Estela Welldon brings together a generous selection derived from her many literary gems, in which she illustrates her groundbreaking and sometimes explosive studies of female sexuality and perversions, perverse transference, malignant bonding, perverse motherhood, and the impact upon children of viewing domestic violence. Along with these are vivid descriptions of group analytic psychotherapy with forensic patients and, uniquely, of the joint group treatment of incest survivors and perpetrators. She also outlines the development of forensic psychotherapy as a new field of clinical and academic endeavor and her involvement in this. In a series of interviews with Brett Kahr she describes her professional journey, from being trained by Horacio Etchegoyen in her native Argentina, followed by an eye-opening period at the Menninger Clinic, then eventually to London and a distinguished career at the Portman Clinic."

Research shows that many adults with serious mental illness live with or maintain contact with their families. But families are rarely given information about their relative's illness and their own needs for support are ignored. To be optimally beneficial, family members and other caregivers need education about the disorder, some knowledge of illness management techniques, and personal support. Family psychoeducation (FPE) is a powerful evidence-based psychosocial intervention that serves consumers and their families.
FPE has proven efficacious in reducing relapse and hospitalization, reducing symptoms, increasing employability of persons with severe and persistent mental illness, and, in many cases, enhancing their families' well-being. Its success rests with a state-of-the-art education model for improving caregivers' understanding of their loved one's illness through learning what is known and not known about it and how to assess and cope with its manifestations. Here, in the first book of its kind, Harriet P. Lefley traces the history of FPE -- including the developments in mental health services and systems and theoretical approaches that inform it -- and the robust empirical evidence it now claims after a quarter-century of development and evaluation at major research centers around the world. Presenting first the approach's generic components, training models, and required competencies, Lefley then discusses the available variations, such as Family Education (FE), a brief manualized form of FPE offered by professionally trained family members that has some empirical support for knowledge gains and easing family distress. The result is a comprehensive, practical introduction to family psychoeducation that critically appraises the evidence and examines the model's place in contemporary mental health systems.
This groundbreaking volume is an ideal training tool for graduate students of social work, psychology, and psychiatry and a valuable addition to the clinician's armamentarium of evidence-based practices for clients with serious mental illness.

Dynamic Psychotherapy with Adult Survivors: Living Past Neglect by Lori Bennett examines the aftereffects of emotional neglect in order to help clinicians to better serve survivors. Bennett makes an important contribution by expanding upon the definition of neglect to include emotional neglect while fostering a more profound understanding of the impact of childhood neglect upon adult survivors. The book compiles former clients stories of recovery in order to illustrate and explore effective therapy and treatment techniques that will aid in the training of the clinicians who serve survivors of neglect. How do young adults climb out of their histories of neglect? How can they hope to feel loved if they never experienced the love they needed in their families of origin? How do they combat the damage to trust? How do they learn to stop the self-blame over circumstances, to move beyond the past, and to embrace a new future? These questions are answered in Dynamic Psychotherapy with Adult Survivors.

Depression, a highly common clinical disorder, is an important and clinically relevant topic for both clinical researchers and practitioners to address, because of its prevalence, impact on the individual and society, association with other mental and physical health problems and the social contexts in which it develops. Depression ranks in Germany and central Europe as the third among the leading mental disorders and world-wide is a leading cause of disability. It is estimated that 8.3 % of the German population is depressed within a year (11.2 % women, 5.5 % men). These statistics mean that 4 million people per year are depressed in Germany alone (one year prevalence). According to the WHO, over 300 million people world-wide experience depression and in the USA the financial burden of this disorder, due to disability and work absenteeism, reaches Depression is also becoming more frequent over time and has a high risk of recidivism -particularly since its most common form, Major Depressive Disorder (DSM-5; ICD10) tends to occur in episodes. For example, 20% to 40% of people become depressed again within two years after their first depressive episode, meaning that a major aim of any therapeutic intervention should be to prevent future relapses. Depression also shows very high comorbidities with other mental and physical health conditions. Its overlap with anxiety pathology is so high that clinicians are concerned with whether the two disorder categories are indeed distinct or if they show substantial etiological overlap. Depression is also associated with heart disease and even cancer, making it a risk factor for mortality and morbidity that needs to be identified early and addressed effectively. In addition to Major Depressive Disorder, the often severe Bipolar Disorder, and the chronic form of Depression referred to as dysthymia are additional mood disorders that among them require careful differential diagnosis. They also lead to questions regarding their common or distinct etiological mechanisms. In order to gain a better understanding of Depression as a clinical disorder, one needs to look at it as a multifaceted phenomenon. Depression is a neurobehavioral condition, and one has to be up to date and have solid understanding of its biological substrate, at a genetic, neuronal, hormonal and pharmacological level. Depression is also a socio-demographic phenomenon, and one needs to examine its epidemiology, that might contain significant cues towards its clearer understanding. It is more prevalent, for example, in certain regions, climates, age groups and genders (much more prevalent in women, with age of appearance in young adulthood but also presents as a significant problem for youth and the elderly), is associated with stereotypes and stigma and can be the aftermath of crises, trauma and loss. The etiology of Depression remains under scrutiny, though recently much more knowledge is emerging from contemporary neuroimaging, genotyping and data science methods. Different neural and behavioral systems may be involved contributing to the significant heterogeneity within the disorder. Social roles, stressors, attachment patterns, family support and social networks, and individual (e.g. gender linked) vulnerabilities may contribute significantly towards increasing risk for developing depression. Different therapeutic approaches, like those stemming from the psychoanalytic/psychodynamic perspectives and those stemming from the cognitive/behavioral (2nd and 3rd wave) tradition focus on the components of etiology considered most dominant. As science progresses with clearer evidence regarding the important etiological factors and their interactions, these different perspectives, each with its own contribution, may need to take new developments into consideration, adapt and even begin to converge. These different aspects of the topic of Depression, which are central to the scientific aims of clinical scientists, but also permeate the way clinicians approach assessment, diagnosis, case formulation and treatment, become the focus of the present volume. Following a conference held at the University of Cyprus, in Nicosia, Cyprus in October 2019, which included presentations by internationally renowned experts in the field on these various aspects of Depression, the idea of extending the topics presented and discussed at the meeting into more elaborated and substantive chapters and synthesizing them into an edited volume was generated. The aim was to fill a substantive gap, with a volume that would be beneficial to a wider, interdisciplinary audience of clinicians, trainees and researchers with examine the different aspects of Depression. In this Edited volume, with contributions from prominent experts in the field, we propose to discuss the subject of conceptualizing and treating Depression and related conditions (e.g. Suicide, Bipolar Disorder) from different theoretical perspectives and after taking into consideration current research into the etiology and maintenance of this condition. Chapters on theoretical perspectives of treatment cover a wide range of approaches, that could be broadly clustered under behavioural and psychodynamic points of view. Perspectives discussed in this volume are psychodynamic therapy, 2nd waver CBT, acceptance and commitment therapy and mentalization therapy. Special topics with great relevance to treatment, include treatment in different levels of care (e.g. partial hospital setting; prevention of suicide; working with cancer patients). The book provides a unique combination of current empirical findings on etiology of depression and suicide, treatment considerations and practical recommendations, treatment in different settings and combination of different theoretical perspectives that can enrich a therapists' repertoire of tools for understanding and approaching depression. The book describes various theoretical approaches without adhering to anyone but with an effort to highlight common underlying themes like issues of loss, self-esteem, guilt, grief and emotion regulation as these permeate the various perspectives. In this way the book presents a combination of science and practice and of various views that constitute an excellent resource of researchers, clinicians and students of mental health professions. In a final chapter the two editors, Drs. Christos Charis and Georgia Panayiotou, make an effort to impartially integrate information from the various perspectives, highlighting the utility of each approach to address specific vulnerability and etiological factors discussed in the book. In this regard, the volume stresses the idea of the need for continuous and open dialogue between perspectives, theories, levels of investigation, research areas, practitioner needs and scientific views to help make progress in treatment and address this complex and multi-faceted phenomenon in the service of patients, their carers and societies in general.

Elisabeth Roudinesco gives us a life Balzacian in its sweep: the story of a young man from the provinces determined to leave his family fortune and its old-fashioned values behind; the young doctor in Paris who set out to reinvent clinical psychotherapy and ended up transforming fundamental notions of the self, sexuality and the culture that shapes it all.

Roudinesco follows the development of Lacan's career from his early clinical practice and conflicts with the establishment, as he constantly pushed the boundaries of psychoanalysis from its roots in biology and neurology to a powerful critical tool that resonated in fields ranging from literary theory to feminist politics.

This work shows how interviews help child survivors of the Jewish experience during World War II. It is unique in that it features different aspects of the interviewer-interviewee relationship. The contributions are personal as well as analytical in nature, and the narrative is an informed psychological analysis. The work should be of interest to Holocaust centers, researchers, oral historians, psychiatrists, psychologists, social workers, sociologists, and trauma researchers as well as survivors.

In the 21st century, we tend to expect more than ever from our relationships without knowing how to sustain them. Often a married couple juggling the many demands of life, work and children take their bond for granted. They fail to cultivate and nurture the positive interactions they share, neglecting the fun, playful and sexy side of the relationship. Over time, this neglect creates an increasing spiral of dysfunction. We're No Fun Anymore reminds therapists and the couples they treat that marriage does not have to mean forfeiting the passion, playfulness and joy in a relationship. With 50 combined years of clinical experience backing it, the program outlined in this book will help to build up a relationship without first tearing it down, examining its weaknesses, or trying to fix its problems. Integrating findings from neuroscience, social psychology, positive psychology and marriage research, We're No Fun Anymore shows couple therapists how to create and magnify positive energy between their clients to refortify the foundation of their relationship and help it stand strong, even in times of strife and crisis. Readers will find a practical (and fun) plan to get their marriage out of the rut that's robbing it of fun, recapture the pleasure of dating, romance, and love, and revive the playful quality of sex that makes it the pleasurable and enjoyable experience it's supposed to be. Clinicians will also get the bonus of increasing the fun that they have in their personal lives and in their clinical work with clients.

In explicating how language works in therapy, he ranges widely, citing and critiquing Lacan, Bateson, Ackerman, and Weakland, among others. But the heart of this book can be found in the detailed conversations between client and therapist that show solution-focused therapy in action.

The need for a new method for assessment and imaging of families, couples, and individuals has emerged in response to changes in family forms during the twentieth century. In the twentieth century divorce, remarriage, out-of wedlock child bearing, and alternate life styles have replaced monogamy as predominant form of marriage and the family. The methods of representation and assessment on the other hand remain based on the nineteenth century eugenics models embedded in the modern day genograms. This book is based on the premise that changes in family structure require changes in methods of representation, assessment, research, and teaching. This book introduces such a method in the form of a model named the affinograph. The affinograph provides a method which allows a greater respect for individuals, especially if their relationships contradict the preconceived institutional notions of marriage and the family.

Improvement in visualizing families of various types and complexities can make affinographs an important new method that can bring together the theory, research, and application across varied disciplines that comprise family sciences.

Today, individuals have greater access to information about their healththaneverbefore(Randeree,2009;Eysenbach,2008).Muchofthis changeisdue, inlargepart, toadvancesinbiotechnologyandtheseque- ing of the human genome (Manolio & Collins, 2009). It is now possible, forexample, forindividualstologontotheInternetand, forafeeofs- eral hundred dollars, order an at-home DNA collection kit and have the resultsofamyriadofgenetictestsdelivereddirectlytotheire-mailinbox (Gurwitz&Bregman-Eschet,2009).Insomecases, thesetestresultsmay indicatepersonalriskforcommonchronicdiseases, suchascertainforms ofcancer, diabetes, cardiovasculardisease, andseveralothers.Companies marketing these test kits often claim that promoting greater access to and awareness of the association between genes and health, and one's genetic susceptibilities to disease, leads to more proactive and insig- fulmethodsofindividualhealthmanagement(Hogarth, Javitt,&Melzer, 2008). Moreover, it is consistent with an emerging trend in medicine - that of consumer-oriented medicine - which places health information toolsdirectlyinthehandsofpatientsunderthepremiseoffosteringbetter patient-providercollaboration(Silvestre, Sue,&Allen,2009). Though the principles behind this direct-to-consumer approach to genetics seem laudable and perhaps even exciting, there is consid- ablecontroversyastowhat, ifany, utilitytheinformationactuallyholds (Geransar&Einsiedel,2008;Wasson, Cook,&Helzlsouer,2006).Unlike geneticteststhatarediagnostic(e.g., chromosomeanalysisforDowns- drome)orhighlypredictive(e.g., BRCA1andBRCA2testingforhereditary breast-ovarian cancer risk), this new wave of presymptomatic predictive genetictestsforcommondiseaseyieldsresultsthataremuchmoreunc- tainbecausethestatisticalmodelsonwhichtheyarepresentlybasedare imperfectandwithlimiteddata(Ng, Murray, Levy,&Venter,2009). Theabovescenarioraisesmanyquestionsfortoday'shealth-carec- sumers. For example, for whom is this information applicable, and for whatpopulationsorsubpopulationsisitnot?Underwhatcircumstances might this information be useful, and when should it be disregarded as irrelevant?Andperhapsmostimportantly, what, ifanything, canbedone inlightofinformationaboutpersonalgeneticrisktoeffectivelylowerthe oddsofbecomingsickandraisetheoddsofstayinghealthy? vii viii PREFACE Becausetheprevalenceofmostdiseasesvariesasafunctionofage, gender, race/ethnicity, and other personal characteristics, answers to these questions are complex and many are just beginning to be und- stood(Khouryetal.,2009).Someexpertshaveconcludedthattheanswers tosuchquestionsremainoutofreachatthepresenttimeandmayc- tinue to be elusive for another 5-10 years (Frazer, Murray, Schork, & Topol,2009).Yet, twenty-?rstcenturyhealth-careconsumers, providers, and policy makers face these choices now about incorporating personal genetic information into health management and often do so without a complete and accurate understanding of the potential impact of their decisionsonmultiplelevels(Carlson,2009).

Pursuing a career in biomedical research can be daunting, considering the stiffer competition and uncertain career prospects in academia. This book summarizes career advice gathered during in-depth interviews with 106 biomedical scientists who lead their own laboratories. The participating principal investigators are from 44 research institutions in 11 countries. This book is unique in that it provides a glimpse into the mindset of principal investigators. Here, the reader will learn about common thought patterns and values, as well as the range of opinions and ways of thinking to be found among a large group of active principal investigators - without having to read more than a hundred individual autobiographies. The book will benefit all PhD students who want to learn more about their supervisor's mindset in order to successfully complete their projects. It can help freshly graduated PhDs planning to pursue an academic career, and MDs contemplating a career in research, to decide whether they truly want to embark on this path. Lastly, it can offer young principal investigators a source of inspiration on how to succeed and achieve their goals.

'A rich and intimate examination of female desire, Maxine's book is full of wisdom and insight. I cannot recommend it enough' Julia Samuel After thirty years of research, Sigmund Freud still felt the great unanswered question was: 'What does a woman want?' Fifteen years into her own journey as a psychotherapist, Maxine Mei-Fung Chung believes her collaboration with her patients holds the answers. Through the profound and moving stories of seven very different women, Maxine Mei-Fung Chung sheds light on our most fundamental needs and desires. From a young bride-to-be struggling to accept her sexuality, to a mother grappling with questions of identity and belonging, and a woman learning to heal after years of trauma, What Women Want is an electrifying and deeply intimate exploration into the inner lives of women. Based on hours of conversations between Maxine and her patients, this book lays bare our fears, hopes, secrets and capacity for healing. With great empathy and precision, What Women Want presents a fearless look into the depths of who we are, so that we can better understand each other and ourselves. To desire is an action. This extraordinary book liberates and empowers us to claim what we truly want.

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.

In the first book to argue that neurotic, psychotic, and borderline personality disorders can be identified, diagnosed, and treated even in the young, a renowned child psychiatrist marshalls her developmental perspective and adduces clinical evidence to support it. Kernberg and her colleagues elucidate assessment criteria and advance therapeutic approaches for each disorder.

The basic text for the understanding of patients with pathological narcissism.

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.

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 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.