In the late 1960s, the World Health Organization initiated a series of international studies of the incidence, characteristics, course, and consequences of schizophrenia. Those studies - the largest ever in the history of psychiatry - provided important data about the disorder in groups of patients living in different countries and cultures, and first focused attention on the differences in short-term prognosis for schizophrenia between the third world and industrialized countries. In the 1990s, the International Study of Schizophrenia (ISoS) set out to relocate those subjects and to determine their clinical and social status some 15 to 25 years later.
Recovery from Schizophrenia is a comprehensive account of what ISoS found, reporting follow-up results for over 1000 subjects examined in the earlier WHO studies (and in several local studies as well). The body of this volume consists of detailed descriptions of the long-term course and outcome of schizophrenia, together with portraits of the field research sites in 14 countries. Introductory and synoptic chapters lay out the origin and design of the WHO studies culminating in ISoS, and synthesize the study's main findings. ISoS shows that, with appropriate treatment, schizophrenia has a favorable outcome for a substantial portion of those afflicted. The surprising finding of the short-term follow-up studies - that outcome was better in the developing than in the developed countries - is confirmed here for long-term course. Yet while prognosis continues to favor subjects in developing countries, the varied outcomes for those in developed nations still offers ample reason for hope.
This book is the first of its kind. The massivemultinational investigations upon which it is based are unique in psychiatry and cross-cultural epidemiology. Recovery from Schizophrenia will be a valuable resource for researchers, epidemiologists, policymakers, and mental health professionals worldwide, providing evidence that supports investment in the care of persons with schizophrenia.

The architects of the sexual revolution won over the popular imagination because they knew the power of story. They drew together radical new ideologies, often complex and hard to grasp, and melded them into the simpler structure of narrative. Crucially, they cast narratives that appealed to the moral instincts of ordinary, decent people. This moral vision overwhelmed the church and silenced its faltering apologists. The author argues that if Christians still believe they have have good news in the sphere of sexual ethics, then two big tasks lie ahead. Our first priority is to work out what has gone so badly wrong, both in our understanding and application of what the Bible teaches and the way we have presented our case to the non-churched. And then we must offer a better story, one that fires the imagination with such force that people will say, 'I want that to be true.' This book offers a confident, biblically rooted moral vision which needs to be shared with prayer and courage.

The first edition of this highly acclaimed publication received a Shingo Research and Professional Publication Prize in 2009. Explaining how to create and sustain a Lean business, it followed Cogent Power's first two Lean Roadmaps along their journey. Since then, much has changed. Several members of Cogent Power's senior management have moved on, steel prices have declined, and the credit crisis has sparked an unstable global economy. Set against these developments, Staying Lean: Thriving, Not Just Surviving, Second Edition reports on Cogent Power's response to these issues detailing how they worked through their third Lean Roadmap. It also: Guides readers with readily reproducible advice and an easy-to-follow model for sustaining Lean improvements Presents a case study of a successful multinational Lean implementation Covers a six-year Lean transformation from start to finish, illustrating the application of three distinct roadmaps Focusing on how to sustain change, the new edition of this bestselling reference, illustrates the experience of a multi-national company that successfully implemented Lean in its manufacturing and commercial operations. Based on a model of sustainable change, the text defines by example the elements of successful Lean management that are often difficult to emulate as well as the more visible features of process management.

The first edition of this highly acclaimed publication received a Shingo Research and Professional Publication Prize in 2009. Explaining how to create and sustain a Lean business, it followed Cogent Power's first two Lean Roadmaps along their journey. Since then, much has changed. Several members of Cogent Power's senior management have moved on, steel prices have declined, and the credit crisis has sparked an unstable global economy. Set against these developments, Staying Lean: Thriving, Not Just Surviving, Second Edition reports on Cogent Power's response to these issues -- detailing how they worked through their third Lean Roadmap. It also: * Guides readers with readily reproducible advice and an easy-to-follow model for sustaining Lean improvements * Presents a case study of a successful multinational Lean implementation * Covers a six-year Lean transformation from start to finish, illustrating the application of three distinct roadmaps Focusing on how to sustain change, the new edition of this bestselling reference, illustrates the experience of a multi-national company that successfully implemented Lean in its manufacturing and commercial operations. Based on a model of sustainable change, the text defines by example the elements of successful Lean management that are often difficult to emulate as well as the more visible features of process management.

Over the last 20 years, Examination Notes in Psychiatry has become one of the leading texts for trainee psychiatrists. The 4th edition maintains the core of valuable information that is required by any would-be psychiatrist, but has been completely revised and updated. Assessment and diagnosis form the foundation to each section, but are now enhanced by the inclusion of treatment algorithms and evidence based medicine. Changes to the nomenclature have been made to reflect current practice. The fully revised reading lists lead the reader to the latest papers and publications, and a glossary of relevant websites will provide even further resources - whether during the revision process, or for the professional requiring a rapid reference between consultations. The sheer volume of essential information, provided in a structured, focused format, makes Examination Notes in Psychiatry 4e essential reading for trainees, psychiatrists, and mental health professionals alike.

After decades of trying to feel good about ourselves, why do we still hunger for meaning and significance? Glynn Harrison argues that self-esteem ideology has led us down a psychological cul-de-sac that risks causing more harm than good, and today's culture of narcissism and entitlement is the pay-off. Healthy psychological development and fulfilment come from seeing the self as part of something bigger. To achieve the sense of significance that we long for, we need a worldview capable of generating meaning and purpose. The Christian gospel calls us beyond the goal of self-esteem, encouraging us to stop judging ourselves, embrace our identity in God's big story and look outwards to the pursuit of his glory. This is the only sure foundation for biblically based optimism, confidence and personal resilience. 'An important and timely book.' Christopher Ash