The permanent effects of traumatic brain injury (TBI) are not limited to the person who suffers the injury. People who care for the individual, particularly family members, suffer in various ways. Family members are often confused as to the behavioral and neuropsychological changes that they see in a brain-injured rela tive. They can become frustrated and angry when the individual does not return to premorbid levels of functioning. They can become tired and worn down from repeated problems in trying to manage the individual's difficulties while having only fragmented information regarding them. Drs. Smith and Godfrey have provided a useful service for family members by summarizing important neuropsychological changes associated with TBI and providing practical guidelines for coping with these problems. While the neuropsychological problems they describe are not completely understood, the authors provide a useful description of many of the neuro behavioral problems seen following TBI in young adults. They attempt to provide guidelines for family members that have practical utility in understanding and managing these patients. Theirs is a cognitive-behavioral approach that can have utility for this group of individuals. I applaud their efforts to provide something systematic and practical for family members.

In this nation, in this decade, there is only one way to deal with an individual who is sick-with dignity, with compassion, care and confidentiality, and without discrimi nation. Statement made by President George Bush at the National Business Leadership Conference This book is about the care of sick human beings. It is about the heroic struggle of individuals with AIDS. It is about their daily coping in the workplace and at home; about economic problems, the loss of friendship and family support, and physical and emotional pain. But it is also about empowering them to deal with their disease, viewing them not as victims but as warriors, vital and active par ticipants in their battle against AIDS. This book is also about the social context in which HIV-infected persons and people with AIDS live. It is about how we must learn to deal with sickness in more compassionate and humanitarian ways and what we yet need to learn. It touches on the health care system that confronts those who are ill, on programs of prevention and education, and on the personal implications of broader national and local policies.

This is a practitioner's guidebook presenting steps to assessing and treating a problem that borders on health and psychology. It is an invaluable resource for psychologists, nurses, physicians, and allied health professionals and all those who deal with sufferers of chronic sleep problems.

The chapters published in this volume developed from presentations, and their associated discussions at a conference organised by the Scottish Branch of the British Psychological Society, held at Rothesay, Isle of Bute, Scotland in September 1987. The goal of the conference was to bring together workers across a wide area of neuropsychological research to discuss recent technological advances, developments in assessment and rehabilitation, and to address theoretical issues of current interest. Thus, the chapters in this book include contributions on the use of Magnetic Resonance Imaging and Single Photon Emission Computed Tomography in neuropsychological research, studies of hemi spheric specialisation and cooperation, alcoholic and Alzheimer type dementia, prosopagnosia and facial processing, the assessment, management and rehabilitation of memory problems, the assessment of premorbid intellectual status and issues in developmental neuropsychology. Many of those engaged in research and clinical practice in neuropsychology encounter a range of topic at least as wide as this in their professional lives. The opportunity for researchers and clinicians to discuss some of the key issues in the field was invaluable and we hope that readers gain as much from the material presented here as the participants did from the meeting itself."

Alcoholism: A Review of Its Characteristics, Etiology, Treatment, and Controversies provides an accurate picture of the current state of research and treatment effectiveness in the field of alcoholism. Using compelling evidence, Irving Maltzman describes how the field has been distorted by the behavior therapy approach. A distinguished experimental psychologist at the University of California, Los Angeles, Professor Maltzman has written a comprehensive, important work marked by incisive argument. Alcoholism is an excellent reference for academics as well as professionals working in addictions treatment.

This book contains the proceedings of the First International Conference on Health Hazards and Challenges in the New Working Life, held January 11-13, 1999, in Stockholm, Sweden. The globalisation of the economies has enormous implications for work and labour market structures. Demands for rapid adjustment and flexibility can be perceived as threatening to the employees' need for security and can cause ill health, but it is also important to try to foresee the possible benefits that could result and the constructive adaptations that individuals make. These changing conditions raise new issues and research questions concerning health consequences and people's actions and constructive adaptation. The interdisciplinary research conference in Stockholm on Health Hazards and Challenges in the New Working Life covered areas such as health and social consequences of unemployment, job insecurity, labour market constraints, flexibility in working conditions, and new forms of employment relations and contracts. The proceedings give an overview of the latest research results on these issues, which will be of the utmost importance to working life in the next millennium.The book presents a selection of contributions from highly qualified researchers in psychology, occupational health and sociology and covers three main sections: unemployment and downsizing, flexibilization and stress, and opportunities and constraints in the labour market. It provides an excellent summary and overview of earlier research, together with new findings about adaptation and actions among the unemployed, the effects of new and changing employment contracts upon health, and the polarization of the labour market and its exclusion of vulnerable groups.

This book advances a serious consideration of how the goals and practices of psychology can be informed and enriched by Buddhist traditions that transcend the individual to consider the interconnectedness of all things, and the responsibility we have towards the other. Individualistic and psychotherapeutic applications of Buddhism in psychology are examined, followed by a bold step into the community arena, with consideration given to the intersection between community psychology and Buddhist approaches to empowerment, social change, and prevention.

Howard J. Shaffer, Ph. D. More than 20 years ago, I first noted that young people in North America were growing up in a context of legalized gambling for their entire lifetime. By the 1980s, for young people, gambling had become an average and expectable part of the social landscape. Amid legal opportunities to gamble in all but two of the United States and with illicit opportunities to gamble in every state, gambling is now ubiquitous in America. With few social sa- tions to limit a young person's interest in gambling-like their adult co- terparts-young people now gamble in larger numbers and for seemingly higher stakes. Gradually, gambling-related problems became more visible for young people and the culture slowly but increasingly took notice. By the late 1990s, every sector of American and Canadian society had started to c- sider the effects of legalized gambling on youth. For different reasons, r- resentatives of the gambling and health care industries led the movement to prevent youthful gambling and reconcile existing problems whenever p- sible. Scientists also recognized that there was much to be learned by stu- ing young gamblers. Toward the end of the 20th century, there was a rapid increase in gambling research focusing on developmental issues; half of what is known about gambling emerged during the 1990s. This volume represents an important event in the continuing growth of a field.

This volume contains current evidence-based diagnosis and therapeutic interventions for people with mental disorders. Students and professionals alike will find the mental health field addressed as a whole in a coherent and understandable way. Readers are offered a unified presentation of psychological and sociological approaches to diagnosis and treatment.

Methodological problems have hampered researchers' efforts to understand and control AIDS since the beginning of the epidemic. This practical book addresses these problems by using actual health research case studies to develop strategies regarding design and sampling, measurement, and analysis and modeling issues. Researchers working on both biological and behavioral aspects of the disease will find this work a singularly effective tool to improve their study designs.

Promoting Reproductive Security in Developing Countries provides a comprehensive approach to developing and implementing reproductive health programs in the developing world. It fills a major gap in the literature by responding to the global need for a detailed guide to comprehensive reproductive health services. Promoting Reproductive Security in Developing Countries furnishes an innovative conceptual model - reproductive security - and offers an in-depth analysis of major reproductive health issues. The need for skilled, dedicated professionals is great. Those who choose to pursue the discipline are promised an endlessly rewarding and absorbing profession that will touch upon the most intimate aspects of life while reverberating globally. This book will be of great interest to public health professionals on both a local and global level, international policy makers, and relief workers.

Globally, action to prevent HIV spread is inadequate. Over 16,000 new infections occur every day. Yet we are not helpless in the face of disaster, as shown by the rich prevention experience analyzed in this valuable new compendium. "Best pr- tice" exists-a set of tried and tested ways of slowing the spread of HIV, of persuading and enabling people to protect themselves and others from the virus. Individually, features of best practice can be found almost everywhere. The tragedy, on a world scale, is that prevention is spotty, not comprehensive; the measures are not being applied on anywhere near the scale needed, or with the right focus or synergy. The national response may concentrate solely on sex workers, for example. Elsewhere, efforts may go into school education for the young, but ignore the risks and vulnerability of men who have sex with men. Action may be patchy geographically. AIDS prevention may not benefit from adequate commitment from all parts and sectors of society, compromising the sustainability of the response. In some countries matters are still worse-there is still hardly any action at all against AIDS and scarcely any effort to make HIV visible. It is no wonder that the epidemic is still emerging and in some places is altogether out of control.

The field of health psychology has grown dramatically in the last decade, with exciting new developments in the study of how psychological and psychosocial processes contribute to risk for and disease sequelae for a variety of medical problems. In addition, the quality and effectiveness of many of our treatments, and health promotion and disease prevention efforts, have been significantly enhanced by the contributions of health psychologists (Taylor, 1995). Unfortunately, however, much of the theo rizing in health psychology and the empirical research that derives from it continue to reflect the mainstream bias of psychology and medicine, both of which have a primary focus on white, heterosexual, middle-class American men. This bias pervades our thinking despite the demographic heterogeneity of American society (U. S. Bureau of the Census, 1992) and the substantial body of epidemiologic evidence that indicates significant group differences in health status, burden of morbidity and mortality, life expectancy, quality of life, and the risk and protective factors that con tribute to these differences in health outcomes (National Center for Health Statistics, 1994; Myers, Kagawa-Singer, Kumanyika, Lex, & M- kides, 1995). There is also substantial evidence that many of the health promotion and disease prevention efforts that have proven effective with more affluent, educated whites, on whom they were developed, may not yield comparable results when used with populations that differ by eth nicity, social class, gender, or sexual orientation (Cochran & Mays, 1991; Castro, Coe, Gutierres, & Saenz, this volume; Chesney & Nealey, this volume).

In an original and provocative study of suicide, Ian Marsh examines the historical and cultural forces that have influenced contemporary thought, practices and policy in relation to this serious public health problem. Drawing on the work of French philosopher Michel Foucault, the book tells the story of how suicide has come to be seen as first and foremost a matter of psychiatric concern. Marsh sets out to challenge the assumptions and certainties embedded in our beliefs, attitudes and practices concerning suicide and the suicidal, and the resulting account unsettles and informs in equal measure. The book will be of particular interest to researchers, professionals and students in psychology, history, sociology and the health sciences.

From the President of the Research Society on Alcoholism The sixteenth volume of Recent Developments in Alcoholism contains the latest information on the field of alcoholism treatment research. This scholarly volume includes comprehensive reviews of the methodologies available to evaluate treatment outcome, state-of-the art psychosocial interventions, and recent advances in pharmacological adjuncts to treatment that are currently available and those on the brink of application. Other sections of the book address special issues in the treatment of alcohol dependence, including the treatment of the adolescents and other unique populations, the management of tobacco dependence, and the role of spirituality in recovery, among others. The clinician will find these reviews an important resource for learning about e- dence based treatments for alcoholism, and the researcher will find the synt- sis of recent developments informative and forward looking. The research agenda for the future rests soundly on the progress to date and additional advances in the treatment of alcoholism can be predicted in the near future. Stephanie O'Malley, Ph. D. President, Research Society on Alcoholism xi Preface From the President of the American Society of Addiction Medicine This excellent volume presents investigations covering a wide spectrum of scientific issues. It is also evident that many of these articles have clinical s- nificance, ranging from assessments of disorder, monitoring clinical progress, and behavioral and pharmacological interventions.

This book is a contribution to the understanding of psychosomatic health problems. Inspired by the work of the French phenomenologist Maurice Merleau-Ponty, a phenomenological theory of psychosomatics is worked out as an alternative to traditional, biomedical thinking. The patient who presents somatic symptoms with no clearly discernible lesion or dysfunction presents a problem to the traditional health care system. These symptoms are medically unexplainable, constituting an anomaly for the materialistic understanding of ill health that underlies the practice of modern medicine. The traditional biomedical model is not appropriate for understanding a number of health issues that we call "psychosomatic" and for this reason, biomedical theory and practice must be complemented by another theoretical understanding in order to adequately grasp the psychosomatic problematic. This book establishes a complementary understanding of psychosomatic ill health in terms of a non-reductionistic model allowing for the (psychosomatic) expression of the lived body. A thorough presentation of the work Merleau-Ponty is followed by the author's application of his thinking to the phenomenon of psychosomatic pathology.

This book reflects cutting-edge science that has only recently become available. It is a comprehensive assortment of new approaches to HIV prevention. It describes a set of prevention strategies that do not solely rely on male condoms, including: the use of HIV antibody testing and 'negotiated safety', abstinence, control of sexually transmitted diseases, treatment advances as prevention, and psychopharmacology to assist with behavior change. It is of interest to HIV prevention scientists, health psychologists, health educators, and public health workers in the communities at risk.

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.

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.

The goal of this book is to present the characteristics and underlying assumptions of the behavioral assessment paradigm and to show how they affect the strategies of behavioral assessment. Although all of the concepts and strategies discussed in this book are applicable in the research, this book focuses on the use of behavioral assessment to guide clinical judgments.

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.

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.