Here is a disguised but tragically accurate account of a 7-year-old boy who was repeatedly victimized by two uncles who penetrated him, required him under threat of violence to act upon them, and forced him to have sexual contact with his sister for their entertainment. Before his ongoing abuse was discovered, the child made several serious suicide attempts. Verbatim accounts of the child's therapy are used to illustrate a new treatment approach for abused children, Synergistic Play Therapy, which follows the work of Haim Ginott and Heinz Werner. Much that is written about play therapy focuses on theoretical notions or intuitive, impressionistic judgment. Seldom does a work make clear the rationale by which play strategies and techniques are derived from underlying constructs. This book links theoretical reasoning with the specific dos and don'ts of clinical practice. The purpose, rationale, and impact for interventions are woven into session transcripts and related to the concepts upon which Synergistic Play Therapy is based. Topics covered include rapport building and the beginning of restoration of the child's trust in an adult male, therapeutic contact negotiation, the introduction of metaphor, indirect referencing of the trauma and the process building toward explicit emotional disclosure and metaphoric retribution, the restoration of self-esteem, 'emotional inoculation' against regression, and the emergence of a future-oriented perspective characterized by confidence and hopefulness. Therapists need a clearly defined and well-documented set of guidelines for the treatment of sexually abused children. Abused children become adult perpetrators in numbers disproportionate to the rest of the population, but this dire statistic holds true only for those victims who have not been effectively helped as children. This book offers a means to provide such treatment.
For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Urgent Care Secrets, a new volume in this bestselling series, features the Secrets' popular question-and-answer format that also includes lists, tables, and an easy-to-read style – making reference and review quick, easy, and enjoyable. - The proven Secrets® format gives you the most return for your time – concise, easy to read, engaging, and highly effective. - Provides an evidence-based approach to medical and traumatic complaints presenting to urgent care centers, focusing on presenting signs and symptoms, differential diagnosis, office management, and when to refer for higher level of care. - Covers the full range of essential topics for understanding today's practice of urgent care – essential information for physicians, nurse practitioners, and physician assistants. - Clear illustrations, figures, and flow diagrams expedite reference and review. - Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams.
Harwood-Nuss' Clinical Practice of Emergency Medicine presents a clinically focused and evidence-based summary of emergency medicine. Chapters are templated to include the clinical presentation, differential diagnosis, evaluation, management and disposition, with highlighted critical interventions and common pitfalls. Management and disposition are especially critical in the emergency department, and their emphasis is unique to Harwood-Nuss. Often, a diagnosis can not be made, given the constraints of an ED evaluation; thus, effecive management of the patient, with or without a confirmed diagnosis, is key. Also distinct to Harwood-Nuss is the High-Risk Chief Complaints section, which covers the key presentations in the ED: chest pain, abdominal pain, shortness of breath, altered mental status. When patients present in the ED, they don't present with a known diagnosis; this chapter walks the physician through possible differential diagnoses and the evaluation and management of these patients so that they can be stabilized and treated quickly and effectively.
Dost thou love life? Then do not squander time, for that's the stuff life is made oj': Benjamin Franklin This book describes the technical principles and applications of echo-planar imaging (EPI) which, as much as any other technique, has shaped the develop ment of modern magnetic resonance imaging (MRI). The principle of EPI, namely, the acquisition of multiple nuclear magnetic resonance echoes from a single spin excitation, has made it possible to shorten the previously time-con suming MRI data acquisition from minutes to much less than a second. Interest ingly, EPI is one of the oldest MRI techniques, conceived in 1976 by Sir Peter Mansfield only 4 years after the initial description of the principles of MRI. One of the inventors of MRI himself, Mansfield realized that fast data acquisition would be paramount in bringing medical applications of MRI to full fruition. The technological challenges in implementing EPI, however, were formidable. Until the end of the 1980s few people believed that EPI would be clinically useful, since its complexity was far greater than that of "conventional" MRI methods.
Here is a disguised but tragically accurate account of a 7-year-old boy who was repeatedly victimized by two uncles who penetrated him, required him under threat of violence to act upon them, and forced him to have sexual contact with his sister for their entertainment. Before his ongoing abuse was discovered, the child made several serious suicide attempts. Verbatim accounts of the child's therapy are used to illustrate a new treatment approach for abused children, Synergistic Play Therapy, which follows the work of Haim Ginott and Heinz Werner. Much that is written about play therapy focuses on theoretical notions or intuitive, impressionistic judgment. Seldom does a work make clear the rationale by which play strategies and techniques are derived from underlying constructs. This book links theoretical reasoning with the specific dos and don'ts of clinical practice. The purpose, rationale, and impact for interventions are woven into session transcripts and related to the concepts upon which Synergistic Play Therapy is based. Topics covered include rapport building and the beginning of restoration of the child's trust in an adult male, therapeutic contact negotiation, the introduction of metaphor, indirect referencing of the trauma and the process building toward explicit emotional disclosure and metaphoric retribution, the restoration of self-esteem, 'emotional inoculation' against regression, and the emergence of a future-oriented perspective characterized by confidence and hopefulness. Therapists need a clearly defined and well-documented set of guidelines for the treatment of sexually abused children. Abused children become adult perpetrators in numbers disproportionate to the rest of the population, but this dire statistic holds true only for those victims who have not been effectively helped as children. This book offers a means to provide such treatment.
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