The concept of sexual addiction has gained increasing recognition in the academic and healthcare communities since the 1990s. It has also captured the attention of the media, where there has been much debate over whether it can truly be described as an addiction. What is certain is that many people struggle with out of control sexual behaviour, which takes over their lives and has harmful consequences for their relationships, careers and finances. The Routledge International Handbook of Sexual Addiction brings together a comprehensive range of perspectives on sexual addiction from a worldwide selection of scholars and therapists. It sets out to define sexual addiction and to study its causes from a range of different psychological perspectives. A series of presentations of sexual addiction are outlined, including internet sexual addiction and the relationship between paraphilias and sex addiction. The handbook considers both individual and group treatment strategies, drawing on a wide range of approaches, including cognitive behavioural therapy, mindfulness and 12-step programmes. The book studies sex addiction in specific populations including women, adolescents and men who have sex with men. Finally, it considers some of the alternative discourses surrounding the concept of sexual addiction. This is the first comprehensive reference book to bring together global viewpoints on advances in research, theory and practice in one volume. This handbook provides an essential guide for academics and students of psychotherapy, counselling, nursing, addiction, sexualities, social work and health and social care, as well as professionals in practice and in training working with sexual addiction and related issues.

The classic text--thoroughly updated for 2002 Managing the Dually Diagnosed Patient: Current Issues and Clinical Approaches, Second Edition provides a wealth of useful information on effectively treating substance abusers who also suffer from mental illness. This second edition is updated to apply the latest information on the assessment, treatment, and management of co-existing disorders. It includes new information on special treatment considerations for women and adolescents and examines the restrictions placed on treatment in the age of managed care. Certain to enhance your knowledge about a highly misunderstood population, this updated volume addresses the theoretical, conceptual, and practical issues involved in caring for dually diagnosed patients. Treatment professionals from hospitals, medical schools, addiction treatment programs, and dual disorder units come together to examine the critical issues in the assessment and treatment of dually diagnosed individuals and offer an up-to-date review of the latest knowledge in research and rehabilitation.Managing the Dually Diagnosed Patient: Current Issues and Clinical Approaches, Second Edition delivers up-to-date information on: substance abuse and psychopathology psychodiagnostic assessment training issues for dealing with comorbidity how collaboration with other helping professionals can improve your treatment of dually diagnosed patients understanding and treating the psychiatric problems common within chemically dependent populations-affective disorders, anxiety disorders, personality disorders, and schizophreniaThis updated volume contains new case studies, treatment protocols, and a comprehensive overview of the existing literature on dual diagnosis assessment and treatment that integrates practical clinical considerations and approaches based on the authors'extensive experience. Add it to your reference shelf today

"This excellent book contains many different scripts, applicable to a number of special populations. It takes a practical approach and walks therapists step-by-step through the EMDR therapeutic process. Readers] will not be disappointed." Score: 93, 4 stars --"Doody's"

Praise from a practicing EMDR therapist and user of Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: "Kudos to...everyone who contributed to this important volume.... It] is an indispensable resource. Thank you, thank you, thank you " --Andrea B. Goldberg, LCSW EMDRIA Certified EMDR Therapist EMDRIA Consultant-in-training Bloomfield and Newark, NJ

This book serves as a one-stop resource where therapists can access a wide range of word-for-word scripted protocols for EMDR practice, including the past, present, and future templates. These scripts are conveniently outlined in an easy-to-use, manual style template for therapists, allowing them to have a reliable, consistent form and procedure when using EMDR with clients.

The book contains an entire section on the development of resources and on clinician self-care. There is a self-awareness questionnaire to assist clinicians in identifying potential problems that often arise in treatment, allowing for strategies to deal with them. Also included are helpful past memory, current triggers and future template worksheet scripts.

Key topics include: Client history taking that will inform the treatment process of patients Resource development to help clients identify and target their problems to regain control when issues appear overwhelming Scripts for the 6 basic EMDR Protocols for traumatic events, current anxieties and behaviors, recent traumatic events, phobias, excessive grief, and illness and somatic disorders Early intervention procedures for man-made and natural catastrophes EMDR and early interventions for groups, including work with children, adolescents, and adults Written workbook format for individual or group EMDR EMDR to enhance performance and positive emotion

Working with Substance Misusers is a practical handbook for students and those who work with people who misuse drugs or alcohol. Written by experienced teachers and clinicians, the book introduces:
* the substances themselves
* theories relevant to substance use and misuse
* the skills necessary to work with this client group
* the broad range of approaches to treatment
* particular problems of specific groups.

The reader is encouraged to read and reflect on the material in relation to their own practice. To help this process, each topic has an identified set of learning objectives. Activities designed to reinforce learning include discussion points, case studies, role plays and group exercises.

Working with Substance Misusers makes clear the connection of theory to practice and encourages a skills-based, but reflective, approach to work in this complex field. Cutting across professional boundaries, it provides both new and more experienced practitioners with a key text.

This book examines the so-called War on Obesity as an example of a cultural complex, how that complex shapes the way fat is treated in psychotherapy, including the classical Jungian approach to fat, as written by Marion Woodman. It looks at the experience of being fat as an ongoing trauma.

As we recover from an eating disorder, these 366 meditations will help us find the power to develop and deepen our spirituality. Daily positive thoughts offer insight and ideas for meeting the challenges of ongoing recovery from eating disorders.

* Provides readers with a graphic model of addiction that integrates new neurobiological findings in brain research, a learning model of addiction, and subsequent clinical approaches that address embodied trauma therapies * Has broad appeal to mental health professionals who work in clinical practice, graduate students interested in the field of addiction, as well as a general non-professional audience curious about the field of addiction. Useful as a text in psychotherapy courses, addiction programs, social work, nursing, occupational therapy, psychiatry, psychology and osteopathy since it provides an overview of the field both in theory and practice. Of special interest to readers interested in Polyvagal Theory, Interpersonal Neurobiology, Trauma Therapy, Addiction Recovery, body practitioners including naturopaths, cranio-sacral practitioners, somatic experiencing, sensorimotor and EMDR practitioners, focusing teachers and focusing oriented therapists. * Combines the ground-breaking work of doctors Stephen Porges, Marc Lewis, and Eugene Gendlin

Recent years have seen a growth in the numbers of studies of substance abuse and dependence in adolescence, focusing on prevalence, risk factors, comorbidity, course and outcome. At the same time, numerous prevention and intervention strategies have been developed. Substance Abuse and Dependence in Adolescence presents a comprehensive review of state-of-the-art empirical and practical information on this topic.
Cecilia A. Essau, along with an eminent group of international researchers and clinicians, summarises the most recent empirical findings and state-of-the-art knowledge on substance abuse and dependence in adolescence and includes comprehensive information on prevention and treatment. Substance Abuse and Dependence in Adolescence contains:
* general issues related to substance use disorders
* epidemiology, comorbidity, course, outcome and risk factors
* the prevention and intervention of substance abuse and dependence
* a discussion of progress and unresolved issues in substance use disorders
* recommendations for future studies in the field.
Substance Abuse and Dependence in Adolescence will be an invaluable resource for students, researchers, and other professionals working in the fields of psychology, psychiatry, paediatrics, social work and other mental health professions.

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At a world level addiction and the fall-out from substance use is affecting more and more lives. Professionals are increasingly being confronted with puzzling, multifaceted aspects of substance use, whether they work in a clinic, the laboratory or the community.
If you are a member of any caring profession, sooner or later you will encounter problems caused by drugs, alcohol and tobacco. In order to understand substance use and substance users, no single discipline can provide all the answers. In a novel way, this book integrates biological science, social science and clinical experience. It draws together contributions from experts in these diverse and rapidly growing fields, providing the reader with a deeper capacity to engage with problems effectively.
Drink, Drugs and Dependence includes thought-provoking examples, illustrations and test questions to support problem-based learning. Designed to be read consecutively or as a reference text, it will be a welcome resource for all those working in the field of addiction.

At a world level addiction and the fall-out from substance use is affecting more and more lives. Professionals are increasingly being confronted with puzzling, multifaceted aspects of substance use, whether they work in a clinic, the laboratory or the community.
If you are a member of any caring profession, sooner or later you will encounter problems caused by drugs, alcohol and tobacco. In order to understand substance use and substance users, no single discipline can provide all the answers. In a novel way, this book integrates biological science, social science and clinical experience. It draws together contributions from experts in these diverse and rapidly growing fields, providing the reader with a deeper capacity to engage with problems effectively.
Drink, Drugs and Dependence includes thought-provoking examples, illustrations and test questions to support problem-based learning. Designed to be read consecutively or as a reference text, it will be a welcome resource for all those working in the field of addiction.

A thoroughly up-to-date reference for researchers who specialize in obesity and clinicians who specialize in working with clients with problem eating behaviors, Handbook of Assessment Methods for Eating Disorders and Weight-Related Problems, Second Edition, offers the field's most comprehensive collection of measures and assessment tools related to eating behaviors.

In addition to obesity (an issue that has reached epidemic proportions in the United States), the Handbook deals with problem eating behaviors, eating disorders, and the associated psychological issues that underlie these problems. This Second Edition provides the latest research and theory, along with empirically validated assessment tools for measuring attitudes, beliefs, and behaviors with regard to food, including:

General personality assessment and psychopathology of persons with eating and weight-related concerns

Quality of life assessments

Measuring attitudes and beliefs about obese people

Assessment of body image

Measures of restrained eating

Measures of physical activity

Measuring food intake

Binge eating and purging

Eating and weight-related problems with children

Identification of psychological problems of patients with eating disorders

New and Continuing Features:

No other resource offers such a comprehensive collection of assessment methods for eating disorders and weight-related problems in one volume. Contributions from highly regarded scholars and researchers in the field offer up-to-date, academically rigorous, and research-based information. The volume's Introduction emphasizes the importance of research in this area and highlights the changes in the field over the past decade.

"

Contents:
EPIDEMIOLOGY
Warner, L.A., Kessler, R.C., Hughes, M., Anthony, J.C., and Nelson, C.B. 'Prevalence and Correlates of Drug Use and Dependence in the United States. Results from the National Comorbidity Survey.' Archives of General Pychiatry 52 (1995).

GENETICS
Sigvardsson, S., Bohman, M., and Cloninger, C.R., 'Replication of the Stockholm Adoption Study of Alcoholism Confirmatory Cross-Fostering Analysis.' Archives of General Psychology 53 (1996).
Merikangas, K.R., Stolar, M., Stevens, D.E., Goulet, J., Preisig, M.A., Fenton, B., Zhang, H., O'Malley, S.S., and Rounsaville, B.J. 'Familial Transmission of Substance Use Disorders.' Archives of General Psychiatry 55 (1998).

NATURAL HISTORY
McLellan, A.T., Lewis, D.C., O'Brien, C.P., and Kleber, H.D. 'Drug Dependence, a Chronic Mental Illness: Implications for Treatment, Insurance, and Outcomes Evaluation.' Journal of the American Medical Association 284 (2000).
Schuckit, M.A., and Smith, T.L. 'An 8-Year Follow-Up of 450 Sons of Alcoholic and Control Subjects.' Archives of General Psychiatry 53 (1996).
Vaillant, G.E. 'A Long-Term Follow-Up of Male Alcohol Abuse.' Archives of General Psychiatry 53 (1996)

EVOLUTION
Nesse, Randolph M. 'An Evolutionary Perspective on Substance Abuse.' Ethology and Sociobiology 15 (1994).

NEUROBIOLOGY OF DISEASE
Berke, J.D., and Hyman, S.E. 'Addiction, Dopamine, and the Molecular Mechanisms of Memory.' Neuron 25 (2000).
O'Brien, Charles P., Childress, Anna Rose, Ehrman, Ronald, and Robbins, Steven J. 'Conditioning Factors in Drug Abuse: Can they Explain Compulsion?' Journal of Psychopharmacology 12 (1998).
Robinson, T.E. and Berridge, K.C. 'The Neural Basis of Drug Craving: An Incentive-Sensitization Theory of Addiction.' Brain Research Reviews 18 (1993).
Tiffany, Stephen T. 'A Cognitive Model of Drug Urges and Drug-Use Behavior: Role of Automatic and Nonautomatic Processes.' Psychological Review 97 (1990).
Volkow, N.D., Wang, G.J., Fowler, J.S., Logan, J., Gatley, S.J., Hitzemann, R., Chen, A.D., Dewey, S.L., and Pappas, N. 'Decreased Striatal Dopaminergic Responsiveness in Detoxified Cocaine-Dependent Subjects.' Nature 386 (1997).

Talkabout for Teenagers is a bestselling professional workbook supporting educators and therapists who deliver social and relationship skills groups for older children and young adults with social, emotional or behavioural difficulties. It is a complete group work resource that offers a hierarchical approach, with ready-made material to assist teaching social and relationship skills specifically to older children and young adults. Resources include: an assessment framework planning and evaluation forms 37 structured session guides focussing on self-awareness and self-esteem, body language, conversational skills, friendship skills and assertiveness all the supplementary handouts and images needed to deliver the sessions. This second edition is presented with full-colour illustrations and handouts, and includes a new introduction by Alex Kelly reflecting on her own experiences of using the resources since they were first developed.

This and over 60 other easily memorised phrases are the starting points for Resuscitation Rules. Their accompanying short texts provide a core of authoritative information that can be mentally retained and acted upon in emergency situations.

This pocket sized guide contains succinct rules on the fundamentals of resuscitation, together with helpful line illustrations, for use in the most commonly encountered situations.

Contents include:
basic life support.
advanced cardiac life support.
medical emergencies.
paediatric resuscitation.

In line with the current European Resuscitation Council guidelines, the rules are an invaluable support for doctors, nurses and ambulance staff who are called upon to provide resuscitation both in-hospital and pre-hospital.

Noncommunicable Diseases: A Compendium introduces readers to noncommunicable diseases (NCDs) - what they are, their burden, their determinants and how they can be prevented and controlled. Focusing on cardiovascular disease, diabetes, cancer and chronic respiratory disease and their five shared main risk factors (tobacco use, harmful use of alcohol, unhealthy diet, physical inactivity and air pollution) as defined by the United Nations, this book provides a synopsis of one of the world's biggest challenges of the 21st century. NCDs prematurely claim the lives of millions of people across the world every year, with untold suffering to hundreds of millions more, trapping many people in poverty and curtailing economic growth and sustainable development. While resources between and within countries largely differ, the key principles of surveillance, prevention and management apply to all countries, as does the need to focus resources on the most cost-effective and affordable interventions and the need for strong political will, sufficient resources, and sustained and broad partnerships. This compendium consists of 59 short and accessible chapters in six sections: (i) describing and measuring the burden and impact of NCDs; (ii) the burden, epidemiology and priority interventions for individual NCDs; (iii) social determinants and risk factors for NCDs and priority interventions; (iv) global policy; (v) cross-cutting issues; and (vi) stakeholder action. Drawing on the expertise of a large and diverse team of internationally renowned policy and academic experts, the book describes the key epidemiologic features of NCDs and evidence-based interventions in a concise manner that will be useful for policymakers across all parts of society, as well as for public health and clinical practitioners.

Innovations in Play Therapy is a unique compilation of discussions on current and pressing issues in play therapy: topics commonly left out of other play therapy resources. Designed to help play therapists fill in the gaps as therapeutic considerations multiply, this book includes coverage of such timely topics as:
* what play therapists need to know about medication
* legal and ethical issues in play therapy
* cultural considerations
* play as a diagnostic tool
* innovative procedures such as child-centred group play therapy and intensive short-term group play therapy
* play therapy with special populations such as autistic children. Children with chronic illness, selective mute children, physically abused children, and the elderly
* play therapy with traumatized children in a crisis situation
* work as a traveling play therapist
All based upon an unwavering belief on the profound healing capacity of the relationship, the discussions in this book arm therapists with knowledge to enhance their work with increasingly diverse groups and ever changing circumstances.

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Completely revised, much of the existing text has been replaced and updated. There are four new chapters covering simple wrist fractures, nerve compression, tendon entrapment and free tissue transfers. Many of the illustrations have been updated with new pictures added to illustrate the new chapters. Welcomed by both doctors and therapists intending to specialize in the subject, or those who regularly encounter hand patients in the course of general practice, this text is an accessible, quick reference book for all those involved in this difficult area of rehabilitation. With its new content and attractive new format, the popularity of this book is assured. * new format makes practical use of this book even easier and helps to locate the information quickly * brevity has been maintained while sufficient theoretical background still provides a rationale for treatment * emphasis is on a practical, step-by-step approach to pre- and postoperative management

The Inside Scoop on Eating Disorder Recovery is a fresh, smart, how-to book that helps people with eating disorders to heal their relationship with food, their bodies, and ultimately themselves. Written from the perspective of two eating disorder therapists, both of whom are recovered from their own eating disorders, the text uses humor, personal narratives, and research-proven techniques to offer specific actionable guidelines on how to reclaim one's life from an eating disorder. The authors explain the difference between dieting and eating disorders, break down the stages of recovery, and provide tips on how to thrive in each stage. The book provides powerful myth-busting on topics that have historically not been addressed in eating disorder recovery books, such as clean eating and orthorexia, exercising in recovery, and fat positivity. Tangible exercises at the end of each chapter provide readers with advice and tips on implementing this approach to recovery in their day-to-day lives. The humorous and down-to-earth tone of the book creates an authentic and genuine feel that leaves those who struggle with chronic dieting, eating disorders, and negative body image feeling connected and heard.

Summarizing state-of-the-art developments in long-term mechanical ventilation use, this comprehensive treatise reviews the applications, complications, and care of breathing disorders affecting the growing population of ventilation-assisted individuals-including neuromuscular and chronic obstructive pulmonary diseases (COPD) and chest wall deformities.
Qualitatively considers reimbursement options for management outside of acute care settings
Covering both noninvasive ventilation (NIV) and invasive ventilation techniques and procedures, Long-Term Mechanical Ventilation
provides an epidemiology of long-term mechanical ventilation with a review of recent trends
examines the pathophysiological mechanisms contributing to chronic respiratory failure, including the pathogenesis and treatment of restrictive thoracic and central hypoventilatory disorders
investigates the controversy over conflicting results for NIV management of patients with chronic respiratory failure due to severe stable COPD
details critical care for children with severe ventilatory defects such as congenital neuromuscular diseases, cystic fibrosis, and bronchopulmonary dysplasia
chronicles new insights into the role of the upper airway and glottis in determining the effectiveness of NIV
considers weaning dependent patients off ventilation and methods of care for different sites using the least complicated and most economical means
explores tools for measuring the impact and outcomes of long-term mechanical ventilation and determining patients' quality of life
and more
Containing over 1400 literature references, tables, drawings, and photographs, Long-Term Mechanical Ventilation is a necessary reference for pulmonary and thoracic specialists, chest physicians, anesthesiologists, physiologists, physiatrists and rehabilitation physicians, respiratory therapists, intensive care specialists, and medical school and graduate school students in these disciplines.

While therapists are increasingly working with multi-ethnic client groups, there is a paucity of material available for them to develop approaches, which meet diverse cultural and racial needs. Art Therapy, Race and Culture is a stimulating and inspiring collection which explores the often contentious themes of race, racism and culture in relation to the experience of art therapy, in a positive and constructive way. Contributors examine the impact of racial perceptions in their own experience, their clients' lives, and on the interaction of therapist and client. The potential of art therapy as a force of liberation, and art therapists as cultural activists, is explored. Cultural differences in meanings applied to 'colour' and to the nature of art are also discussed. Illustrated with line drawings and photographs, the book presents work, ideas and theories based on the practical experiences of therapists from many different backgrounds and their work with clients from equally diverse origins.

The Clinical Manual for Treatment of Alcoholism and Addictions provides a concise overview of addiction treatment issues relevant to physicians, nurses, psychologists, social workers, alcohol and drug counselors, and rehabilitation therapists who are involved in the care of patients with substance use disorders.

Drawing from their extensive experience in treating addictions in both inpatient and outpatient settings, the authors have assembled a wealth of clinical information condensed into one easy-to-read guide. The manual - Presents an overview of the genetics, biological markers, and pathophysiology of addiction.- Covers specific addictive substances in detail -- including epidemiology, presentation, and diagnosis.- Highlights underlying issues related to each substance and includes sections on polysubstance abuse and psychiatric comorbidity.- Touches on various evaluation and assessment tools- Reviews psychosocial and pharmacological treatment modalities.

Throughout the book, complex material is made accessible through the generous use of tables and charts, and key points summarize the important take-away points for each chapter In addition, the manual offers extensive coverage of many different aspects of addiction psychiatry: - Specific patient populations, such as children and adolescents, seniors, mentally and physically handicapped persons, the chronically ill, and the homeless- Various treatment settings, such as general hospitals, outpatient medical settings, and emergency departments- Behavioral addictions, such as pathological gambling, kleptomania, and compulsive buying- Violence, crime, and suicidal behavior

With their vast impact on our culture and society, substance use disorders may well become one of the main challenges for psychiatry in the twenty-first century. Effective approaches to substance use disorders require treatment combinations tailored specifically to each individual. The Clinical Manual for Treatment of Alcoholism and Addictions is an invaluable tool for informing clinicians about the wide array of treatment options available to help their patients who struggle with substance abuse problems.

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

This is a practical and patient-complaint focused handbook, directed to motivate non-sleep experts and beginners in sleep medicine and technology. This book provides a basic review of the area of sleep, identifies some common patient presentations and illustrates the types of investigations that should be requested. With sleep and breathing problems being so common and affecting many other chronic clinical conditions, it is important that primary care and other general physicians as well as allied health practitioners have a greater appreciation of this area. This text is a valuable "go-to" handbook for the occasional "sleep" practitioner to refer to. Key Features: * Contains specially packaged with Specific Learning Objectives to each chapter followed by self-assessment questions, case scenarios, basic sleep monitoring techniques in detail with sample reports. * Provides direction to health care professionals who encounter patients with sleep and breathing disorders in their practice. * Uses algorithms and concept maps for dealing with specific symptoms.

This provocative and controversial book challenges a number of widely held ideas in the alcohol/drug field by critically evaluating the bases of these ideas. The field of alcohol/drug studies is fraught with conflict and controversy, and each generation of researchers and practitioners seems to have its own special areas of conflict. In this new volume, experts focus on a number of important issues of current interest and controversy. Is alcoholism a "disease" or is it not? Should federal bans on drugs like heroin and cocaine be removed and will that solve, modify, or exacerbate the problem? Can the risk for alcoholism really be predicted?Professionals from a very wide variety of disciplines--medicine and biochemistry, psychiatry and psychology, philosophy, anthropology, law, social work, and journalism--present their very differing points of view on the perception of alcoholism as a disease and on public policy issues like proposed legislative controls over alcoholic beverages. Current Issues in Alcohol/Drug Studies touches upon a number of questions that will be of interest both to people in alcohol/drug research and in alcohol/drug treatment and prevention. Because it will undoubtedly stimulate further investigation and debate, researchers and policymakers will also find it useful.