This issue of Child and Adolescent Psychiatric Clinics provides an overview of childhood traumatic exposures and their impact for health care providers: child and adolescent psychiatrists, general psychiatrists, other pediatric behavioral health providers and primary care clinicians. Children in the United States are exposed to trauma more frequently than most clinicians are aware - either as a single occurrence, or through repeated events. These exposures result in neurobiological, developmental and clinical sequelae that can undermine children's health and well-being. This publication describes the multiple types of traumatic exposures and their sequelae, methods of screening and assessment, and principles of effective prevention and clinical treatment. Emphasis is on areas of particular relevance to children - disasters, war, domestic violence, school and community violence, sexual victimization, complex trauma - and differentiates disasters as unique traumas, requiring trauma-informed systems of care to effectively meet the needs of the exposed population. The third section of the issue describes strategies for primary prevention - violence prevention, useful public policies - and risk mitigation - skill and resilience building strategies. Evidence based treatments for trauma-induced clinical disorders are reviewed.

Personality-disordered people are not uncommon in our neighborhoods, workplaces, schools, or even our homes. They include people who are persistently paranoid, obsessive-compulsive, antisocial, or overly dependent. Most of them do not realize the hardships they create for themselves and their families. This book is an introductory guide for those who live and work around personality- disordered people, and for general readers seeking illustrations of the disorders. Dobbert illustrates warning signs that can be missed and walks readers through scenarios that are common with personality-disordered people. He explains how such maladies might develop, and most important, how they can be successfully addressed.

This ground breaking title presents the many different neurologic syndromes and vastly expanding data in the brain sciences from an evolutionary, or neuro-archeological, perspective, as well as a clinical one. The neuro-archeological perspective offers a more thorough picture of the field - providing hindsight that leads to great insight and foresight. It thus provides the reader with the core foundational aspects of many perplexing neurologic syndromes. Authored by a noted authority in cognitive neurology and including ample tables, diagrams and images, the book covers the full range of behavioral neurological, psychological and neuropsychiatric syndromes, as well as their underlying disease states, relevant neuropsychological tests and contemporary neuroimaging, both structural and functional. The evolutionary approach offers a comprehensive, novel, and completely updated overview of each topic. An invaluable title unlike any other in the field, Cognitive, Conative and Behavioral Neurology: An Evolutionary Perspective is a landmark resource and will be of great interest to neurologists, psychiatrists, neuroscientists, and trainees in all fields.

This issue of the Medical Clinics of North America is devoted to Psychiatric Diagnosis and Management in Primary Care and is edited by Dr. Genevieve Pagalilauan. Articles in this issue include: Psychopharmacology; Office-based Screening of Common Psychiatric Conditions; Depression; Anxiety Disorders; Bipolar Disorder; Borderline Personality Disorder; Grief Reaction, Adjustment Disorder, Seasonal Affective Disorder; Somatiform Disorders; Addiction Disorders; Sleep disorders; Geriatric Psychiatry; Autism Spectrum Disorders in Adults; and Medical Conditions with Neuropsychiatric Manifestations.

To effectively serve minority clients, clinicians require a double understanding: of both evidence-based practice and the cultures involved. This particularly holds true when working with Asian-Americans, a diverse and growing population. The Guide to Psychological Assessment with Asians synthesizes real-world challenges, empirical findings, clinical knowledge and common-sense advice to create a comprehensive framework for practice. This informed resource is geared toward evaluation of first-generation Asian Americans and recent immigrants across assessment methods (self-report measures, projective tests), settings (school, forensic) and classes of disorders (eating, substance, sexual). While the Guide details cross-cultural considerations for working with Chinese-, Japanese-, Korean and Indian-American clients, best practices are also included for assessing members of less populous groups without underestimating, overstating or stereotyping the role of ethnicity in the findings. In addition, contributors discuss diversity of presentation within groups and identify ways that language may present obstacles to accurate evaluation.Among the areas covered in this up-to-date reference: * Structured and semi-structured clinical interviews.* Assessment of acculturation, enculturation and culture.* IQ testing.* Personality disorders.* Cognitive decline and dementia.* Mood disorders and suicidality.* Neuropsychological assessment of children, adolescents and adults.* Culture-bound syndromes. Designed for practitioners new to working with Asian clients as well as those familiar with the population, the Guide to Psychological Assessment with Asians is exceedingly useful to neuropsychologists, clinical psychologists, health psychologists and clinical social workers.

Patients in psychiatry, or their parents, experiment with alternative methods and practices. Psychiatrists, in search of scientifically-based discussion and evidence of use for daily practice, find that information in this issue of Child and Adolescent Psychiatric Clinics. Readers will find clinically focused information in the major categories of Selected Treatments, Selected Disorders, and Perspectives on Clinical Complementary and Alternative Therapies. Micronutrients for mental disorders, the role of essential fatty acids. EEG and Neurofeedback, Mind-Body Meditation and Movement Therapies, Music Therapy, are presented. Evidence for minerals, vitamins, and herbs is discussed. Guest Editors Deborah Simkin and Charles Popper, with decades of experience in working with complementary therapies, lead this issue.

Psychoanalysis works with words, words spoken by a subject who asks that the analyst listen. This is the belief that underlies Francis Moran's rewarding exploration of a central problem in psychoanalytic theory--namely, the separation of the concepts of subject and agency.

Subject and Agency in Psychoanalysis contends that Freud simultaneously employs two frameworks for explaining agency-- one clinical and one theoretical. As a result, Freud's exploration of agency proceeds from two logically incompatible assumptions. The division between these assumptions is a part of Freud's psychoanalytic legacy.

Moran reads the Freudian inheritance in light of this division, showing how Klein and Hartmann's theoretical concepts of subject are adrift from the subject who speaks in analysis. Moran also shows that while Lacan's subject provides more focus on this issue, Lacan reverts to the Freudian division in his use of logically contradictory assumptions concerning the location of agency.

Drawing on contemporary theory development, from Lacanian innovations to the social theories of Anthony Giddens, Moran proposes a new and fertile approach to a fundamental problem, significantly narrowing the gap between psychoanalytic theory and practice.

International Review of Research in Developmental Disabilities is an ongoing scholarly look at research into the causes, effects, classification systems, syndromes, etc. of developmental disabilities. Contributors come from wide-ranging perspectives, including genetics, psychology, education, and other health and behavioral sciences.

Originally discussed in the context of "Paraphilias," this edition of Psychiatric Clinics of North America covers topics in sexual deviancy. The psychiatric community has revised this term through several editions of the DSM, indicating the view of these disorders changing from "sociopathic sexual deviation" to "sexual deviation of nonpsychotic mental disorder" to "paraphilias and paraphilic disorders." No matter how it is stated, this edition addresses sexual deviation assessemnt and treatment, covering conditions that harm others and that typically involve a legal/criminal/forensic component. Topics include Assessment; Mental illness and sexual offending; Treatment of sexual offenders-Psychological and Pharmacological; Professional sexual misconduct including clergy; Adolescent sexual offenders; Child pornography and sexual deviance; Sexual sadism and sexually motivated homicide; Dysfunctional anger and sexual violence; and Ethical issues in the treatment of sexual offenders. Highly renown for their research and clinical work in the nature of sexucal disorder, Dr Bradford and Dr Ahmed lead this edition intended for psychiatrists and other medical professionals dealing with this population.

This book is a comprehensive overview of the clinical and scientific aspects of Autism from the leading experts in the field. The clinical section covers everything from epidemiological features to epigenetic regulation to behavioral therapies and much in between. The basic science section presents the latest knowledge on the underlying causes of the disorder including the role of various neurotransmitters, neurexins and neuroligins, reelin, and other proteins. Chapters also explore the cognition and motor control in autism and the connection between oxidative stress and mitochondrial dysfunction and autism. The thorough description of these underlying causes may help researchers and clinicians find more effective treatments and therapies for the 1 in 68 American children who have been diagnosed with Autism.

The science of cannabinoids is 50 years old. These past years provided a remarkable and constant number of breakthroughs, showing that the signaling mediated by endocannabinoids and lipid mediators impacts almost every function of the body. Indeed, this represents a special field of research, which allows tackling the complexity of biological functions, and provides potential therapeutic frameworks for a plethora of diseases. The number of exciting discoveries brought up to the scientific community almost on a daily basis highlights the importance of an updated volume on this topic. Particularly, given that potential therapeutic benefits of cannabis and cannabinoids are currently under heavy analysis in many Countries worldwide. Hence, the main objective of this book is to explore not only some of the many functions of endocannabinoids (and lipid mediators) in physiological control of networks at a cellular and molecular level, but also to extend this knowledge for potential use of cannabinoids and/or drugs regulating endocannabinoid levels in vivo as therapeutic target(s) in neurological and neuropsychiatric disorders. In this book new findings and ideas about the endocannabinoid system and its roles as neuronal circuit modulator related to human brain pathologies characterized by alterations in neuroplasticity will be highlighted. Endocannabinoid roles in key systems controlling appetite, pain, learning and memory, as well as sleep and stress responses will be presented. In addition, pathological processes associated with changes in endocannabinoid signaling will be discussed in the context of anxiety, autism, depression and addiction. This book will provide an excellent background to researchers looking for extending their areas of interest, and to newcomers in the field.

This challenging and insightful work wrestles with the difficult treatment problems confronting both culturally and socially oppressed clients and psychotherapists in a society where diversity has often been resisted. The authors question long-held assumptions within the profession and urge recognition of new ethnic, racial, and gender realities which significantly impact therapies. Recognizing the implications of cultural diversity in the society, the authors-clinicians seek to broaden health professionals' awareness of clients' needs and to promote the requisite empathy. They describe how ethnic, racial, and gender issues affect psychotherapy's progress and outcomes. Specific concerns about such key factors as self-esteem, gender roles, and social regard are addressed in a context supportive of diversity enhancement rather than one seeking uniformity. Case studies offer highly valuable resource material and, through the authors' explication, insights into their challenging perspectives on this highly important health service.

An overview of childhood traumatic exposures and their impact for health care providers - child and adolescent psychiatrists, general psychiatrists, other pediatric behavioral health providers and primary care clinicians - is presented. Most clinicians are unaware that children in the United States are exposed to trauma frequently, either as a single occurrence, or through repeated events. These exposures result in neurobiological, developmental and clinical sequelae that can undermine children's health and well-being. This issue describes the multiple types of traumatic exposures and their sequelae, methods of screening and assessment, and principles of effective prevention and clinical treatment. The volume highlights areas of particular relevance to children, such as natural disasters, war, domestic violence, school and community violence, sexual victimization, and complex trauma. Each is differentiated as a unique trauma, requiring trauma-informed systems of care to effectively meet the needs of the exposed population. Since traumatic exposure results in added risk to child well-being, the third section of the volume describes strategies for primary prevention (e.g. violence prevention) and risk mitigation (e.g. skill and resilience building strategies), as well as reviews evidence based treatments for trauma-induced clinical disorders.

Although psychotherapy research shares many of the same methodological issues that pharmacology trials do, psychotherapy research poses unique challenges, including the difficulty (if not near impossibility) of keeping participants blind to treatment assignment, the need for a replicable manual and therapist training procedure, the importance of outside observation of therapy quality ratings, and the problems researchers face in measuring the active ingredients of psychotherapy. High Quality Psychotherapy Research is for all psychotherapy investigators who wish to learn state-of-the-art psychotherapy research methods. Organized developmentally, the book explains the conceptualization of the trial, discusses the pilot study and the large scale study, and concludes with instructions for designing a multi-site trial. Topics specific to psychotherapy research are examined in detail, including innovations in data analysis, how to conduct multi-site psychotherapy trials, mediation of treatment outcomes, the transportability of evidence-based behavioral interventions in community practice, training community providers to be study therapists, and recruiting hard-to-reach populations. High Quality Psychotherapy Research is an informative, practical book appropriate for a broad range of readers, from junior investigators developing their first study idea to seasoned investigators who wish to take their research to a larger-scale level.

This book documents the history of ideas about problem gambling and its link to addictive disorders. The book uses a combination of literature review and conceptual and linguistic analysis to explore the way ideas about problem gambling gave changed over time. It examines the religious, socio-cultural, and medical influences on the development of the concept of problem gambling as a disease, along with the ways in which such ideas were influenced by attitudes about substance abuse. The history of mental illness, notably as it pertains to themes such as loss of control over behavior, is also addressed. The book ends with a discussion of the current status and future prospects, with an eye to which ideas about problem gambling and addictions seem most promising and which should perhaps be left behind.

Shaddock makes sense of intersubjectivity, the functional paradigm shift in highbrow psychotherapy, as both a way of thinking about our psychological lives and a way of doing clinical work. Applying it to relational systems means investigating the experience of each partner/ member from inside his/her perspective and without judgment.The book illustrates how that approach lowers defenses and lets in insights, mutual understanding, and renewed hope; it demonstrates that treatment built on empathic awareness of contexts and connections can actually also lead to individual transformation.

This broad and thought-provoking volume provides an overview of recent intellectual and scientific advances that bridge the gap between psychiatry and neuroscience, offering a wide range of penetrating insights in both disciplines. The third volume on the topic in the last several years from a varying panel of international experts, this title identifies the borders, trends and implications in both fields today and goes beyond that into related disciplines to seek out connections and influences. Similar to its two Update book predecessors, Psychiatry and Neuroscience - Volume III presents the current state-of-the-art in the main disciplines - psychiatry and neuroscience - and attempts to provide deeper comprehension or explication of the normal and diseased human mind, its biological correlates and its biographical and existential implications. This engaging volume continues the previous style of exploring different disciplines and trying to integrate disciplinary evidence from varying points of view in an organic manner. Developed for clinicians and researchers in the fields of medicine, psychiatry, psychology and biology, this third volume also will be of great interest to students and university professors of diverse disciplines.

A compilation of Carl Whitaker's lectures and un-published essays, taken from his 40 years of practice as a psychiatrist and family therapist. He talks about families, including his own, and the events that shaped the family therapy field, and psychotherapy.

The chapters in this volume have been written by authors whose research work emphasizes the aggression-eliciting characteristics of people and other animals, the traits that make them targets of aggressive behavior. The clear focus of the book is on aggression by humans, although some of the authors may refer to data from other species. Chapters include aggression and violence towards other species, sexual minorities, psychiatric workers, school children, athletes, women, and drivers on highways. There are additional targets of aggressive behavior which have not been included because they are not emphasised in the research literature of psychology. Since the major concern of psychological science is with the behavior of individuals rather than groups, topics such as racial violence, warfare, and political violence have been specifically excluded.

The main objective of this work is to provide a book with high quality content that becomes a reference and support for graduate course (Mental Health, Public Health and Epidemiology) and for research in the domain of health economics applied to mental health. Also this book might be useful for policymakers on formulating mental health policies. Key messages of this book are based on: a) mental illness represent a huge cost for society and for health care; b) health economics applied to mental health could help in the optimization of resource allocation for mental health care and for better decision making in terms of balancing costs and benefits; c) interventions and treatment should be also chosen in general medical practice and in public decision-policy according to cost-effectiveness, burden of disease and equity principles; d) quality of care is related with better outcomes, higher quality of life for clients, and with lower costs for society and health system (best value for money); e) it is possible to decrease the burden of mental disorders with cost-effective treatments. The book is divided in four main topics: 1. Introduction to Health Economics applied to Mental Health - this section is an overview of basic principles, concepts and methods used in Economics and Health Economics to enable students to make critical appraisal of Health Economics texts and also to design research studies in this topic. 2. Health Economics applied to the evaluation of quality and costs of Mental Health Services - this section presents results of Brazilian studies on the costs of mental health care (hospital, outpatient care, residential care, informal care), methods on the measurement of costs and it discusses issues related with public policies decisions and quality of mental health car in the low and middle income countries context. There is also an overview of quality indicators of mental health care and instruments to evaluate mental health services and costs.3. Health Economics applied to evaluate treatment of mental disorders - This section presents a review of cost-effectiveness of pharmacological treatments and other interventions applied for treating the most burdensome mental disorders such as depressive and anxiety disorders, bipolar disorders, psychosis, alcohol and drug disorders, dementia, and hyper attention deficit disorders. 4. Health Economics, burden and indirect costs of mental disorders - This section highlights the social and economic burden caused by mental illness under societal perspective focusing on stigma, unemployment, indirect costs in the workplace (absenteeism and presenteeism), the relationship between poverty and mental disorders, global health and social determinants of mental health and on the costs of mental disorders (depression, anxiety, psychosis, alcohol and drug disorders). We present some instruments to measure indirect costs of mental disorders.