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.

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.

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.

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.

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.

This text argues that all primary alcoholics and many alcohol abusers need intensive individual psychotherapy. A structured psychodynamic therapy approach is described, which the author claims can successfully treat 80per cent of primary alcoholics in only 18 months.

Shunning the disease model of alcoholism, this book delineates how narcissistic injury in early life acts as the basic psychogenic, etiological, component of addictive drinking. It provides an innovative analysis of the interrelationships between the alcoholic's overt behavioral disorders and his or her psychological make_up. Early chapters explore the role of narcissistic injury in great depth. Successive discussions examine the pathologies of character, personality, behavior, cognition and interpersonal relationships that manifest themselves in and as alcoholism. The part that early-life narcissistic injury plays in the development of anxiety, oral rage, avoidance defenses, depression, sadomasochism, paranoia, guilt, and obsessive-compulsive behaviors is detailed. A veteran of extensive work with alcoholics, the author delineates treatment strategies to modify and resolve the alcoholic's symptoms_the drinking disorder as well as the other psychological manifestations of dysfunction. Among the strategies explored in this regard are analytic, family, conjoint, behavioral, confrontation, supportive and self-help modalities. The trenchant case studies found throughout the text amplify the author's points about the global and specific psychopathology of alcoholism as well as the interventive alternatives. Alcoholism, Narcissism, and Psychopathology will prove stimulating and resourceful to psychologists, social workers, psychiatrists, counselors and therapists who are involved in the treatment and rehabilitation of alcoholics and other substance abusers.

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.

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.

from Publisher's Weekly: This posthumous collection of case material illustrates the treatment modality successfully employed by psychiatrist Bruch with patients suffering from the eating disorder of anorexia. Two of her associates at Baylor College of Medicine in Houston have edited this final work, taped by the author before her death in 1984. Bruch makes the reader privy to the therapeutic transaction between her patients who are in what she describes as "the relentless pursuit of thinness.'' Emphasizing the conversational ambiance of the therapy and discounting heretofore unsuccessful approaches of psychoanalysis and behavior modification, she helped her patients to heal. The dramatic dialogues in the cases presented allow us to hear these desperate young anorexic women individually explore their thwarted development, under the direction of a compassionate physician who guides them towards wellness. from Library Journal: Psychiatrist Bruch was a pioneer in developing psychotherapy for anorexia victims. Author of half a dozen books, her first work, Eating Disorders, appeared 15 years ago. She taped her interactions with clients, and these form the nucleus of this final book. Bruch's strength is her straightforward writing: it is honest, simple, and effective.

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.

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.

This outstanding new handbook offers unique coverage of all aspects of neuropsychological rehabilitation. Compiled by the world's leading clinician-researchers, and written by an exceptional team of international contributors, the book is vast in scope, including chapters on the many and varied components of neuropsychological rehabilitation across the life span within one volume. Divided into sections, the first part looks at general issues in neuropsychological rehabilitation including theories and models, assessment and goal setting. The book goes on to examine the different populations referred for neuropsychological rehabilitation and then focuses on the rehabilitation of first cognitive and then psychosocial disorders. New and emerging approaches such as brain training and social robotics are also considered, alongside an extensive section on rehabilitation around the world, particularly in under-resourced settings. The final section offers some general conclusions and an evaluation of the key issues in this important field. This is a landmark publication for neuropsychological rehabilitation. It is the standalone reference text for the field as well as essential reading for all researchers, students and practitioners in clinical neuropsychology, clinical psychology, occupational therapy, and speech and language therapy. It will also be of great value to those in related professions such as neurologists, rehabilitation physicians, rehabilitation psychologists and medics.

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.

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.

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.

Cognitive development in children is a highly complex process which, while remarkably resilient, can be disrupted in a variety of ways. This volume focuses on two types of neurodevelopmental disorder: syndromic conditions such as fragile X syndrome, Down syndrome, Williams syndrome and velocardiofacial syndrome; and non-syndromic conditions including dyslexia, specific language impairment, autism spectrum disorder and attention deficit hyperactivity disorder. This book provides a state-of-the-art review of current research and covers key topics across the full range of developmental disorders. Topics covered include: diagnosis and comorbidity genetics longitudinal studies computational models distinguishing disorder from disadvantage language and culture the modern beginnings of research into developmental disorders The book also looks at how the study of developmental disorders has contributed to our understanding of typical development, and themes emerge that are common across chapters, including intervention and education, and the neurobiological bases of developmental disorders. The result is a fascinating and thought-provoking volume that will be indispensable to advanced students, researchers and practitioners in the fields of developmental psychology, neuropsychology, speech and language therapy, and developmental disorders.

The Routledge Handbook of Communication Disorders provides an update on key issues and research in the clinical application of the speech, language and hearing sciences in both children and adults. Focusing on areas of cutting-edge research, this handbook showcases what we know about communication disorders, and their assessment and treatment. It emphasizes the application of theory to clinical practice throughout, and is arranged by the four key bases of communication impairments: Neural/Genetic Bases Perceptual-Motor Bases Cognitive-Linguistic Bases Socio-Cultural Bases. The handbook ends with an integrative section, which looks at innovative ways of working across domains to arrive at novel assessment and treatment ideas. It is an important reference work for researchers, students and practitioners working in communication science and speech and language therapy.

Series Information:
Brunner/Mazel Eating Disorders Monographs

For effective use, this book should be purchased alongside the illustrated picture book Harry's Story. Both books can be purchased together as a set, Supporting Children with DLD: A Picture Book and User Guide to Learn About Developmental Language Disorder [978-0-367-70920-4]. Supporting Children with DLD, has been developed to help raise awareness of Developmental Language Disorder, and to highlight the impact of the condition from the child's point of view. With activities, prompts and sample questions, this is an essential resource to enable adults to understand the reality of living with DLD, helping children feel heard and respected, as well as providing a solid foundation for tailoring support to individual needs. Drawing on specific examples from Harry's Story, the book does not assume any prior knowledge of DLD and is designed to offer the reader accessible information and practical advice, teaching as you go. This book: Highlights the link between spoken and written language, addressing the need to recognise the literary difficulties faced by children with DLD Provides practical activities and worksheets that can be used to help children express themselves and ask for help Offers strategies for supporting children's understanding of language, based on common situations and experiences explored in Harry's Story Written to be an accessible introduction to DLD and its effect on children's lives, this is an essential resource for parents and professionals looking to understand the condition.

Research in language processing and language impairment has focused extensively on elements of linguistic representation that are accessed and retrieved in comprehension, repetition and production of words and sentences. These studies have provided important information about the effects of characteristics of words (e.g., frequency, imageability) and sentences (e.g., syntactic and semantic argument structure) on language processing. A smaller but nonetheless rapidly growing body of research has been directed to understanding those cognitive processes that mediate access, maintenance and retrieval of those representations. The papers in this book focus on theoretical accounts of the role of short-term memory and working memory in language processing as well as clinical applications that reflect a focus on these mechanisms of cognitive support to language processing. Each paper provides a theoretical perspective on or clinical application of the most current empirical evidence regarding the role of cognitive processes in relation to language processing. Also common to each paper is an acknowledgement of the need for additional theoretical and clinical research in this area. Although in its relative infancy, research addressing relations between language and other cognitive processes is integral for advancing our understanding of the dynamic nature of language impairment in aphasia and also for directly informing its treatment. This book was originally published as a special issue of the journal Aphasiology.

'Cracked is a perfect book. I loved it. Sensitive, poignant and tender - all delivered in the grip of a white-knuckle whodunnit' - Rachael Blok, bestselling author of The Scorched Earth Seven patients. One dark secret. PHILLIP WALTON HAS BEEN MURDERED. AND THIS IS NOT THE FIRST MURDER. Jenny Nilson hasn't seen her former psychiatrist Phillip since she left the Hillside Psychiatric Unit eight years ago. She wanted to forget everything about her time there, so she kept her secrets buried deep. Especially from her new husband. But now the police are knocking at her door with evidence of her involvement in Phillip's death. It seems as though everything she's kept hidden is about to spill out. Jenny desperately needs to speak to old friends, and old enemies, from those dark years. Because they are the only ones who know what really happened at Hillside, and about the dark secret that Phillip kept for them all - that this is not the first death. Cracked is the blisteringly tense, deliciously dark and twisty debut thriller which is perfect for fans of THE SILENT PATIENT and THE WOMAN IN THE WINDOW. *Trigger Warning: This novel deals with issues of self harm and suicide that some readers may find upsetting* REAL READERS LOVE CRACKED 'I couldn't put this book down. The plot is really interesting and the setting of a psychiatric hospital was hugely captivating . . . a fantastically written and compelling book and would highly recommend it to fans of psychological thrillers' 'It's not quite like anything I've read before. . . . You get a real sense of[the characters'] pain and anguish alongside a very good and fast paced story' 'Oh my goodness this one really surprised me! I was impressed with the writing style and the characters were fantastic. Very suspenseful!' 'The ending was not what I expected! Gripping!' 'This was an excellent thriller that kept me on my toes the whole time. Exquisite character development and tons of surprises make it an entertaining and insightful read' 'I was completely drowned in this book and its characters' 'A riveting read, one which you can't put down once you've started because even when I wasn't reading it, I'd find myself wondering what would happen next' 'This novel really makes you think about mental wellbeing and how it can devastates lives. A stunning read' 'Totally engrossing, the suspense will keep you wanting to read into the wee hours'

With Voice Disorders, Fourth Edition, authors Christine Sapienza, PhD and Bari Hoffman, PhD have created a comprehensive package for learning. The authors uniquely blend voice science with voice treatments ranging from traditional interventions to recent advances in cellular therapies, muscle strength training, and treatments for special populations. The text has been extensively updated with clinical evidence-based information and comes with a robust online companion website including a study workbook, videos, audio files, and case studies. This fourth edition offers a comprehensive combined study of the respiratory, laryngeal, and neurological subsystems for voice. Therapy approaches are categorized in terms of type, such as physiologic, combined modality, and hygienic. The new edition expands the approaches to voice therapy, and better defines clinical decision making with information about humanistic communication strategies, adherence, and the multitude of variables that influence patient outcomes. New to the Fourth Edition: * The anatomical illustrations are now in color! * Updated throughout to reflect the current state of research in the evaluation and treatment of voice and upper airway disorders * Many new references depicting evidence-based outcomes * Updated clinical guidelines and position statements * A thoroughly revised chapter on voice therapy * Extensive content added on gender affirmation: the role of the SLP along with various evaluation and therapy approaches * More laryngeal images and endoscopic examinations * Expanded coverage of contemporary phonosurgery approaches and the role of the SLP pre- and post-surgery * Extensively expanded material on head and neck cancer and alaryngeal communication