A major national goal is to improve the health of the populace while advancing our opportunities to pursue happiness. Simulta neously, there are both increasing health costs and increasing demands that more be accomplished with less financial support. The number of deaths attributable to the consumption of alcohol in the US is about 100,000 per year, and the annual cost of this addiction is over $100 billion. Improved treatment methods can both reduce these costs and improve health by preventing the continued exposure of abusers to the toxic effects of alcohol. This third volume of Drug and Alcohol Abuse Reviews focuses on the strategies currently thought best for the treatment of alcohol and tobacco abuse. A variety of approaches to treating alcohol abuse employ those psychosocial factors that are known to influence alcohol use in youth and adults. Pharmacotherapy has also been evaluated at the National Institute of Alcohol Abuse and Alcoholism by leaders in alcohol treatment research. One key review investigates forming a developmental framework for the treatment of adolescent alcohol abusers, a major challenge. Although the main emphasis is on the treatment of alcoholism, a major cofactor for many drug users is nicotine (tobacco) addiction, whose treatment is also reviewed. And the roles of learning and outpatient services are shown to affect treatment significantly. Thus, the problems confronted and solutions used in alcohol abuse treatment have here been analyzed in concise reviews that provide evidence for today's best hypoth eses and conclusions."

Explore the possibilities for successfully treating incarcerated or community-based substance abusers Substance Abuse Treatment with Correctional Clients: Practical Implications for Institutional and Community Settings provides key research findings and policy implications for treating alcohol- and drug-addicted correctional clients. This book addresses a range of critical issues associated with delivering treatment in institutional and community settings. The critical thinking questions, tables, extensive bibliographies, and name and subject index will help academics and practitioners in criminal justice, sociology, counseling/psychology, and public policy. Substance Abuse Treatment with Correctional Clients shares the practical knowledge of researchers and practitioners in the fields of drug and alcohol addictions, substance abuse counseling, and criminal justice. The first section provides a review of the theoretical explanations for substance abuse, best practice treatment programs for substance abusers, and the use of coerced/mandated treatment. The second section addresses the substance-addicted offender in the institutional setting, the third includes works that describe community-based treatment programs and the problems associated with them, and the fourth looks at special treatment populations, including juveniles and adolescent females. In Substance Abuse Treatment with Correctional Clients, you will find: reviews of various types of treatment programs being used to treat substance-addicted individuals a study of the predictors of success and/or failure in corrections-based substance abuse programminghow to identify and use the predictors to prevent relapse arguments for and against coerced treatment in the correctional environment, and the concept of motivation a thorough investigation of the therapeutic community (TC) program for institutional-based substance abusers descriptions of treatment programming designed specifically for substance abusing community corrections clientsdrug courts and Pennsylvania's Restrictive Intermediate Punishment treatment program Substance Abuse Treatment with Correctional Clients guides you through the major policy issues faced by those who provide substance abuse treatment under what can only be described as coercive circumstances. In this important resource, you will discover major treatment modules as well as advice for working with adult, juvenile, and male or female offenders. This book provides you with the techniques that treatment communities need for helping offenders stay clean after they re-enter the community environment.

The book explores eating disorders through multiple lenses and addresses the significance of gender and culture. Addresses the role of the therapist in a treatment situation and the movement towards psychotherapy integration in treatment, and considers the role of gender and culture, including the popularity of cosmetic surgery. Written as an accessible introduction to the topic.

Challenging Aphasia Therapies presents an entirely new approach to thinking on the subject of aphasia therapy by liberating it from traditional models. This is achieved through a process of reflection in which many assumptions previously taken for granted are challenged and reassessed. Internationally renowned experts successfully demonstrate the benefits of learning about aphasia therapy through the process of engaging in it. Topics covered include: * the role of context, culture and conversation in shaping and directing aphasia therapy * the ethical issues that arise from the current tensions between market driven health care industries and the moral commitment to their client welfare * the value of therapy. Contributors challenge the common notion of successful therapy as solely performance related. * the potential and competent use of humour in aphasia therapy. The identification of the strengths and limitations of clinical models and the focus on relevant directions for therapy will be of interest to practising clinicians as well as anyone involved in study or research in speech and language therapy.

Take your OT educational skills to the next level! Best Practices in Occupational Therapy Education is a must-have resource that showcases successful methods and practices in occupational therapy education. This unique book provides the information that can help you improve your skills to become an even more effective contemporary occupational therapy educator. Edited by Patricia Crist and Marjorie E. Scaffa, who previously collaborated on Education for Occupational Therapy in Health Care: Strategies for the New Millennium, Best Practices In Occupational Therapy Education highlights OT training methods proven effective by top OT educators. The book examines the effects of level II fieldwork on clinical reasoning in occupational therapy and on the professional development of fieldwork studentsin terms of occupational adaptation, clinical reasoning, and client-centeredness. It also shows how to promote professional reflection through problem-based learning evaluations and activities; how OT students' personality types affect the teaching and learning strategies that work best with them; and how to integrate evidence-based practice into students' academic and fieldwork experiences. This results-oriented text examines important concepts and approaches in teaching occupational therapy, such as: Web-based supports for occupational therapy students during level II fieldwork ways to facilitate creative thinking and memory, motivate students, and promote positive learning outcomes using evaluation activities in problem-based learning to help students develop professional reflection skills customizing your instructional delivery methods to the specific needs of your students balancing tradition with innovation education specifically aimed at community-based practice the benefits of online learning methods for developing cultural awareness, cultural sensitivity, and active listening skills The teaching approaches in Best Practices in Occupational Therapy Education are clear and concrete, and include outcomes that support each thesis or learning objective. This analysis of best practices in occupation therapy education is an essential tool for educators that you'll refer to again and again.

In 1986 the first research study investigating Acceptance and Commitment Therapy (ACT) was published. It aimed to determine if an early conceptualization of the ACT model could be used to treat depression. Since this seminal study, further investigations have been conducted across every imaginable psychological issue and the rate at which this research has emerged is impressive. This book describes the research journey that ACT has taken in the past 30 years. It also suggests, in light of the progress that has already been made, how ACT research should move forward in the coming decades.

In addition to its metabolic and endocrinologic effects, obesity and adipose tissue have now been shown to be associated with low grade inflammation resulting in cellular and humoral inflammatory factors of which the latter may act by endocrine, paracrine and autocrine mechanisms. These inflammatory mediators have increasingly been suggested as contributing to the obesity link to carcinogenesis and cancer promotion.

This volume of Energy Balance and Cancer will focus on recent developments and cutting edge research pointing to inflammation and inflammatory factors as key mediators of this linkage. The volume first provides information on inflammation as an important link between obesity and insulin resistance, which is in itself linked to promotion of cancer through hyperinsulinemia. The volume then covers some of the most important mechanisms by which obesity leads to inflammation, including the novel inflammasome concept, alterations in chromatin structure, circulating inflammatory factors, unique cellular interactions between adipocytes and macrophages and the direct link of dietary fat to inflammation and cancer.

Overall, this volume will provide important insight to help understand how inflammation may help modulate the linkage between obesity and cancer and serve as a platform for developing future research in this area.

The number of people suffering from different eating disorders has grown dramatically within the last twenty years. These two volumes examine feeding difficulties and eating disorders in children and adolescents, from babies to 19-year-olds. The volumes consist of clinical cases that describe the process of psychoanalytic psychotherapy used to treat the patients. The contributors look at the underlying causes for the disorders, such as bulimia and anorexia, lead to a normal life with the help of psychoanalytic psychotherapy. In addition, this collection takes into account the profound effects eating disorders have, not only on the patients, but on their immediate family and friends as well. 'Many cases describe the anxieties and strategies of defence used against feelings of dependence and the risk of accepting from another. This is a core theme in both volumes and is the principle idea behind the paradoxical title, The Generosity of Acceptance.

The question how alcohol alters mood states and why this may end up becoming an addiction is puzzling alcohol researchers since decades. In this volume, an assembly of highly distinguished experts and leaders in alcohol addiction research provides lucid presentations of the current knowledge and research challenges as well as interesting viewpoints on future research directions aimed to stimulate communication and convergence between clinical and preclinical researchers, and to renew interest in the vibrant field of alcohol addiction research among a wide scientifically minded audience.

Five "Current Topics" are discussed in this volume: Neurobiological mechanisms of alcoholism, Genetics, Clinical phenotypes and their preclinical models, Brain imaging, and Translational approaches for treatment development, both pharmacological and non-pharmacological. These areas have in our opinion brought alcohol research substantially forward and influenced our thinking about how to reach our common paramount goal, namely to offer effective treatment solutions for an extensive group of patients with largely unmet medical needs.

Obesity is one of the most important contributing factors to disease throughout the world and is an area of great current interest among researchers and clinicians. The genetics of common obesity is complex, and an important thread through this labyrinth is the study of genetic syndromes in which obesity is a major component. By examining the genetic mechanisms of obesity in these syndromes, the authors will shed new light on the genetics of common obesity. This is the first book on this important and exciting new area and addreses both the molecular and clinical features of the obesity syndromes, providing hard-core information for researchers and practical guidelines for clinicians caring for obese patients.
The book is divided into three sections: the first covers approaches for assessing and investigating the obese individual; the second describes nondysmorphic, monogenic forms of obesity; and the third documents key, multisystem obesity syndromes with various genetic etiologies. It is as much a reference book as it is a manual and will appeal to clinical geneticists, obesity researchers, endocrinologists, nutritionists, and medical biologists.

Through the medium of detailed clinical case reports, written by well-respected clinicians and researchers working internationally in the field, Clinical Cases in Dysarthria discusses the challenges, and rewards of applying evidence-based procedures to people with dysarthria in real-life busy routine clinical settings. The text opens with an introduction to the latest research and practices within dysarthria treatment and sets the scene for the eight individual case reports which follow. These case reports form the core chapters of the text and cover themes that range from clinical diagnostic conundrums to applying popular, and/or novel intervention approaches to different populations where dysarthria presents. Each chapter has a specific argument drawing on theoretical principles of assessment and rehabilitation, incorporating latest research evidence to help readers problem-solve similar cases in their clinical practice. Throughout the text, readers are encouraged to 'think outside the box'. This book will be essential for undergraduate and postgraduate student clinicians within speech and language therapy/pathology courses, as well as clinicians new to the field of dysarthria.

Evidence-based medicine is recognizing a spiritual component in healing especially when it comes to alcohol addiction. This book brings together more than thirty contributors and reflects this change by focusing on the 12-step model of recovery.

Using the Systems Approach for Aphasia introduces therapists to systems theory, exploring the way in which a holistic method that is already a key part of other health and social care settings can be employed in aphasia therapy. Detailed case studies from the author's own extensive experience demonstrate how systemic tools can be incorporated into practice, offering practical suggestions for service delivery and caseload management in frequently overloaded community health services. Exploring the treatment process from first encounters, through the management of goals and attainments, to caring for patients after therapy has ended, the book demonstrates a method of delivering therapy in a way that will better serve the people who live with aphasia and their families, as well as the clinician themselves. Key features of this book include: * An accessible overview of systems theory and its use in aphasia therapy. * Consideration of how current popular ideas such as self-management, holistic rehabilitation and compassion focussed therapy can be incorporated to provide the best treatment. * Guidance on when and how to involve families based on case studies. * Case studies throughout to fully illustrate systemic approaches. An essential resource for both students and seasoned clinicians, the theory explored in this book will provide a fresh approach to therapy and new skills for working with people with aphasia and their families.

"Investigations in Clinical Phonetics and Linguistics" is a sequel to the eighth meeting of the International Clinical Phonetics and Linguistics Association, attended by delegates from 26 different countries. This book reflects the scope of the subject area of clinical phonetics and linguistics, the balance of input into it with respect to the different kinds of research being carried on, and the representation of researchers from different parts of the world. Its scope includes the application of all levels of linguistic analysis and the chapters of the book have been ordered as far as possible according to linguistic level, beginning with pragmatics and ending with acoustics. It will be immediately apparent that a greater number of chapters are concerned with applications of phonetics and phonology then with any other levels.

Now in an exciting second edition, this fun and interactive board game has been designed to develop word-finding and categorisation skills for children and adults. With over 200 photographic cards and a colourful, versatile board, Find the Link can be used to facilitate a number of connecting and categorisation games, encouraging users to draw on their existing knowledge and descriptive skills to develop vocabulary, classification, logical thought and concentration. Collaborative and competitive games can be played individually, or in groups of 2 - 5 players, providing opportunities for social engagement alongside skill development. The game includes: * 200 hexagonal cards with new and updated images, which can also be used alone for sorting and classification * 40 card categories, ranging from basic groups such as animals, food, clothes and transport, to complex groups such as function and place * A colourful versatile board * An instruction booklet, with guidance and instructions for different games Part of the bestselling Colorcards series, this is an essential resource for anybody working with young children, adults with impaired language abilities, children and adults with special educational needs, or those learning English as an additional language.

Addiction and relationship violence are serious and undeniably prevalent societal problems with high costs to families and individuals, as well as concomitant costs to health care, school, and social systems. The co-occurence of addiction and abuse is a reality that has yet to be fully acknowledged and explored from either a theoretical or practical perspective.
The Violence and Addiction Equation: Theoretical and Clinical Issues in Substance Abuse and Relationship Violence addresses the addiction-violence overlap by assembling state-of-the-art theory and research in these areas to document the connection and the problem while also exploring prevention and treatment.
Chapters cover biological bases of addiction and abuse, personality factors in the equation, developmental, psychopathological and cognitive social-learning models, and numerous issues in clinical treatment. Also presented are perspectives on interpersonal violence and addiction across the lifespan: from adolescence and young adult through partnership, parenthood, and maturity. This book represents a primary effort to pull together separate fields and offer essential assistance to researchers and practitioners working to alleviate the combined impact of addiction and violence.

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Connectionist accounts of language acquisition, processing, and dissolution proliferate despite attacks from some linguists, cognitive scientists, and engineers. Although the networks of exquisitely interconnected perceptrons postulated by PDP theorists may not be anatomically homologous with actual brain anatomy, a growing body of research suggests that the posited network functions can support many human behaviors. This volume brings together contributors with a variety of backgrounds and perspectives to explore, for the first time, the "clinical implications" of whole-language connectionist models. Demonstrating that these models are powerful and have explained many phenomena of language acquisition, language therapy, and speech processing, especially at the engineering level, they focus specifically on applications of connectionist theory to delayed language, aphasia, phonological acquisition, and speech perception. Connectionist models, they conclude, offer a new interpretive framework for the discussion of information processing in humans and other animals that will be of great utility to all those who study language and seek to intervene in language disorders.

* A ground-breaking attempt to bring together in one volume all the various strands of this fundamental debate about the nature of what is called addiction. * Presents a robust evaluation of the BDMA * Neatly divided into four sections representing For; Against; Unsure; Alternative Ways of Understanding and Responding to Addiction

A growing body of literature is suggesting that many children with language disorders and delays--even those with so-called specific language impairment--have difficulties in other domains as well. In this pathbreaking book, the authors draw on more than 40 years of research and clinical observations of populations ranging from various groups of children to adults with brain damage to construct a comprehensive model for the development of the interrelated skills involved in language performance, and trace the crucial implications of this model for intervention. Early tactual feedback, they argue, is more critical for the perceptual/cognitive organization of experiences that constitutes a foundation for language development than either visual or auditory input, and the importance of tactually-anchored nonverbal interaction cannot be ignored if efforts at treatment are to be successful.
All those professionally involved in work with children and adults with language problems will find the authors' model provocative and useful.

A growing body of literature is suggesting that many children with language disorders and delays--even those with so-called specific language impairment--have difficulties in other domains as well. In this pathbreaking book, the authors draw on more than 40 years of research and clinical observations of populations ranging from various groups of children to adults with brain damage to construct a comprehensive model for the development of the interrelated skills involved in language performance, and trace the crucial implications of this model for intervention. Early tactual feedback, they argue, is more critical for the perceptual/cognitive organization of experiences that constitutes a foundation for language development than either visual or auditory input, and the importance of tactually-anchored nonverbal interaction cannot be ignored if efforts at treatment are to be successful.
All those professionally involved in work with children and adults with language problems will find the authors' model provocative and useful.