Not since the great military suicide epidemic of the American Civil War have we seen so many of our heroes, our soldiers and veterans, die by suicide. Why? War is violence. There is intent to cause death, or serious injury, or threat to the physical and psychological integrity of others. War stress is unforgiving. Suicide is an all too frequent response. Today, one member of the military dies by suicide every day. This is a new epidemic. This book addresses some tough questions: What do we know about suicides in the military? Are rates high? Or low? Is military suicide the same or different in the United States and Canada? Is military culture relevant? Do we know the causes, patterns, and associations? Is suicide among the armed forces similar to or different from suicide among civilians? Can it be altruistic? Through individual case studies and general/population approaches, we attempt to understand the cost of military service. It is especially through the personal stories of the great Civil War hero General Emory Upton, Admiral of the Navy Mike Boorda, and Hospital Corpsman Chris Purcell that we find answers. We learn there is a relative lack of understanding about military suicides, mainly due to the very complexity of suicide. The nature of suicide is not monolithic--it is multi-determined. Military service, we find, is a risk factor for suicide and suicidal behavior. Military veterans are twice as likely as civilians to die by suicide. Posttraumatic stress disorder (PTSD) and traumatic brain Injury (TBI) are especially noted to be huge risk factors, but so are other physical and psychological injuries. Sadly, the aftershocks of war include not only suicides but also incarceration, motor vehicle accidents, homicides, homicide(s)-suicides, and many more faces of violence. And there are many more, uncounted, wounded and dead. The families of traumatized soldiers and veterans, too, are indirect victims of their traumatic experience and, for some, their suicides; there is secondary traumatization. Yet, as this book shows, we must not forget that despite the unbearable pain of war, soldiers, veterans, and their military families, including children, are typically resilient. They can survive! Without question, our vulnerable heroes and veterans are at risk for suicide. But there is secrecy surrounding this, which may well be the biggest barrier. The government, the Department of Defense, the military, veterans groups, survivors, health providers, and other stakeholders need to develop and support more research, more programs, and more care for suicidal and disabled armed services personnel, veterans, and survivors. This war stress needs to stop.

The collection asks how faculty, courses, and programmes have responded and adapted to changes in students' needs and abilities, to economic constraints, to new course management systems, and to Web 2.0 technologies such as social networking, virtual worlds, and mobile communication devices. Addressing these questions it includes contributing voices from a wide variety of post-secondary, from urban and rural institutions and from technological and career colleges.

Assessment of Trauma in Youths: Understanding issues of age, complexity, and associated variables is a collection of articles by well-known specialists in the field of childhood trauma. The articles describe developmental issues in addition to others that are important to the assessment of trauma-exposed youth, to the ongoing refinement of trauma-related diagnoses for children, and to understanding PTSD and more complicated reactions to trauma for young people. The book explores trauma in very young to middle childhood aged children, trauma in adolescents, childhood complicated trauma, and childhood complicated grief. It considers PTSD and Reactive Attachment Disorder as well as discussing disorders that are under continued study such as Developmental Trauma Disorder, Prolonged Grief Disorder, and Traumatic Grief. In the second half of the book, chapters look at the associated features of childhood traumatic response such as genetics and personality, cortisol, poly-victimization, and guilt and shame. Variables such as cortisol reactivity and guilt/shame may influence or follow traumas in children. This book was originally published as a special issue of the Journal of Child and Adolescent Trauma.

First Published in 2017. Routledge is an imprint of Taylor and Francis, an Informa company.

First Published in 2017. Routledge is an imprint of Taylor and Francis, an Informa company.

This inspiring text offers a collection of case studies from expert clinical social workers who work closely with survivors of LGBTQ-related sexual trauma. The book covers a wide range of topics, such as gender and sexual minority asylum seekers, the embodiment of queer identity, the role of religion, regionality in the LGBTQ experience, and effective use of gay affirmative therapy. Each chapter is framed by key questions that encourage students and mental health practitioners to "think through" the specific needs and challenges of LGBTQ individuals who have experienced sexual trauma. Additional resources include an example of effective supervision and an example of a case conceptualization. Drawing on the importance of narrative social work and the record of experience it provides, The Social Work and LGBTQ Sexual Trauma Casebook is an essential text for students and clinical social workers working with LGBTQ survivors of sexual trauma.

In American and NATO Veteran Reintegration, MaryCatherine McDonald and Gary Senecal examine mental health issues among former American service members. Data shows that American veterans suffer from post-traumatic stress disorder (PTSD) at significantly higher rates than veterans in other NATO ally countries involved in the war in Afghanistan. McDonald and Senecal argue that sociocultural factors, such as military training and civilian culture, have a dramatic impact on these rates.

Healing Trauma in Group Settings offers a unique focus on the highly valuable role of attuned co-leader relationships in the practice of healing trauma. Drawing on their extensive experience of co-leadership, the authors demonstrate how to maximize the potential for effective trauma work while remaining attuned to the needs of individual group members and the group as a whole. With case studies, transcripts, and vignettes interwoven throughout, chapters suggest ways in which clinicians can model co-leader relationships as a means for developing a sense of interpersonal safety, exploring difficult material, and building opportunities for healing to take place. Demonstrating how concepts of attunement can be utilized in real-world settings, Healing Trauma in Group Settings enables mental health professionals to forge connections with clients while drawing on the potential of co-leadership in group therapy.

Promoting Resilience offers a fresh perspective that views resilience through a sociological lens, emphasizing the significance of loss issues and highlighting a range of practice implications across a wide range of fields. Drawing on the expertise of a wide range of contributors, the book provides a solid foundation for developing a fuller and more holistic picture of the many challenges associated with promoting resilience. Chapters present a range of sociological perspectives that cast light on trauma and vulnerability. Combining theoretical richness with practical insights, chapter authors bring a sociological lens to enrich understanding of loss and adversity. This volume offers a bedrock of understanding for students, clinicians, and researchers who want to extend and deepen their knowledge of the sociological aspects of overcoming life challenges.

This book explores the impacts of HIV/AIDS and neoliberal globalization on the occupational health of public sector hospital nurses in KwaZulu-Natal, South Africa. The story of South African public sector nurses provides multiple perspectives on the HIV/AIDS epidemic-for a workforce that played a role in the struggle against apartheid, women who deal with the burden of HIV/AIDS care at work and in the community, and a constituency of the new South African democracy that is working on the frontlines of the HIV/AIDS epidemic. Through case studies of three provincial hospitals in KwaZulu-Natal, set against a historical backdrop, this book tells the story of the HIV/AIDS epidemic in the post-apartheid period.

Perhaps you had a difficult birth. Hopefully, you have a healthy baby. That, after all, is the most important thing. Or is it? So why are you struggling to move on? Why do you keep thinking about the birth or replaying it in your mind? Why do you feel guilty when other people say "at least you have a healthy baby"? In Birth Shock, perinatal clinical psychologist Mia Scotland explains clearly what can be harmful about birth, how birth trauma can affect mothers, fathers and health professionals, and why it seems to be on the rise. If you are suffering from the effects of a difficult birth, even if the birth doesn't sound bad to others, then this book is for you. Perhaps the birth was really bad and your baby isn't okay. Perhaps you are a partner who feels traumatised, or you are a midwife or a doctor. In these pages you will find: a clear, concise, psychological explanation of what birth trauma actually is discussion of what causes birth trauma clear tips and advice on how to put yourself on the path to recovery Birth Shock draws on what we know about trauma, PTSD and the nature of birth and maternity systems to show how you can take steps toward letting go of any guilt, self-blame or confusion that you may be feeling.

Wrestling with the Angel addresses the human struggle to cope with death, dying, grief, and bereavement. The book includes essays, a one-act play, a short story, and poetry, including shape poems, rhyming, structured verse, and free verse. In the one-act play, an angel of death comes for a man who has lived an unexamined life and wants to explain why he is not prepared to leave. The short story offers a humorous look at a man who resists aging by continuing to view himself as the young man he once was. The diverse genres allow for different ways of exploring these issues, but all are intended to engage the reader's emotions as well as intellect. The writings incorporate reflections and quotations addressing common human issues related to our mortality and explore reactions to the loss of a loved one--whether expected, such as the death of an aging parent or someone with a terminal illness, or unexpected, such as accidental death. The final chapters examine how aging causes us to assess our lives and why preparing ourselves for death can enhance the quality of our life. This is a book with many more questions than answers, but the reader is invited to share in the process of finding answers. It is a book that requires the reader to be comfortable with ambiguity, because the reality it describes is often ambiguous--a reality that presents us with many choices but few certainties. Intended Audience: Scholars, hospice workers, funeral home directors, hospital chaplains, ministers, and others who work with bereavement issues; classes in death education and classes for mental health professionals in death and grief; general readers who have suffered the loss of a loved one.

Kristina E. Schellinski uncovers the hidden trauma of the replacement child - born into an atmosphere of grief to substitute for a lost sibling or other person - and helps adult replacement children discover the uniqueness of their self. Schellinski combines Jungian theory with research from over 20 years of clinical practice to demonstrate how adult replacement children who suffer from physical and psychological distress can rediscover the essence of their being in the transformative process of individuation. Theoretical yet practical, the book discusses core concepts of analytical psychology, psychoanalysis and attachment theory, and detailed case studies address grief, guilt, identity formation, relational challenges and shadow aspects. Schellinski explores how Jung's birth after three dead children impacted his search for self and his theory and discloses her own personal experience. On treatment and prevention, she argues that by recognising elements of the condition, clinicians can facilitate acceptance, compassion and healing, and help reduce transgenerational transmission. This book is an indispensable tool for clinicians, analytical psychologists, psychodynamic psychotherapists and those in other medical professions, and will be of great interest to academics and readers interested in Jungian studies and existential questions. It offers adult replacement children and their families hope for a psychological rebirth.

This book describes working conditions in informal sector shoemaking in Indonesia and the Philippines, their national and international policy implications. It provides information on glues, an organic solvent, found in footwear chemicals and women garment homeworkers in Bulacan.

Thoroughly updated with DSM-5 content throughout, this book is written for the average trauma clinician (or clinician new to the field who is confronted with a trauma client) to use in his or her daily work. Key Features Offers an Integrated Approach to Trauma Treatment Presents a Clinician-Friendly Review of Treatment Literature Addresses Innovative and "Cutting-Edge" Topics. This popular text provides a creative synthesis of cognitive-behavioural, relational, affect regulation, mindfulness, and psychopharmacologic approaches to the "real world" treatment of acute and chronic posttraumatic states. Grounded in empirically-supported trauma treatment techniques, and adapted to the complexities of actual clinical practice, it is a hands-on resource for front-line clinicians, those in private practice, and graduate students of public mental health.

'...a fully grown man utterly broken by what he had experienced, physically and mentally exhausted with physical evidence showing the overt signs of the abuse he had been through.' This is how Kate Garbers met Riso, a man who had been trafficked and in forced labour for months, with no way out. Modern slavery is far closer than we think. Yet it is largely unseen and unknown to most of us - a crime against humanity hidden in plain sight. In this revealing expose, Kate Garbers shares moving stories of survivors she has met and shares insights she has gained through over a decade of anti-slavery work. Survivor stories are complemented by a forensic account of how modern slavery works and the many forms it can take - from forced labour to organ harvesting - and how it is enabled to continue by our current laws and systems. Unseen Lives also provides a vision of hope for those looking to challenge and dismantle modern slavery, laying out what changes we need to make as individuals and as a society in order to effectively tackle modern slavery and improve the support of survivors.

Acute Pain Medicine is the first comprehensive, case-based text of its kind that explores the essential topics of acute pain medicine, including interventional, pharmacologic, and diagnostic considerations. Written and edited under the auspices of the American Academy of Pain Medicine by members of the Academy's Shared Interest Group for Acute Pain Medicine, the text includes an introduction to acute pain medicine and an easily referenced interventional section. Chapters focus on patients experiencing acute pain from either surgery or other medical conditions and include detailed information on the diagnosis and treatment of specific cases in acute pain medicine. The text is rounded out by the complete content of the thoroughly revised Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA II). Although the MARAA handbook gained its reputation as a useful resource for managing the pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance is useful for providing vital acute pain services in all settings. Acute Pain Medicine is an ideal, complete resource for physicians, fellows, and residents managing acute pain patients.

Compiled by internationally recognized experts in trauma critical care, this set discusses the entire gamut of critical care management of the trauma patient.

Compiled by internationally recognized experts in trauma critical care,this sourcediscusses the entire gamut of critical care management of the trauma patient and covers several common complications and conditions treated in surgical intensive care units that are not specifically related to trauma. Utilizing evidence-based guidelines where they exist, this all-encompassing source expertly analyzes procedures in analgesia and sedation, patient monitoring, infection control, nutritional evaluation, psychological support, and end-of-life care.

Who's to Blame? Collective Guilt on Trial presents a psychoanalytic exploration of blame and collective guilt in the aftermath of large-scale atrocities that cause widespread trauma and victimization. Coline Covington explores various aspects of social and collective guilt and considers how both perpetrators and victims make sense of their experiences, with particular reference to group behaviour and political morality. Covington challenges the concept of collective guilt associated with the aftermath of large-scale atrocities such as the Holocaust and examines the moral pressure placed on perpetrators to exhibit guilt as part of a realignment of political power and a process of restoring social morality. Who's to Blame? Collective Guilt on Trial concludes with a chapter-length case study examining Russia's war in Ukraine. Combining psychoanalytic ideas with political, philosophical, and social theory, Who's to Blame? Collective Guilt on Trial will be of great interest to readers interested in questions of collective guilt, blame and the possibilities of atonement. It will also appeal to psychoanalysts in practice and in training, and to academics of psychoanalytic studies, political philosophy, sociology and conflict resolution.

'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 book is designed for clinicians, educators, clergy, and nurses - anyone who is assisting children who have experienced the death of a loved one. This work offers a unique framework for helping children heal from the wounds created by the life process of death, a framework that has its defining basis in children's magical thought. Magical thought is motivated by the desire of a child with incomplete cognitive equipment to understand his world. Magical thought helps children develop inaccurate conclusions about many aspects of death and their own personal grief, often suggesting that they or someone else is responsible for the loss.

This volume is a collection of writings from pioneers who have created aftercare programs. The perspectives they offer are wide - from the practical how-to's in developing a program to the more personal stories that enlighten the reader on the motivation behind those who founded the programs. The chapters include information on funeral home based programs as well as those based in schools, hospitals and the military.

Mental health wisdom and a systems-approach to trauma from a family doctor who works with people suffering from stress and community-based challenges, offering practical advice that can be personalized for readers to choose the tools they wish to practice.

In the midst of collective trauma, it helps us to know how our body is built to respond to stress and what we might do to shift those reflexes. The Modern Trauma Toolkit directly addresses that need. Having studied brain-based and body-based approaches to wellbeing, Dr. Christy Gibson (@tiktoktraumadoc) is adept at sharing what she's learned about stress and coping with others, to embrace our innate power and to catalyze community wisdom.

The Modern Trauma Toolkit shares with readers how challenges can change the body. Written in an accessible and trauma-informed way, Christy goes over new theories in brain biology like the polyvagal theory and epigenetics, and how the brain can be remodeled to achieve post-traumatic growth. Noting the inequitable stressors of modern times and faced by particular communities, she describes how their strengths can be harnessed. Dr. Gibson shares a variety of activities that can be self-taught so you can begin your healing journey.

Our problems seemingly develop faster than our ability to cope with those problems. The blessing of longer life has brought with it a host of new issues faced by the elderly, their families, and their caregivers. "Ethical Issues in the Care of the Dying and Bereaved Aged", twenty-three essays by some of the most eminent thinkers in the field of death and bereavement, addresses some of these problems. Victor Marshall, Miriam and Sidney Moss, Colin M. Parkes, Dennis Klass, Margaret Somerville and Elizabeth Latimer, as well as other clinicians, have written new material for this book.