In an attempt to explore the explanations why psychiatrists continue to use electroshock with minors already at risk from damage, this text investigates reasons why electroshock remains popular, despite the widespread availability of proven psychosocial alternatives. The text locates all of the literature since the 1940s about the use of electroshock with minors from three years of age through adolescence.

Since the introduction of shock with children and teenagers, the province of psychiatry has been expanded to include minors as young as three. A fifty-year overview of shock use by psychiatrists with minors is provided, with an analysis of reasons for its popularity among some medical staff. The review includes results from a meta-analysis study that reports data from over 200 previously published clinical cases. These results indicate that there is no clinical rationale for the use of shock with children and teenagers. Moreover, there are many reasons not to give shock, including ethical, philosophical, moral, and humanistic objections. The continued use of electroshock by psychiatrists persists only due to the clinical independence of medical staff. There are no controlled evaluations, no randomized controlled trials, no controlled clinical trials, and no single case studies that report outcome data from electroshock given under scientific conditions to minors. Rather, the entire published literature is based on anecdotal reports from uncontrolled interventions. The text explores the ethical position of mental health staff who are in the same arena. Alternatives to electroshock are explored in the context of services for children and teenagers with mental health needs.

Whether dealing with the tantrums of a demanding two-year-old, or the hostile, rejecting rage of a distraught teenager seeking greater independence, dealing with a child's anger is one of the most frustrating and challenging tasks faced by a parent. While some children learn constructive strategies to manage anger, many learn ineffective ways that may lead to more severe emotional and behavioural difficulties, such as underachievement, depression, interpersonal conflict, and, in extreme cases, even violence. In Healthy Anger, psychologists and anger expert Dr Bernard Golden helps us understand how children experience and express anger and how parents can help them to manage this complex and charged emotion. Rather than just examining the child's disruptive behaviour, Golden focuses on parent-child interaction, teaching parents constructive ways to respond to the whole child. Anger, Golden explains, is a natural emotion that is distinct from behaviour that is aggressive. He emphasizes that anger does not occur in isolation, but rather in the context of individual needs, attitudes, perceptions and emotions. Golden helps parents work with their children to identify the causes of their anger, and then to implement strategies for coping in a healthy way. He gives parents constructive guidance for helping to understand "child logic", talking about anger and forgiveness, responding to escalating anger, rewarding good behaviours, and recognizing those children and teens who need professional help. Throughout the book, Golden includes clear, step-by-step instructions for exercises and tasks that will build coping strategies and build problem-solving skills for managing and channeling anger in healthy ways. Healthy Anger is an accessible and comprehensive guide for parents, teachers, and clinicians who work with children and teens.

The Psy complex governs us all by inscribing, diagnosing and interfering in our lives. This volume takes historical, sociological and psychological perspectives in exploring the complicity of patients, professions and governments with Psy and attempts by all three to constrain the industry's activities.

The founding volume of the European Family Therapy Association book series presents new ideas confirming the crucial importance of systemic family therapy for family practice. Spanning paradigms, models, concepts, applications, and implications for families as they develop, experts in the field demonstrate the translatability of session insights into real-world contexts, bolstering therapeutic gains outside the treatment setting. Chapters emphasize the potential for systemic family therapy as integrative across theories, healing disciplines, modes of treatment, while contributors' personal perspectives provide unique takes on the therapist's role. Together, these papers promote best practices not only for therapy, but also research and training as professionals delve deeper into understanding the complexity and diversity of families and family systems. Origins and Originality in Family Therapy and Systemic Practice offers practitioners and other professionals particularly interested in family therapy practice timely, ethical tools for enhancing their work.

Literature can play an important role in helping young children cope with developmental changes and deal with the external world. This volume offers a guide to books published between 1980 and 1985 that preschool children enjoy and that at the same time address the needs and problems they encounter in their daily lives. An introductory chapter looks at the utilization of literature to help children adjust to developmental changes and examines the factors to consider in book selection. The remaining chapters focus on specific developmental issues that affect preschoolers: anger and other emotions, attitudes and values, family relationships, fear and fantasy, motor development and physical change, peers and school, self-image and sex roles, single-parent and blended families, and special developmental needs.

The idea of brief, solution-oriented therapy for severe mental illness flies in the face of conventional wisdom. But then, so does almost everything else about the psychotherapeutic approach developed by Bill O'Hanlon, coauthor of this groundbreaking book. Concepts such as forming client/therapist partnerships and creatively engaging the person beyond the illness are at radical variance with the mainstream view that disorders such as schizophrenia are completely neurobiological in nature and, hence, impervious to all but a battery of debilitating psychopharmaceuticals. Nevertheless, the long and growing record of inspiring results obtained by the authors of this book and like-minded practitioners speaks for itself. Now, in the first practical guide to solution-oriented interventions with severe mental illness, therapists Tim Rowan and Bill O'Hanlon acquaint readers with the core principles of the solution-oriented model. Also, with the help of many vivid case examples, they describe the proven strategies and techniques they have developed for treating patients suffering from severe depression, schizophrenia, and other severe, chronic, and persistent mental illnesses.

Unlike traditional psychotherapeutic models that focus on pathologies and limitations, the solution-oriented approach emphasizes health, competence, and possibilities. Its ultimate goal is to help clients learn to marshal their own resources to deal with their own problems. Consequently, the book describes several "unorthodox" methods such as mining moments of crisis for functional models; exploiting individual and family expertise with mental illness; externalization techniques for helping patients identify the effects of their illnesses and reclaim self-agency; and psycho-education for the prevention of relapses. The authors also provide helpful pointers on how to constructively manage psychotic experiences, as well as violence and the threat of suicide.

Solution-Oriented Therapy for Chronic and Severe Mental Illness will make fascinating and instructive reading for all mental health practitioners, regardless of their current theoretical slant.

A groundbreaking guide to solution-oriented interventions with severe mental illness

Solution-Oriented Therapy for Chronic and Severe Mental Illness is the first guide to applying the increasingly popular solution-oriented approach to treating mental illnesses generally considered beyond the scope of "talking cures." In a series of brief, engagingly written chapters, studded with vivid case examples, authors Tim Rowan and Bill O'Hanlon demonstrate the solution-oriented approach in action with patients suffering from severe depression, schizophrenia, and other severe, chronic, and persistent mental illnesses. You'll learn their proven techniques for dealing constructively with severely ill clients, even during moments of extreme crises, and for helping them to cultivate the internal resources needed to successfully manage their own illnesses.

Here, Shelley Green and Douglas Flemons gather a wonderful array of approaches to sex therapy, each presented by a well-known therapist in the field. Quickies takes its cue from clients and keeps it positive and quick, as readers are reminded that the point of sex therapy is sexual change.

Since its first issue in 1988, much interesting and inspiring material has been published in "Groupwork." Most of this still says much of use to today's groupworkers, and there is a steady stream of requests for reprints. We are therefore making back volumes of "Groupwork." available in volume form. Authors in this volume include leading academic figures in the field as well as practitioners working in the field. Any groupworker will find this material of enduring interest.

This issue provides a unique and valuable perspective on forensic matters in child and adolescent psychiatry, with an approach that adds new thinking to the discussion, rather than rehashing known facts. The issue is divided into several sections: juvenile offenders, family law/custody and visitation, child maltreatment, personal injury law suits, forensic issues in clinical child and adolescent psychiatry, and training in child and adolescent psychiatry. A wide range of topics are explored within each section. All articles are geared toward child psychiatrists in clinical practice, providing practical information in this very important area of study.

There are few topics in sex research as compelling and confounding to researchers, clinicians, and the general public as that of transsexualism. Upending normative notions of gender, eroticism, and identity, it poses significant scientific and clinical challenges. The book addresses a fascinating and largely unexplored topic within the study of transsexualism: The feelings and desires of conventionally masculine men who are attracted to women yet want to become women themselves. Through a collection and discussion of vivid first-person narratives, the book provides an in-depth examination of these men's unusual propensity to be sexually aroused by the thought of themselves as women and how these men's sexual feelings influence their decisions to seek or undergo sex reassignment. These narratives about autogynephilia by autogynephilic male-to-female (MtF) transsexuals provide the first comprehensive documentation of the erotic ideation that underlies the most common form of MtF transsexualism. The narratives provide empirical evidence for Blanchard's theory of MtF transsexual motivation, and thus are of interest to researchers and theorists studying the phenomenology of MtF transsexualism. The narratives are likely to be eye-opening to psychologists, psychiatrists, physicians, and other professionals who work with MtF transsexuals: Most clinicians probably do not fully appreciate the erotic underpinnings of their clients' condition. A better understanding of their clients' autogynephilic feelings and motivations would enable these professionals to provide more empathetic and effective clinical care.

This book presents an evidence-based framework for replacing harmful, restrictive behavior management practices with safe and effective alternatives. The first half summarizes the concept and history of restraint and seclusion in mental health applications used with impaired elders, children with intellectual disabilities, and psychiatric patients. Subsequent chapters provide robust data and make the case for behavior management interventions that are less restrictive without compromising the safety of the patients, staff, or others. This volume presents the necessary steps toward the gradual elimination of restraint-based strategies and advocates for practices based in client rights and ethical values. Topics featured in this volume include: The epidemiology of restraints in mental health practice. Ethical and legal aspects of restraint and seclusion. Current uses of restraint and seclusion. Applied behavior analysis with general characteristics and interventions. The evidence for organizational interventions. Other approaches to non-restrictive behavior management. Reducing Restraint and Restrictive Behavior Management Practices is a must-have resource for researchers, clinicians and practitioners, and graduate students in the fields of developmental psychology, behavioral therapy, social work, psychiatry, and geriatrics.

Aimed at school staff and other caregivers on the front lines of providing assistance without in-depth training or an understanding of how trauma manifests, this book offers a detailed approach to helping children who have experienced trauma. Trauma in children varies in how it presents-in behavior, emotions, learning, and social interactions-and how to address it depends largely on its presentation. Children may exhibit many types of behavior that could be attributed to trauma, such as telling lies and feeling shame, lacking focus or having outbursts in class, and distrusting peers and adults, among many more. When you read this book, you'll learn how to support a child with severe trauma by employing a sensitive yet structured approach. Discussion of a kaleidoscope of case studies using the new Basic Pyramid model, developed by the author, will help you to determine appropriate intervention. Introduces a new intervention model used as the basis of care for children with trauma Offers clear application of intervention practices in case studies Emphasizes the link between trauma, behavior, learning, emotions, and social interaction skills among children Demonstrates that supportive action can produce positive responses in children with trauma

Social work and relational theory have long been clinical comrades, given their shared goals and ideals. This close fit continues to be productive as client populations and their needs grow more diverse.

"Clinical Social Work Practice with Diverse Populations"sorts through vital matters of race, ethnicity, sexuality, religion, and social status--and addresses groups and issues often seen in practice but rarely encountered in print--with a profound understanding of the healing power of relational-based treatment. Case examples illustrate all stages of social work process, offering practice guidelines for working with members of diverse groups while emphasizing the uniqueness of every therapeutic dyad. The coverage recognizes the multiple relationships that comprise individuals' lives as well as the individuality that co-exists within group identity. And the contributors carefully show readers how to check themselves for biases and us-versus-them thinking, and how to develop confidence along with clinical skills. Included in this first-of-its-kind text:

.Practice technique and research support for relational therapy.

.Whiteness: Deconstruction of a practice paradox.

.Racial and ethnic diversity, including African American, Latino, Asian American, and Asian Indian clients.

. Religious diversity: evangelical Christians, Muslim, and Orthodox Jewish clients.

. Diversity of sexual identity: LGBT clients.. Diversity of life-altering experiences: combat veterans, reentry from incarceration, homelessness.

. Plus: background chapters providing a framework for applying relational theory to social work.

Bridging the knowledge gaps between the diversity literature and the practical literature, "Relational Social Work Practice with Diverse Populations"supplies clinical social work professionals, educators, and counselors with tools and concepts for effective, efficient practice."

As evidence mounts on the efficacy of cognitive behavioral therapy (CBT), renowed expert Dr. Bunmi Olatunji offers this timely and comprehensive issue on performing CBT for a wide variety of psychiatric conditions.? Article discuss how to effectively use CBT for anxiety disorders, personality disorder, eating disorders, schizophrenia, tic-related disorders, somatoform disorders, sleep disorders, substance use/dependence, sexual dysfunction, mood disorders and ADHD.? Articles also discuss augmenting CBT with medication, and the empirical status of the "New Wave" of CBT.

This competence-building resource synthesizes a rich trove of conceptual and practical information on treating cancer survivors at risk of being underserved. Spotlighting a diverse group of ethnic and other demographic populations surviving diverse forms of cancer, the book models the assessing of needs and the developing of strategies to meet them. The multiple burden of cancer-medical and psychosocial problems, discrimination and stigma, quality of life issues-is described in depth as it affects different cultural and age populations. Contributors also present interventions that effectively and meaningfully address these complex intersections of physical, emotional, interpersonal, and layered social concerns. Included among the topics: Providing psychosocial distress screening, coping resources and self-care to newly diagnosed cancer survivors. Latino cancer survivors: the old and the young. An exploration of Latvian immigrants' cancer experience and implications for supportive interventions. Survivorship issues among Muslim women with cancer. How art therapy can benefit the quality of life of young breast cancer survivors. The family caregiver as cancer survivor: supporting and promoting positive bereavement outcomes. Unique among the survivor literature, Treating Vulnerable Populations of Cancer Survivors ably assists health psychologists, social workers, and nurses in providing services to patients facing special challenges during recovery.

Most rehabilitation programs offer both twelve-step treatment and psychotherapy, but they are not integrated either in theory or in practice. While intuitively there would appear to be a clear connection between these two areas, in fact, they remain uncomfortable allies, and sometimes not even that.

People in recovery from drug and alcohol addiction are often wary of professionals who have no personal experience of addiction and recovery. For a novice therapist (and more than a few seasoned clinicians) there are few more dreaded questions to be asked by an addicted client than, Are you in recovery yourself ? The apprehension, and all too often the reality, is that this question will be followed by a dismissal of the therapist s usefulness, or disparagement of his/her book learning. This chasm is unfortunate for all concerned.

Here is one of the first books to address this uneasy alliance and to explicate it. The primary purpose of this book is not to analyze the program, but to make it more accessible to mental health professionals, to serve as a guide to what might be encountered in attending a meeting, or what your clients might deal with in working the program him/herself. It is meant to give therapists a real-world primer for dealing with clients who are in these very popular programs."

Since its first issue in 1988, much interesting and inspiring material has been published in "Groupwork." Most of this still says much of use to today's groupworkers, and there is a steady stream of requests for reprints. We are therefore making back volumes of "Groupwork." available in volume form. Authors in this volume include leading academic figures in the field as well as practitioners working in the field. Any groupworker will find this material of enduring interest.

"Life Scripts" is an exciting collection of contemporary writings on Life Script theory and psychotherapeutic methods. Each chapter describes an evolution of Eric Berne's original theory and brings together a stimulating range of international perspectives, theoretical positions, clinical experiences and psychotherapy practices. Each chapter contains a psychotherapy story that illustrates the theory. The concept of Life Scripts has frequently been associated with the determinism represented in theoretical scripts, yet, this book offers some new and diverse perspectives; a few chapters address the significance of early childhood experiences in forming a Life Script while other chapters reflect the perspectives of post-modernism, constructivism, existential philosophy, neuroscience, developmental research, mythology and the importance of narrative.ContributorsJames R. Allen, M.D. (USA), William F. Cornell, MA. (USA), Fanita English, MSW. (USA), Gloria Noriega Gayol, Ph.D. (Mexico), Helena Hargaden, Ph.D. (UK), Birgitta Heiller, Ph.D. (UK), Rosemary Napper, M.E. (UK), Marye O Reilly-Knapp, Ph.D. (USA), Charlotte Sills, MA, MSc. (UK), Claude Steiner, Ph.D. (UK), Ian Stewart, Ph.D. (UK), Jo Stuthridge, M.Sc. (New Zealand), Maria Teresa Tosi, Ph.D. (Italy)"