Pippa Vosper tragically lost her son Axel in 2017, when she was five months pregnant, and has since written about miscarriage and baby loss online and in a series of pieces for Vogue. Beyond Grief: Navigating the Journey of Pregnancy and Baby Loss is the book she wishes had been available when her son died. It covers every aspect of pregnancy and baby loss at any stage, from the practical to the emotional, with advice from experts and stories from women who have experienced losses of their own. Beyond Grief offers both an inclusive perspective and a guiding hand to anyone who has experienced any kind of baby loss, as well as those who are trying to support them through it.

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.

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.

This book shows new and experienced therapists how to use meaningful therapeutic material in art, stories and play to facilitate shifts in outlook and behavior. Using a wide variety of case studies, Dr. Pernicano lays out a framework for problem clarification, conceptualization, trauma-informed intervention, and positive therapeutic outcome with clients across the lifespan. Case examples include working with clients suffering from dissociation, depression, anxiety, mood dysregulation, adjustment to life change, grief and loss, and/or panic attacks. Replete with client-generated illustrations as well as practical tips and strategies, Using, Art, Stories, and Play in Trauma-Informed Treatment teaches therapists how to think conceptually, plan systemically and intervene flexibly to improve treatment outcomes for diverse clients.

The definitive new guide on healing trauma and taming our triggers, by Harvard-trained-Psychiatrist and pioneer of mind-body medicine, Doctor James Gordon. Trauma comes to all of us, through grief or from a painful experience; even if our symptoms do not reach that of Post-Traumatic Stress Disorder, the consequences can be devastating. The good news is that there are self-care tools to help us face the storm, heal our traumas and become healthier and more whole than ever before because of them. In Transforming Trauma, Doctor Gordon equips readers with the first evidence-based program to reverse the effects of trauma on our bodies and minds that he has used to support thousands of people across the world who have suffered - from Syrian refugees and 9/11 survivors to everyday people with emotional or physical illness. Doctor Gordon believes that any challenge can be overcome once you have the right techniques - he will show us how to recognise our triggers step-by-step - those words, actions, perceptions that in some way resemble a past trauma - and let them become our teachers, so we can finally realise that that is then and this is now and in turn, open the door for freedom from our past and a fresh route for hope, purpose and love. 'This is the book on trauma treatment I've been waiting for' - Dr Andrew Weil, New York Times bestselling author + Professor of Medicine 'This book could give you back your life in unimaginable ways, it will inspire you to say 'yes' to the seemingly inconceivable and impossible' - Jon Kabat-Zinn

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."

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.

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.

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.

Traumatic brain injury (TBI) is a leading cause of death and disability in children and adolescents around the world and represents a global public health issue. Major improvements in the medical treatment of the initial injury have increased survival rates resulting in the focus shifting to consider the subsequent and longer-term cognitive, emotional and behavioral consequences for the recovering child or adolescent. These disabilities, if left untreated, continue into adulthood with consequent economic and societal costs. This book reviews the research into the consequences of TBI emphasizing the translation of new understanding into effective treatments and interventions, and identifying promising areas for further study. This will be essential reading for neuropsychologists, neurologists, psychiatrists, clinical psychologists and pediatricians.

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.

Trauma in the Creative and Embodied Therapies is a cross-professional book looking at current approaches to working therapeutically and socially with trauma in a creative and embodied way. The book pays attention to different kinds of trauma - environmental, sociopolitical, early relational, abuse in its many forms, and the trauma of illness - with contributions from international experts, drawn from the fields of the arts therapies, the embodied psychotherapies, as well as nature-based therapy and Playback Theatre. The book is divided into three sections: the first section takes into consideration the wider sociopolitical perspective of trauma and the power of community engagement. In the second section, there are numerous clinical approaches to working with trauma, whether with individuals or groups, highlighting the importance of creative and embodied approaches. In the third section, the focus shifts from client work to the impact of trauma on the practitioner, team, and supervisor, and the importance of creative self-care and reflection in managing this challenging field. This book will be useful for all those working in the field of trauma, whether as clinicians, artists, or social workers.

Trauma, Guilt and Reparation identifies the emotional barriers faced by people who have experienced severe trauma, as well as the emergence of reparative processes which pave the way from impasse to development. The book explores the issue of trauma with particular reference to issues of reparation and guilt. Referencing the original work of Klein and others, it examines how feelings of persistent guilt work to foil attempts at reparation, locking trauma deep within the psyche. It provides a theoretical understanding of the interplay between feelings of neediness with those of fear, wrath, shame and guilt, and offers a route for patients to experience the mourning and forgiveness necessary to come to terms with their own trauma. The book includes a Foreword by John Steiner. Illustrated by clinical examples throughout, it is written by an author whose empathy and experience make him an expert in the field. The book will be of great interest to psychotherapists, social workers and any professional working with traumatized individuals.

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)."

Transgenerational Trauma and Therapy presents the transgenerational, psychological impacts of trauma, and the clinical work on it. The book's expansive insight explores the psychology of the massive, collective trauma, and provides new ways of understanding the serious after-effects of man-made suffering. In this book, Bako and Zana employ their original concept, "the transgenerational atmosphere", to fully comprehend many familiar phenomena in a new theoretical framework, exploring the psychological impact of trauma on the first generation, the mode of transmission, the effects on future generations, and therapeutic considerations. Crucially, Transgenerational Trauma and Therapy explores the psychological effects of collective, societal traumas on whole groups of individuals. Beginning with the direct, deep psychological effects of individual trauma, and then exploring the impact of collective trauma over generations , it deals particularly with the role of the social environment in the processing of trauma, as well as its hereditary transmission. Rich in clinical material and methodological suggestions, Transgenerational Trauma and Therapy will appeal to mental health professionals, including psychiatrists, psychologists, psychoanalysts, and social workers, in addition to professors in other academic disciplines, such as sociology, history, philosophy, and anthropology.

Through specific and rigorous analysis of contemporary literary texts, this book shows how writers from inside affected communities portray indigeneity, displacement, and trauma. In a world of increasing global inequality, this study aims to demonstrate how literature, and the study of it, can effect positive social change, notably in the face of global environmental, economic, and social injustice. This collection brings together a diverse and compelling array of voices from academics leading their fields around the world, to pioneer a new approach to literary analysis anchored in engagement with our changing world.

Who are you, when you come from two places? Ennatu Domingo was adopted from Ethiopia at the age of seven and transplanted to Barcelona where she learned to flourish. But she never forgot her nomadic childhood in the mountains and meadows of Gondar, near the northern border with Eritrea. Having witnessed the hardships of Ethiopian rural women at an early age, she was inspired to study the patriarchal structures that underpinned her individual experiences, both in Europe and in contemporary Ethiopia. She has lived in Kenya, Belgium and the UK, and has travelled across five continents, but keeps returning to the country of her childhood, to re-construct a lost identity guided by the echo of her first language Amharic and the weight of a rich cultural heritage. Torn between forgetting and remembering, Ennatu explores the dilemma of international adoptees and migrant children and their quest for belonging in a book destined to be a classic of its genre.

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.

Dismal spending on government health services is often considered a necessary consequence of a low per-capita GDP, but are poor patients in poor countries really fated to be denied the fruits of modern medicine? In many countries, officials speak of proper health care as a luxury, and convincing politicians to ensure citizens have access to quality health services is a constant struggle. Yet, in many of the poorest nations, health care has long received a tiny share of public spending. Colonial and postcolonial governments alike have used political, rhetorical, and even martial campaigns to rebuff demands by patients and health professionals for improved medical provision, even when more funds were available. No More to Spend challenges the inevitability of inadequate social services in twentieth-century Africa, focusing on the political history of Malawi. Using the stories of doctors, patients, and political leaders, Luke Messac demonstrates how both colonial and postcolonial administrations in this nation used claims of scarcity to justify the poor state of health care. During periods of burgeoning global discourse on welfare and social protection, forestalling improvements in health care required varied forms of rationalization and denial. Calls for better medical care compelled governments, like that of Malawi, to either increase public health spending or offer reasons for their inaction. Because medical care is still sparse in many regions in Africa, the recurring tactics for prolonged neglect have important implications for global health today.

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.

A compelling true story of one woman's battle with the aftermath of childhood trauma, which gives a gripping account of the often controversial and misunderstood condition of dissociative identity disorder (DID), formerly known as multiple personality disorder (MPD). This emotional but ultimately uplifting journey details the unforeseen twists and turns of the effects of therapy and how it can help in coming to terms with the past and its unsettling echoes in the present. Heartwarming and lucid, it's an inspiring tale for all to read. Through its clinical rigour, professional therapists will also gain insight into the various treatment options for DID, including the innovative use of energy therapy. The book contains 32 colour illustrations, including 24 drawings by The Girls. The star of this book is an extraordinary, bright-spirited, and entertaining six-year-old girl, called Little Vivvi, who experienced shocking abuse from members of her family. Yet Little Vivvi lives within Vivian, a middle-aged woman who has struggled with DID for many years. The challenging process of psychotherapy is laid bare, as Little Vivvi wrestles with overwhelming memories of childhood abuse. Alongside talking therapy, energy treatment, which she calls Wooshing, is utilised to astonishing effect, becoming the enigmatic ingredient that finally enables Little Vivvi to find relief from the distress and fear that had dominated her existence. As therapy seems to draw to a close, Izzy appears. A very sensitive, thoughtful and mature eight-year-old, Izzy too needs love, support and treatment to speak about her trauma. After overcoming her understandable distrust, Izzy enables an exceptional ending to the therapeutic journey, far beyond anything Vivian and her therapist, Gill, could have dreamed. Little Vivvi and Izzy will make you want to laugh out loud as well as cry. Their story teaches so much about suffering, dissociation and survival. Their aim is to enlighten, inspire and offer hope to others through reading their incredible tales, which reveal the astonishing power of The Girls within.

*Authoritative work on helping adults heal, edited by a renowned expert. *Research is growing for the use of expressive arts to access and regulate powerful emotions and support recovery. *Practical features include case examples and suggestions for tailoring therapies to individual needs. *Covers a broad range of approaches--art, music, movement, writing, play, and more.

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.

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.