Your blueprint to develop and manage effective co-occurring treatment programs! Sequential or parallel treatments for co-occurring disorders are much less effective than a quality co-occurring treatment program. Most mental health and substance abuse professionals know how to provide an effective program for individuals with a substance use or mental health disorder, but few are aware of the issues involved in providing services for those with dual diagnosis. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action gives you with the tools you need to develop an effective program specific to co-occurring treatment as well as to implement and manage the program's services. Author Edward Hendrickson shares his knowledge from over two decades of developing and implementing co-occurring treatment services. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action is thorough, insightful, and informative, covering all facets of plan and execution, helping you form strategies to address a co-occurring treatment program's unique issues. The book examines the historical basis of the current dual treatment system to provide the philosophical tenets the program must follow and the essential qualities for an effective treatment program. It explores the issues in creating a new program or expanding an existing one, as well as the mechanics of day-to-day management. Helpful appendices, tables, and case examples illustrate the discussion. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action discusses: developing the necessary infrastructure for integrated treatment programs the eight essential qualities for an effective treatment program choosing a target population identifying specific services to implement implementation of services in an existing treatment setting implementation of services in a non-mental health or substance abuse setting hiring and training staff clinical supervision and human resource development program management issues multilevel and multi-organization systems steps to ensure program survival Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action is more than an instructional text for students; it is an essential resource for any substance abuse and mental health professional considering implementing a co-occurring treatment program.

In this extraordinary new text, an international array of scholars explore the enduring legacy of such social shocks as war, genocide, slavery, tyranny, crime, and disease. Among the cases addressed are - instances of genocide in Turkey, Cambodia, and Russia - the plight of the families of Holocaust survivors, atomic bomb survivors in Japan, and even the children of Nazis - the long-term effects associated with the Vietnam War and the war in Yugoslavia - and the psychology arising from the legacy of slavery in America.

The role of orthography in reading and writing is not a new topic of inquiry. For example, in 1970 Venezky made a seminal contribution with The Structure of English Orthography in which he showed how both sequential redundancy (probable and permissible letter sequences) and rules of letter-sound correspondence contribute to orthographic structure. In 1972 Kavanagh and Mattingly edited Language by Eye and by Ear which contained important linguistic studies of the orthographic system. In 1980 Ehri introduced the concept of orthographic images, that is, the representation of written words in memory, and proposed that the image is created by an amalgamation of the word's orthographic and phonological In 1981 Taylor described the evolution of properties. orthographies in writing systems-from the earliest logographies for pictorial representation of ideas to syllabaries for phonetic representation of sounds to alphabets for phonemic representation of sounds. In 1985 Frith proposed a stage model for the role of orthographic knowledge in development of word recognition: Initially in the logographic stage a few words can be recognized on the basis of partial spelling information; in the alphabetic stage words are recognized on the basis of grapheme-phoneme correspondence; in the orthographic stage spelling units are recognized automatically without phonological mediation. In 1990 Adams applied connectionism to an analysis of the orthographic processing of skilled readers: letter patterns emerge from the association units linking individual letters.

This volume is a collection of essays by Richard Wolin, a leading political theorist and intellectual historian. It is the follow up to Wolin's two recent, widely acclaimed books: Heidegger's Children and The Seduction of Unreason. In those books, he explored the legacy of Martin Heidegger and his impact on some of his most influential and notable students. He dealt particularly with the effect that Heidegger's subsequent embrace of fascism and National Socialism had on these students. Delving further in his next book, Wolin explored the question of why philosophers and intellectuals have been drawn to antiliberal, antidemocratic fascism. The essays in this book are focused on European Political Thought particularly with figures associated with the Frankfurt School. The collection represents a virtual who's who of European political thinkers with essays on Walter Benjamin, Adorno, Marcuse, Arendt, Heidegger, Weber, Jaspers, and Carl Schmitt. Moving beyond these thinkers and those books, this collection will also include essays on contemporary political issues such as post-communist revolutions, human rights, global democracy, the revival of republicanism, and religion and public life.

Recent advances in behavioral and biological treatments have raised the hopes and expectations of patients and clinicians alike in regard to obsessive-compulsive disorder-one of the most disabling, crippling, and resistant conditions in psy chiatry. In addition to their therapeutic efficacy, these new treatments have also opened new conceptual perspectives, thus complementing the traditional psychological theories of obsessive-compulsive disorder. Therefore, it is timely for these various conceptual frameworks and the treatment modalities they engender to be integrated and synthesized in the pres ent volume. To this end, eminent scholars in their respective areas were invited to contribute to this book, which we hope will symbolize and-in some measure-actualize the spirit of collaboration required if we are to fully comprehend the com plex nature of this disorder as well as to address existing ther apeutic challenges. In Chapter 1, Rachman sets the stage by providing an overview of the conceptual and therapeutic issues of obsessive-compulsive disorder. This is followed by an in depth review of the behavioral interventions from which Foa vii viii PREFACE and colleagues successfully distill the specific therapeutic processes of exposure and response prevention. In the third chapter, Sifneos deals with the psychodynamic factors under lying obsessive-compulsive phenomena and details his in novative technique of brief, anxiety-provoking psychotherapy aimed specifically at the obsessional state."

Psychiatry is increasingly dominated by the reductionist claim that mental illness is caused by neurobiological abnormalities such as chemical imbalances in the brain. Critical psychiatry does not believe that this is the whole story and proposes a more ethical foundation for practice. This book describes an original framework for renewing mental health services in alliance with people with mental health problems. It is an advance over the polarization created by the "anti-psychiatry" of the past.

This is a biography of Frantz Fanon. It presents an absorbing and careful ac count of several impressive themes. First is the review and assessment of Fanon's life. Second is a theory of psychology, by the author, which will aug ment and prove useful to theorists and practitioners who focus on Third World people. And lastly there is a broad and systematic integration of many areas of scholarship including philosophy, anthropology, political science, history, so ciology, mythology, public health, and economics. Bulhan's writing is lucid, creative, and persuasive. It demonstrates that all these scholarly areas must be handled with erudition in order to build a baseline for understanding both Fanon and the psychology of oppression. Readers of Fanon will be familiar with the psychology of oppression which he presented so forcefully. How life events and experiences led to the formula tion of this psychology is the chief emphasis of the author. Yet the book also gives scintillating clinical proof that Fanon made many other significant con tributions to his field. He was an outstanding and dedicated physician as well as a philosopher and political activist."

When the 13 founders of the American Psychiatric Association came together in 1844, hospitals were small, and the administrative aspects of a superinten dent's job were relatively minor compared with their size and complexity today. Since the turn of the century, administration-the art and the sci ence-has become a specialty of great importance, particularly in big business and government. Business recognizes fully that the success of organizational endeavors depends to a great extent on the talents and energies of top lead ers. As a result, industry spends huge sums of money to train promising young executives and offers generous salaries and benefits to entice them. Anyone who wants to invest in a business first asks: "Who manages this organization, and is this management competitive in today's marketplace?" Although health is today a great industry, emphasis on the executive role has lagged behind that in the general business field. In mental health circles, the strong emphasis on one-to-one therapy has delayed a full appreciation of the influence of organization per se on patient care and treatment. Yet there 1 are now many signs of change. The popularization of behavioral science and the rise of social and community psychiatry have brought organizational con siderations forward. We are increasingly concerned with the human side of enterprise, with worker satisfaction, group dynamics, and organizational morale. Other flags have been unfurled."

What factors contribute to the making of a youthful sexual offender? This book is designed to assist professionals working with youth who sexually offend. A distinguished panel of experts discusses the latest research and provides theory, techniques, and practical guidelines for the assessment and treatment of this challenging population. Identifying and Treating Youth Who Sexually Offend: Current Approaches, Techniques, and Research lays an essential foundation with a theoretical overview that frames the subject in a clear, easy-to-follow style. This section includes: a comprehensive overview of the controversies, definitions, and salient characteristics of youth who sexually offend that that provides an understanding of the factors believed to be related to sex offending among youth as well as an up-to-date review of current theory an examination of an etiological model that is frequently applied to adult sex offenders is it applicable for use with youthful offenders?The second section of Identifying and Treating Youth Who Sexually Offend tackles the challenges professionals face when conducting assessments of sexually abusive youth.This section is designed to help the clinicians of today and tomorrow become better equipped to handle the daunting task of assessment from choosing assessment tools to decreasing denial with specific interviewing techniques.Readers will learn: how to distinguish subtypes among this population with a research review and comparative descriptions of clinical and empirical typologies as well as discussion of the Trauma Outcome Process model and practical examples for clinicians how to predict the rate of re-offense among youth who sexually offend, with a review of five risk assessment methods and four scales plus directions for using them includes the Juvenile Sex Offender Assessment Protocol (JSOAP), the Protective Factors Scale (PFS), and the Estimate of Risk of Adolescent Sex Offender Recidivism (ERASOR) the nuts and bolts of the interviewing and clinical assessment phase of treatment a look at effective interviewing strategies, the process of change, and the stages of change model the importance of family therapy in the treatment of these youth ways to include parents in relapse prevention planning and ways to handle treatment providers' misconceptions and concerns about including family therapy in this type of treatment cognitive-behavioral treatment models for use in outpatient settings with treatment strategies directed toward various individual or family clinical targets, including psychological dysfunctions, sexual deviance, adolescent development and adaptive skills, and parent/family relationships an integrated (holistic) experiential approach to treatment, complete with sample exercises and a discussion of the pros and cons of many current treatment modalities a multi-family group therapy (MFGT) approach with a look at this powerful intervention mode's advantages, including economic benefits, family-to-family support and mentoring, community-based resourcefulness, and accelerated catalyzing of emotions, and directions for how to establish a MFGT format for treatment current practices in residential treatment for adolescent sex offenders policies, testing and assessment procedures, therapeutic approaches used, number of males and females in treatment, etc.The final section of Identifying and Treating Youth Who Sexually Offend explores what happens to youth who sexually offend after they leave treatment.This includes: a survey of the literature on recidivism an evaluation of the effectiveness of treatment of 644 juvenile sex offenders through the meta-analysis of 10 studies with encouraging results a look at the life experiences of a samp

Sociologists have written much about power in relation to psychiatry and mental health services. Until now, however, there has been little research on resistance to this power, whether in the form of individual crusades or the collective efforts of social movements. As a result, a central thread in the social constitution of the mental health system has been overlooked.
"Contesting Psychiatry "explores the history of resistance to psychiatry between 1950 and 2000, and more particularly, the history of the social movements who have mounted this resistance, calling psychiatry into question. Key features include:
an account of the key social movements and organizations who have contested psychiatry over the last fifty years
the theorization of resistance to psychiatry which might apply to other national contexts and to social movement formation and protest in other medical arenas
the exploration of theories of power in psychiatry
Original and provocative in its approach, "Contesting Psychiatry "offers a new sociological perspective on psychiatry. It is essential reading for students and academics alike and a unique contribution to the sociological understanding of psychiatry and medicine.

Reprints of previously printed articles. Part I: Therapeutic Action D. Ehrenberg, The Intimate Edge in Therapeutic Relatedness (1974) J. Slochower, Holding: Something Old and Something New (1996) S. Cooper and D. Levit, Old and New Objects in Fairbairnian and America Relational Theory (1998) M. Slavin and D. Kriegman, Why the Analyst Needs to Change: Toward a Theory of Conflict, Negotiation, and Mutual Influence (1998) K. Maroda, Show Some Emotion: Completing the Cycle of Affective Communication (1999) E. Berman, Psychoanalytic Supervision: The Intersubjective Development (2000) T. Jacobs, On Misreading and Misleading Patients (2001) Part II: Relational Perspectives on Development B. Beebe and F. Lachmann, Representation and Internalization in Infancy: Three Principles of Salience (1994) P. Fonagy and M. Target, Mentalization and the Changing Aims of Child Analysis (1998) S. Coates, Having a Mind of One's Own and Holding the Other in Mind (1998) K. Lyons-Ruth, The Two-Person Unconscious: Intersubjective Dialogue, Enactive Relational Representation, and the Emergence of new forms of Relational Organization (1999) Part III: Social and Cultural Dimensions of Relationality N. Eight Notes (2001) K. Leary, Race, Self-Disclosure and Forbidden Talk: Race and Ethnicity in Contemporary Psychoanalytic Practice K. Corbett, More Life: Centrality and Marginality in Human Development (2001) Volume 2 of Relational Psychoanalysis: The Emergence of a Tradition brings together key papers of the recent past that exemplify the continuing growth and refinement of the relational sensibility. In selecting these papers, editors Lewis Aron and Adrienne Harris have stressed the shared relational dimension of different psychoanalytic traditions, and they have used such commonalities to structure the best recent contributions to the literature. The topics covered in Volume 2 reflect both the evolution of psychoanalysis and the unique pathways that leading relational writers have been pursuing and in some cases establishing.

Substance misuse and abuse exist in almost every human society. In our western civilization, the bulk of attention has focused on those indi viduals who specifically seek treatment or those who have become so disabled by these problems that they require treatment. These indi viduals usually qualify for a psychiatric diagnosis of alcohol or other substance abuse. However, just as it has been recognized that primary substance abuse is frequently associated with other diagnosable psychi atric disorders, such as sociopathy or attention deficit disorder (residual type) and that the origins of substance abuse are multivariate, we have also begun to become aware that many other individuals in our society with psychiatric or other problems also suffer, to varying degrees, from substance abuse. These problems may be considered secondary by vari ous specialists or treatment personnel; but nevertheless, they are prob lems, and what disorder is primary or secondary in a given individual may often be very difficult to determine in a meaningful fashion. Thus, within the past decade, research studies have reported significant inci dences of substance abuse/or misuse in high school and college-aged populations, in medical populations, and in individuals with other psy chiatric disorders such as schizophrenia, depression, and the anxiety and personality disorders. Yet to date little has been done to bring together and systematize this widely scattered data that describes the presence of substance abuse problems in various populations."

Reclaim your life and renew your confidence after a client suicide The death of a patient is every therapist's worst nightmare. Even more frightening is the debilitating silence that surrounds a therapist after the death of a client. What do you do? How do you proceed with your personal and professional life? Until now, advice on surviving a patient's suicide has been scarce. Therapeutic and Legal Issues for Therapists Who Have Survived a Client Suicide: Breaking the Silence examines this much-overlooked topic to help you continue to live and practice confidently. The authors of this courageous book mix first-person narratives with professional strategies to help therapists deal with the emotional and legal consequences that follow the loss of a client. Therapeutic and Legal Issues for Therapists Who Have Survived a Client Suicide provides you with: models of coping strategies for clinicians after a client completes a suicide an examination of factors that compound the trauma for the therapist survivor examples for dealing with a client's family suggestions for developing curricula for training institutions recommendations for supervisory guidelines explanations of and means of mitigating legal liability Therapeutic and Legal Issues for Therapists Who Have Survived a Client Suicide: Breaking the Silence describes various ways of dealing with clinician and supervisory responsibilities after a client's self-inflicted death. This practical book will show you how to minimize the legal risks of working with suicidal clients and help you regain your sense of professional competence if a suicide occurs. New methods of screening and treatment assistance are offered. With about 30,000 suicides occuring the the United States annually, and many of those people in treatment at or near the time they commit suicide, thousands of clinicians face this trauma yearly. The clear, specific, therapeutic and legal guidelines you'll find in the book

The death of a patient is every therapist's worst nightmare. Even more frightening is the debilitating silence that surrounds a therapist after the death of a client. What do you do? How do you proceed with your personal and professional life? Until now, advice on surviving a patient's suicide has been scarce. This book examines this much-overlooked topic to help you continue to live and practice confidently. The authors of this courageous book mix first-person narratives with professional strategies to help therapists deal with the emotional and legal consequences that follow the loss of a client. Therapeutic and Legal Issues for Therapists Who Have Survived a Client Suicide provides you with: models of coping strategies for clinicians after a client completes a suicide an examination of factors that compound the trauma for the therapist survivor examples for dealing with a client's family suggestions for developing curricula for training institutions recommendations for supervisory guidelines explanations of-and means of mitigating-legal liability This practical book describes various ways of dealing with clinician and supervisory responsibilities after a client's self-inflicted death. It will show you how to minimize the legal risks of working with suicidal clients and help you regain your sense of professional competence if a suicide occurs. New methods of screening and treatment assistance are offered. With about 30,000 suicides occuring the the United States annually, and many of those people in treatment at or near the time they commit suicide, thousands of clinicians face this trauma yearly. The clear, specific, therapeutic and legal guidelines you'll find in the book, as well as the philosophical discussions, make it a vital read for therapists, counselors, social workers, nurses, supervisors, and educators in mental health training institutions.

Asia is by far the largest continent in the world in terms of area with population exceeding 3.5 billion and has dozens of cultures, religions, languages and ethnic groups. As a result of its highly varied political systems, Asia also spawns a wide variety of health care systems including mental health care systems, often based on historical roots and at times colonial heritages. The people who suffer from mental or neurological disorders in the continent form a vulnerable section of society and often face stigma, discrimination and marginalization in all societies, and this increases the likelihood that their human rights will be violated This book tackles the issue of mental health legislation in South Asia. The first of its kind, it addresses an issue that is necessary for protecting the rights of people with mental disorders and serves as an essential text for reinforcing mental health policy in South Asia. It is a timely addition to our global understanding of mental health and how different regions address it.

Learn about a pioneering alternative to antipsychotic medication for schizophrenia! In Schizophrenia: Innovations in Diagnosis and Treatment, Dr. Colin A. Rossfounder of the Colin A. Ross Institute for Psychological Traumapresents a new theory of the existence of a dissociative subtype of schizophrenia. Dr. Ross determines that some patients diagnosed with schizophrenia have symptoms closely related to dissociative identity disorderor multiple personality disorderand have a history of psychological trauma. In these cases, this unprecedented book proposes that the disorder is treatableperhaps even curableusing psychotherapy rather than drugs. Schizophrenia: Innovations in Diagnosis and Treatment will revolutionize the profession of psychology with data, arguments, and a review of previously published literature to support Dr. Ross's theory. Traditionally, schizophrenia is considered manageable only by a lifetime of psychotropic drugsexpensive, harmful, and often ineffectual. This book offers an alternative free of damaging chemicals to improve quality of life for patients with schizophrenia whose symptoms may be trauma-based. Schizophrenia: Innovations in Diagnosis and Treatment offers specific, detailed ideas and research on: genetic studies showing that while there is a genetic connection, it is not prevalent enough for biology to be the only predisposing factor in all cases of schizophrenia a comparison of the definitions of psychosis, schizophrenia, and dissociationfrom the DSM-IV-TR and other textsto determine relationships between the three disorders proposed diagnostic criteria for dissociative schizophreniadissociative amnesia, depersonalization, the presence of two or more distinct personalities/identities, auditory hallucinations, extensive comorbidity, and severe childhood trauma the principles of psychotherapy for dissociative schizophreniawhen to start therapy, trauma therapy, how to establish communication with the patient, and therapeutic neutrality and more! With an extensive bibliography of literatures on trauma, dissociation, and psychosis, as well as numerous tables and case studies, this volume presents a strong case for a fresh methodology in the treatment of this psychological abnormality. The theory provided by Dr. Ross brings hope for recovery to individuals with dissociative schizophrenia. This one-of-a-kind book is a must-read for psychiatrists, psychologists, and other professionals involved in research and/or treatment of schizophrenia. Its comprehensible text makes it useful for patients with schizophrenia and their family members as well.

Here, in plain language, is the definitive guide for taking control of your life and imbuing it with greater meaning and productivity. Constructive Living is an action-based way of looking at the world that combines good, old-fashioned straight talk and the celebrated Japanese psychotherapies Morita and Naikan. David Reynolds, the father of this brilliantly simple and effective therapy, shows us how to live thoughtfully and economically, to regard our actions as if they were divine rituals, and to perform them with the utmost care. He contends that contentment is achieved, not bestowed--attaining peace and satisfaction takes daily practice and learning. With user-friendly anecdotes, practical exercises, and a sense of humor, he refreshes the experienced student and takes the novice to the beginning, laying out the essence of Constructive Living.

When we worked on Down Syndrome brain in the past we have been focus ing on adult brain. This was a major step forwards as most work on Down Syndrome was carried out on fibroblasts or other tissues and, moreover, we introduced proteomics to identify and quantify brain protein expression. We considered evaluation of brain protein expression in Down Syndrome brain by and by more important than gene hunting at the nucleic acid level realiz ing the long unpredictable way from RNA to protein. The availability of fetal samples along with the proteomic appproach stimulated and reinforced studies on Down Syndrome brain. And indeed, it was found out that some observations on aberrant protein expression in adult Down Syndrome brain could not be verified in the fetal samples indi cating that neurodegeneration in adult Down Syndrome brain may have been responsible rather than trisomy 21. Using brains from the early second trimester of gestation led to the generation of a series of clues for the under standing of aberrant wiring of the brain in Down Syndrome and enabled the determination of altered key functions in early life; e. g. undetectably low drebrin was observed in Down Syndrome cortex, an integral constituent and marker for dendritic spines, main effectors of cross-talk between neurons. In addition, evaluation of the nature of the neuronal deficits in terms of neuro transmission markers could be established as well as neuronal density in fetal Down Syndrome cortex."

While some books about police psychology contain a chapter on the fitness-for-duty question, this is the first comprehensive publication focused exclusively on psychological fitness-for-duty evaluations (FFDEs) for law enforcement personnel. This handbook is ideal for professionals and for coursework designed to prepare individuals for careers as police or municipal officials, psychologists, students, behavioral science specialists, human rights advocates, and attorneys. A helpful glossary makes the book even more useful for students and those who do not have extensive academic or formal training in psychology or public administration. A Handbook for Psychological Fitness-for-Duty Evaluations in Law Enforcement describes in detail the mechanics of setting up a fitness-for-duty methodology and examines the effectiveness of FFDEs in law enforcement. You'll find clear instructions for developing a FFDE system from the law enforcement executive's viewpoint (valuable for attorneys, police psychologists, and civil service board members as well), and an extensive bibliography with particular emphasis on laws and cases that provide guidance to psychological and law enforcement professionals. Several appendices provide examples of documentation that can be used in the evaluation process. This book brings you reliable information on: legal precedents, with a review of legal cases (in language appropriate for law enforcement executives and psychologists) the interaction between police culture, psychological assessment, and therapy federal laws that impact FFDEs, including the HIPAA, the Americans with Disabilities Act, the Family Medical Leave Act and the Fair Credit Reporting Act case law and FFDEs, with emphasis on civil rights laws, labor issues, professional ethical dilemmas, and the psychologist as a potential expert witness the proper uses-and the misuses-of the FFDE approach police departmental civil liability and the role that the FFDE plays in addressing legal risks In addition, this book contains a succinct review of psychological testing (psychometrics), and the technicalities of employing a professional psychologist to determine the fitness of commissioned officers. A Handbook for Psychological Fitness-for-Duty Evaluations in Law Enforcement proposes a model law that could be used to improve the utility and effectiveness of FFDEs, and presents a forward-looking discussion of FFDE issues that may become controversial in the near future.

Intrusive mental images in the form of flashbacks have long been recognised as a hallmark of post-traumatic stress disorder. However, clinicians have become increasingly aware that distressing imagery is a more pervasive phenomenon. There appears to be a powerful link between imagery and autobiographical memory. The field of autobiographical memory needs to account for disorders of remembering in psychopathology, including the reliving of past experiences in the form of imagery. While the role of mental imagery in psychopathology has been an under-researched topic, recently, there has been a surge of interest. This Special Issue of Memory, Mental Imagery and Memory in Psychopathology, edited by Emily A. Holmes and Ann Hackmann, presents a novel series of papers investigating emotional, intrusive mental imagery across a wide range of psychological disorders. The topics include post-traumatic stress disorder, other anxiety disorders such as agoraphobia and social phobia, as well as psychosis, bipolar disorder, body dysmorphic disorder, and depression. The roles of imagery in symptom maintenance and in psychological treatment are explored. Further studies using non-clinical samples address information processing issues and imagery qualities. These include innovative approaches to modelling cravings in substance misuse, and the role of imagery in conditioning aversions. Pioneering work is presented on vividness, emotionality, and the type of perspective taken in imagery. This Special Issue begins and ends with theoretical papers that provide complementary approaches: reviewing findings from a clinical psychology perspective and an autobiographical memory perspective. New developments in cognitive therapy require a conceptual framework within which to understand imagery in specific psychopathologies. Since the experience of imagery is not abnormal per se, it is helpful to make links with accounts of 'ordinary' processing. Conway's work on autobiographical memory may provide such a framework. According to this model, images are thought to be forms of autobiographical memory, referred to as sensory perceptual knowledge that is experience-near. Indeed, although they may be unaware at the time, patients often later report that images appear linked to autobiographical experiences. However, despite being a form of memory, images may be experienced as actual events happening in the present, or as representing the imagined future, and project meaning for the self. Images may provide particularly potent means of carrying emotion and information about the self, compared to other forms of processing. In this Special Issue, Conway presents novel insights that suggest imagery is highly associated with self goals. Imagery can both reflect and maintain goals linked to psychopathology. An exciting consequence of this framework is that imagery can be used to resolve dysfunctional states in therapy. Imagery in psychopathology tends to be highly intrusive, distressing, and repetitive. It may arise 'out of the blue', i.e. directly triggered from autobiographical memory. Images can hijack attention and reflect negative self goals. It may therefore understandably provoke a variety of cognitive and behavioural responses. For example, interpreting the image as representing fact rather than fiction, trying to block it out of mind, or avoiding triggers for the image. Cognitive behavioural therapy targets such responses because they are thought to maintain psychopathology in a vicious cycle. In contrast, responses that update the image in memory could break that cycle. Further there is a role for positive, alternative images. Conway suggests that generating new images can generate new goals and thus ameliorate distress: an insight that may further enhance therapy. This book appeals to clinicians and experimental psychologists working in memory and emotion. It provides a forum to forge links between experi

Research in Community and Mental Health

Test-based psychological assessment has been significantly affected by the health care revolution in the United States during the past two decades. Despite new limitations on psychological services across the board and psychological testing in particular, it continues to offer a rapid and efficient method of identifying problems, planning and monitoring a course of treatment, and assessing the outcomes of interventions. This thoroughly revised and greatly expanded third edition of a classic reference, now three volumes, constitutes an invaluable resource for practitioners who in a managed care era need to focus their testing not on the general goals of personality assessment, symptom identification, and diagnosis so often presented to them as students and trainees, but on specific questions: What course of treatment should this person receive? How is it going? Was it effective? New chapters describe new tests and models and new concerns such as ethical aspects of outcomes assessment. Volume I reviews general issues and recommendations concerning the use of psychological testing for screening for psychological disturbances, planning and monitoring appropriate interventions, and the assessing outcomes, and offers specific guidelines for selecting instruments. It also considers more specific issues such as the analysis of group and individual patient data, the selection and implementation of outcomes instrumentation, and the ethics of gathering and using outcomes data. Volume II discusses psychological measures developed for use with younger children and adolescents that can be used for the purposes outlined in Volume I; Volume III, those developed for use with adults. Drawing on the knowledge and experience of a diverse group of leading experts--test developers, researchers, clinicians and others, the third edition of The Use of Psychological Testing for Treatment Planning and Outcomes Assessment provides vital assistance to all clinicians, and to their trainees and graduate students.

This revised and updated edition incorporates new developments that have emerged since the publication of the second edition in 1985.

Adolescent Forensic Psychiatry discusses a broad range of issues based around the psychiatric needs of adolescents and how these relate to offending behavior. Its well-structured approach looks at assessment, treatment, and outcomes for different disorders and highlights the importance of effective interaction between specialist agencies. Services supporting the assessment and treatment of children and young people within forensic mental health services are influenced by professionals in many areas; therefore, the book includes contributions by authors from a wide range of disciplines and specialties in order to cover every aspect of the field.
Adolescent Forensic Psychiatry examines the key influences that shape young people's attitudes and behavior and shows the association between different offending behavior patterns and psychiatric disorders. It includes a section on future strategies, including politics, service provision, and the impact of research. This book will be of special interest to people working with children and young people in secure care, and to those working with all looked-after children. It will be of value to all those involved in the development of the needs of children and adolescents within educational, social, mental health and criminal justice services.