Anliegen des Buches ist es, einer Psychotherapie mit Schmerzpatienten den Nimbus des Schwierigen und Belastenden zu nehmen. Anhand zahlreicher Beispiele werden Aspekte therapeutischen Handelns diskutiert, die Betroffenen dabei helfen, sich selbst zu bejahen als Mensch, der wertvoll ist und bleibt, unabhangig davon, ob seine Schmerzen weniger, starker oder gleich bleiben werden. Im Hinblick auf dieses Ziel werden therapeutische Grundhaltungen sowie konkrete Interventionen beschrieben, abgeleitet aus den Wunschen und Bedurfnissen schmerzkranker Menschen zum einen, aus Untersuchungsbefunden von Neurowissenschaften und Psychotherapieforschung zum anderen.

Praise for Second Edition of The Psychedelic Renaissance: 'Onward, intrepid explorer, keep your wits, while allowing them to be tickled, as Dr Sessa leads you into a world of remarkable wonders! You are in for a real treat!' Robin Carhart-Harris 'This new book is a succinct, entertaining overview of the emerging "Psychedelic Renaissance" written by an insider, and one of the brightest young architects of this new emerging paradigm.' Dr Dennis J. McKenna 'With intelligence, fact-based optimism and compassion Sessa throws open the doors of perception and guides the reader through the complexities of the history, pharmacology, legality and potential of these miraculous molecules.' Andy Roberts 'This new edition of Sessa's, The Psychedelic Renaissance, will encourage researchers to work in this field, to the benefit of our understanding of how the brain works and to develop new approaches to psychiatric disorders.' David Nutt 'Dr. Ben Sessa prescribes a way forward; mainstreaming psychedelics for a world in deep need of spirituality and inspiration. The Psychedelic Renaissance is a book that deserves to be widely read.' Rick Doblin 'Ben Sessa's energetic review of the research and cultural use of psychedelics provides a unique perspective. The way forward is clear: we urgently need more scientific research, and a rational reform of drug policies.' Amanda Feilding 'The Psychedelic Renaissance will inevitably and rightly be seen as an important marker of their assimilation into the cultural mainstream. I highly recommend it.' Ralph Metzner 'Dr. Sessa skilfully chronicles important developments, perhaps a turning point, in psychiatry and in the understanding of psychedelics in the wider culture. This new updated edition of The Psychedelic Renaissance is informative, entertaining and timely.' Michael Mithoefer

This book offers a thorough foundation for acupuncturists on the eight extraordinary vessels in Classical Chinese medicine. The contents cater for the beginner by providing a basic level introduction to the theory and practical application of the eight extraordinary vessel system to acupuncture practice and the healing process. History, the vessels, the pulses, point combinations and safety protocols are all covered, and case studies help demonstrate how this knowledge can be used in treatment. The book includes many helpful illustrations as well as sections on common problems particularly suited to 8EV treatment such as fertility, depression and emotional pain.

Exploring the Buddhist/Taoist concept of non-doing and intention in relation to bodywork, this book focuses on how the therapist should approach their client without agenda and meet them where they are at. This requires the therapist to pay attention to their own surfacing intentions and leave assumptions behind so they may focus on simply 'being', which is a profoundly active, non-reactive expression of presence, rather than a passive state of resignation. The ramifications of sub-conscious doing and wilful intention can negatively impact expressions of health and so the author explains how therapists may skilfully navigate between intention, attention and embodied non-doing whilst treating clients, and how this creates the foundations for safe relational touch.

From childhood to millennials and beyond, it is essential we take a life-course approach to occupation and work when in pain. Written by experts in the field, Work and pain: A lifespan development approach provides an authoritative summary and analysis of the relationship between all forms of occupation and pain. Divided into three sections, 'Foundations', provides a critical account of the nature of work and of pain. The next section, 'Investigations', analyses the bi-directional relationships between children living with chronic pain and parents; between being a child in pain and schooling; what it is to be a millennial in pain; the implications of pain which is determined to be occupational in origin; and enabling a life lived well with pain as one ages. The final section, 'Interventions', critically reviews what individuals can change, what workplaces can do, and how governments can innovate to try to maximise workability for people living with pain in the context of current working practices. Work and pain: A lifespan development approach investigates and guides the reader on understanding how and why people seek to be occupied, and how we can maximise their social and personal involvement when living with ongoing pain, suggesting ways forward in research, practice, and policy.

Global ageing, in both developed and undeveloped countries, has made the need for high-quality knowledge and research on anaesthesia for the elderly increasingly important. The second edition of Anaesthesia for the Elderly Patient offers the anaesthetist guidance on the evaluation and management of elderly patients that present at hospital for surgery and anaesthesia. Containing 15 chapters on key topics such as emergency anaesthesia, orthopaedic surgery, and neurosurgery, as well as a new chapter on 'Anaesthesia for Non-Theatre Environments', this book ensures the reader is fully prepared for the clinical challenges they may face when working with this ever-growing vulnerable group. Part of the Oxford Anaesthesia Library series, this second edition of Anaesthesia for the Elderly Patient offers a fully up-to-date comprehensive introduction to the major clinical issues facing anaesthetists working with elderly patients. All chapters are fully updated and content is presented in a concise and easy to read format, with helpful key points listed at the start of each chapter.

Now on Netflix as a 4-part documentary series! "Pollan keeps you turning the pages . . . cleareyed and assured." -New York Times A #1 New York Times Bestseller, New York Times Book Review 10 Best Books of 2018, and New York Times Notable Book A brilliant and brave investigation into the medical and scientific revolution taking place around psychedelic drugs--and the spellbinding story of his own life-changing psychedelic experiences When Michael Pollan set out to research how LSD and psilocybin (the active ingredient in magic mushrooms) are being used to provide relief to people suffering from difficult-to-treat conditions such as depression, addiction and anxiety, he did not intend to write what is undoubtedly his most personal book. But upon discovering how these remarkable substances are improving the lives not only of the mentally ill but also of healthy people coming to grips with the challenges of everyday life, he decided to explore the landscape of the mind in the first person as well as the third. Thus began a singular adventure into various altered states of consciousness, along with a dive deep into both the latest brain science and the thriving underground community of psychedelic therapists. Pollan sifts the historical record to separate the truth about these mysterious drugs from the myths that have surrounded them since the 1960s, when a handful of psychedelic evangelists inadvertently catalyzed a powerful backlash against what was then a promising field of research. A unique and elegant blend of science, memoir, travel writing, history, and medicine, How to Change Your Mind is a triumph of participatory journalism. By turns dazzling and edifying, it is the gripping account of a journey to an exciting and unexpected new frontier in our understanding of the mind, the self, and our place in the world. The true subject of Pollan's "mental travelogue" is not just psychedelic drugs but also the eternal puzzle of human consciousness and how, in a world that offers us both suffering and joy, we can do our best to be fully present and find meaning in our lives.

Pelvic Pain Game Changer teaches women who are tired of vicious cycles that accompany pelvic pains different methods to put an end to it. Carolyn Marthano'ir experienced pelvic pains during her first pregnancy, launching her into more than a decade's worth of research and practice to find a solution. Through her experience with cesarean childbirth, diastasis recti, adenomyosis/endometriosis, pelvic adhesions, hysterectomy, and infections, she was able to recover and redirected her energy to help others in need. In Pelvic Pain Game Changer, women learn: How to develop a personalized nutritional approach to restore hormonal balance and control inflammation How to ask their doctor the right questions How to balance the mind-body-spirit connection How to develop a personalized sleep regimen Safe and simple pelvic and core exercises that will strengthen and tone their muscles

Das Buch beinhaltet ubersichtlich und pragnant eine Zusammenstellung aller in der Schmerztherapie wichtigen Arzneimittel, deren Wirkungen, Nebenwirkungen und Kombinationsmoeglichkeiten. Somit leistet es einen wertvollen Beitrag zur Umsetzung einer adaquaten, an die individuelle Situation des Patienten angepassten Schmerztherapie. In der 7. Auflage wurden die Inhalte komplett uberarbeitet und auf den aktuellen Wissensstand gebracht. Des Weiteren wird der Einsatz von Cannabinoiden diskutiert und die Therapie von Migrane mit CGEP Antikoerper sowie CGRP Antigonisten neu behandelt. Ferner wird das Nebenwirkungsspektrum gut bekannter Schmerzmittel neu diskutiert.

The literature increasingly supports the position that elective surgery on poorly prepared chronic pain patients is not smart and ultimately in no-one's best interest. Just as patients with ischemic heart disease, obstructive lung disease, or diabetes can and need to be optimized prior to surgery, so too should chronic pain patients. The complex dynamics of chronic pain require a priori intervention - targeting enhanced recovery before surgery. Preoperative Optimization of the Chronic Pain Patient is a groundbreaking collaborative effort written by medical and psychological experts in the field of pain management with a specific interest in the perioperative arena. The modern emphasis on biopsychosocial-spiritual care is as important here as anywhere in medicine as comprehensive mind-body preparation is essential to optimize outcomes. That preparation entails replacing toxic thoughts (e.g., anxiety and pain catastrophizing) and behaviors (e.g., tobacco and opioid dependence; poor sleep, nutrition and exercise patterns) with beneficial ones. Such replacement of maladaptive cognitive-behavioral patterns requires the enhancement of patients' motivation and the cultivation of healthy habits. This book provides the framework for an evidence-based synthesis of counseling and intervention for preoperative optimization of chronic pain patients. Clinicians will learn to improve health and economic outcomes affecting their patient, health care team, and institution; to identify and target relevant issues, utilizing a holistic yet focused approach to optimization; and to collaborate with the patient and requisite multidisciplinary care team in a streamlined, efficient, and effective manner.

Opioids have been used as analgesics for many years, and their use in the management of acute pain related to trauma and surgery is well established. However, patients with persisting pain need a pain management plan that brings relief of symptoms without adverse effects in both the short and longer terms. The prescribing of opioids for chronic non-cancer pain has increased substantially since the first edition of this pocketbook was published, prompting considerable debate regarding the appropriateness of prescribing for this indication and the potential harms to individuals and to society that may result from this trend. This second edition of Opioids in Non-Cancer Pain brings clinicians up to date on the current use of opioid drugs in patients with non-cancer pain, and highlights the potential benefits of therapy as well as the problems that can occur. The edition includes new chapters on the history of opioids to help contextualize the following discussions, and a new chapter covering the emerging field of pharmacogenomics which provides explanations for differing responsiveness to opioids and propensity to adverse effects. An international perspective on opioid prescribing trends is also a valuable new addition.

Most people have back surgery to relieve pain, but all too often it doesn't help. For the half million people who undergo back surgery each year, and the additional million who are seriously contemplating it, Do You Really Need Back Surgery?, Second Edition, is a godsend-an informed, reliable guide to when you should consider surgery and when you should not. Written by an internationally recognized expert in nerve and spinal surgery, this highly readable guide covers everything back patients need to know to make informed decisions about their treatment. The book discusses the details of spinal anatomy; explains the difference between acute, chronic, and recurring pain; shows how to keep the spine healthy; and defines such terms as spurs, stenosis, and slippage. It also reveals what clues your physician uses to predict whether a given type of pain is likely to go away with rest and exercise, and which types may become emergencies. Dr. Filler discusses the risks of surgery, the decisions you may be faced with and what options you have, and your expectations for recovery. He provides detailed explanations of the wide array of spinal injections and surgeries, including discectomies and fusions, as well as innovative procedures such as electrothermic and laser techniques and artificial disks. He explains the various medical imaging and diagnostic tests available and even covers the complexities of health insurance. The new and extensively revised edition of this book is expanded to cover the impact of dozens of new advanced technologies in spinal diagnostics and treatment that have emerged in the eight years since the original very successful edition. Advances in new types of pain medications and new types of surgeries that minimize recovery time and achieve better outcomes are explained. In addition, this book examines the problems in the case of a few new devices in spinal surgery where money from medical device manufacturers has led to distorted research that had to be withdrawn. A major change from the previous edition is the inclusion of two chapters that describe a series of different nerve entrapment syndromes that can cause headache, neck, shoulder and arm pain as well as causing buttock and leg pain - but are not caused by spine problems. This includes information about piriformis syndrome causing sciatic, thoracic outlet syndrome causing shoulder and neck pain and about pudendal nerve entrapments causing groin and pelvis pains. From Pilates to pedicle screws, and from osteoporosis to spina bifida, Do You Really Need Back Surgery?, Second Edition, covers all the questions your doctor usually doesn't have the time to answer. Featuring almost 100 illustrations, it is an essential manual for every neck or back pain sufferer.

Pain Medicine, a relatively new specialty, has proven increasingly relevant to medical practitioners in every field. The specialism of pain has emerged over the past 50 years, largely due to the persistence of experts and new medical evidence that points to its necessity. Today, it is a distinct and integral part of global medical practice. Landmark Papers in Pain offers a comprehensive inventory of over 80 key studies in pain medicine from the last 100 years. Each paper is accompanied by a concise commentary on the significance of the original findings written by an expert in pain. The reviews discuss how the paper influenced the development of the speciality, and how the findings have advanced our global comprehension of pain. Together, the selected papers and reviews chart the growth of an embryonic field into the modern speciality of pain medicine. Complied by leading specialists in the field, the papers included in this book are significant for any student, researcher, clinical practitioner, or medical historian interested in pain medicine. Organised into eight distinct topics and cross-referenced by topics and author of original paper, the book is comprehensive in its coverage and easy to use. A review of the contemporary and historical research that shaped the speciality of pain, Landmark Papers in Pain is essential reading for all medical practitioners with an interest in pain medicine.

The effective management of pain from cancer is a top priority for patients, carers and healthcare professionals, and has been the subject of extensive research. Approximately two-thirds of cancer patients will experience severe pain, and many of them will have more than one pain. However, because of the increasing number of available treatments for cancer, patients are surviving for longer periods, and are developing complex consequences of their cancer and its treatment, such as central and peripheral neuropathic pain syndromes. Approximately 8 - 10% of cancer pain remains unrelieved by conventional means.
Interventional cancer pain management implies the use of invasive techniques, such as neuraxial (epidural, intrathecal and intracerebroventricular) drug administration, brachial and lumbar plexus blocks, autonomic blockade, neurolytic blocks and cordotomy. It can also include TENS, acupuncture and complementary therapies. This book describes specifically the difficult pain problems that are now faced in palliative care and highlights the need for greater collaboration between the disciplines of pain medicine and palliative care. It refers to the psychological and spiritual needs of patients, and provides patient experience data on specialist techniques. The book is an invaluable resource for all healthcare professionals working in palliative care, pain management, and primary care to inform them about the range of interventional techniques available, with evidence of efficacy, side effects and management advice.

Chronischer Beckenbodenschmerz (CPPS) ist ein vorwiegend in der Urologie beheimatetes Krankheitsbild, das aber haufig auch interdisziplinar auftreten kann und dann fachubergreifend diagnostiziert und behandelt werden muss. Walter Merkle betrachtet in diesem UEberblick vor allem die urologischen Erscheinungsformen, arbeitet jedoch die interdisziplinaren Zusammenhange ein. Er pladiert an die AErzteschaft, das Krankheitsbild des CPPS verstarkt zu beachten, da dieses oft unzureichend diagnostiziert und behandelt wird. Essentiell ist dabei, sich von der alleinigen Sichtweise aus dem Fachgebiet der Urologie zu loesen und sich unbedingt interdisziplinar auf Empathie, Psychosomatik und Osteopathie sowie Biofeedbacktherapie einzulassen, um erfolgreich diagnostizieren und behandeln zu koennen. Der Autor: Dr. Walter Merkle war im Fachbereich Urologie der Deutschen Klinik fur Diagnostik GmbH in Wiesbaden tatig.

In the 21st century, people in the developed world are living longer. They hope they will have a healthy longer life and then die relatively quickly and peacefully. But frequently that does not happen. While people are living healthy a little longer, they tend to live sick for a lot longer. And at the end of being sick before dying, they and their families are frequently faced with daunting decisions about whether to continue life prolonging medical treatments or whether to find meaningful and forthright ways to die more easily and quickly. In this context, some people are searching for more and better options to hasten death. They may be experiencing unacceptable suffering in the present or may fear it in the near future. But they do not know the full range of options legally available to them. Voluntary stopping eating and drinking (VSED), though relatively unknown and poorly understood, is a widely available option for hastening death. VSED is legally permitted in places where medical assistance in dying (MAID) is not. And unlike U.S. jurisdictions where MAID is legally permitted, VSED is not limited to terminal illness or to those with current decision-making capacity. VSED is a compassionate option that respects patient choice. Despite its strongly misleading image of starvation, death by VSED is typically peaceful and meaningful when accompanied by adequate clinician and/or caregiver support. Moreover, the practice is not limited to avoiding unbearable suffering, but may also be used by those who are determined to avoid living with unacceptable deterioration such as severe dementia. But VSED is "not for everyone." This volume provides a realistic, appropriately critical, yet supportive assessment of the practice. Eight illustrative, previously unpublished real cases are included, receiving pragmatic analysis in each chapter. The volume's integrated, multi-professional, multi-disciplinary character makes it useful for a wide range of readers: patients considering present or future end-of-life options and their families, clinicians of all kinds, ethicists, lawyers, and institutional administrators. Appendices include recommended elements of an advance directive for stopping eating and drinking in one's future if and when decision making capacity is lost, and what to record as cause of death on the death certificates of those who hasten death by VSED.

This book offers a comprehensive solution to any person wishing to sit, and ultimately pass, the SAQ paper for the Final FRCA exam. It is designed specifically to fit the examination format, with each double page spread containing a sample question and detailed model answer, acting both as a revision guide and as a template for answering similar questions in the exam. It includes the most recent guidelines and evidence base, whilst also covering in detail areas not included in other revision books. Written by two recent and successful exam candidates, and a highly respected senior anaesthetist, this book holds the key to passing the final FRCA examination.

Prescription Drug Diversion and Pain provides an interdisciplinary overview of medications used to treat chronic pain, specifically the benefits and risks that are posed by long-term opioids use. These essential pain-relieving medications must be carefully managed to prevent serious side effects that may include physical dependence, addiction, and even death, which has led in recent years to increased attention on the development of alternative treatments for chronic pain. This book not only offers a single, comprehensive source for understanding the specialized field of the opioid crisis, but also addresses provocative topics including how pain drugs came to be regulated by the U.S. Government and the rarely-discussed aggressive marketing behind the spread of these drugs. Chapters are written by expert contributors from diverse backgrounds in medicine, psychiatry, pharmacy, nursing, health law, and ethics. Prescription Drug Diversion and Pain is a must-read for healthcare professionals, caregivers, policy makers, regulatory officials, law enforcement, and those in the pharmaceutical industry seeking to address the current and future opioid crisis.

Acute pain is experienced primarily in relation to surgery and trauma, but is also present in patients with burns, cancer, and other medical conditions. This compact volume of the Oxford Pain Management Library serves as a concise guide to treating acute pain in its many manifestations. Providing a background of basic science, this book covers the fundamentals of pain, the pharmacology of drugs used, and summarises the current evidence base for the management of acute pain. It provides practical direct clinical applications for busy healthcare professionals to follow and strategies for the management of specific medical conditions and specific patient groups such as the elderly. This pocketbook, written by highly respected multidisciplinary European experts within the field, will appeal to trainee clinicians and above in both primary and secondary care, and all related healthcare professionals.

Spinal disorders, especially neck and back pain, are frequent yet challenging for physicians to manage. While most texts are highly subspecialized or focus on only a specific area of management, The Spine Handbook provides a thorough overview of the entire spine and interdisciplinary treatment of common spinal conditions. Sections build from the foundations of history and examination, radiological imaging, and behavioral assessment through the core topics of both interventional and surgical options, as well as exploring emerging and special conditions, and neuromodulation. Chapters are written by experts from a wide array of fields, including physical therapists, radiologists, psychologists, physiatrists, anesthesiologists, orthopedic spine surgeons, and neurosurgeons. Each chapter contains key points to summarize content and discussions of anatomy, pathophysiology, presentation, imaging, and treatment options. This comprehensive handbook provides the fundamental diagnostic and therapeutic information needed to effectively deliver 'best practice' care for spinal disorders, making it a must-read for physicians of any training level that may encounter or treat spinal disorders.

This comprehensive source on the pathogenic origins of neuropathic pain covers the detailed molecular bases of the currently known neuropathies as classified by their pathogenic origins. Filling a critical need, this book fills the need for a resource on a syndrome that demands improved understanding by clinicians and researchers alike so that treatment options for patients are not categorically limited to a pill or a needle. If the clinician understands the origins of a patients' neuropathic pain, they can work cooperatively toward improving it with tailored therapies that don't create societal diseconomies and that ultimately are effective in helping patients. The book presents in detail the molecular bases of some currently known neuropathies by their pathogenetic origins, allowing clinicians to tailor more specific and more effective treatment regimens for their patients. For basic researchers, this book is a general resource to better direct research on neuropathy-specific molecular mechanisms. The improved understanding of the pathogenesis of neuropathic pain can then be used to develop more specific and more effective manipulations of these pathways.