Managing Managed Care is the first comprehensive exploration of the many issues and challenges faced by both providers and patients who work under the auspices of managed care insurers. The distinctive conditions of managed care treatment are scrutinized in detail and their effects and optimal management are carefully presented. The book makes extensive use of the author's unique, in-depth understanding of the human mind and pays attention to both the consciously mediated effects of the conditions of managed care treatment and to the especially powerful, largely unappreciated effects that are mediated unconsciously. The result is a well grounded, extensive, practical guide to dealing effectively with the inevitable intrusions into the therapeutic relationship and with other common issues that are characteristic of managed care therapy. The recommendations proposed by the author can turn a failing treatment experience into one that brings symptom relief to the patient and satisfaction to the therapist. While the author is critical of many practices endorsed by managed care insurers and in use by their providers, he takes pains to propose basic improvements in these areas. In addition, the positive features of this treatment modality are given full consideration, including ways to enhance their favorable effects. The book uniquely provides critical insights for therapists and psychiatrists of all backgrounds and all levels of clinical experience in ways that will greatly enhance their work with managed care patients.

Do your dreams seem to have as much in common with real life as a funhouse mirror? Don't be misled. Dreams contain extraordinarily reliable commentaries on the conflicts and events of everyday life. Properly interpreted, they not only illuminate your anxieties but actually show you how to alter the course of your life - and very much for the better. Dreams are so essential to our health and well-being that almost all of us create them in clusters four or five times every night. In this title, originally published in 1989, Dr Robert Langs, a psychoanalyst and dream researcher, goes far beyond standard interpretation in showing how your dreams tap the wisdom of the deep unconscious part of your mind. Through his unique and groundbreaking technique of trigger decoding, you will learn what your dreams are saying about your life, about the events you must deal with, about the problems you are trying to resolve. Dreams can be a kind of emotional camouflage, difficult and often uncomfortable to interpret. Trigger decoding not only exposes our emotional wounds, it also provides the balm for healing those wounds. In the proper decoding of dreams, there is revealed an intelligence, power, and beauty of mind that is unheard of in direct and conscious experience. Decoding Your Dreams opens a revolutionary new door to self-understanding and self-improvement.

With an expected population of 400 million by 2040, America is morphing into an economic system composed of twenty-three 'megapolitan' areas that will dominate the nation's economy by midcentury. These 'megapolitan' areas are networks of metropolitan areas sharing common economic, landscape, social, and cultural characteristics. The rise of 'megapolitan' areas will change how America plans. For instance, in an area comparable in size to France and the low countries of the Netherlands and Belgium - considered among the world's most densely settled - America's 'megapolitan' areas are already home to more than two and a half times as many people. Indeed, with only eighteen percent of the contiguous forty-eight states' land base, America's megapolitan areas are more densely settled than Europe as a whole or the United Kingdom. Megapolitan America goes into spectacular demographic, economic, and social detail in mapping the dramatic - and surprisingly optimistic - shifts ahead. It will be required reading for those interested in America's future.

Robert Langs has long been one of the most individual and controversial psychoanalytic theorists. In this book, he concentrates on one of the most prominent areas of his thought: his insistence upon adherence to strict rules for boundaries (or "frames") in psychotherapy and psychoanalysis.Starting from the statement that "Throughout the history of the universe, frames, contexts, rules, and boundaries have been vital aspects of the development and very existence of both physical structures and living organisms," Langs goes on to examine the profile of the issues of boundaries in psychoanalytic thought. He discusses Freud's technique papers on the subject, and goes on to elucidate his own approach, rooted in his thinking on evolutionary and adaptive processes which he has discussed in his previous work. Throughout the book, Langs gives both theoretical discussions and practical groundings of his ideas. As with his previous book, Doing Supervision and Being Supervised (1994), Robert Langs here brings his unique energy and viewpoint to bear on an important but little-examined topic.

This book has been written for a broad audience. It is addressed to anyone who is at all concerned with a scientific grounding for the art of psychotherapy and psychoanalysis, and for the understanding of the human mind and its outputs via emotionally charged communication. The book begins by establishing the need for a formal science of psychoanal

Do your dreams seem to have as much in common with real life as a funhouse mirror? Don't be misled. Dreams contain extraordinarily reliable commentaries on the conflicts and events of everyday life. Properly interpreted, they not only illuminate your anxieties but actually show you how to alter the course of your life - and very much for the better. Dreams are so essential to our health and well-being that almost all of us create them in clusters four or five times every night. In this title, originally published in 1989, Dr Robert Langs, a psychoanalyst and dream researcher, goes far beyond standard interpretation in showing how your dreams tap the wisdom of the deep unconscious part of your mind. Through his unique and groundbreaking technique of trigger decoding, you will learn what your dreams are saying about your life, about the events you must deal with, about the problems you are trying to resolve. Dreams can be a kind of emotional camouflage, difficult and often uncomfortable to interpret. Trigger decoding not only exposes our emotional wounds, it also provides the balm for healing those wounds. In the proper decoding of dreams, there is revealed an intelligence, power, and beauty of mind that is unheard of in direct and conscious experience. Decoding Your Dreams opens a revolutionary new door to self-understanding and self-improvement.

This clinical workbook stresses the details of sound clinical practice, invites the reader to engage in exercises related to these practices as he or she goes through the volume, and offers practice in techniques that are essential to sound psychotherapy.

This book draws upon analytically oriented settings for almost all our clinical observations. It provides an excellent introduction to the theory and technique of communicative psychoanalysis and links it with the growing field of evolutionary psychoanalysis.

Robert Langs argues that death anxiety is neglected - in part, because of treatment failures due to countertransference interferences during treatment. He then discusses the technical issues connected with this, whilst introducing the controversial concept that mental activities are derived from immune system activities.

There is always a lively interest in the supervisory process and its explication. Courses in supervision abound and the critical role of supervision in becoming a psychotherapist is widely acknowledged. It is for this reason that this book aims to present the essentials of supervision, establish validated principles of teaching and learning, define

The first in-depth psychoanalytic study of the Old and New Testaments, Beyond Yahweh and Jesus centers on God's role in enabling humans to cope with death and the anxieties it evokes. Yahweh is seen as tending to increase rather than diminish these death anxieties, while Christ offers near-perfect solutions to each type. Why, then, asks Dr. Langs, has Christ failed to bring peace to the world? Langs' answer is focused on what is, he argues, Western religion's lack of a deep understanding of human psychology i.e., an absence of the psychological wisdom needed to supplement the spiritual wisdom of religion. This is a void bemoaned as early as the mid-1800s by the Archbishop Temple and by Carl Jung in the early 20th century. The journey on which Langs' study embarks leads through an examination of the related topics of knowledge acquisition and divine wisdom; the failure of psychoanalysis to provide religion with the psychology it needs to fulfill its mission; and a set of propositions that are intended to bring psychological wisdom to religion and thereby to initiate the third chapter in the history of God, in which a refashioned morality and fresh divine wisdom play notable roles. Simultaneously, the book offers a foundation for secular forms of spirituality and morality, as well as for human efforts to cope with death and its incumbent anxieties. The mission of this book is a lofty but necessary one: to reinvigorate religion with new dimensions and insights so as to empower it, at long last, to help bring peace to the world, both individually and collectively."

In attempting to unify psychoanalytic and evolutionary theories, Langs offers a concise account of the most current versions of Darwinian and neo-Darwinian theory. He then develops the arguement that the emotion processing mind is an organ of adaptation that has evolved by natural selection.

This book provides an excellent introduction to the theory and technique of communicative psychoanalysis and links it with the growing field of evolutionary psychoanalysis. It provides a clear and stimulating account of some of the most recent developments of lang's highly original and contraversial work, which many practitioners continue to find deepy unsettling.

There is always a lively interest in the supervisory process and its explication. Courses in supervision abound and the critical role of supervision in becoming a psychotherapist is widely acknowledged. It is for this reason that this book aims to present the essentials of supervision, establish validated principles of teaching and learning, define a series of optimal supervisory precepts, consider some of the basic issues in this sometimes difficult arena, explore the supervisee's concerns as the student, and address the future of supervisory work.Supervision should be principled and properly framed, sufficiently consistent and well defined to assure the supervisee the best possible supervisory experience and the supervisor a situation with as little possibility of crisis and untoward reactions, and as much reward as possible. This book is dedicated to both teachers and students: to their growth, maturation and ultimately to better psychotherapy for their patients.

This book has been written for a broad audience. It is addressed to anyone who is at all concerned with a scientific grounding for the art of psychotherapy and psychoanalysis, and for the understanding of the human mind and its outputs via emotionally charged communication. The book begins by establishing the need for a formal science of psychoanalysis and then presents the distinctive features of the communicative approach that moved it towards the creation of that science.

Jacques Ninio addresses molecular biology from the evolutionist's viewpoint, reviewing major research areas such as acquisitive evolution; the comparison of protein structures in three dimensions; the stability of the genetic code; and prebiotic replication. Originally published in 1983. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

Dr Langs writes I have preseved the workbook format(of a previously published 3-volume set of workbooks)and have tried to select the most cogent clinical vignettes available in the original books to convey the essence of clinical(communicative)listening, formulating, intervening and validating.

Robert Langs argues that death anxiety is neglected - in part, because of treatment failures due to countertransference interferences during treatment. He then discusses the technical issues connected with this, whilst introducing the controversial concept that mental activities are derived from immune system activities.

This book presents some uncommon lines of clinical observation and thought that hopefully will shed new light on the work and thinking of the full range of helping professionals. It provides the insights and techniques that characterize the empowered form of psychotherapy.

Some of the leading scientists in the field of hypertension accepted an invi- tation to actively participate in an international symposium on primary hypertension. Scientists from 13 countries - from western, southern, and eastern Europe, Australia, and the United States - were present. The meeting was held in Cologne in March 1985. After previous meetings and workshops at Titisee in the Black Forest and several symposia on the renin- angiotensin-aldosterone system here in Cologne, this symposium on prima- ry hypertension was organized in order to induce and to stimulate critical discussion on the basic pathogenetic mechanisms involved and the recently established therapeutic implications. Numerous studies have been based on the concept that the elevation in blood pressure is mediated by several vasopressor substances. For this reason the renin-angiotensin system has been considered to be the essential endocrine mechanism involved in developing and sustaining arterial hyper- tension. Other vasopressor factors, such as catecholamines, vasopressin, and serotonin, have been studied extensively and were assumed to play additional parts in blood pressure regulation. However, several other ap- proaches have been initiated in recent years.

With an expected population of 400 million by 2040, America is morphing into an economic system composed of twenty-three 'megapolitan' areas that will dominate the nation's economy by midcentury. These 'megapolitan' areas are networks of metropolitan areas sharing common economic, landscape, social, and cultural characteristics.

This book is a psychoanalytic detective story that takes the reader back to the late 1890's and to the generally unappreciated, yet single most important, turning point in the history of psychoanalysis. The context is the death of Freud's father and the decision Freud made to abandon his first, reality-centered theory of the mind in favor of a theory focused on inner fantasies and needs. Marshalling a large body of evidence, Langs views this change of heart as a regressive paradigm shift driven by unconsciously influential archetypes that were, in turn, linked to a series of early-life traumas in Freud's life, possibly eight in all, several of them preceding Freud's birth and all but one outside of Freud's conscious awareness. The ramifications of these incidents placed Freud on a later-day precipice from which his fall into equivalents of homicide and suicide were at risk; Freud shifted focus to save his life Langs' detective work brings him to new insights into such matters as the psychological archetypes that affect the creation and modifications of paradigms, physical and mental; a new, utilitarian view of the design of the emotion-processing mind; recognition of the complex unconscious impact of reality and of death-related traumas on the human psyche and emotionally-charged choices; the vast superiority of Freud's first paradigm over his second theory of the mind; and the unconscious reasons, despite its many flaws, that Freud's second paradigm remains in favor to this very day. Freud saved his life by shifting course, but at the same time he created a theory that must be held partly accountable for the compromised forms of dynamic therapy and broad psychological harm that has followed in its wake. Using an updated version of Freud's first paradigm, Langs shows us a better way to live and work, as a psychotherapist or any other career.

This book presents some uncommon lines of clinical observation and thought that hopefully will shed new light on the work and thinking of the full range of helping professionals. It provides the insights and techniques that characterize the empowered form of psychotherapy.

Jacques Ninio addresses molecular biology from the evolutionist's viewpoint, reviewing major research areas such as acquisitive evolution; the comparison of protein structures in three dimensions; the stability of the genetic code; and prebiotic replication.

Originally published in 1983.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.