medical systems administrators, as well as school and workplace policymakers. "This book is a comprehensive overview of the extremely important topic of behavioral diabetes. The issues encompassed in this book have evolved greatly over the last few decades and the editors have done a spectacular job in having the key experts on each of the many topics review the literature while at the same time keeping it practical for both clinicians and researchers." --Irl B. Hirsch, MD, University of Washington, Seattle

This book brings together various threads of research in the field of gender mainstreaming. It aids in further supporting and understanding the role of gender in health and safety research, practice, and policy. It looks at gender mainstreaming as being recognised as key in cultivating sustainable worker health and working systems due to it being a central component of many international policy initiatives. This book deals with gender mainstreaming being advocated at a policy level, while focusing on the limited recognition and discourse on the issue of gender and its direct and indirect association to workers' health in the field of occupational health and safety. This book addresses problems facing gender-sensitive policies and outlines and reflects upon current best practice principles and practices to support the development and implementation of policies, interventions, and research initiatives.

This ambitious book provides the latest research in leading topics of behavioral medicine and evidence-based strategies for its application in solving clinical problems. Each of the book's clinical chapters, covering a breadth of topics from doctor-patient communication to patient adherence, preparation for surgery and cancer, begins with a clinical case study that guides the reader through the chapter. The author expertly takes the reader through relevant background information, including the epidemiology and medical background of the disease, the psychological predictors of onset or prognosis in the condition, and relevant psychological interventions. The chapters conclude by revisiting the case study with an evidence-based solution that applies the topics discussed to better treat the patient's body and mind. Included among the topics: Models of stress and methodological considerations in behavioral medicine Doctor-patient communication and increasing patient adherence Psychosocial factors in coronary heart disease Psychosocial factors and the prognosis of cancer Psychological aspects of health and illness in the elderly Emergency mental health after traumatic events This depth of clinical guidance and exploration of biobehavioral mechanisms makes Behavioral Medicine: An Evidence-Based Biobehavioral Approach an essential resource for practitioners and practitioners-in-training, including medical students, health psychologists and other professionals in health promotion, disease prevention, psychotherapy and counseling, and primary care medicine.

What is critical health psychology? How is it changing the way we think about topics like ageing, the community and gender? What can it tell us about our understanding of health and illness? The second edition of this highly regarded text has been thoroughly updated to take account of the changes in the field over the last decade. It includes new chapters on ageing and health, critical disability studies and critical anthropology, and it features contributions from world leading researchers. Examining the debates and disputes that lie at the heart of health psychology, this new edition offers a refreshing critical perspective. It is invaluable reading for students of health psychology, critical psychology and community psychology.

Who will want me now? It's a heart-wrenching question for teenagers infected with HIV. The number of HIV/AIDS-infected teenagers in the United States is increasing. Nearly 35,000 U.S. teenagers now have AIDS. Far more have been diagnosed with HIV, and an undetermined number have the virus and do not yet know. Each year, some 1,700 young people aged 13 to 24 are diagnosed with the ravaging end result of this infection: AIDS. In this volume, experts who work with HIV/AIDS-infected teenagers examine the psychological and social fallout compounding the frightening medical issues faced by adolescents who've received the diagnosis. Readers share the challenge with teens as they face the stigma of HIV/AIDS and the tough decisions about who to tell of their infection and when to do it. We learn the hard truth about health care, self care, and new treatment options for affected teens. And we read about the heartbreaking end-of-life care issues for dying adolescents. Perhaps most important, the authors offer resources teens and their families can turn to for information and support. And they explain what family, friends, teachers, and other professionals can do to help infected teens maximize their mental health and their quality of life.

This timely edited collection presents a holistic and biopsychosocial analysis of LGBTQ People of Color well-being, focused on heart, brain, and mental health, and employs a unique incorporation of minority stress, intersectionality, and allostatic load frameworks. Bringing together established and emerging academics, its authors present a critical analysis of the latest research that encompasses the study of both risk and resilience factors in LGBTQ People of Color health. Across the book, they highlight the precise nature of the behavioral health disparities experienced by these communities, but further, they reveal the unique roles of intersectional discrimination and structural stigma as mechanisms for these disparities. With chapters also dedicated to federal policies and public health, this multidisciplinary work marks a seminal contribution that will pave the way for further advances in research, theory, and practice. It offers a valuable resource on an understudied population that will appeal to researchers, practitioners and policy makers in the fields of health psychology, public health, epidemiology, sociology, health sciences and medicine.

This volume brings together basic research on the nature of stress reactivity with up-to-date research on the effectiveness and mechanisms of mindfulness interventions. The chapters review the major research areas that elucidate the impact of stress reactivity on health, and explore the mechanisms and effectiveness of mindfulness-based approaches for stress reduction and improved physical and emotional health. The first section examines biopsychosocial mechanisms of stress reactivity such as allostasis and allostatic load, neurobiology of stress, biology of the "fight-or-flight" and "tend-and-befriend" responses, and psychoneuroimmunology. This section concludes by addressing the roles of perception and appraisal, including the role of perceived threat in stress reactivity as well as the role that negative perceptions of the stress response itself play in compromising health. The second section opens with review of leading psychological models of mindfulness, including self-regulation, reperceiving, and the Intention, Attention, Attitude (IAA) triaxiomatic model. Subsequent chapters discuss mindfulness-based interventions and mechanisms of change for stress and related clinical conditions including chronic pain, traumatic stress, anxiety and related disorders, and clinical depression. The final chapter reviews possible neural networks and brain mechanisms associated with mindfulness meditation practice. As the research on stress reactivity and mindfulness-based stress reduction continues to proliferate, this book offers readers a single volume covering the most relevant information across this vast terrain. Other available volumes offer in-depth coverage of stress research with little mention of mindfulness and stress reduction. Conversely, many texts on the topic of mindfulness and mindfulness-based interventions do not adequately cover the biopsychosocial processes of stress reactivity.

This book critiques the current approach to the self-management of persistent pain. The drive towards self-management of chronic pain is flourishing as healthcare systems struggle to facilitate the care of those with long term health conditions. In this book Karen Rodham argues that albeit an empowering idea, self-management has not yet been fully translated from idea to practice and as such, runs the risk of blaming and shaming the person living with a chronic condition for failing to manage their condition effectively. She contends that the additional stress of this tension may in fact worsen their condition. Drawing from the research evidence as well as her practice experience, she advocates a move away from the terms 'self' and 'management' towards a more collaborative approach. One which takes account of the life-context of the person who is living with persistent pain. This book explores the shortcomings of the tendency to focus on self-management without taking into account life context and considers how we got here and what can be done. It will be a valuable resource to researchers and practitioners, especially in the field of health psychology.

This exciting collection tours virtual reality in both its current therapeutic forms and its potential to transform a wide range of medical and mental health-related fields. Extensive findings track the contributions of VR devices, systems, and methods to accurate assessment, evidence-based and client-centered treatment methods, and-as described in a stimulating discussion of virtual patient technologies-innovative clinical training. Immersive digital technologies are shown enhancing opportunities for patients to react to situations, therapists to process patients' physiological responses, and scientists to have greater control over test conditions and access to results. Expert coverage details leading-edge applications of VR across a broad spectrum of psychological and neurocognitive conditions, including: Treating anxiety disorders and PTSD. Treating developmental and learning disorders, including Autism Spectrum Disorder, Assessment of and rehabilitation from stroke and traumatic brain injuries. Assessment and treatment of substance abuse. Assessment of deviant sexual interests. Treating obsessive-compulsive and related disorders. Augmenting learning skills for blind persons. Readable and relevant, Virtual Reality for Psychological and Neurocognitive Interventions is an essential idea book for neuropsychologists, rehabilitation specialists (including physical, speech, vocational, and occupational therapists), and neurologists. Researchers across the behavioral and social sciences will find it a roadmap toward new and emerging areas of study.

This book applies the concept of cultural safety to the field of health psychology in a US context as a means to achieve health equity. First developed in New Zealand by Maori midwives, cultural safety can be understood as both a philosophy and a way of working within a social model of health as an alternative approach to understanding health and illness. Health, social, and human service professionals are at the forefront of interactions with a range of people who often experience disparities in health and social outcomes. In thirteen chapters, the authors explore the social determinants of health; the practices and pitfalls of intercultural communication; and community capacity, resilience, and strengths as correctives to discourses of deficiency. The book concludes with a comparative look at cultural safety in different national contexts, and a discussion of the value of critical reflective practice. Complete with chapter objectives, scenarios, suggested readings and films, and questions for critical thinking, this book is an invaluable resource for students and practitioners alike in health psychology and related fields, and a vital contribution to the literature on cultural safety.

This book offers a radically different perspective on the topic of health inequity. Carey, Tai, and Griffiths use Perceptual Control Theory (PCT) to deconstruct current approaches to understanding, investigating, and addressing problems of health inequity. In the book, the authors propose that health inequity is not a problem per se. Disrupted control, they argue, is the problem that needs to be addressed. From this perspective, research, policy, and health practices directed at addressing health inequity in isolation will offer only partial solutions to the problems created by disrupted control. Addressing problems of disrupted control directly, however, has the potential to entirely resolve issues that are created by health inequity. The authors have extensive clinical and research experience in a wide range of contexts, including: cross-cultural settings; rural, remote, and underserved communities; community mental health settings; prisons; schools; and psychiatric wards. Drawing on these diverse experiences, the authors describe how adopting a Perceptual Control Theory perspective might offer promising new directions for researchers and practitioners who have an interest in addressing issues of inequity and social justice. With a Foreword written by Professor Neil Gilbert this book will provide fresh insights for academics, practitioners, and policymakers in the fields of public health, psychology, social policy, and healthcare.

In recent decades, American medicine has become increasingly politicized and politics has become increasingly medicalized. Behaviors previously seen as virtuous or wicked, wise or unwise are now dealt with as healthy or sick--unwanted behaviors to be controlled as if they were health issues. The modern penchant for transforming human problems into diseases and judicial sanctions into treatments, replacing the rule of law with the rule of medical discretion, leads to the creation of a type of government social critic Thomas Szasz calls pharmacracy.

Medicalizing troublesome behaviors and social problems is tempting to voters and politicians alike: it panders to the people by promising to satisfy their needs for dependence on medical authority and offers easy self-aggrandizement to politicians as the dispensers of more and better health care. Thus, the people gain a convenient scapegoat, enabling them to avoid personal responsibility for their behavior. The government gains a rationale for endless and politically expedient wars against social problems defined as public health emergencies. The health care system gains prestige, funding, and bureaucratic power that only an alliance with the political system can provide.

However, Szasz warns, the creeping substitution of pharmacracy for democracy--private medical concerns increasingly perceived as requiring a political response--inexorably erodes personal freedom and dignity. "Pharmacracy: Medicine and Politics in America" is a clear and convincing presentation of this hidden danger, all too often ignored in our health care debates and avoided in our political contests.

This valuable resource prepares graduate-level students in social work and other helping professions to provide integrated behavioral health services in community-based health and mental healthcare settings. Responding to the increasing prevalence of behavioral health issues in the general U.S. population and the resulting additional responsibilities for social workers and health professionals, this textbook describes the latest evidence-based practices and interventions for common behavioral health disorders as well as issues related to suicide, violence, substance use, and trauma. Detailed case studies help illustrate the effects of a range of interventions, inviting readers to consider how best to implement behavioral health assessment and treatment practices that are evidence-based, trauma-informed, and recovery-oriented. In addition to outlining integrated behavioral health service models and assessment tools, chapters address specific topics such as: Public health approaches to addressing interpersonal violence Intersections of social, behavioral, and physical health Achieving recovery and well-being from behavioral health disorders Motivating clients to achieve and maintain recovery from addiction Stage-based treatments for substance use disorders Cognitive behavioral approaches to treating anxiety and depressive disorders Evidence-based approaches to treating the effects of trauma and PTSD Integrated Behavioral Health Practice equips graduate students and health professionals alike to provide sensitive and informed interprofessional care for patients and families while consistently engaging in practices that emphasize recovery and well-being.

This book focuses on the assessment and treatment of patients with somatic symptoms, based on biopsychosociospiritual model. Specific assessment skills and treatment techniques are required to approach them effectively. A broad spectrum of knowledge about stress is also needed because stress is closely related to the onset and course of disorders with somatic symptoms. This book consists of four parts. Part 1 'Stress' explores stress, vulnerability, and resilience; intermediate mechanisms between stress and illnesses such as psychoendocrinology and psychoimmunology; the measurement of stress; and the relationship between stress and accidents. Part 2 'Somatization' deals with the concept, mechanisms, assessment, and treatment of somatization. In addition, somatic symptom and related disorders in DSM-5 is included. However, the approach to chronic pain is separately added to this part because pain is a major concern for patients with these disorders. Part 3 'Specific physical disorders' mainly deals with common and distressing functional physical disorders as well as major physical disorders. Therapeutic approach for individuals at risk of coronary heart disease is also included. Part 4 'Religion, spirituality and psychosomatic medicine' emphasizes the importance of a biopsychosociospiritual perspective in an approach for patients with somatic symptoms, especially depressed patients with physical diseases and patients with terminal illnesses because of the growing need for spirituality in such patients. This book explores stress and a variety of issues relevant to the assessment and treatment of disorders with somatic symptoms in terms of biopsychosociospiritiual perspectives. It will be of interest to researchers and healthcare practitioners dealing with stress, health and mental health.

This expert compendium surveys the current state of military psychology across the branches of service at the clinical, research, consulting, and organizational levels. Its practical focus examines psychological adjustment pre- and post-deployment, commonly-encountered conditions (e.g., substance abuse), and the promotion of well-being, sleep, mindfulness, and resilience training. Coverage pays particular attention to uses of psychology in selection and assessment of service personnel in specialized positions, and training concerns for clinicians and students choosing to work with the military community. Chapters also address topics of particular salience to a socially conscious military, including PTSD, sexual harassment and assault, women's and LGBT issues, suicide prevention, and professional ethics. Among the specific chapters topics covered: * Military deployment psychology: psychologists in the forward environment. * Stress and resilience in married military couples. * Assessment and selection of high-risk operational personnel: processes, procedures, and underlying theoretical constructs. * Understanding and addressing sexual harassment and sexual assault in the US military. * Virtual reality applications for the assessment and treatment of PTSD. * Plus international perspectives on military psychology from China, Australia, India, and more. Grounding its readers in up-to-date research and practice, Military Psychology will assist health psychologists, clinical psychologists, psychiatrists, and clinical social workers in understanding and providing treatment for military populations, veterans, and their families, as well as military psychologists in leadership and consulting positions.

This book explores social constructionism and the language of mental distress. Mental health research has traditionally been dominated by genetic and biomedical explanations that provide only partial explanations. However, process research that utilises qualitative methods has grown in popularity. Situated within this new strand of research, the authors examine and critically assess some of the different contributions that social constructionism has made to the study of mental distress and to how those diagnosed are conceptualized and labeled. This will be an invaluable introduction and source of practical strategies for academics, researchers and students as well as clinical practitioners, mental health professionals, and others working with mental health such as educationalists and social workers.