Substance misuse is one of the more common, yet baffling, problems confronting the practising mental health professional today. The issues involved in the misuse of substances can be so complex that some practitioners are inclined to avoid working with clients who have been diagnosed with a drug abuse problem.; This new guidebook is designed to assist clinicians with the task of conceptualizing, understanding and intervening with persons who abuse substances. It accomplishes this by offering practical suggestions, assessment procedures, and change strategies directed at the thoughts, feelings and behaviours believed to support a drug lifestyle. Although the approach described in this book utilizes a number of cognitive-behavioural techniques, the approach is unique in the sense that it also deals with the fear of change that frequently interferes with a client's ability to benefit from therapy. It also considers change strategies used by people who have escaped from a drug lifestyle without any type of treatment or formal intervention.; Momentarily arresting the lifestyle is the first step of intervention. This is followed by skill development in which the conditions, choices and cognitions associated with a drug lifestyle are targeted for intervention and change. In the final phase of this approach, the client is engaged in the resocialization process whereby he or she is encouraged to develop ways of thinking and behaving that are incompatible with continued misuse of psychoactive substances. The end result is a concise, yet comprehensive, examination of ways clinicans might facilitate change in persons previously committed to a drug lifestyle.

Eating Disorders and Sexual Trauma is the first book to fully explore the complex relationship between sexual abuse and the eating disorders. The book encompasses the compelling writings of 26 specialists who thoughtfully consider the numerous questions surrounding this controversial topic: Why would early trauma influence eating behavior? What is the association between eating disorders and sexual abuse? What impact does the controversy surrounding "false memory" have on the thinking about this association?
Working from the premise that children exposed to inescapable stress throughout childhood will be at risk for compulsivity and reenactment of trauma by self-abuse syndromes, this collection provides provocative answers to these and many other questions.
Taken as a whole this book provides an important global view of the topic. Chapters focus attention on the prevalence of sexual abuse among individuals with eating disorders; how a history of sexual violence can serve as a predictor of subsequent food-related syndromes; trauma-based theory, dissociation, abreactive, and ego-states therapy; and a practical and theoretical exploration of the sexual self of an eating-disordered person. New perspectives on body image, feminist approaches to treatment, false memory, and the sexual self, as well as a first-person narrative that powerfully links the two phenomena, round out the discussion. Finally, a dialogue about the controversies surrounding sexual abuse and eating disorders and an examination of false memory syndrome constitute the fitting finale for this stimulating presentation.
Eating Disorders and Sexual Trauma represents an important step forward in the research, theory, and treatment in both of these disciplines. It is a volume that has much wisdom to offer practitioners who work with populations who are dealing with these issues and their cross-influence.

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This book explores the ways in which anorexic women use their eating to control their bodies. It argues that the female body in modern Western culture is understood as open and accessible and female appetite as dangerous and voracious. Anorexia attempts to resist both these constructions in the creation of a closed, desireless body. Since anorexic women resist the power of collective ideologies their resistance cannot work - the closed body becomes its own prison.

Multistep Cognitive Behavioral Therapy for Eating Disorders: Theory, Practice, and Clinical Cases describes a novel model of cognitive behavior therapy (CBT) for eating disorders called multistep CBT-E (Enhanched). The treatment, derived from the transdiagnostic cognitive behavior theory of eating disorders, extends the range of applicability of standard CBT-E. It is designed to be applicable to three different levels of care (outpatient, intensive outpatient, inpatient), and to eating disorder patients of all diagnostic categories, ages, and BMI categories. Distinguishing multistep CBT-E is the adoption of a multi-step approach conducted by a multidisciplinary CBT-E team including psychologists, dietitians, and physicians, the inclusion of a family module for patients under eighteen years old, and the use of assisted eating and group sessions, in adjunct to individual psychotherapy in the intensive levels of care. The first eight chapters provide an overview of eating disorders, the cognitive behavior theory of eating disorders, how to build a CBT-E multidisciplinary team, how patients are assessed and prepared for the treatment, the general organization, procedures, and strategies involved in the three steps of multistep CBT-E treatment, and how multistep CBT-E can be adapted for adolescents. In order to highlight the flexibility of the multistep CBT-E approach, Section Two of the book provides a detailed description of three treated clinical cases. The first case illustrates how outpatient CBT-E was adapted to treat a professional sportswoman affected by an eating disorder; the second describes the procedures and strategies applied in intensive outpatient CBT-E to treat a patient who did not improve with standard outpatient CBT-E; and the third case illustrates the procedures and strategies typically applied in inpatient CBT-E and shows how it can be used to help a patient with a longstanding eating disorder who has failed to respond to several outpatient treatments. Each chapter gives a general description of the case in question and details the main procedures, strategies, and tools used from the assessment stage through to discharge. In addition, abridged transcripts of relevant clinical sessions are included, to give interesting insight into the practical implementation of multistep CBT-E, and the outcomes at the end of the treatment and follow-up are reported.

This revised and updated second edition is a rhetorical analysis of written communication in the mental health community. As such, it contributes to the growing body of research being done in rhetoric and composition studies on the nature of writing and reading in highly specialized professional discourse communities. Many compelling questions answered in this volume include:
* What "ideological biases" are reflected in the language the nurse/rhetorician uses to talk to and talk about the patient?
* How does language figure into the process of constructing meaning in this context?
* What social interactions -- with the patient, with other nurses, with physicians -- influence the nurse's attempt to construct meaning in this context?
* How do the readers of assessment construct their own meanings of the assessment?
Based on an ongoing collaboration between composition studies specialists and mental health practitioners, this book presents research of value not only to writing scholars and teachers, but also to professional clinicians, their teachers, and those who read mental health records in order to make critically important decisions. It can also be valuable as a model for other scholars to follow when conducting similar long-range studies of other writing-intensive professions.

Contents:
Introduction and Overview: Smoking's Relationship to Individual Differences, Psychopathology And Emotions; Smoking Motivation: Models, Issues, Affect and Emotion, Personality, Temperament and Psychopathology; Evidence of Affect Modulation, Performance Enhancement and Reinforcement; Mechanisms Underlying Nicotine's Reinforcing And Affect-Modulating Effects; Personality, Psychopathology, Tobacco Use and Individual Differences in Effects Of Nicotine; Gender Differences In Tobacco Use And Effects; SituationxTrait Adaptive Response STAR Model of Smoking; Implications of the SituationxTrait Adaptive Response STAR Model for Smoking Intervention.

Written by an experienced academic author, lecturer and practitioner, this comprehensive textbook provides an introduction to alcohol and drug misuse. It presents: the context of alcohol and drug misuse, and the nature and theories of addiction, including a historical overview and policy initiatives in contemporary society an overview of the problems associated with psychoactive substances and their impact on groups such as culturally and linguistically diverse communities, young people, women, older people and the homeless an understanding of the generic role responses to substance misuse in a variety of different settings and contexts, including primary care, the community and hospitals a framework for assessment, care planning, harm reduction approaches, dealing with overdose, intoxication and withdrawals, and psychological and pharmacological interventions an accessible and skills-oriented approach to assist students and practitioners in dealing with alcohol and drug misuse. This new edition is fully updated and includes new material on: evidence-based pharmacological interventions; recent global strategies in alcohol and drug; dual diagnosis and women; shisha smoking; and current statistics on prevalence of alcohol and drug misuse Alcohol and Drug Misuse takes into account current policy and practice for substance use and misuse and includes a range of pedagogical features to enhance learning. It is essential reading for nursing, health and social work students taking substance misuse modules, as well as related CPD courses for health and social care professionals.

This work offers detailed coverage of the biochemical and metabolic framework that forms the basis for the current theory of nutrition support. It presents analyses of the practical aspects of providing nutrition to hospitalized patients, and examines nutrition support in critical care and sepsis, cancer, gastrointestinal disease, cardiac and pulmonary disease, burns, renal failure, newborns and children, pregnancy, AIDS, neurological impairment and perioperative patients.

Originally published in 1980, this book presents a detailed account of a series of investigations that examined the patterns of resort to drugs and alcohol use in college youth, and how such substance uses are linked to personality characteristics and daydreaming patterns. The Editors chose to emphasize the more "private" features of the personality, because these had often been ignored in earlier research, despite popular assumptions that there are close ties between fantasy, inwardness, "spacey" qualities (all suggesting permanent changes in mental organization), and substance use in youth. This volume will be of interest to a wider audience than just drug and alcohol researchers, because of the effort to go beyond normative patterns of substance use toward explorations of personality and consciousness.

Sex Addiction: A Guide for Couples and Those Who Help Them is a practical book that provides empathic support, guidance, information and pragmatic strategies for couples who want to survive sex and porn addiction - whether that's together, or apart. Sex and porn addiction devastates couple relationships, and unlike the impact of infidelity, there is no 'before' to get back to and no 'after'. This book adopts the metaphor of a boat, presenting addiction as the tidal wave that devastates the relation-ship, leaving both crew members fighting for survival. There's guidance to ensure each partner makes it safely back to shore and advice on surveying the damage to your relation-ship and deciding if you want to save it and set sail again. You'll find practical advice for both the partner and the addicted partner, including first-hand accounts of couples that have already undertaken the journey.

The editors of this volume have assembled recent articles discussing elements of each of the several commonly used psychosocial interventions -- including relapse prevention therapy, community reinforcement, voucher-based programs, self-help therapies, and motivational enhancement therapy--in addition to research-based articles that demonstrate the efficacy of these approaches. The selections in this book will provide the reader with a broad overview of the field as well as the specific information needed to use these therapies in a variety of clinical settings.

In recent years the growing incidence of the use and misuse of alcohol by children and adolescents has been causing increasing concern within society. This work is one of the few studies to examine the orientations towards alcohol of young children. Through a series of ingenious game-like activities, Fossey provides valuable insight into ways in which children learn about drinking. Some of the results are surprising and others are deeply disturbing, but they all emphasize the fact that most young people in drinking cultures begin to form their impressions about alcohol at a very tender age. This study suggests that there is a need for development of innovative and user-friendly alcohol education materials for use in primary as well as in secondary schools and colleges. "Growing up with Alcohol" should be useful reading for a range of people, including social science students, parents, teachers, researchers and practitioners in alcohol and health education.

Application of analytic discourse techniques to clinical practice is relatively recent. This book's contributors begin with the notion that systematic examination of discourse provides a rich source of data for describing the complex relationships among language, social context, and the cognitive processes that underlie discourse comprehension and production. Evidence is provided that when discourse is studied across different clinical populations, analysis yields an optimal opportunity for developing dynamic models of brain and language that more thoroughly account for the complexity of language use in social contexts. Accordingly, studies presented in this volume have a dual focus -- to examine the implications of discourse research on neurolinguistic theories and to evaluate the contribution of discourse analysis to understanding the clinical status of patients with brain damage. As such, this volume reports patterns of preserved and impaired discourse behavior in normal adults and in different adult clinical populations. It also describes numerous tasks designed to elicit a variety of discourse genres and a host of techniques created to describe how subjects order information and relate ideas across sentences. In addition, it includes numerous abstract units and linguistic devices targeted to examine those aspects of discourse that govern cohesion, organization, and topic manipulation.
This volume is unique because it presents both theoretical and clinical papers that examine a variety of communication pathologies. Clinicians often report dissatisfaction with formal test batteries in that results are often at variance with clinical observation of performance in real life situations. To address this concern, this work proposes methods for examining discourse that move the examiner closer to naturalistic sampling. The research presented demonstrates that discourse analysis provides clinically significant information that contributes to the understanding of the cognitive, linguistic, and social status of people with communication disorders. These studies also offer a framework to support continuously evolving diagnostic and treatment paradigms for adults with neurological communication pathologies.

Through a Trauma Lens aims to understand and highlight successful examples of health, mental health, substance abuse treatment, and other service delivery systems that have implemented an integrated trauma-informed service model. This innovative volume draws on the author's first-hand experience working alongside a number of local and state organizations as well as a nationwide survey of notable trauma-informed models. Structured around illustrative case studies, chapters that correspond to stage of adoption, and strategies for cultivating staff support, this valuable new resource include examples and strategies to be applied in any treatment or service setting.

Obesity is a pressing social issue and a persistently newsworthy topic for the media. This book examines the linguistic representation of obesity in the British press. It combines techniques from corpus linguistics with critical discourse studies to analyse a large corpus of newspaper articles (36 million words) representing ten years of obesity coverage. These articles are studied from a range of methodological perspectives, and analytical themes include variation between newspapers, change over time, diet and exercise, gender and social class. The volume also investigates the language that readers use when responding to obesity representations in the context of online comments. The authors reveal the power of linguistic choices to shame and stigmatise people with obesity, presenting them as irresponsible and morally deviant. Yet the analysis also demonstrates the potential for alternative representations which place greater focus on the role that social and political forces play in this topical health issue.

This book explores the ways in which anorexic women use their eating to control their bodies. It argues that the female body in modern Western culture is understood as open and accessible and female appetite as dangerous and voracious. Anorexia attempts to resist both these constructions in the creation of a closed, desireless body. Since anorexic women resist the power of collective ideologies their resistance cannot work - the closed body becomes its own prison.

First published in 1987. Routledge is an imprint of Taylor and Francis, an informa company.

This volume should enhance health care professionals' understanding of the myriad complications that develop when a person with an eating disorder gets married or becomes involved in a long-term intimate relationship. Drawing on their vast experience in family therapy, social work, and treatment of eating disorders, the authors carefully review the current literature on eating disorders in long-term relationships, and then present a practical approach to assessment and treatment.

As seen on The Today Show A page-turning memoir from a former opioid addict in an opioid addicted community-and an up-close look at America's new health crisis. Behind closed doors, millions of people abuse opioids. Nicholas Bush was one of them. In this beautifully poignant and refreshingly honest memoir, Bush boldly allows readers into his addiction-ravaged community. We see how heroin nearly claimed his life on multiple occasions, how it stole the lives of his young siblings and friends, and how it continues to wage a deadly toll on American neighborhoods-claiming thousands of lives and decreasing the average lifespan. But we also see that there is a way off of the devastating rollercoaster of opioid addiction, even for the most afflicted. Nicholas fights for recovery, claws his way out of a criminal livelihood, and finds his footing with faith and family, providing Americans with the inspirational story that is deeply needed today.

Why do we gesture when we speak? The Cognitive Psychology of Speech-Related Gesture offers answers to this question while introducing readers to the huge interdisciplinary field of gesture. Drawing on ideas from cognitive psychology, this book highlights key debates in gesture research alongside advocating new approaches to conventional thinking. Beginning with the definition of the notion of communication, this book explores experimental approaches to gesture production and comprehension, the possible gestural origin of language and its implication for brain organization, and the development of gestural communication from infancy to childhood. Through these discussions the author presents the idea that speech-related gestures are not just peripheral phenomena, but rather a key function of the cognitive architecture, and should consequently be studied alongside traditional concepts in cognitive psychology. The Cognitive Psychology of Speech Related Gesture offers a broad overview which will be essential reading for all students of gesture research and language, as well as speech therapists, teachers and communication practitioners. It will also be of interest to anybody who is curious about why we move our bodies when we talk.

Research on language and communication development and intervention in persons with mental retardation has been conducted at a fast and furious pace during the last two decades. Past attempts to summarize this research have been rather restricted, focusing on a single, narrowly defined substantive domain such as lexical development, or of a single etiology such as Down Syndrome.
This volume, in contrast, presents a critical, integrative review of research and theory on language development and processing across all domains and a variety of etiologies. In addition, many previous attempts to review portions of this research have failed to consider the research within the context of current theory and data from developmental psycholinguistics and linguistics. A major contribution of this book is the emphasis on relevant work outside of mental retardation for understanding and treating the language and communication problems of persons with mental retardation. Finally, this book is comprehensive and up-to-date across all the areas of language covered including appropriate introductory material in linguistics and psychology -- discussions of the innateness, cognition-first and motherese views of normal language acquisition. In addition, the authors' extensive bibliography is valuable in and of itself to any serious student or professional in the area.

This special issue of Neuropsychological Rehabilitation brings together seven newly published studies from a range of invited international researchers in the fields of language and memory disorders and their rehabilitation. The studies address a range of current themes within these fields. Critical consideration is made of the concept of errorless learning in light of the current learning literature by Middleton & Schwartz. Identification of a locus to an errorless learning advantage in non-clinical participants is provided by Anderson and colleagues. Evaluations of errorless learning applied to a range of clinical presentations are provided, including semantic dementia (Jokel & colleagues), anomia in Alzheimer's disease (Noonan & colleagues), aphasia (Raymer & colleagues; Conroy & Scowcroft) and apraxia of speech (Whiteside & colleagues). The breadth and depth of these studies offers an up-to-date and comprehensive account of research developments in errorless learning and rehabilitation of language and memory impairments. They delineate some of the current critical theoretical-clinical issues through which we might optimise learning and rehabilitative efforts more fully. This book was originally published as a special issue of the journal Neuropsychological Rehabilitation.

The Topics Every Medical Physicist Should Know Tutorials in Radiotherapy Physics: Advanced Topics with Problems and Solutions covers selected advanced topics that are not thoroughly discussed in any of the standard medical physics texts. The book brings together material from a large variety of sources, avoiding the need for you to search through and digest the vast research literature. The topics are mathematically developed from first principles using consistent notation. Clear Derivations and In-Depth Explanations The book offers insight into the physics of electron acceleration in linear accelerators and presents an introduction to the study of proton therapy. It then describes the predominant method of clinical photon dose computation: convolution and superposition dose calculation algorithms. It also discusses the Boltzmann transport equation, a potentially fast and accurate method of dose calculation that is an alternative to the Monte Carlo method. This discussion considers Fermi Eyges theory, which is widely used for electron dose calculations. The book concludes with a step-by-step mathematical development of tumor control and normal tissue complication probability models. Each chapter includes problems with solutions given in the back of the book. Prepares You to Explore Cutting-Edge Research This guide provides you with the foundation to read review articles on the topics. It can be used for self-study, in graduate medical physics and physics residency programs, or in vendor training for linacs and treatment planning systems.

Series Information:
Brunner/Mazel Eating Disorders Monographs

Isn't it unethical to pay people to do what they should be doing anyway? Won't patients just sell the reinforcers and buy drugs? Others didn't get prizes for not using. Why should they? The concerns surrounding Contingency Management (CM) are many and reflect how poorly understood and rarely utilized this evidence-based treatment model is in practice settings. Despite being identified as the most efficacious intervention for substance use disorders, a significant gap persists between research and practice, at the client's expense. Nancy Petry, an experienced researcher and consultant for organizations such as the National Institute of Health, has begun to fill this gap by authoring the first clinician-oriented text that focuses on CM protocol development and implementation. In this well-organized and clear book she provides a foundation for understanding CM and details how to design and implement a program that can work for any clinician, whether he or she works for a well-funded program or not. She also addresses realistic concerns such as: How to describe CM to eligible and ineligible patients How to calculate the costs of CM interventions How to solicit donations and raise funds to support CM interventions How to stock a prize cabinet and keep track of prizes Over 50 charts, worksheets, and tables are provided to help the clinician pinpoint exactly which behaviors to target, brainstorm how to reinforce change, and develop a treatment plan that incorporates cost, length of treatment, and method for determining patient compliance. Included with the book are downloadable resources of editable logs, forms, tables, and worksheets for personal use. More than just filling a void, Dr. Petry provides all of the tools clinicians require to successfully apply a novel treatment in practice.