This important volume addresses a growing problem prevalent in hospitalized patients--eating disorders, including anorexia nervosa and bulimia. Experts present the latest findings on the theories, evaluation, and treatment of this pernicious syndrome. Clearly written and up-to-the-minute, this outstanding collection of interdisciplinary vantage points, overlapping theories, and program applications will be of great value to front-line clinicians. Also included are historical perspectives, the treatment and rehabilitation of eating disorders, characteristics of families with eating disorders, and much more.

Feeding and Eating Disorders:DSM-5 Selections is crafted around a specific disorder cited in DSM-5. This selection provides a comprehensive overview of the process of diagnosing feeding and eating disorders while serving as a reference guide to assist in the diagnosis of individual patients. The disorder-specific resource is an invaluable addition to the DSM-5 collection and an important contribution to the mental health profession. This book contains the critical disorder-specific content from these four titles: * Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) * DSM-5 Clinical Cases* DSM-5 Self-Exam Questions* DSM-5 Guidebook

How can I communicate even more effectively with people who have learning disabilities? Communicate with Me is an invaluable toolkit for carers, professionals, schools and services striving to improve the quality of their communication with those they support. Key features include: a comprehensive range of techniques and guidance for carers and professionals around how to communicate with and involve children and adults with learning disabilities a wealth of practical examples and case studies to illustrate and contextualise the suggested approaches a detailed quality assurance framework to help schools and services develop CPD, establish excellence across their organisations in the way that they communicate with people with learning difficulties and improve outcomes for those they support. Communicate with Me is a resource for anyone involved in supporting children or adults with a learning disability including residential or community support workers, play workers, advocates and teachers who work directly with people, as well as line managers and service managers who can facilitate change within service structures and promote good practice in their teams.

This timely volume explores the possible reasons that young people turn to drugs, the most effective methods to manage those who are afflicted, and ways to educate youth to prevent their initial drug involvement.

Study Guide to Substance Abuse Treatment is a question-and-answer companion that allows you to evaluate your mastery of the subject matter as you progress through The American Psychiatric Publishing Textbook of Substance Abuse Treatment, Fifth Edition. The Study Guide is made up of questions divided into individual quizzes of 10-20 questions each that correspond to the chapters in the Textbook. Questions are followed by an Answer Guide that references relevant text (including the page number) in the Textbook to allow quick access to needed information. Each answer is accompanied by a discussion that addresses the correct response and also (when appropriate) explains why other responses are not correct.

Sandplay in Three Voices provides a unique and engaging understanding of sandplay - a growing modality of psychotherapy. Emerging out of informal conversations among three senior therapists, it examines the essential aspects of sandplay therapy as well as the depth and breadth of the human psyche.

The book is organized into eight sections covering eight of the most important topics in sandplay - Therapist, Silence, Child, Mother, Self, Shadow, Chaos, and Numinous. Each section begins with a trialogue discussing theory, history and practice of sandplay in that area. The trialogues allow the reader to witness three senior therapists addressing and attempting to understand the many layers of each topic, and reflect their agreements and disagreements as they reveal their individual thoughts on, and personal experiences of, the themes they discuss. Each trialogue is followed by a set of solo presentations in which each author focuses on her contribution, and on the role of each topic in sandplay.

Illustrated by original clinical examples, this unique approach addresses issues of concern to analysts and other psychotherapists. Its basic orientation makes it of particular value in the study, practice and teaching of sandplay therapy.

Addiction and Recovery in the UK captures the essence of the emerging addictions recovery movement and in particular the emerging evidence base that had been gathered around the umbrella of the Recovery Academy UK. The Recovery Academy was established with the aim of creating a forum for people in recovery, practitioners, commissioners and academics working together to describe and understand the principles of recovery as applied across the UK. Following the first annual conference, researchers who had been involved in academic research on recovery and innovative services and activities that had been evaluated were invited to outline UK initiatives. This book, the result of their contributions, is a vibrant collection of diverse theories and models, critiques and innovations, ranging from two linked papers describing the growing recovery movement in Edinburgh to a recovery walking group in Wales and a model for peer activities in the North of England. The projects are typically 'community up' projects whose essence has been captured within this book, and which together paint a picture of vitality and growth in the UK recovery movement. This book was originally published as a special issue of the Journal of Groups in Addiction and Recovery.

An expert guide to the new health trend that is helping people around the world feel more energised and less stressed. Saved by the Siesta explains how siestas work and the remarkable role they can play in overcoming the destructive effects that a shortage of sleep can have on the brain and the body. A daytime nap fulfils all the same functions as a night's sleep - it's hormonal, purifying, curative, consolidating, and reinvigorating. It also helps us to combat sleepiness, pain, depression, weak immunity, stress, hypertension, excess weight, diabetes, and cardiovascular disease. But to take advantage of all this we need to be aware of the siesta's subtleties: its various types; the correct body position to adopt; the times that are conducive to sleeping; the most effective duration; the stages of sleep that heighten awareness, cognitive performance, memory, and creativity; and how to get to sleep quickly and wake up without feeling sleepy. Saved by the Siesta provides all this information, and more. It is a lucid and accessible synthesis of the science of sleep, and a practical guide to the benefits of napping.

This volume combines in-depth reviews of models of spoken word production and cognitive neuropsychological disorders of spoken word production. The first section provides a detailed discussion of the development and structure of current models of language production using data form "normal" subjects. It is these models that form the basis of the study and therefore the text attempts to explain their processing mechanisms and assumptions clearly. The evidence used for the development of these models is described including experimental studies and observation of patterns in naturally occurring speech errors.; The second section focuses on studies of aphasic naming disorders and discusses these disorders in terms of the model described in the first section. The emphasis is on single case studies. These are reviewed in three chapters examining semantic errors and disorders, the range of symptoms attributed to disorders of lexical retriveal and deficits of phonological encoding. The text assumes that the reader has some familiarity with the linguistic and psychological terminology relevant to these areas and therefore is most suited to the graduate student or researcher/lecturer.

The incidence of aggression and violence is of wide concern. It is therefore vital that we try to understand the mechanisms involved. This book outlines definitions and theories of aggressive behaviour and points out the contribution of both biological and psychological factors. Aggression primarily occurs within an interpersonal exchange and is often accompanied by increased arousal and negative feelings. It is most likely to occur in response to provocation but individuals differ in what they consider constitutes provocation. Aggressive behaviour is both multicausal and multifaceted but in order to study it, we have to break it down into components and find ways in which to measure these. This book describes a body of research examining the conditions under which the behavioural, affective and physiological components of aggression are elicited. A specific experimental technique which measures behavioural aggression in the laboratory is described. The task was found to be sensitive to individual differences in aggressive disposition. Aggression is not, however, confined to a small group of extremely hostile individuals. Alcohol or substance abuse is often associated with aggression in the general population. The results of some studies examining the effects of alcohol and benzodiazepines on the feelings and behaviour of healthy volunteers are reported. The way in which people appraise a situation influences the way they feel and behave. These drugs, therefore, impair the ability to process socially relevant information which, in turn, lowers the threshold at which aggressive behaviour is likely to occur. It is only by continuing to study the complex interaction between pharmacological and psychological factors that we will gain more insight into the processes underlying aggressive behaviour.

Patients with eating disorders frequently feel that they aren't "sick enough" to merit treatment, despite medical problems that are both measurable and unmeasurable. They may struggle to accept rest, nutrition, and a team to help them move towards recovery. Sick Enough offers patients, their families, and clinicians a comprehensive, accessible review of the medical issues that arise from eating disorders by bringing relatable case presentations and a scientifically sound, engaging style to the topic. Using metaphor and patient-centered language, Dr. Gaudiani aims to improve medical diagnosis and treatment, motivate recovery, and validate the lived experiences of individuals of all body shapes and sizes, while firmly rejecting dieting culture.

Young people develop anorexia because they are unhappy. In the process of becoming anorexic they silence themselves and distance themselves from parental support. Family therapy can help patients by improving their communication with their parents. Therapists can support parents in helping their children to find their voices. This book presents a review of the research evidence that has guided the development of family therapy for young people with anorexia. In addition, it presents the current evidence for a family model. A flexible model is proposed to meet different family scenarios and levels of treatment resistance. Greg Dring argues that the evidence indicates the need for an assertive approach to therapy, drawing on the full range of family therapy skills available, in order to re-instate a healthy relationship between parents and children. This book is intended for family therapists and other clinicians in Child and Mental Health Services who work with young people with anorexia.

First published in 1996. Routledge is an imprint of Taylor & Francis, an informa company.

Language, Literacy, and Learning: Theory and Application is an academic textbook for graduate students studying speech-language pathology and a useful clinical resource for practicing speech-language pathologists (SLPs). This text explores how aspects of orthography and word learning relate to speech production and reading comprehension in children and adults with typical development or language learning differences. It is essential that SLPs assess and treat language and literacy skills in their clients. Unlike other books, this text is designed to help SLPs build their own skillsets in facilitating the development of the literacy skills that are crucial for navigating educational, vocational, and recreational experiences. This evidence-based resource includes clinical examples to support chapter information, with a focus on the science of reading and writing, typical and exceptional reading and writing development, and assessments and interventions for individuals with reading and writing differences. The author uses a student-friendly writing style that promotes learning at various levels of thinking: remembering, understanding, applying, analyzing, evaluating, and creating.

A fascinating and compelling exploration of the learning process for parents, teachers, and anyone with an interest in education. Reading and writing are fundamentally about the communication of meaning. Yet, when a child has difficulty in learning to read and write, the one area that is never seen as having any relevance is the child's life experiences. The author's contention is that the concept of dyslexia is something that has been invented, rather than discovered, in order to evade the question of meaning and the understanding of the individual. Based on the author's thirty years' experience of both educational psychology and analytical therapy, the book sets out a radical approach to learning difficulties in which the primary assumption is that there will usually be underlying emotional conflicts, tensions, and anxieties. Any learning disability is thus more likely to be the symptom of less-evident, personal difficulties, rather than a problem in itself. The book examines, with examples, typical patterns of personal and emotional difficulty that give rise to learning problems.

Research on treatment outcome for addictive disorders indicates that a variety of interventions are effective. However, the progress clients make in treatment frequently is undermined by the lack of an alcohol and drug free living environment supporting sustained recovery. This book suggests that treatment providers have not paid sufficient attention to the social environments where clients live after residential treatment or while attending outpatient programs. It also describes the need for alcohol and drug free living environments. We then review the history of communal living for recovering addicts and alcoholics and provide concrete examples of the Oxford House model, which is a widespread communal living option for over 10,000 recovering persons in the US. The structure and philosophy of Oxford Houses are presented along with recent outcome studies providing support for their effectiveness. This book was published as a special issue in the Journal of Groups in Addiction and Recovery.

The Behavioral Addictions is the first American Psychiatric Publishing title to explore the diagnosis and treatment of patients who suffer from behavioral addictions, extreme forms of which share specific characteristics with severe forms of substance use disorders. These characteristics include tolerance (the need to use the substance or perform the troublesome behavior at higher doses, or more and more frequently, in order to achieve the same effect); withdrawal (feelings of restlessness, irritability, and discontent following abrupt discontinuation of the substance or the behavior); obsessive thinking and planning that block out anything other than obtaining or engaging in the addictive agent or behavior; and accompanying external consequences in related to finances, health, interpersonal relationships, legal affairs, etc. Although not all behavioral addictions are currently recognized as such by DSM-5, both substances and behaviors can hijack a person's pleasure-and-reward brain circuitry, causing great suffering. This case-based volume is practical and engaging and offers many features that make it not only informative but also accessible and entertaining: * Behaviors covered, both those widely recognized and those less commonly accepted, involve exercise, food, gambling, Internet gaming, Internet surfing, kleptomania, love, sex, shopping, work, tanning, and e-mailing/texting.* Introductory chapters discuss the relationship of behavioral or process addictions to substance use disorders across many spheres, and they provide an overview of the behavioral addictions from neurobiological, theoretical, clinical, and forensic perspectives.* Gambling disorder is now classified in DSM-5 as a behavioral addiction, lending credence to the construct of behavioral addictions and providing precedent for future consideration of other behavioral addictions, such as those highlighted in the volume. * Each chapter focuses on a real-life case study of a patient with a behavioral addiction. Videos that accompany the volume demonstrate encounters between a clinician and a patient exhibiting an addiction. This puts material on assessment, treatment, etc. into a real-world context.* Key points for review and multiple-choice questions are included at the end of each chapter. Not simply an exaggeration of everyday social and personal ailments, these behavioral conditions present clinicians with unique and poorly researched challenges in everyday clinical practice. The Behavioral Addictions helps the reader to determine not only where to draw the line between healthy and unhealthy levels of participation in a behavior, but also how to intervene in ways that are therapeutic, effective, and evidence-based.

Why do so many people try dieting, only to fail? What distinguishes those who succeed from those who do not? Are fat people really any different from thin people? What makes us eat, and how do we stop eating? And how can dieting trigger problems with eating normally? Originally published in 1989, Sara Gilbert discusses these questions in Tomorrow I'll Be Slim, and draws on what is known about the psychology of eating, overeating, and weight control to dispel a number of popular myths about dieting. She shows how unsuccessful dieting can lead to new problems with eating and weight control. She points out that long-term success in slimming has more to do with individual factors such as a dieter's expectations, self-confidence, or social and family circumstances than with 'will-power'; and as much to do with how a diet is managed as with the content of a diet sheet. She suggests ways in which people who want to be slimmer can make a realistic assessment of their need to diet. She explains how individuals who seriously need to lose weight or change the way they eat might draw up effective strategies for themselves and prepare for the inevitable difficulties we all face whenever we try to change old habits. Finally, she addresses the problems of taking the emphasis off dieting and examining our attitudes to a slim figure as the key to happiness itself.

Originally published in 1986, Sara Gilbert provided the first systematic and comprehensive coverage of the psychological aspects of eating disorders and their treatment. The book begins with an account of normal eating behaviour and the problems of explaining its control in the individual in the context of social and cultural influences. It describes cross-cultural differences in attitudes to being overweight or underweight, and the current western dilemma of pressures towards slimness on the one hand and the increasing demand for choice and fast food on the other. In Part II, the author describes the phenomena of overeating and undereating, both in relation to people with systemic disease and in people suffering from obesity, anorexia nervosa and bulimia. She examines the psychological causes of overeating and undereating, and the problems of drawing a line between purely medical and purely social-psychological explanations. In Part III of the book, the author provides a summary of treatments for overeating and undereating, with emphasis on the psychological approaches. She describes new developments, in particular in the use of behavioural techniques, and their significance as a means of allowing individual sufferers some choice in the course of their own treatment.

The research literature on the impact of alcohol on the brain has seen a rapid expansion in recent years. Alcohol and the Adult Brain presents an up-to-date overview of some of the issues relevant to understanding and working with people with cognitive impairment as a result of chronic alcohol use. One issue causing barriers to effective treatment and care is the stigma associated with alcohol dependence, resulting in the belief that difficulties associated with alcohol related brain damage (ARBD) are 'self-inflicted'. Cognitive changes resulting from alcohol excess and poor nutrition can directly affect an individual's ability to motivate themselves, make decisions, and make the informed choices that underlie behaviour change. Attitudes held by professionals, reinforced by societal norms, that a person is 'choosing to drink' and 'not motivated to engage with treatment', in combination with the often subtle cognitive deficits associated with ARBD, can result in a lack of timely intervention, with enormous personal, social and economic cost. The chapters in this book set ARBD in a social and cultural context, provide discussion of the difficulties in definition and diagnosis, and outline the structural brain changes and neuropsychological deficits associated with chronic alcohol use. The book provides an overview of recent research on ARBD, including impairments associated with Wernicke-Korsakoff Syndrome, and discusses up to date recommendations for managing and working with this complex and varied disorder. Alcohol and the Adult Brain will be essential for students and researchers working with ARBD and for practitioners in a range of health, social care and voluntary settings.

Originally published in 1981, this title was designed to present a comprehensive review of research on, and treatment of selective mutism. It represents the only systematic overview of research and treatment procedures on this behavioral problem at the time. In many respects the literature on selective mutism clearly presents the differences in assessment and treatment between the intrapsychic (or psychodynamic) and behavioral approaches to deviant behaviour. The title presents an overview of the two major therapeutic approaches of human behaviour within the context of treating selective mutism.

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

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

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

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

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

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

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

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

Experts address the role of neuromodulators and opiate receptors in alcohol and drug dependence. They present innovative research techniques, new discoveries, and possible clinical correlates that allow for a much greater understanding of the clinical phenomena surrounding alcohol and narcotic use. Included in this thought-provoking volume are a comprehensive review of the current knowledge of the endogenous opiates, their interactions with the opiate receptors, and the potential relationship that these substances might have in promoting the development of dependence, tolerance, and withdrawal; the translation of the basic physiologic findings occuring during withdrawal to treatment of withdrawal symptoms in the clinical setting; and a physiological explanation for the rationale of using clonidine and naltrexone to accelaerate the detoxification process without undue discomfort.

Alcohol and its consumption is a major topic for public policy-making. Growing awareness of alcohol-related health problems among the general public has led to high levels of interest in alcohol consumption and its impact on society. This innovative collection of new perspectives on this critically important issue is informed by a leading group of international social scientists. Topics covered include alcoholism, the family, minimum pricing, paternalistic controls, and Socially Responsible Investment programs. Together, these essays reveal illuminating new insights into how public policy might be improved.

This book was originally published as a special issue of "Contemporary Social Science."