This is a text for practicing pharmacists on the understanding, management and treatment of Obesity. Obesity is an important risk factor for a number of chronic conditions such as heart disease, stroke, some cancers and type two diabetes. It is responsible for more than 9000 premature deaths a year in England alone and is a growing problem both among adults and children especially in the UK and USA. Community pharmacists now have an increasingly important role in public health. The increased health promotion responsibility under the new contract in the UK and improved consultation facilities now available means that a book such as this is very timely. This text focuses on pharmacists care with the first part concentrating on the background and epidemiology of the problem, the current rates of obesity and the facts, also linking obesity with the emergence of potential public health crisis. Part two of the text focuses on the prevention of obesity including prevention on government level, psychological intervention and exercise and nutrition. The chapters then go on to include the pharmacological interventions including drugs available and also surgical interventions and diets. The closing chapter looks at the structure of the evolving services from community pharmacy nationally and internationally.

Sleep plays a critical role in child development, with insufficient sleep or sleep disorders linked to poorer physical health, increased weight gain, academic deficits, behavior problems, and difficulties with emotion regulation. This book examines the complex and dynamic relationship between sleep and developmental psychopathology. By focusing on broad topics such as social and emotional development or child well-being, as well as specific disorders including ADHD, anxiety, and bipolar, many different aspects of developmental psychopathology are considered. In addition, a breadth of studies examine different measurement approaches and sleep as an underlying mechanism for the development of behavior, social, and emotional problems. This collection of novel research studies exploring the intersection between sleep and developmental outcomes is essential for clinicians and researchers who work with children and adolescents. This book was first published as a special issue of the Journal of Clinical Child and Adolescents Psychology.

This book is a treatment manual providing guidance for therapists treating clients with gambling addictions.

In this book the authors use a cognitive behavioural approach and provide a session by session guide for overcoming problem gambling. Essential topics covered include:

• assessment and psychoeducation
• cognitive behavioural strategies to stabilize gambling
• identifying and challenging thinking errors
• relaxation and imaginal exposure
• problem solving and goal setting
• managing negative emotions
• relapse prevention: maintaining a balanced lifestyle and coping with high risk situations

A Cognitive Behavioural Therapy Programme for Problem Gambling supplies detailed information to help the therapist and client understand gambling behaviours, as well as practical advice on techniques that can be used with the client to change these behaviours.

This practical guide includes handouts and exercises that can be downloaded by purchasers of the print edition. It will provide helpful guidance for addiction counsellors and therapists worldwide.

This comprehensive issue on Substance Abuse in youth begins with articles on epidemiological trends, genetic risk factors, neurobiology of substance use disorders, and race and gender associations, and then provides detailed reviews on prevention and various treatment methodologies.? Treatments discussed include individual and group interventions (motivational interviewing and cognitive behavioral therapy), contingency reinforcement, multidimentional family therapy, pharmacotherapy, and post-treatment aftercare.? Also reviewed in detail are substance use disorders and psychiatric comorbidity.? The issue then takes a close look at two emerging areas of concern in youth: gambling and internet occupation, and energy drink use. By all accounts, a must-read issue for psychiatrists everywhere.

Coyote Speaks describes the strengths, the strategies, and the resilience a therapist needs to work successfully with alcoholics and addicts. It reports what a therapist sees, hears, smells, and feels in the midst of treating those yet to achieve sobriety, those recently sober, and those with years of recovery behind them. In the Navajo cosmology, those possessed by Coyote are neither inherently evil nor morally lacking, but like alcoholics and addicts they suffer from a malady of the soul as much as the body. The provocative humor of Coyote stories illustrates the mercurial and quixotic nature of the alcoholic and addict in treatment, while evocative case histories from the author's private practice reveal the humanity behind a disease that binds two individuals in a struggle toward honesty, humility, and sobriety. Coyote Speaks explores the darkness of alcohol and drug addiction, the humility we accept when we acknowledge our limitations as therapists, and the redemption we witness as we attend to a disease that is at best treatable. It is about caring enough, sometimes too much, and about knowing when to let go. It is about the importance of examining the trickster in each of us, and it is about listening, when Coyote speaks.

The practice of medicine is both learned and advanced through the compilation and study of cases -- vignettes that record the presentation, diagnosis, and treatment of individual patients and diseases. This is especially true of psychosomatic medicine (PSM), which depends on the "compelling case" to distill clinical knowledge and communicate it to students, residents, and clinicians. An invaluable contribution to the field, the Casebook of Psychosomatic Medicine describes the psychiatric symptoms and/or illnesses managed by the PSM psychiatrist in collaboration with other medical colleagues. The book presents a broad range of cases illustrating the medical, psychosocial, and intertwined situations psychiatrists are likely to encounter in an academic medical center setting.

No other single volume offers a broader range of engaging, detailed, and nuanced PSM cases, or grounds them so firmly in a psychiatric, psychosocial, and spiritual context. Here are just a few of this patient-centered book's most impressive and useful features: - The relevant science underlying each case is addressed in discussion sections, allowing the book to be read as a stand-alone volume. Alternatively, the cases can be read as instructive and insightful illustrations by the reader who has already absorbed the fundamentals of PSM from standard textbooks in the field.- This user-friendly book is organized by the organ system or disease type of the presenting illness or symptom.- Content rare in volumes of this kind includes detailed coverage of the diagnosis and management of cognitive disorders; the management of drug toxicity states; determinations of decisional capacity for medical decision making; and "stress and adaptation," an issue the PSM psychiatrist encounters daily.- The authors strongly believe that one of the most crucial roles for the psychiatrist is in the medical center, and the book reflects that orientation. - The book addresses the importance of understanding the impact of patients' systemic illnesses on their psychiatric symptoms, and modifying interventions and care accordingly. These abilities are critical to sound PSM practice.

Although PSM has a long and noble history, it is the newest of the psychiatric subspecialties, and as the literature expands, more and more clinicians will incorporate PSM treatment modalities into their practice. The Casebook of Psychosomatic Medicine is an essential contribution to that body of knowledge and establishes a new standard with which to face the future of this exciting field.

This issue offers a valuable update in the fast-moving specialty of sleep medicine.? Topics covered include: The Neurobiology of Sleep; Adult Obstructive Sleep Apnea; Central Sleep Apnea (including complex sleep apnea and ASV); Pediatric Sleep-Related Breathing Disorders; Hypoventilation Syndromes; Metabolism in OSA; Cardiovascular Consequences of Sleep Apnea; Home Sleep Apnea Testing; Insomnia; Excessive Sleepiness; Narcolepsy; Restless Leg Syndrome and Movement Disorders; Parasomnia; Circadian Rhythm Sleep Disorders; Medication Effects on Sleep; and Polysomnography.

The first source on insomnia treatment since the advancement of newer drug options and cognitive behavioral therapies, "Insomnia: Diagnosis and Treatment" presents a comprehensive reference on the complications, evaluation, and treatment of insomnia. Ideal for sleep medicine specialists, psychiatrists, and neurologists, this text uses a multi-disciplinary approach to discuss the essential information on assessment and treatment, while also covering the science of insomnia, including the definitions, origins, and complications of the condition.

Key features include:

Many national professional organizations of speech-language pathologists have adopted evidence-based practice (EBP) as the preferred approach to clinical practice. This mandate brings with it an added responsibility for university programs because they need to prepare future generations of speech-language pathologists for these new demands.

This special issue is the first in a peer-reviewed journal in the field that focuses on the teaching of EBP at the pre-professional level! That is, four university programs from three continents (Australia, Europe, and North America) showcase how they conceptualized and implemented their innovative approach to teaching EBP.

Because many programs are in the midst of moving toward EBP, this is a must read for anyone who is teaching or learning in a university-based program in speech-language pathology.

We believe that this issue will serve as a catalyst for increased scholarly discourse on this critical need.

Eating disorders (EDs) have become a social epidemic in the developed world. This book addresses the close links between EDs and exercise, helping us to understand why people with EDs often exercise to excessive and potentially harmful levels. This is also the first book to examine this issue from an ethical and legal perspective, identifying the rights and responsibilities of people with EDs, heir families and the fitness professionals and clinicians that work with them.

The book offers an accessible account of EDs and closely examines the concept of addiction. Drawing on a wide range of medical, psychological, physiological, ociological and philosophical sources, the book examines the benefits and risks of exercise for the ED population, explores the links between EDs and other abuses of the body in the sports environment and addresses the issue of athletes with disordered eating behaviour. Importantly, the book also surveys current legislation and professional codes of conduct that guide the work of fitness professionals and clinicians in this area and presents a clear and thorough set of case histories and action points to help professionals better understand, and care for, their clients with EDs.

Exercise and Eating Disorders is important reading for students of applied ethics, medical ethics and the ethics of sport, as well as for fitness professionals, psychiatrists, clinical psychologists, sports coaches and sport and exercise scientists looking to improve their understanding of this important issue.

Fourteen specialists from across the European Union discuss current issues regarding Middle Eastern and North African immigrants in Europe, focusing on topics such as immigration legislation, assimilation, integration, multiculturalism, community formation, citizenship, political participation, and religious and cultural identities.
This book was previously published as a special issue of the journal Immigrants and Minorities.

People have been using tobacco in a variety of forms for centuries. Remarkably, it was originally seen as something that could promote vigor and health. Of course, now we all know that tobacco use causes death and disability in epidemic proportions. If smoking is so bad for us, why in heaven’s name would anyone still smoke? Quite a bit has changed since tobacco first made the transition to a widely available agricultural product. Unfortunately, the general clinical approach to addressing this problem has failed to keep pace with tobacco technology and its addictive properties. People around the world who have fallen prey to the subtleties of nicotine addiction, or who care for those who have, would benefit from a deeper understanding of the ways in which nicotine can affect the brain’s function and change behaviors over a lifetime. Why People Smoke breaks down the science of tobacco dependence and presents it in a way that is both easily understandable and clinically useful for anyone interested in helping people break free of nicotine’s influence. Why People Smoke is a first-of-its-kind clinical guide to treating tobacco dependence. The book helps readers make meaningful connections between tobacco’s effects at the cellular level, the predictable behavioral manifestations of the disorder, and the social science and systems requirements required to make a fundamental impact on this disorder. Unlike previous publications like self-help books, step-by-step curricula, or clinical guidelines, Why People Smoke puts practical clinical insights—gained from twenty-five years of practice—into perspective, helping the reader understand how “brain change” translates into “mind change” and the persistent compulsion to smoke . . . despite a person’s desperate desire to stop. Reading Why People Smoke will change the way you see smoking forever.

This is the basic text of the Narcotics Anonymous fellowship. Just as with alcoholism, there is no 'cure' for narcotic addiction, but recovery is possible through a program adapted from the ""Twelve Steps and Twelve Traditions"" of Alcoholics Anonymous. This book, written by addicts, for addicts, about addicts, sets forth the spiritual principles of Narcotics Anonymous that hundreds of thousands of addicts have used in recovery. Intended as a complete textbook for every addict seeking recovery, ""Narcotics Anonymous"" describes the N.A. program and how it works. It includes the ""N.A. Twelve Steps and Twelve Traditions"", as well as many personal stories of men and women who have found freedom from addiction through Narcotics Anonymous.

The majority of cancer-related deaths are associated with nutritional problems. The major role that nutrition and diet play in the development and course of cancer had only been recently appreciated, and relatively little had been written on the topic in general. A critical component of nutrition and diet is eating behavior. Originally published in 1985, the purpose of this book was to meet the needs of both the clinician and the researcher by bringing together data and theory about nutrition and cancer from several disciplines, as considered from a biobehavioral perspective. The first chapter of the book provides an overview of the purposes and organization of the volume. The rest is divided into 3 parts. Part 1 focuses on basic research concerned with the nature and development of taste aversions and taste preferences in human and animals. Part 2 applies the basic processes reviews in the first part to the cancer area, focusing on eating and nutritional problems related to both tumor development and to learned processes that develop as a result of being exposed to radiotherapy and chemotherapy treatments. Part 3 focuses on identifying and evaluating intervention strategies for improving the nutritional status of people with cancer or at high risk for developing cancer.

This issue is divided into two sections. Varied BSM Targets and The Insomnias. Topics in the Varied BSM Targets section include: CPAP Compliance, Periodic Leg Movement Disorder and Restless Legs Syndrome, Circadian Rhythm Disorders, Nightmares, Women's Sleep, Insomnia in Caregivers, Sleep Deprived Physicians. Topics in the Insomnias section include: Cognitive Mechanisms in Insomnia, Physiological Mechanisms in Insomnia, Primary Insomnia, Comorbid Insomnia, Hypnotic-Dependent Insomnia, and Late-Life Insomnia.

* Psychoanalytic/psychodynamic self-psychology is illustrated using 12 case studies, each of which exemplifies specific theoretical, clinical, and technical principles of the approach. Together, the 12 case studies form a cohesive whole which enables the reader to follow in detail an entire process of therapy, illustrating the technique and its roots in self-psychology theory. * Provides the evidence basis for the efficacy of this treatment of eating disorders and the empirical capability of the theory to predict the development of eating disorders as well as remission from EDs. * The cases and the empirical studies are integrated around the basic themes of the theory so as to create a comprehensive text while balancing between theory, clinical examples, and empirical basis.

Shortlisted for the 2008 Katharine Briggs Award.

For centuries the witch has been a powerful figure in the European imagination; but the creation of this figure has been hidden from our view. Charles Zika s groundbreaking study investigates how the visual image of the witch was created in late fifteenth- and sixteenth-century Europe. He charts the development of the witch as a new visual subject, showing how the traditional imagery of magic and sorcery of medieval Europe was transformed into the sensationalist depictions of witches in the pamphlets and prints of the sixteenth century.

This book shows how artists and printers across the period developed key visual codes for witchcraft, such as the cauldron and the riding of animals. It demonstrates how influential these were in creating a new iconography for representing witchcraft, incorporating themes such as the power of female sexuality, male fantasy, moral reform, divine providence and punishment, the superstitions of non-Christian peoples and the cannibalism of the New World.

Lavishly illustrated and encompassing in its approach, The Appearance of Witchcraft is the first systematic study of the visual representation of witchcraft in the later fifteenth and sixteenth centuries. It will give the reader a unique insight into how the image of the witch evolved in the early modern world.

Caring for a loved one with an eating disorder is a difficult task; carers often find it hard to cope, and this can contribute to the maintenance of the disorder. The Clinician's Guide to Collaborative Caring in Eating Disorders shows how active collaboration between professional and non-professional carers can maximise the quality of life for both the sufferer and all other family members.

The book provides straightforward guidance for clinicians who work with families and carers. It suggests ways of ensuring that interpersonal elements that can maintain eating disorders are minimised and indicates skills and knowledge that can be taught to the carer for both managing their personal reaction to the illness, and for providing a practically and emotionally supportive environment that is conducive to change. The appendices of the book contain a Toolkit for Carers, a series of worksheets designed to help carers recognise their own unique caring styles.

This book is worthwhile reading for all health professionals working with people with eating disorders. It is relevant across a variety of settings and client groups including inpatients, out-patients, community and day patients.

Being intelligible to a listener means getting your message across and improving speech intelligibility is one of the most common goals for clients working with a speech-language pathologist (SLP). Improving Speech Intelligibility in Adults: Clinical Application of Evidence-Based Strategies is a professional resource for practicing SLPs working with adults with communication disorders, such as dysarthria, acquired apraxia of speech, and voice disorders. This book incorporates current research findings to support the use of evidence-based strategies in clinical situations. While other books may focus on "drilling" and "practicing" a list of words, sentences, and topics to use with a client to change their behaviors, Improving Speech Intelligibility in Adults uniquely focuses on the speaker and the listener in tandem. The author takes a noteworthy approach in how the listener can change behaviors to assist with understanding. The text presents a comprehensive approach to improving speech intelligibility by including ways to enhance the communication environment during in-person or teletherapy exchanges to enhance understanding between speaker and listener.

Cost-effectiveness analysis is becoming an increasingly important tool for decision making in the health systems. Cost-Effectiveness of Medical Treatments formulates the cost-effectiveness analysis as a statistical decision problem, identifies the sources of uncertainty of the problem, and gives an overview of the frequentist and Bayesian statistical approaches for decision making. Basic notions on decision theory such as space of decisions, space of nature, utility function of a decision and optimal decisions, are explained in detail using easy to read mathematics. Features Focuses on cost-effectiveness analysis as a statistical decision problem and applies the well-established optimal statistical decision methodology. Discusses utility functions for cost-effectiveness analysis. Enlarges the class of models typically used in cost-effectiveness analysis with the incorporation of linear models to account for covariates of the patients. This permits the formulation of the group (or subgroup) theory. Provides Bayesian procedures to account for model uncertainty in variable selection for linear models and in clustering for models for heterogeneous data. Model uncertainty in cost-effectiveness analysis has not been considered in the literature. Illustrates examples with real data. In order to facilitate the practical implementation of real datasets, provides the codes in Mathematica for the proposed methodology. The motivation for the book is to make the achievements in cost-effectiveness analysis accessible to health providers, who need to make optimal decisions, to the practitioners and to the students of health sciences. Elias Moreno is Professor of Statistics and Operational Research at the University of Granada, Spain, Corresponding Member of the Royal Academy of Sciences of Spain, and elect member of ISI. Francisco Jose Vazquez-Polo is Professor of Mathematics and Bayesian Methods at the University of Las Palmas de Gran Canaria, and Head of the Department of Quantitative Methods. Miguel Angel Negrin is Senior Lecturer in the Department of Quantitative Methods at the ULPGC. His main research topics are Bayesian methods applied to Health Economics, economic evaluation and cost-effectiveness analysis, meta-analysis and equity in the provision of healthcare services.

This highly practical resource has been designed to support working memory and curriculum success in the Key Stage 1 and Key Stage 2 classroom. Working memory is crucial for success in maths, reading, reading comprehension and problem solving, yet children with poor working memory often struggle to meet the demands of everyday classroom activities. Filled with activities and support for Key Stage 1 and Key Stage 2 Maths and English, this book offers ideas for the practising teacher on how to make the classroom a place to reinforce memory skills, and to ensure that those with working memory difficulties are included and supported. Key features include: * Information on recognising working memory difficulties * Practical and specific strategies to support learners in the classroom * Graduated activities for Maths and English learners based on the national curriculum The importance of working memory on curriculum success is becoming increasingly evident, with growing emphasis on testing and an ever more demanding curriculum. With photocopiable and downloadable resources, this is an essential book for teachers, teaching assistants and other education staff looking to support working memory with children.

Fat Religion: Protestant Christianity and the Construction of the Fat Body explores how Protestant Christianity contributes to the moralization of fat bodies and the proliferation of practices to conform fat bodies to thin ideals. Focusing primarily on Protestant Christianity and evangelicalism, this book brings together essays that emphasize the role of religion in the ways that we imagine, talk about, and moralize fat bodies. Contributors explore how ideas about indulgence and restraint, sin and obedience are used to create and maintain fear of, and animosity towards, fat bodies. They also examine how religious ideology and language shape attitudes towards bodily control that not only permeate Christian weight-loss programs, but are fundamental to secular diet culture as well. Furthermore, the contributors investigate how religious institutions themselves attempt to define and control the proper religious body. This volume contributes to the burgeoning field of critical fat studies by underscoring the significance of religion in the formation of historical and contemporary meanings and perceptions of fat bodies, including its moralizing role in justifying weight bias, prejudice, and privilege. The chapters in this book were originally published as a special issue of Fat Studies: An Interdisciplinary Journal of Body Weight and Society.

Caring for a loved one with an eating disorder is a difficult task; carers often find it hard to cope, and this can contribute to the maintenance of the disorder. The Clinician's Guide to Collaborative Caring in Eating Disorders shows how active collaboration between professional and non-professional carers can maximise the quality of life for both the sufferer and all other family members.

The book provides straightforward guidance for clinicians who work with families and carers. It suggests ways of ensuring that interpersonal elements that can maintain eating disorders are minimised and indicates skills and knowledge that can be taught to the carer for both managing their personal reaction to the illness, and for providing a practically and emotionally supportive environment that is conducive to change. The appendices of the book contain a Toolkit for Carers, a series of worksheets designed to help carers recognise their own unique caring styles.

This book is worthwhile reading for all health professionals working with people with eating disorders. It is relevant across a variety of settings and client groups including inpatients, out-patients, community and day patients.

Now in a fully revised and updated third edition, Working with Voice Disorders offers practical insight and direction into all aspects of voice disorders, from assessment and diagnosis to intervention and case management. Using evidence-based material, it provides clinicians with pragmatic, accessible support, facilitating and informing decision-making along the clinical journey, from referral to discharge. Key features of this resource include: A wealth of new, up-to-date practical and theoretical information, covering topics such as the prevention, assessment, intervention and treatment of a wide spectrum of voice disorders. A multi-dimensional structure, allowing the clinician to consider both specific aspects of patient management and aspects such as clinical effectiveness, clinical efficiencies and service management. Photocopiable clinical resources, from an at-a-glance summary of voice disorders to treatment and assessment protocols, and practical exercises and advice sheets for patients. Sample programmes for voice information groups and teacher workshops. Checklists for patients on topics such as the environmental and acoustic challenges of the workplace. Self-assessed personalised voice review sheets and weekly voice diaries encourage patients to monitor their voice quality and utilise strategies to prevent vocal misuse. Combining the successful format of mixing theory and practice, this edition offers a patient-centred approach to voice disorders in a fully accessible and easy-to-read format and addresses the challenges of service provision in a changing world. This is an essential resource for speech and language therapists of varying levels of experience, from student to specialist.

This book provides clinicians and researchers with the current state-of-the-art on the pharmacological treatment of aphasia. The focus is on the role of different pharmacological agents to improve aphasia associated with stroke and to attenuate language dissolution in degenerative conditions like Alzheimer's disease and primary progressive aphasia. This book is the first one that addresses these topics. Leaders in the field provide tutorial reviews on how focal brain injury and degeneration impact on the normal the activity of different neurotransmitter systems and how drugs combined or not with rehabilitation can improve language and communication deficits. This is nicely illustrated by studies on single cases and case series describing the beneficial effects of interventions combining drugs with evidence-based rehabilitation techniques. Throughout the volume, future directions to refine testing aimed to detect gains in language and non-language cognitive deficits promoted by drug treatment are highlighted. This book is essential reading for anyone interested in the rehabilitation of aphasia and related cognitive disorders. This book was originally published as a special issue of Aphasiology.