A wide range of distinguished scientists and clinicians discuss the nature of change in the therapeutic process. Jaak Panksepp, Ian McGilchrist, Ruth Lanius, Francine Shapiro, and other luminaries offer readers a powerful journey through mindful awareness, neural integration, affective neuroscience, and therapeutic presence to reveal the transformational nature of therapy. Healing Moments in Psychotherapy dives deep into the art and science of healing from the perspective of a variety of clinical approaches and scientific viewpoints, including interpersonal neurobiology. Through the voices of a dozen clinicians and scientists presenting their combined experiences and wisdom, it serves as a window into the process of healing. Practical examples and empowering research data support the ways in which therapeutic relationships can help catalyze health and restore wellness within psychotherapy.

This book provides the latest recommendations for ultrasound examination of the entire urogenital system, particularly in the male. The coverage encompasses the role of ultrasound in imaging of disorders of the kidneys, urinary tract, prostate, seminal vesicles, bladder, testes, and penis, including male infertility disorders. In addition, detailed consideration is given to intraoperative and interventional ultrasound and recently developed ultrasound techniques. Each chapter defines the purpose of and indications for ultrasound, identifies its benefits and limitations, specifies the technological standards for devices, outlines performance of the investigation, establishes the expected accuracy for differential diagnosis, and indicates the reporting method. Most of the recommendations are based on review of the literature, on previous recommendations, and on the opinions of the experts of the Imaging Working Group of the Italian Society of Urology (SIU) and the Italian Society of Ultrasound in Urology, Andrology, and Nephrology (SIEUN). The book will be of value for all physicians involved in the first-line evaluation of diseases of the renal/urinary system and male genital disorders.

Although many radiation protection scientists and engineers use dose coefficients, few know the origin of those dose coefficients. This is the first book in over 40 years to address the topic of radiation protection dosimetry in intimate detail. Advanced Radiation Protection Dosimetry covers all methods used in radiation protection dosimetry, including advanced external and internal radiation dosimetry concepts and regulatory applications. This book is an ideal reference for both scientists and practitioners in radiation protection and students in graduate health physics and medical physics courses. Features: A much-needed book filling a gap in the market in a rapidly expanding area Contains the history, evolution, and the most up-to-date computational dosimetry models Authored and edited by internationally recognized authorities and subject area specialists Interrogates both the origins and methodologies of dose coefficient calculation Incorporates the latest international guidance for radiation dosimetry and protection

In the last decade and a half, great progress has been made in the development of concepts and models for mixture toxicity, both in human and environmental toxicology. However, due to their different protection goals, developments have often progressed in parallel but with little integration. Arguably the first book to clearly link ecotoxicology and classic human toxicology, Mixture Toxicity: Linking Approaches from Ecological and Human Toxicology incorporates extensive reviews of exposure to toxicants, toxicokinetics and toxicodynamics, toxicity of mixtures, and risk assessment. The book examines developments in both fields, compares and contrasts their current state of the art, and identifies where one field can learn from the other. Each chapter provides an essential overview of the state of the art in both human and ecotoxicological mixture risk assessment, focusing on the work published in the last fifteen years. The coverage progresses from exposure to risk assessment, at each step identifying the special complications typically raised by mixtures. Based on in-depth discussions among specialists representing different disciplines and approaches, the chapters each address: Exposure - how to quantify the amounts of chemicals that may enter the living organism Kinetics, dynamics, and metabolism - how the chemicals enter an organism, travel within the organism, how they are metabolized and reach the target site, and explain development of toxicity with time Toxicity - what are the chemicals' detrimental effects on the organism Test design and complex mixture characterization - how chemicals interact, how to measure effects of mixtures, and how to identify responsible chemicals Risk assessment - how to assess for risks in humans and the environment An unusual combination of different points of view on exposure to and risk assessment of chemical mixtures, this book summarizes current knowledge on combined effects of toxicant mixtures, information that is generally only available in a very fragmented form as individual journal papers. It identifies possible crosslinks and includes recommendations for mutual developments that can improve the state of knowledge on mixture toxicity and ultimately lead to better and more integrated risk assessment.

An essential reference text, the fifth edition of this popular book details drugs in anaesthesia and intensive care in an A-Z format. The book describes the pharmacokinetics and pharmacodynamics of all the drugs commonly used by anaesthetists. The A-Z organisation allows rapid access to specific information on the properties and characteristics of almost 200 drugs. The new edition includes a complete revision of all the featured drugs, and the addition of key new drugs. New diagrams of particular drug structures and comparison tables aid comparison of differences within a drug class for exam revision. Improved navigation in the index enables prompt discoverability of information. Written in a concise, bullet-point style to allow quick access to information, the book contains all necessary drug references for anaesthetists in training, consultant anaesthetists, intensive care nurses, and anaesthetic assistants.

This volume provides a single-source of reviews for all the important colloidal drug delivery systems, including nanoparticles, liposomes, niosomes, microemulsions and ointments. Over 1000 bibliographic citations, as well as tables, drawings, equations and photographs, are provided. Arranged in order of increasing physical complexity, this work analyzes developments in the field.

This book highlights the important role free fatty acids (FFA) play as potential drug targets. While FFA have long been considered byproducts of cell metabolism, they are now recognized as ligands that regulate cell and tissue function via G-protein-coupled receptors. At least three receptors have been identified for which FFA appear to be the endogenous ligands.

Those who have experienced a traumatic event and are having trouble moving past feelings of fear, shame and guilt, or helplessness may be diagnosed with Posttraumatic Stress Disorder (PTSD). Reclaiming Your Life from a Traumatic Experience: A Prolonged Exposure Treatment Program can help readers to overcome and reclaim their lives from PTSD. Best used in combination with treatment by a mental health professional, the second edition of this Workbook, along with the accompanying Therapist Guide, will help readers work through PTSD regardless of the type of trauma experienced-be it a motor vehicle accident, physical or sexual assault, or combat-related event. The program outlined in this book will reduce anxiety and distress, teaching readers to face memories of trauma while processing their emotions about the event using a scientifically tested and proven technique called Prolonged Exposure Therapy. Instead of avoiding or escaping situations that provoke anxiety and other negative emotions, readers will learn how to reevaluate feelings and beliefs to think differently about their traumatic experiences. Complete with information on PTSD, as well as case examples, self-assessment tools, and homework assignments, Reclaiming Your Life from a Traumatic Experience is an invaluable tool on the road to recovery from PTSD.

This book provides a comprehensive introduction to physiologic anchorage control, explains the implications for clinical practice, and presents an anchorage technique applicable for the treatment of different malocclusions. The concept of physiologic anchorage control is derived from observations of upper molar movement during growth in adolescence, including in the absence of orthodontic treatment, which indicate that molar forward displacement comprises two components: the first due to biologic force or physiologic anchorage loss and the second due to orthodontic force or mechanical anchorage loss. All previous anchorage methods have been based on the assumption that molar anchorage loss is to be attributed solely to the mechanical force used to retract anterior teeth, and the new concept represents a paradigm shift of clinical significance. This book explores the pattern of upper molar growth in depth, highlights the physiologic significance of the curve of Spee, and analyzes the biomechanics of physiologic anchorage control. An anchorage control system that fully takes into account the latest conceptual insights is described and its clinical use and utility, examined.

Featuring in-depth case presentations from master clinicians, this volume highlights the remarkable capacity of traumatized children to guide their own healing process. The book describes what posttraumatic play looks like and how it can foster resilience and coping. Demonstrated are applications of play, art, and other expressive therapies with children who have faced such overwhelming experiences as sexual abuse or chronic neglect. The contributors discuss ways to facilitate forms of expression that promote mastery and growth, as well as how to intervene when play becomes stuck in destructive patterns. They share effective strategies for engaging hard-to-reach children and building trusting therapeutic relationships.

This is the first comprehensive textbook on the use of MRI in psychiatry covering imaging techniques, brain systems and a review of findings in different psychiatric disorders. The book is divided into three sections, the first of which covers in detail all the major MRI-based methodological approaches available today, including fMRI, EEG-fMRI, DTI, and MR spectroscopy. In addition, the role of MRI in imaging genetics and combined brain stimulation and imaging is carefully explained. The second section provides an overview of the different brain systems that are relevant for psychiatric disorders, including the systems for perception, emotion, cognition, and reward. The final part of the book presents the MRI findings that are obtained in all the major psychiatric disorders using the previously discussed techniques. Numerous carefully chosen images support the informative text, making this an ideal reference work for all practitioners and trainees with an interest in this flourishing field.

This book provides an overview of our current understanding of the pathogenesis of the plasma cell neoplasms and comprehensively updates the reader on the laboratory techniques used in the diagnosis and prognostication of these malignancies as well as for monitoring response to therapy. Plasma Cell Neoplasms: Pathogenesis, Diagnosis and Laboratory Evaluation will be of great value to those medical professionals directly involved in the evaluation and diagnosis of clinical materials from patients with plasma cell neoplasms, including surgical pathologists, hematopathologists, and clinical pathologists.

This second edition presents the first update on a consensus process during which all evidence from the literature with a survival benefit in the perioperative period was gathered, and in which 500 physicians from 61 countries worked to confirm the findings. Perioperative morbidity and mortality currently represent a public health problem, as mortality alone is 1-4% in Western countries. Surprisingly, randomized evidence of survival benefit in the perioperative period is available for only 12 topics, while two drugs have been demonstrated to increase mortality. This book offers a complete description of each topic with updated evidence from the literature. Each chapter deals with a specific drug or technique and is structured into the following: background knowledge, main evidence from the literature, and a practical how-to section. Lastly, the book describes in detail the consensus process used, which served to reinforce the systematic review and which is currently being used and improved in other settings with growing success. Written by respected international experts, Reducing Mortality in the Perioperative Period, 2nd ed. will be of interest to a wide variety of specialists, including anesthesiologists, intensivists, surgeons and cardiologists.

Interpreting an ECG correctly and working out what to do next can seem like a daunting task to the non-specialist, yet it is a skill that will be invaluable to any doctor, nurse or paramedic when evaluating the condition of a patient. Making Sense of the ECG has been written specifically with this in mind, and will help the student and more experienced healthcare practitioner to identify and answer crucial questions. This popular, easy-to-read and easy-to-remember guide to the ECG as a tool for diagnosis and management has been fully updated in its fifth edition to reflect the latest guidelines.

A time-saving resource, fully revised to meet the changing needs of mental health professionals The Complete Adult Psychotherapy Treatment Planner, Fifth Edition provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal agencies. * New edition features empirically supported, evidence-based treatment interventions including anger control problems, low self-esteem, phobias, and social anxiety * Organized around 43 behaviorally based presenting problems, including depression, intimate relationship conflicts, chronic pain, anxiety, substance use, borderline personality, and more * Over 1,000 prewritten treatment goals, objectives, and interventions plus space to record your own treatment plan options * Easy-to-use reference format helps locate treatment plan components by behavioral problem or DSM-5 diagnosis * Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies including CARF, The Joint Commission (TJC), COA, and the NCQA

Therapists play a crucial role in helping children and their families as they navigate the often stormy course of living with autism spectrum disorders (ASD). As cases of autism are increasingly diagnosed, the number of therapists with specialized training cannot keep pace. What is the clinician without prior experience with this disability to do when considering working with a child on the autism spectrum? This start here book a practical beginner s guide to ASD for therapists provides the answer. Without getting bogged down in the complexity of the disorder or attempting to turn practitioners into autism specialists, it points therapists novices and seasoned alike in the right direction so they re better equipped to provide support. Because autism can manifest in so many different ways, no cookie-cutter treatment exists and therapists need to be conversant with the basics, from assessment and treatment approaches to common therapeutic issues that can arise. This book serves as an invaluable road map.

Viewing ASD as a social communicative disorder, the authors provide a sound background of its manifestations and therapeutic interventions, helping therapists to define treatment issues and prepare for potentially difficult client encounters. Filled with practical insights and guidance, the book explains how to ask the right questions of parents and how to assess their answers. It presents a philosophy to guide parents and others in changing their perceptions of the child s disability so as to pave the way for effective approaches to be used within the child s environment. Concrete tools are provided to help determine goodness of fit between the therapist and client, in addition to several helpful reproducible intake and assessment forms available for download on an accompanying CD. Charting the Course is an important therapist s guide representing an all-encompassing approach to working not only with children and their parents, but also with their siblings, family members, and those in the community who are involved in their lives. Ultimately, this book provides a reassuring anchor for any clinician new to treating this disability as well as for those who are seeking alternative approaches to their ongoing work with children diagnosed with ASD."

Delusions play a fundamental role in the history of psychology, philosophy and culture, dividing not only the mad from the sane but reason from unreason. Yet the very nature and extent of delusions are poorly understood. What are delusions? How do they differ from everyday errors or mistaken beliefs? Are they scientific categories?

In this superb, panoramic investigation of delusion Jennifer Radden explores these questions and more, unravelling a fascinating story that ranges from Descartes's demon to famous first-hand accounts of delusion, such as Daniel Schreber's Memoirs of My Nervous Illness.

Radden places delusion in both a clinical and cultural context and explores a fascinating range of themes: delusions as both individually and collectively held, including the phenomenon of folies ? deux; spiritual and religious delusions, in particular what distinguishes normal religious belief from delusions with religious themes; how we assess those suffering from delusion from a moral standpoint; and how we are to interpret violent actions when they are the result of delusional thinking. As well as more common delusions, such as those of grandeur, she also discusses some of the most interesting and perplexing forms of clinical delusion, such as Cotard and Capgras.

Is depression simply the result of chemical imbalances, or Schizophrenia a wholly biological disorder? What role do the broader circumstances of an individual's social, cultural and heuristic world play in the wider scheme of their psychological wellbeing? In this ground-breaking and highly innovative text, Cromby et al deliver an introduction to the the biopsychosocial paradigm for understanding and treating psychological distress, taking into consideration the wider contexts that engender the onset of mental illness and critiquing the limitations in the sole use of the biomedical model in psychological practice. Rather than biologically determined or clinically measurable, readers are encouraged to consider mental illness as a subjective experience that is expressed according to the individual experiences of the sufferer rather than the rigidity of diagnostic categories. Similarly, approaches to recovery expand beyond psychiatric medication to consider the fundamental function of methods such as psychotherapy, community psychology and service-user movements in the recovery process. Offering a holistic account of the experience of psychological distress, this text draws upon not only statistical evidence but places an integral emphasis on the service-user experience; anecdotal accounts of which feature throughout in order to provide readers with the perspective of the mental health sufferer. Taking an integrative approach to the psychology of mental health, the authors draw from a wealth of experience, examples and approaches to present this student-friendly and engaging text. This is core reading for anyone serious about understanding mental health issues and is suitable for undergraduate students taking introductory courses in psychology and abnormal psychology.

Child and Adolescent Psychopathology: A Casebook provides students with an opportunity to gain deeper insight into a wide range of disorders within the context of the diagnostic framework of the DSM-5. This supplemental textbook provides an abundance of "real life" cases which demonstrate methods in assessing and treating a wide spectrum of child and adolescent psychopathologies in a variety of settings. Each case presents an opportunity to practice and develop clinical skills in the assessment, diagnosis, and treatment of childhood disorders from a number of theoretical perspectives and at various levels of interest and expertise. The book features current trends in assessment, diagnosis, treatment, and research, and is an ideal hands-on resource for a child and adolescent psychopathology course.

Grounded in the updated Posttraumatic Stress Disorder Prevention and Treatment Guidelines of the International Society for Traumatic Stress Studies (ISTSS), the third edition of this definitive work has more than 90% new content. Chapters describe PTSD assessment and intervention practices that have been shown to work and provide practical, real-world implementation guidance. Foremost authorities address the complexities of trauma treatment with adults, adolescents, and children in diverse clinical contexts. The book delves into common obstacles and ways to overcome them, when to stop trying a particular approach with a client, and what to do next. Special topics include transdiagnostic interventions for PTSD and co-occurring problems, dissemination challenges, and analyzing the cost-effectiveness of treatments. Prior edition editors: Edna B. Foa, Terence M. Keane, Matthew J. Friedman, and Judith A. Cohen. New to This Edition *Fully rewritten to reflect over a decade of clinical, empirical, and theoretical developments, as well as changes in DSM-5 and ICD-11. *Increased research-to-practice focus--helps the clinician apply the recommendations in specific clinical situations. *New chapters on previously covered treatments: early interventions, psychopharmacotherapy for adults and children, and EMDR therapy. *Chapters on additional treatments: prolonged exposure, cognitive processing therapy, cognitive therapy, combined psychotherapy and medication, e-mental health, and complementary and alternative approaches. *Chapters on cutting-edge topics, including personalized interventions and advances in implementation science.

The aim of this book is to present the Scandinavian treatment philosophy of removable prosthodontics in which biology and function have priority over the more technical approach favoured by others. The Scandinavian treatment philosophy is largely based on periodontal and clinical prosthodontic research, which has demonstrated that the critical factor in tooth and abutment survival is establishing and maintaining good periodontal health by plaque control, not by trying to reduce or distribute widely mechanical loading. This textbook covers the need for dental students to acquire adequate knowledge and clinical skills within this field.

The OSCE (Objective Structured Clinical Examination) component of the ABA Applied exam is a new concept that involves a number of 'live' practical stations in which candidates must demonstrate communication, professionalism and technical skills to the examiners. This book covers topics that are outlined in the ABA curriculum, presented in a way that emulates the OSCE exam setting, and will help candidates prepare for the exam and test their knowledge. Each station is constructed in clear, logical fashion to make the revision of individual topics more accessible. The sample questions and answers allow self-testing and are complemented by discussions, numerous illustrations and up-to-date clinical guidelines which follow modern-day anesthetic practice. The OSCE Guide for the ABA Applied Examination is a must-have resource which will help candidates further understand and prepare for the OSCE process.

This superbly illustrated book combines the systematic approach of a textbook with the simplicity of consultation of an atlas in order to provide a comprehensive guide to the applications and benefits of scintigraphic studies in children. All of the clinical scenarios in which conventional nuclear medicine techniques frequently play a role in children are covered, with explanation of imaging diagnosis, the relevance of clinical history, problem solving, and pitfalls. The images themselves are the key focus of the book, and in each setting the added value offered by scintigraphy is carefully identified. The book also describes management of the pediatric patient and addresses general considerations, including reception, interaction with parents, radiopharmaceutical administration, image acquisition, radiation exposure, and the relationship of nuclear medicine and radiology. Since the child is not a young adult, it is insufficient simply to adapt nuclear medicine procedures performed in adults to the age and size of the child. Conventional Nuclear Medicine in Pediatrics will be a rich source of information for all who perform these procedures in the pediatric setting.

Bipolar disorder is a lifelong challenge, but it doesn't have to rule your life. Join the many tens of thousands of readers who have used the science-based tools in this book to achieve greater balance and get the most out of treatment. Leading expert Dr. Monica Ramirez Basco helps you understand the nature of bipolar illness and recognize the early warning signs of mood swings. Step-by-step exercises (you can download and print additional copies of the forms as needed) give you greater insight into your own triggers, vulnerabilities, and strengths. Dr. Basco guides you to build the particular skills you need to withstand the seductive pull of manic episodes and escape the paralysis of depression. You'll also learn key strategies for managing stress, making healthy decisions, and solving problems. Vivid stories and examples illustrate how to put the techniques into action. Significantly revised, the second edition features a new structure, more succinct chapters, and streamlined exercises.

This timely resource compares single-photon emission tomography (SPECT), used mainly withTechnetium and iodine for routine clinical examinations, and positron emission tomography(PET) , employing short-lived radionuclides of carbon, oxygen, nitrogen, and fluorine in researchinvestigations.Presenting the logic behind why one approach is better than another in various circumstances,Radio pharmaceuticals details the use of radiolabelled substrates in measuring the effect of diseaseand drugs on regional metabolism and receptor concentration/occupancy .. . discusses factorsaffecting the selective retention of small metal complexes by various tissues .. . analyzes the interactionof small exogenous metal complexes with enzymes in vivo and the critical role of stereochemistry. . . explores the use of radio labelled compounds in the study of neuroactive compounds,neurotransmitters, enzyme inhibitors, and substrates in vivo .. . covers the design and pharmacologyof radiolabelled drugs as probes of site of action , selectivity and specificity, and pharmacokineticsin vivo .. . and more.Extensively referenced with over l 050 bibliographic citations, Radiopharmaceuticals is a state-ofthe-art guide for pharmacists; organic, medicinal , and radiopharmaceutical chemists; pharmacokineticists;nuclear medicine physicians and technologists; neurochemists; and governmentregulatory personnel .