The word addiction these days is used to refer to a chronic condition where there is an unhealthily powerful motivation to engage in a particular behaviour. This can be driven by many different factors physiological, psychological, environmental and social. If we say that it is all about X, we miss V, W, Y and Z. So, some people think addicts are using drugs to escape from unhappy lives, feelings of anxiety and so on; many are. Some people think drugs become addictive because they alter the brain chemistry to create powerful urges; that is often true. Others think that drug taking is about seeking after pleasure; often it is. Some take the view that addiction is a choice addicts weigh up the pros and cons of doing what they do and decide the former outweigh the latter. Yet others believe that addicts suffer from poor impulse control; that is often true And so it goes on. When you look at the evidence, you see that all these positions capture important aspects of the problem but they are not complete explanations. Neuroscience can help us delve more deeply into some of these explanations, while the behavioural and social sciences are better at exploring others. We need a model that puts all this together in a way that can help us decide what to do in different cases. Should we prescribe a drug, give the person some tender loving care , put them in prison or what? Theory of Addiction provides this synthesis. The first edition was well received: Throughout the book the reader is exposed to a vast number of useful observations...The theoretical aims are timely, refreshing, ambitious and above all challenging. It opens up a new way of looking at addiction and has the potential to move the field of addiction a considerable leap forward. Thus we wholeheartedly would like to recommend the book for students as well as scholars. Read and learn! Nordic Studies on Alcohol and Drugs The book provides a comprehensive review of existing theories - over 30 in all - and this synthesis of theories constitutes an important contribution in and of itself...West is to be commended for his synthesis of addiction theories that span neurobiology, psychology and social science and for his insights into what remains unexplained. Addiction This new edition of Theory of Addiction builds on the first, including additional theories in the field, a more developed specification of PRIME theory and analysis of the expanding evidence base. With this important new information, Theory of Addiction will continue to be essential reading for all those working in addiction, from student to experienced practitioner as urged above, Read and learn!

Foreign Bodies: Eating Disorders, Childhood Sexual Abuse, and Trauma-Informed Treatment addresses the association between eating disorders and childhood sexual abuse, proposing a new way of treating those suffering from eating disorders who were sexually abused as children. Based on testimonies of survivors of abuse who subsequently developed eating disorders, it offers a new form of diagnosis and treatment, arguing that the eating-disorder field often ignores the traumatic sources of eating disorders, leading to some treatment programs not being commensurate, and at times conflicting, with the principles of childhood sexual abuse treatment. The case studies used to highlight the link between childhood sexual abuse and eating disorders are presented from the perspective of the women involved, in their own words. Their voices are supplemented by Gur's own stance as a clinician specializing in the treatment of sexual abuse and CPTSD. The book is divided into three parts: the first deals with eating disorders, childhood sexual abuse, and the association between them; the second examines the treatment of eating disorders and childhood sexual abuse; and the third offers a new form of diagnosis and treatment for eating disorders. This book will be of great interest to researchers and postgraduate students in the eating disorder field of psychotherapy, psychology, or psychiatry, plus those studying the treatment of trauma. It will also be of interest to clinical dieticians, psychologists, social workers, doctors, nurses, eating disorder specialists, and policymakers in the mental health field, as well as eating disorders sufferers and those who care for them.

This is a short guide on sit-stand working in the office. It reviews the research on sitting and standing at work from the 1950s to present and provides guidance for specialists, therapists, practitioners, and managers. The book is illustrated with many photos and figures, provides guidance for active working at the end of every chapter, and is understandable to the layman as well as the specialist. With the increased emphasis on healthy lifestyles, coupled with the obesity and overweight epidemic, many are claiming that we should spend more time standing at work. Some have even claimed that sitting is the new smoking. Readers of the book will learn and understand what is behind these claims, what stacks-up, what doesn't, and be able to make informed decisions about whether to invest in new facilities, and what to invest. This book is of value to human factors specialists, physical therapists, chiropractors and occupational health practitioners, architects, and facilities managers. Features Explains the origins of sedentary office work Summarizes the health risks of sitting and standing and how to avoid them Reviews new research on active working and practical ways of developing active working habits in the office Discusses the obesogenic workplace, and how to avoid it Includes over 60 key points to help you decide how to be more active at work

Every psychotherapist will be familiar with what it means to experience the hatred and despair of their most vulnerable patients in the midst of a psychotherapy session. Most often these patients will manage to express their feelings verbally, but what about those who never developed the capacity to speak? Or those who are capable of talking, but carry a complex range of unprocessed embodied feelings that cannot be verbally expressed? Some patients must rely on another type of language in order to communicate their dissociative states of mind. Primitive Bodily Communications explores how the 'talking cure' can still work when words fail and the body 'talks.' Non-verbal communication can be thought of as a form of body language and, even though this is a topic not frequently discussed, many practitioners have experienced working with people who communicate through the use of their bodies. The book does not refer to bodily communications as primitive because we see them as inferior to verbal language, but simply because they point to the beginnings of psychological development, to primary ways of being and relating, as well as to enduring aspects of ourselves. The contributors explore the topic of primitive bodily communications in the context of intellectual disability, eating disorders and bodily neglect, focusing on the communicative aspect of bodily expressions within the therapeutic relationship. A wide spectrum of clinical cases illustrates how these patients can reach a state of better physical and emotional containment and, when possible, of verbal communication.

This issue of Sleep Medicine Clinics, guest-edited by Drs. Rachel Markwald and Anne Germain, focuses on Sleep and Performance. This issue is one of four selected each year by series Consulting Editor, Dr. Teofilo Lee-Chiong. Articles include: Work productivity and sleep issues; Sleep apnea and performance; Sleep and athletic performance: the role of untreated sleep issues in sports; Early detection of sleep disorders in safety critical jobs; Insomnia and performance; Exercise for improving insomnia symptoms: implications on performance; Sleep and athletic performance: sleep and visuomotor performance; Brain stimulation for improving sleep and memory; Prevalence of sleep disorders in students and academic performance; PTSD/TBI, Sleep, and Military Operational Performance; New technology for measuring sleep and assessing sleep disorders: implications for public health and safety; and Use of hypnotic medications on learning and memory consolidation.

As gambling becomes more prevalent and more accessible in our society, pathological gambling is growing as a serious problem. In most instances, excessive gambling negatively affects a person's home, social and professional life, as well as leads to serious financial trouble. In repeated trials, cognitive-behavioural therapy has proven an extremely effective treatment for this problem. Written by the developers of an empirically supported CBT program for the treatment of pathological gambling, this Therapist Guide includes all the information and materials necessary to implement successful treatment. Most pathological gamblers exhibit misconceptions or erroneous beliefs about the nature of gambling, believing they can "beat the system". One of the central points of focus of this treatment is to help clients correct these beliefs and understand the true nature of games of chance. The authors provide step-by-step instructions for clinicians to help clients understand all of the facets of their problem. In addition to correcting erroneous beliefs about gambling, this program teaches problem solving skills, self-assessment techniques, and trigger recognition and avoidance. Designed to be used in conjunction with the corresponding workbook, this guide provides results not only in supervised therapy, but in long-term relapse prevention as well.

Learn How to Fix A Broken Relationship#1 Bestseller in Marriage & Family, Family Relationships, and Divorce Create lasting harmony, healthy communication, and everlasting love with Jonathan Robinson's powerful couple communication book. Develop effective communication skills for a lasting relationship. The original Communication Miracles for Couples by bestselling author, psychotherapist, and one of Oprah's favorite relationship experts Jonathan Robinson has helped hundreds of thousands of couples repair their relationships with over 200,000 copies sold. Now updated, you can learn how to fix a broken relationship or simply strengthen your relationship using proven marriage therapy tools and techniques. Become one of those couples that work-period. This couple communication book is for couples who want to learn new skills and build a solid foundation for working through conflicts and moving forward in ways that strengthen their bonds. Learn how to enhance your relationship by learning to communicate with less blame and more understanding. Inside, you'll find: Insightful tips to repair your marriage Couples communication skills to help you stop arguing, feel loved, and repair broken trust in your relationship The best at-home book for couples therapy, written by a trusted psychotherapist Readers of couple communication books like Relationship Goals, Alpha Female Bible, or More Love Less Conflict will love Communication Miracles for Couples.

The United States, we are told, is facing an obesity epidemic-a "battle of the bulge" of not just national, but global proportions-that requires drastic and immediate action. Experts in the media, medical science, and government alike are scrambling to find answers. What or who is responsible for this fat crisis, and what can we do to stop it? Abigail Saguy argues that these fraught and frantic debates obscure a more important question: How has fatness come to be understood as a public health crisis at all? Why, she asks, has the view of "fat" as a problem-a symptom of immorality, a medical pathology, a public health epidemic-come to dominate more positive framings of weight-as consistent with health, beauty, or a legitimate rights claim-in public discourse? Why are heavy individuals singled out for blame? And what are the consequences of understanding weight in these ways? What's Wrong with Fat? presents each of the various ways in which fat is understood in America today, examining the implications of understanding fatness as a health risk, disease, and epidemic, and revealing why we've come to understand the issue in these terms, despite considerable scientific uncertainty and debate. Saguy shows how debates over the relationship between body size and health risk take place within a larger, though often invisible, contest over whether we should understand fatness as obesity at all. Moreover, she reveals that public discussions of the "obesity crisis" do more harm than good, leading to bullying, weight-based discrimination, and misdiagnoses. Showing that the medical framing of fat is literally making us sick, What's Wrong with Fat? provides a crucial corrective to our society's misplaced obsession with weight.

Examining representations of speech disorders in works of literature, this first collection of its kind founds a new multidisciplinary subfield related but not limited to the emerging fields of disability studies and medical humanities. The scope is wide-ranging both in terms of national literatures and historical periods considered, engaging with theoretical discussions in poststructuralism, disability studies, cultural studies, new historicism, gender studies, sociolinguistics, trauma studies, and medical humanities. The book's main focus is on the development of an awareness of speech pathology in the literary imaginary from the late-eighteenth century to the present, studying the novel, drama, epic poetry, lyric poetry, autobiography and autopathography, and clinical case studies and guidebooks on speech therapy. The volume addresses a growing interest, both in popular culture and the humanities, regarding the portrayal of conditions such as stuttering, aphasia and mutism, along with the status of the self in relation to those conditions. Since speech pathologies are neither illnesses nor outwardly physical disabilities, critical studies of their representation have tended to occupy a liminal position in relation to other discourses such as literary and cultural theory, and even disability studies. One of the primary aims of this collection is to address this marginalization, and to position a cultural criticism of speech pathology within literary studies.

Introducing eight easy-to-use techniques for falling asleep, How to Sleep: A Natural Method is an indispensable companion for those who find it difficult to fall asleep and stay asleep. When sleeplessness becomes a regular occurrence, it can set up a vicious cycle of fatigue, anxiety, and sleepless nights. Finding ways to turn off the racing mind and negative thoughts or stress when going to sleep is an essential step, allowing you to break that vicious cycle and move towards a place of better well-being. The eight simple sleep techniques, along with their accompanying notes, are designed to calm the mind and allow sleep to come naturally. They are distilled from the best of thinking from the East and the West, including cognitive behavioural therapy, mindfulness and meditation, taking lessons from each of these methods on how best to quiet your mind and find a calm place from which to fall asleep.

Substance Misuse and Young People: Critical Issues is a comprehensive source of information on young people's requirements for assessment, treatment and other interventions because of their misuse of substances. It highlights approaches that enhance understanding of the routes that lead young people to substance misuse and also the routes away from it. The emergence of new substances and methods of misuse makes this ever more relevant. The authors are international experts in the fields of psychiatry, paediatrics, medicine, psychology, genetics, resilience, neuropharmacology and epidemiology. This book acknowledges how widespread both substance misuse and psychiatric disorders are and explores the complex, challenging links between co-occurring conditions. Use of substances is associated with illness and premature mortality, and more so for people who have combined disorders. The authors critically assess the vital need for intervention during adolescence and early adulthood. They provide detailed clinical views of the psychosocial interventions and medications currently available and illustrate them with case studies that emphasise adolescents' experiences and thoughtful lifestyle-specific interventions. This book provides theoretical knowledge and indicates the practical skills that practitioners require for work with young people who misuse substances. It is highly applicable to medical practitioners, psychologists, pharmacists, social workers, police officers, probation officers, educationalists and related social and healthcare professionals.

The increasing global prevalence of obesity and nutrition-based non-communicable disease has many causes, including food availability; social norms as evidenced in local foodways; genetic predisposition; economic circumstance; cultural variation in norms surrounding body composition; and policies affecting production, distribution, and consumption of food locally and globally. The Applied Anthropology of Obesity: Prevention, Intervention, and Identity advances understanding of the many cultural factors underlying increased global obesity prevalence. This collection of chapters showcase the value of anthropology's holistic approach to human interaction by exploring how human identity associated with obesity/overweight is affected by cultural norms, policy decisions, and perceptions of cultural change. They also demonstrate best practices for the application of anthropological skillsets to develop culturally-appropriate nutritional behavior change across multiple levels of analysis, from local programming to policy decisions at local and national levels. In addition to soliciting explanatory models used by respondents in different cultures and situations, anthropologists find themselves on the front lines of public health and policy attempts at affecting behavioral change. As such, this applied-focused volume will be of utility to scholars and practitioners in applied and medical anthropology, as well as to scholars and professionals in public health and other disciplines. The volume's authors are professional and student anthropologists from both public health practice and academia. Chapters are geographically diverse, containing lessons learned from attempts to combat obesity by anthropologically focusing on culture, history, economy, and power relative to obesity causation, prevention, and intervention. The Applied Anthropology of Obesity: Prevention, Intervention, and Identity candidly provides rich information about social identity, obesity, and treatment.

In her New York Times bestseller Unbroken Brain, journalist Maia Szalavitz took an unflinching look at addiction, challenging the idea of the "broken brain" to offer a groundbreaking perspective on addiction as a learning disorder. Now she turns her keen eye and narrative powers to the surprisingly simple--and extremely divisive--practice of harm reduction, which is a revolutionary means to solving the drug addiction crisis. Drug overdoses now kill more Americans annually than guns, cars or breast cancer. But in the name of "sending the right message," we have criminalized drug addiction, denied those who are addicted medical care, housing and other benefits, and have deliberately allowed the spread of fatal diseases. Yet there is an alternative to our present system, one that has been proven to work, but which runs counter to the received wisdom of our criminal and medical industrial complexes. It is called harm reduction. A surprisingly simple idea with enormous power, harm reduction takes the focus off of drug use and instead works to minimize associated damage. It represents the philosophy behind needle exchange programs and providing heroin addicts with the overdose medication naloxone instead of arresting them. It is focused not on punishing pleasure but on minimizing harm; in essence, it is a wholesale refutation of the American way of justice. Undoing Drugs tells the story of harm reduction. It will show how this concept has begun to transform the treatment of addiction and how it holds the potential to revolutionize how we deal with a range of other urgent behavioral and societal issues. Harm reduction challenges people to prioritize radical empathy and kindness over punishment as a way of not only dealing with drug use, but also in questions related to racism, sexism, disability and inequality. And, as Szalavitz shows, it says unequivocally that we must be more concerned about saving lives and health than about criminalizing quality-of-life crimes. Szalavitz argues for a practical application of the Hippocratic oath to "First, do no harm" beyond medicine and to those who urgently need it most.

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.

Note: This is the bound book only and does not include access to the Enhanced Pearson eText. To order the Enhanced Pearson eText packaged with a bound book, use ISBN 0133406563. A clinical, case-based approach to communication sciences and disorders. Communication Sciences and Disorders, 3/e introduces students to the field through clinicians, patients and families. Rich with examples, the first part covers foundational concepts of development, anatomy, physiology, augmentative communication and complex communication. Following these foundations, the second part highlights inherited and acquired disorders affecting children and older adults. A new chapter features multicultural topics, while an expanded chapter delves into advancements in assessment and intervention. Strong themes of literacy weave throughout. The Enhanced Pearson eText features embedded video. Improve mastery and retention with the Enhanced Pearson eText* The Enhanced Pearson eText provides a rich, interactive learning environment designed to improve student mastery of content. The Enhanced Pearson eText is: Engaging. The new interactive, multimedia learning features were developed by the authors and other subject-matter experts to deepen and enrich the learning experience. Convenient. Enjoy instant online access from your computer or download the Pearson eText App to read on or offline on your iPad (R) and Android (R) tablet.* Affordable. The Enhanced Pearson eText may be purchased stand-alone or with a loose-leaf version of the text for 40-65% less than a print bound book. *The Enhanced eText features are only available in the Pearson eText format. They are not available in third-party eTexts or downloads. *The Pearson eText App is available on Google Play and in the App Store. It requires Android OS 3.1-4, a 7" or 10" tablet, or iPad iOS 5.0 or later.

As the role of the physical therapist widens to include more primary care and diagnostic responsibilities, there is a greater need for a single, up-to-date resource that explores professional roles and developments in this changing field. This new book is the definitive reference on this important topic. This concise book provides information on every vital area important to professionalism: documentation, law and ethics, and leadership - all in the context of the five roles of the physical therapist as defined by the APTA's Guide to Physical Therapist Practice, 2nd Edition. Readers will find information on the history of professionalism in physical therapy, the five roles of the physical therapist (Patient/Client Manager, Consultant, Critical Inquirer, Educator, and Administrator), the role of the physical therapist in today's health care system, and professional leadership and development. Case studies, "how to lists" and "tips from the field" encourage critical thinking and provide strategies for various issues. The book also offers tips on preparing a portfolio, determining leadership style, and preparing a professional development plan based on the APTA's five roles. Develops and defines principles and concepts of professionalism to guide physical therapists in times of change Follows the APTA's Guide and includes quotes and information from this document throughout Offers a comprehensive history of physical therapy, with unique information on origins of the profession Offers comprehensive coverage of legal and ethical issues, showing how these issues affect the entire practice of physical therapy Discusses billing and reimbursement practices, with specific information on how to document and bill as an aspect of practice Defines and explains the role of the consultant, both as an autonomous health care provider or as a member of a health care team Features real-life case studies and discussion questions at the end of each chapter to encourage practical application of concepts and test readers' knowledge Provides end-of-chapter "tips" to help readers develop best practices

Most people with eating disorders struggle to find an effective therapy that they can access quickly. Brief Cognitive Behavioural Therapy for Non-Underweight Patients: CBT-T for Eating Disorders presents a new form of cognitive behavioural therapy (CBT) that is brief and effective, allowing more patients to get the help that they need. CBT is a strongly supported therapy for all adults and many adolescents with eating disorders. This 10-session approach to CBT (CBT-T) is suitable for all eating disorder patients who are not severely underweight, helping adults and young adults to overcome their eating disorder. Using CBT-T with patients will allow clinicians to treat people in less time, shorten waiting lists, and see patients more quickly when they need help. It is a flexible protocol, which fits to the patient rather than making the patient fit to the therapy. Brief Cognitive Behavioural Therapy for Non-Underweight Patients provides an evidence-based protocol that can be delivered by junior or senior clinicians, helping patients to recover and go on to live a healthy life. This book will appeal to clinical psychologists, psychiatrists, psychotherapists, dietitians, nurses, and other professionals working with eating disorders.

Posttraumatic Stress and Substance Use Disorders summarizes the state of the field from a biopsychosocial perspective, addressing key domains of interest to clinicians, students, instructors, and researchers. This book is a valuable resource and reference guide for multidisciplinary practitioners and scientists interested in the evidence-based assessment and treatment of posttraumatic stress and substance use disorders. Chapters written by leaders in the field cover the latest research on assessment, diagnosis, evidence-based treatments, future directions, and much more.

New methods, new approaches and advanced technologies have started to be used for patients to gain access to less costly and more quality diagnosis and treatment services in a shorter time. This book, which includes new approaches in health sciences, has been written by successful and expert researchers who work in different health disciplines of health sciences.

'A masterclass in understanding' ANNIE GRACE, author of This Naked Mind Ten questions to ask yourself, right now: * Do you have a sense that something is wrong, but you don't know what it is? * Do you have a feeling that you are hollow inside, that you are empty or have a void within? * Do you react badly to rejection? * Do you often feel sad, unhappy or down for no obvious reason? * Would you describe yourself as highly sensitive? * Do you have problems with relationships and intimacy? * Do you engage in addictive behaviour - alcohol, drugs, gambling, shopping, food, sex, work, exercise? * Do you have low self-esteem or self-worth - are you not 'good enough'? * Do you have a sense of being numb to your feelings? * Do you rarely experience true joy and happiness? If you have answered 'yes' to most of these questions, there is a strong chance you have experienced emotional neglect or trauma as a child. An emotionally neglected child may struggle to form strong and secure attachments as an adult. They may feel hollow or empty, worthless (or overly important), judge themselves harshly and struggle with addictive tendencies - drinking, eating or exercising too much, for example. If this describes you, Heal Your Inner Child will change your life and give you back the love, compassion and authenticity you needed as a child, and deserve as an adult. Fomer heavy drinker turned sobriety coach Simon Chapple is - like you - a survivor of childhood trauma. His unique brand of straight-talking, practical yet reflective and relatable advice has helped thousands of people quit drinking, and he can help you now to move on from childhood emotional neglect to a place of happiness free from past trauma. How to Heal Your Inner Child is a stepped and safe approach to confronting your past, with space for reflective and supportive strategies that will help you to foster self-compassion and break free from the destructive behaviours that have blighted your life. Clinically endorsed and verified by a psychotherapist, this deeply personal, unflinchingly honest exploration is designed to unlock your own epiphany and support you as you journey to a happier, less troubled and more authentic self.

This accessible guide offers a much-needed integration of family therapy into the treatment of substance use disorders. By proposing a means by which family therapy can be moved to the forefront of addiction treatment, it places the family perspective at the center of its approach and provides a multifaceted alternative to the prevalent individual-focused model. Drawing from Bowen Family Systems Theory and the principles of the 12 step program, the book presents a model of integration that addresses the needs of families struggling with addiction. Illustrated with discussion questions and case narratives of former addicts, the text guides both practitioners and families towards a goal of creating an environment that supports recovery. Offering an overview of the history and current models of addiction treatment, chapters also outline a 6 week Family Matters Program, with accompanying treatment interventions and case studies. The book concludes with an examination of how this program can be implemented by practitioners in a variety of clinical settings. Family Therapy and the Treatment of Substance Use Disorders is essential reading for anyone with an interest in understanding the diverse ways in which addiction affects families. It will be particularly relevant to students of family therapy, but clinicians who work across the fields of substance abuse treatment or family counseling will also benefit from reading this book.

Clinical Management of Sex Addiction's newest edition updates many of the original chapters from 28 leaders in the field with new findings and treatment methods in the field of sex addiction. With a growing awareness of sex addiction as a problem, plus the advent of cybersex compulsion, professional clinicians are being confronted with sexual compulsion with little clinical or academic preparation. This is the first book distilling the experience of the leaders in this emerging field. It additionally provides new chapters on emerging areas of interest, including partner counseling, trauma and sexual addiction, and adolescent sex addiction. With a focus on special populations, the book creates a current and coherent reference for the therapist who faces quickly escalating new constellations of addictive sexual behavior. Readable, concise and filled with useful interventions, it is a key text for professionals new to the field and a classic reference for all clinicians who treat sex addiction.

This reference provides contemporary information on all aspects of Down syndrome, investigating health concerns by age group and by organ system. The text sets out to identify and correct problems before they interrupt developing skills. It includes preventive medical checklists with summaries of appropriate medical intervention; supplies background information about history, genetics and epidemiology; outlines clinical management strategies; establishes guidelines on how to inform parents of the diagnosis and conveys practical suggestions on the handling and care of the infant; and offers a detailed review of the medical literature. Appendices provide information including growth charts and financial checklists.