Oprah Winfrey and renowned brain development and trauma expert, Dr. Bruce Perry, discuss the impact of trauma and adverse experiences and how healing must begin with a shift to asking, “what happened to you?” rather than “what’s wrong with you?”

Through wide-ranging, and often deeply personal conversation, Oprah Winfrey and Dr. Perry explore how what happens to us in early childhood – both good and bad - influences the people we become. They challenge us to shift from focusing on, “What’s wrong with you?” or “Why are you behaving that way?,” to asking, “What happened to you?” This simple change in perspective can open up a new and hopeful understanding for millions about why we do the things we do, why we are the way we are, providing a road map for repairing relationships, overcoming what seems insurmountable, and ultimately living better and more fulfilling lives.

Many of us experience adversity and trauma during childhood that has lasting impact on our physical and emotional health. And as we’re beginning to understand, we are more sensitive to developmental trauma as children than we are as adults. ‘What happened to us’ in childhood is a powerful predictor of our risk for physical and mental health problems down the road, and offers scientific insights in to the patterns of behaviors so many struggle to understand.

A survivor of multiple childhood challenges herself, Oprah Winfrey shares portions of her own harrowing experiences because she understands the vulnerability that comes from facing trauma at a young age. Throughout her career, Oprah has teamed up with Dr. Bruce Perry, one of the world’s leading experts on childhood trauma. He has treated thousands of children, youth, and adults and has been called on for decades to support individuals and communities following high-profile traumatic events. Now, Oprah joins forces with Dr. Perry to marry the power of storytelling with the science and clinical experience to better understand and overcome the effects of trauma.

In conversation throughout the book, the two focus on understanding people, behavior, and ourselves in the context of personal experiences. They remove blame and self-shaming, and open up a space for healing and understanding. It’s a subtle but profound shift in our approach to trauma, and it’s one that allows us to understand our pasts in order to clear a path to our future - opening the door to resilience and healing in a proven, powerful way.

Grounded in the latest brain science and brought to life through compelling narratives, this book shines a light on a much-needed path to recovery – showing us our incredible capacity to transform after adversity.

Psychiatric disorders are important causes of disability and in developing countries healthcare workers at the primary level are increasingly required to deal with a wide range of psychological problems and psychiatric disorders. Primary Care Psychiatry aims to equip these workers with the basic information they need to identify and manage most of these problems, and offers guidelines on when and how to refer to more specialised levels of care. Now in its second edition, this well-respected text has been updated to include the latest diagnostic criteria from the Diagnostic and Statistical Manual (DSM-5 (TM)). The text follows a problem-based approach, is intended to be practical and accessible, and avoids academic jargon as much as possible. Ample use is made of case vignettes, personal accounts, tables, algorithms and summaries. It enables the reader to quickly grasp the core features of the problem and the priorities of management. The emphasis is on what is relevant to primary healthcare psychiatry in the southern African context, addressing the particular challenges faced by a developing and transforming society with limited financial resources.

First published in 2000, the completely revised and updated Textbook of Psychiatry for Southern Africa, 2nd Edition is a comprehensive but accessible resource covering all aspects of psychiatry and mental health in southern Africa.

The textbook represents the collaboration of 63 experts in their fields from 10 academic institutions as well as the private sector in South Africa from disciplines including psychiatry, psychology, radiology and pharmacology. This 2nd Edition includes sections focusing on psychiatric classification and clinical assessment, including issues of particular importance such as women’s mental health, neuropsychiatry, HIV and mental health, addictions, culture and psychiatry, public mental health, and stigma.

Non-core additional information in ‘advanced reading blocks’ are aimed at the specialist-level reader. Numerous informative case studies to illustrate common real-life patient presentations of various disorders have been included.

Updated to reflect the current Mental Health Care Act (2002) as well as DSM-5 psychiatric classification, the Textbook will be an indispensable resource for a wide range of students and professionals working within and outside of the mental health field in South Africa.

Professor Steve Peters is a Consultant Psychiatrist and author of the bestselling self-help book, The Chimp Paradox. He has years of experience as a clinician, an educator and has worked with some of the world's most successful athletes. His new book 'A Path through the Jungle' will help you to become robust and resilient. Professor Peters explains complex neuroscience in straightforward terms with his Chimp Management Mind Model Robust: Becoming robust means having plans in place to manage your own mind and whatever situations you meet in life. Resilient: is being able to bounce back and manage the challenges of life. Resilience is a skill. A Path through the Jungle offers a structured programme with exercises and practical real-life examples. This book will help you to improve in areas such as: * Managing stress and anxiety * Improved relationships * Emotional management * Grief and loss * Self-confidence * Peace of mind * Happiness * Managing stress

Hoarding involves the acquisition of and inability to discard large numbers of possessions that clutter the living area of the person collecting them. It becomes a disorder when the behavior causes significant distress or interferes with functioning. Hoarding can interfere with activities of daily living (such as being able to sit in chairs or sleep in a bed), work efficiency, family relationships, as well as health and safety. Hoarding behavior can range from mild to life-threatening. Epidemiological findings suggest that hoarding occurs in 2-6% of the adult population, making it two to three times more common than obsessive-compulsive disorder. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) now includes Hoarding Disorder as a distinct disorder within the OCD and Related Anxiety Disorders section, creating a demand for information about it. The Oxford Handbook of Hoarding and Acquiring is the first volume to detail the empirical research on hoarding. Including contributions from all of the leading researchers in the field, this comprehensive volume is divided into four sections in addition to introductory and concluding chapters by the editors: Phenomenology, Epidemiology, and Diagnosis; Etiology; Assessment and Intervention; and Hoarding in Special Populations. The summaries of research and clinical interventions contained here clarify the emotional and behavioral features, diagnostic challenges, and nature of the treatment interventions for this new disorder. This handbook will be a critical resource for both practitioners and researchers, including psychiatrists, psychologists, neurologists, epidemiologists, social workers, occupational therapists, and other health and mental health professionals who encounter clients with hoarding problems in their practice and research.

People with mental illness commonly describe the stigma and discrimination they face as being worse than their main condition. Discrimination can pervade every part of their daily life - their personal life, working life, sense of citizenship, their ability to maintain even a basic standard of living. Though things have certainly improved in the past 50 years, discrimination against the mentally ill is still a major problem throughout the world. It can manifest itself in subtle ways, such as the terminology used to describe the person or their illness, or in more obvious ways - by the way the mentally ill might be treated and deprived of basic human rights. Should we just accept such discrimination as deeply rooted and resistant to change, or is this something that we can collectively change if we understand and commit ourselves to tackling the problem? Shunned presents clearly for a wide readership information about the nature and severity of discrimination against people with mental illness and what can be done to reduce this. The book features many quotations from people with mental illness showing how this has affected their home, personal, social, and working life. After showing, both from personal accounts and from a thorough review of the literature, the nature of discrimination, the book sets out a clear manifesto for change. Written by a leading figure in mental health in a lively and accessible manner, the book presents a fascinating and humane portrayal of the problem of stigma and discrimination, and shows how we can work to reduce it.

Anxiety is ubiquitous in everyday life and avoiding sources of anxiety is often at the core of our everyday choices and can even shape our life plans. But why are we all so anxious, when is this normal uniqueness as opposed to a diagnosable anxiety disorder, and why have anxiety disorders become more prevalent than ever? In All We Have to Fear, Horwitz and Wakefield argue that psychiatry has largely generated this epidemic by inflating our socially inconvenient, yet natural, fears into psychiatric disorders and ignoring our biologically designed natures, thus allowing the overdiagnosis of anxiety disorders and facilitating a culture of medicalization. The result is a society that is afraid of natural, biologically designed feelings of fear and, overall, anxious about feeling anxious. All We Have to Fear is a groundbreaking and fresh look at how to distinguish between anxiety conditions that are mental disorders, those that are natural reactions to threats, and those that are natural products of evolution. Building on the new science of evolutionary psychology, Horwitz and Wakefield demonstrate a mismatch between our basic biological natures and the environment that we have created for ourselves. Some of our natural anxiety is born from situations and objects that posed serious risks during prehistory, but that are no longer usually dangerous, for example, a city dweller who is terrified of snakes. This mismatch generates normal anxiety when there is, in fact, no real danger. Evolutionary psychology shows that beyond the context in which the symptoms occur, our biological heritage as a species must be considered in any psychiatric diagnosis as we are otherwise bewildered by our own primitive fears and beset by diffuse anxieties that seem to have no function in our lives. All We Have to Fear argues that only by paying attention to our evolutionary shaping can we understand ourselves, our fears, what is normal versus disordered in what we fear, and make informed choices about how to approach these fears. The mismatch between our natures, environment, and our fears is not pathological, but rather reveals the forces that shaped us and provides an "emotional time machine," shedding light on who we were when we were shaped as a species, and thus, allowing us more insight into who we are today.

Research is finding a way to measure the problem. This seminal 2-volume book contains hundreds of the most useful measurement tools for use in clinical practice and in research. All measures are critiqued by the editors, who provide guidance on how to select and score them and the actual measures are wholly reproduced. This second volume, focusing on measures for use with adults, whose conditions of concerns are not focused on family relationships or couple relationships, includes an introduction to the basic principles of measurement, an overview of different types of measures, and an overview of the Rapid Assessment Inventories included herein. Volume II also contains descriptions and reviews of each instrument, as well as information on how they were selected and how to administer and score them. This book is designed as the definitive reference volume on assessment measures for both practice and research in clinical mental health. This fifth edition of Corcoran and Fischer's Measures for Clinical Practice and Research is updated with a new preface, new scales, and updated information for existing instruments, expanding and cementing its utility for members of all the helping professions, including psychology, social work, psychiatry, counseling, nursing, and medicine. Alone or as a set, these classic compendiums are powerful tools that clinicians and researchers alike will find an invaluable addition to - or update of - their libraries.

For the first time in a single volume, distinguished experts address the complex issues -- issues rarely confronted in empirical studies of patients with schizophrenia -- and controversial research surrounding the assessment of negative symptoms and cognitive deficits in patients with schizophrenia.

Despite recent advances in our understanding of schizophrenia, still notably absent is consensus in assessing negative symptom treatment response. What is the most effective assessment method -- given the varying methodologies and contradictory results to date? What constitutes an adequate response? Which medication -- none is specifically indicated and licensed for negative symptom treatment -- yields the best results? What are the indications for use of this medication? Which instrument best measures negative symptom treatment response (eight rating scales are analyzed here)? Reaching consensus among clinicians and researchers alike is even more difficult because assessment is often thwarted by extrapyramidal side effects of medications, similarities to depressive symptoms, and secondary effects of psychotic experiences.

In addition to clarifying these pressing issues, Negative Symptom and Cognitive Deficit Treatment Response in Schizophrenia also discusses - The importance of measuring the experience of emotion versus the more traditional objectively measured symptoms in patients with schizophrenia, and how deficits in emotional experience may resist treatment -- even in treatment-responsive patients.

- The family as an often overlooked source of information about negative symptom improvement or worsening, and the impact of negative symptoms on patients' relatives.

- How treatment affects social functioning and subjective experience of "quality of life," and the importance of neurocognitive dysfunction in the social deficits of schizophrenia, which often persist despite significant amelioration of other symptoms.

- Specific guidelines for assessing neurocognitive treatment response. Cognitive enhancement is a major factor in improving the quality of patients' lives.

- The latest research on the neurobiology of negative symptoms, including the role of various neurotransmitter systems and brain regions in mediating negative symptom pathology. Also discussed is single vs. multiple pathophysiological processes and single treatment modality vs. distinct treatments for different aspects of negative symptoms.

- How to distinguish "pure" negative symptoms from deficit symptoms (i.e., those that persist for at least 1 year and are not secondary to factors such as depression, medication side effects, anxiety, delusions, and hallucinations), and which treatment is indicated for each.

Highlighted by patient vignettes, this in-depth guide will be welcomed by all clinicians who treat patients with schizophrenia and want to know and document whether their interventions ameliorate negative symptoms and cognitive dysfunction, and by all researchers who study schizophrenia, particularly those interested in clinical issues and treatment studies.

The role of dopamine in schizophrenia has been a significant area of research. The measurement of the major dopamine metabolite, homovanillic acid (HVA), in various body fluids, especially in blood plasma, is one of the primary methods to assess brain dopamine neuronal activity in schizophrenic patients.

Written by leading researchers in the field, "Plasma Homovanillic Acid in Schizophrenia" provides the most comprehensive and current collection of information on plasma HVA levels to be found anywhere. It provides a concise synthesis and critique of current data as well as interesting proposals for future research.

This book will be of great value to any serious student of the biology of schizophrenia and other psychiatric disorders involving abnormal levels of plasma HVA.

During the 10 years since publication of the first edition of this comprehensive volume, progress in neuroscience has had direct and immediate clinical implications in both the pharmacological and psychological arenas in the treatment of one of psychiatry's greatest challenges: obsessive-compulsive disorder (OCD).

This second edition reflects this progress. Chapters include the latest data on the use of all current OCD treatments in special populations, such as the strictly religious, the elderly, children, adolescents, and those who are pregnant, and all are illustrated with new and updated detailed case histories that highlight specific treatments and diagnostic issues. This edition includes - Three new pharmacotherapy chapters that discuss the use of sertraline, paroxetine, and citalopram and updates of the original edition's chapters on clomipramine, fluoxetine, and fluvoxamine- An expanded chapter on children and adolescents that emphasizes the benefits of early detection, and describes the latest findings in immunological research with particular regard to pediatric autoimmune neurologic disorders associated with streptococcal infection (PANDAS) - An expanded behavioral therapy chapter that encompasses not only detailed treatment plans for both individuals and groups (including multifamily groups) but also up-to-date empirical data to support their use- The latest data on compounds for treating OCD (twice the number of compounds are now available than when the first edition was published), including details of the dramatic increase in our knowledge of pharmacokinetics, receptor profiles, interactions, and comparative efficacy during the past decade- The clinical implications of today's broadened definition of OCD, which includes disorders such as body dysmorphic disorder, trichotillomania, pathological gambling, and Tourette's syndrome, and the complicated diagnostic and management issues -- with a call for innovative treatment approaches -- raised by the intimate relationship between OCD and schizophrenia (15% of patients with schizophrenia also have OCD)- A multidisciplinary approach to treatment-resistant OCD, which occurs in approximately 30% of all cases, suggesting ways to combine our current knowledge and focus it on the treatment of a specific individual

With their extensive clinical and research experience in treating OCD, the distinguished contributors to this volume provide clinicians with the latest, most reliable data so that they may better match treatment approaches with each patient's unique needs. Of enduring practical value, this updated "how to" manual will be welcomed by all clinicians treating patients with OCD, as well as students and other interested clinicians, as an effective tool in the ongoing challenge to understand and treat this frustrating disorder.

One out of every 75 people worldwide will be afflicted with panic disorder during their lifetime. "Treatment of Panic Disorder" presents the latest research of leading psychology, psychiatry, cardiology, internal medicine, and methodology experts working in this field. The authors address such issues as - What is panic disorder? - How is it diagnosed? - What are the current treatments? - What are the effects of these treatments? - What are the directions for future research?

"Innovative Approaches for Difficult-to-Treat Populations" makes recommendations for developing and disseminating innovative mental health services. It is geared toward clinicians, administrators, and policy-makers struggling to develop both clinically effective and cost-effective mental health and substance abuse services, and it focuses on services for individuals who use the highest proportion of mental health resources and for whom traditional services have not been effective. These target populations include youth with serious behavioral and emotional disturbances and adults with severe and persistent mental illnesses.

The innovative approaches reviewed include diverse treatment methods for differing clinical populations. These varied approaches have several common elements: Social-ecological theory frameworks An emphasis on delivering flexible, comprehensive, pragmatic, and goal-oriented interventions in persons& rsquo; natural environments Increased accountability on the part of service providers The transition from centralized to community-based care is discussed, and normalizing a patient& rsquo;s daily routine as an important factor in the success of state-of-the-art community support programs is emphasized

"Innovative Approaches for Difficult-to-Treat Populations" offers mental health professionals and students a firsthand look at the future direction of clinical services. Policy issues necessary to developing and disseminating progressive treatments are addressed, including the downsizing of state psychiatric hospitals, strategies for reforming state mental hospital systems, and ethical issues in research on child and adolescent mental disorders.

Since its beginnings in the 1970s, the field of torture rehabilitation has grown rapidly. A growing awareness about the practice of torture (more than 100 countries today practice government-sanctioned torture) and its effects on victims is leading to an increasing number of dedicated treatment centers. The health care professionals on the staffs of these centers need the best, most up-to-date information and advice they can get. This book delivers it.

"Caring for Victims of Torture" contains all the collective wisdom of some of the most respected international experts in the treatment of victims of government torture& mdash;all distinguished physicians& mdash;including pioneers in the field of traumatic stress. Contributors discuss the most recent advances in knowledge about government-sanctioned torture and offer practical approaches to the diagnosis and treatment of torture victims. Organized into six main sections, this annotated volume provides an overview of the history and politics of torture and rehabilitation; guidance in identifying and defining the sequelae of torture; a framework for assessment and treatment; specific treatment interventions; and a discussion of ethical implications. In the final section, physicians working in the field offer firsthand accounts and address how they are trying to balance politics with caregiving.

Focusing on the physician& rsquo;s role, this book is chiefly a clinical guide. But for advanced-level students, it serves as a thorough, up-to-date text and reference work. Religious leaders, lawyers, politicians, human rights advocates, and torture victims themselves will find it a valuable resource as well.

Dementia: Comprehensive Principles and Practice is a clinically-oriented book designed for clinicians, scientists, and other health professionals involved in the diagnosis, management, and investigation of disease states causing dementia. A "who's who" of internationally-recognized experts contribute chapters emphasizing a multidisciplinary approach to understanding dementia. The organization of the book takes an integrative approach by providing three major sections that (1) establish the neuroanatomical and cognitive framework underlying disorders of cognition, (2) provide fundamental as well as cutting-edge material covering specific diseases associated with dementia, and (3) discuss approaches to the diagnosis and treatment of dementing illnesses.

Clinical research requires that some people be used and possibly harmed for the benefit of others. What justifies such use of people? This book provides an in-depth philosophical analysis of several crucial issues raised by that question.
Much writing on the ethics of research with human subjects assumes that participation in research is a distinctive activity that requires distinctive moral principles. In most contexts, we allow people to choose the activities in which they engage. By contrast, people are permitted to participate in research only after Institutional Review Boards determine that it is appropriate for them to do so. Although we assume that consent to participate in research must be preceded by an elaborate disclosure of information, we make no such assumption in many other areas of life. Although it is thought to be morally problematic to provide financial inducements to prospective subjects, we make no such assumptions when we hire people as loggers, fishermen, and fire fighters. Although we readily accept the "off-shoring" of manufacturing, many regard the off-shoring of medical research with great skepticism. This book seeks to widen the lens through which we consider such issues. When we do so, we will find that many standard principles of research ethics are difficult to defend.
The book first argues that because respect for "autonomy" has been a central tenet of research ethics, many have failed to recognize that the structure of the regulation of research is deeply paternalistic and have therefore failed to justify such paternalism. The book then rejects "the autonomous authorization" model that characterizes most writing in bioethics and argues for a "fair transaction" model. Although many worry that the use of financial payment to recruit research subjects is coercive or constitutes an undue inducement, the book argues that most of those worries are misplaced. Shifting its attention to research in developing societies, the book considers the claim that international researchers exploit research abroad often exploits its subjects. Finally, the book considers the claim that because researchers benefit from their use of research subjects, they acquire special obligations to them or their communities.

"Managing Managed Care II: A Handbook for Mental Health Professionals," Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes.

Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated.

"Managing Managed Care II" is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.

Twelve-step programs are revolutionizing and reshaping our thinking about--and treatment of--addiction. Because these programs are based in the community instead of in an institutional or academic setting, they often employ techniques and language that can be confusing and alien to health care professionals. Written in a clear, easy-to-understand style, this book explores these programs and provides a guide on how to integrate them into ongoing human services.

Written by internationally renowned experts, "A Bridge to Recovery: An Introduction to 12-Step Programs" includes up-to-date information to bridge the gap between mutual aid programs, human services, and the professional community. This practical book is designed to assist with the implementation of these programs into routine practice while providing a useful reference for academic and educational professionals.

This is the first book to examine the specific myths, controversies, and research findings in the area of late luteal phase dysphoric disorder (LLPDD; now called premenstrual dysphoric disorder[PMDD]). Written by members of the LLPDD Work Group for DSM-IV, "Premenstrual Dysphorias: Myths and Realities" presents the latest issues surrounding the concept of premenstrual dysphoria. It includes a thorough description of empirical issues related to the recent literature on LLPDD, examines the methodological problems of LLPDD research, and covers sociocultural issues, including early medical approaches to menstruation and myths about menstruation.

"Premenstrual Dysphorias: Myths and Realities" is designed to promote a better understanding of menstruation and the myths related to the menstrual cycle. It also covers the specific diagnosis and treatment of disorders that affect women and recommendations for future research.

"Gender and Psychopathology" explores the gender differences in psychiatric syndromes in terms of symptoms, courses of illness, epidemiology, and treatment responses. The book addresses the reasons for the differences from many competing and additive points of view by distinguished multidisciplinary contributors. This text includes comprehensive up-to-date DSM-IV categories of illness for the male-female differences in psychiatric disorders.

Depression, anxiety, schizophrenia, eating disorders, somatoform disorders, sleep disorders, and addictions are among the topics explored. Those interested in specific issues can read particular chapters of interest because each chapter is complete in itself. This is the first book to explore gender differences in psychopathology. "Gender and Psychopathology" will be informative and useful to students, researchers, and mental health clinicians of all disciplines.

Today& rsquo;s rapidly changing mental health care environment has created both complex challenges and unique opportunities for the community psychiatrist. "Practicing Psychiatry in the Community: A Manual" is an indispensable resource for practitioners and psychiatric residents. Clinically active psychiatrists will find this manual invaluable as they adopt new roles in this dynamic and exciting field.

This comprehensive work by leading experts in the field addresses the major issues currently facing community psychiatrists. It even includes a user-friendly guide to the development of a research program in a community setting.

Organized into three main sections, this manual provides essential information on treatment settings, target populations, and special topics in the community psychiatry domain. The Treatment Continuum explores the varied environments in which community psychiatric services may be offered, including outpatient treatment, crisis resolution services, and psychiatric rehabilitation programs. Populations such as mentally disordered children, adolescents, and the elderly; HIV-infected patients; the homeless mentally ill; the developmentally disabled; chemically dependent patients; dually diagnosed patients; violent patients; and the chronically mentally ill have unique needs requiring skilled clinical care. The Target Populations section provides the community psychiatrist with useful and practical guidelines for the treatment of each of these patient groups. The Special Topics section ushers the community psychiatrist into the era of contemporary community psychiatric practice with vital information on emerging issues like cultural diversity, the principles ofeffective collaboration with advocacy and family/self-help groups, the role of the multidisciplinary team, and legal and training issues.

In recent years, the lens of the media has narrowed issues of euthanasia and assisted suicide to a drama involving two players: Dr. Kevorkian and the law. This has left suffering patients and their families unrecognized and isolated when facing the most painful life decision.

Here at last is a book that addresses the role of psychiatry in dealing with a major, controversial topic in American medicine today& mdash;treatment decisions at the end of life. "End-of-Life Decisions: A Psychosocial Perspective" acknowledges and explores the role psychiatrists can play as advisers to the terminally ill and their loved ones. It describes the wide range of emotional and psychiatric issues faced by the patient, family, and physician that affect choices patients make to limit treatment or seek physician assistance in dying.

A distinguished group of contributors, all of whom have extensive experience dealing with end-of-life issues in clinical practice, address topics that may not have been considered previously. From dealing with issues of terminal illnesses in children, to making difficult treatment decisions for patients with AIDS; from judging the competency of clinically depressed patients for making sound decisions, to understanding the influence of family dynamics, economic forces, and language differences on doctor-patient communication& mdash;the book uses specific case studies and data to explore the role of professionals in end-of-life decisions.

"End-of-Life Decisions" strikes a careful balance between the need for patient autonomy and the challenge to make well-formulated treatment decisions. This book will heighten modern medicine& rsquo;s and society& rsquo;s consciousnessconcerning the difficult challenges faced by patients and their families when making end-of-life decisions

From a leader in the field of psychotherapy, this new book is the first dedicated to the topic of the fear of contamination. The fear of contamination is the driving force behind compulsive washing, the most common manifestation of obsessive compulsive disorder. This is one of the most extraordinary of all human fears. It is complex, powerful, probably universal, easily provoked, intense, and difficult to control. Usually the fear is caused by physical contact with a contaminant and spreads rapidly and widely. The book starts by defining the disorder, before considering the various manifestations of this fear, examining both mental contamination and contact contamination, and feelings of disgust.Most significantly, it develops a theory for how this problem can be treated, providing clinical guidelines - based around cognitive behavioural techniques.

"Core Readings in Psychiatry," Second Edition, stands as an essential text for the academic. The contributors are distinguished experts who have a firm grasp of the relevant and classical citations in specific areas of psychiatry. In the intervening 8 years since the first edition, the profession's knowledge base has changed immensely. Included in this second edition are numerous citations and new topics such as AIDS, neuropsychiatry, models of psychoanalytic thought, child development, and medical economics.

The book will open bibliographic doors for the academician as well as for the provider, manager, and consumer of psychiatric services and knowledge. It is designed to be an introduction and guide to the entire psychiatric literature.

"Severe Stress and Mental Disturbance in Children" uniquely blends current research and clinical data on the effects of severe stress on children. Each chapter is written by international experts in their fields.

Stressful events occur throughout the life cycle. But how do major stressful events--accidents, sexual abuse, violence, divorce, adoption, natural disasters--during the developmental stages relate to adulthood?

Psychiatrists, psychologists, social workers, pediatricians, other health care and medical professionals, and students can use this book as a current review of the topic, a reference, and a clinical guide. It offers a new perspective on the understanding, diagnosis, and treatment of stress in children.