Stepped care provides the least intrusive intervention to individuals seeking treatment by providing a range of treatment intensities. In the past two decades, computers and the internet have provided a new and efficient medium that lends well to adding steps in a stepped-care model. While there is ample evidence to support the positive effects of bibliotherapy or self-help books, computer-aided therapy (also known as e-health) has the potential to take these effects even further. This volume will be of interest to practitioners and organizations attempting to serve rural and underserved communities. The book focuses on evidence-based treatment, making it consistent with quality improvement initiatives.

States of Consciousness expands on the pioneering work of J.H. Jackson, offering contemporary models for studying consciousness in both pathology and normal altered states, including relaxation, sleep, meditation, and hypnosis. The author clarifies distinctions between the neuroscientific and psychiatric components of consciousness; at the same time, his theories are rooted firmly in the biopsychosocial approach. The book's scope and the author's attention to detail make it a work of great versatility.

Health has been conceptualized by world and national health organizations (WHO, CDC, Healthy People 2010) as more than the absence of disease. It involves a focus on physical, psychosocial, and functional aspects of life as well as the prevention of future illnesses. At this point in the development of quality health care for cancer survivors, there is sufficient knowledge and expert opinion to push efforts forward to improve the health of cancer survivors. Clearly there is more research in the most prevalent forms of cancers (e.g., breast cancer) than others that provide us with guidance on how to optimize their health, but there are data on other forms of cancers that can also better inform practice. There may also be general care practices that can cut across cancer types. There has been an emergence of epidemiological and clinical research in cancer survivors that can form the basis for a revolution in the quality and nature of health care that survivors receive. This book not only provides the reader with diverse perspectives and data but also integrates this information so it can serve as the foundation necessary to improve and maintain the health of cancer survivors. Reporting of symptoms to health care providers is a complex, multi-determined problem influenced not only by the pathophysiology but also, as we have learned over the years through pain research, by societal, cultural, and biobehavioral factors. This book will consider this important aspect of follow-up for millions of cancer survivors because of the strong reliance on symptom reporting for clinical decision making. In order for us to generate meaningful and effective treatment, we need to better understand the symptom experience in cancer survivors. This book provides much information that will assist us to better understand and manage this complicated end point. The presenting problems need to be articulated and "conceptualized" as clearly as possible by both parties so appropriate actions can be taken. Since health care costs are a major concern for patients, payers, and providers, this area will also be addressed in all the relevant sections. In taking an interdisciplinary perspective, this book illustrates the importance of a team approach to the improvement of health care and associated health, well-being, and functioning in cancer survivors. The 17 chapters cover critical topics of which physicians and providers of all types must be aware in order to provide the most comprehensive and responsive care for cancer survivors. All of the clinical care chapters include case studies to illustrate the real-world application of these approaches in cancer survivors. Information about sources of referral both within and outside the traditional health care communities will be provided in tabular form. There is no other text that provides both an overview of the problems and their challenges, case illustrations of direct application, and the reality of reimbursement for such care. The editors hope that there may be no need for the clinician or the survivor to adapt to a "new normal" if the presenting problems are understood and handled from an interdisciplinary perspective as outlined here.

This book focuses on a problem frequently encountered by sex and family therapists, psychologists and primary care physicians: women's sexual desire or lack thereof. The book covers both research and clinical interventions, and outlines factors that contribute to the decline in sexual desire in women of various ages. The text describes therapeutic steps which can be undertaken with the guidance of a therapist or by the woman herself.

The second edition will be an update and further elaboration of the literature related to subjective well-being, happiness, and life satisfaction. It will have a new substantial section that focuses on reviewing much of the literature of subjective well-being within specific life domains (social life, material life, leisure life, work life, community life, spiritual life, family life, health life, sex life, travel life, etc.) In the 1st edition the research in these various life domains was discussed only briefly. The second edition will maintain the same organizational structure of the first edition; that is, Part 1 will focus on introduction (definitions and distinctions; examples of measures of subjective well-being, happiness, and life satisfaction; and motives underlying subjective well-being). Part 2 will focus on psychological strategies that are allow people to optimize subjective well-being by engaging in psychological processes related to the relationship between and among life domains (e.g., social life, family life, love life, spiritual life, community life, financial life, etc.) This part will contain four chapters related to these various "inter-domain" processes: bottom-up spillover, top-down spillover, horizontal spillover, and compensation. Part 3 of the book will focus on "intra-domain" psychological strategies designed to optimize subjective well-being. These include re-evaluation based on personal history, re-evaluation based on self-concept, re-evaluation based on social comparison, goal selection, goal implementation and attainment, and re-appraisal. Part 4 of the book will focus on balance processes-how people attempt to create balance in their lives using psychological processes within specific life domains (intra-domain strategies) and processes that relate one domain to another (inter-domain strategies).

The purpose of this volume is to describe the impact of the increased demand for flexibility on employees and its impact on their individual work life trajectories and health. The volume offers concrete examples of interventions aimed to find innovative ways of sustainable work careers for today's workers. We focus on the school to work transition, job insecurity, job loss and re-employment and retirement. The interventions described offer strategies for implementing support in employment contracts, increasing preparedness of individual employees with public education programs or developing work arrangements and support systems in work organizations.

An updated edition of Moorcroft's 2003 volume, this new work reflects recent scientific advances in the area of sleep and disorders. As in the previous book, Understanding Sleep and Dreaming, this new edition serves as a compact overview for now sleep experts, covering physiological sleep mechanisms, brain function, psychological ramifications of sleep, dimensions of dreaming, and clinical disorders associated with sleep. It is accessibly written with specially boxed material that enhances the text. It also offers a good foundation for those who will continue sleep studies, while at the same time offering enough information for those who will apply this knowledge in other ways such as clinicians private practices or researchers. It is an excellent text for courses on sleep at the undergraduate and graduate levels. The section on sleep labs will show how computers have replaced former models of data collection and storage; includes the new area of the genetics of sleep; add a new box on teen sleep; insert a new box on the emerging information about how technology use affects sleep; emphasize the controversy over rampart, wide-spread sleep deprivation; and include a new box covering the connection between sleep loss and weight gain. Additional inclusions might incorporate current "hot topics," such as the effect of shift work on sleep, sleep problems in adolescents, and nightmare treatment for people suffering from PTSD.

This book is about links between music and health. It focuses on music and public health, and, in particular, the potentially positive and negative effects of listening to and making music on the health of the general population. The book starts out by discussing the protection music offers against adverse effects of stress. It then discusses social aspects of music production and listening and examines religious music within the framework of social functioning. It offers insight into the physiological and psychological effects of music listening, the biological effects of singing, and the use of music in therapeutic situations and the rearing of children. The book concludes by discussing the significance of music for musicians and their health. Although it may seem that music has only good health effects, and therefore all professional musicians should be healthy, not all music effects are positive. The book describes situations in which music has negative health effects and makes clear that there is a pronounced difference between living with music for joy and to earn ones living from making music. In the latter situation, performance anxiety may become a factor that affects health adversely."

Despite advances in detection and treatment, cancer remains a source of pain and distress to patients and of complex challenges to the loved ones caring for them. The trend toward shorter hospital stays in particular has increased the physical, psychological, and financial burden on caregivers, often leading to adverse effects on patients.

"Cancer Caregiving in the United States" illuminates these complex concerns with authoritative detail. This wide-ranging volume provides a comprehensive survey of cancer-related issues, including those affecting the care triad (patients-family members- professionals) and quality of care as well as the numerous physical, emotional, and financial challenges that caregivers may need to confront. Sources of caregiver difficulty at each stage of the disease, from diagnosis to end of life, are explored. Each chapter analyzes its topic in terms of practice, research, education, and policy, providing a wealth of literature reviews, assessment and care models, interventions, and recommendations for future study and practice.

Coverage includes:

Caregiving issues for cancer patients with long-term, short-term, and intermittent needs.Family caregivers as members of the treatment team.The impact of health disparities on caregivers.Cancer care policy and advocacy.End-of-life issues for cancer caregivers.Legal, financial, and ethical issues.

"Cancer Caregiving in the United States" is a core reference for researchers, professionals/scientist-practitioners, and graduate students in such caregiving fields as clinical psychology, social work, nursing, public health and medicine, social policy, and educational policy."

Since the industrialization and urbanization of the Western workforce, tanned skin has been perceived increasingly as attractive and fashionable for naturally light-skinned individuals. However, in addition to causing tanning, photo-aging, and other health effects, ultraviolet radiation (UV) is a well-known carcinogen. Despite wide-spread awareness of UV risks, tanning has become increasingly popular in several Western countries including the USA. While millions of individuals tan indoors each day, relatively little is known about this phenomenon. This book fills that gap by providing an overview of indoor tanning, reasons for its popularity, its risks including skin cancers, and the public health context surrounding the behavior. We have invited some of the preeminent experts in the field to summarize the existing scientific literature for each of the chapters. Shedding Light on Indoor Tanning is an up-to-date and comprehensive book that provides a unique and essential overview of the most significant current issues related to indoor tanning for scientists, educators, students, clinicians, and the general public interested in dermatology, aesthetic trends, skin care, and skin cancer.

How can we accept that we ought to stop smoking, follow a diet, exercise, or take medications? The goal of this book is to describe the mechanisms of patients' adherence to long-term therapies, whose improvement, according to the World Health Organization (WHO), would be more beneficial than any biomedical progress. For example, approximately half of the patients do not regularly follow medical prescriptions, resulting in deleterious effects on people's health and a strong impact on health expenditure. This book describes how our beliefs, desires, and emotions intervene in our choices concerning our health, by referring to concepts developed within the framework of the philosophy of mind. In particular, it tries to explain how we can choose between an immediate pleasure and a remote reward-preserving our health and our life. We postulate that such an "intertemporal" choice can be directed by a "principle of foresight" which leads us to give priority to the future. Just like patients' non-adherence to prescribed medications, doctors often don't always do what they should: They are non-adherent to good practice guidelines. We propose that what was recently de-scribed as "clinical inertia" could also represent a case of myopia: From time to time doctors fail to consider the long-term interests of their patient. Both patients' non-adherence and doctors' clinical inertia represent major barriers to the efficiency of care. However, it is also necessary to respect patients' autonomy. The analysis of relationship between mind and care which is provided in this book sheds new light on the nature of the therapeutic alliance between doctor and patient, solving the dilemma between the ethical principles of beneficence and autonomy.

This book presents the state of the art in the application and implementation of the WHO's International Classification of Functioning, Disability and Health (ICF) in the areas of vocational rehabilitation as a primary topic and disability evaluation as a secondary topic. Application of the ICF and implementation strategies toward a holistic and comprehensive approach to work disability and vocational rehabilitation programs are presented along with clinical cases and exercises. The ICF as a topic in health and disability has been gaining momentum since its approval by the World Health Assembly in 2001, and great progress has been made since then. However, the integration if the ICF in the realm of vocational rehabilitation has been lacking despite the fact that work and employment are a major area in people's lives, particularly those who have work disability. This book will advance the professional practice of vocational rehabilitation, rehabilitation counseling, occupational medicine, and allied health science.

The adult patient diagnosed with or at risk for a neurogenetic disease has many questions and concerns for the genetic counselor, the neurologist, and other practitioners. Because of the emotional and potentially life-altering impact of these diseases on the patient and family, counseling can be especially challenging. A rare hands-on guide to the subject, Genetic Counseling for Adult Neurogenetic Disease deals with core issues that differentiate adult neurogenetic counseling from its more familiar pediatric counterpart. This innovative book with accompanying videos is designed to fill in deficits in this area typical of training programs in genetic counseling (which have pediatrics and prenatal concentrations) and neurology (which rarely cover genetic counseling). For each condition featured, chapters include a detailed overview of genetic symptoms, diagnostic criteria, and management, plus guidelines for asking, and answering, pertinent questions. The major concentration, however, is on genetic counseling issues and case histories illustrating these issues. As an added dimension, the accompanying videos depict representative issues and challenges in genetic counseling for specific diseases in addition to the basics of a neurological examination. Among the conditions discussed: Movement disorders, including Parkinson's disease. Dementias, including Alzheimer's disease. Stroke. Motor neuron diseases. Neuropathies and channelopathies. Adult muscular dystrophies. Neurocutaneous syndromes. Plus a section on neurological and neuropsychological evaluation. This is information that will stay relevant as technologies change and genetic understanding evolves. Genetic Counseling for Adult Neurogenetic Disease offers advanced clinical wisdom for genetic counselors as well as neurologists, neuropsychologists, and other referring clinicians.

Not long ago, it was assumed that coronary heart disease mainly--or only--affected men. Now that CHD is recognized as a leading killer of women as well as men, numerous research studies have been made of its diverse presentations in women, causal factors, and possibilities for prevention and treatment. The expert contributions to Psychosocial Stress and Cardiovascular Disease in Women span the results of this cross-disciplinary awareness. This progressive resource takes a three-dimensional approach to its subject, focusing on epidemiology and risk factors for heart disease in women, the psycho- and neurobiology of stress and coronary disease, and promising clinical interventions. Chapters identify and analyze multiple intersections of social, biological, and psychological factors in affecting women's heart health, from the social dimensions of depression to genetic/environmental interactions to the demands of balancing work and family. These wide-ranging findings will assist and motivate professionals in choosing and creating interventions, developing appropriate prevention strategies, and reducing gender-based disparities in health care. Among the topics covered: Enhancing women's heart health: a global perspective. Coronary heart disease in women: evolution of our knowledge. Gender observations on basic physiological stress mechanisms in men and women. Sleep as a means of recovery and restitution in women. LifeSkills training: benefiting both genders, for different reasons. Gender considerations in psychosocial-behavioral interventions for coronary heart disease. In particular this book will be helpful for cardiologists and other clinicians who may ask themselves why patients do not seem to make rational choices. "Why do patients not follow the advice they are offered?" is a common complaint. The role of psychosocial stress for patient compliance and adherence can be traced throughout the volume. It is emphasized in the chapters on psychosocial interventions along with other tangible and conceptual suggestions and experiences with psychosocial stress and life style change. Psychosocial Stress and Cardiovascular Disease in Women offers a deep practical level of understanding of this epidemic to help expand the work of health and clinical psychologists, sociologists, cardiologists, primary care physicians, and epidemiologists.

Cardiovascular disease is a leading cause of death throughout the world. Chronic negative emotions such as depression and anxiety place cardiac patients at greater risk for death and recurrence of cardiovascular disease. In 2008 the editor published a book related to this topic, titled Psychotherapy with Cardiac Patients: Behavioral Cardiology in Practice (American Psychological Association). Aside from that book, there are very few resources specifically written for clinicians who treat psychologically distressed cardiac patients. Unlike other medical specialty areas such as oncology, the field of cardiology has been slow to integrate behavioral treatments into the delivery of service. Perhaps because the field has been largely defined and dominated by researchers, mental health clinicians are only starting to recognize behavioral cardiology as a viable arena in which to practice. There is a large void in the practitioner literature on behavioral cardiology. In a review of Psychotherapy with Cardiac Patients, Paul Efthim, Ph.D. wrote, "Her new book goes well beyond previous works by giving specific and detailed guidance about how to tailor psychological interventions with this variegated population." He added, "It would benefit from even more details about treatment approaches." This proposed volume goes beyond the editor's previous volume by providing in-depth descriptions of behavioral treatments for distressed cardiac patients written by eminent leaders in behavioral cardiology. This book describes a wide range of behavioral treatments for the common psychologically based problems encountered by clinicians who treat cardiac patients. The book is organized as follows: Part I focuses on the most psychologically challenging and common presentations of cardiac diagnosis; coronary artery disease, arrhythmia, and heart failure. This section also includes a chapter on heart transplantation, which is a treatment, not a diagnosis, but a treatment that incurs profound psychological impact for the individual. In Part II, behavioral interventions for the general cardiac population are described. Mainstream therapies such as stress management, cognitive-behavioral therapy, and medical family therapy are described, along with approaches that have less empirical support but considerable practical significance such as personality-guided therapy and interventions aimed at altering type D personality traits. The literature in behavioral cardiology has a rich history of investigating maladaptive personality traits and thus it is important to include behavioral approaches that target personality in this volume. Part III focuses on common behavioral problems encountered by clinicians who work with this patient population. Most patients who seek psychological help do so because they perceive themselves to be stressed due to their job or overextended in all areas of their life. Other people with heart disease present with sleep problems and/or an inability to motivate themselves to exercise or quit smoking. There are many practical behavioral approaches that can be helpful for patients with these difficulties and these are detailed in this section of the book. The conclusion of the book focuses on how to integrate the behavioral treatments described in the preceding chapters into a comprehensive treatment model.

The essays in this book, written by researchers from both humanities and science, describe various theoretical and experimental approaches to adding medical ethics to a machine, what design features are necessary in order to achieve this, philosophical and practical questions concerning justice, rights, decision-making and responsibility in medical contexts, and accurately modeling essential physician-machine-patient relationships.

In medical settings, machines are in close proximity with human beings: with patients who are in vulnerable states of health, who have disabilities of various kinds, with the very young or very old and with medical professionals. Machines in these contexts are undertaking important medical tasks that require emotional sensitivity, knowledge of medical codes, human dignity and privacy.

As machine technology advances, ethical concerns become more urgent: should medical machines be programmed to follow a code of medical ethics? What theory or theories should constrain medical machine conduct? What design features are required? Should machines share responsibility with humans for the ethical consequences of medical actions? How ought clinical relationships involving machines to be modeled? Is a capacity for empathy and emotion detection necessary? What about consciousness?

This collection is the first book that addresses these 21st-century concerns.

This collection of essays by leading exponents of contemporary Buddhism and psychotherapy brings together appreciation and critical evaluation of Mindfulness, a phenomenon that has swept the mental health field over the last two decades. The sheer diversity and depth of expertise assembled here illuminate the current presentation of Mindfulness.

In his treatment of activity measurement in the fields of medicine and psychology, Tryon gives us a book that clearly accomplishes the three purposes set out in its preface. The reader is definitely encouraged to wrestle with the concepts ofbehavior and activity in terms of "dynamic physical quantities." Moreover, the reader cannot help but become familiarized with the technology available for performing activity measurements. Motivation to use some of this technology is enhanced by the very extensive summary of other people's uses of it provided throughout the book. Readers may find the book provocative on a number of Ievels. It is concep tually provocative to those of us struggling with understanding basic issues in the assessment and measurement of behavior. It is practically provocative to those of us working with various forms of behavioral difference, especially in clinical popula tions. The book provokes because it is essentially an unfinished exploration, open ing us to numerous pathways that, when traveled, reveal still more paths to explore. In this sense the book should be heuristically useful both in the more traditional empirical sense, and in terms of its Stimulation of conceptual discussion."

Alcohol has been central to social, religious and personal use throughout the history. Alcohol drinking goes back almost as far as the human race does. A hundred years, therefore, may be seen as only a flash. The past century, however, has witnessed a fundamental change in dealing with alcohol problems. Hence, to give an overview of a hundred years of alcohol polices is a rather ambitious task and the contributions to this book shed only some light on the way in which alcohol policy issues have changed in this period.
This authoritative volume is relevant to both scientists and policy makers providing a state of the art in alcohol policy from different perspectives, covering both science/research/treatment and prevention practice and linking these areas.

The past several decades of rapid organizational change and global economic activity beseech a fresh understanding of work conditions and mental health across all nations and regions. This volume addresses psychosocial factors at work, legislation, frameworks, research innovations and common perceptions in the Asia Pacific countries. It presents new research on psychosocial factors at work from an Asia Pacific perspective, introducing exciting new research on workaholism, bullying, work-life balance and conflict, work demands classifications, and psychosocial safety climate. Insights regarding workplace psychosocial factors, worker health and well-being have evolved mainly within North American and European cultural contexts and developed industrial countries. This state of the art account of knowledge development in the Asia Pacific region will stimulate new insights for researchers and policy makers to improve the quality of workers' lives worldwide. "This very informative book highlights the significance and uniqueness of job stress problems encountered by workers of different countries in the Asia Pacific region. Occupational health researchers all around the world will find this book a great inspiration for future research." Yawen Cheng, ScD, Institute of Health Policy and Management, Taiwan "Initiatives and interventions reported from collaborative projects present useful hints for filling gaps in policies and practices for managing psychosocial risk factors in diverse work-life situations in the Asia Pacific region". Dr. Kazutaka Kogi, President, International Commission of Occupational Health

professional-standards-review organizations (PSRO) in defining quality of care for the Medicare program; it is a "shared responsibility of health professionals and government to provide a reasonable basis for confidence that action will be taken, both to assess whether services meet professionally recognized standards and to correct any deficiencies that may be found" (p. 14). Similar pronouncements have been made for the quality assurance activities of the Department of Defense's CHAMPUS program and of the 1980s successor to the PSROs, the federally designated peer-review organizations (PROs), established to ensure quality and utilization-efficient care for Medicare. Links between the federal and state gov ernments and between professional associations and private review entities have been developed to make this "shared responsibility" manifest in the delivery and reimbursement of health services. This responsibility is seen in light of both pro fessional and legal accountability, a view noted by Gibson and Singhas (1978) and Alger (1980). Accountability, then, becomes a concentric concept that elaborates on the pure view of quality and reflects the federal government's consumer protection activities during the 1970s. The Joint Commission on Accreditation of Hospitals (JCAH), which has pro vided another primary historical leadership role in defining quality assurance, has promoted the evolution of the concept of resource limitations as a part of the defini tion of quality assurance.

Throughout the last decade, the field of clinical psychology has expanded dramatically. Clinical psychologists are involved in the treatment and research of a wider range of problems and disorders than they have ever been before. Evidence has been rapidly ac cumulating regarding the role of psychological variables and stress in the etiology and maintenance of a range of medical and psychiatric disorders. New models of psy chotherapy have been developed and refined, and the specific efficacy of psychother apeutic interventions for an increasing number of disorders (or sUbtypes of disorders) has been documented. However, concurrent with research that demonstrates the impact of psychosomatic factors in various disorders and the efficacy of psychological or psychosocial interven tions, dramatic progress has been made with regard to the investigation of biological factors that may mediate certain disorders. That physical factors may underlie many in stances of psychiatric illness has been repeatedly demonstrated. Also, the efficacy of so matic treatments for different disorders, or for subtypes of disorders, has been reported with increasing methodological rigor."

This volume contains fifteen papers by invited participants delivered at the NATO International Workshop on Coping and Health held March 26 through March 30, 1979, at the Rockefeller Foundation's Bellagio study and Conference Center, Bellagio, Italy. The editors of the book were co-directors of the workshop as well as participants. The conference was a small conference consisting of only 20 scientists and was designed to be an intensive period of exchange of ideas dealing with a range of topics varying from experimental models of coping through coping and its psychosomatic implications. The exceptional beauty of the Bellagio Study and Conference Center, the hospitality of the staff at the Conference Center as well as the support of the administrative staff of the Rockefeller Foundation, combined with the intensity and enthusiasm of the participants made the conference a most memorable one for those who attended it. A special thanks is in order for the help and assistance of Dr. B. A. Bayraktar, Executive Officer of Human Factors Program, Scientific Affairs Division, NATO, and Miss Susan Garfield, Program Director of the Rockefeller Foundation. Needless to say, without their participation and help at all points in the organization and planning of this conference, the conference would not have occurred.

This is a book that grew out of frustration. The frustration was rooted in our failed attempts to help people modify health-related behavior. From a behavioral medicine perspective, it was readily apparent to us that there were many things people could do to improve their health. Some of these were preventive behaviors, whereas others were much more therapeutic or rehabilitative in nature. Put another way, there were specific well-known behavioral strategies that people could use to maintain or regain their good health. Yet despite our good intentions, enthusiasm, and considerable efforts, something was wrong. People dropped out of therapy or failed to follow behavioral prescriptions. Workshops and clinics were half-empty. If people would attend workshops or follow therapeutic programs, their health would benefit. Yet in our experience and in the experience of most of our colleagues, compliance to treatment programs was a major problem. Faced with such a situation, it is easy to blame the victim-in this case the client. It is common to hear therapists talk of poorly motivated clients, complain that people are just not interested in improving their health, or even speculate about people's self-destructive tendencies. Although this may be comforting to the thera pist, it does very little to solve the problem. What was needed was an approach to improve adherence to therapeutic programs rather than comforting excuses for their failure. It is in this context that we became exposed to the area of social marketing."

From the President ofthe Research Society onAlcoholism - On behalf of the Research Society on Alcoholism I welcome the important contri bution that Volume 15 of this excellent series on Recent Developments in Alcoh- ism brings to our field. It is not enough for our scientists to develop effective and efficient methods to identify and treat alcohol abuse and alcohol dependence; the availability of these services is often limited and it is certainly nonexistent for the early problem drinker. In nineteen outstanding chapters, Volume 15 deals with organizational issues concerning access to and delivery of substance abuse treatment and the role of managed care. Several chapters deal with economic issues, cost-benefits, and - nancing of these services. Lastly, five address recent treatment outcome studies. Thus, this volume will be of great value to both scientists and practitioners. The Editor and Associate Editors are congratulated for this conceptual and organi- tional accomplishment. Yedy Israel, Ph.D.