Providing a nuanced study of the connections between sleep, circadian rhythms, and metabolis, this informative book examines how circadian actions affect the liver and adipose tissue, the brain, and metabolism. This important book introduces the reader to circadian rhythms in the body and the external cues that set them, discusses on a molecular and organ level how disrupting these clocks results in metabolic and sleep disorders, and looks at the clinical applications of circadian rhythms, with a focus on sleep.

The book covers a variety of important research in the field, including:

The power of computational biology to uncover new nodes in the network of circadian rhythms

Circadian rhythms as they relates to obesity

How late-night shift conditions impair the body s ability to keep time and promote metabolic diseases and how this can be mitigated by strategic planning of feeding times

The relationship between the suprachiasmatic nuclei and orexin neurons, demonstrating the elegant interplay between our biological clocks and wakefulness

How sleep disorders can result from irregular circadian rhythms and potential ways to diagnose this in individuals

How sleeping behaviors can disturb the hypothalamic-pituitary-adrenal axis and the repercussions of this disruption on female reproduction

How disruption of sleep can be clinically beneficial for depressed patients

How mental state is influenced by circadian rhythm"

The effective treatment of anorexia nervosa (AN) remains a significant challenge. This has prompted new research into ways of engaging and keeping patients in treatment and ultimately achieving better outcomes, not only on a symptomatic level but also in broader aspects of life. In this book Kate Tchanturia brings together international experts from the field of eating disorders to discuss the effectiveness of cognitive remediation therapy for treating anorexia nervosa, and keeping patients in therapy.

Cognitive Remediation Therapy (CRT) is a type of therapy that concentrates on improving neurocognitive abilities such as attention, working memory, cognitive flexibility and planning, and executive functioning which leads to improved general functioning. Recent research has demonstrated the effectiveness of the approach for treating those with anorexia nervosa, cognitive improvements have been noted in patients, and the approach is associated with low drop-out rates from the treatment, and high levels of acceptability among both patients and therapists.

This book presents research focussing on:

- individual therapy with adults

- family-based therapy

- CRT with young people

- group format of CRT

- adapting interventions for people with co-morbidities

- clinicians experiences working with CRT

Illustrated throughout with case studies, and integrating neuropsychological testing and brain imaging this book discusses the latest research on this novel treatment approach. It will be key reading for researchers and academics in the eating disorders field wanting to trial the approach, as well as final year undergraduates and postgraduate clinical psychology students looking for a new perspective.

The effective treatment of anorexia nervosa (AN) remains a significant challenge. This has prompted new research into ways of engaging and keeping patients in treatment and ultimately achieving better outcomes, not only on a symptomatic level but also in broader aspects of life. In this book Kate Tchanturia brings together international experts from the field of eating disorders to discuss the effectiveness of cognitive remediation therapy for treating anorexia nervosa, and keeping patients in therapy.

Cognitive Remediation Therapy (CRT) is a type of therapy that concentrates on improving neurocognitive abilities such as attention, working memory, cognitive flexibility and planning, and executive functioning which leads to improved general functioning. Recent research has demonstrated the effectiveness of the approach for treating those with anorexia nervosa, cognitive improvements have been noted in patients, and the approach is associated with low drop-out rates from the treatment, and high levels of acceptability among both patients and therapists.

This book presents research focussing on:

- individual therapy with adults

- family-based therapy

- CRT with young people

- group format of CRT

- adapting interventions for people with co-morbidities

- clinicians experiences working with CRT

Illustrated throughout with case studies, and integrating neuropsychological testing and brain imaging this book discusses the latest research on this novel treatment approach. It will be key reading for researchers and academics in the eating disorders field wanting to trial the approach, as well as final year undergraduates and postgraduate clinical psychology students looking for a new perspective.

This title includes a number of Open Access chapters. The research contained in this valuable compendium offers a much-needed perspective on one of the most dangerous health crises our world faces today: obesity. Obesity has become an epidemic, a fact frequently discussed in the media, with many references to both childhood and adult obesity. These discussions, however, overlook an important demographic: the adolescent who is obese or overweight. The authors offer critical insights into the forces and factors that result in the numerous metabolic and psychological consequences of adolescent obesity. The book delves into the prevalence, causes and correlates, and implications and consequences of adolescent obesity, and goes on to present considerations for future action. The research covers many of the causes of adolescent obesity, including increased consumption of high carbohydrate snacks; eating too much, too fast, and too frequently; eating high-fat, cheap, convenient, and readily assessable foods; increased sedentary activities, such as TV watching and video games, accompanied by decreased physical activity; parents' and schools' lack of nutrition vigilance; and the commercial incentives to sell calorie-dense foods aggressively and relentlessly. Edited by an eminent doctor and professor, The Complexity of Adolescent Obesity is an easily accessible and well-organized volume that offers vital research context for policymakers, educators, medical providers, and families.

In Addictive Behaviors in Women, leading experts from psychiatry, psychology, sociology, and social work concisely review the addictive process and the characteristic behaviors of women who are dependent on alcohol and/or drugs. Topics include why women smoke, the role of personality in female addiction, sexuality issues in chemically dependent women, dieting and alcohol use in women, alcohol's role in sexual assault, and the impact of drug abuse on the family and pregnancy.
Addictive Behaviors in Women illuminates the causes and effects of the many lifestyle decisions women make that lead to addiction to drugs, work, sex, gambling, or to any of the many other elective aspects of our lives. It shows how addictive decisions can be avoided and/or treated, thereby making women's lives safer, more productive, and healthier.

Effective social interaction does not come naturally to many children with learning disabilities and yet is vital for developing and maintaining relationships and for independent living outside the school context. This social skills programme for pupils with mild to moderate learning disabilities, physical and/or medical disabilities and for those with special needs in mainstream education is divided into three units: let's communicate; let's be friends and let's practice. It aims to increase self-esteem and improve listening skills and expressive language abilities. Teacher's notes, photocopiable illustrated pupil worksheets and assessment and evaluation forms are included.

Alcohol is the most widely used drug in the world, yet alcoholism remains a serious addiction affecting nearly 20 million Americans. Our current understanding of alcohol's effect on brain structure and related functional damage is being revolutionized by genetic research, basic neuroscience, brain imaging science, and systematic study of cognitive, sensory, and motor abilities. Volume 125 of the Handbook of Clinical Neurology is a comprehensive, in-depth treatise of studies on alcohol and the brain covering the basic understanding of alcohol's effect on the central nervous system, the diagnosis and treatment of alcoholism, and prospect for recovery. The chapters within will be of interest to clinical neurologists, neuropsychologists, and researchers in all facets and levels of the neuroscience of alcohol and alcoholism.
* The first focused reference specifically on alcohol and the brain
* Details our current understanding of how alcohol impacts the central nervous system
* Covers clinical and social impact of alcohol abuse disorders and the biomedical consequences of alcohol abuse
* Includes section on neuroimaging of neurochemical markers and brain function

A panel of internationally recognized eating disorder experts has expanded and fully updated this widely acclaimed book to reflect recent scientific and therapeutic developments. Stressing human physiology, treatment, and disease prevention, the authors take advantage of the new molecular understanding of the biological regulation of energy. Updated chapters review specific evidence-based and future treatment modalities, present an objective evaluation of the treatment, and identify the positives and negatives that have been seen during clinical studies, as well as cumulative data derived from clinical practice. New chapters include material on the use of the internet in the education and treatment of eating disorders and obesity, and on the role of appetite and satiety in obesity treatment, particularly with regard to the carbohydrate diet.

In the time of Freud, the typical psychoanalytic patient was afflicted with neurotic disorders; however, the modern-day psychotherapy patient often suffers instead from a variety of addictive disorders. As the treatment of neurotic disorders based on unconscious conflicts cannot be applied to treatment of addictive disorders, psychoanalysis has been unable to keep pace with the changes in the type of patient seeking help. To address the shift and respond to contemporary patients' needs, Ulman and Paul present a thorough discussion of addiction that studies and analyzes treatment options. Their honest and unique work provides new ideas that will help gain access to the fantasy worlds of addicted patients. The Self Psychology of Addiction and Its Treatment emphasizes clinical approaches in the treatment of challenging narcissistic patients struggling with the five major forms of addiction. Ulman and Paul focus on six specific case studies that are illustrative of the five forms of addiction. They use the representative subjects to develop a self psychological model that helps to answer the pertinent questions regarding the origins and pathway of addiction. This comprehensive book links addiction and trauma in an original manner that creates a greater understanding of addiction and its foundations than any clinical or theoretical model to date.

The Aphasia Therapy Files represent a practical resource for people who work with individuals with aphasia, either as therapists or as researchers. An overview of issues associated with current practices is combined with a study of the practicalities of determining, designing and implementing therapies.

This second volume continues to explore the possibility of bridging the gap between therapy in a clinical setting and the practical issues faced by the person living with aphasia. Each author presents one or more of their clinical practices in order to share their therapy experiences and reasoning with others. These contributions provide an insight into the complex issues that face both the practitioner and the person with aphasia, including discussion of subjects such as:

Revealing competence and rethinking identity for people with severe aphasia using drawing and a communication book

Respecting the rights of a person with aphasia to their own life choices: a longitudinal therapy study

A group approach to the long-term rehabilitation of people with acquired head injury within the community

Lexical and functionally based treatment: effects on word retrieval and conversation

While each of the chapters is of considerable interest on its own, the final chapter offers readers a method of describing and capturing what happens in therapy and why, to enable comparisons between therapies and application by readers themselves.

Written by speech and language therapists working in clinical practice, the studies included in this unique resource reflect the realities of everyday practice and will appeal to therapists, students and researchers in aphasia.

In this edited volume, Jean Petrucelli brings together the work of talented clinicians and researchers steeped in working with eating disordered patients for the past 10 to 35 years. Eating disorders are about body-states and their relational meanings. The split of mindbody functioning is enacted in many arenas in the eating disordered patient's life. Concretely, a patient believes that disciplining or controlling his or her body is a means to psychic equilibrium and interpersonal effectiveness. The collected papers in Body-States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders elaborates the essential role of linking symptoms with their emotional and interpersonal meanings in the context of the therapy relationship so that eating disordered patients can find their way out and survive the unbearable. The contributors bridge the gaps in varied protocols for recovery, illustrating that, at its core, trust in the reliability of the humanness of the other is necessary for patients to develop, regain, or have - for the first time - a stable body. They illustrate how embodied experience must be cultivated in the patient/therapist relationship as a felt experience so patients can experience their bodies as their own, to be lived in and enjoyed, rather than as an 'other' to be managed. In this collection Petrucelli convincingly demonstrates how interpersonal and relational treatments address eating problems, body image and "problems in living." Body States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders will be essential reading for psychoanalysts, psychotherapists, psychologists, psychiatrists, social workers, and a wide range of professionals and lay readers who are interested in the topic and treatment of eating disorders.

* An entry level book for AAC * Easy to read; easy to apply * A thorough guide to all areas of AAC * Packed with resources

First published in 1990. Routledge is an imprint of Taylor & Francis, an informa company.

What does it feel like to wake up one day speaking with a foreign accent from a country one has never visited? Why does someone wake up doing this? This book seeks to portray the broad and diverse experiences of individuals with a rare neurological speech disorder called Foreign Accent Syndrome (FAS). Through a combination of personal testimony and scientific commentary, the book aims to shed unprecedented light on the understanding of FAS by elucidating the complex links between how the brain produces speech, how listeners perceive speech and the role that accent plays in our perception of self and others. The first part of the book provides a comprehensive introduction to FAS and covers a number of key subject areas, including: * The definition and phenomenology of FAS * A history of research on FAS * The causes and psychosocial consequences of FAS * A guide to further reading and a glossary of specialized terms. The chapters in part two provide a unique insight into the condition through personal testimony and accounts from family members. This collection of 28 testimonies from across the world underlines the importance of listening carefully to patients explain their cases, and in their own words. The final section contains a questionnaire for use by clinicians to support case history taking. The authors are two leading global experts on FAS, and this is the first volume of its kind to provide such a broad and comprehensive examination of this rare and poorly understood condition. It will be of great interest to practising clinicians in neurology, psychiatry, psychology and speech and language therapy/pathology, as well as students in health disciplines relevant to neurorehabilitation, linguists and also to families and caregivers.

In this edited volume, Jean Petrucelli brings together the work of talented clinicians and researchers steeped in working with eating disordered patients for the past 10 to 35 years. Eating disorders are about body-states and their relational meanings. The split of mindbody functioning is enacted in many arenas in the eating disordered patient's life. Concretely, a patient believes that disciplining or controlling his or her body is a means to psychic equilibrium and interpersonal effectiveness. The collected papers in Body-States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders elaborates the essential role of linking symptoms with their emotional and interpersonal meanings in the context of the therapy relationship so that eating disordered patients can find their way out and survive the unbearable. The contributors bridge the gaps in varied protocols for recovery, illustrating that, at its core, trust in the reliability of the humanness of the other is necessary for patients to develop, regain, or have - for the first time - a stable body. They illustrate how embodied experience must be cultivated in the patient/therapist relationship as a felt experience so patients can experience their bodies as their own, to be lived in and enjoyed, rather than as an 'other' to be managed. In this collection Petrucelli convincingly demonstrates how interpersonal and relational treatments address eating problems, body image and "problems in living." Body States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders will be essential reading for psychoanalysts, psychotherapists, psychologists, psychiatrists, social workers, and a wide range of professionals and lay readers who are interested in the topic and treatment of eating disorders.

Why do so many women with gambling addiction relapse?

Lifelong recovery requires much more than to just stop gambling. Women s groups provide long-term benefits and support and have proven to be highly successful in promoting recovery from gambling addiction. By following the story of a real women s group for problem gambling over the course of a year, Liz Karter explains how, for women, both the cause of and the cure for gambling addiction lies in relationship.

Karter shows clearly how learning to face and cope with real life situations and relationships is essential to maintain recovery. She shares the themes which run through each women s group, such as fear of trusting others, and the guilt, shame and risk associated with being truly seen and heard. "Women s Groups for Problem Gambling" shows that with a combination of specialist intervention, women s group support, courage and compassion, women can learn to stop running from their addiction and instead find joy and support in building relationships and communities.

This highly accessible book provides a unique opportunity to gain a very personal insight into the group process, both for therapists and clinicians and for women wishing to better understand their addiction. "

Edith Kramer is one of the pioneers in the field of art therapy, known and respected throughout the world. This collection of papers reflects her lifetime of work in this field, showing how her thoughts and practice have developed over the years. She considers a wide spectrum of issues, covering art, art therapy, society, ethology and clinical practice and placing art therapy in its social and historical context. Drawing on her very considerable personal experience as an art therapist, Kramer illustrates her conviction that art making is central to practice and cautions against making words primary and art secondary in art therapy. Art as Therapy offers a rare insight into the personal development of one of the world's leading art therapists and the development of art therapy as a profession. It will make fascinating reading for anyone interested in art therapy.

This book presents an overview of the latest psychological knowledge about the application of mindfulness-based interventions in the field of eating disorders. Increasingly, these interventions are used in therapeutic practice. They encourage clients to process their experience fully, as it arises, without judgement. Mindfulness-based approaches, in particular, emphasize the cultivation of moment to moment awareness of thoughts and feelings as well as bodily sensations. In so doing, eating disorders present an ideal context for the development of mindfulness. Indeed, it is in the body that the emotional and relational struggles of clients reveal themselves. The authors in this diverse volume share a belief in the utility of using mindfulness-based practices to address disordered eating. It features up to date research and theory regarding mindfulness and the full spectrum of eating disorders, from Anorexia Nervosa and Bulimia Nervosa to Binge Eating Disorder. In addition, it explores how professionals can utilize mindfulness in their own practices, in the context of both individual and group treatment. This book was originally published as a special issue of Eating Disorders: the Journal of Treatment and Prevention.

Sleep disorders in children are on the rise. Experts have pronounced sleeplessness a 'hidden health crisis' for young people, with 10 percent of children presenting with diagnosable sleep disorders - but well over half are misdiagnosed. Every year, tens of thousands of children are treated for diseases such as diabetes, learning disorders, or chronic pain, when the real root cause of their ailment may actually be a sleep disorder for which they're not being treated. In this ground-breaking guide, neurologist and sleep expert Dr Chris Winter identifies the signs and symptoms of the most common sleep disorders affecting children today, and he empowers parents and caregivers to understand the steps necessary to address and treat their children's sleep problems. From common issues such as too much screen time and night terrors, to narcolepsy, sleep apnoea, and more, The Rested Child leaves no stone unturned. This book pulls back the curtain on the relationship between poor sleep quality and paediatric epidemics related to psychiatric health, rising obesity, ADD/ADHD, pain disorders, and other undiagnosed disorders of sleepiness and fatigue. Finally parents have a resource to help them uncover the root of their children's problems, and, more important, to provide the answers on how to help.

The statistics show that as much as twenty percent of the population suffers from chronic insomnia and one-fourth of those with the condition eventually develop an anxiety disorder. As comorbid conditions, they contribute to any number of physical and social problems. Yet too often insomnia is undiagnosed, or treated as merely a symptom of the patient's anxiety. Insomnia and Anxiety is the first clinician guidebook that considers the evaluation and management of insomnia and related sleep disturbances that occur conjointly with the common anxiety disorders. By exploring the ways that one condition may exacerbate the other, its authors present robust evidence of the limitations of viewing insomnia as secondary to GAD, agoraphobia, PTSD, and others in the anxiety spectrum. The book reviews cognitive and emotional factors common to anxiety and sleep disorders, and models a cognitive-behavioral approach to therapy in which improved sleep is a foundation for improved symptom management. Beginning and veteran practitioners alike will find vital insights into all areas of these challenging cases, including: Diagnostic and assessment guidelines. Cognitive-behavior therapy for insomnia. Behavioral strategies for managing insomnia in the context of anxiety. Cognitive strategies for managing comorbid anxiety and insomnia. Sleep-related cognitive processes. Pharmacological treatment considerations. Insomnia and Anxiety is highly useful to clinical psychologists given the range of treatment strategies it describes and to researchers because of its emphasis on the theoretical and empirical bases for its interventions. In addition, its accessible style makes it an excellent training tool for students of therapy and psychopathology.

Developmental Language Disorders: From Phenotypes to Etiologies is based on the recent conference of the same name sponsored by the Merrill Advanced Studies Center of the University of Kansas. In the past 10 years, considerable advances have taken place in our understanding of genetic and environmental influences on language disorders in children. Significant research in behavioral phenotypes, associated neurocortical processes, and the genetics of language disorders has laid the foundation for further breakthroughs in understanding the reasons for overlapping etiologies, as well as the unique aspects of some phenotypes. Too often the findings are disseminated in a fragmented way because of the discrete diagnostic categories of affectedness. This volume attempts to assimilate and integrate the findings of the transdisciplinary research toward a more coherent picture of behavioral descriptions, brain imaging studies, genetics, and intervention technologies in language impairment. The contributing authors are all scholars with active programs of research funded by the National Institutes of Health involving diverse clinical groups of children with language impairments.

Obesity and its linked morbidity and mortality is a significant public health challenge on a global scale and places a burden not only on the individual but also on society as a whole. This Mini-Guide presents key themes relating to this challenge, including the means of measuring obesity, the most recent prevalence and trends, the health consequences and causes of obesity along with approaches to counter obesity both at an individual and a population level. "..useful for anyone preparing a presentation or policy on the topic." Reviewed by Nerys Williams on behalf of Occupational Medicine, January 2015 Understanding is facilitated through: Case Studies Boxed examples Thinking Points Summary Points at ends of chapters. Links to webpages, resources and further reading. The Public Health Mini-Guides provide up-to-date, evidence-based information in a convenient pocket-sized format, on a range of current key public health topics. They are designed to support the work of health and social care practitioners and students on courses related to public health and health promotion.

This title includes a number of Open Access chapters. The prevalence of childhood overweight and obesity has increased worldwide in recent decades. Obesity in childhood is associated with a wide range of serious health complications and an increased risk of premature illness and death later in life. This book presents childhood obesity trends across multiple demographics and discusses the contributing genetic and environmental factors. It demonstrates the adverse health consequences of childhood obesity both as they relate to childhood and as they last into adulthood and presents multiple methods for obesity treatment included community and family-based intervention, pharmacotherapy, and surgical procedures.

This guidebook has been created to accompany the Grammar Tales story books, a collection of beautifully illustrated picture books designed to support grammar and language development in children. Including accessible activities and ideas to help children use grammar forms expressively, the guidebook discusses the specific grammatical form focused on in each story, and offers support in using the storybooks effectively. Photocopiable and downloadable handouts for parents and carers allow therapy work to continue beyond the therapy session. This guidebook is an essential accompaniment to the Grammar Tales storybooks for Speech and Language therapists working with children.

First published in 1991. Routledge is an imprint of Taylor & Francis, an informa company.