Therapy with couples on the brink of relationship dissolution involves unique challenges. Partners present with high levels of conflict, low levels of intimate connection, disdain and discouragement, and limited patience or hope. These couples have often tried therapy without lasting success, and announce that "this is our last chance". Partners want to see evidence in the first session that the therapist can offer something new and that change is possible. Peter Fraenkel presents a practical, creative, integrative approach that combines action-and insight-oriented techniques to help last-chance couples manage conflict, modulate intense negative emotions, address power struggles, develop mutual compassion, and restore emotional intimacy and pleasurable connection. Special attention is paid to developing a collaborative therapeutic alliance when partners have little motivation for therapy or faith that it can be effective. Through engaging in "nonbinding experiments in possibility", partners can then better evaluate whether to "stay or go".

This book argues that while notions of trauma in mental health hold promise for the advancement of women's rights, the mainstreaming of trauma treatments and therapies has had mixed implications, sometimes replacing genuine social change efforts with new forms of female oppression by psychiatry. It contends that trauma interventions often represent a "business as usual" approach within psychiatry, with women being expected to comply with rigid treatment protocols, accepting the advice given by trauma "experts" that they are mentally unstable and that they must learn to manage the effects of violence in the absence of any real changes to their circumstances or resources. A critique of trauma treatment in its current form, Trauma, Women's Mental Health, and Social Justice recommends practical steps towards a socio-political perspective on trauma which passionately re-engages with feminist values and activist principles.

Hippocrates Cried offers an eye-witness account of the decline of American psychiatry by an experienced psychiatrist and researcher. Arguing that patients with mental disorders are no longer receiving the care they need, Dr. Taylor suggest that modern psychiatrists in the U.S. rely too heavily on the DSM, a diagnostic tool that fails to properly diagnose many cases of mental disorder and often neglects important conditions or symptoms. American psychiatry has come to reflect simplistic algorithms forged by pharmaceutical companies, rather than true scientific methodology. Few professionals have a working knowledge of psychopathology outside of what is outlined in the DSM, and more mental health patients are being treated by primary care physicians than ever before. Dr. Tayler creates a passionate yet scholarly account of this issue. For psychiatrists and researchers, this book is a plea for help. Combining personal vignettes and informative data, it creates a powerful illustration of a medical field in turmoil. For the general reader, Hippocrates Cried will provide a fresh perspective on an issue that rarely receives the attention it requires. This book strips American psychiatry of its modern misconceptions and seeks to save a form of medicine no longer rooted in science.

Mental health promotion strives to improve mental health through developing ways of adjusting and coping with challenges. These strategies are at the heart of human development and can strengthen social and economic outcomes, and are especially important in low to middle income countries where hardship is common, and where the emphasis has been solely on care and treatment of people with mental illness. The book provides a relevant conceptual and theoretical base for the application of health promotion in scarce resource contexts. It includes examples of evidence-based programmes across the lifespan applicable in low resource settings. Written by experts in the field of mental health promotion, this is a vital text for mental health and general public health students and practitioners as well as mental health policy makers and planners.

Intimate partner violence is a challenging problem that health professionals encounter on a daily basis. This volume thoroughly compiles the current knowledge and health science and provides a strong foundation for students, educators, clinicians, and researchers on prevention, assessment, and intervention.

This crucial volume provides a concise overview of the conceptual foundations and clinical methods underlying the rapidly emerging subspecialty of integrative mental healthcare. It discusses methods for guiding practitioners to individualized integrative strategies that address unique symptoms and circumstances for each patient and includes practical clinical techniques for developing interventions addressed at wellness, prevention, and treatment. Included among the overview: Meeting the challenges of mental illness through integrative mental health care. Evolving paradigms and their impact on mental health care Models of consciousness: How they shape understandings of normal mental functioning and mental illness Foundations of methodology in integrative mental health care Treatment planning in integrative mental health care The future of mental health care A New Paradigm for Integrative Mental Healthcare is relevant and timely for the increasing numbers of patients seeking integrative and alternative care for depressed mood, anxiety, ADHD, bipolar disorder, schizophrenia, and other mental health problems such as fatigue and chronic pain. "Patients are crying out for a more integrative approach, and this exemplary book provides the template for achieving such a vision." -Jerome Sarris, MHSc, PhD, ND "For most conventionally trained clinicians the challenge is not "does CAM work?" but "how do I integrate CAM into my clinical practice?" Lake's comprehensive approach answers this central question, enabling the clinician to plan truly integrative and effective care for the mind and body." -Leslie Korn, PhD, MPH

You've spent most of your adult life focused on the care and raising of your children, and now they're leaving. For you and for them, this major transition is often challenging in many ways. You may feel surprised at the power of your grief—a confusing mixture of sadness, hope, emptiness, fear, excitement, and other emotions all at once. This book by one of the world's most beloved grief counselors helps parents understand their normal and necessary empty nester grief. The 100 practical tips and activities are designed to help you acknowledge and express your feelings of loss, foster love and respect, and, over time, find ways to re-instill your life with meaning. Advice is also offered for nurturing a marriage or partnership through this challenging time.

This book examines how the prison environment, architecture and culture can affect mental health as well as determine both the type and delivery of mental health services. It also discusses how non-medical practices, such as peer support and prison education programs, offer the possibility of transformative practice and support. By drawing on international contributions, it furthermore demonstrates how mental health in prisons is affected by wider socio-economic and cultural factors, and how in recent years neo-liberalism has abandoned, criminalised and contained large numbers of the world's most marginalised and vulnerable populations. Overall, this collection challenges the dominant narrative of individualism by focusing instead on the relationship between structural inequalities, suffering, survival and punishment. Chapter 2 of this book is available open access under a CC BY 4.0 license via link.springer.com.

"Adapt or perish, now as ever, is Nature's inexorable imperative. " -H. G. Wells, Mind at the End of Its Tether (1946) Doctors are trained to treat people suffering from various diseases. This is the main form of their activity and usually the reason for which they selected medicine as their profession. The notion that they should become managers and engage in activi ties such as programming, calculating cost, assessing cost-benefit ratios, and thinking about pricing in accordance with the social utility of their intervention, is both foreign and abhorrent to them. They are sometimes willing to say how much they need in order to have a well-functioning service: usually they prefer to state what specific apparatus and other things they require without specifying the price of their demand. They can be persuaded to add a price tag to what they think is necessary for their work: but that was about as far as they would go, until recently. The growing emphasis on human rights over the past few decades, the greater emphasis on quality of life and the public's heightened expectations about their health led, in many industrialized countries, to a greater demand for health services. This, com bined with improved possibilities of diagnosis and treatment (at higher cost ), led to a significant increase in financial demands which made governments and health-care systems uneasy and ready to accept any solution that would stop the spiral of seem ingly endless cost augmentation."

Childhood trauma can harm children's developing brains, change how they respond to stress, and damage their immune systems so profoundly that the effects show up decades later. From trauma specialist Glenn Schiraldi, this innovative workbook provides adult readers with practical, evidence-based skills to help them heal from adverse childhood experiences (ACEs). Using the trauma-informed and resilience-building practices in this book, readers will learn to rewire their brain and replace shame, anxiety, depression, and low self-esteem with self-compassion, security, and contentment. Practical skills for healing the hidden wounds of childhood traumaWe're all a product of our childhood, and if you're like most people, you have experienced some form of childhood trauma. Adverse childhood experiences (ACEs) are at the root of nearly all mental health disorders, including depression, anxiety, panic disorder, post-traumatic stress disorder (PTSD), and attention-deficit/hyperactivity disorder (ADHD). Memories associated with ACEs imprint on a child's brain, and can manifest themselves mentally and physically throughout adulthood-even decades after the traumatic incident. So, how can you begin healing the deep wounds of ACEs and build strength and resilience?In this innovative workbook, trauma specialist Glenn Schiraldi presents practical, evidence-based skills to help you heal from ACEs. In addition to dealing with the symptoms, you'll learn to address the root cause of your suffering, change the way your brain responds to stress and the outside world, and soothe troubling memories.Using the trauma-informed and resilience-building practices in this book, you will: *Understand how toxic childhood stress is affecting your health *Rewire disturbing imprints in your brain using cutting-edge skills *Learn how to regulate stress and emotional arousal *Discover why traditional psychological approaches might not be helping *Know when and how to find the right kind of therapy Childhood trauma doesn't have to define you for the rest of your life. With this book as your guide, you will be able to make fundamental changes and replace needless suffering with self-care, security, and contentment.

This volume describes a variety of public mental health and psychosocial programs in conflict and post-conflict situations in Africa and Asia. Each chapter details the psychosocial and mental health aspects of specific conflicts and examines them within their sociopolitical and historical contexts. This volume will be of great interest to psychologists, social workers, anthropologists, historians, human rights experts, and psychiatrists working or interested in the field of psychotrauma.

Childhood adversity that is severe enough to be harmful throughout life is one of the biggest public health issues of our time, yet health care systems struggle to even acknowledge the problem. In Damaged, Dr. Robert Maunder and Dr. Jonathan Hunter call for a radical change, arguing that the medical system needs to be not only more compassionate but more effective at recognizing that trauma impacts everybody's health, from patient to practitioner. Drawing on decades of experience providing psychiatric care, Maunder and Hunter offer an open and honest window into the private world of psychotherapy. At the heart of the book is the painful yet inspiring story of Maunder's career-long work with a patient named Isaac. In unfiltered accounts of their therapy sessions, we see the many ways in which childhood trauma harms Isaac's health for the rest of his life. We also see how deeply patients can affect the doctors who care for them, and how the caring collegiality between doctors can significantly improve the medicine they practice. Damaged makes it clear that human relationships are at the core of medicine, and that a revolution in health care must start with the development of safe, respectful, and caring relationships between doctors and patients. It serves as a strong reminder that the way we care for those who suffer most reveals who we are as a society.

"Emerging adulthood" (EA) describes a developmental period between adolescence and adulthood, typically spanning ages 18-29. It's a rough time for most people-perhaps now more than ever. Emerging Adults in Therapy contains contributions from various psychologists and psychiatrists (many of whom are on the younger side) with diverse backgrounds and specialties related to EA. The book's editors, Zachary Kahn and Juliana Martinez, are both licensed psychologists in New York working predominantly with young adults in private practice. Much of the focus here is on the psychological impacts of the COVID-19 pandemic and the reckoning on racial injustice that characterise this time period. Other sections discuss theories of this age band and describe different treatment approaches specialised for young adults. This book should appeal to training and practising clinicians working with young people, as well as young adults and their parents who are interested in both the psychological challenges and therapeutic practices that can help.

Treating Violence deals with the problem of violence by mental health patients. Over the last twenty years violence by the mentally ill has grown from just a peripheral concern to dominate debate about services. Scientific studies have established beyond reasonable doubt that mental disorders lead to violence in a minority of sufferers, whilst a series of homicide inquiries brought the media spotlight to bear on the real and imagined failings of mental health services. Consequently, health services have had violence risk assessment thrust upon them by worried managers and politicians. Clinicians were bewildered by the growing number of risk scales and they felt vulnerable to criticism when things went wrong. This book provides a way out of the confusion. It summarises the evidence, critically reviews risk assessment methods, and presents a strong case for improving management through structured clinical assessment. In this provocative and controversial account, standardised risk assessment is discussed in a critical, non-technical way, with a reminder that nobody can predict the future. There is advice for the clinician on when and how to use standardised assessment, along with a strong defence of clinical methods. Topics include: research on violence, mental health, and risk prediction; the ethics of violence risk assessment; homicide inquiries in the UK, with the results of a new study reviewing their findings; a discussion of professional attitudes towards violence risk; a description of risk assessment tools and recommendations for their use; and a strong defence of structured clinical assessment as the best way of managing risk. This is a book that should be read by anybody working in front line mental health services or criminal justice. It will also be of interest to those who have read the headlines about mental illness and violence and want to know more about the facts and the controversies that lie behind them.

In recent years there has been increased recognition of the global burden of mental disorders, which in turn has led to the expansion of preventive initiatives at the community and population levels. The application of such public health approaches to mental health raises a number of important ethical questions. The aim of this collection is to address these newly emerging issues, with special attention to the principle of prevention and the distinctive ethical challenges in mental health. The collection brings together an interdisciplinary group of experts in bioethics, mental health, public health, and global health.

The COVID-19 pandemic has reshaped life across the world, placing people at risk as our responses to it alter not only health and wellbeing but also governance, economies, social relations, and our interaction with the natural environment. This volume draws globally recognized human rights scholars and practitioners into dialogue over the costs and consequences of the pandemic. With insights and data from fields as diverse as medicine, anthropology, political science, social work, business, and law, these contributors help us make sense of the pandemic's ongoing effects and its potential impact on future systems and processes. Drawn from two special issues of The Journal of Human Rights-one published within eight months of the first lockdowns, the other published almost two years into the pandemic-this book offers one of the most comprehensive collections of such research available. It will be of interest to researchers and advanced students of Politics, Sociology, Social Work, Economics, Anthropology, Social and Political Geography, and Public Policy.

This book provides a much-needed account of informal community-based approaches to working with mental distress. It starts from the premise that contemporary mainstream psychiatry and psychology struggle to capture how distress results from complex embodied arrays of social experiences that are embedded within specific historical, cultural, political and economic settings. The authors challenge mainstream understandings of mental health that position a naive public in need of mental health literacy. Instead it is clear that a considerable amount of invaluable mental distress work is undertaken in spaces in our communities that are not understood as mental health treatments. This book represents one of the first attempts to position these kinds of spaces at the center of how we understand and address problems of mental distress and suffering. The chapters draw on case studies from the UK and abroad to point toward an exciting new paradigm based on informal community and socially oriented approaches to mental health. Written in an unusually accessible and engaging style, this book will appeal to social science students, academics, practitioners and policy makers interested in community and social approaches to mental health.

'Read this book. Then talk to your sons. It is essential reading' Jamie Theakston 'An extraordinary and important book. Read it immediately' Claudia Winkleman 'Superbly written, this deeply moving book underlines how truly precious mother-daughter relationships are, and never more so than in those teenage years' Gloria Hunniford A gripping memoir of two battling narratives and a mother-daughter relationship stretched to its absolute limits. Roxy was 13 years old when she was coerced then blackmailed into sending explicit photos, which were spread around her school. The shame led to self-loathing. The blame led to a psychotic breakdown. Roxy started hearing voices. Then she started seeing things... What happens when your teenager starts to lose it, and then you lose each other? What happens when you can't tell your mother you desperately need help? And how can a family move past a devastating mental health crisis? When You Lose It is a brutally honest true story, written from two perspectives, of consent, coercion and shattering consequences.

Feelings of worthlessness. Low self-esteem. Illegitimate guilt. The inability to forgive. Bitterness and resentment. Dependency. Unhealthy relationship patterns. These battles rage within the minds of millions of people, including Christians. Although these may be mistaken as private battles, they are part of a much larger battle--the battle between Christ and Satan, the battle for our hearts and minds. Fortunately the battle is not lost. In Could It Be This Simple? A Biblical Model for Healing the Mind you'll learn about God's original ideal for the mind and His beautiful plan to restore His children back into His image. Psychiatrist Timothy R. Jennings also exposes many of Satan's subtle tactics that interfere with God's plan to heal the mind. Armed with the tools provided in this book, you can cooperate better with God to achieve emotional and mental well-being and gain real spiritual victory.

This book is invaluable to nurses and all health and social care practitioners working with people living with dementia in a variety of contexts. It presents a series of true-to-life case studies tackling the ethical and practical dilemmas of dementia care and how to use theoretical approaches to come to potential solutions. The reader is encouraged to explore evidence-based approaches to practice, based on the professional reasoning and experience of the practitioner and the emotional psychological and practical needs of the person living with dementia. Key themes running through case studies include: effective communication, person-centred practice, social citizenship, strengths-based approaches and relationship-focused support, as well as organisational culture. Each case study provides readers with opportunities to experience and discuss clinical dilemmas in a safe space with an annotated thinking-aloud framework that allows them to unpack the elements of each situation so as to develop a range of solution-focused perspectives in order to overcome barriers and deliver best practice.