This new edition offers practical exercises and a training program for cultivating presence in students and trainees. Therapeutic presence—one’s ability to exist fully in the moment with a client—is crucial to effective psychotherapy practice. Since the first edition of Therapeutic Presence was published nearly a decade ago, further research has emphasized the role and deepened our understanding of this essential building block of effective therapeutic relationships.   This book is a detailed guide on cultivating therapeutic presence for new and seasoned therapists alike. The authors’ model is based on the results of their extensive study, and revolves around three key aspects of therapeutic presence: Using mindfulness and experiential exercises to create the conditions for presence, both prior to and in sessions; Generating attunement to self and others, as a precursor that facilitates therapeutic presence; and Recognizing the felt experience of in-session presence. With practical, research-based scenarios and exercises, as well as a full training program for cultivating presence in students and trainees, this text will help train the next generation of therapists in the nuts-and-bolts of empathic attunement and a strong therapeutic alliance to create effective therapy.

This ambitious and important second edition of the Handbook of Medical Neuropsychology takes an in-depth approach to the medical conditions and methods of neurorehabilitation. Comprehensive in scope and highly detailed in its coverage, the second edition, like the first, characterizes the effects of disease and the impact of interventions in the current state of advanced medicine at a level appropriate both for researchers and for clinicians. Featuring the most up-to-date information and quantitative research on cognitive neuroscience of autism, HIV/AIDS, cancer, head injury, respiratory diseases, endocrine diseases, early birth injury, dementia, and other disorders, the book handles theory, historical background, practical considerations, and controversial areas with evidence based disease indicators, clinical expertise, and real-world insight. It seeks to critique diagnostic and assessment tools specific to disorders. The new chapters in this inclusive second edition reflect the changes in prominent problems found in the clinic and provide worthy insights for research investigation in their review of: Substance use disorders. Nutrition in neurocognition and mental health. Hypothyroidism and Hashimoto's thyroiditis. Traumatic brain injury in very early childhood. Cognitive functioning in asthma. The role of mindfulness in neurorehabilitation. The Handbook of Medical Neuropsychology, 2nd Edition continues to be an essential resource for the neuropsychology clinician, researcher, practitioner or graduate student. It will be stimulating and relevant reading for years to come.

Many congenitally deaf infants and children suffer vestibular failure, which produces problems with their postural control, locomotion and gait. However it is known that these children can eventually catch up with their normal balance control status in terms of development and growth as a result of central vestibular compensation. In Vertigo and Balance Disorders in Children the author provides comprehensive and integrative information on the vestibular system. The materials presented range from the history of its study, basic anatomy and physiology of vestibular organs, mechanism of balance and motor function development, to clinical aspects of vestibular disorders including their evaluation and pediatric neurology. Although there have been books discussing postural responses of infants and children with vestibular disorders, this is the first to present the influence of peripheral vestibular disorders and central vestibular compensation comprehensively. This book will benefit not only practitioners in this field such as pediatric otolaryngologists, pediatricians, child neurologists and neurologists, but also clinical specialists such as neonatologists, physical therapists and speech therapists, helping them to better care for patients with vestibular failure.

We live in an era in which medicalization-the process of conceptualizing and treating a wide range of human experiences as medical problems in need of medical treatment-of mental health troubles has been settled for several decades. Yet little is known about how this biomedical framework affects practitioners' experiences. Using interviews with forty-three practitioners in the New York City area, this book offers insight into how the medical model maintains its dominant role in mental health treatment. Smith explores how practitioners grapple with available treatment models, and make sense of a field that has shifted rapidly in just a few decades. This is a book about practitioners working in a medicalized field; for some practitioners this is a straightforward and relatively tension-free existence while for others, who believe in and practice in-depth talk therapy, the biomedical perspective is much more challenging and causes personal and professional strains.

This text takes a multidisciplinary approach to breast cancer care. It includes an introductory chapter looking at the incidence, epidemiology, aetiology and histology of the disease. There are chapters on the essential topics of screening, politics and multi-cultural aspects of care. Methods of treatment which include surgery, radiotherapy, chemotherapy and endocrine therapy are discussed. The remaining sections are devoted to important issues in after care and the importance of the multidisciplinary team approach.

This concise and practical book provides an overview of neuromuscular disorders in clinical practice. Diagnostic approaches are covered along with patient management strategies in an easy-to-understand and introductory framework. Filling a significant gap in the literature, this resource delivers essential information for neurology trainees and practitioners, as well as anyone interested in learning the fundamentals of this important medical subspecialty.

Written in a succinct format, this book presents a variety of pain conditions seen in acute or sub-acute rehabilitation hospitals and in outpatient clinical settings. Bio-medical and bio-psychosocial perspectives, as well as theory, clinical practice, and practical aspects of managing pain are offered throughout this volume. Chapters are organized by sections, beginning with an introduction to pain as well use of the multi-disciplinary treatment approach. Additional sections cover headache management, pain diagnostics, medication management, rehabilitation, injections and procedures, behavioral management, complementary and alternative medicine, neuromoduation, neuroablation, surgical management of pain, and novel techniques. Business and legal perspectives of pain medicine are also addressed. Comprehensive Pain Management in the Rehabilitation Patient is a handy resource for any medical, interventional, surgical, rehabilitative, behavioral, or allied health provider who treats pain across the rehabilitation continuum.

This book provides a current perspective on alcohol and aging to better understand the trends, costs, benefits, and clinical and community evidenced-based strategies. This book embraces not only the physical, cognitive, psychological, and social health benefits of moderate drinking in the elderly, it also delves into the risks of excessive drinking, including physical and psychiatric morbidity, neurodegeneration, medication complications, and accidents and injuries, and loss of independence. Written by experts in the field, this book is the only current text that includes the most current scientific, research, empirical, and practice information alongside a comprehensive review of the status of the field that will help guide alcohol use management and stimulate future research. Alcohol and Aging is the ultimate resource for all researchers, educators, clinicians, and professionals working with older adults who drink.

What is it that characterises Pat Davies' second book about hemi plegia and makes it so special? It is a book which committed ther apists can really use in their practical work with patients. We ther apists need such books. The engagement and enthusiasm must come from us. It is similar to a good cookbook. Admittedly one has to know something about cooking but when learning the secrets of haute cuisine - not just the expensive frills but the real refinement- then theoretical dissertations are not very helpful. In practice com ments like "you just have to have the right touch" are useless. Many books are disappointing because the reader cannot learn how to put theory into practice, as the author does not disclose the true secrets of his success, perhaps not really wanting the eager stu dents to "bake a good cake" for example. Such is not the case with this book. In the first theoretical chap ter "The Normal Trunk - Evolutionary and Anatomical Consider ations" the reader is given information about the significance of the normal anatomical relationships in the development of the body segments: the pelvis, thorax and head. The second chapter, "Aspects of Trunk Control," deals with the muscular control of movement within each of these inherently mobile segments. In the terminology of "Functional Kinetics" the different types of muscle activities are described, defining the importance of the selective use of the musculature in reaction to the pull of gravity."

This book describes how assistive technology can help handicapped, elderly and acutely sick people to manage their daily lives better and stay safe in the home. It discusses how safety is understood from an ethical, technical and social perspective, and offers examples of the problems that users, their helpers and professional carers have with assistive technology in everyday situations. The book provides insights from user-centred research and uses photographs to illustrate the main topic: how users and technology can work together to ensure safety. User-focused and combining experience with research, the book will interest users of these kinds of technology, health professionals who might introduce and/or prescribe them, engineers who develop and sell assistive technological gadgets, and architects who build safe homes - as well as researchers and students who work in these fields. It provides an overview of the existing technology, examines ways to test its effectiveness from the point of view of users, health professionals and researchers from different fields (architecture, education, engineering, facility management, medicine, nursing, occupational therapy, rehabilitative medicine, physiotherapy, social science and speech therapy), and lists useful addresses, websites and literature

Taking a multidisciplinary approach to a common and often frustrating problem for athletes and those with an active lifestyle, this book is the first of its kind, addressing muscular injuries to the posterior leg using an in-depth and expansive style that is uniquely dedicated to ensuring all content is explicitly linked to the practical care of patients with calf pain. It is divided thematically into three sections. The first section covers underlying principles involved in these issues, including anatomy, physiology, pathophysiology of injury and neurophysiology of musculoskeletal pain. Clinical assessment techniques and imaging are covered in the second section. The third section on treatment is the most expansive, discussing acute, sub-acute and chronic posterior leg muscle injuries, as well as surgical management, rehabilitation techniques, complementary medicine and special populations. Overall, the book is designed to use muscular injuries of the posterior leg to as a means to understand the assessment and treatment of muscular injuries more broadly. Taken together, it is the consummate source for orthopedists, doctors in sports medicine, podiatrists, rehabilitation professionals and primary care physicians who treat muscular injuries in the posterior leg, though reader will gain a conceptual and practical framework for the assessment and treatment of muscular injuries in general.

This comprehensive volume captures the latest scientific evidence, technological advances, treatments and impact of biotechnology in hyperbaric oxygen therapy. Divided into three distinct sections, the book begins with basic aspects that include history, equipment, safety and diagnostic approaches; this is followed by clinical applications for hyperbaric oxygen therapy in various modalities; the last section provides an overview of hyperbaric medicine as a specialty with best practices from around the world. Integration of multidisciplinary approaches to complex disorders are also covered. Updated and significantly expanded from previous editions, Textbook of Hyperbaric Medicine, 6th Edition will continue to be the definitive guide to this burgeoning field for students, trainees, physicians and specialists.

This book examines the new knowledge that has been gained from the objective monitoring of habitual physical activity by means of pedometers and accelerometers. It reviews current advances in the technology of activity monitoring and details advantages of objective monitors relative to physical activity questionnaires. It points to continuing gaps in knowledge, and explores the potential for further advances in the design of objective monitoring devices. Epidemiologists have studied relationships between questionnaire assessments of habitual physical activity and various medical conditions for some seventy years. In general, they have observed positive associations between regular exercise and good health, but because of inherent limitations in the reliability and accuracy of physical activity questionnaires, optimal exercise recommendations for the prevention and treatment of disease have remained unclear. Inexpensive pedometers and accelerometers now offer the epidemiologist the potential to collect relatively precisely graded and objective information on the volume, intensity and patterns of effort that people are undertaking, to relate this data to past and future health experience, and to establish dose/response relationships between physical activity and the various components of health. Such information is important both in assessing the causal nature of the observed associations and in establishing evidence-based recommendations concerning the minimal levels of daily physical activity needed to maintain good health.

Presenting a comprehensive discussion of the biomechanics, assessment, diagnosis and management of injuries to the elbow ulnar collateral ligament (UCL), including video clips of selected surgical techniques, this is a thorough and practical text for any clinician seeing athletes with this increasingly common injury. The book is organized thematically, beginning with anatomy and biomechanics of the ligament. Diagnosis of these injuries follows, with chapters focusing on both physical exam tests and imaging studies. Chapters on both conservative treatment and surgical approaches form the heart of the text, including revision surgery and complications, and review the variety of techniques and expected outcomes. Additionally, individual chapters are devoted to the female and high school-aged athlete. Proper rehabilitation is essential and rounds out the text, including a unique focus on sports-specific rehabilitation. Written and edited by top clinicians in orthopedics and sports medicine, this book is an essential reference for diagnosing and treating injuries to the elbow UCL.

This book presents the state of the art in the application and implementation of the WHO's International Classification of Functioning, Disability and Health (ICF) in the areas of vocational rehabilitation as a primary topic and disability evaluation as a secondary topic. Application of the ICF and implementation strategies toward a holistic and comprehensive approach to work disability and vocational rehabilitation programs are presented along with clinical cases and exercises. The ICF as a topic in health and disability has been gaining momentum since its approval by the World Health Assembly in 2001, and great progress has been made since then. However, the integration if the ICF in the realm of vocational rehabilitation has been lacking despite the fact that work and employment are a major area in people's lives, particularly those who have work disability. This book will advance the professional practice of vocational rehabilitation, rehabilitation counseling, occupational medicine, and allied health science.

Advanced therapies and technologies, new service delivery methods, and care upgrades in underserved areas are translating into improved quality of life for millions with disabilities. Occupational therapy parallels this progress at the individual level, balancing short-term recovery and adaptation with long-term independence and well-being. This Second Edition of the International Handbook of Occupational Therapy Interventions builds on its ground-breaking predecessor by modelling current clinical standards rooted in scientific evidence-based practice. Its interventions are applied to a diverse range of client disabilities, with many new or rewritten chapters on workplace and vehicle accommodations, smart home technologies, end-of-life planning, and other salient topics. New introductory chapters spotlight core competencies in the field, from assessing client needs and choosing appropriate interventions to evaluating programs and weighing priorities. And for increased educational value, interactive case studies allow readers an extra avenue for honing clinical reasoning and decision-making skills. Of particular note is a new chapter providing a taxonomy-the Occupational Therapy Intervention Framework-and a validation study of its categories and concepts, delineating the occupational therapist's roles and the expected outcomes. Intervention areas featured in the Handbook include: Adaptive interventions, OTs manage and facilitate clients' adaptations. Learning interventions, OTs teach and the clients learn or relearn. Enabling interventions, OTs enable clients to be meaningfully occupied. Preventing interventions, OTs prevent ill-health and promote clients' ability to sustain health in daily life. The Second Edition of the International Handbook of Occupational Therapy Interventions is career-affirming reading for all members of rehabilitation teams, including occupational and physical therapists and rehabilitation nurses. Students intending to enter this growing field and professionals working toward its continued improvement will find it useful and inspiring.

Review of Rheumatology is a synopsis of key areas of interest, making for an indispensable quick reference work. The material included reviews basic musculoskeletal anatomy, immunology, genetics, major rheumatic diseases and their pathophysiology, and major rheumatic therapeutics, as well as a unique chapter on the emerging autoinflammatory diseases. Review of Rheumatology is a clear and concise review book written in an outline format. This book is a quick and easily accessible reference not only for those preparing for the rheumatology board exams, but it also serves as a succinct reference for all health care workers interested in the field of rheumatology.

Bladder injection of onabotulinumtoxinA for the treatment of urinary incontinence due to neurogenic detrusor overactivity has recently been approved by regulatory agencies in several EU countries and by the FDA in the United States. This is the first book to focus on the practical application of botulinum toxin (BoNT) in the genitourinary tract. It covers in detail applications of BoNT in the bladder and the prostate and pelvic floor, with reviews of the latest clinical series and techniques in both adults and children. Appendices containing easy-to-read instructions for patients undergoing bladder and prostate BoNT injections are included, in addition to procedural guidelines for nursing staff. The book is written in a concise, clinically relevant style by two leading pioneers in the field, who were the first to undertake comprehensive basic research into the mechanisms underlying the efficacy and potential uses of BoNT within the lower urinary tract.

The reader will find in this book a new approach to improving health. The author has called this approach "sanomechanics," combining the Latin sanus (healthy, sound) and mechanicus (science of the motion of bodies subjected to forces). The focus of sanomechanics is on exercising with an understanding of the biomechanical consequences of the actions. This understanding is based on the author's theory of the floating skeleton, which postulates a hydraulic connection of synovial joints. The theory explains the greater or lesser success of any exercise utilizing the ability of the human skeleton to absorb and transform forces and moments from the body segments and the environment. This ability vanishes with age and illnesses, and the deeper our understanding of the nature of skeletal functioning is, the better we shall be able to improve, protect, and prolong the skeleton's health.

This book offers clear, detailed guidance on all aspects of prognostic evaluation in patients who have been involved in a serious accident with neurological consequences or have been diagnosed with a severe neurological illness. It covers the full range of disorders of the central and the peripheral nervous system, not only providing very accurate prognostic estimates but also addressing relevant clinical issues, differential diagnosis, and the role of imaging. The book is practically oriented and designed for use on a daily basis when assessing prognosis and discussing the outcome with patients, their families, and other interested parties. It will support patient-doctor partnerships by ensuring that the most professional answers can be given to patients' and doctors' questions and by promoting realistic expectations of the effect of medical interventions. In addition, it will enable doctors, lawyers, and other professionals to understand relevant issues when an estimate of prognosis and life expectancy is the subject of legal dispute.

The Multiple Ligament Injured Knee: A Practical Guide to Management includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This thorough work presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed in addition to useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment.

Principles of Deglutition is the first in class comprehensive multidisciplinary textbook to encompass the entire field of normal and disordered deglutition. It is designed as the definitive text for all those who desire to further their knowledge of the dynamic and expanding field of deglutology. The text is created to serve as a treasured reference for clinicians, educators and trainees from such diverse backgrounds as gastroenterology, speech language pathology, otolaryngology, rehabilitation medicine, radiology and others. Principles of Deglutition brings together the state-of-knowledge from 12 disciplines involved in dysphagia through contributions of over one hundred thought leaders and master clinicians for the benefit of patients and providers alike. It concisely organizes the wealth of knowledge that exists in each of the contributing disciplines into one comprehensive information platform. Principles of Deglutition provides a one-stop destination for members of all specialties to obtain state-of-the-art and critically reviewed information regarding deglutition physiology, pathophysiology, diagnosis and management. It delivers a comprehensive and in depth review of deglutition related cerebral cortical, brainstem, peripheral nerves, and neuromuscular mechanisms, advanced diagnostic modalities and standard of care and cutting edge medical, rehabilitative and surgical treatments. It is an essential reference for all deglutologists.

The focus of this book is to create a comprehensive analysis of cartilage injury and repair strategies. Twenty chapters cover proven and emerging procedures and methodologies. Readers will be able to understand the clinical problem, appropriate diagnosis, and repair strategies relevant to first line and secondary cartilage repair procedures.

Injuries to the hamstring and quadriceps muscles can occur in both low- and high-impact sports and as such are among the more common injuries incurred by athletes. Reviewing the relevant physiology, epidemiology, mechanisms, clinical presentation and treatment of these conditions, Hamstring and Quadriceps Injuries in Athletes covers all sports-related injuries of the thigh musculature in one place. Topics covered include mid substance injuries, acute proximal tendon avulsions and harvesting of hamstrings, as well as strains, contusions and ruptures of the quadriceps, including the use of biologic enhancing agents in healing. Chapters on rehabilitation and injury prevention present techniques to maximize recovery and minimize long-term impairment, speeding up return to play. It will be an often-used and reliable guide for sports medicine practitioners, orthopedists, physical therapists, primary care physicians, team physicians and trainers who treat the injured athlete.