Just looking at Katie Roskova, you'd think she had it all: she was pretty, popular, an A-student at an exclusive private school, and on her way to becoming a champion figure skater. But there was another Katie, the one she hid from the world, who was having trouble dealing with the mounting pressures of her young life. And it was this Katie who, with no other means of expression available to her, reacted to her overbearing mother, her absent father, her unforgiving schedule, and her oblivious classmates by turning her self-doubt into self-hatred. And into self-mutilation. In his previous novel, The Best Little Girl in the World, Steven Levenkron brought insight, expertise, and sensitivity to the painful subject of anorexia nervosa. Now he applies these same talents to demystifying a condition that is just as heartbreaking, and becoming more common everyday. Through his depiction of Katie's self-mutilating behavior, she is called "a cutter" by her peers, and her triumphant road to recovery, he offers a compelling profile of a young girl in trouble, and much-needed hope to the growing numbers who suffer from this shocking syndrome.
Just looking at Katie Roskova, you'd think she had it all: she was pretty, popular, an A-student at an exclusive private school, and on her way to becoming a champion figure skater. But there was another Katie, the one she hid from the world, who was having trouble dealing with the mounting pressures of her young life. And it was this Katie who, with no other means of expression available to her, reacted to her overbearing mother, her absent father, her unforgiving schedule, and her oblivious classmates by turning her self-doubt into self-hatred. And into self-mutilation. In his previous novel, The Best Little Girl in the World, Steven Levenkron brought insight, expertise, and sensitivity to the painful subject of anorexia nervosa. Now he applies these same talents to demystifying a condition that is just as heartbreaking, and becoming more common everyday. Through his depiction of Katie's self-mutilating behavior, she is called "a cutter" by her peers, and her triumphant road to recovery, he offers a compelling profile of a young girl in trouble, and much-needed hope to the growing numbers who suffer from this shocking syndrome.
A seminal work on treating self-mutilation, revised and updated with illuminating case studies and newly available resources. Nearly a decade ago, Cutting boldly addressed a traumatic psychological disorder now affecting as many as two million Americans and one in fifty adolescents. More than that, it revealed self-mutilation as a comprehensible, treatable disorder, no longer to be evaded by the public and neglected by professionals. Using copious examples from his practice, Steven Levenkron traces the factors that predispose a personality to self-mutilation: genetics, family experience, childhood trauma, and parental behavior. Written for sufferers, parents, friends, and therapists, Cutting explains why the disorder manifests in self-harming behaviors and describes how patients can be helped.
Tracing the origins and causes of this disease, the author shows how an innocent desire to lose a few pounds can manifest in life-threatening symptoms, discussing the social and physiological forces that shape the illness.
Running fifteen miles a day without being in training . . . taking two-hour showers and constantly changing clothes . . . working twelve hours a day, six days a week . . . these are obsessive-compulsive disorders. Now a world-renowned psychotherapist explains what they are, how they come about, and what can be done about them.
This book provides a well-researched biblical and scientific overview of abuse. A broad overview, it deals with the various types of abuse, the various effects of abuse, and the means of healing. Abuse can be sexual, physical, neglect, spiritual, and verbal. The chief arguments pursued throughout the book are: (1) abuse is far more rampant than most Christians realize, but due to human depravity and satanic influence, widespread abuse is predicable. (2) All types of abuse create profound, long-term soul damage due to the way abuse perverts various aspects of the image of God. (3) God is the healing redeemer. Human salvation came through horrible physical abuse. (4) Healing must take place in the context of relationships. Humans are deeply impacted by others due to being made in the image of God. Just as surely as abusive relationships have tremendous power to wound the soul, so healthy relationships have tremendous power to nurture and heal the soul. Questions answered in the book include: How can a genuine believer abuse a child? Why would someone abuse a child? How can parents and children's workers identify abusers? How can abuse victims heal? What does genuine healing look like? Is anger appropriate or hurtful for abuse victims? Where does forgiveness fit in? This second edition has been updated to reflect research conducted and published in the past 15 years on abuse and trauma. It accounts for the significant social changes and increased mental health struggles in our culture, including dramatic escalation in rates of depression, anxiety, suicide, and isolation, which exacerbate the effects of abuse and complicate the healing process. Based on their now-extensive trauma care experience, this new edition helps readers how to minister to new domestic and global victims such as sex trafficking survivors, foster children, refugees, and survivors of genocide. Examples and illustrations are updated with more recent ones from high-profile abuse cases and the aftermath of the #MeToo movement. The appendixes include lists of helpful resources for child protection policies, worker/parent child abuse education, warning signs of potential abusers, and general abuse resources (books, internet sites, and organizations) to equip ministry leaders are provided in appendices. Illustrations, case studies, and art therapy drawings.
Designed to help medical educators implement better assessment methods, tools, and models directly into training programs, Practical Guide to the Evaluation of Clinical Competence, 2nd Edition, by Drs. Eric S. Holmboe, Steven J. Durning, and Richard E. Hawkins, is a hands-on, authoritative guide to outcomes-based assessment in clinical education. National and international experts present an organized, multifaceted approach and a diverse combination of methods to help you perform effective assessments. This thoroughly revised edition is a valuable resource for developing, implementing, and sustaining effective systems for evaluating clinical competence in medical school, residency, and fellowship programs. - Each chapter provides practical suggestions and assessment models that can be implemented directly into training programs, tools that can be used to measure clinical performance, overviews of key educational theories, and strengths and weaknesses of every method. - Guidelines that apply across the medical education spectrum allow you to implement the book's methods in any educational situation. - New chapters on high-quality assessment of clinical reasoning and assessment of procedural competence, as well as a new chapter on practical approaches to feedback. - Reorganized for ease of use, with expanded coverage of Milestones/Entrustable Professional Assessments (EPAs), cognitive assessment techniques, work-based procedural assessments, and frameworks. - The expert editorial team, renowned leaders in assessment, is joined by global leader in medical education and clinical reasoning, Dr. Steven Durning. - New Expert Consult material includes videos of medical interviewing scenarios and downloadable assessment tools.
This story is based on the theme of anorexia. To her father, Francesca is the best little girl in the world, but at her ballet class she realizes she is fat. With this realization, fat Francesca has to die, and slim Kessa takes her place. Help arrives in the shape of Sandy Sherman, a doctor.
The most practical, down to earth, thoughtful, and sensitive book written on women's childhood sexual abuse."—Samuel C. Klagsbrun, MD From the psychotherapist who offered groundbreaking work on self-mutilation (Cutting) comes a landmark examination of the psychology of sexual abuse. Stolen Tomorrows encourages the 20 percent of women who have been abused to think about, talk about, and seek help for what has been their secret shame. In addition to giving therapists and other helpers an empathic insight, Stolen Tomorrows will enable the survivor to recognize herself in both her personal history and her current struggle to overcome the legacy of abuse.
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