William M. Epstein's Books

Psychotherapy and the Social Clinic in the United States

Soothing Fictions

By: William M. Epstein

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Psychotherapy and the Social Clinic in the United States

Soothing Fictions

By: William M. Epstein

This book offers a compelling critical analysis of American society by examining the role of psychotherapy within social policy and the culture that has fashioned it. It takes a deeply critical look at ‘the social clinic,’ defined here as a ubiquitous organizational arrangement that includes clinical and community psychology, counseling, clinical social work, psychiatry, much of the self-help industry, complementary and alternative medicine and others. Epstein’s analysis concludes that the social clinic lacks credible evidence of effectiveness and its continued popularity expresses popular but predatory American values such as romantic individualism, the triumph of the subjective, a sense of personal and political chosenness, persistent bigotry, and a preference for tribal as opposed to civic identities. This careful examination of American society through the lens of psychotherapeutic practice characterizes the social clinic as a soothing fiction of the United States. The book offers caring services as the unrealized alternative to clinical treatment, capable of achieving greater personal adjustment as well as social and economic equality. It will appeal to readers with an interest in social welfare, public policy, and public administration, as well as to students and scholars of psychotherapy, counseling, social work, rehabilitation, and community psychology.

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Page Count

380

Publisher

Springer Nature

Published Date

ISBN 10

3030327507

ISBN 13

9783030327507

American Policy Making

Welfare as Ritual

By: William M. Epstein

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American Policy Making

Welfare as Ritual

By: William M. Epstein

American Policy-Making will surely create controversy by challenging the prevailing ethos of humanitarianism. Epstein points to the perils of unrestricted subjectivity--the corruption of both social science and social discourse--and argues for a more disciplined approach to policy-making. This is a uniquely unsentimental analysis of American social policy-making with great scope and depth, particularly in the personal social services, philosophic and historical dimensions. It is also a bold call to action to create more effective policies for social welfare.

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278

Publisher

Rowman & Littlefield

Published Date

ISBN 10

0742517330

ISBN 13

9780742517332

Children who Could Have Been

The Legacy of Child Welfare in Wealthy America

By: William M. Epstein

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Children who Could Have Been

The Legacy of Child Welfare in Wealthy America

By: William M. Epstein

Epstein analyzes in detail the decay of the child welfare system through the case histories of Natalie and Adam, two children who have spent their lives in and out of foster homes and orphanages."--BOOK JACKET.

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188

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Univ of Wisconsin Press

Published Date

ISBN 10

0299163806

ISBN 13

9780299163808

The Illusion of Psychotherapy

By: William Epstein

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The Illusion of Psychotherapy

By: William Epstein

In The Illusion of Psychotherapy William Epstein asserts that psychotherapy is probably ineffective and possibly harmful. He maintains that there is no credible clinical evidence that psychotherapy is effective in handling personal or social problems, or that it is more effective than other modes of treatment. The theories that underpin clinical practice remain speculative and their influence over social policy are more ideological than scientific. A skeptical public and its government would be better served, Epstein says, by credible evidence of outcomes. His analysis focuses on whether psychotherapy is effective against a variety of unwanted behaviors, such as drug addiction and depression. The nation's social problems are due to the inadequacies of its core social institutions: families, communities, education, and jobs. Social problems emerge because many people are brought up in deficient families, live in dangerous communities, lack education and jobs, and have few or no routes out of poverty. Poor people are exposed to unrelenting risks to their physical and mental health. It is possible to remedy most deficiencies through human services that compensate for these failed social institutions. This position is inevitably unpopular in psychotherapeutic circles and in light of current political preferences since it requires massive new resources and extensive redistribution of existing resources. The extent of society's problems reflects the degree to which deficits in basic social institutions have been tolerated. Basic services have been lacking while psychotherapy diverts our impulse to address poverty into ineffective strategies. In a challenging conclusion, Epstein urges society to solve its problems by confronting the reality implied by the failure of psy-chotherapy's minhnal interventions: to acknowledge that more is necessary to resolve social need. This leads to general theoretical concerns about theory as such. The Illusion of Psychotherapy will be compelling reading for psychologists, psychotherapists, social scientists, and policymakers.

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Page Count

194

Publisher

Routledge

Published Date

ISBN 10

1351293184

ISBN 13

9781351293181

The Dilemma of American Social Welfare

By: William M. Epstein

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The Dilemma of American Social Welfare

By: William M. Epstein

In the current political climate of the U.S., there are noeasily apparent solutions to the social problems we face.William M. Epstein claims that people in need have been poorly served and misled by the American system of social welfare. This is one of those rare works emanating from a social welfare expert that does not offer easy placebos or simplistic claims based on more money. The Dilemma of American Social Welfare argues against the idea that there are inexpensive cures for serious societal sicknesses. Epstein takes on an immense literature in psychotherapy, social work, and welfare, all offering simple answers to complex problems. Two of the largest social experiments ever undertaken in the U.S. are evaluated in depth. The Negative Income Tax experiments of the 1960s and early 1970s tested the feasibility of an income guarantee; and the Evaluation of State Work/Welfare Initiatives employed a variety of programs to stimulate welfare recipients to find jobs. Epstein also analyzes social services associated with social work and examines approaches to juvenile delinquency and drug addiction. Epstein is blunt in his denial that traditional welfare can readily resolve major social and economic questions of the times. His work, addressed to the malaise in thesocial welfare or helping professions, should serve asan early warning signal that easy solutions are hard for recipients to identify and harder still for donors to put forth. Although it was originally published in the early 1990s, the book remains relevant to political and social questions of the day, which makes it of interest to sociologists, political scientists, policymakers, researchers, and others interested in policy and urban studies.

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252

Publisher

Transaction Publishers

Published Date

ISBN 10

1412848296

ISBN 13

9781412848299

A COPD Primer

By: Ralph Panos,William Eschenbacher

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A COPD Primer

By: Ralph Panos,William Eschenbacher

In 2012 we received a grant from the Veterans Health Administration Office of Specialty Care entitled, “Patient-Centered Model for the Management of Chronic Obstructive Pulmonary Disease.” The grant’s goals were to enhance the recognition and diagnosis of COPD and implement a Patient-Centered Model for the Management of COPD. As the work on that proposal progressed, we realized that providers did not have an up-to-date, comprehensive, easily read, “how to” manual for the management of COPD despite all the advances in COPD care that have occurred over the past 5 years. Consensus documents such as the VA-DOD Guidelines were abbreviated summaries that were rarely used. From those discussions, the concept for this volume, a COPD Primer, developed. The goal was to develop a practical book that concisely presented COPD to providers with sufficient background and explanation of the physiologic and scientific rationale for various management strategies without becoming an esoteric academic work. We hope that this COPD Primer has achieved that goal and will be a useful, practical text for practitioners and medical trainees alike. The COPD Primer begins with an examination of what COPD is; it is really a syndrome, a constellation of historical features and clinical, physiologic, and radiographic findings. However, those elements come together in many different ways to create multiple different COPD phenotypes that are only now being recognized and used to define specific management strategies. COPD research has progressed beyond the simple classification of “blue bloaters” and “pink puffers.” Next, the epidemiology and economic consequences of COPD are reviewed. Bill Eschenbacher presents an approach to the patient with respiratory symptoms with detailed discussions of pulmonary function testing and how airflow limitation/obstruction is identified by spirometry and the use of lung imaging to identify individuals with COPD. Michael Borchers and Gregory Motz summarize current evidence implicating genetics, proteolytic imbalance, oxidative stress, inflammation, occupational and environmental exposures, and innate and adaptive immune function in the pathogenesis of COPD and the implication of these findings to future treatments. The single most important intervention in the prevention and treatment of COPD is smoking cessation. Shari Altum, Katherine Butler, and Rachel Juran present a practical approach to smoking cessation utilizing motivational interviewing in combination with pharmacologic interventions. Then, they expand upon these concepts to provide practitioners with convenient, realistic suggestions to encourage patient self-management in all aspects of COPD care and overall health. Ahsan Zafar reviews the natural history, recently described COPD phenotypes, and gender differences that clearly illustrate the broad spectrum of disease that comprises the term, COPD. The cover illustration highlights Dr. Zafar’s creative and artistic talents. The extensive nonpulmonary aspects of COPD are reviewed by Ralph Panos in an examination of COPD’s multi-organ manifestations. Next, the effect of COPD on sleep and the overlap syndrome, the concurrence of COPD and obstructive sleep apnea, and its consequences are presented. Jean Elwing examines the effect of COPD on the pulmonary vasculature with a detailed discussion of the evaluation and management of pulmonary hypertension associated with COPD. COPD’s effects on psychosocial functioning and familial interactions are presented by Mary Panos and Ralph Panos. The focus of the Primer then shifts from manifestations to treatment with a discussion of stable COPD management. With the current plethora of devices for delivering respiratory medications, it is difficult for both patients and providers to sustain knowledge of their proper use. Aaron Mulhall presents a practical guide to correct inhaler use that reviews all the current devices. Folarin Sogbetun then reviews the management of outpatient COPD exacerbations and Nishant Gupta discusses the approach to the patient hospitalized with COPD. Because patients with COPD often see multiple subspecialty physicians in addition to their primary care providers, interdisciplinary communication and coordination of care is essential for their management; Sara Krzywkowski-Mohn reviews the interactions between primary and specialty care for the patient with COPD with suggestions for improved communication and care coordination. Finally, advance care planning including palliative care and hospice is reviewed with a discussion of how end stage COPD affects not only the patient but also their family and social network. This COPD Primer incorporates the knowledge that we have learned over the past several years during the development and implementation of a patient-centered model for the management of COPD. It was written with the explicit goal of assisting both the practicing provider and medical trainee in the care of patients with COPD.

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415

Publisher

Walter de Gruyter GmbH & Co KG

Published Date

ISBN 10

311046800X

ISBN 13

9783110468007

Welfare in America

How Social Science Fails the Poor

By: William M. Epstein

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Welfare in America

How Social Science Fails the Poor

By: William M. Epstein

William M. Epstein charges that most current social welfare programs are not held to credible standards in their design or their results. Rather than spending less on such research and programs, however, Epstein suggests we should spend much more, and do the job right. The American public and policymakers need to rely on social science research for objective, credible information when trying to solve problems of employment, affordable housing, effective health care, and family integrity. But, Epstein contends, politicians treat welfare issues as ideological battlegrounds; they demand immediate results from questionable data and implement policies long before social researchers can complete their analyses. Social scientists often play into the political agenda, supporting poorly conceived programs and doing little to test and revise them. Analyzing Aid to Families with Dependent Children (AFDC) and the recent welfare reform act, Food Stamps, Medicaid, job training, social services, and other programs, Epstein systematically challenges the conservative’s vain hope that neglect is therapeutic for the poor, as well as the liberal’s conceit that a little bit of assistance is sufficient.

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279

Publisher

Univ of Wisconsin Press

Published Date

ISBN 10

0299155935

ISBN 13

9780299155933

Psychotherapy As Religion

The Civil Divine In America

By: William M. Epstein

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Psychotherapy As Religion

The Civil Divine In America

By: William M. Epstein

A provocative look at America on the couch.In Psychotherapy as Religion, William Epstein sets out to debunk claims that psychotherapy provides successful clinical treatment for a wide range of personal and social problems. He argues that the practice is not a science at all but rather the civil religion of America, reflecting the principles of radical self-invention and self-reliance deeply embedded in the psyche of the nation. Epstein begins by analyzing a number of clinical studies conducted over the past two decades that purport to establish the effectiveness of psychotherapeutic treatments. He finds that each study violates in some way the standard criteria of scientific credibility and that the field has completely failed to establish objective procedures and measurements to assess clinical outcomes. Epstein exposes psychotherapy’s deep roots in the religious and intellectual movements of the early nineteenth century by demonstrating striking parallels between various types of therapy and such popular practices as Christian Science and spiritualism. Psychotherapy has taken root in our culture because it so effectively reflects our national faith in individual responsibility for social and personal problems. It thrives as the foundation of American social welfare policy, blaming deviance and misery on deficiencies of character rather than on the imperfections of society and ignoring the influence of unequal and deficient social conditions while requiring miscreants to undergo the moral reeducation that psychotherapy represents. This is a provocative, brilliantly argued look at America on the couch. Psychotherapy as Religion is essential reading for anyone interested in the history and current state of mental health.

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Page Count

429

Publisher

University of Nevada Press

Published Date

ISBN 10

0874176840

ISBN 13

9780874176841

Empowerment as Ceremony

By: William Epstein

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Empowerment as Ceremony

By: William Epstein

Many people in the United States are poor, lead marginal lives, and need jobs as well as basic services such as education, medical care, and housing. Multitudes in other parts of the world, in addition to being poor, are jailed, tortured, and killed for being members of the wrong ethnic group or expressing political opinions. Those who argue for empowerment claim it is a magic bullet. It can liberate the oppressed, largely through self-organization, self-motivation, self-invention, and even self-clarity. William M. Epstein sees contemporary empowerment practice in the United States as a civic church of national values, one better in performing its ceremonial role than god-based houses of worship. By itself, empowerment is not worth the effort of commentary, since it achieves none of its goals and has not even generated a respectable critical literature. But Epstein argues that empowerment practice and American social welfare both embody prescriptive cultural preferences. Like art and music, empowerment opens windows into deeper social meaning. The social sciences have carved out roles for themselves by looking for simple remedies, ones that are inexpensive and compatible with contemporary social arrangements. Epstein shows that those in social work practices have not only deluded themselves into thinking that these services have real instrumental value, but really operate at cross-purposes. This accessible work will attract critical attention among these professional groups. It bases its carefully-documented insights upon informed sociological and anthropological theory.

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Page Count

125

Publisher

Routledge

Published Date

ISBN 10

1351296663

ISBN 13

9781351296663

Democracy Without Decency

Good Citizenship and the War on Poverty

By: William M. Epstein

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Democracy Without Decency

Good Citizenship and the War on Poverty

By: William M. Epstein

The conservative attacks on the welfare system in the United States over the past several decades have put liberal defenders of poverty relief and social insurance programs on the defensive. In this no-holds-barred look at the reality of American social policy since World War II, William Epstein argues that this defense is not worth mounting—that the claimed successes of American social programs are not sustained by evidence. Rather than their failure being the result of inadequate implementation or political resistance stemming from the culture wars, these programs and their built-in limitations actually do represent what the vast majority of people in this country want them to be. However much people may speak in favor of welfare, the proof of what they really want is in the pudding of the social policies that are actually legislated. The stinginess of America’s welfare system is the product of basic American values rooted in the myth of “heroic individualism” and reinforced by a commitment to social efficiency, the idea that social services need to be minimal and compatible with current social arrangements.

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Page Count

245

Publisher

Penn State Press

Published Date

ISBN 10

0271075309

ISBN 13

9780271075303

Anesthesia E-Book

By: Ronald D. Miller,Lars I. Eriksson,Lee A Fleisher,Jeanine P. Wiener-Kronish,William L. Young

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Anesthesia E-Book

By: Ronald D. Miller,Lars I. Eriksson,Lee A Fleisher,Jeanine P. Wiener-Kronish,William L. Young

From fundamental principles to advanced subspecialty procedures, Miller’s Anesthesia covers the full scope of contemporary anesthesia practice. It is the go-to reference for masterful guidance on the technical, scientific, and clinical challenges you face. Now new chapters, new authors, meticulous updates, an increased international presence, and a new full-color design ensure that the 7th edition continues the tradition of excellence that you depend on. Covers the full scope of contemporary anesthesia practice. Offers step-by-step instructions for patient management and an in-depth analysis of ancillary responsibilities and problems. Incorporates ‘Key Points’ boxes in every chapter that highlight important concepts. Extends the breadth of international coverage with contributions from prominent anesthesiologists from all over the world, including China, India, and Sweden. Features 30 new authors and 13 new chapters such as Sleep, Memory and Consciousness; Perioperative Cognitive Dysfunction; Ultrasound Guidance for Regional Anesthesia; Anesthesia for Correction of Cardiac Arrhythmias; Anesthesia for Bariatric Surgery; Prehospital Emergency and Trauma Care; Critical Care Protocols; Neurocritical Care; and Renal Replacement Therapy. Dedicates an entire section to pediatric anesthesia, to help you address the unique needs of pediatric patients. Presents a new full-color design -- complete with more than 1,500 full-color illustrations -- for enhanced visual guidance.

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3220

Publisher

Elsevier Health Sciences

Published Date

ISBN 10

1437720617

ISBN 13

9781437720617

Miller's Anesthesia E-Book

By: Ronald D. Miller,Lars I. Eriksson,Lee A Fleisher,Jeanine P. Wiener-Kronish,Neal H Cohen,William L. Young

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Miller's Anesthesia E-Book

By: Ronald D. Miller,Lars I. Eriksson,Lee A Fleisher,Jeanine P. Wiener-Kronish,Neal H Cohen,William L. Young

From fundamental principles to advanced subspecialty procedures, Miller’s Anesthesia covers the full scope of contemporary anesthesia practice. This go-to medical reference book offers masterful guidance on the technical, scientific, and clinical challenges you face each day, in addition to providing the most up-to-date information available for effective board preparation. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Address the unique needs of pediatric patients with guidance from an entire section on pediatric anesthesia. View more than 1,500 full-color illustrations for enhanced visual clarity. Access step-by-step instructions for patient management, as well as an in-depth analysis of ancillary responsibilities and problems. Quickly reference important concepts with ‘Key Points’ boxes integrated into every chapter. Stay current on today's most recent anesthetic drugs and guidelines/protocols for anesthetic practice and patient safety, and access expanded coverage on new techniques such as TEE and other monitoring procedures. Take advantage of the unique, international perspectives of prominent anesthesiologists from all over the world, including the UK, Australia, India, Brazil, and Germany. Remain at the forefront of new developments in anesthesia with coverage of hot topics including Non-OR Anesthesia; Role of the Anesthesiologist in Disasters; Sleep Medicine in Anesthesia; Perioperative and Anesthesia-related Neurotoxicity; Anesthetic Implications of Complementary and Alternative Medicine; and Robotics. Study brand-new chapters on Perioperative Fluid Management; Extracorporeal Support Therapies; Anesthesia for Organ Donation/Procurement; and Malignant Hyperthermia and other Genetic Disorders.

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4094

Publisher

Elsevier Health Sciences

Published Date

ISBN 10

0323280110

ISBN 13

9780323280112

The Masses are the Ruling Classes

Policy Romanticism, Democratic Populism, and Social Welfare in America

By: William Epstein

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The Masses are the Ruling Classes

Policy Romanticism, Democratic Populism, and Social Welfare in America

By: William Epstein

The Masses are the Ruling Classes proposes the radical, yet seemingly innocuous view that social policy in the United States is determined by mass consent. Contemporary explanations of decision making in the US typically attribute power over policy making to a variety of hidden forces and illegitimate elites holding the masses innocent of their own problems. Yet the enormous openness of the society and near-universal suffrage sustain democratic consent as more plausible than the alternatives -- conspiracy, propaganda, usurpation, autonomous government, and imperfect pluralism. Contrary to prevailing explanations, government is not either autonomous or out of control, business and wealthy individuals have not usurped control of the nation, large segments of the population are not dispossessed of the vote or of a voice in public affairs, and the media has not formed a conspiracy with Hollywood and liberals to deny Americans their God-given freedoms. Despite the multitude of problems that the nation faces, its citizens are not oppressed. In this pithy yet provocative book, Epstein argues that Democracy in the United States is not progressive but is instead populist, and that the core of the populist ideology is romantic rather than pragmatic.

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Page Count

281

Publisher

Oxford University Press

Published Date

ISBN 10

0190467088

ISBN 13

9780190467081

Feigin and Cherry's Textbook of Pediatric Infectious Diseases E-Book

2-Volume Set

By: James Cherry,Gail J. Demmler-Harrison,Sheldon L. Kaplan,William Steinbach,Peter J Hotez

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Feigin and Cherry's Textbook of Pediatric Infectious Diseases E-Book

2-Volume Set

By: James Cherry,Gail J. Demmler-Harrison,Sheldon L. Kaplan,William Steinbach,Peter J Hotez

Offering unparalleled coverage of infectious diseases in children and adolescents, Feigin & Cherry's Textbook of Pediatric Infectious Diseases 8th Edition, continues to provide the information you need on epidemiology, public health, preventive medicine, clinical manifestations, diagnosis, treatment, and much more. This extensively revised edition by Drs. James Cherry, Gail J. Demmler-Harrison, Sheldon L. Kaplan, William J. Steinbach, and Peter J. Hotez, offers a brand-new full-color design, new color images, new guidelines, and new content, reflecting today's more aggressive infectious and resistant strains as well as emerging and re-emerging diseases - Discusses infectious diseases according to organ system, as well as individually by microorganisms, placing emphasis on the clinical manifestations that may be related to the organism causing the disease. - Provides detailed information regarding the best means to establish a diagnosis, explicit recommendations for therapy, and the most appropriate uses of diagnostic imaging. - Features expanded information on infections in the compromised host; immunomodulating agents and their potential use in the treatment of infectious diseases; and Ebola virus. - Contains hundreds of new color images throughout, as well as new guidelines, new resistance epidemiology, and new Global Health Milestones. - Includes new chapters on Zika virus and Guillain-Barré syndrome. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

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2045

Publisher

Elsevier Health Sciences

Published Date

ISBN 10

0323392814

ISBN 13

9780323392815

The Illusion of Psychotherapy

By: William Epstein

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The Illusion of Psychotherapy

By: William Epstein

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194

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Routledge

Published Date

ISBN 10

1351293184

ISBN 13

9781351293181

Book's by William M. Epstein

Psychotherapy and the Social Clinic in the United States

Psychotherapy and the Social Clinic in the United States

American Policy Making

American Policy Making

Children who Could Have Been

Children who Could Have Been

The Illusion of Psychotherapy

The Illusion of Psychotherapy

The Dilemma of American Social Welfare

The Dilemma of American Social Welfare

A COPD Primer

A COPD Primer

Welfare in America

Welfare in America

Psychotherapy As Religion

Psychotherapy As Religion

Empowerment as Ceremony

Empowerment as Ceremony

Democracy Without Decency

Democracy Without Decency

Anesthesia E-Book

Anesthesia E-Book

Miller's Anesthesia E-Book

Miller's Anesthesia E-Book

The Masses are the Ruling Classes

The Masses are the Ruling Classes

Feigin and Cherry's Textbook of Pediatric Infectious Diseases E-Book

Feigin and Cherry's Textbook of Pediatric Infectious Diseases E-Book

The Illusion of Psychotherapy

The Illusion of Psychotherapy

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