This accessible guide explores how our brains react to stress and offers a fresh perspective on how we define "trauma." Probing how the words we use can influence our understanding of distress, this text focuses on expanding awareness of excess stress and reducing judgment of its potential impact on relationships and day-to-day life. Helpfully split into three parts, the book introduces the terms "cortisprinkled," "cortisaturated," and "cortisoaked" and provides a rationale for why these states of brain occur. The role of culture and society are highlighted, and an in-depth focus on coping and offering support to others is presented. Whether caused by sexual assault, social rejection, abuse, the taboo of sexuality, disadvantaged status, or other difficulties, chapters detail specific coping skills and step-by-step strategies to deal with a variety of stress responses. Advice is offered on reconnecting with sexuality, phrasing difficult questions, and ways to offer validation, with concrete recommendations on incorporating healthier practices into everyday life. Both metaphor and real-world vignettes are interwoven throughout, making Redefining Trauma an essential and understandable resource for therapists and their clients, parents and support givers, and anyone looking to develop practical, informed methods for dealing with stress and trauma and reclaim life with intention.

The Oxford Handbook of Orthopaedics and Trauma offers junior doctors, medical students, and all those with an interest in the field the practical and up-to-date information needed for clinical practice. It presents the essentials of orthopaedics and trauma in a concise and user-friendly style for use with patients, in the operating room, and in tutorials. As well as covering the basic principles and conditions of both adult and paediatric orthopaedics and trauma, it also contains a comprehensive overview of anatomy and surgery. Helpful illustrations and diagrams guide the reader, aiding the understanding of movements and anatomical relationships, which are of particular importance in establishing a diagnosis. Information is extensively referenced with further reading materials, providing a structured basis in for all levels of training. Emergency topics are highlighted for quick access and the appendix provides information on common drugs in orthopaedics and trauma, as well as fracture diagrams. The book is clearly laid out, and written in an easily readable note-based style. Blank pages are included for the reader, so that notes, observations, and local protocols can be included, thereby individualising the Handbook. Written by trainees and qualified surgeons, the Oxford Handbook of Orthopaedics and Trauma is an accessible and informative tool for all junior doctors and students in the field.

This diagnosis and management guide opens up a new frontier both for medical specialists and physical therapists dealing with vertigo sufferers. It presents a new original approach to diagnosis and rehabilitative treatment of vertigo and dizziness based on an innovative model of the vestibular system. It includes a detailed introduction to the MCS method, and a treatment program that involves mechanic, cybernetic, and synergetic aspects. Additionally, it provides a brief outline of the modern neurophysiological concepts behind the methodology.

Trauma has assumed a prominent role in contemporary medicine as an event that can significantly influence clinical variables such as morbidity, functional deficits and consequential disability, and mortality. Trauma is the principal cause of death in the population below 40 years of age in industrialized coun tries. Therefore, there is great interest in studying traumatic events from both the clinical and epidemiological viewpoints. The importance of trauma is exem plified by the fact that in many countries the trauma patient is first treated in specialized "trauma centers," in which the diagnostic and treatment processes are facilitated by the 24-hour presence of personnel having interdisciplinary competencies. Trauma in this context consists of any acute, often unexpected, condition. Many of the medical difficulties associated with trauma occur in a relatively brief period that spans from the first call for help to the initiation of first aid measures. A correct approach depends on the availability of experienced personnel. The first measures of aid must guarantee, above all, the patient's survival. The most critical, initial phases of care to trauma patients are represented by the triad: first aid, triage, and transport. Specific morbidity indices, whether anatomical, func tional or mixed, are indispensable elements for monitoring a patient's clinical evolution. The immediate availability of "essential" drugs is imperative to con front the clinical situations that often present in the acute post-traumatic phase."

Since the 1980s, ankle arthroplasty has been considered a dubious treatment for painful and degenerated joints. Many of the concerns that existed previously have been solved today. Prosthetic replacement of other joints also took a long time before reaching their present successful status. This is the first book to deal with ankle arthroplasty. International experts have given their opinion on (i) the kinematics of the ankle; (ii) the basics of replacing the ankle joint; and (iii) the current status of several modern ankle-prosthesis designs. A better understanding of the ankle kinematics, alignment techniques and biological stabilisation and the results of newer designs have changed the former attitude worldwide. The content of this book bears evidence for this change in opinion.

Die international stark beachtete Multizenterstudie uber Becken- und Acetabulumfrakturen umfasst die Analyse von 1722 Patienten inklusive Nachuntersuchungsergebnisse. Anhand von Ubersichten, Diskussion und Wertung bisher bekannter Verfahren erhalt der Leser einen schnellen Uberblick uber aktuelle Definitionen, Diagnostik und Behandlungskonzepte zur Therapie von Beckenfrakturen, die den Studiendaten unter mauert werden./This multi-centre-study, highly recognized on the international level, comprises the analysis of 1722 patients including the results of post-operative care. By means of key notes, discussion and evaluation of techniques the reader is provided with a survey on up-to-date definitions, diagnostic and therapeutic concepts in pelvic fractures, which are supported by the results of the study.

The application of extracorporeal shock waves in the locomotor apparatus offers new therapeutic concepts. This book provides an up-to-date overview on the use of shock waves in orthopaedics. The main emphasis is laid on the basics of shock wave techniques and on the impact of shock waves on cells and organs. The reader is provided with a summary of experimental and clinical results of shock wave therapy applied to the bone and the epiphyseal growth plate. Authors from five clinical centres report on their experiences with shock wave therapy in tendinosis calcarea, epicondylopathy and calcar spur. Furthermore they report on first experiences with shock wave therapy in children with cerebral paresis.

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.

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.

In Living and Surviving in Harm's Way, experts investigate the psychological impact of how warriors live and survive in combat duty. They address the combat preparation of servicemen and women, their support systems, and their interpersonal and intrapersonal experiences. The text maintains a focus on cognitive-behavioral interventions for treating various combat-related disorders, and addresses psychological health and adjustment after leaving the battlefield. The text is logically organized for easy reading and reference, and covers often overlooked topics such as preparation and training of service personnel, women in combat, and the indirect effects of combat stress on family. This book is written by clinicians who have in some ways experienced what they write about, and resonates with mental health professionals, servicemen and women, and their families. Any clinician hoping to treat a serviceman or woman effectively cannot afford to overlook this book.

In the last few decades an abundance of publications have accumu lated on the clinical implications of subarachnoid haemorrhage (SAH) due to aneurysmal rupture. In contrast, until about 6 years ago, SAH due to traumatic head injury mainly, if not only, drew the attention of the forensic pathologist. In their analysis of the data from the American Traumatic Coma Data Bank, Eisenberg et al. concluded in 1990 that the presence of SAH on the initial computed tomographic scan (tSAH) had an un favourable effect on outcome. This conclusion has since been con firmed in other series. Dr. Kakarieka, the author of the present monograph, has been fascinated by tSAH since his participation in 1989 as International Trial Coordinator of the large European Trial on the effect of nimodipine on outcome after severe injury (HIT 2). This study re vealed a statistically significant, favourable effect in the subgroup of patients with tSAH, a result which warranted a further trial on the efficacy of nimodipine administration in patients with tSAH. This trial, the so-called German trial which was completed in 1995, not only revealed that tSAH is an important and independent factor predicting unfavourable outcome in head injury, but also showed convincingly the statistically significant, favourable effect of nimodipine adminis tration in patients with tSAH."

This book is a critical response to a range of problems - some theoretical, others empirical - that shape questions surrounding the lived experience of suffering. It explores how moral and ethical questions of personal suffering are experienced, contested, negotiated and institutionalised. Bodies and Suffering investigates the moral labour and significance invested in actions to care for others, or in failing to do so. It also explores circumstances - personal, political and social - under which that which is perceived as non-moral becomes moral. Drawing on case studies and empirical research, Bodies and Suffering examines the idea of the suffering body across different cultures and contexts and the experience and treatment of these suffering bodies. The book draws on theories of affect, embodiment, the phenomenology of illness and moralities of care, to produce a nuanced understanding of suffering as being located across the assumed borders of time, space, bodies, persons and things. Suitable for bioethicists, medical anthropologists, health sociologists and body studies scholars, Bodies and Suffering will also be of use on health science courses as essential reading on suffering bodies, mental health and morality and ethics issues.

Cognitive Behavioral Therapy for Preventing Suicide Attempts consolidates the accumulated knowledge and efforts of leading suicide researchers, and describes how a common, cognitive behavioral model of suicide has resulted in 50% or greater reductions in suicide attempts across clinical settings. Simple and straightforward descriptions of these techniques are provided, along with clear explanations of the interventions' rationale and scientific support. Critically, specific adaptations of these interventions designed to meet the demands and needs of diverse settings and populations are explained. The result is a practical, clinician-friendly, how-to guide that demonstrates how to effectively reduce the risk for suicide attempts in any setting.

On the occasion of the European Congress on Wound Healing and Skin Physiology (Bochum, Germany, November 1992), an international team of scientists and clinicians discussed the core topics in this important field of dermatological and surgical research.
Themes include morphology and physiology, microcirculation and angiogenesis, biochemistry and immunology, microbiology and wound infection, non-invasive measurement techniques, wound repair, surgical treatment, dressings, and agents that promote wound healing.

Spinal cord injury produces a unique multiplicity of problems which must be clearly understood by the considerable numbers of health care and rehabilitation professionals involved in their lifetime management. This book assumes an educational approach to spinal cord injury management, in which the individual becomes an active participant in goal setting, problem solving, and in assuming self responsibility. Rehabilitation is discussed in terms of client empowerment, client-professional partnerships and examines the client in the context of his unique socio-cultural environment.;This book attempts to present an educational and psychosocial model for the rehabilitation of people with spinal cord injuries. In line with this approach, the first chapters present a concept of empowerment in rehabilitation and of an educational view of the process of learning to live with a suddenly acquired disability. The medical aspects of spinal cord injury follow, with a study of aetiology, impairments, acute care, disability reduction and engagement in self care activities. The management of high lesions in a rehabilitation context is examined separately, since this is a highly specialised area and one which is largely ignored both in therapy literature and in professional practice. The final chapters focus upon psychological issues, and upon such issues as productivity, leisure, socialization which are important both in early phases of management and in the long term.

In A Re-Visioning of Love: Dark Feminine Rising, Ana Mozol parts the illusory veils of persona as she explores the reality of feminine experiences relating to love, trauma and sexuality in contemporary Western society. Mozol takes us on a personal journey through the three levels of experience, delving into the underworld and the trauma of rape, the middle world and the illusions of romantic love, and the upper world and the masculine spiritual ideals that fracture the feminine soul. In this multidisciplinary examination of the feminine, Mozol seeks to understand violence against women intrapsychically, interpersonally and within the field of depth psychology. The book begins with Mozol's own experiences with violence and her exploration of the demon lover complex and the stages of breaking this complex after trauma. Combining personal testimony, theoretical reflections, historical analysis, and 20 years of clinical experience, Mozol uses a heuristic approach to explore personal stories, clinical material, dreams and depth analysis as they connect to the female individuation process. We follow Mozol's journey through the middle world and the illusions of romantic love, into the upper world and the complexity of Oscar Wilde's feminine character Salome who represents the rising dark feminine energy that must be reckoned with for the possibility of love to exist. Accessible yet powerful, Mozol uses her personal story to place the oppression of women within the Jungian context of individuation. A Re-Visioning of Love: Dark Feminine Rising will be key reading for academics and students of Jungian and post-Jungian studies, psychotherapy, trauma studies, gender studies, women's studies and criminology. It will also be an indispensable resource for Jungian psychotherapists and analytical psychologists in practice and in training. A Re-Visioning of Love, however, is more than a psychological exploration; it is a memoir of the personal and archetypal feminine and as such will appeal to anyone interested in the story of many women today.

Despite the wide array of services offered to students with learning disabilities, attention-deficit disorder, and a variety of comorbid conditions, large numbers of students are caught in the struggle of surviving school. Unfortunate school experiences may impact their sense of self and the degree of tenacity with which they pursue further training or challenging opportunities in the workplace. These are the people for whom educational therapy provides relief, enlightenment, and the coveted prize of success. The second edition of The Clinical Practice of Educational Therapy, the first textbook in its field, provides a comprehensive perspective of this interdisciplinary profession and practice, reaching out to a more global audience. The book describes the scope and practice of educational therapy from its European roots to its growing presence in the United States, providing readers with case studies and research that illustrate the work of educational therapists across the lifespan in diverse settings. Interdisciplinary Perspective - Other books focus on either educational or therapeutic interventions but rarely discuss the blend and synergy of disciplines (e.g., special education, neuropsychology, assessment, and social work) that are the hallmark of this unique profession. Illustrative Cases - The text draws heavily on case studies as a means of understanding the practice of educational therapy, especially the dynamic relationship that exists between therapist and client. Numerous charts and tables provide visuals for educational therapists as well as allied professionals, parents, and those with learning challenges. Expertise - The editors are both highly visible educational therapists. Chapter authors are either experienced educational therapists or allied professionals who have made scholarly contributions to the profession, such as Trisha Waters, Roslyn Arnold, and George McCloskey. In addition to benefiting educational therapists and students, this book is appropriate for professionals who work in related fields such as special education, regular education, school and educational psychology, neuropsychology, school counseling, psychology, speech and language pathology, art therapy, occupational therapy, and social work, as well as in medicine and psychiatry. NEW TO THE SECOND EDITION The second edition of The Clinical Practice of Educational Therapy: Learning & Functioning with Diversity has revised and updated the chapters from the first edition, and added three new chapters which further define and broaden this field by exploring diverse perspectives: Chapter 10, "Cultivating Character Development: Educational Therapy's Impact on Individuals, Families, Schools, Educational Policy, and Society" by Maxine Ficksman Chapter 12, "Women and Girls Who Are Disenfranchised: A Global and Interdisciplinary Approach to Educational Therapy" by Jane Utley Adelizzi Chapter 17, "Examining the Efficacy of Graduate Programs in Educational Therapy at California State University, Northridge (CSUN): Educational Therapy Intern, Graduate and Parent Perspectives" by Marcy Dann, Nancy Burstein, Tamarah Ashton, and Sue Sears. These additional chapters, supported by brain-based research, characterize the shifts and changes experienced in a range of settings. Through the treatment alliance, educational therapists address students' and clients' ability to experience a more comprehensive model of learning, dependent upon the psychological, social, emotional, cultural and academic environments. The three new chapters range in focus from formal research and graduate training in the field of educational therapy to students throughout the lifespan whose social and educational experiences require a careful eye to not only the academic task at hand but also to the ways in which they cope and adapt to a range of environments and challenges. Lastly, educational therapy's empathic foundation in practice is exemplified when we consider the global experience of students who strive to learn in situations and settings that threaten their survival and disenfranchisement from society.

Working with the Human Trafficking Survivor fills a void in existing literature by providing students, faculty, and professionals in applied, helping disciplines, with a comprehensive text about human trafficking with a focus on clinical issues. This book gives an overview of the medical care, options for psychological treatment, and beyond. Working with the Human Trafficking Survivor fills is a great resource for social work, counselling, and psychology courses on human trafficking or domestic violence.

It is often said that we live in a violent world. Traumatic injuries are commonplace; every hospital, large or small, sees scores of such patients daily. Appropriate diagnosis and management of the trauma patient are necessary not only to save lives but also to minimize the morbidity which follows injury. It is not surprising, therefore, that several books covering various aspects of trauma diagnosis and treatment are published annually. They are, however, seldom redundant because of the continuing rapid evolution of knowledge relating to the diagnosis and management of the traumatized patient. This volume, restricted to the consideration of thoracic trauma, represents a comprehensive and authoritative study of chest injury. Dr. Groskin is exceptionally well qualified to discuss his subject, being Board Certified in Internal Medicine, in Pulmonary Diseases, and in Diagnostic Radiology. He has practiced and taught in these disciplines in several prestigious institutions. The author has used his multidisciplinary background to develop a book which is unique among others of its kind. The reader will quickly appreciate that it is unusual in its correlation of clinical information with radiological diagnosis. Unlike any other book on traumatology with which I am familiar, this volume discusses extensively the mechanisms of injury which make both clinical and radiological findings easier to understand and to remember. It also presents a meticulous approach to the diagnosis of the many forms of thoracic trauma in which all clinical and radiological diagnostic modalities are thoughtfully integrated.

l. A. STURM In modern society, trauma remains the number one cause of death in people under 50 years, but, despite this, very little attention has been paid to trauma care compared with other diseases such as malignancy or myocardial infarction (Table 1). The efforts that have been made in medical care, however, have showed some success; for example although the frequency of traffic accidents in the Federal Republic of Germany has remained constant over the years, the number of deaths resulting from them has decreased (Fig. 1). The results of improvements in rescue systems, surgical techniques, and intensive care are evident, as shown by a review of the statistics of about 3000 multiple trauma patients treated in the last 15 years at the trauma de partment of Hannover Medical School which reflects the progress that has been made in medical care. After the problem posed by posttraumatic kidney failure had been solved in the 1960s and 1970s, the adult respiratory distress syndrome (ARDS) became the biggest problem in the 1970s and 1980s (Fig. 2). ARDS as a single entity disappeared in the literature in the early 1980s and was replaced by the so-called multiple organ failure (MOF) syndrome. Between 1985 and 1990 35% of the patients in our intensive care unit developed MOF, and 70% of them died. Overall MOF mortality has remained constant since 1985 at about 20% (Fig. 3)."

In medical writing brevity is the kiss of life. Nevertheless most articles are unnecessarily lengthy and publications continue to multiply. Pity the poor reader! A succession of unduly long articles is bad enough, but if each is followed by a plethora of references the effect is positively daunting. Even the reader who is impressed by the length of a list may question the author's discrimination. Were all those references needed? Were they helpful? Has the authorreally read every one? All too often we look in vain for evidence of selectivity. Here lies the strength of this book. The authors have combed the literature and culled it ruthlessly, selecting just a few hand-picked references on every important aspect of orthopaedic trauma. They have ranged widely but chosen narrowly, and with a sense of balance. And having selected, they have also distilled, adding a brief and thoughtful commentary on each group of entries. The four authors, of varying vintages, met at frequent intervals to discuss each section in tum and to debate the value of every inclusion. I can almost hear the cut and thrust as well-informed views were exchanged, and also the sighs of relief as differences were resolved. The authors compare their meetings with those of the Editorial Board of the IBIS; since these are a delightful mixture of conflict, entertainment and enlightenment, what a marvellous time they must have had.

Archetypal Grief: Slavery's Legacy of Intergenerational Child Loss is a powerful exploration of the intergenerational psychological effects of child loss as experienced by women held in slavery in the Americas and of its ongoing effects in contemporary society. It presents the concept of archetypal grief in African American women: cultural trauma so deeply wounding that it spans generations. Calling on Jungian psychology as well as neuroscience and attachment theory, Fanny Brewster explores the psychological lives of enslaved women using their own narratives and those of their descendants, and discusses the stories of mothering slaves with reference to their physical and emotional experiences. The broader context of slavery and the conditions leading to the development of archetypal grief are examined, with topics including the visibility/invisibility of the African female body, the archetype of the mother, stereotypes about black women, and the significance of rites of passage. The discussion is placed in the context of contemporary America and the economic, educational, spiritual and political legacy of slavery. Archetypal Grief will be an important work for academics and students of Jungian and post-Jungian studies, archetypal and depth psychology, archetypal studies, feminine psychology, women's studies, the history of slavery, African American history, African diaspora studies and sociology. It will also be of interest to analytical psychologists and Jungian psychotherapists in practice and in training.

Pregnancy loss can leave us with many unanswered questions, and knowing where to find answers is not always clear. This book is for you if, like me, you've been affected by any kind of pregnancy loss - currently or in the past. It provides practical advice and self-care strategies to help you cope during or after loss, alongside ideas that will enable you to make sense of what's happened - including understanding your feelings and choices; outlining what you can expect during and after your loss; ways to navigate physical and mental health care (if appropriate); and thinking about how to remember your baby. It's for charities, support groups, therapists, and healthcare professionals who want to provide support and care. We all react - and cope with loss - in different ways, and this book respects diverse needs when it comes to getting information and help. You don't have to feel like you are going through your loss alone. In this book you'll find reflection exercises, self-help resources, and stories and suggestions from other people about how they survived, which should leave you feeling more confident and better able to seek additional support if you need it.

Wisdom, Attachment, and Love in Trauma Therapy focuses on the creation of the therapist as healing presence rather than technique administrator-in other words, how to be rather than what to do. Trauma survivors need wise therapists who practice with the union of intellect, knowledge, and intuition. Through self-work, therapists can learn to embody healing qualities that foster an appropriate, corrective, and loving experience in treatment that transcends any technique. This book shows how Eastern wisdom teachings and Western psychotherapeutic modalities combine with modern theory to support a knowledgeable, compassionate, and wise therapist who is equipped to help even the most traumatized person heal.

This book introduces emotion focused family therapy (EFFT) as an evidence-based intervention for children through the integration of parent trauma treatment and emotion-focused techniques. A team of expert authors, including the founders of EFT and EFFT, contribute to the chapters, in which recent findings from longitudinal clinical trials are woven into a rich and deeply presented overview of using EFFT practically with clients. This immensely practical book also provides illustrative case studies, intervention strategies, and do's and don'ts at the end of each chapter.