This volume provides comprehensive coverage of interventions for emotional and behavioral problems following all types of brain illnesses and injuries in adults. It is a unique guide to different settings, families, cultures, illnesses and levels of severity. It takes neuropsychotherapy outside the clinic to the real life situations and dilemmas of people with brain illnesses. It contains case studies, summaries of major techniques and principles in frequent tables which can serve as clinical guides.

In the roughly two decades since Aaron T. Beck published the now classic "Cognitive Therapy of Depression," and Michael J. Mahoney declared the "Cognitive Revolution," much has happened. What was proposed as the "cognitive revolution" has now become the zeitgeist, and Cognitive Therapy (CT) has grown exponentially with each passing year. A treatment model that was once seen as diffe rent, strange, or even alien, is now commonplace. In fact, many people have allied themselves with CT claiming that they have always done CT. Even my psychoanalytic colleagues have claimed that they often use CT. "After all," they say, "Psychoanalysis is a cognitive therapy." Cognitive Therapy (or Cognitive Psychotherapy) has become a kaleidoscope model of treatment, with influences coming from many sources. Some of these contributory streams have been information pro cessing, behavior therapy, Constructivist psychology, and dynamic psychotherapy. Each of these sources have added color, shading, and depth to the CT model. What was originally uni dimensional in terms of the CT focus on depression has become multidimensional as the CT model has been applied to virtually every patient population, treatment setting, and therapy context. CT must now be seen as a general model of psychotherapy that, with modifications, can be applied to the broad range of clinical problems and syndromes. What has tied these various applications of CT together is the emphasis on a strong grounding in cogni tive theory, a commitment to empirical support, and a dedication to broadening the model.

Introductory texts on psychological testing and evaluation historically are not in short supply. Typically, however, such texts have been relatively superficial in their discussion of clinical material and have focused primarily on the theoretical and psychometric properties of indi vidual tests. More practical, clinically relevant presentations of psychological instruments have been confined to individual volumes with advanced and often very technical information geared to the more sophisticated user. Professors in introductory graduate courses are often forced to adopt several advanced texts to cover the material, at the same time helping students wade through unnecessary technical information in order to provide a basic working knowl edge of each test. Understanding Psychological Assessment is an attempt to address these concerns. It brings together into a single volume a broad sampling of the most respected instruments in the psychologist's armamentarium along with promising new tests of cognitive, vocational, and personality functioning. Additionally, it presents the most updated versions of these tests, all in a practical, clearly written format that covers the development, psychometrics, administra tive considerations, and interpretive hypotheses for each instrument. Clinical case studies allow the reader to apply the interpretive guidelines to real clinical data, thereby reinforcing basic understanding of the instrument and helping to insure that both the student and practi tioner can actually begin to use the test. Understanding Psychological Assessment includes cognitive and personality tests for adults, children, and adolescents, as well as chapters on the theory of psychological measurement and integrated report writing.

In both developed nations and the developing world, there is a clear trend towards addressing alcohol, tobacco, and other drug problems through health and social services. There are several persuasive arguments for this shift beyond pure economics, which include comorbidity, cost effectiveness, coordination of care and effectiveness. This is the first volume to pull together effective methods that can be used for addressing substance abuse through health and social service systems. It also integrates interventions for a range of drugs of abuse, rather than focusing on only one (such as alcohol). The book's international perspective also makes this a unique contribution to the existing literature.

William Charles Wells (1757-1817) was one of the foremost, and forgotten, American scientists of the eighteenth century. He should be acknowledged as laying the foundations for modern studies of vestibular function as well as eye movements. This book reprints his Essay on single vision with two eyes (1792) and his own Memoir of his life (1818). Wells' essay on natural selection is reprinted as an Appendix. Wells' experiments and observations on natural phenomena will surprise students of science because of their modernity.

Health experts independently state that the most critical urban problems are preventable. This brings an added challenge to public health practitioners working in inner cities with predominately minority communities. In addition to deadly diseases - including transmittable diseases - violence, whether it is physical, sexual or child abuse, is the other predominant morbidity factor that urban areas confront. Because of these concerns, there is a need for health professionals working with the communities to critically examine health behavior theories and prevention methodologies. Additionally, new prevention practices and programs need to be developed for community-based interventions to better serve the populations in need including programs in: -HIV Prevention; -Evaluation and Policy Research; -Cancer Prevention and Screening; -Urban Public Health Policy; -Youth Violence Prevention.

This book provides a practical guide to crisis intervention. It emphasizes the role of violence, patient suicide, long-term sequelae of trauma, clinical assessment and risk management, professional boundaries and burn-out, and the neurophysiology of trauma, as well as the needs of underserved patient populations including minority group members, older adults, gays and lesbians, and children. It features critical reviews of controversial topics, including EMDR, critical incident stress debriefing, recovered memories, dissociative identity disorder, and alternative medicine.

HIV Treatment as Prevention: Primer for Behavior-Based Implementation provides the first practical guide to integrating behavioral prevention with antiretroviral therapies for people living with HIV infection. This brief book discusses the historical and social context embedding the shifting landscape in HIV prevention, where the use of effective treatments have become the focus of HIV prevention. While using treatments for prevention is promising, the history of HIV prevention offers several important pitfalls that must be avoided if HIV treatments are to ultimately succeed in preventing new HIV infections. Lessons learned from the successes and failures of other biomedical technologies used in HIV prevention, specifically syringes, condoms, and HIV testing are critical to the success of using HIV treatments for prevention. HIV Treatment as Prevention: Primer for Behavior-Based Implementation summarizes the scientific evidence for advancing the use of antiretroviral therapies for HIV prevention. The evidence makes clear that HIV treatments can prevent HIV transmission, but will fail if behavioral aspects of treatment and HIV transmission are ignored. Of greatest concern are medication adherence and risks for contracting other sexually transmitted infections. Placing HIV treatment within the context of behavioral interventions for maintaining medication adherence and reducing sexual risk behaviors is therefore essential to the future of HIV prevention. HIV Treatment as Prevention: Primer for Behavior-Based Implementation highlights two pioneering behavioral interventions aimed at maximizing the effects of antiretroviral therapies for preventing HIV transmission. One of the interventions, developed by the Author's research team, is discussed in detail and the intervention manual is included as an Appendix."

Life expectancy in countries of Central and Eastern Europe is substantially shorter than in Western Europe, and a similar divide exists in self-rated health. This exhaustive study of populations in seven Central and European countries - Russia, Lithuania, Latvia, Estonia, Poland, Czech Republic and Hungary - examines the social and psychosocial determinants of this divide. Practitioners and graduate students of public health and social psychology will find this an invaluable resource.

Despite medical technological advances, the major killers with which we must currently contend have remained essentially the same for the past few decades. Stroke, cancer, and heart disease together account for the vast majority of deaths in the United States. In addition, due to improved medical care, many Americans who would previously have died now survive these disorders, necessitating that they receive appropriate rehabilitation efforts. One result of our own medical advances is that we must now accept the high costs associated with providing quality care to individuals who develop one of these problems, and we must avail ourselves to assist of afflicted individuals. families Despite the relative stability of causes of death and disability, the health-care field is currently experiencing tremendous pressures, both from professionals with in the field, who desire more and better technology than is currently available, and from the public and other payers of health care (e.g., insurance companies), who seek an end to increasing health-care costs. These pressures, along with an increased emphasis on providing evidence of cost-effectiveness and quality assurance, are substantially changing the way that health-care professionals perform their jobs.

TItis volume is the first effort to compile representative work in the emerging research area on the relationship of disability and physical environment since Barrier-Free Environments, edited by Michael Bednar, was published in 1977. Since that time, disability rights legislation like the Americans, with Disabilities Act in the United States, the worldwide growth of the independent-living move ment, rapid deinstitutionalization, and the maturation of functional assessment methodology have all had their impact on this research area. The impact has been most noticeable in two ways-fostering the integration of environmental vari ables in rehabilitation research and practice, and changing paradigms for environ mental interventions. As the contributions in this volume demonstrate, the relationship of disabil ity and physical environment is no longer of interest primarily to designers and other professionals concerned with managing the resources of the built environ ment. The physical environment has always been recognized as an important variable affecting rehabilitation outcome. Until recently, however, concepts and tools were not available to measure its impact in clinical practic~ and outcomes research. In particular, lack of a theoretical foundation that integrated environ ment with the disablement process hampered development of both research and clinical methodology. Thus, the physical environment received little attention from the mainstream rehabilitation research community. However, this situation is changing rapidly.

"I'm like a whirling leaf in the wind," said one of Dr. Lena Nilsson SchOnnesson' s patients, and another "I'm in the claws of HIV." Their voices and those of other HIV-positive patients frame the humanistic and scholarly discussion in this impor tant book. Dr. SchOnnesson, a Fulbright scholar at the HIV Center for Clinical and Behavioral Studies, Columbia University in 1995, has unusually extensive clinical experience in counseling HIV-positive gay men. Her work with 38 such patients treated between 1986 and 1995 is discussed in the pages that follow. Dr. SchOnnesson's longitudinal approach to clinical data is extremely unusual in the psychotherapy literature generally, and in the literature on counseling HIV positive men in particular. Building upon the experience of such recent scholar clinicians as Klitzman, Isay, Schaffner, and others, Dr. SchOnnesson adds some thing unique by analyzing her ongoing detailed notes of the psychotherapeutic process in a systematic quantitative as well as qualitative manner. The analysis of her data is further informed by her coauthor, Dr. Michael Ross, a therapist and investigator whose contribution to the clinical and research literature on the psychotherapeutic treatment of gay men has already been substantial.

Cardiovascular disease continues to be the number ioral medicine" was developed and shaped into the one source of morbidity and mortality in our coun- following definition: try. Despite a 35% reduction since 1964, these Behavioral medicine is the interdisciplinary field con- diseases, particularly coronary heart disease cerned with the development and integration of behav- (CHD), claim nearly 1,000,000 lives each year in ioral and biomedical science knowledge and techniques the United States (Havlik & Feinleib, 1979). relevant to the understanding of health and illness and The Framingham study, among others, has iden- the application of this knowledge and these techniques to prevention, diagnosis, treatment and rehabilitation. tified three major risk factors implicated in the de- (Schwartz & Weiss, 1978) velopment of CHD: smoking, elevated serum cho- lesterol, and high blood pressure (Castelli et at., This concept of "biobehavioral" collaboration 1986). Given that these factors account for less challenged scientists and clinicians of many disci- than 50% of the variance associated with CHD plines to consider how they might more effectively (Jenkins, 1976), it has become obvious that addi- develop diagnostic, treatment, and prevention tional risk factors must be identified if further pro- strategies by merging their perspectives to address gress is to be made in disease prevention and simultaneously, among others, behavioral, psy- control.

Like previous handbooks, the present volume is an authoritative and up-to-date compendium of information and perspective on the neurobiology of ingestive behaviors. It is intended to be stimulating and informative to the practitioner, whether neophyte or senior scholar. It is also intended to be accessible to others who do not investigate the biological bases of food and ?uid ingestion, who may teach aspects of this material or simply wonder about the current state of the ?eld. To all readers, we present this handbook as a progress report, recognizing that the present state of the ?eld is much farther along than it was the last time a handbook was published, but mindful of the likelihood that it is not as far along as it will be when the next handbook is prepared. This ?eld has witnessed a spectacular accretion of scienti?c information since the ?rst handbook was published in 1967. During the generation of science between then and the publication of the second handbook in 1990, numerous scienti?c reports have substantially changed the perspective and informational base of the ?eld.

With people living longer, often with chronic illnesses and disabilities, it is becoming increasingly important to understand how depression, disability, and physical illnesses are interrelated, the mechanisms underlying these interrelationships, and their implications for diagnosis and treatment. This volume synthesizes a carefully selected portion of the knowledge about physical illness and depression that has emerged during the past twenty years.

Over the years, in our teaching of diagnostic interviewing to graduate students in clinical psychology, psychology interns, medical students, and psychiatric residents, we have searched for appropriate reading materials that encompass theoretical rationale, clinical description, and the pragmatics of "how to. " However, surprising as it may seem, there is no one work that includes the theoretical, the clinical, and the prac tical under one cover. This being the case, we thought it would be useful to us in our pedagogic efforts if we could put together such a text. And it is to this end that we developed the outline for our multiauthored text and presented it to Plenum Press for their review. We felt then, as we do now, that the material in this book simply does not represent "the cat being skinned in yet another way. " We sincerely believe that our stu dents really do need this one, and it is to them that we dedicate Diag nostic Interviewing. Our book is divided into three parts. In the first part (General Issues), basic interviewing strategies and the mental status examination are cov ered. The bulk of the book (Parts II and III) is devoted to examination of diagnostic interviewing for the major psychiatric disorders and for spe cial populations."

Americans are "healing themselves" (Heckler, 1985) and prevention has taken root (McGinnis, 1985a). We are altering our lifestyle to reduce physical and mental health risks. Perhaps as important is the fact that the science of prevention is beginning to catch up with the practices of prevention, although some might argue that the popularity of these practices far outstrips sound theoretical and empirical foundations. The chapter authors in this volume examine the theoretical and empirical foundations of many current prevention practices and, where data exist, discuss the status of prevention efforts. Where substantial prevention is not yet on the horizon, the authors attempt to point us in the right direction or at least share with the reader some of the risk factors that should be addressed in our research. We hope that readers will be stimulated to discuss the issues raised, advance the current research, and, where possible, adopt the prevention and health promotion strategies that are supported by sound theoretical and empirical work. This volume can in no way be comprehensive with respect to the current work in prevention; however, we hope that we have provided a sampling of prevention activities and issues that appear together in one volume for perhaps the first time. The primary intent of this volume is modest, and the reader should not attempt to find continuity among the various chapters. The only binding among these contributions is their focus on prevention.

In this compelling new book, Gillian Bendelow provides an accessible account of the complex interplay between mind, body and society. Contemporary critiques of biomedicine and the process of medicalisation have long emphasised the limitations of traditional western scientific medicine in the separation of mind and body. The subsequent turn to more holistic models of health and illness is now beginning to permeate medical education and healthcare practice. For Bendelow, a key aspect of this paradigm shift is the development of more sophisticated concepts of stress, which address the intertwining of emotion and embodiment, and emphasise social and material factors alongside biopsychological components. These theoretical and conceptual issues are explored first through an emphasis on contemporary health practices, and then through developments in illness and medicine. Examining the ways in which 'healthism', rather than 'medicalisation', pervades most areas of everyday life, attention is drawn to the bodily practices we pursue in the name of health. These include concerns with sexual health, health promotion, the use of complementary or alternative medicine, and the notion of emotional health. The book then considers the implications of being diagnosed as ill, and charts the limits of the divisions between 'mental' and 'physical' illness, examining a range of conditions, including chronic pain, eating disorders and other illnesses of the contemporary world. Health, Emotion and the Body combines clarity of expression with careful scholarship and originality, making it appeal to students and scholars with a wide range of interests, including the sociology of health and illness, the body, and mental illness, as well as health psychology.

This book is primarily based on the proceedings of a confer en.::: e entitled -Health Psychology: A workshop in Behavioral Medi cine, Treatment and Research Issues, - held April 8-9, 1983 at the University of Oklahoma Health Sciences Center and Oklahoma Chil drens Memorial Hospital, Oklahoma City, Oklahoma. This conference brought together researchers from pediatric psychology, pedia tri cs, clinical psychology, developmental psychology, 1eurology, and psychiatry as part of a continuing medical education eries. While Health Psychology and Behavioral Medicine are the fastest growing segments of Psychology, relatively little atten tion has been paid to the pediatric segment of the life cycle. Yet, if we are serious about risk factor reduction and prevention of chronic diseases, it is precisely intervention with the young which will give the largest, most cost-effective results. Thus, the primary focus of the conference was on the pedia tric aspects of health and disease. Chapter 1 deals with the problems of behavioral health and sets forth some goals for our nation by the year 1990. Chapters 2 and 3 present an overview of behavioral medicine and the research trends current and predictive of the future for the field. Chapter 4 takes on issues about psychology, child health, and human deve lopment. Chapter 5 addresses issues in pediatric medical compl i ance and how this situation might be improved. Chapter 6 deals wi th prematurity and the family, and Chapter 7 addresses pain management problems in the young."

Internet gambling is one of the fastest growing forms of gambling. Global Internet gambling expenditure is predicted to reach US$33.6 billion in 2011. This is higher than worldwide movie box office revenues and represents 9% of the international gambling market. The rapid increase in expenditure of 354% since 2003 has occurred despite Internet gambling being prohibited in several key markets, including the US and China. It also suggests that current regulation may be somewhat outdated and ineffective as more and more people turn to this mode of gambling. Internet gambling is highly accessible with over 2,400 sites available 24/7 through computers, mobile phones, wireless devices and even interactive televisions. Gamblers can now play casino games, bingo, cards and poker, bet on races, sports and even celebrity weddings using over 199 means of electronic payments without leaving the house. Increasing international jurisdictions are legalizing Internet gambling and the constant accessibility of online gambling has critical social implications. Gambling operators are using aggressive advertising campaigns to move into new markets. Internet gambling appears to be particularly appealing to youth, who are gambling online at substantially higher rates than adults. Furthermore, Internet gambling appears to be related to problem gambling, with rates of problem gambling three to four times higher among Internet than non-Internet gamblers, indicating that it may have a substantial social cost. The anonymity of online sports betting poses a significant threat to the integrity of sport at all levels with increasing allegations of match-fixing and cheating. Estimates suggested that 50% of all bets on the 2010 FIFA World Cup were placed online, worth an estimated GBP500 million. These figures represent a 700% rise in online betting since the 2006 tournament and included many new players that opened online accounts. It is essential that appropriate responses are made by governments, industry professionals and the public in response to Internet gambling. This book will provide a comprehensive and up-to-date overview of Internet gambling, including the social impact and regulatory options. A global outline will include the characteristics and features of the many forms of Internet gambling, including the current market, and participation, and differences between Internet and non-Internet gambling. Specific regional considerations will be explored including regulatory responses and options. Importantly, the social consequences and costs of Internet gambling will be examined, including the impact of online gambling on sports, youth and problem gambling. Strategies for prevention and responsible gambling will be considered as well as expected trends.

This Handbook provides a comprehensive overview of the theories, methods and approaches for reducing HIV-associated risk behaviors. It represents the first single source of information about HIV prevention research in developed and developing countries. It will be an important resource for students, researchers and clinicians in the field.

Most of us know about extreme highs or lows. For some people, however, emotional extremes can seriously disrupt our lives, either because they happen too frequently or because the mood swings are intense and accompanied by other symptoms of depression or mania, such as changes in energy and activity levels. This valuable self-help guide teaches tried-and-tested strategies that will help anyone troubled by mood swings to effectively identify and manage their moods, and achieve a more stable and comfortable emotional balance. It includes: - Information on depression and mania - A step-by-step, structured self-help programme and monitoring sheets Overcoming self-help guides use clinically proven techniques to treat long-standing and disabling conditions, both psychological and physical. READING WELL This book is recommended by the national Reading Well scheme for England and Wales, delivered by the Reading Agency and the Society of Chief Librarians with funding from Arts Council England and Wellcome. www.reading-well.org.uk Series Editor: Emeritus professor Peter Cooper

Acquired immune deficiency syndrome (AIDS) poses a health threat unparalleled in modem times. Identified just a few years ago, AIDS and the human inunlmodeficiency virus (IDV) responsible for it affect millions of persons worldwide. AIDS has already become the leading cause of death among persons under 40 in some large American cities. From the beginning. it has been evident that AIDS carries unique psychological and social ramifications. In spite of its lethality, new cases of HIV infection are preventable if individuals can be assisted to make behavior changes to lessen or eliminate viral transmission. To the extent that we can develop effective primary prevention interventions, it will be possible to keep larger numbers of people from becoming infected with the mv virus. Psychological and social risk behavior change interventions, whether at the level of individual clients, groups, or entire communities, can playa key role-in fact, the only available role-in disease prevention. Patients with any life-threatening illness have psychological, social, and support needs. However, these needs are more pronounced and, often, less easily addressed for persons affected by AIDS. People in good clinical health but with HIV infection face years of worry concerning whether they will develop AIDS. Nearly 2 million Americans are currently in this precarious position; by 1991, 50 to 100 million persons worldwide are expected to share the same uncertainty."

We seek to throw down the gauntlet with this handbook, challenging the he gemony of the "behavioral medicine" approach to the psychological study and treatment of the physically ill. This volume is not another in that growing surfeit oftexts that pledge allegiance to the doctrinaire purity of behavioristic thinking, or conceptualize their subject in accord with the sterility of medical models. Diseases are not our focus, nor is the narrow band of behavioral assessment and therapy methodologies. Rather, we have sought to redefine this amorphous, yet burgeoning field so as to place it squarely within the province of a broadly-based psychology-specifically, the emerging, substantive discipline of health psy chology and the well-established professionalism and diverse technologies of clinical psychology. The handbook's title-Clinical Health Psychology-reflects this reorientation explicitly, and Chapter 1 addresses its themes and provides its justifications more fully. In the process of developing a relevant and comprehensive health assess ment tool, the editors were struck by the failure of clinical psychologists to avail themselves of the rich vein of materials that comprise the psychosocial world of the physically ill. Perhaps more dismaying was the observation that this field was being mined-less than optimally-by physicians and nonclinical psychologists."

There have been dramatic increases in the financial, emotional, and psychological investment in pets over the past four decades. The increasing importance of animal companions in people's lives has resulted in growing emphasis on the human-animal bond within academic literature. This book introduces practicing and emerging professionals to vital subject matter concerning this growing specialty area by providing an essential framework and information through which to consider the unique contextual backdrop of the human-animal bond. Such contexts include a wide array of themes including: issues of attachment and loss, success and frustration with making and sustaining connections, world views regarding animal ethics, familial history of neglect or abuse, and cultural dynamics that speak to the order of things between mankind and nature. Adopting a contextual stance will aid mental health professionals in appreciating why and how this connection has become a significant part of everyday life for many. As with any other important clinical dynamic, training and preparation are needed to gain competence for professional practice and research. To this end, an ensemble of international experts across the fields of psychology and mental health explore topics that will help both new and established clinicians increase and understanding of the various ways the human-animal bond manifests itself. Perspectives from beyond the scope of psychology and mental health such as anthropology, philosophy, literature, religion, and history are included to provide a sampling of the significant contexts in which the human-animal bond is established. What brings these divergent topics together in a meaningful way is their relevance and centrality to the contextual bonds that underlie the human-animal connection. This text will be a valuable resource that provides opportunities to deepen one's expertise in understanding the psychology of the human-animal bond.