Patients who have both a psychiatric disorder and a substance abuse problem cause most clinicians to throw up their hands in despair. The clinical problems that these "dual diagnosis" patients present are enor mously complex. Diagnostically, how is one to tell if disorders of mood and thinking, for instance, are signs of a mental illness or consequences of substance abuse? How is one to obtain important historic information when the patient may be unable or unwilling to provide it and there are no readily available collateral sources of information? In any case, why bother? Treatments for dually diagnosed patients are ineffective; patients won't stay in treatment; recidivism occurs at a very high rate. To make matters even more difficult, traditional health care reim bursement mechanisms do not provide for the multimodality clinical programs and special services needed by the patient who is both mentally ill and a substance abuser. So the clinician needs an effective bureaucratic strategy as well as a treatment strategy. For the most part, clinicians have handled the problem by ignoring it."

Biopolitics and the Obesity Epidemic is the first edited collection of critical perspectives on the 'obesity epidemic.' The volume provides a comprehensive discussion of current issues in the critical analysis of health, obesity and society, and the impact of obesity discourses on different individuals, social groups and institutions. Contributors from the UK, Canada, New Zealand and Australia provide original, accessible, and engaging chapters on issues such as the effects on individuals, families, youths and schools. The timely contributions offered by Biopolitics and the Obesity Epidemic to this highly topical area will be of interest to a wide range of readers, including teachers, education professionals, community health and allied professionals, and academics in areas such as education, health, youth studies, social work and psychology.

This book is the first to address what really happens behind closed doors during eating disorders treatment, as most writing has only addressed theoretical approaches and behavioral strategies. The field has long needed a book that describes the heart of the matter: the therapeutic interventions and interactions that comprise life-changing treatment for this life-threatening disorder. In response to this need, the authors have created a book that reflects the individual therapeutic skills and the collective wisdom of senior clinicians, all of whom have years of experience treating anorexia, bulimia, and binge eating disorder. Intended to be a deeply thoughtful and instructive volume, Effective Clinical Practice in the Treatment of Eating Disorders: The Heart of the Matter demonstrates the depth, complexity, and impact of the therapeutic process. In particular, the book articulates and explores essential points of information, issues, insights and unresolved questions about eating disorders treatment. Effective Clinical Practice in the Treatment of Eating Disorders describes and explicates important treatment issues and themes in a nuanced, highly contextualized and qualitative manner. The book offers a significant reference for both novice and seasoned therapists, and it includes specific information that will serve to inform and mentor future generations of eating disorders clinicians.

Addictive behaviors beg for an informed explanation to guide patients, families, students, and clinicians through the maddening and often incomprehensible nature of the addictions. Too often addiction is perceived to be merely a moral weakness or purely a brain disease, ignoring the deep personal pain that can permeate the lives of the addicted. But taking an honest look at the underlying emotional or mental issues can more clearly illuminate not only the causes of the addiction, but also the cure. Doctors Edward J. Khantzian and Mark J. Albanese, leading researchers in the field of addiction, see addictions primarily as a kind of self medication a self medication that can temporarily soothe anxiety or pain, but that ultimately wreaks havoc on the lives and health of both the addicted and their loved ones. With practical advice, compelling case studies, and nuanced theory drawn from their years in clinical practice, Doctors Khantzian and Albanese look at the core reasons behind many addictions and provide a pathway to hope. Understanding Addiction as Self Medication looks at a range of addictions, including alcohol and substance abuse, and clearly explains how to understand other addictive behaviors through the lens of the Self Medication Hypothesis. This book provides a much-needed guide to both understanding addictions and working towards healing."

The 4th edition of Finnie's Handling the Young Child with Cerebral Palsy at Home has been updated to reflect the current practices of today. It aims to help parents assist their child with cerebral palsy (CP) towards achieving the most comfortable independence in all activities. It is hoped to show how, by using typical parenting skills, which involve guiding and exposing a child to develop through challenging experiences, the child with CP will also develop. The book is also intended to help professionals and other carers new to this field understand, support and encourage young children with CP and their families.Over the years since the first edition of this book was written ideas on appropriate therapies have changed and developed. Similarly opinion on early intervention has changed and the method of delivery of service has in some places moved from centralisation to home-based or community provision. The emphasis of this new edition however remains on a holistic approach to the child's needs seeing the difficulties in relation to the overall development of the child as a unique person from childhood to adulthood. Assessment procedures and prediction of future abilities Management of problems (including medication if appropriate) such as epilepsy, constipation, eneurisis, nourishment, difficulty with sleeping, crying, temper tantrums, sensory deficits and deformityStimulation, fitness, problem solving, compensatory strategies and ease of management New chapters include Neuroimaging, Epilepsy, Emotional health, Orthotics, Spasticity management, and Complementary and alternative medicineOver 460 revised illustrations showing different pieces of equipment which may be helpful and ways of holding and moving a child with cerebral palsyChapters on Sleeping, Feeding, Lifting and Carrying, Toileting, Communication and Fine motor movement have been completely re-written by a professional specialising in the particular field

In 1970, sociologist Jeremiah Lowney began researching a group of surfers called the 'Wall Gang' in a small community of drug and alcohol users on Golden Beach in San Diego, California. Stoned, Drunk, or Sober? is the culmination of Lowney's thirty-eight years of intensive non-participant observation of seventy-two surfers. This book offers a rare look at various qualitative techniques employed to understand alcohol and drug use. Lowney utilizes basic quantitative statistical data to complement and verify the qualitative findings, thereby providing a deeper understanding than if only one or the other had been used. Because it spans so many years, Lowney's longitudinal research offers readers an opportunity to fully grasp the various factors that contribute to substance abuse, the various paths used to overcome the severe consequences of addiction, and the histories of those who did not use drugs, those who did, and those who are now 'free and sober.'

The number of overweight and obese Americans has been rising exponentially in recent years, and as a result the United States now has one of the highest rates of obesity in the developed world. Now a leading public health problem for Americans, obesity is a regular topic for nightly news programs, scientific or medical study, and intense public debate. But this study takes a look at obesity in America, concentrating not on the condition as it exists now, but rather on how the condition was viewed, studied, and treated from 1850 to 1939. It concentrates on the images and stereotypes that were associated with fatness during these years, the various remedies that were proposed for the condition, and the often bizarre theories that were proposed to explain obesity, including the idea that ordinary tap water was fattening.The book's coverage is divided into three periods. From 1850 to 1879 there was little obesity in America, and what little existed was found almost exclusively among the upper class. Besides quackery, the condition received very little medical attention, and only negligible media reports focused on obesity as a true health issue. From 1880 to 1919, a transition of sorts began to occur as doctors, scientists, and other health professionals finally began to present a coherent theory of obesity which was based more on scientific evidence than on wild conjecture. From 1920 to 1939, obesity became accepted as a simple question of 'calories in' and 'calories out'. By this time, the condition was recognized as a big enough health issue that various groups, ranging from private employers to public health officials, began developing some of the nation's first organized weight reduction programs. One appendix looks at the average weights of American men and women as recorded in 1931.

"Clinical Sociolinguistics" examines how sociolinguistic research paradigms can be applied to assessment, diagnosis and treatment in the clinical situation.
fills gap in the literature for speech-language pathologists by addressing how sociolinguistic research paradigms can be applied to assessment, diagnosis and treatment in the clinical situation
collects newly commissioned articles written by top scholars in the field
includes chapters that outline findings from sociolinguistic research over the last 40 years and point to the relevance of such findings for practicing speech-language pathologists
discusses topics including bilingualism, code-switching, language planning, and African-American English

Intermittent fasting is a safe and sensible way not only to lose weight but also to transition to a healthier way of eating. Unlike the deprivation associated with full fasting, the 5:2 diet allows for reduced-calorie meals two days a week. On the other five days, you meet your recommended caloric intake with the help of a variety of healthful recipes. The 5:2 Fast Diet for Beginners is a complete guide to intermittent fasting. Included are: 16 reduced-calorie fasting-day recipes to make your dieting days both easy and flavorful. 35 non-fasting-day recipes that offer you healthful choices for breakfast, lunch, and dinner, as well as low-cal dessert and treat options. Use these recipes-along with your own favorites-to round out your month's meal plan. 4 weeks of fasting-day meal plans geared to the 500-calorie goal for women and 600-calorie goal for men recommended by the 5:2 diet. 10 tips for motivation and success to get you started toward your weight-loss goals and to keep you on track. References to scientific studies pointing to intermittent fasting's positive effects on heart health, brain function, and blood-sugar regulation. The 5:2 Fast Diet for Beginners: The Complete Book for Intermittent Fasting with Easy Recipes and Weight Loss Plans is all you need to begin experiencing the weight loss and health benefits associated with intermittent fasting.

Despite our associating addictions with crazy, out of control behavior, most addictions go unrecognized. Those who suffer from addictions often misinterpret their symptoms as a sign of some other problem. Health care professionals who are entrusted by society to identify such problems routinely fail to do so. When addictions are recognized, they are confined to substance use, which overlooks the wide array of activities that engage people in an addictive manner. Further, when addictions are detected, they are in their most advanced and difficult to treat phases. In large part this is due to the all or none way we think about addiction; either you are addicted or not. In reality, an addiction does not emerge fully formed; what starts out as just having fun, gradually, over time, becomes a problem. To limit the devastation created by late stage addictions and reap the benefits of early detection, this book provides questionnaires that screen for a wide array of chemical and behavioral addictions at all stages of development. Much in the same way we learned the early warning signs of cancer, this book explores different ways to recognize the early and often subtle signs of addiction. Unlike cancer, where people rush to get treatment, facing an addiction is associated with guilt and ambivalence. To navigate these feelings and get help, the book provides a step-by-step guide for how to prepare the addicted person, be it oneself or someone else, to change an addiction.

Now in its sixth edition, Living with Drugs continues to be a well-respected and indispensable reference tool. Michael Gossop has updated this new edition to take account of new laws and practices that have come in to place since the previous edition, published in 2000. Written in an accessible style and providing a balanced perspective, the book is ideal for non-specialists in training, such as student nurses and social workers and for anyone with an interest in this complex, ever-present and emotive issue.

This classic study is concerned with addiction to opiate-type drugs and their synthetic equivalents. Lindesmith proposes and systematically elaborates a rational, general theoretical account of the nature of the experiences which generate the addict's characteristic craving for drugs. While this theoretical position has obvious implications for addictions that resemble opiate addiction in that they also involve drugs which produce physical dependence and withdrawal distress, the author does not extend the theory to these other forms of addiction, such as alcoholism.

The central theoretical problem is posed by the fact that some persons who experience the effects of opiate-type drugs and use them for a period sufficient to establish physical dependence do not become addicts, while others under what appear to be the same conditions, do become addicted. The focus of theoretical attention is on those aspects of addiction which may reasonably he regarded as basic or essential in the sense that they are invariably manifested by all types of addicts regardless of place, time, method of use, social class, and other similar variable circumstances. Lindesmith then makes a brief statement of a view of current public policy concerning addiction in the United States reform which, it is believed, would substantially reduce the evils now associated with addiction and the large illicit traffic in drugs. He interviews approximately fifty addicts over a fairly extended period of time sufficient to establish an informal, friendly relationship of mutual trust.

The attempt to account for the differential reactions among drug users requires specification of the circumstances under which physical dependence results in addiction and in the absence of which it does not. It also requires careful consideration of the meaning of "addiction," spelled out in terms of behavior and attitudes characteristic of opiate addicts everywhere. This book strives to understand these aspects of addiction with the ultimate goal of understanding the factors which create its foundations.

Alfred R. Lindesmith (1905-1991) was professor of sociology at Indiana University and was one of the first scholars to provide a well-researched account on the subject of addiction. He believed that opiate addiction was based on dramatic shifts of an individual's mental and motivation states.

Skillfully woven together with empathic insight into the lives and minds of those who self-injure, "Healing the Hurt Within" is replete with the latest developments in the field, informative statistical data, instructive diagrams, carefully selected resources, case studies, expert testimonies, and practical self-help activities. The author's warmth, compassion, and regard for those caught in the cycle of self-injury shines through the pages of this profoundly enlightening and extensively updated 3rd edition. "Healing the Hurt Within" offers: solace, hope, and direction to those who self-injure; guidance to family and friends supporting a loved one who self-injures; and, guidelines to professionals and voluntary caregivers on how to respond to clients that self-injure. Contents: 1. Exploring self-injury and self-harm; 2. Looking beyond the myths; 3. Further insights into self-injury; 4. Media assertions and attitudes to self-injury, the magnitude of the problem and controversies; 5. Two research studies examined; 6. Childhood trauma, negative core beliefs, perfectionism and self-injury; 7. The cycle of self-injury and the eight Cs of self-injury;8. Dissociation and self-injury; 9. Hurting and healing: true stories; 10. Heal thyself; 11. Guide for family, friends and teens considering self-injury; 12. Guidance for those working with self-injury and related issues; 13. Creative works contributors; Appendix 1; Appendix 2; Appendix 3; Appendix 4; Appendix 5; Appendix 6; References; Resources; Further reading; Index.

In the last ten years the neuroscience of language has matured as a field. Ten years ago, neuroimaging was just being explored for neurolinguistic questions, whereas today it constitutes a routine component. At the same time there have been significant developments in linguistic and psychological theory that speak to the neuroscience of language. This book consolidates those advances into a single reference.
The "Handbook of the Neuroscience of Language" provides a comprehensive overview of this field. Divided into five sections, section one discusses methods and techniques including clinical assessment approaches, methods of mapping the human brain, and a theoretical framework for interpreting the multiple levels of neural organization that contribute to language comprehension. Section two discusses the impact imaging techniques (PET, fMRI, ERPs, electrical stimulation of language cortex, TMS) have made to language research. Section three discusses experimental approaches to the field, including disorders at different language levels in reading as well as writing and number processing. Additionally, chapters here present computational models, discuss the role of mirror systems for language, and cover brain lateralization with respect to language. Part four focuses on language in special populations, in various disease processes, and in developmental disorders. The book ends with a listing of resources in the neuroscience of language and a glossary of items and concepts to help the novice become acquainted with the field.
Editors Stemmer & Whitaker prepared this book to reflect recent developments in neurolinguistics, moving the book squarely into the cognitive neuroscience of language and capturing the developments in the field over the past 7 years.
* History section focuses on topics that play a current role in neurolinguistics research, aphasia syndromes, and lesion analysis
* Includes section on neuroimaging to reflect the dramatic changes in methodology over the past decade
* Experimental and clinical section reflects recent developments in the field

Addiction among women continues to be a vexing social problem with no clear solution. Individuals, families, and social organizations use various approaches to end addiction, ranging from social isolation and family enmeshment to formal detox programs, but results remain uneven. In this study of the recovery careers of female addicts living in rural settings, Judith Grant explores the ways in which twenty-five addicts engage in individual processes of self-recovery. Using feminist methods of inquiry and a Meadian theoretical framework of analysis, Grant follows the women through three distinct recovery phases as they slowly come to shift their understandings of themselves, others, and their social objects. Central to a recovery lies a process through which women reinvent themselves by altering their involvement with themselves, their partners, friends, and children, and of course their addictive substance. This book offers concrete solutions for policy makers and provides a refreshing measure of hope for the largely invisible population of individuals, both family members and addicts, who suffer terribly from this disease.

Milestones in the History of Aphasia surveys the history of aphasia from its earliest mentions in ancient times, to the turn of the new millennium in 2000. The book takes a predominantly chronological approach starting with an examination of the earliest medical documents and medieval attempts to understand aphasia, to the momentous events of the Nineteenth and Twentieth Centuries, up to the development of modern cognitive neuroscience in recent years. It traces the development of theory about and understanding of aphasia, and the role of significant individuals in this history. The result is a well illustrated introduction to the main events and personalities in the rich history of aphasia. This accessible book provides a unique insight into the fascinating development of research in aphasia. It will be of great interest to undergraduates and postgraduates, researchers, teachers and clinicians in psychology, speech and language pathology and therapy, neurology and linguistics.

People with eating disorders often exhibit serious misconceptions about their own body image. Overcoming Body Image Disturbance provides a treatment programme (piloted by the authors) for people with eating disorders who have a negative body image. The manual offers advice for therapists, enabling them to deliver the programme, as well as practical guidance for the sufferer, encouraging them to learn the appropriate skills to change their attitude towards their body. Alongside the programme, this treatment manual provides: an introduction to the concept of body image and body image disturbance worksheets and homework assignments for the client recommendations of psychometric measures to aid assessment and evaluation coverage on innovative techniques and approaches such as mindfulness. This manual - intended to be used with close guidance from a therapist - will be essential for all therapists, mental health workers and counsellors working with clients who have negative body images. "Workbook resources can be downloaded free of charge by purchasers of the print version."

Eating disorders vary in severity from developmental difficulties in adolescence which may be transitory, to serious and chronic mental illnesses. The Anorexic Mind offers a coherent approach to these difficult and demanding problems, always underlining the point that while many of the manifestations are physical, eating disorders have their origins as well as their solutions, in the mind. While anorexia nervosa may be considered the central syndrome in eating disorders, this book also considers how it links and differs from bulimia nervosa, the more common, related disorder. In the process of the research on anorexia and bulimia, valuable insights have been gained into the very common problem of overeating. The author takes a developmental approach to eating disorders, and is very aware of the continuities between infantile, adolescent and adult experience. Our earliest relationship is a feeding relationship and feeding difficulties early in life are not rare.

This book presents for the first time a view of a sensory system working in a different state-that of the sleeping brain. The auditory system is always "open" receiving information from the environment and the body itself (conscious and unconscious data). Even during sleep the auditory information is processed, although in a different way. This book draws information from evoked potentials, fMRI, PET, SPECT, lesions, etc., together with electrophysiological online data in order to depict how the auditory system single unit activity, recorded during sleep, revealed the possibility of sensory information participation in sleep processes.
* Presents diverse experimental viewpoints from the beginning of classical electroencephalography to the more recent imaging, single units, electro-magneto-encephalography studies, etc.
* Includes classic data as well as new data based in the existing literature and on the long scientific research lines (auditory and sleep) developed by the author and coworkers on this subject since 1963

Supervision of Sandplay Therapy, the first book on this subject, is an internationally-based volume that describes the state of the art in supervision of sandplay therapy. Recognizing that practitioners are eager to incorporate sandplay therapy into their practice, Harriet Friedman and Rie Rogers Mitchell respond to the need for new information, and successfully translate the theories of sandplay therapy into supervision practice.

The book provides a meaningful connection and balance between theoretical principles, practical application, and ongoing therapeutic encounter involved in sandplay. Divided into six sections, contributors cover:

• original supervision models
• contemporary supervision models
• special challenges in supervision
• international sandplay supervision
• supervision of special groups
• connections with other arts therapies.

Supervision of Sandplay Therapy expands the vision of what is possible in supervision and will be vital reading for those studying supervision and sandplay therapy, as well as for those wanting to provide a depth-oriented approach during supervision.

Supervision of Sandplay Therapy, the first book on this subject, is an internationally-based volume that describes the state of the art in supervision of sandplay therapy. Recognizing that practitioners are eager to incorporate sandplay therapy into their practice, Harriet Friedman and Rie Rogers Mitchell respond to the need for new information, and successfully translate the theories of sandplay therapy into supervision practice.

The book provides a meaningful connection and balance between theoretical principles, practical application, and ongoing therapeutic encounter involved in sandplay. Divided into six sections, contributors cover:

• original supervision models
• contemporary supervision models
• special challenges in supervision
• international sandplay supervision
• supervision of special groups
• connections with other arts therapies.

Supervision of Sandplay Therapy expands the vision of what is possible in supervision and will be vital reading for those studying supervision and sandplay therapy, as well as for those wanting to provide a depth-oriented approach during supervision.

Psychodrama: Advances in Theory and Practice provides a comprehensive overview of developments in the theory and practice of psychodrama, integrating different psychodramatic schools of thought.

Psychodrama is one of the pioneering approaches of psychotherapy and is practised by thousands of practitioners and in most countries of the world. The editors of this volume bring together contributions from Europe, South America, Australia, Israel and the USA to explain and explore recent innovations. They look at how psychodrama has contributed to the development of psychotherapy, introducing concepts that have had a profound influence on other therapies. These include concepts such as role theory, the encounter, the co-unconscious, the social atom, sociometry, action research, group psychotherapy, the cycle of spontaneity and creativity, role play and many related concepts and techniques.

This book will be of great interest to all students, practitioners and trainers in the field of psychodrama. It will also appeal to professionals and students in the related fields of psychotherapy, counselling, psychology and psychiatry.

The ability to communicate with written language is critical for success in school and in the workplace. Unfortunately, many children suffer from developmental dysgraphia-impairment in acquiring spelling or handwriting skills-and this form of impairment has received relatively little attention from researchers and educators. This volume brings together, for the first time, theoretically grounded and methodologically rigorous research on developmental dysgraphia, presented alongside reviews of the typical development of spelling and writing skills. Leading experts on writing and dysgraphia shed light on different types of impairments that can affect the learning of spelling and writing skills, and provide insights into the typical development of these skills. The volume, which contributes both to the basic science of literacy and to the applied science of diagnosing and treating developmental dysgraphia, should interest researchers, educators, and clinicians. This book was originally published as a special issue of Cognitive Neuropsychology.

Hearing Science Fundamentals is a basic introduction to the concepts and principles necessary to develop an understanding of the hearing processes. From the physics of sound to the anatomy and physiology of the auditory pathway and hearing mechanism, concepts are presented in a user-friendly, simplified manner, with over 100 illustrations to make learning even easier. Sections on Acoustics, Structure and Function, and Psychoacoustics detail the physics of sound, as well as anatomical and perception mechanisms. Learning objectives and key terms introduce each chapter to enhance student preparation. Two-color line drawings illustrate the physics and anatomical structures related to hearing. Definitions of key terms are easily accessible in the text and glossary. Question and answer boxes reinforce important concepts as presented in the text. Each chapter concludes with questions to test comprehension. Exercises for each chapter appear on perforated pages at the end of the book to strengthen understanding of the concepts and principles of hearing.

The Invisible Brain Injury recounts, in her own words, the experience of Aurora Lassaletta, a clinical psychologist who suffered a traumatic brain injury (TBI) after a traffic accident. Presenting her unique dual perspective as both a patient and a clinician, Aurora highlights the less visible cognitive, emotional and behavioural symptoms common to acquired brain injury (ABI). This moving account showcases Aurora's growing awareness of her impairments, their manifestation in daily life, how they are perceived, or not, by others and the tools that helped her survive. Each chapter combines Aurora's perspective with the scientific view of a professional neuropsychologist or physiatrist who provide commentaries on her various symptoms. This book is valuable reading for professionals involved in neurorehabilitation and clinical neuropsychology and for clinical psychology students. It is a must read for ABI survivors, those around them and clinicians, who are all an essential part of the rehabilitation, adjustment and acceptance process involved with ABI.