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The body's intelligence is largely an untapped resource in psychotherapy, yet the story told by the "somatic narrative"-- gesture, posture, prosody, facial expressions, eye gaze, and movement -- is arguably more significant than the story told by the words. The language of the body communicates implicit meanings and reveals the legacy of trauma and of early or forgotten dynamics with attachment figures. To omit the body as a target of therapeutic action is an unfortunate oversight that deprives clients of a vital avenue of self-knowledge and change. Written for therapists and clients to explore together in therapy, this book is a practical guide to the language of the body. It begins with a section that orients therapists and clients to the volume and how to use it, followed by an overview of the role of the brain and the use of mindfulness. The last three sections are organized according to a phase approach to therapy, focusing first on developing personal resources, particularly somatic ones; second on utilizing a bottom-up, somatic approach to memory; and third on exploring the impact of attachment on procedural learning, emotional biases, and cognitive distortions. Each chapter is accompanied by a guide to help therapists apply the chapter's teachings in clinical practice and by worksheets to help clients integrate the material on a personal level. The concepts, interventions, and worksheets introduced in this book are designed as an adjunct to, and in support of, other methods of treatment rather than as a stand-alone treatment or manualized approach. By drawing on the therapeutic relationship and adjusting interventions to the particular needs of each client, thoughtful attention to what is being spoken beneath the words through the body can heighten the intimacy of the therapist/client journey and help change take place more easily in the hidden recesses of the self.
View the Table of Contents. Read the Introduction.
aStirring firsthand account of the SSRI wars. . . . Healy is a
distinguished research and practicing psychiatrist, university
professor, frequent expert witness, former secretary of the British
Association for Psychopharmacology, and author of three books in
the field. Instead of shrinking from commercial involvement, he has
consulted for, run clinical trials for, and at times even testified
for most of the major drug firms. But when he pressed for answers
to awkward questions about side effects, he personally felt Big
Pharma's power to bring about a closing of ranks against
troublemakers. That experience among others has left him well
prepared to puncture any illusions about the companies' benevolence
"A compelling story about mystery, deception, death,
disappointment, vindication, and uncertainty."
"Healy confirms his status as one longtime thorn in the side of
big drug companies, recounting how he was initially enthusiastic
about SSRIs but eventually grew concerned about their side
"Physicians should be aware of Let Them Eat Prozac."
"Let Them Eat Prozac is a double-pronged exploration, first of
the SSRI drugs used to treat depression, and second of the drug
"Ultimately, the book is about science, society and the power
and misuse of commercial promotion. . . . His investigation is
"This very important book will demonstrate beyond your worst
dreams that the commercial needs of Big Pharma are the natural-born
enemyof independent scientific research."
"Healy presents technical matters clearly. This book could not
be more timely."
"Let Them Eat Prozac is an interesting history. It asks some
stimulating and challenging questions, which are still in need of
better and more constructive answers."
"In a flood of academic publications and talks, David Healy has
issued harsh criticisms of both the pharmaceutical industry in
general and the nearly $20-billion-dollar-a-year antidepressant
industry in particular."
"Healy does raise some timely issues."
"Dr. Healy's tenacity in fighting for what he believes in is
"[Healy is] the leading authority on the history of
aAn alarming book. . . . The most disturbing part of the story
Healy tells is not merely about the risks of SSRIs but about the
efforts of the pharmaceutical industry to make sure those risks
were not uncovered.a
"In his timely new book, Healy draws on his extensive experience
in antidepressant studies and involvement in legal actions against
drug manufacturers. . . . Healy has the advantage of access to
internal pharmaceutical industry documents and makes a strong
"The author is an excellent historian who offers a gripping
interpretation of the role of the pharmaco-industrial complex in
the introduction of SSRIs. His recommendation for a funded agency
that would carefully evaluate the benefits and harms of marketed
drugs is a superb idea andmuch needed."
"Healy exposes the massive fraud and deception in the production
and marketing of antidepressant drugs, the selevtive serotonin
reuptake inhibitors (SSRIs)."
Prozac. Paxil. Zoloft. Turn on your television and you are likely to see a commercial for one of the many selective serotonin reuptake inhibitors (SSRIs) on the market. We hear a lot about them, but do we really understand how these drugs work and what risks are involved for anyone who uses them?
Let Them Eat Prozac explores the history of SSRIs--from their early development to their latest marketing campaigns--and the controversies that surround them. Initially, they seemed like wonder drugs for those with mild to moderate depression. When Prozac was released in the late 1980s, David Healy was among the psychiatrists who prescribed it. But he soon observed that some of these patients became agitated and even attempted suicide. Could the new wonder drug actually be making patients worse?
Healy draws on his own research and expertise to demonstrate the potential hazards associated with these drugs. He intersperses case histories with insider accounts of the research leading to the development and approval of SSRIs as a treatment for depression. Let Them Eat Prozac clearly demonstrates that the problems go much deeper than a side-effect of a particular drug. The pharmaceutical industry would like us to believe that SSRIs can safely treat depression, anxiety, and a host of other mental problems. But, as Let Them Eat Prozac reveals, this "cure" may be worse than the disease.
This is the first critical edition and translation of the first Islamic medical work on fevers. Zad almusafir is perhaps the most influential handbook in the history of medical science, and Gerrit Bos's provides invaluable insight into the medical theory of Book Seven.
This book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Advances in medical technology, ageing societies worldwide, and their increased demands on health care systems have, on the one hand, led to better care and remarkable longevity in many parts of the world. On the other hand, however, improved treatments in many medical fields, amongst others in emergency and critical care, have resulted in more patients surviving with reduced quality of life. This entails tradeoffs for many patients, their families, and the teams caring for them. At the same time, health care expenditures have risen dramatically and have to be balanced against costs for other public goods. Finally, the humane aspects of care have often failed to keep pace with the remarkable technological strides made in recent years. In this book, experts in their respective fields describe compelling ethical challenges resulting from these discrepancies and discuss potential solutions. The book is primarily intended for clinicians who care for two of the most vulnerable patient subpopulations - those being treated in ambulances or emergency rooms, and those being treated at intensive care units - due in part to the fact that they may be temporarily or permanently incapacitated. Core medical skills, such as diagnosis and predicting outcomes, as well as implementing treatment, remain challenging. However, without adequate communication and collaboration both within the inter-professional treatment teams and between the teams and the patients/their families, delivering excellent care is difficult at best. Therefore, the so-called "soft skills" are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill.
Keeping children bodies, minds and emotions on task just got easier with this new book from self-regulation expert Teresa Garland. Featuring more than 200 practical and proven interventions, strategies and adaptation for helping children gain more control over their lives. Each chapter provides rich background and theoretical material to help the reader better understand the issues our children face.
* Basic and advanced methods to calm a child and to preventing outbursts and melt-downs
* Interventions to help with attention problems, impulse control, distractibility and the ability to sit still
* Stories and video-modeling for autism, along with techniques to quell repetitive behaviors
* Sensory strategies for sensitivity and craving
* Behavioral and sensory approaches to picky eating
* Ways to increase organization skills using technology and apps
* Strategies for managing strong emotions as well as techniques for releasing them
The International Handbook of Art Therapy in Palliative and Bereavement Care offers a multicultural and international perspective on how art therapy can be of help to individuals, groups, families, communities, and nations facing death and dying as well as grief and loss. Over 50 art therapists from around the world write about the transforming power of art therapy in the lives of those facing terminal illness, dementia, loss, and grief. They offer practical descriptions and techniques for working with adults and children to guide professionals, including those new to using art therapy and creative approaches in end-of-life care services. This international handbook is essential reading for arts therapists, social workers, medical personnel, faith leaders, and psychologists interested in a collaborative and accessible approach to working with patients and families affected by loss.
This book offers detailed guidance on the use of imaging in the context of bariatric surgery. After a summary of the types of surgical intervention, the role of imaging prior to and after surgery is explained, covering both the normal patient and the patient with complications. The most common pathologic features that may be encountered in daily practice are identified and illustrated, and in addition the treatment of complications by means of interventional radiology and endoscopy is described. The authors are acknowledged international experts in the field, and the text is supported by surgical graphs and flow charts as well as numerous images. Overweight and obesity are very common problems estimated to affect nearly 30% of the world's population; nowadays, bariatric surgery is a safe and effective treatment option for people with severe obesity. The increasing incidence of bariatric surgery procedures makes it imperative that practitioners have a sound knowledge of the imaging appearances of postoperative anatomy and potential complications, and the book has been specifically designed to address the lack of knowledge in this area.
Presenting couple-based interventions uniquely tailored to the mental health needs of military and veteran couples and families, this book is current, practical, and authoritative. Chapters describe evidence-based interventions for specific disorders -- such as posttraumatic stress, depression, and substance abuse -- and related clinical challenges, including physical aggression, infidelity, bereavement, and parenting concerns. Clear guidelines for assessment and treatment are illustrated with helpful case examples; 18 reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size. The book also provides essential knowledge on the culture of military families and the normative transitions and adjustments they face.
The Danish Bestseller Now Available in English Dr Pia Callesen presents the first practical book on metacognitive therapy, a groundbreaking new treatment proven to stop depression in its tracks. Many of us struggle with overthinking. We endlessly analyse what we've said and done or the decisions we have to make. Rarely does this treat the stresses of our lives. Often we become overwhelmed; we end up feeling powerless, spiralling into sadness and even depression. Live More Think Less presents a radical strategy to take back control of our thinking processes. From training our attention to leaving our negative trigger-thoughts on the conveyor belt, the book guides us towards living better through mastering the attention we pay to our thoughts and how we act upon them. Depression and sadness are something we all have the power to overcome.
A practical and colourful introductory guide, Endodontology at a Glance covers all the essential topics (diagnosis, endodontic therapy, pain management and outcome of treatment) as well as the recent developments that comprise the field of endodontology. Written by experts in the field, the book explores the causes and sequelae of endodontic disease and offers suggestions for taking an effective patient history. New addition to the At a Glance series covering a core area of dentistry Review style makes for the ideal revision companion Includes access to a companion website with MCQs for self-assessment and downloadable images for use in teaching
The range of learning difficulties associated with children who have fetal alcohol spectrum disorders (FASDs) has been highlighted as an emerging but little understood area of Special Educational Needs. This engaging, timely, and highly practical book will raise awareness about FASDs and their associated difficulties across the entire education workforce. It provides a range of specialist, practical tried-and-tested teaching and learning strategies, from which teachers and support staff may construct personalised learning plans for students with FASDs, and will help improve outcomes for all their children. It also: explains the impact that FASDs can have on the child's brain; discusses the overlapping and co-existing disorders, such as ADHD and autism spectrum disorders; shows how to support and empower teachers; provides ready-to-use teaching resources and strategies that can be used directly in the classroom. Informed by the very latest research and written by leading experts in the field, Educating Children and Young People with Fetal Alcohol Spectrum Disorders will prove invaluable for experienced teachers and teaching assistants who are engaging in Continuing Professional Development, as well as newly qualified and training Initial Teacher Training students.
Reinforce your understanding of complex pathophysiology subjects! Developed and updated by learning experts, Pathophysiology Online for Understanding Pathophysiology, 8th Edition is a collection of 20 online modules that complement the McCance Pathophysiology: The Biologic Basis for Disease in Adults and Children textbook. This unique online course uses animations, interactive activities, case studies, online testing, open discussion boards, and various multimedia learning aids to make the process of mastering textbook material fun and engaging. Duration for access to this product is for the life of the edition. More than 80 specially created, narrated animations help you to visualize some of the most complex pathophysiologic processes. Module pre-tests help you test your knowledge of normal structure and function before alternations in function are introduced. Immediate feedback on activities and assignments throughout help to reinforce learning and encourage subject mastery. 20 complete modules supplement the textbook and provide experience with application of the material with online activities, animation, interactivity. Module Exams measure your progress as soon as you're completed. Case studies throughout encourage development of critical thinking skills and application of knowledge about pathophysiology to real-world situations. Rationales for all pre-tests and exams make it easy for you to understand the nature of both correct and incorrect answers. Over 600 images including figures, charts and diagrams keep you engaged and strengthen your understanding of the material. Narrated algorithms describe complex health and disease processes to help you visualize how reactions progress and interact. Guided Reading Assignments make learning and review more effective by allowing you to focus on the most vital content. Outlines for each module provide a complete overview of content to help you quickly and conveniently navigate through the course. Clear objectives highlight the most important material for each module. Further Exploration sections help you review and strengthen your understanding of the content before moving on. NEW! More than 20 new animations help to visually engage you throughout the course. NEW! Thoroughly updated to reflect content from the main text.
In recent decades we have come to realize that the microbial world is hugely diverse, and can be found in the most extreme environments. Fungi, single-celled protists, bacteria, archaea, and the vast array of viruses and sub-viral particles far outnumber plants and animals. Microbes, we now know, play a critical role in ecosystems, in the chemistry of atmosphere and oceans, and within our bodies. The field of microbiology, armed with new techniques from molecular biology, is now one of the most vibrant in the life sciences. In this Very Short Introduction Nicholas P. Money explores not only the traditional methods of microscopy and laboratory culture but also the modern techniques of genetic detection and DNA sequencing, genomic analysis, and genetic manipulation. In turn he demonstrates how advances in microbiology have had a tremendous impact on the areas of medicine, agriculture, and biotechnology. ABOUT THE SERIES: The Very Short Introductions series from Oxford University Press contains hundreds of titles in almost every subject area. These pocket-sized books are the perfect way to get ahead in a new subject quickly. Our expert authors combine facts, analysis, perspective, new ideas, and enthusiasm to make interesting and challenging topics highly readable.
Delays in recognising deterioration or inappropriate management of people in acute care settings can result in late treatment, avoidable admissions to intensive care units and in some instances unnecessary deaths. As the role of the nurse in healthcare settings continues to change and evolve, today's student nurses need to be equipped with the fundamental skills to recognise and manage deterioration in the patient in a competent and confident manner, as you learn to become practitioners of the future. Using a body systems approach and emphasising the central role and function of the nurse throughout, this book provides a comprehensive overview of the essential issues in this important subject. Topics covered include: recognition and identification of physiological deterioration in adults; identification of disordered physiology that may lead to a medical emergency linked to deterioration of normal function; relevant anatomy and physiology; pathophysiological changes and actions that need to be taken; immediate recognition and response; investigations, diagnosis and management issues; and teaching and preventative strategies.
This treatise aims to fill up the lacuna and to contribute significantly to the dissemination of knowledge about the indication/contraindication, mechanism of action, ethical use, side-effects and various other facets related to topical corticosteroid. Topical corticosteroids (TC) have greatly enhanced dermatologists' ability to effectively treat several difficult dermatoses. The available range of formulations and potencies allows them to flexibly treat all groups of patients, different phases of disease, and different anatomic sites. Improper/incomplete knowledge about topical corticosteroids' mechanism of action, indications, classifications, and contraindications has produced a rapid rise in the incidence of improper use of these drugs, which could potentially bring disrepute to this entire group of amazing drugs. Responsibility for disseminating proper knowledge regarding when, where, and how to use TC both to internists and patients primarily rests with dermatologists. In this regard, the benefits of rational and ethical use and the potential harm of overuse and misuse for nonmedical, especially cosmetic purposes, should be clearly conveyed before prescribing TC.
Mitochondria produce the chemical energy necessary for eukaryotic cell functions; hence mitochondria are an essential component of health, playing roles in both disease and aging. More than 80 human diseases and syndromes are associated with mitochondrial dysfunction; this book focuses upon diseases linked to these ubiquitous organelles. Accumulation of mitochondrial DNA damage results in mitochondrial dysfunction through two main pathways. Mutation in mitochondrial DNA causes diseases such as Kearns-Sayre syndrome and Pearson syndrome. Mutation in chromosomal DNA causes diseases such as Parkinson's disease and schizophrenia. These and many other diseases are reviewed in this book. Key Features Presents the detailed structure of mitochondria, mitochondrial function, roles of oxidants and antioxidants in mitochondrial dysfunction. Includes summary of both causes and effects of these diseases. Discusses current and potential future therapies for mitochondrial dysfunction diseases Explores a wide variety of diseases caused by dysfunctional mitochondria.
Nearly one million people take their own lives each year world-wide - however, contrary to popular belief, suicide can be prevented. While suicide is commonly thought to be an understandable reaction to severe stress, it is actually an abnormal reaction to regular situations. Something more than unbearable stress is needed to explain suicide, and neuroscience shows what this is, how it is caused and how it can be treated. Professor Kees van Heeringen describes findings from neuroscientific research on suicide, using various approaches from population genetics to brain imaging. Compelling evidence is reviewed that shows how and why genetic characteristics or early traumatic experiences may lead to a specific predisposition that makes people vulnerable to triggering life events. Neuroscientific studies are yielding results that provide insight into how the risk of suicide may develop; ultimately demonstrating how suicide can be prevented.
This is the second edition of the book that sparked the current wave of interest in schema therapy. Although schema therapy was originally developed by Jeff Young in the USA, it was not until unprecedented outcome data was published from pioneering Dutch clinical trials with BPD patients that the clinical CBT community took serious notice. Schema therapy has now become one of the most popular forms of contemporary CBT. It has parallels to the 'third wave' of contextual behavioural science in that it develops traditional CBT in new directions, but while contextual behavioural science priorities behavioural techniques based on acceptance and mindfulness, schema therapy is more cognitive and draws on elements of experiential learning, object relations and psychodynamic therapy in addition to traditional CBT. The first edition of this book has sold more than 3,000 copies at a steady rate of around 500 units per year since 2009.
Comprised exclusively of clinical cases covering the management of injuries to the biceps tendon and superior labrum, this concise, practical casebook will provide clinicians in orthopedics and sports medicine with the best real-world strategies to properly diagnose and treat the various types of injuries they may encounter. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls and pitfalls. Cases included illustrate different surgical management strategies for acute and chronic biceps tendon ruptures, anterior shoulder pain, subscapularis tears, proximal tenodesis, synovial chondromatosis and SLAP lesions type 1 through 4. Pragmatic and reader-friendly, The Biceps and Superior Labrum Complex: A Clinical Casebook will be an excellent resource for orthopedic surgeons, sports medicine practitioners and physical therapists alike.
A groundbreaking examination of addiction from a psychiatrist and public health doctor, offering practical, proven solutions for individuals, families, and communities dealing with substance use and abuse. Written with warmth, accessibility, and vast authority, The Addiction Solution is a practical guide through the world of drug use and abuse and addiction treatment. Here, Lloyd I. Sederer, MD, brings together scientific and clinical knowledge, policy suggestions, and case studies to describe our current drug crisis and establish a clear path forward to recovery and health. In a time when so many people are affected by the addiction epidemic, when 142 people die of overdoses every day in the United States, principally from opioids, Sederer's decades of wisdom and clinical experience are needed more than ever before. With a timely focus on opioids, Sederer takes us through the proven essentials of addiction treatment and explains why so many of our current policies, like the lingering remnants of the War on Drugs, fail to help drug users, their families, and their wider communities. He identifies a key insight, often overlooked in popular and professional writing about addiction and its treatment: namely, that people who use drugs do so to meet specific needs, and that drugs may be the best solution those people currently have. Writing with generosity and empathy about the many Americans who use illicit and prescribed substances, Sederer lays out specific, evidence-based, researched solutions to the prevention and problems of drug use, including exercise, medications, therapy, recovery programs, and community services. In this challenging time, The Addiction Solution provides practical help, comfort, and hope.
DDP is an attachment-focused treatment for children and adolescents who experience abuse and neglect and who are now living in stable foster and adoptive families. Its central interventions are influenced by enhanced knowledge about the structure and functions of the brain, as well as the latest findings regarding developmental trauma and the related attachment problems it brings.
The book aims to establish a critical dialogue between sports ethicists and bioethicists across the range of sporting disciplines at elite level. It will address questions such as: are the increasingly intrusive testing methods of elite sports compatible with the right to autonomy and privacy granted to patients in general medicine? could there be a moral obligation to correct injustices produced by the genetic lottery? how should the goals of sports medicine be viewed from the perspective of rationing scarce health care resources? This book was published as a special issue in Sport, Ethics and Philosophy.
Science and technology have brought about profound changes in the way medicine is practiced. These developments save more lives, but can have a negative impact on psyches and relationships. Thoroughly examining the way medicine is practised in the 21st century, this ground-breaking new book emphasizes the interpersonal, subjective and unconscious processes. It provides important and useful insights into the many ways patients, families and medical practitioners are affected by modern medicine. A Psychodynamic Understanding of Modern Medicine offers profound ways to understand these issues in all their complexity and depth, and demonstrates ways to effectively manage difficulties by drawing on psychoanalytic principles. In so doing, the book directly addresses topics rarely covered from a psychological perspective, such as organ donation, assisted suicide requests, impaired mobility, assisted reproduction, elder abuse, placebos, dialysis units, NICU, general hospital setting, provider-patient relationship and family dynamics with chronic illness. The book is highly recommended to all who are involved with modern medicine. Medical practitioners will have a better means of understanding psychological and interpersonal problems that present themselves in various medical settings. Psychologists and psychiatrists will be more able to intervene when problems occur, including when they involve the interaction between practitioner and patient or family. It is also illuminating reading for students with an interest in medical anthropology, and social and narrative medicine, and for nurses and medical social workers.
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