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.

This book takes a unique approach to the examination of the eating disorder, anorexia nervosa (and bulimia). White, middle-class, heterosexual women share their insights into the emergence of their illnesses through detailed interviews that consider perceptions of the role of family, the influence of cultural messages regarding thinness and beauty, the agency these women exert in the use of weight control to cope with life's stressors, the meaning they attach to their eating disorders and how these issues together perpetuate their disease. The book uses a Symbolic Interactionist framework and a grounded theory approach to examine the narratives which emerge from these women's stories. Themes of family, culture, and self arise in their narratives; these form the theoretical underpinnings for this book, and combine to shape the comprehensive model of eating disorders that emerges from this study. Haworth-Hoeppner's book will appeal to researchers and advanced students of sociology, women's studies, family studies, social psychology, and gender studies.

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.

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.

Contents:
Preface 1. Philip Bean and Teresa Nemitz Introduction 2 Joy Mott What Should Work: guidelines on the clinical management of opioid dependence in the UK 3. Ken Checinski and Hamid Ghodse Types of Treatments for Types of Patients 4. Michael Gossop Developments in the Treatment of Drug Problems 5. Colin Brewer Psychological and Pharmacological Components of Treatment 6. Douglas Longshore, Michael Prendergast and David Farrabee Coerced Treatment for Drug-Using Criminal Offenders 7. Nicholas Seivewright and Muhammad Iqbal Treating Patients with Comorbidities 8. Jay Carver Drug Testing as a Necessary Prerequisite for Treatment and for Crime Control 9. Philip Bean and Andrew Ravenscroft Therapeutic Addicts Revisited 10. Tammy L. Anderson and Lana Harrison Therapeutic Community Drug Treatment in the U.S. Criminal Justice System 11. Paul Hayes Treating Drug Users: the role of the National Treatment Agency for substance misuse 12. Philip Bean Linking Treatment Services to the Criminal Justice System 13. Joris Casselman Motivation Enhancement in Clients Referred from the Criminal Justice System

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

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.

Addictions are responsible for vast and growing morbidity, mortality, and misery in society. Until now, not only has the theoretical underpinning of the most commonly practised treatment approaches in the addictions field been scant, but the evidence for the effectiveness of these methods has also been generally lacking. In the cue exposure paradigm there is a rare opportunity to make a vital connection between theory and practice in the rational development of new treatment approaches. Cue exposure has become a routine clinical procedure in the treatment of phobic and obsessive-compulsive disorders and shows promise in the additions field. There is always a danger, however, that new approaches will become adopted into routine practice in an uncritical fashion. This book, therefore, brings together a series of invited reviews specially prepared by addictions experts from around the world. Together these reviews provide a much needed critical analysis of the evidence. The primary audience for the book is clinical psychologists and psychiatrists interested in addictions. However, it will also appeal to all graduates in these fields as a teaching and reference work.

Basic and clinical scientists with an interest in how cytokines regulate the production of antibody, and the selective expression of distinct antibody classes in response to microbial and other antigenic challenges, now have a single, comprehensive and timely volume covering this complex field. Cytokine Regulation of Humoral Immunity: Basic and Clinical Aspects uniquely focuses on the impact of the cytokine network on the humoral immune response, as well as its implications for the evolving field of cytokine-based medical therapeutics. With introductory chapters on basic B lymphocyte biology, a systematic and detailed review of the major B cell active cytokines, and discussions on cytokine regulation of normal and pathogenic humoral immune states, this highly referenced book will serve as a valuable source of information for both students and seasoned investigators active in multiple branches of basic and clinical immunology.

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.

Sleep problems of American children have become a matter of national concern, with recent estimates indicating that 13% to 27% of children have sleep problems as reported by their parents. Considering the profound impact that disrupted sleep can have on family functioning and processes, it is critical that researchers and clinicians understand how to identify sources and contexts related to sleep disruptions and their consequences.
Sleep and Development: Familial and Socio-Cultural Considerations is the first volume to integrate knowledge and approaches from numerous disciplines to focus on the sleep and development of children across adjustment and cognitive domains. Addressing the sleep patterns of children as well as those of other family members, sleep specialists from pediatrics, human development, family studies, and developmental and clinical psychology examine linkages between sleep and family processes, cultural attitudes towards sleep, and normative sleep disturbances in children, such as resistance to bedtime, chronic deprivation, and inconsistent sleep schedules. Individual chapters offer discussion on topics such as sleep and attachment, the effects of trauma on children's sleep, the cultural ecology of sleep, clinical assessment of sleep, and more. Highlighting research findings obtained within the last ten years, Sleep and Development synthesizes literature from disparate areas of inquiry in an effort to frame future investigations that will lead to a deeper and better integrated understanding of sleep and development. This comprehensive volume is a fundamental text for students, researchers, psychologists, and physicians interested in the study of sleep and sleep problems.

Achieving Quality in Brachytherapy addresses the main issues that often prevent correct delivery of brachytherapy treatment. The book explains how to set up a functional quality assurance program in brachytherapy and covers all the steps needed to undertake particular treatment plans, from the initial planning required to the detailed specification. It highlights the importance of planning as a means of controlling and dealing with errors during the treatment process and advises on what to check and how to check during treatment to ensure effective quality assurance. This comprehensive reference is ideal for professionals working in brachytherapy, physics, and radiation oncology, and serves as an introduction for trainees with an undergraduate degree in medical physics or clinical radiation oncology.

Providing a framework for treating substance use disorders (SUDs) in office-based psychotherapy, the second edition of this trusted work has been updated throughout and features two entirely new chapters. The authors show how clinicians from any background can leverage the therapeutic skills they already have to address clients' alcohol and drug problems competently and effectively. Vivid case examples demonstrate ways to engage clients at different stages of change; set collaborative treatment goals; address SUDs concurrently with other psychological problems; and interweave motivational, cognitive-behavioral, and other interventions, tailored to each individual's needs. Reproducible forms and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size. New to This Edition *Chapter on evidence-based principles and interventions. *Chapter on moderation-focused alcohol treatment. *Revised throughout with current data, clinical techniques, and examples. *Reflects over 15 years of important changes in the field--increased demand for integrated treatment, the ongoing opioid crisis, the growth of harm reduction and medication-assisted treatments, and more.

Sleep and Health provides an accessible yet comprehensive overview of the relationship between sleep and health at the individual, community and population levels, as well as a discussion of the implications for public health, public policy and interventions. Based on a firm foundation in many areas of sleep health research, this text further provides introductions to each sub-area of the field and a summary of the current research for each area. This book serves as a resource for those interested in learning about the growing field of sleep health research, including sections on social determinants, cardiovascular disease, cognitive functioning, health behavior theory, smoking, and more.

Reviews the requirements of treatment planning, clinical assessment, and the historical antecedents of chemical dependency. Drawn from thirty years of experience in the treatment of chemical dependency, Dr. Ottomanelli describes clinical interventions in the context of established clinical research in addition to the presentation of predictors of relapse and relapse models which are derived from empirical studies. The interdisciplinary organization of this book provides a description of the psychological, sociological, and biological parameters of substance abuse.

This book will be of interest to faculty and students in undergraduate and graduate courses dealing with addictions. It will also be useful to counselors and clinical professionals dealing with addiction and substance abuse.

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.

Analyzing ground-breaking research, this reference highlights the impact of sleep deprivation on the well-being of the individual and society-presenting current theories on the function of sleep, the effects of sleep deprivation on patients with medical and psychiatric conditions, as well as providing interpretative and methodological results in comparative studies of sleep deprivation.

The Behavioral, Molecular, Pharmacological, and Clinical Basis of the Sleep-Wake Cycle provides the first comprehensive overview on the molecular methodologies used to evaluate sleep while also examining the cellular, biochemical, genetic, and therapeutic aspects of the sleep-wake cycle. There have been profound changes in the landscape of approaches to the study of sleep - mainly in the areas of molecular biology and molecular techniques. With this great focus on using multidisciplinary molecular methods, chapters address significant advances in the molecular mechanisms underlying sleep and the techniques researchers use to study this phenomenon. Written by world-leading experts in the area, this book is of great interest to researchers working in the sleep field and to anyone interested in one of the most mysterious phenomena in science - why we sleep and why we cannot survive without it.

This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients' obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease's prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.

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.

In the crowded and busy arena of obesity and fat studies, there is a lack of attention to the lived experiences of people, how and why they eat what they do, and how people in cross-cultural settings understand risk, health, and bodies. This volume addresses the lacuna by drawing on ethnographic methods and analytical emic explorations in order to consider the impact of cultural difference, embodiment, and local knowledge on understanding obesity. It is through this reconstruction of how obesity and fatness are studied and understood that a new discussion will be introduced and a new set of analytical explorations about obesity research and the effectiveness of obesity interventions will be established.

This book highlights advances and prospects of a highly versatile and dynamic research field: Therapeutic ultrasound. Leading experts in the field describe a wide range of topics related to the development of therapeutic ultrasound (i.e., high intensity focused ultrasound, microbubble-assisted ultrasound drug delivery, low intensity pulsed ultrasound, ultrasound-sensitive nanocarriers), ranging from the biophysical concepts (i.e., tissue ablation, drug and gene delivery, neuromodulation) to therapeutic applications (i.e., chemotherapy, sonodynamic therapy, sonothrombolysis, immunotherapy, lithotripsy, vaccination). This book is an indispensable source of information for students, researchers and clinicians dealing with non-invasive image-guided ultrasound-based therapeutic interventions in the fields of oncology, neurology, cardiology and nephrology.

This book arose out of the need to work with emotionally regressed non-talking children who entered hospital in full retreat from the external world. It helps parents and professionals compassionately comprehend the child's difficulties in depending on someone to receive communication.