This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.

Pregnancy loss can leave us with many unanswered questions, and knowing where to find answers is not always clear. This book is for you if, like me, you've been affected by any kind of pregnancy loss - currently or in the past. It provides practical advice and self-care strategies to help you cope during or after loss, alongside ideas that will enable you to make sense of what's happened - including understanding your feelings and choices; outlining what you can expect during and after your loss; ways to navigate physical and mental health care (if appropriate); and thinking about how to remember your baby. It's for charities, support groups, therapists, and healthcare professionals who want to provide support and care. We all react - and cope with loss - in different ways, and this book respects diverse needs when it comes to getting information and help. You don't have to feel like you are going through your loss alone. In this book you'll find reflection exercises, self-help resources, and stories and suggestions from other people about how they survived, which should leave you feeling more confident and better able to seek additional support if you need it.

If you're a clinician working with adolescents, you understand the challenges this population faces. But sometimes it can be difficult to establish connection in therapy. To help, ACT for Adolescents offers the first effective professional protocol for facilitating ACT with adolescents in individual therapy, along with modifications for a group setting. In this book, you'll find invaluable strategies for connecting meaningfully with your client in session, while at the same time arriving quickly and safely to the clinical issues your client is facing. You'll also find an overview of the core processes of ACT so you can introduce mindfulness into each session and help your client choose values-based action. Using the protocol outlined in this book, you'll be able to help your client overcome a number of mental health challenges, from depression and anxiety, to eating disorders and trauma. If you work with adolescent clients, the powerful and effective step-by-step exercises in this book are tailored especially for you. This is a must-have addition to your professional library. This book includes audio downloads.

Perfect complement to empiricist perspective on women's health psychology Cross disciplinary author team (psychology and media) will give the book broad appeal Suitable for both upper level undergraduates and postgraduate students and researchers Provides critical perspective on key issues within gender and health psychology, including body image and sexual health

Practical support for challenging paranoid thoughts. Paranoia is the experience of feeling strongly suspicious or mistrustful about something, when others around us do not feel there is a good enough reason to feel that way. It can involve us believing that others are trying to harm us, are talking about us or laughing about us. The beliefs can be very strong, and people who are experiencing paranoia can feel that they are absolutely true, beyond a shadow of a doubt. Even if we have an awareness that our paranoia might not be entirely based in reality, the experience can be incredibly distressing, and can have a major impact on our quality of life. This essential self-help guide, based on the principles of cognitive behavioural therapy (CBT), gives clear advice for understanding, recognising and challenging the suspicious thoughts and beliefs that are getting in the way of your day to day life. It will help you find ways to practice good self-care, to rest and to ground yourself so that you aren't overwhelmed and isolated by suspicious thoughts.

This important new collection provides not only a comprehensive overview of how organizational interventions can improve health and well-being in the workplace - addressing its causes rather than the symptoms - but also the practical issues faced in their design, implementation and evaluation. Drawing on a range of case studies and empirical investigations, it is the first book to seriously examine each element of the intervention process, and to recognize the individual, group, leader and organizational factors that researchers should consider. The authors describe the various challenges to such collaborative processes, as well as the specific methods and tools that can be used in response. Each chapter offers practical, evidence-based guidance. Featuring a final section examining new directions and approaches in organizational intervention research, the book features contributions from some of the leading international researchers in the field. It will be essential reading for any researcher or practitioner interested in the practical issues involved in improving the organization, design and management of the contemporary workplace.

Exploring the potential for storytelling as a creative practice for health and well-being, Michael Wilson considers how the art form might help us reconsider the power relationships in healthcare contexts and restore agency to patients, in partnership with medical professionals. Storytelling is explored not simply as a means of conveying information and experience from one person to another but as an act of listening, a process for thinking, evaluating and understanding. Wilson reflects on his over thirty of years of researching and practising storytelling, and blends his experience with a collection of case studies representing diverse approaches to storytelling for health, including theatre, stand-up comedy, writing, visual arts and digital storytelling. Most importantly, storytelling is approached not from the point of view of the medical practitioner or educator, or even the patient, but through the lens of those who tell stories as a creative and everyday practice. It is a book with the storyteller at its core.

The Making of a Pandemic provides a systematic account of how societal and psychological forces shaped the Covid-19 pandemic. The first part focuses on how biological and societal factors interact to create a pandemic. The second part explores how characteristics of the American economy, the American approach to public health, and domestic and international inequality combined to prolong the pandemic, hamper mitigation efforts, and arouse opposition to cooperation with public health measures. The third part examines the psychological processes that led to resistance to efforts to mitigate the pandemic and linked the resistance to right-wing ideologies. The book concludes by looking at the limits of the technical and medical reforms others have proposed to protect us from repetitions of the Covid-19 disaster and by calling for a "deep confrontation" with the societal and psychological factors that created and shaped the pandemic.

The ability to prioritise long-term goals above short-term gratifications is crucial to living a healthy and happy life. We are bombarded with temptations, whether from fast-food or faster technologies, but the psychological capacity to manage our lives within such a challenging environment has far-reaching implications for the well-being not only of the individual, but also society as a whole. The Routledge International Handbook of Self-Control in Health and Wellbeing is the first comprehensive handbook to map this burgeoning area of research by applying it to health outcomes and personal well-being. Including contributions from leading scholars worldwide, the book incorporates new research findings that suggest that simply inhibiting our immediate impulses isn't the whole story; there may be more options to improve self-control than simply by suppressing the ego. Divided into six coherent sections, the book provides an overview of the research base before discussing a range of interventions to help improve self-control in different contexts, from smoking or drinking too much to developing self-control over aggression or spending money. The only definitive handbook on this far-reaching topic, this essential work will appeal to researchers and students across health and social psychology, as well as related health sciences.

Burnout is a major psychological and physical health-related problem for workers in all fields, but especially for those in the fast-paced and rapidly changing world of healthcare. Burnout has severe consequences for patients, including medical error, and is a leading contributing cause of depression and suicide among healthcare workers. Organizational science is just beginning to be applied in earnest to physician burnout and patient safety, and holds several potential keys to addressing these concerns. The Burned Out Physician is for two groups: healthcare workers (especially physicians) and patients. Physicians will use this book to get an accurate picture of what they are experiencing and how to change it, and patients will use this book to see what their healthcare providers are experiencing and learn how to help and/or protect themselves. The volume includes a checklist of burnout symptoms, and crucially a list of solutions as part of an active effort to solve the burnout crisis.

Scientific interest in mindfulness has expanded in recent years, but it has typically been approached from a clinical perspective. This volume brings recent mindfulness research to classic social psychology topics such as romantic relationships, prejudice, prosocial behavior, achievement, and self-control. Written by renowned scholars in social psychology, it combines a comprehensive research overview with an in-depth analysis of the processes through which mindfulness affects people's daily life experiences. It provides theoretical and methodological guidance for researchers across disciplines and discusses fundamental processes in mindfulness, including its effect on emotion regulation, executive control, automatic and deliberative processing, and its relationship to self-construal and self-identity. This book will be of particular interest to upper-level students and researchers in social psychology, health psychology, and clinical psychology, as well as social work and psychology professionals.

The field of behavioural economics can tell us a great deal about cognitive bias and unconscious decision-making, challenging the orthodox economic model whereby consumers make rational and informed choices. But it is in the arena of health that it perhaps offers individuals and governments the most value. In this important new book, the most pernicious health issues we face today are examined through a behavioral economic lens. It provides an essential and timely overview of how this growing field of study can reframe and offer solutions to some of the biggest health issues of our age. The book opens with an overview of the core theoretical concepts, after which each chapter assesses how behavioral economic research and practice can inform public policy across a range of health issues. Including chapters on tobacco, alcohol and drug use, physical activity, dietary intake, cancer screening and sexual health, the book integrates the key insights from the field to both developed and developing nations. Also asking important ethical questions around paternalism and informed choice, this book will be essential reading for students and researchers across psychology, economics and business and management, as well as public health professionals wishing for a concise overview of the role behavioral economics can potentially play in allowing people to live healthier lives.

Meditation, says Lorin Roche, has been held captive by gurus and overly restrictive spiritual traditions for centuries. It should be one of life’s great pleasures – to be savoured like ice cream or a cold beer on a hot summer day. You don’t have to sit in an awkward position or empty your mind or relinquish desire to meditate, claims Roche. Here he offers startlingly simple techniques to wake up the senses and relax the body and mind. With this amazingly clear and reassuring guide, anyone can learn to meditate.

Everyone experiences pain, whether it's emotional or physical, chronic or acute. Pain is part of what it means to be human, and so an understanding of how we relate to it as individuals - as well as cultures and societies - is fundamental to who we are. In this important new book, the first in Routledge's new Critical Approaches to Health series, Robert Kugelmann provides an accessible and insightful overview of how the concept of pain has been understood historically, psychologically, and anthropologically. Charting changes in how, after the development of modern painkillers, pain became a problem that could be solved, the book articulates how the possibilities for living with pain have changed over the last two hundred years. Incorporating research conducted by the author himself, the book provides both a holistic conception of pain and an understanding of what it means to people experiencing it today. Including critical reflections in each chapter, Constructing Pain offers a comprehensive and enlightening treatment of an important issue to us all and will be fascinating reading for students and researchers within health psychology, healthcare, and nursing.

Sport and Exercise Science can measure many aspects of human performance but the spiritual dimensions of sport experience are less easily quantifiable. The spiritual experience of sport - be it described as 'flow', 'transcendence' or simply deep personal satisfaction - is central both to achieving success and to our basic motivation to take part in sports.

Exploring these human aspects of the sport experience through the perspectives of sport psychology, philosophy, ethics and religious studies, this valuable and broad-ranging text includes:

• introduction to Spirituality in the postmodern era
• spirituality, health and wellbeing
• theistic and atheistic perspectives on sport and the spiritual
• nature and transcendence - the mystical and sublime in outdoor sport
• sport and the Existential - applied sport psychology
• suffering and Destiny - spiritual perspectives on pain and mental toughness
• sport and the Virtues - ethical and moral development in the spirit of the game
• the Olympics - de Coubertin's religion of athletics.

Written by leading authors in the field, this groundbreaking and provocative text is likely to inspire much debate, making it the excellent choice for students of sport studies, sports coaching, sport and health psychology. It is also essential reading for those interested in the preparation, performance and wellbeing of athletes.

In those moments when focus on creative work overrides input from the outside world, we are in a creative trance. This psychologically significant altered state of consciousness is inherent in everyone. It can take the form of daydreams generating scientific or creative ideas, hyperfocus in sports, visualizations that impact entire civilizations, life-changing audience experiences, or meditations for self-transformation that may access states beyond trance, becoming gateways to transcendence. Artist and psychologist Tobi Zausner shows how creative trance not only operates in scientific inventions and works of art in all media, but is also important in creating and recreating the self. Drawing on insights from cognitive neuroscience, clinical psychology and post-materialist psychology, this book investigates the diversity of the creative trance ranging from non-industrial societies to digital urban life, and its presence in people from all backgrounds and abilities. Finally, Zausner investigates the future of trance in our rapidly changing world.

This comprehensive handbook provides community psychology approaches to addressing the key issues that impact individuals and their communities worldwide. Featuring international, interdisciplinary perspectives from leading experts, the handbook tackles critical contemporary challenges. These include climate change, immigration, educational access, healthcare, social media, wellness, community empowerment, discrimination, mental health, and many more. The chapters offer case study examples to present practical applications and to review relevant implications within diverse contexts. Throughout, the handbook considers how community psychology plays out around the world: What approaches are being used in different countries? How does political context influence the development and extension of community psychology? And what can nations learn from each other as they examine successful community psychology-based interventions? This is essential reading for researchers, students, practitioners, and policy makers involved with community well-being.

This book provides an illustrative overview of some of the key methodological and technical innovations that form the cutting edge of current research in behavioral medicine. It is divided into three sections. Part I consists of six chapters describing the impact on behavioral medicine research of novel developments in diverse areas such as molecular genetics, neuroendocrine assessment, laboratory radionuclide measurement of cardiac function, and the development of electronic event monitors for measuring compliance with medication regimens. In addition, new applications of long-available assessment techniques in clinical neuropsychology to behavioral issues in cardiovascular disease are reviewed. Part II includes four chapters which review methods and programs of research dealing with aspects of the ambulatory monitoring of moods and behavioral activities in conjunction with a variety of physiological processes and/or disease states. Finally, Part III provides two chapters which focus on novel theoretical and/or conceptual approaches--instead of the typical methodological innovations--that have guided recent research in behavioral oncology and in cardiovascular disease and the clustering syndrome of cardiovascular risk factors that relate to insulin metabolism.

This book is a clinician's guide to understanding, diagnosing, treating, and healing complex posttraumatic stress disorder (C-PTSD). C-PTSD, a diagnostic entity to be included in ICD-11 in 2022, denotes a severe form of posttraumatic stress disorder (PTSD) and is the result of prolonged and repeated interpersonal trauma. The author provides guidance on healing complex trauma through phase-oriented, multimodal, and skill-focused treatment approaches, with a core emphasis on symptom relief and functional improvement. Readers will gain familiarity with the integrative healing techniques and modalities that are currently being utilized as evidence-based treatments, including innovative multi-sensory treatments for trauma, in addition to learning more about posttraumatic growth and resilience. Each chapter of this guide navigates readers through the complicated field of treating and healing complex trauma, including how to work with clients also impacted by the shared collective trauma of COVID-19, and is illustrated by case examples. Topics explored include: Complex layered trauma Dissociation Trauma and the body The power of belief An overview of psychotherapy modalities for the treatment of complex trauma Ego state work and connecting with the inner child Turning wounds into wisdom: resilience and posttraumatic growth Vicarious trauma and professional self-care for the trauma clinician It is important for clinicians to be aware of contemporary trends in treating C-PTSD. Healing Complex Posttraumatic Stress Disorder is an essential text for mental health practitioners, clinical social workers, and other clinicians; academics; and graduate students, in addition to other professionals and students interested in C-PTSD. It is an attractive resource for an international clinical audience as we work together to heal, affirm, and unburden clients following this time of shared collective trauma.

Is happiness all down to luck? Do events in our life influence how happy we feel? Can too much of a good thing make us less happy? The Psychology of Happiness introduces readers to the variety of factors that can affect how happy we are. From our personality and feelings of self-worth, to our physical health and employment status, happiness is a subjective experience which will change throughout our lives. Although feeling happy is linked with positive thinking and our sociability in daily life, the book also includes surprising facts about the limitations of our personal happiness. We all want to feel happy in our lives, and The Psychology of Happiness shows us that achieving it can be both an accident of fortune and as a direct result of our own actions and influence.

Attitudes are evaluations of people, places, things, and ideas. They help us to navigate through a complex world. They provide guidance for decisions about which products to buy, how to travel to work, or where to go on vacation. They color our perceptions of others. Carefully crafted interventions can change attitudes and behavior. Yet, attitudes, beliefs, and behavior are often formed and changed in casual social exchanges. The mere perception that other people favor something, say, rich people, may be sufficient to make another person favor it. People's own actions also influence their attitudes, such that they adjust to be more supportive of the actions. People's belief systems even change to align with and support their preferences, which at its extreme is a form of denial for which people lack awareness. These two volumes provide authoritative, critical surveys of theory and research about attitudes, beliefs, persuasion, and behavior from key authors in these areas. The first volume covers theoretical notions about attitudes, the beliefs and behaviors to which they are linked, and the degree to which they are held outside of awareness. It also discusses motivational and cultural determinants of attitudes, influences of attitudes on behavior, and communication and persuasion. The second volume covers applications to measurement, behavior prediction, and interventions in the areas of cancer, HIV, substance use, diet, and exercise, as well as in politics, intergroup relations, aggression, migrations, advertising, accounting, education, and the environment.

This book constitutes a major new resource for professionals working with hard core smokers and their families. It is designed as a practical, clinically useful and up-to-date guide for all those in a position to intervene: mental health professionals, physicians, dentists, nurses, pharmacists and other health care professionals, clergy, human resource and employee assistance program corporate staff, and teachers and guidance counselors. New research suggests that difficult-to-treat smokers often have emotional problems adjusting to stopping smoking. Some also have psychiatric diagnoses or abuse other substances. These are factors which interfere with their efforts to quit. Because these difficulties have been poorly understood, hard-core smokers have not been provided with adequate resources and skills to overcome their addiction. These smokers are in need of increasingly comprehensive assessment and treatment. Despite massive public health education about the dangers of cigarette smoking, rates of smoking among the population are no longer declining in the United States and the success rates of clinical programs for smokers remain low. Helping the Hard-Core Smoker seeks to explain why current approaches are often inadequate and how best to help today's highly nicotine-dependent smokers who are struggling with their addiction quit.

This rich resource provides a thorough overview of current knowledge and new directions in the study of the biological, psychological, social, and cultural factors that affect health, health behavior, and illness. Chapters review the latest theories and research with an emphasis on how research is translated into behavioral medicine interventions. Featuring contributions from top researchers and rising stars in the field, authors provide a theoretical foundation; evaluate the empirical evidence; and make suggestions for future research, clinical practice, and policy. The handbook reflects the latest approaches to health psychology today, including: Emphasis throughout on the socio-cultural aspects of health, including socioeconomic status, gender, race/ethnicity, sexual orientation, and age/developmental stage A new section on emerging areas in health psychology, including behavioral genomics, military veterans' health, and digital health Coverage of prevention, interventions, and treatment in the applications section An expansion of the biopsychosocial model across several levels of analysis, including cultural, macro-social, and cellular factors Sustained emphasis on translating research into practice and policy The handbook considers the intersections of concepts (behavior change), populations (women's and sexual minority health), cultural groups (African American, Asian American, and Latino), risk and protective factors (obesity, coping), and diseases (cancer, diabetes, HIV), making it essential reading for scholars of health psychology, public health, epidemiology, and nursing. Novices to the field appreciate the accessibly written chapters, while seasoned professionals appreciate the book's deep, cutting-edge coverage.