Every year millions of people flock to complementary and alternative therapists offering a vast array of treatments ranging from acupuncture to biofeedback to urine injections. Millions more purchase over-the-counter alternative medications, such as glucosamine, herbs, and homeopathic remedies. While consumer motivations for turning to complementary and alternative medicine (CAM) vary, there is one common element among them all: a belief in their effectiveness. This belief appears to be prevalent among all elements of society, from scientists and physicians to celebrities such as Prince Charles and Oprah Winfrey to clerical workers and senior citizens. Do these therapies actually work? And if they work, how do they work? This book is about the science of complementary and alternative medicine, about how that science is conducted, how it is evaluated, and how it is synthesised to arrive at a conclusion about whether CAM therapies work. It is also about the phenomenon of the placebo effect, and the extent to which it is at play in a given CAM therapy's efficacy. Are CAM therapies in fact nothing more than creatively packaged placebos? In exploring this question, Barker Bausell provides an authoritative and engaging look at the nature of scientific evidence and at the logical, psychological, and physiological impediments that can confound such evidence in the world of CAM research. Ultimately, the book is not so much opposed to CAM as to the shoddy science upon which CAM claims are based, and in fact it closes with a chapter about how one might maximise the placebo effect that Bausell asserts is the main 'ingredient' of most CAM therapies. This book is a learned, witty examination not just of the scientific process as it is applied to CAM but also of the wonders of the human mind/body system.

Providing detailed information on structural HIV prevention interventions, this book is intended for health care practitioners and researchers to plan, implement, and evaluate such interventions in their own communities. As defined by the CDC, structural interventions focus on the physical, social, cultural, political, economic, legal, and/or policy aspects of the environment. Designed to reach a large number of individuals, structural interventions usually occur across entire communities, cities, or countries. As a result, the resources required to initiate structural interventions can far exceed those required for smaller-scale behavioral programs. However, changes from structural interventions have the potential to last over time, even after the programs have ended, resulting in effective use of public and private prevention resources. Because the reach of structural interventions is typically larger than that of individual- or group-focused interventions (for example, the 100% Condom Use Program, which was implemented countrywide in Thailand), their influence may be equally-if not more-significant.This book is a resource for health practitioners, educators, and researchers who seek HIV/AIDS structural prevention programs that have been shown to be effective in their regions or for their target populations (e.g. injection drug users, commercial sex workers, or the general public). With extensive case studies, the book classifies interventions according to the desired outcomes (specific behavior or policy changes) so that the reader may focus on examples of programs with similar goals and target populations to their own. Addresses the quintessential public health ethical dilemma regarding which types of environmental changes should be mandatory via legislation and which should be voluntary, promoted via programmatic, practice, and policy change.

The field of public health is primarily concerned with understanding and improving physical health from a large group perspective (i.e., communities and whole populations). The field of social neuroscience, on the other hand, is primarily concerned with examining brain-behavior relationships that unfold in a social context. Both of these are rapidly developing fields of inquiry, and their boundaries have only recently begun to overlap. This book discusses collaborative research findings at the intersection of social neuroscience and public health that promise to fundamentally change the way scientists, public health practitioners, and the general public view physical health within the larger social context. Eighteen chapters are organized under the following major sections: cognition and health outcomes; neuroscientific aspects of health communication; health behavior and the neurobiology of self-regulation; neurobiological processes in health decision making; ecological and social context; neuroscience methods; and future directions.

In recent years, there has been an explosion of research on the early origins of adult health. A growing body of evidence documents that maternal health before conception, prenatal and perinatal exposures, and conditions in childhood play critical roles in health over the life course. Scientific understanding of the multiple and interacting influences on child health and their role in later health continues to evolve rapidly, but greater attention to how families shape the conditions of early life that underlie childhood health is needed. This volume aims to advance understanding of this topic, with attention to mechanisms through which health disparities emerge and are sustained across the lifespan.

This volume brings together two parallel fields of interest. One is the understanding among psychologists and other social scientists of the limits to psychometric measurement, and the challenges in generating information about quality of life and wellbeing that enable comparison across time and place, at both individual and population levels. The second is the interest among anthropologists and others in the lived experience of chronic illness and disability, including the unpredictable fluctuations in perceived health and capability. Chronic conditions and physical impairments are assumed to impact negatively on people's quality of life, affecting them psychologically, socially and economically. While some of these conditions have declined in prevalence, as a result of prenatal diagnosis, early successful interventions, and changes in medical technology and surgery, many of these conditions are on the increase as a consequence of improved life-saving medication and technology, and greater longevity. 'Quality of life' is often used as an indicator for successful and high quality health services, and good access to medical attention and surgery - for hip replacements or laser surgery to improve vision, for instance. But it is also used as an argument against interventions, when such interventions are seen to prolong life for its own sake. Yet we also know that people vary their idea of quality as a result of the context of fluctuations in their own health status, the presence or absence of pain or discomfort, and as a result of variations in social and economic contextual factors. In exploring these questions, this volume contributes to emerging debates related to individual health outcomes, but also to the social and other individual determinants that influence everyday life. Understanding these broader contextual factors will contribute to our knowledge of the kinds of services, support systems, and infrastructure that provide people with good 'quality of life' and a sense of wellbeing, regardless of their physical health, capability and functioning. The volume includes scholars from all continents who have been encouraged to think critically, and to engage with the descriptive, methodological, social, policy and clinical implications of their work.

The multifaceted nature of harmful substance use and gambling requires interdisciplinary analysis to assess the underlying causes. What Determines Harm from Addictive Substances and Behaviours? draws together evidence from twelve disciplines including anthropology, genetics, neurobiology, and public policy. Using a developmental approach, the book presents evidence on the factors that influence the development of harmful substance use and gambling. The determinants of harm operate at three levels: molecular, individual, and social. This book brings to light the complex interplay between them and presents the scientific, social, economic, political, and psychological influences of harmful substance use and gambling. These individual determinants are then synthesised into an integrative heuristic model to encourage new ways of thinking. The findings from this analysis are used to elaborate key general implications for health and broader social policy, clinical practice, and future research. What Determines Harm from Addictive Substances and Behaviours? is based on research from ALICE RAP, a multidisciplinary European study of addictive substances and behaviours in contemporary society. This is an essential resource for public health professionals, stakeholders influencing policy for addictive substances and behaviours, students, and academics looking to better understand the factors influencing substance use and gambling and the implications this research has for addiction prevention policy.

Explorees the cultural origins and psychological aspects of body identity disorders. Discusses the influence of contemporary virtual and cyberspace imagery on self-image. Draws on author's professional experience largely dedicated to exploring disorders wherein body identity is the chosen field for communication and exchange. Re-examines such illnesses as anorexia, bulimia, body dysmorphic disorder, and others

This project is unique in the field for a number of reasons, both in structure and in content. Specifically, it will have leading experts on specific age groups (Childhood to Adolescence, Young Adulthood to Middle Age, and The Elderly) within the cultural groups of interest (European-Americans, African-Americans, Asian-Americans, Hispanic-Americans, and Native Americans) contribute a chapter covering current research on both positive and negative functioning for each population. Each chapter will present basic demographic information, strengths that contribute to resilience, and three significant challenges each group faces to maintaining mental health. Each chapter will then include an integrative section, where ideas are advanced about how the strengths of each group can be harnessed to address the challenges that group faces. To conclude, each chapter will propose future directions for research which addresses integrative approaches to mental health for each group, and the implications that such approaches could have for future treatment. The main points of each section of each chapter will be visually summarized in a concluding table.

Wherever people are working, there is some type of stress-and where there is stress, there is the risk of burnout. It is widespread, the subject of numerous studies in the U.S. and abroad. It is also costly, both to individuals in the form of sick days, lost wages, and emotional exhaustion, and to the workplace in terms of the bottom line. But as we are now beginning to understand, burnout is also preventable. Burnout for Experts brings multifaceted analysis to a multilayered problem, offering comprehensive discussion of contributing factors, classic and less widely perceived markers of burnout, coping strategies, and treatment methods. International perspectives consider phase models of burnout and differentiate between burnout and related physical and mental health conditions. By focusing on specific job and life variables including workplace culture and gender aspects, contributors give professionals ample means for recognizing burnout as well as its warning signs. Chapters on prevention and intervention detail effective programs that can be implemented at the individual and organizational levels. Included in the coverage: * History of burnout: a phenomenon. * Personal and external factors contributing to burnout. * Depression and burnout * Assessment tools and methods. * The role of communication in burnout prevention. * Active coping and other intervention strategies. Skillfully balancing scholarship and accessibility, Burnout for Experts is a go-to resource for health psychologists, social workers, psychiatrists, and organizational, industrial, and clinical psychologists.

New and current approaches to organizational health intervention research are the main focus of this comprehensive volume. Each chapter elaborates on the respective intervention researcher's concept of a healthy organization, his/her approach to changing organizations, and how to research these interventions in organizations. As a common ground, the book consistently relates to the notion of salutogenesis, focusing on resources and positive outcomes of health-oriented organizational change processes. Out of the virtual dialogue between the chapters, common themes and potential trends for the future are identified.

This book integrates the growing clinical research evidence related to the emerging transdisciplinary field of occupational health and wellness. It includes a wide range of important topics, ranging from current conceptual approaches to health and wellness in the workplace, to common problems in the workplace such as presenteeism/abstenteeism, common illnesses, job-related burnout, to prevention and intervention methods. It consists of five major parts. Part I, "Introduction and Overviews," provides an overview and critical evaluation of the emerging conceptual models that are currently driving the clinical research and practices in the field. This serves as the initial platform to help better understand the subsequent topics to be discussed. Part II, "Major Occupational Symptoms and Disorders," exposes the reader to the types of critical occupational health risks that have been well documented, as well as the financial and productivity losses associated with them. In Part III, "Evaluation of Occupational Causes and Risks to Workers' Health," a comprehensive evaluation of these risks and causes of such occupational health threats is provided. This leads to Part IV, "Prevention and Intervention Methods," which delineates methods to prevent or intervene with these potential occupational health issues. Part V, "Research, Evaluation, Diversity and Practice," concludes the book with the review of epidemiological, measurement, diversity, policy, and practice issues-with guidelines on changes that are needed to decrease the economic and health care impact of illnesses in the workplace, and recommendations for future. All chapters provide a balance among theoretical models, current best-practice guidelines, and evidence-based documentation of such models and guidelines. The contributors were carefully selected for their unique knowledge, as well as their ability to meaningfully present this information in a comprehensive manner. As such, this Handbook is of great interest and use to health care and rehabilitation professionals, management and human resource personnel, researchers and academicians alike.

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.

Concepts like Health and Well-being are not exclusive products of the Western culture. Research has widely demonstrated that the representation of the body and of its pathologies, as well as treatment and healing practices vary across cultures in relation to social norms and beliefs.The culture of India is a melting pot of nine main Darshanas, or philosophical systems, that share the common core of a realization of the self in society. India's traditional health system, Ayurveda, is a result of the practical application of the Darshanas to the observation of human nature and behavior. Ayurveda conceptualizes health, disease and well-being as multidimensional aspects of life, and it seeks to preserve a balance in individuals among their biological features, their psychological features and their environmental demands. The Ayurveda approach to health is remarkably similar to the eudaimonic conceptualization of well-being proposed by positive psychology, and the basic tenets of Ayurveda are deeply consistent with the latest developments of modern physics, which stresses the substantial interconnectedness among natural phenomena and their substrates. This text shows how the approach to health developed in Ayurveda can be fruitfully integrated in a general view of health and well-being that encompasses cultural and ideological boundaries. Specifically, it details the conceptualization of health as an optimal and mindful interaction between individuals and their environment.

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.

This book highlights (1) the significance of reciprocity for the maintenance of self-esteem in old age and (2) the negative implications for the well-being of dependent older people when that significance goes unrecognized and, as a consequence, opportunities to give back to society, as well as take from it, are not facilitated by those in a position to do so. The discussion draws on research undertaken in the UK and Southern India into the extent to which having the self-perception of being valued in the world is important to older people in receipt of care support and whether, in their experience, this is recognized by others. The author presents an analysis of theoretical insights from leading thinkers across a broad range of literature and from several disciplines, including social theory, social work, philosophy, and gerontology. The author also gives voice to the perspectives of those dependent older people not often heard because of marginalizing and disempowering processes that contribute to their having little opportunity to be heard in the first place. The emphasis of this book is on aspiration to a meaningful life and continuing personal growth as offering a challenge to dominant discourses the equate old age with decline.

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).

This book, designed for professionals, introduces a psychobiological model for understanding the paths that lead people to illness and provides recommendations for alterations of maladaptive pathways so that health is regained. Research findings are incorporated to identify causal variables for illness that can be targets for change. Evidence based recommendations for healthy behaviors and therapies are described. Throughout the book, the authors emphasize recognition of turning points on the path to illness that, through informed decision making and implementation of behavioral change, can be re-directed to pathways to health. This book presents case material to illustrate the directions that lead people to illness or to health. The pathways metaphor provides an organizing force, both in addressing variables contributing to illness onset, and in identifying interventions to restore health. This approach will guide the clinician to understanding how people become ill and the types of interventions that are appropriate for stress related illnesses. The clinician will also become better informed about ways to help clients make better decisions, mobilize clients' survival skills, and implement an interactive model of care. The book includes chapters on stress-related illnesses with high prevalence in today's society. For each illness, the genetic-psychobiological etiology is explored with enough detail so that the clinician understands the best method of patient assessment and treatment. One of the strengths of the book is the step-wise system of interventions that are applied to the stress-related illnesses. Beginning with re-establishment of normal daily psychobiological rhythms and continuing to evidence based state of the art interventions, the professional is presented with detailed intervention plans. For example, the section on "Applications to common illnesses: metabolic disorders of behavior: diabetes, hypertension, and hyperlipidemia" considers the confluence of genetics, behavior, and maladaptive mind body interactions to produce the metabolic syndrome. Then the personal and professional assessments are described to establish the baseline for recommending treatment while fully engaging the patient. Finally, multilevel interventions are formulated for these disorders. The plan begins with clinician guided self care recommendations to re-establish the normal rhythm of appetite and satiety. The next level of interventions consists of skill building techniques, such as relaxation and imagery. Lastly, psychotherapy and advanced applied psychophysiological interventions are detailed. Case examples are used throughout to illustrate the pathways to illness, the turning points, and the pathways to health. From the patients' viewpoints, the pathways metaphor is a motivator. The patient is guided to understand the paths that led to illness. Subsequently, the patient becomes empowered by the pathways framework to begin to make choices that lead to health.

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."

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.

Translates occupational health psychology research to practice Includes real world examples as case studies to teach applications of research. Structured in a way that is friendly to course adoption, with each chapter including an overview, discussion of methodologies, and guidance for managing each issue.

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 brings together the latest research on positive psychology from an international cast of researchers and particularly from the growing body of European researchers. The chapters describe research and practice from diverse fields of positive psychology, covering topics such as happiness and well-being, motivation and goals, personality, academic performance and coping, measurement and interventions. The book emphasizes a cultural approach to the human pursuit of well-being. It is unique in that it presents research from a range of cultures, such as Russia, Croatia, and Egypt, in addition to ten different Western cultures. This approach helps broaden our understanding of those aspects of human experience that make life worth living in diverse cultural conditions. The book includes well-known and new authors from the field and contains selected papers that were presented at the 4th European Conference of Positive Psychology held in 2008 in Croatia.

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.