When Love Is Not Enough relates how a multitude of factors--the competence of staff; the safety, nurturing, and protective elements of the emotional, physical, and political setting; and all overt and covert organizational dynamics--determine whether or not a treatment setting accomplishes its therapeutic aims. Authors in When Love Is Not Enough continue the emphasis on the group-as-a-whole "Group Relation" model of organizational and group processes begun with Wilfred Bion's work at the Tavistok Clinic in London in the 1940s. This model helps those providing services to children and adolescents evaluate their treatment programs and make the necessary changes toward improvement.Chapters in When Love Is Not Enough are dedicated to improving the psychological treatment of children and adolescents in postmodern society, a society in which life in interdependent communities is becoming increasingly important for the health and survival of all persons. Topics covered include: the Tavistok approach to understanding group and organizational behavior the emphasis on group-as-a-whole in problem solving and treatment design narrowing the gap between plan and outcome the dynamics involved in the psychiatric treatment of children issues of staff selection, training, and development in programs designed to treat children countertransference responses in the treatment of children and adolescents revitalizing organizations the subjective experience of school lifeWhen Love Is Not Enough helps organizations realize the ways in which they may, inadvertently, undermine the emotional and cognitive functioning of the staff or the identified patients and set serious limits on the growth of members of the organization, staff and patients alike. It urges organizations to conduct an ongoing self-scrutiny concerning their rational and irrational processes, as this self-examination is crucial to the health and vitality of the treatment offered to others. The book also promotes thinking of the conscious and unconscious dynamics of the group-as-a-whole to more completely inform organizational decisions concerning changes that may enhance the treatment of children and adolescents.When Love Is Not Enough serves as an invaluable guide for mental health professionals who treat children and adolescents, group therapists, hospital and clinic administrators, psychoanalysts, nurses, social workers, psychologists, and psychiatrists.

This book summarizes more than four decades of research on imitation in infancy and its relation to early learning and sociocognitive development in typically and atypically developing children. The studies were carried out in a Scandinavian context and thus provide important cultural validation of the central developmental processes. The book is divided into three parts: Part one focuses on the social and cognitive aspects of imitation, discussing links to early parent-infant interaction, and developmental meaning. It addresses evidence for an imitative capacity at birth for typical and atypical infants. Also covered are early individual differences in imitation, the role of imitation as a social and cognitive learning mechanism in early development, and possible links between imitation and temperament. Part two presents unique longitudinal studies on early memory development using deferred imitation as the key method. It discusses the biological basis of memory and explores the idea that deferred imitation is an indicator of an infant's ability to understand intentions. Part three focuses on imitation in young children with autism and with Down syndrome. It examines the role of imitation as a "deficit" as well as a vehicle for change when used interactively in early interventions for children with autism. Imitation from Infancy Through Early Childhood is an essential resource for researchers, professors, and graduate students as well as clinicians and other professionals in developmental psychology, cognitive development, psycholinguistics, child psychiatry, and developmental neuroscience.

Do you ever find yourself overwhelmed by troublesome and persistent thoughts that make you feel anxious? Do you feel an urge to wash your hands repeatedly, or check appliances over and over, to help ease your anxiety? Do you feel panicked about what might happen if you did not perform these rituals? You may be struggling with Obsessive Compulsive Disorder (OCD). OCD is a common, yet distressing condition, but one that is responsive to modern treatments. Everything You Need to Know About OCD gives you a comprehensive insight in to this condition, how to spot symptoms of it in yourself or a loved one, and outlines the treatment options available. The book features self-help chapters that guide you through Graded Exposure therapy, a highly effective psychological treatment for OCD. These chapters will equip you with strategies to banish unwanted thoughts and help you regain control of your life.

The purpose of this book is to demystify the evaluation and management of common psychological disorders and psychosocial issues which impact all realms of medical and mental health practice. These types of issues are often seen as "medical quicksand" by treating professionals, employers, and insurers alike. Consequently, there is a system-wide avoidance of these disorders that significantly increase medical and disability costs. However, there is a considerable cost to individual and society as well in terms of the reduction in the quality of life of the individual and the high costs associated with chronic use of medical resources.

It is essential to note the complexity of the psychiatric and psychosocial disability conundrum. This dilemma is not limited solely to short-term, minor problems but leach into the full spectrum of disability systems: private insurance, disability insurance, and federal programs for disabled persons. This book will provide innovative tools to confidently navigate the disability process by implementing, for the first time, true objective information coupled with the state-of-the-art evidence-based research. Thus, all individuals involved in the psychiatric disability process will be able to properly manage the process, optimize the treatment for an optimal outcome and avoid iatrogenic disability. In particular, the book will provide a clear evidence-based guidance for the evaluation and treatment process not only for individuals with obvious psychological problems, but for symptomatic individual with no discernable etiology or who simply never seem to get well.

How is information represented in the nervous system? How is that information manipulated and processed? These are some of the more important and challenging questions for neuroscientists and psychologists today. Understanding brain functions, especially the neural mechanisms of higher cognitive processes such as thinking, reasoning, judging, and decision making, are the subjects covered by the research in the chapters of this book. They describe recent progress in four major research areas: visual functions, motor functions, memory functions, and prefrontal functions. Readers will obtain an excellent idea of how the nervous system internally represents the outer world, how the nervous system constructs images or schemas to perceive the outer world or react to the environment, and how the nervous system processes information using internal representations - topics that are at the forefront of brain science today.

The focus of Volume I of the Handbook of Human Brain Function was on basic scientific principles of brain imaging as it relates to the study of human brain function. Once the scientific bases for a particular discipline are established, follow. Such is the status of brain imaging in the study of clinical applications human brain function. It is of interest to note that the 1952 Nobel Prize for Physics was awarded to Felix Bloch and Edward Purcell, who discovered that nuclei precessing in the radiofrequency range could emit a radiofrquency signal detected by a radio receiver. Their findings initiated a series of very basic re search studies on the characteristics of nuclear magnetic resonance. It would take over 25 years of basic research before findings began to point toward truly biomedical applications. However, once realized, clinical applications became standard fare for nuclear magnetic resonance. The example of Bloch and Pur cell's work in an area of very basic science expanding to clinical application has been repeated throughout the medical and neurological sciences. This type of progress is what drives science. As a benefit from these scientific advances, research, clinical, and diagnostic imaging from a variety of modalities, not just computerized tomography or magnetic resonance imaging, can be performed. This volume focuses on the clinical applications of various neuroimaging meth ods. Chapter 1 introduces the topic of clinical neuroimaging in the study of human brain function.

Activism and Marginalization in the AIDS Crisis shows readers how the advent of HIV-disease has brought into question the utility of certain forms of "activism" as they relate to understanding and fighting the social impacts of disease. This informative and powerful book is centrally concerned about the ways in which institutionally governed social constructions of HIV/AIDS affect policy and public images of the disease more so than activist efforts. It asserts that an accounting of the power institutional structures have over the dominant social constructions of HIV disease is fundamental to adequate forms of present and future AIDS activism. Chapters in Activism and Marginalization in the AIDS Crisis demonstrate how, despite what is thought of as the "successful activism" of the past decade, the claims of the HIV-positive are still being ignored, still being marginalized, and still being administratively "handled" and exploited even as the plight of those who find themselves HIV-positive worsens. Although chapters reject the assertion that activism has been a highly effective remedy to HIV-positive voicelessness, authors do not deny that activists have been vocal, but that they continue to be ignored despite their vocality.Contributors in Activism and Marginalization in the AIDS Crisis offer numerous examples of institutional control and demonstrate that institutional structures, and not activists, are controlling the public meaning of HIV-related issues. Readers learn how messages about HIV/AIDS are produced, negotiated, modified, and sustained through institutional mechanisms that serve mostly institutional interests rather than those of the HIV-positive. In gaining an understanding of these issues, readers will begin to learn how to modify and strengthen activist efforts with valuable insight on: the lack of HIV-positive voices in mainstream news portrayals of HIV/AIDS research on constructions of HIV-disease at the state government level social constructions and how they affect HIV/AIDS policy the political construction of AIDS and interest-based struggles the emergent "bio-politics" of HIV and homosexuality in the U.S. how institutional power works to govern public understanding of HIV diseaseInstitutional structures are defined in this book as groups engaged in and defined by the production of various "truths" which sustain them. Institutional power may be defined as the capacity to regulate, constrain, and disseminate versions of "truth." Activism and Marginalization in the AIDS Crisis reveals how HIV activist groups have been outmaneuvered when it comes to the production and dissemination of various "truths" about HIV/AIDS by institutional structures more deeply steeped in social legitimacy and which have a superior capacity for message dissemination.HIV/AIDS activists, HIV-positive persons and those with AIDS, HIV/AIDS educators, public and institutional policymakers, health professionals, and the general public will find this book essential to understanding the social constructions of HIV/AIDS, how these affect HIV/AIDS-related policy and public opinion, and how to begin to cipher through the plethora of information to find and promote the "truth."

In "Borderline Personality and Mood Disorders: Comorbidity and Controversy," a panel of distinguished experts reviews the last two decades of progress in scientific inquiry about the relationship between mood and personality disorders and the influence of this empirical data on our ways of conceptualizing and treating them. This comprehensive title opens with an introduction defining general trends both influencing the expansion of the mood disorder spectrum and undermining clinical recognition and focus on personality disorders. The overlaps and differences between MDD and BPD in phenomenology and biological markers are then reviewed, followed by a review of the overlaps and distinctions between more atypical mood disorder variants. Further chapters review the current state of thinking on the distinctions between bipolar disorder and BPD, with attention to problems of misdiagnosis and use of clinical vignettes to illustrate important distinguishing features. Two models explaining the relationship between mood, temperament, and personality are offered, followed by a review of the literature on risk factors and early signs of BPD and mood disorders in childhood through young adulthood as well as a review of the longitudinal studies on BPD and mood disorders. The last segment of the book includes three chapters on treatment. The book closes with a conclusion with a synthesis of the current status of thinking on the relationship between mood and borderline personality disorder.

An invaluable contribution to the literature, "Borderline Personality and Mood Disorders: Comorbidity and Controversy" insightfully addresses the mood and personality disorders realms of psychiatry and outlines that it has moved away from contentious debate and toward the possibility of synthesis, providing increasing clarity on the relationship between mood and personality to inform improvements in clinical management of the convergence of these psychiatric domains in common practice.

Of all the aspects of British 'cultural imperialism' the one which Africans found most seductive was formal western education. They were quick to realise that University education opened up prospects for economic advancement and would ultimately provide the keys to political power and self government. Using a wide range of papers from the British Colonial Office and colonial governments in Africa, the archives of several libraries and the writings of African nationalists, Dr Nwauwa examines the surprisingly long history of the demand for the establishment of universities in Colonial Africa, a demand to which the authorities finally agreed after the Second World War.
Educated Africans first put forward requests for a university in South West Africa in the 1860's, but from the 1880's through to the 1930's British colonial regimes constantly shunned such aspirations. But starting in 1939 colonial reformers in Britain began to advocate the creation of universities in Africa and by 1943 the idea was taken up by the Colonial Office as a means of 'managing' African nationalism. The creation of university colleges became a reality in 1948, they were one of the most important colonial reforms which led to decolonisation.

Recently, there has been a renewal of interest in the broad and loosely bounded range of phenomena called deception and self-deception. This volume addresses this interest shared by philosophers, social and clinical psychologists, and more recently, neuroscientists and cognitive scientists. Expert contributors provide timely, reliable, and insightful coverage of the normal range of errors in perception, memory, and behavior. They place these phenomena on a continuum with various syndromes and neuropsychiatric diseases where falsehood in perception, self-perception, cognition, and behaviors are a peculiar sign. Leading authorities examine the various forms of "mythomania," deception, and self-deception ranging from the mundane to the bizarre such as imposture, confabulations, minimization of symptomatology, denial, and anosognosia. Although the many diverse phenomena discussed here share a family resemblance, they are unlikely to have a common neurological machinery. In order to reach an explanation for these phenomena, a reliable pattern of lawful behavior must be delineated. It would then be possible to develop reasonable explanations based upon the underlying neurobiological processes that give rise to deficiencies designated as the mythomanias. The chapters herein begin to provide an outline of such a development. Taken as a whole, the collection is consistent with the emerging gospel indicating that neither the machinery of "nature" nor the forces of "nurture" taken alone are capable of explaining what makes cognition and behaviors aberrant.

This is the first book-length account of the controversy preceding and following the APA's decision in 1986 to include a premenstrually related diagnosis in its revised diagnostic manual, DSM III-R. Figert examines why the decision was controversial and consequential in three main domains where people, their interests, and claims to ownership coincide: the Health and Mental Health Domain, the Woman Domain, and the Science Domain.

Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients' cultural backgrounds could improve the relationship between the patient and the primary clinician.

This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as:

- Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service

- Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and and interaction of the consultant with family systems and larger institutions

- Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes

This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

Coaching is growing across the globe as a viable and useful intervention to help executives deal with the complexity they face day-to-day. In response to this increased demand, many coaches have presented their "model" of coaching to the world of business, and a number of these have made it into print. Few are based on a rigorous development process or have provided the reader with an insight into their development. The Author wanted to offer to the readers of our professional coaching series the opportunity to engage with a practitioner who had been through a journey of learning built on their experience, the literature and research. This book meets the need identified for a clear and rigorous account by an experienced coach of the development of their model within the scientist-practitioner framework.

Table of Contents

Foreword , Introduction , Reflections on my personal journey , The meta-philosophical framework , The methodological framework , The business framework , Applying and researching the Integrated Experiential Coaching Model , The integrated experiential coaching model in a team context , The impact of stress on learning , Personal reflections and implications of the coaching journey , Conclusion

At a time when biological psychiatry claims that drugs and electroshock are the best methods for helping deeply disturbed persons, mental health professionals need to be reminded that psychological and social approaches to mental illnesses remain more effective, less harmful, and much more able to address the real needs of recovery, growth, and development for affected persons. Psychosocial Approaches to Deeply Disturbed Persons empowers counselors, psychiatrists, psychologists, and social workers to trust their intuitive and clinical understanding of how to help seriously disturbed people through humane, caring approaches.Psychosocial Approaches to Deeply Disturbed Persons introduces mental health professionals to an array of psychological and social alternatives that are available for helping patients considered "psychotic" or very emotionally disturbed. Focusing on psychological and social approaches to helping people who become labeled "psychotic" or who carry serious psychiatric diagnoses, contributors show mental health professionals psychological, social, and spiritual alternatives for approaching or treating these individuals. Readers learn about: a successful model for nonmedical, non-drug residential treatment centers utilizing the artwork of psychotic patients case histories of psychoanalytic therapy group therapy to help families with a "schizophrenic" member improve communication Re-evaluation Counseling (RC) with disturbed individuals psychoanalytically-oriented therapy World Health Organization research which demonstrates the positive effect of extended family and social relationships and the negative effect of modern biopsychiatric treatment research demonstrating the efficacy of psychotherapy with persons labeled "schizophrenic"These chapters combined with a review of empirical studies demonstrate to readers the efficacy of psychotherapy with psychotic patients. Students or experienced professionals in any of the mental health fields, including psychotherapy, counseling, clinical psychology, clinical social work, and Re-evaluation Counseling will find Psychosocial Approaches to Deeply Disturbed Persons a necessity for most effectively and humanely treating clients with serious psychiatric diagnoses.

First published in 1996. Routledge is an imprint of Taylor & Francis, an informa company.

Psychosocial Resource Variables in Cancer Studies reviews the literature on selected psychosocial resource variables in cancer in order to raise and examine conceptual and methodological issues and to offer suggestions for future directions in the field. It provides investigators and clinicians with a systematic treatment of the state of the art in research on specific resource factors and provides a careful consideration of more generic methodological and statistical issues in this research context.Editors Curbow and Somerfield define resources as aspects of a person or environment that are brought to bear on the maintenance or restoration of adaptation under taxing conditions. They hope Psychosocial Resource Variables in Cancer Studies is just the beginning of an ongoing discussion within the field of psychosocial oncology on the nature and use of resource variables. The book's topics are crucial since researchers appear to be committed to using resource variables to explain outcomes. Also, resource variables are increasingly considered as explanatory concepts in quality-of-life research.Psychosocial Resource Variables in Cancer Studies offers critical reviews of the major resource variables investigated in contemporary psychosocial oncology research. It provides timely information on vital issues in this research, emphasizing studies of the influence of personal and social resources on adaptation to cancer. Chapters cover topics such as: the use of resource variables in the explanation of individual differences in adaptation to cancer and cancer treatment theories, measures, and methodological issues in the use of perceived control the use of the transactional model of coping to examine issues surrounding coping and the management of cancer demands religion and spirituality as resources in coping with cancer social support in adaptation to cancer and survival the clinical usefulness of research on psychosocial resources major measures of psychological functioning in psychosocial oncology research statistical and analytical issues in the use of resource variables roles of qualitative and quantitative approaches in exploring resource variablesThe editors begin with an overview of the oncology field and offer comments on issues that can be generalized to all psychosocial resource variables. Next is a presentation of a series of review papers on selected resource variables, including perceived control, coping, religion and spirituality, and social support, followed by a discussion of the clinical utility of research on these resource variables. The book concludes with a discussion of important cross-cutting methodological issues, including the selection of psychological functioning outcome measures, the statistical analysis of resource variables, and quantitative versus qualitative approaches.Psychosocial Reource Variables in Cancer is a valuable reference and guide for health psychologists, clinical health psychologists, clinical social workers in oncology, medical sociologists, medical anthropologists, and oncology nurses. It may also serve as important reading material for courses in health psychology, physiological factors in health and illness, personality and diseases, and stress and coping.

Until recent advents in neuroimaging, the brain had been inaccessible to in vivo visualization, short of neurosurgical procedures or some unfortunate traumatic exposure. It is a tribute to the early contributors to clinical neuroscience that through what, by today's standards, would be deemed extremely crude measure ments, advancements in understanding brain function were made. For example, the theories of higher cortical functions of the brain by Aleksandr Luria or Hans-Lukas Teuber in the 1950s were essentially based on military subjects who sustained traumatic head wounds during World War II. These researchers could inspect the patient and determine where penetrating entrance and exit wounds were on the head; sometimes they had skull films to identify entrance and exit fracture wounds, sometimes neurosurgical reports were available, and Luria even had the opportunity to acutely examine some patients with exposed wounds. Thus, one would take whatever information might be available and infer what regions of the brain were involved but could never actually visualize the brain. Of course, this changed dramatically with the introduction of brain imag ing in the 1970s, but it really was not until the 1990s that analysis and image display technologies finally caught up with the basic brain-imaging methods of computerized tomography (CT) and magnetic resonance imaging (MRI).

Desire and the Female Therapist is one of the first full-length explorations of erotic transference and countertransference from the point of view of the female therapist. Particular attention is given to the female therapist/male client relationship and to the effects of desire made visible in art objects in analytical forms of psychotherapy. Drawing on aesthetic and psychoanalytic theory, specifically Lacan and Jung, the book offers a significant new approach to desire in therapy. Richly illustrated, with pictures as well as clinical vignettes, this book follows on from Joy Schaverien's innovative previous work The Revealing Image. Written primarily for psychotherapists, art therapists and analysts, Desire and the Female Therapist will be essential reading for all therapists affected by erotic transference and countertransference in the course of clinical practice and all whose clients bring art works to therapy.

Assessment is a topic that is central to psychology. In the case of clinical psychology, assessment of individual functioning is of keen interest to individuals involved in clinical practice as well as research. Understand ing the multiple domains of functioning, evaluating characteristics of individuals in relation to others (normative assessment) as well as in relation to themselves (ipsative assessment), and charting progress or change over time all require well-developed assessment tools and methods. In light of the importance of the topic, books, journals, and monographs continue to emerge in large numbers to present, address, and evaluate diverse measures. Keeping informed about measures, identifying the mea sures in use, and obtaining the necessary information for their interpreta tion make the task of Sisyphus look like a vacation. In this book, the editors provide information that eases the task remarkably. The overriding goal of this book is to provide concise, useful, and essential information about measures of adult functioning. To that end, this is a sourcebook, a format that is particularly noteworthy. The mea sures are presented and organized according to diagnostic categories, as derived from the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The categories are broad (e. g., substance-related disorders, anx iety disorders, mood disorders, schizophrenia and related disorders) in recognition that those who develop measures and those who use them in clinical research or practice usually do not have narrowly defined diagnos tic entities in mind."

Cancer is the leading cause of death in the United States. The improvement of screening procedures and treatments have led to higher survival rates, and consequently to an increased number of individuals who fear that their cancer might come back. Fear of cancer recurrence (FCR) is defined as the fear, worry, or concern that cancer may come back or progress. FCR has been found to be the number one unmet need of cancer survivors. High levels of FCR are associated with greater psychological distress, impaired functioning, decreased quality of life, and increased medical consultations, psychotropic usage and health-care costs. It is therefore crucial to offer these patients an appropriate and effective treatment. The books first propose a theoretical model of FCR that identifies the five main targets of intervention in this program: 1) cognitive interpretation; 2) behavioural avoidance; 3) cognitive avoidance; 4) reassurance and control seeking; 5) intolerance of uncertainty. Then, each target is discussed and specific cognitive-behavioural therapy strategies are suggested that focus on each of them based on the best available empirical evidence for the treatment of anxiety disorders (e.g., generalized anxiety disorder) and cancer-related anxiety. This book will be of interest to clinicians working with cancer patients such as psychologists and other health care providers as well as cancer patients and survivors. Graduate students in clinical health psychology, and connecting disciplines such as psycho-oncology, psychiatry, nursing, social work, rehabilitation, spiritual care, and sexology might also find this text of value.

Dementia diseases are the most common cause of severe mental deterioration in the world today, and expected changes in the population structure will inevitably result in a gradually increasing occurrence of dementia. One of the primary symptoms of dementia diseases is severe memory dysfunction. Knowledge about the ways in which dementia diseases affect memory increases our knowledge about the relationship between brain structures and memory functions, is imperative for early clinical diagnosis, and forms a basis for sound behavioral and pharmacological intervention. While the memory impairment in dementia has been known for more than 2000 years, the nature of this impairment is not yet completely understood. Research in this area has not, until quite recently, utilized theoretical and methodological advances from basic cognitive psychology. This volume gives a comprehensive treatment of this new and increasingly developing field of inquiry.