The troubling increase in treatment resistance in psychiatry has many culprits: the rise of biomedical psychiatry and corresponding sidelining of psychodynamic and psychosocial factors; the increased emphasis on treating the symptoms rather than the person; and a greater focus on the electronic medical record rather than the patient, all of which point to a breakdown in the person-centered prescriber-patient relationship. Psychodynamic Psychopharmacology illuminates a new path forward. It examines the psychological and interpersonal mechanisms of pharmacological treatment resistance, integrating research on evidence-based prescribing processes with psychodynamic insights and skills to enhance treatment outcomes for patients who are difficult to treat. The first part of the book explores the evidence base that guides how, rather than simply what, to prescribe. It describes precisely what psychodynamic psychopharmacology is and why its emphasis on combining the often-neglected psychosocial aspects of medication with biomedical considerations provides a more optimized approach to addressing treatment resistance. Part II delves into the psychodynamics that contribute to pharmacological treatment resistance, both when patients' ambivalence about their illness, the medication itself, or their prescriber manifests in nonadherence and when medications support a negative identity or are used as replacements for healthy capacities. Readers will gain basic skills for addressing the psychological and interpersonal dynamics that underpin both scenarios and will be better positioned to ameliorate interferences with the healthy use of medications. The final section of the book offers detailed technical recommendations for addressing pharmacological treatment resistance. It tackles issues that include countertransference-driven irrational prescribing; primitive dynamics, such as splitting and projective identification; and the overlap between psychopharmacological treatment resistance and the dynamics of treatment nonadherence and nonresponse in integrated and collaborative medical care settings. By putting the individual patient back at the center of the therapeutic equation, psychodynamic psychopharmacology, as outlined in this book, offers a model that moves beyond compliance and emphasizes instead the alliance between patient and prescriber. In doing so, it empowers patients to become more active contributors in their own recovery"--
This new book shows how international crises are dangerous episodes that can be destabilizing not only to the actors directly involved but also to the entire international system. Recognizing the primacy of crises as defining moments in international relations, scholars and policy makers alike are increasingly concerned with identifying mechanisms for crisis prevention, management and resolution. Mediating International Crises is the first comprehensive study into one such mechanism that has been used with increasing frequency in the 20th Century: mediation by a third party. This important research attempts to determine whether third party mediation is an effective means of alleviating or managing the turbulent and violent consequences of crises. The authors examine three approaches to mediation: facilitation communication between parties, formulating possible agreements and manipulating the parties through sanctions or rewards. They explore how these mediation approaches affect crisis outcomes through sanctions or rewards The book begins with a thorough discussion of the theoretical literature on mediation, with particular attention paid to the important distinction between crisis management and conflict resolution. The authors then provide empirical analyses of instances of mediation in 20th century international crises, which is supplemented with data derived from simulated negotiation settings with human subjects.
In its fully revised and updated second edition, Musculoskeletal Imaging covers every aspect of musculoskeletal radiology. This medical reference book incorporates the latest diagnostic modalities and interventional techniques, as well as must-read topics such as hip, groin and cartilage imaging; newly described impingements; and new concepts in the hip including teres ligament pathology. Accessibility in print, online and across portable devices makes Musculoskeletal Imaging a fully searchable and dependable source for both reading and reference. This publication is a key title in the popular Expert Radiology Series, which delivers evidence-based expert guidance from around the globe. "This is an excellent benchbook and accompanying electronic resource which will be of value to trainee radiologists and established consultants." Reviewed by: Dr Steve Amerasekara, Consultant Radiologist on behalf of journal RAD Magazine Date: July 2015 "This outstanding text is now an acclaimed primary resource and therefore belongs in the libraries and at the work stations of all general and orthopedic hospital departments of radiology and, indeed, at any and all imaging facilities involved in musculoskeletal imaging." Foreword by: Lee F. Rogers, June 2015 Fully understand each topic with a format that delivers essential background information. Streamline the decision-making process with integrated protocols, classic signs, and ACR guidelines, as well as a design that structures every chapter consistently to include pathophysiology, imaging techniques, imaging findings, differential diagnosis, and treatment options. Write the most comprehensive reports possible with help from boxes highlighting what the referring physician needs to know, as well as suggestions for treatment and future imaging studies. Access in-depth case studies, valuable appendices, and additional chapters covering all of the most important musculoskeletal procedures performed today. Quickly locate important information with a full-color design that includes color-coded tables and bulleted lists highlighting key concepts, as well as color artwork that lets you easily find critical anatomic views of diseases and injuries. Engage with more than 40 brand-new videos, including arthroscopic videos. Easily comprehend complicated material with over 5,000 images and new animations. Explore integrated clinical perspectives on the newest modalities such as PET-CT in cancer, diffusion MR, as well as ultrasonography, fusion imaging, multi-slice CT and nuclear medicine. Learn from team of international experts provides a variety of evidence-based guidance, including the pros and cons of each modality, to help you overcome difficult challenges. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
This issue discusses the diagnosis and treatment of major depressive disorder (MDD) and other depressive disorders, with an emphasis on the psychosocial aspects of depression: how it affects societies, how it is affected by culture, and what the true meaning of recovery is for those suffering from MDD. The issue is divided into three section: Etiology, Diagnosis and Treatment. Authors address the evidence where biology and subjectivity meet. They discuss what is adaptive and what is pathologic and discuss population-based solutions that take into account the specificity of the individual. Authors also take into account combination treatments of psychotherapy and pharmacotherapy and weigh the treatment choices against specific patient subtypes.
Each disease section includes: disease name, description of the clinical features of the disease, infectious agent, occurrence, disease reservoir, mode of transmission, incubation period, period of communicability, susceptibility and resistance, and methods of control.
This watershed study is the first to consider in concrete terms the consequences of Britain's abolition of the Atlantic slave trade. Why did Britain pull out of the slave trade just when it was becoming important for the world economy and the demand for labor around the world was high? Caught between the incentives offered by the world economy for continuing trade at full tilt and the ideological and political pressures from its domestic abolitionist movement, Britain chose to withdraw, believing, in part, that freed slaves would work for low pay which in turn would lead to greater and cheaper products. In a provocative new thesis, historian David Eltis here contends that this move did not bolster the British economy; rather, it vastly hindered economic expansion as the empire's control of the slave trade and its great reliance on slave labor had played a major role in its rise to world economic dominance. Thus, for sixty years after Britain pulled out, the slave economies of Africa and the Americas flourished and these powers became the dominant exporters in many markets formerly controlled by Britain. Addressing still-volatile issues arising from the clash between economic and ideological goals, this global study illustrates how British abolitionism changed the tide of economic and human history on three continents.
This book explores the construction of male sexuality in nineteenth-century American literature and comes up with some startling findings. Far from desiring heterosexual sex and wishing to bond with other men through fraternity, the male protagonists of classic American literature mainly want to be left alone. Greven makes the claim that American men, eschewing both marriage and male friendship, strive to remain emotionally and sexually inviolate. Examining the work of traditional authors - Hawthorne, Poe, Melville, Cooper, Irving, Stowe - Greven discovers highly untraditional and transgressive representations of desire and sexuality. Objects of desire from both women and other men, the inviolate males discussed in this study overturn established gendered and sexual categories, just as this study overturns archetypal assumptions about American manhood and American literature.
Introduction : the promise and predicament of crude oil -- Environment : a disastrous history of the hydrocarbon present -- Governing disaster -- Ethical oil -- Occupying the implication -- Petrochemical fallout -- Ecological mangrove -- Conclusion : negative ecologies and the discovery of the environment.
An innovative treatment approach with a strong empirical evidence base, brief cognitive-behavioral therapy for suicide prevention (BCBT) is presented in step-by-step detail in this authoritative manual. Leading treatment developers show how to establish a strong collaborative relationship with a suicidal patient, assess risk, and immediately work to establish safety. Proven interventions are described for building emotion regulation and crisis management skills and dismantling the patient's suicidal belief system. The book includes case examples, sample dialogues, and 17 reproducible handouts, forms, scripts, and other clinical tools. The large-size format facilitates photocopying; purchasers also get access to a webpage where they can download and print the reproducible materials.
The bombing of Pearl Harbor, the assassination of President Kennedy, the explosion of the space shuttle Challenger: every generation has unforgettable events, the shared memory of which can create fleeting intimacy among strangers. These public memories, combined with poignant personal moments--the first day of college, a baseball game with one's father, praise from a mentor--are the critical shaping events of individual lives. Although experimental memory studies have long been part of empirical psychology, and psychotherapy has focused on repressed or traumatizing memories, relatively little attention has been paid to the inspiring, touching, amusing, or revealing moments that highlight most lives. What makes something unforgettable? How do we learn to share the significance of memories? David Pillemer's research, brought together in this gracefully written book, extends the current study of narrative and specific memory. Drawing on a variety of evidence and methods--cognitive and developmental psychology, cross-cultural study, psychotherapy case studies, autobiographies and diaries--Pillemer elaborates on five themes: the function of memory; how children learn to construct and share personal memories; memory as a complex interactive system of image, emotion, and narrative; individual and group differences in memory function and performance; and how unique events linger in memory and influence lives. A provocative last chapter, full of striking examples, considers potential variations in memory across gender, culture, and personality. Momentous Events, Vivid Memories is itself a compelling and memorable book.
Whether you are a physician or surgeon with only occasional trauma duties, a resident rotating in trauma, or part of a full-time trauma team, this handbook will help keep your procedures and practices in line with the latest evidence-based guidelines. Included is current information for alternative airway management, ultrasound in the trauma setting, laparoscopic surgery in trauma, terrorism preparedness, damage control, the trauma systems quality improvement process, bedside procedures in the surgical intensive care unit, massive transfusion protocol, diagnosis of blunt cervical vascular injury, and much more. Presents an evidence- and experience-based guide to the evaluation and initial management of the trauma patient. Provides a comprehensive but concise trauma reference you can carry in your pocket. Consists of information direct from the residents on the frontlines at Parkland Memorial Hospital. Provides “Fast Facts and “Pearls and Pitfalls in each chapter that emphasize key points to help you find information quickly and easily. Incorporates “Evidence boxes highlighting evidence-based guidelines, when available, to help you make more rational judgments about the issues at hand. Contains up-to-date coverage of timely issues in trauma and critical care including damage control, ultrasound, bedside procedures in the ICU, and terrorism preparedness. Reflects the numerous advances made in trauma care since the last edition.
The Collaborative Assessment and Management of Suicidality (CAMS) approach has garnered a strong evidence base and has been implemented by therapists from a range of orientations in diverse clinical settings. This extensively revised manual provides a proven therapeutic framework for evaluating suicidal risk and developing and implementing a suicide-specific treatment plan that is respectful, empathic, and empowering. In addition to their clinical utility, the procedures used for assessment, treatment, and progress monitoring within CAMS can help reduce the risk of malpractice liability. In a large-size format for easy photocopying, the book includes all needed reproducible tools for implementing CAMS. Purchasers also get access to a webpage where they can download and print the reproducible materials"--
Traces the movement from mutualism to individualism in the context of American family life. Families survived or even flourished during colonization, Revolution, slavery, immigration and economic upheaval. In the past century, prosperity created a culture devoted to pleasure and individual fulfilment.
General Circulation Models (GCMs) are rapidly assuming widespread use as powerful tools for predicting global events on time scales of months to decades, such as the onset of EL Nino, monsoons, soil moisture saturation indices, global warming estimates, and even snowfall predictions. While GCMs have been praised for helping to foretell the current El Nino and its impact on droughts in Indonesia, its full power is only now being recognized by international scientists and governments who seek to link GCMs to help them estimate fish harvests, risk of floods, landslides, and even forest fires.Scientists in oceanography, hydrology, meteorology, and climatology and civil, ocean, and geological engineers perceive a need for a reference on GCM design. In this compilation of information by an internationally recognized group of experts, Professor Randall brings together the knowledge base of the forerunners in theoretical and applied frontiers of GCM development. General Circulation Model Development focuses on the past, present, and future design of numerical methods for general circulation modeling, as well as the physical parameterizations required for their proper implementation. Additional chapters on climate simulation and other applications provide illustrative examples of state-of-the-art GCM design.Key Features* Foreword by Norman Phillips* Authoritative overviews of current issues and ideas on global circulation modeling by leading experts* Retrospective and forward-looking chapters by Akio Arakawa of UCLA* Historical perspectives on the early years of general circulation modeling* Indispensable reference for researchers and graduate students
A single source of much of the information that doctors and other health care workers need in order to learn if a birth defect or genetic condition can be diagnosed prenatally." -- American Journal of Human Genetics
In the twenty-first century, mass media corporations are often seen as profit-hungry money machines. It was a different world in the early days of mass communication in America. Faith in Reading tells the remarkable story of the noncommercial religious origins of our modern media culture. In the early nineteenth century, a few visionary entrepreneurs decided the time was right to reach everyone in America through the medium of print. Though they were modern businessmen, their publishing enterprises were not commercial businesses but nonprofit societies committed to the publication of traditional religious texts. Drawing on organizational reports and archival sources, David Paul Nord shows how the managers of Bible and religious tract societies made themselves into large-scale manufacturers and distributors of print. These organizations believed it was possible to place the same printed message into the hands of every man, woman, and child in America. Employing modern printing technologies and business methods, they were remarkably successful, churning out millions of Bibles, tracts, religious books, and periodicals. They mounted massive campaigns to make books cheap and plentiful by turning them into modern, mass-produced consumer goods. Nord demonstrates how religious publishers learned to work against the flow of ordinary commerce. They believed that reading was too important to be left to the "market revolution," so they turned the market on its head, seeking to deliver their product to everyone, regardless of ability or even desire to buy. Wedding modern technology and national organization to a traditional faith in reading, these publishing societies imagined and then invented mass media in America.
In Guns and Suicide, Michael Anestis reframes our perspective on gun violence by shifting the focus to suicide. Guns play a uniquely profound role in American suicide, and Anestis explains how they have this effect--not by making otherwise non-suicidal people want to die, but by facilitating suicide attempts among suicidal individuals.
Does David Still Play Before You? explores the ways that contemporary Israeli poets have made use of images from the Bible in their poetry. Does David Still Play Before You? explores the ways that contemporary Israeli poets have made use of images from the Bible in their poetry. Through close readings of fifty poems, featured in their original Hebrew and in English translation, David Jacobson studies how Israeli poets respond to and incorporate the Bible in their work and reflect on the presence of the Bible in contemporary Israeli culture. The book provides a stunning collection of powerful and moving voices. Jacobson organizes the works according to subjects that recur with great frequency in Israeli poetry based on the Bible: the Arab-Israel conflict, responses to the Holocaust, relations between men and women, and modern challenges to traditional religious faith. Jacobson's literary analysis is informed by an astute awareness of the role of the Bible in Israeli culture. This volume is the first comprehensive study of the use of the Bible by Israeli poets, a phenomenon that is central to the development of Israeli poetry.
Latin American Politics, Second Edition is a thematic introduction to the political systems of all 20 Latin American countries. The approach is self-consciously comparative and encourages students to develop stronger comparative analysis skills through such topics as history, violence, democracy, and political economy. Fully updated and revised, this second edition also includes a new chapter on parties, elections, and movements. Each chapter is now framed by a prologue and an epilogue to engage students and provide more country-specific content.
Who was Tertullian, and what can we know about him? This work explores his social identities, focusing on his North African milieu. Theories from the discipline of social/cultural anthropology, including kinship, class and ethnicity, are accommodated and applied to selections of Tertullian’s writings. In light of postcolonial concerns, this study utilizes the categories of Roman colonizers, indigenous Africans and new elites. The third category, new elites, is actually intended to destabilize the other two, denying any “essential” Roman or African identity. Thereafter, samples from Tertullian’s writings serve to illustrate comparisons of his own identities and the identities of his rhetorical opponents. The overall study finds Tertullian’s identities to be manifold, complex and discursive. Additionally, his writings are understood to reflect antagonism toward Romans, including Christian Romans (which is significant for his so-called Montanism), and Romanized Africans. While Tertullian accommodates much from Graeco-Roman literature, laws and customs, he nevertheless retains a strongly stated non-Roman-ness and an African-ity, which is highlighted in the present monograph.
This is the story of James, John, and Hamilton Armstrong, three sons of a yeoman farmer living on the Pennsylvania frontier at the outset of the American Revolution. James and John joined the Continental Army in 1776, rose from the ranks to become officers, and served until the army was disbanded in 1783. Hamilton remained home to work the farm, protect the family, and serve in militia and “ranger” units to defend the frontier from repeated attacks from hostile Indian tribes. Their combined wartime experiences encompassed almost the totality of the American Revolution, from Canada in the north to South Carolina in the south and along the western frontier. James and John fought in most of the major battles of the revolution, including Princeton, Brandywine, Germantown, Monmouth, Guilford Courthouse, Eutaw Springs, and Yorktown, where they distinguished themselves in the eyes of generals like the Marquis de Lafayette, Mad Anthony Wayne, Light- Horse Harry Lee, Nathanael Greene, and George Washington.
Explore the town of Arkham, setting for the beloved Arkham Horror series of tabletop games, in this comprehensive, full-color, hardcover guide to its people, places and strange goings on… Witness Arkham like you’re walking its streets, peering into its shadows… It is the height of the Roaring Twenties. Flappers and young fellas dance the Charleston at raucous jazz clubs gleaming bright with electric lights. Beneath this gilded glamour, bloody turf wars rage, funded by gangsters and crooked cops who frequent rival speakeasies and gambling dens. Amid these changing times, old New England towns hold their secrets close. Off the Aylesbury pike, in reclusive Dunwich, rolling hills hide decrepit farms and witch-haunted hollows. Past Cape Ann, the remote fishing village of Innsmouth rots from within. At the mouth of the Miskatonic River, mist-shrouded Kingsport lies dreaming. All the while, historic Arkham broods on the upper banks of the Miskatonic, its famed university delving into the world’s darkest, most ancient mysteries. Welcome to Arkham invites you to venture deeper than ever before into this legend-haunted city, inspired by H.P. Lovecraft’s Cthulhu mythos and made famous by the Arkham Horror series of tabletop games. Welcome to Arkham is a complete guide to the city of Arkham and the neighboring towns of Dunwich, Innsmouth and Kingsport, detailing 115 fabled locations and featuring more than 500 illustrations. Walk the streets of Arkham, ride the Essex County Express, hitch a ride to Innsmouth (and pray you can find a way out), or take a ferry down the Miskatonic River, and read between the lines to discover what other mysteries lurk deeper still in the pages of this tattered old book… The definitive guide to the world of Arkham Horror.
Dr. Rosenbaum leads a team of 34 oncology specialists and medical contributors--some of whom are both doctors and survivors themselves--in creating a guide specifically geared for cancer survivorship with information thats geared to managing the lingering effects of cancer treatment.
Science museums are in the business of making science accessible to the public--a public constantly bombarded with new information and research results. How the public understands this information will affect what they expect and take away from a museum's exhibits and programs. Creating Connections looks at the public understanding of research (PUR) and how it affects what science museums do. What are the opportunities and critical issues in PUR? What strategies are working and what are some pitfalls? What can be learned from the media's experiences with PUR? Creating Connections will be an invaluable resource for science museum professionals who want to guide their institutions and their visitors toward a new understanding of and appreciation for current research.
With major retailers closing brick-and-mortar stores every month and the continued shift to online shopping, there is a major push to strengthen customer loyalty by improving the customer experience. The two most important qualities that consumers look for are convenience and efficiency. Finally a source is available that will give retailers and companies in general the insight needed to enhance customer satisfaction while improving the overall shopping experience. This book uses the world-leading findings from the American Customer Satisfaction Index (ACSI) and its accompanying Global Customer Satisfaction Index (GCSI) – invaluable, incomparable sources of consumer insights and information, to inform best practices for improving the consumer experience, better satisfying customers, and achieving profitable customer loyalty today and into the rapidly changing future. This book will help us understand where we were, where we are today, and where we are heading tomorrow in providing exceptional customer experiences. It is a must-read for marketing professionals and customer-focused senior executives alike.
All forms of psychotherapy deal with the limitations of our awareness. This book offers a comprehensive overview of the ways in which these discourses employ a rich variety of concepts to address the limits of our everyday consciousness.
With thirty revised and updated chapters the new edition of this classic text brings benefits to professors and students alike who will find new sections on many topics concerning modern food microbiology. This authoritative book builds on the trusted and established sections on food preservation by modified atmosphere, high pressure and pulsed electric field processing. It further covers food-borne pathogens, food regulations, fresh-cut produce, new food products, and risk assessment and analysis. In-depth references, appendixes, illustrations, index and thorough updating of taxonomies make this an essential for every food scientist.
First published in 1989. In an aging society, however, the challenge broadens to include health care and social support at home and in the community. The major premise of this book is that cost-conscious community care and self-care will become increasingly important as the era of cost containment intensifies.
This book represents the final work of the late Professor C. David Marsden, who was the most influential figure in the field of movement disorders, in terms of his contributions to both research and clinical practice, in the modern era. It was conceived and written by David Marsden and his colleague at the Institute of Neurology, Prof. Ivan Donaldson. It was their intention that this would be the most comprehensive book on movement disorders and also that it would serve as the 'clinical Bible' for the management of these conditions. It provides a masterly survey of the entire topic, which has been made possible only by vast laboratory and bedside experience. Marsden's Book of Movement Disorders covers the full breadth of movement disorders, from the underlying anatomy and understanding of basal ganglia function to the diagnosis and management of specific movement disorders, including the more common conditions such as Parkinson's Disease through to rare, and very rare conditions such as Niemann-Pick disease. Chapters follow a structured format with historical overviews, definitions, clinical features, differential diagnosis, investigations and treatment covered in a structured way. It is extensively illustrated with many original photographs and diagrams of historical significance. Among these illustrations are still images of some original film clips of some of Dr. Marsden's patients published here for the first time. Comprehensively referenced and updated by experts from the Institute of Neurology at Queen Square, this book is a valuable reference for, not just movement disorder specialists and researchers, but also for clinicians who care for patients with movement disorders.
The new edition of this classic textbook has now been extensively revised by a team of five authors, yet it follows the tradition of the original single-authored book. It continues to provide a comprehensive review of the cognitive, emotional and behavioural consequences of cerebral disorders and their manifestations in clinical practice. Enabling clinicians to formulate incisive diagnoses and appropriate treatment strategies.
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