This book provides a multidisciplinary compendium of research pertaining to aging among diverse racial and ethnic populations in the United States. It focuses on paramount public health, social, behavioral, and biological concerns as they relate to the needs of older minorities. The book is divided into four parts covering psychology, public health/biology, social work, and sociology of minority gang. The book focuses on the needs of four major race and ethnic groups: Asian/Pacific Islander, Hispanic/Latino, black/African American, and Native American. It also includes both inter- and intra-race and ethnic group research for insights regarding minority aging. The chapters focus on an array of subject areas that are recognized as being critical to understanding the well-being of minority elders. These include psychology (cognition, stress, mental health, personality, sexuality, religion, neuroscience, discrimination); medicine/nursing/public health (mortality and morbidity, disability, health disparities, long-term care, genetics, nutritional status, health interventions, physical functioning); social work (aging, caregiving, housing, social services, end-of-life care); and sociology (Medicare, socioeconomic status (SES), work and retirement, social networks, context/neighborhood, ethnography, gender, demographics).
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This book is intended to provide to the eye movement desensitization and reprocessing (EMDR) clinician advanced tools to treat children with complex trauma, attachment wounds, and dissociative tendencies. It covers key elements to develop case conceptualization skills and treatment plans based on the adaptive information processing (AIP) model. A broader perspective is presented by integrating concepts from attachment theory, affect regulation theory, affective neuroscience, and interpersonal neurobiology. These concepts and theories not only support the AIP model, but they expand clinicians’ understanding and effectiveness when working with dissociative, insecurely attached, and dysregulated children. The book presents aspects of our current understanding of how our biological apparatus is orchestrated, how its appropriate development is thwarted when early, chronic, and pervasive trauma and adversity are present in our lives, and how healing can be promoted through the use of EMDR therapy. In addition, it provides a practical guide to the use of EMDR within a systemic framework. It illustrates how EMDR therapy can be used to help caregivers develop psychobiological attunement and synchrony as well as to enhance their mentalizing capacities. Another important goal of the book is to bring strategies from other therapeutic approaches, such as play therapy, sand tray therapy, Sensorimotor Psychotherapy, Theraplay, and Internal Family Systems (IFS) into a comprehensive EMDR treatment, while maintaining appropriate adherence to the AIP model and EMDR methodology. This is done with the goal of enriching the work that often times is necessary with complexly traumatized children and their families.
Neuroscience for Psychologists and Other Mental Health Professionals:Promoting Well-Being and Treating Mental Illness
This book presents information about brain function and its chemical underpinnings in a way that contributes to a conceptual understanding of distress and subjective well-being. Chapter 1 of the book provides a history of thought in psychiatry and explains how we arrived at our current system for categorizing distress. The second chapter offers information on physiology, including brain circuits undergirding anxiety and depression, circuits for emotional or impulse regulation, and circuits for robust motivated behaviors. Information on pharmacology, including the major classes of drugs used to influence behaviour, and the issues over the regulation of pharmaceuticals are presented in the third chapter. This is followed by five chapters that consider categories of distress that afflict adults, namely, depression, anxiety disorders, psychotic disorders, bipolar disorders and addictions. Chapter 9 focuses on categories of distress in children such as pediatric bipolar disorder and depression. The last chapter of the book considers whether current diagnostic practices have served us well, looks at an alternative focus for delivering mental health services, and deals with those behaviors that promote flourishing and well-being.
This book provides a better understanding of emerging disabilities and their impact on all areas of life and explores implications for rehabilitation counseling practice, policy, and research. It first defines emerging disabilities and examines current societal trends that contribute to the onset and diagnoses of chronic illnesses and disabilities that are considered to be emerging in the United States. Then, the book provides an overview of medical, psychosocial, and vocational aspects that distinguish emerging disabilities from traditional disabilities. The first section of the book includes four chapters on emerging disabilities with organic causes or unknown etiologies. It examines disabilities and chronic illnesses that are characterized by chronic pain. The second section of the book examines the role of natural and sociocultural environments in creating new patterns and types of disabling conditions. It focuses on both lifestyle factors and climate change and how these contribute to the onset and/or exacerbation of chronic illness and disability and explains physical disabilities, chronic illnesses, and mental health conditions that result from violence. The final section of the book explores implications for rehabilitation practice, policy, and research to better respond to the unique concerns and needs of rehabilitation consumers with emerging disabilities. It suggests research topics, designs, and procedures for building upon our knowledge about the rehabilitation needs of emerging disability populations and developing evidence-based practices to facilitate successful rehabilitation outcomes for individuals in these populations.
This book details the technical aspects of how to achieve requirements for clinical treatment planning aspects, including patient positioning, creation of patient specific bolus, beam angle configurations, and inverse planning optimization approaches. It is written for everyone involved in treatment planning including dosimetrists, physicists, and physicians. The book comprises of 14 chapters. The first three chapters are introductory chapters. Chapter one describes the types of treatment plans and the general process of treatment planning. The second chapter explains the principles and limitations of current inverse planning optimization algorithms, and discusses the application of auto-planning, knowledge-based planning, and multi-criteria optimization to overcome these limitations. The third chapter covers the available immobilization equipment and general principles of simulation, including patient safety procedures. Chapters four through eleven are organized by body site or system and covers central nervous system, head and neck, breast cancer, thoracic cancer, gastrointestinal radiotherapy, genitourinary cancer, gynecologic cancer, lymphoma, and soft tissue sarcoma. For each site, there is a description of patient simulation, including immobilization, setup, isocenter placement, and any special considerations such as motion management. The plan goals for each treatment site are tabulated, followed by recipes to achieve them from the simplest planning technique to the most advanced planning technique. For simple 3D conformal plans, the recipes include the field arrangement and portal shape design (both with many figures), beam weighting, and selection of dose normalization point. For advanced techniques such as intensity-modulated radiation therapy, volumetric modulated radiation therapy, and stereotactic body radiation therapy, the recipes provide details of creation of optimization structures and multiple stage optimizations. Each chapter concludes with plan evaluation, comparing achieved doses to the clinical planning goals. Chapter thirteen describes treatment planning for pediatric cancers. Chapter fourteen discusses treatment planning for palliative treatment.
This book provides a state-of-the-art overview of the principles of cancer care and best practices for restoring function and quality of life to cancer survivors. Cancer rehabilitation interventions including physical, occupational, or speech therapy; exercise training; psychosocial and cognitive interventions; and physician-directed diagnostic imaging, injections, and pharmacologic symptom management have the potential to treat many impairments from cancer treatment, thereby improving functioning and quality of life. Multimodal rehabilitation interventions have also been shown to improve return to work compared to usual care. The chapters of the book review the latest evidence about which interventions should be used to treat specific impairments thereby constituting the most comprehensive and up-to-date reference on this topic. The book is organized into nine parts comprising 90 chapters. Part one presents history of cancer rehabilitation, cancer statistics, and principles of cancer care. Part two discusses various cancer types, which includes breast cancer, gastrointestinal malignancies, head and neck cancer, pediatric cancers, and primary bone tumors and their assessment and management. Parts three through six describe cancer pain, medical complications, neurological and neuromuscular complications, and musculoskeletal complications of cancer such as radiculopathy, plexopathy, autonomic dysfunction, and bone metastases and their management. Part seven discusses general topics related to cancer rehabilitation, which includes physical and occupational therapy, therapeutic modalities in cancer, therapeutic exercise in cancer, nutritional care of the cancer patient, sexuality issues, and distress and other psychiatric considerations in cancer rehabilitation. Part eight thoroughly explores the identification, evaluation, and treatment of specific impairments and disabilities that result from cancer and the treatment of cancer such as balance and gait dysfunction, cancer related fatigue, radiation fibrosis syndrome, and bowel dysfunction. Part nine discusses functional measurement in patients with cancer, health maintenance and screening in cancer survivors, research issues, barriers to accessing cancer rehabilitation, and building a cancer rehabilitation program.
This book enables the reader to learn information about psychosis and related illnesses, and develop an understanding of the benefits of early intervention in psychosis and skills for a successful interaction with a person with psychosis. It also helps the reader to learn strategies to support a young adult with psychosis in accessing treatment. The first chapter talks about schizophrenia spectrum disorders and its treatment options. Group therapy has shown to be highly effective in addressing symptoms and stressors associated with psychotic disorders. Chapter 2 introduces the different symptoms characteristic of a psychotic episode: positive symptoms, negative symptoms, disorganized symptoms, affective symptoms, and cognitive symptoms. Two associated symptom categories associated are abnormal motor behavior and level of insight. The third chapter provides knowledge that will be helpful in identifying if psychiatric symptoms are present and assisting when there may be concern about psychiatric stability. Chapter 4 builds on the knowledge and the skills that one has acquired and speaks specifically about assessment of safety and intervention strategies. There are a number of potential outcomes that can occur from helping a young adult with psychosis. The individual may require hospitalization in order to ensure safety and allow for the opportunity to reduce symptoms. The final chapter of the book provides a list of resources offering information on variety of mental health conditions and psychology.
The incidence of sexual assault and harassment experienced by members of the U.S. Armed Forces has reached epidemic proportions. Its victims often suffer from devastating, lifelong consequences to their careers, health, relationships, and psychological well-being. This book is written for mental health clinicians to help in understanding and treating military sexual trauma (
MST). It addresses the complex circumstances of victims of sexual abuse in the military and how clinicians can meet the unique challenges of treating these clients. The book describes how MST differs from other forms of military trauma such as combat, and discusses its prevalence, neurobiology, and social contexts as well as unique stressors of betrayal, injustice, struggles with issues of reporting and disclosure, and impact on relationships and sexuality. It reviews current evidence-based interventions and offers insights on treating specific symptoms within MST, such as post-traumatic stress disorder (PTSD), anxiety, substance abuse, sleep disorders, and sexual dysfunction. Chapters discuss how a variety of psychotherapies can be used to treat MST, including prolonged exposure, cognitive processing, Eye Movement Desensitization and Reprocessing ( EMDR), Seeking Safety, acceptance and commitment therapy, and somatic experiencing, as well as the Warrior Renew MST group therapy program. Clinicians who work with veterans and active duty personnel will find the book an essential guide to working with MST survivors.
This book is intended to introduce the exciting, challenging, stimulating, and inspiring world of behavioral intervention research. It is about the science and state-of-the-art practices in designing, evaluating, and then translating, implementing, and disseminating novel behavioral interventions for maximum impact on the health and well-being of individuals, families, and their communities. Each chapter tackles critical considerations in behavioral intervention research. The approach is to be as broad and inclusive as possible of the many nuances, intricacies, and issues in this form of inquiry. The book covers a wide range of topics including examining the heart of the matter or strategies for developing behavioral interventions including the pipeline for advancing interventions, the role of theory, intervention delivery characteristics, standardizing treatments, and use of technology. This is followed by evaluative considerations including selecting control groups; identifying recruitment, retention, and fidelity strategies; using mixed methodologies; and ethical challenges. Then the book examines outcome measures and analytic considerations including economic evaluations for maximizing the yield of trial data, and how implementation science can inform the development and advancement of behavioral interventions. Finally, the book explores a host of professional issues unique to this form of inquiry including challenges in staffing behavioral interventionist studies, how to obtain funding for developing and evaluating an intervention, and what, when, and where to publish. Case examples from successful behavioral intervention trials are used throughout each chapter to illustrate key concepts.
This book provides a foundation for counselors planning to supervise clinicians working with individuals and groups, attain leadership positions within an agency, or open their own professional practice. It encompasses key information about supervisory roles and responsibilities, ethics, multicultural issues, evaluation, and due-process procedures along with administrative issues such as agency leadership, budgeting, information management, crisis management, and quality-improvement practices. The book is divided into two sections: supervision and agency management. Chapters 1 to 4 are dedicated to issues related specifically to the supervisory process, such as roles and responsibilities, ethics, and various due-process procedures. Individual and groups supervision, ethical issues in supervisory relationship as well as developmental models, counseling theory-based models, and social role models of supervision are also discussed. Chapters 5 to 10 focus on the aspects of agency management (including issues that pertain to private practice) that may be less familiar to counselors. Here, chapters focus on budgeting, information management, leadership, and marketing. The budgeting chapter gives the reader information about how to financially plan and provides the information in a very accessible manner. Another chapter in this section enables assisting supervisors, counselor educators, and agency managers to understand the nature of critical incidents and crisis response and subsequently develop the strategies necessary to incorporate this important concept into practice.
This book deals with evidence-based mental health and learning interventions for children and adolescents, and provides guidance on implementation in practice. It is a compendium of proven treatment strategies for resolving more than 40 of the most pressing and prevalent issues facing young people, and provides immediate guidance and uniform step-by-step instructions for resolving issues ranging from psychopathological disorders to academic problems, and is of relevance for both school-based and clinically-based practice. Issues covered include crisis interventions and response, social and emotional issues, academic/learning issues, psychopathological disorders, neuropsychological disorders, and the behavioral management of childhood health issues. The book covers several fields of study including applied settings, school crises, natural disasters, school violence, suicidal behavior, childhood grief, reading disabilities, math disabilities, written-language disorders, homework compliance, anger and aggression, bullying, and attention deficit hyperactivity disorder (ADHD). Each chapter follows a consistent format including a brief description of the problem and associated characteristics, etiology and contributing factors, and three evidence-based, step-by-step sets of instructions for implementation. Additionally, each chapter provides several websites offering further information about the topic.
This book incorporates an inclusive representation of women and girls across ages and cultures by examining the intersection of their identities and integrating experiences of women and girls around the world. The overarching themes of the book include an examination of the contextual elements that affect the female experience and a focus on prevention and intervention strategies to support the empowerment of women and girls throughout their life spans. The first section of the book provides a foundation for the book and offers a context for understanding gender socialization and the female experience. This section includes chapters introducing empowerment feminist therapy, gender socialization, intersectionality, and relational-cultural theory. The second section offers detailed information on developmental issues and counseling interventions for women and girls throughout their life spans. Chapters focusing on gender identity development, childhood, adolescence and young adulthood, and middle and older adulthood are included in this section. The third section provides an in-depth look at specific issues affecting women and girls and includes relevant background information and practical application for counselors. In this concluding section, readers will learn about violence against women and girls, educational and work environments, females and their bodies, and engaging men as allies. Each chapter includes helpful resources to further educate yourself and others, as well as practical suggestions for advocacy efforts that can help create social change. Prevention and empowerment are key themes and foci of the book, and counseling implications and interventions are offered for each area of concentration.
Play therapy has been recognized in the counseling profession as a developmentally appropriate model for working with children and adolescents. This book provides a comprehensive introduction to structured, prescriptive approaches to play therapy to those desiring to gain more information and knowledge about the use of different directive play therapy modalities. It introduces the unique integration of play therapy and different theoretical models and encompasses the essential concepts and practices of directive play therapy. Most importantly, the book shares some guidelines for planning and selecting toys and materials for a directive approach. It also incorporates settings and skills necessary for effective implementation and addresses common questions asked about the use of these. The book provides the exploration and detailed description of various theoretical approaches to directive play therapy: post-Jungian directive sandtray in play therapy, solution-focused play therapy, eye movement desensitization and reprocessing and play therapy, directive play therapy techniques in trauma-focused cognitive behavioral therapy, child parent relationship therapy, creativity in play therapy using technology, directive filial therapy models with very young children, humanistic sandtray therapy with children and adults, and directive approaches to working with parents. The distinctive techniques and processes of each of these approaches are explained. Finally, case examples are given to demonstrate their application and implementation.
This book offers suggestions regarding how pastoral counselors can navigate the changing landscape of mental health care in our current context to maintain unity amid our diversity. Pastoral counseling continues to evolve from its origins as a specialized ministry to an approach to mental health care offered in a wide array of contexts, including both religious and secular settings. The book first offers an introduction to the discipline of pastoral counseling by outlining a brief history of pastoral counseling as well as an understanding of how the discipline maintains unity amid the vast diversity of practices and practitioners. Then, it details pastoral counseling theory and practice according to three precepts: a way of being, a way of understanding, and a way of intervening. Next, the book reflects the religious diversity present among pastoral counselors and those they serve. It further illustrates special issues in pastoral counseling. These special issues further exemplify the distinctiveness of pastoral counseling as evidenced by the functions of referral, consultation, and collaboration, the education and supervision of pastoral counselors, and the use of both qualitative and quantitative research methods. In recognition of our increased technological abilities, as well as the dearth of mental health resources available in some geographic regions, the book guides the reader in understanding distance counseling and how to engage in an ethical distance counseling practice. Finally, the book builds on the theory and practice of pastoral counseling by offering a prophetic call for the future of the discipline.
This graduate-level, introductory textbook provides instructors and students with a comprehensive overview of the profession of clinical mental health counseling (
CMHC). Designed to cover the Council for the Accreditation of Counseling and Related Educational Programs ( CACREP) 2016 Standards and to provide an inclusive overview of the work of professional counselors, the book offers an in-depth exploration of the professional knowledge, skills, current issues, and dynamic trends in professional counseling that are essential parts of the educational journey of emerging clinicians. It provides readers with practical, applicable, real-world information upon which they can build through-out their programs of study and practice. Issues such as strength-based approaches, the various settings in which clinical mental health counselors may practice, record keeping and documentation, advocacy, professional roles, third-party payers and managed care, and self-care and professional development are vitally important to new counselors, and these subjects often are glanced over in an information-packed curriculum. In addition, the book covers the topics of crisis, disaster, and trauma, which constitute relatively new areas of emphasis within the CACREPStandards. Conceptually, it book looks at the history, roles, functions, settings, and contemporary issues of counseling through the lens of human ecological and integrated systems-of-care approaches. Unique to this particular textbook, and in juxtaposition to an ecological perspective of the individual, a focus on integrated systems of care in clinical mental health endeavors provides students with knowledge and skills that can help them to move seamlessly into the current world of work as clinical mental health counselors. The textbook is comprised of five sections, spanning the following clusters of CMHC-relevant information: (a) Introduction to Professional Counseling and Clinical Mental Health Counseling, (b) Working With Clients, (c) Practice Issues, (d) Working Within Systems, and (e) Client-Care and Self-Care Practices.
Practicing Cognitive Behavioral Therapy With Children and Adolescents:A Guide for Students and Early Career Professionals
This book is dedicated specifically to increasing the confidence and professional competence of graduate students and early career professionals who use cognitive behavioral therapy (CBT) with children and adolescents. It shows some opening remarks for mental health professionals (MHPs) and trainees who are new to doing CBT and positive psychology (PP) treatments with kids suffering from an internalizing disorder. Behavioral activation is a tried-and-true stable of CBT. A common presenting complaint among depressed or stressed kids is poor sleep. The book shows some of the strategies for combating insomnia. Problem solving is another staple of CBT. The methodology for problem solving is a little bit different if it is done with an individual kid or in a family session. The factors to be considered to introduce communications training and problem solving in a family or an individual session are: age, maturity level, and psychological mindedness of the child. Exposure procedure is used for kids who are treated for anxiety. This chapter shows a list of common exposures among anxious youth. Physiological calming and coping thoughts are the two popular techniques for supporting exposures. Involving the parent is often key with doing exposures. The book also presents some of the principles and methodologies with regard to parent interactions. It is important for parents to be open with their kid about their thinking about the value of a mental health evaluation. Sometimes parents ask for guidance about how to have the discussion with their kid.
This book provides a comprehensive model for effectively blending the two main postmodern brief therapy approaches: solution focused and narrative therapies. It harnesses the power of both models the strengths-based, problem-solving approach of solution focused therapy (SFT) and the value-honoring and re-descriptive approach of narrative therapy to offer brief, effective help to clients that builds on their strengths and abilities to envision and craft preferred outcomes. The book provides an overview of the history of both models and outlines their differences, similarities, limitations, and strengths. It then demonstrates how to blend these two approaches in working with such issues as trauma, addictions, grief, relationship issues, family therapy, and mood issues. Each concern is illustrated using a case study from practice that focuses on individual adults, adolescents, children, or families. Sample client dialogues and forms are included to help the clinician guide clients in practice. SFT has provided therapists with new tools for working with clients who are dealing with substance abuse. The book provides a summary of research findings that have shown the effectiveness of the solution focused approach over the problem-focused approach. The narrative model invites clients to construct a new presentation in a problematic story (narrative) and develop a script for a preferred future (solution focused), with a newly crafted character, instigating new strategies for actions (solution focused), based on exceptions.
This book provides a unique resource guide with practical application for graduate students, counselor educators and supervisors, and mental health practitioners to prepare to meet the intense challenges of disaster response in the 21st century. Each section of the book defines, describes, and applies the knowledge, awareness, and skills to work in a variety of disaster mental health counseling scenarios. Considerations are given to working with a variety of different cultures and special populations. Chapters cover the medical aspects such as blast wounds, psychosocial adjustment issues such as chronic illnesses and disabilities (CIDs), career transitions and clinical interventions in disaster mental health counseling. Survivors of mass violence are at high risk for a wide range of psychiatric, neurobehavioral, and neurocognitive disorders as a result of experiencing extraordinary stressful and traumatic events. One of the chapters offers a description of the empathy fatigue construct as it relates to other professional fatigue syndromes, a recently developed tool, Global Assessment of Empathy Fatigue (GAEF). The book goes beyond the traditional counseling theories and interventions text in that it offers real-world functional assessments, explains culturally relevant interventions, and provides readers with a structured approach for healing trauma; the Personal Growth Program to Heal Trauma (PGP-HT).
Preparation for board examinations can be a daunting and an overwhelming process for many of us. Trainees are often busy with research projects, manuscripts, and a large clinical volume, making it difficult to find time to study for board examinations. Practicing physicians find it hard to keep up on material needed for board recertification. Questions on the board examinations are drawn from well-established, validated medical literature and widely accepted clinical guidelines. This book provides a comprehensive overview of the field of radiation oncology. The format has been designed to efficiently test and reinforce knowledge of key concepts, critical studies, and major clinical guidelines, with the most important radiation oncology citations included. From trainees preparing for their board exams to practicing physicians looking for a review or preparing for the maintenance of certification exam, whether it be a few minutes between patients or a dedicated study session, the book will an invaluable resource to the radiation oncology community. The book is organized into ten chapters. It covers oncology topics such as head and neck cancers, central nervous system cancers, breast cancer, thoracic cancers, gastrointestinal cancers, genitourinary cancers, gynecologic cancers, lymphomas, soft tissue sarcoma, and pediatric cancers. Each chapter has detailed questions covering natural history, epidemiology, diagnosis, staging, treatment options, and treatment-related side effects all in a newly configured format.
This book reflects the arduous procedure of breaking down thoughts into pieces that are easily comprehended and applicable. It is a text that contains a wealth of information that has been refined over time to reflect the latest thinking of scholars in the field of child and adolescent mental health. This well wrought manuscript of comprehensive chapters articulates the latest and best research in working with children and adolescents in a readable and engaging way. Thus, this book is clinical, theoretical, and practical. It is applicable to the myriad of concerns that counselors face in dealing with developmental problems and challenges. The book covers developmental theorists, theoretical viewpoints, multicultural matters, counseling stages, special populations, clinical applications, and ethical and legal considerations. In other words, all of the critical factors needed to understand and become involved with members of the two major populations addressed in this work are covered. The book emphasizes the powerful interconnections that support counseling central to children and adolescents. Potential users may find the book’s appeal lies in subject matter that can be flexibly used in both school and clinical mental health counseling settings. It offers practical applications for skill and theory development supplied by an impressive roster of counselor educators with a wealth of professional and clinical expertise. Moreover, the book assists in fostering graduate students in course engagement. This book is for counselor educators and counseling supervisors as they assist counselors-in-training and practicing counselors in acquiring a variety of child and adolescent-centered theories, modalities, and methods. The book can be adopted as the main textbook for a variety of class settings and will also appeal to educators, students-in-training, and supervisors in closely related fields including social workers and psychologists.
This book takes a look at the underlying causes of resisting cognitive-emotional-behavioral change and the methods used to overcome them. Written in present-action language, it gives an overview of the basic principles of Rational Emotive Behavior Therapy and Cognitive Behavior Therapy. The book presents the changes in the field that have taken place in the 20 years leading up to 2002, and integrates recent therapies into REBT, including psychotherapy, solution-focused therapy, and recent findings of experimental psychology. Resistance can be “natural”, or those resulting from emotional disturbance, extreme low frustration tolerance, fear of disclosure and shame, and feelings of hopelessness, among others. The book presents methods of contradicting and actively working against irrational beliefs that can be used with some of the most difficult clients. The book describes using REBT to overcome resistance with clients who have severe personality disorders. REBT counselors following REBT theory, welcome cultural (and other) diversity. They encourage their clients to stick to whatever customs and mores with which they were raised and to enjoy the unique advantages of these traditions.
One of the historical pillars of rehabilitation counseling has been the use of assessment throughout the rehabilitation process. With this historical emphasis, it is not surprising that the focus on assessment and the methods and techniques used have changed and evolved. As a result, students, practitioners, and researchers are on a constant quest for updated and current information to guide and inform practice, policy, and research. This constant quest for updated and comprehensive information is directly relevant to the assessment of individuals typically served by rehabilitation and mental health practitioners and is the focus of this book. To date, there has not been a book that has been able to provide a comprehensive discussion of topics applicable to service delivery across both setting. This book attempts to fill this gap. One factor that guided the development of this book was the authors’ goal to provide both the foundational information necessary to understand and plan the assessment process and combine this material with information that is applicable to specific population and service delivery settings. To achieve this goal, each of the chapters is written by leaders in the field who have specialized knowledge regarding the chapter content. The chapters provide practical hands on information that allows for easy incorporation of the material to rehabilitation and mental health practice. To further strengthen practical application, case studies and templates have been incorporated where applicable to highlight specific key aspects to promote application to service delivery. Second, this is the first assessment book to be developed after the Council on Rehabilitation Counselor Education and Council on the Accreditation of Counseling and Related Programs merger. Finally, the authors hope that the readers of this book can apply this information to enhance the overall quality of life of the individuals they work with, especially individuals with disabilities.
This second edition of Pocket Guide to Radiation Oncology provides an updated and rapid review of the existing standard of care and the most relevant literature. Like the first edition, this quick pocket-sized reference can be carried for a quick review instead of heavy textbooks often filled with esoteric topics and lengthy minutiae. The book has new chapters on the growing areas of oligometastatic disease, benign indications, and proton therapy. The book comprises 55 chapters organized by site-specific diseases: central nervous system neoplasms, head and neck cancers, thoracic cancers, breast cancer, gastrointestinal cancers, gynecologic cancers, genitourinary cancers, lymphoma, sarcoma, skin cancers, pediatric malignancies, metastatic disease, and benign indications. The chapters present must-know key points, including treatment options by stage, technical considerations, and important items for follow-up. Clinical pearls and tables covering treatment options, dose constraints, side effects, target delineations, and treatment planning complete each chapter. The chapters conclude with a list of selected, summarized studies relevant to the disease. The book takes an efficient and no-frills approach to fundamental topics in the field, making it the perfect reference for a quick review for the board exam or
MOCand even serving as a handy reference during a case review at a tumor board. The book provides essential, quick reference appendices on radiation therapy symptom management, normal tissue tolerance constraints, and radiation therapy and new systemic agents.
This book provides the ultimate resource for all students and practitioners seeking the professional credential and committed to lifelong learning and career growth in public health. Chapters are organized by all ten core competency domain areas, beginning with Evidence-Based Approaches to Public Health and including chapters on Communication, Leadership, Law and Ethics, Public Health Biology and Human Disease Risk, Collaboration and Partnerships, Program Planning and Evaluation, Program Management, and Policy in Public Health, before concluding with Health Equity and Social Justice. Covering over 150 topic areas, each chapter introduces the core objectives of each domain area to frame the goals of the
CPHexam and highlight the complete content outline featured on the exam. Chapters include the fundamental information public health professionals must learn to be effective workers in the field followed by approximately 600 practice questions with detailed rationales for correct answers at the end of each chapter. Using this method, the number of practice questions are divided equally among each domain area for comprehensive study and exam preparation. Written by a CPHcertified educational leader in public health and containing over three exams’ worth of questions, this book is the most useful and thorough exam review resource on the market, great for on-the-go study and preparation.
This book is a comprehensive guide for the practicing physician and medical physicist in the management of complex intracranial and extracranial disease. It presents the scientific principles, clinical background and procedures, treatment planning, and treatment delivery of stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) for the treatment of tumors throughout the body. The book is organized into two parts comprising twenty chapters. Beginning with an overview of SRS and SBRT, Part one provides insightful coverage on topics such as the evolving radiobiological principles of radiosurgery and SBRT, SRS and SBRT process, patient immobilization, imaging, treatment planning process, and technologies and equipment used for SRS and SBRT. It also contains focused chapters on quality assurance, quality management, and patient safety. Part Two describes the clinical application of SRS and SBRT for tumors throughout the body. The body regions covered includes brain, head and neck, lung, pancreas, adrenal glands, liver, prostate, cervix, and spine. It also has a chapter on oligometastatic disease. Each clinical chapter includes an introduction to the disease site, followed by a thorough review of all indications and exclusion criteria, in addition to the important considerations for patient selection, treatment planning and delivery, and outcome evaluation. These chapters conclude with a detailed and site-specific dose constraints table for critical structures and their suggested dose limits. The final chapter discusses immunoradiosurgery. The book is enhanced with supplemental video tutorials and is a must-have book for clinicians, physicists, and other radiation therapy practitioners.
Revised and updated, this third edition continues its tradition of providing evidence-based approaches to the specific technical aspects of delivering radiation treatment. Easy to read and relevant to general practice, this popular pocket-sized manual leads radiation oncology trainees and clinicians through the basics of radiotherapy planning and delivery for all major malignancies in a step-by-step manner. Organized by body site or system, each chapter provides technical details and clinical updates to planning as a result of practice-changing paradigms as well as new and updated equipment and techniques. Specialized topics such as palliative radiotherapy and pediatric radiotherapy round out the final chapters. With over 40 new images in addition to detailed accounts of advances in the field, this highly anticipated third edition provides important updates while retaining the valued, practical features of the previous editions. Written by members of staff in the Department of Radiation Oncology at the Cleveland Clinic, this edition continues to be a valuable resource for training as well as a reliable quick reference for professionals in the field such as radiation therapists and technologists, radiation nurses, dosimetrists, physicists, and practicing physicians. It presents concise summaries including target definitions and dose constraints for planning all major disease sites, provides updated coverage of planning associated with stereotactic body radiation therapy for prostate, pancreas, and liver cancers, and includes over 190 full color images. It also outlines new practice standards for hypofractionated radiation therapy in breast and prostate cancers and explains specific technical aspects important for the appropriate clinical delivery of radiation treatment.
This book is a study guide/self-evaluation tool to prepare for the ABPN exam and MOC exam in vascular neurology. It is representative of the areas tested on the exam, including the standard clinical and basic science of stroke and some of the esoterica that appear on the exam. The book serves as a study guide for any neurologist, internist, or family practitioner interested in expanding his or her knowledge in this important field. The practice exam question-and-answer format is an effective and engaging study method, as opposed to a didactic review or summary reader. It is useful also to identify areas of weakness that require further study. The book has over 600 questions divided across fifteen sections. The fifteen sections are as follows: Basic Science; Vascular and Brain Anatomy; Clinical Pathology; Pharmacology and Pharmacokinetics; Epidemiology, Genetics, Primary Prevention; Ischemic Disease of the Brain and Spinal Cord; Hemorrhagic Disease of the Brain and Spinal Cord; Neuro-Ophthalmology; Cardiovascular Disease; Hematology; Pediatric Cerebrovascular Disease; Neurovascular Imaging; Clinical Trials and Ethics; Recovery and Rehabilitation; and Case Studies in Cerebrovascular Disease. The questions include cytotoxic edema following cerebral ischemia, internal carotid artery; cavernous malformations; thiazide diuretics; fibromuscular dysplasia; transient global amnesia; spinal epidural hematomas; ischemic optic neuropathy; atrial fibrillation; Von Willebrand disease; Perinatal ischemic stroke; cerebral microbleeds; modified Rankin scale; botulinum toxin and so on. Explanatory answers with appropriate references are included to facilitate learning. Most of the references are relatively recent, but for certain topics, the classic references, such as Niels Lassen’s work on incomplete cerebral ischemia and Anthony Furlan’s classic description of retinal ischemia presenting as visual change in bright light have been included.
This book describes the function of planning and why it is important to decision making in healthcare organizations. It explains the origins of planning, application to healthcare, and types of plans, and reviews the practical advantages and disadvantages of planning. The book provides an overview of the strategic planning process, including fundamental steps in the process, the influence of leadership, and the impact of quality improvement. It describes each of the steps in the strategic planning process, organizational purpose and the importance of an organization's mission to its planning and operational activities. The book also introduces the importance of a situational analysis to inform future direction and plans and describes the importance of setting objectives and why there might be resistance to setting organizational objectives. It explains how to accomplish objectives through the development and implementation of strategies and operational plans. The book also presents the relationship of strategies to objectives, methods for evaluating an organization's products and services, and the role of budgeting. It describes the feedback loop in the strategic planning processs—evaluation and control. The book finally discusses the importance of viewing strategic planning as a continuous process and common tools that are used to evaluate and improve plans.
This book serves as a clinical reference for all those encountering young and adult children of substance-abusing parents regardless of the setting. The book is divided into four parts. Part I provides an overview of the existing state of knowledge regarding children of substance-abusing parents and examines the developmental effects of alcohol and other drugs on children and implications for practice. Mentalization-based treatment holds the promise of providing a way to prevent and ameliorate emotional disturbance in children and adolescents. The chapters in Part II explore treatment issues across the life span of children of parents addicted to alcohol, tobacco, or other drugs, beginning with the prenatal impact through the stages of childhood, adolescence and adulthood. The emphasis is on those individuals who need treatment in a clinical setting. One of the chapters in Part III describes a variety of school-based and residential treatment programs aimed at adolescent children of substance-abusing parents, youngsters who are often at great risk to become the next generation of substance-abusing parents. Another discusses the treatment programs for the large, often overlooked, population of college students with substance-abusing parents. The last chapter in this section focuses on the programs for the growing number of children with substance-abusing incarcerated parents. The final section of this book includes four real-life personal accounts of individuals who grew up in substance-abusing families. Their descriptions of their early traumatic lives spent in an environment of domestic violence, shame and chaos reflect both the pain experienced by children of all ages as well as the resilience that is found in many such children.
An understanding of biostatistics is necessary for reading and comprehending published literature, for performing retrospective research, and for designing and analyzing prospective clinical trials. Biostatistical concepts are also tested on oncology board exams. This book is organized into four sections covering 13 chapters. Section I begins with the basic foundations of biostatistics that are tested on board exams such as summarizing and graphing data, sampling, and statistical estimation. In Section II, these basics are then expanded on to include the concepts used in retrospective study design, analysis, and interpretation. It discusses hypothesis testing, correlation, regression, categorical data analysis, survival analysis methods, and noninferiority analysis. Section III focuses on prospective clinical trials, guiding readers in their understanding of published clinical trials and in the design and analysis of novel clinical trials. It describes cohort studies, case-control studies, cross-sectional studies, matched studies, analysis of studies, and sample size. The final section presents self-study multiple choice questions with answers and rationales.
The field of counseling is an exciting and challenging career choice. It is a profession that has a prolific history of enabling person-centered counseling approaches for individuals, couples, partners, and families, and facilitates therapeutic services for children, adolescents, adults, and older adults. This book offers an excellent resource for graduate-level coursework that relates to an orientation to the counseling profession, professional issues, and special topic seminars, as well as other counseling-related coursework. It provides both contemporary insight and practical strategies for working with the complexity of real-life issues related to assessment, diagnosis, and treatment of diverse clients and their families. The book provides professionals with chapters organized into the 10 CACREP and CORE content areas that address the awareness, knowledge, and skills required to work with children, adolescents, individuals, groups, couples, families, and persons from diverse cultural backgrounds. The content areas are: professional counseling identity, ethical and practice management issues, case management and consultation issues, multicultural counseling awareness, counseling theories and techniques, career counseling and human growth, assessment and diagnosis, counseling couples, families, and groups, counseling specific populations, and contemporary issues in counseling.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (
DSM-5) is the result of the first significant revision of the publication DSM-IVin 1994. With advances in research and clinical applications, modifications were needed to accurately frame client symptom presentation and reflect the changes and advances in science and technology. The collection of cases presented in the book has been compiled from seasoned clinicians that have experienced complex client symptomology. These cases illustrate real world examples of actual clients seen in practice. The details of the cases are organized to provide readers with examples of case conceptualization examples, as well as, diagnostic impressions, conclusions, and treatment recommendations. The book provides a practical and realistic way for students in such mental health professions as clinical psychology, counseling psychology, counseling, and social work to put the new DSM-5into practice by presenting actual clinical experiences from practitioners. By exploring detailed clinical vignettes, this text offers trainees the opportunity to explore their own ideas on symptom presentation, diagnosis, and treatment planning with a full range of disorders and conditions covered in the DSM-5. The book provides vignettes, but also explores the rationale behind diagnostic criteria and connects diagnostic criteria in the DSM-5with symptomology in the case. In addition, each case includes a discussion of treatment interventions that is crucial for students in helping professions. These treatment considerations are inclusive of a wide range of evidence-based approaches as appropriate for each case. Techniques/treatment recommendation section will allow the reader to understand how colleagues have conceptualized the case and how specific interventions have been effective in treatment. The goal is for students to enhance their case conceptualization skills and sharpen their ability to understand symptom presentation in light of diagnosing.
This book introduces emerging research methods that will assist community health researchers interested in effectively addressing the complex health issues faced by communities today. It also introduces readers to several research methods particularly appropriate for addressing the context of health issues, translating research into action, and engaging community and relevant stakeholders. Use of these methods will lead to advancements in the field of community health and ultimately to improvements in community health. The book illustrates how community health researchers must move beyond the rigid distinction between qualitative and quantitative methods to adopt new integrated research methods to understand health as a community system. Within the discipline of public health, community health is an important and evolving subdiscipline that specifically emphasizes disease prevention and early intervention for members of a given community. The book includes spatial analysis, agent-based models, community-network analysis and realist reviews and addresses system dynamics, concept mapping, visual voices and media analysis. Integration of qualitative and quantitative data is key to generating unique insights into the mechanisms linking complex community health issues and to providing critical guidance regarding the pathways toward effective intervention and prevention. Institutional pilot funding, often available to researchers based at academic institutions, is a good option to garner support for innovative community health research projects. Partnering with other researchers and community members to learn and apply new and innovative research methods is a necessary steps toward more effectively addressing and improving the health of communities.
Cancer patients frequently present with scenarios for which level I evidence is not available and a more individualized approach to each patient is warranted. This book analyzes common difficult clinical situations from various vantage points. It presents case examples which were developed to guide discussions on treatment recommendations, with a review of current issues, and any potential data utilized to drive treatment decisions. The cases are organized into sections corresponding to the major treatment areas of radiation oncology: Breast, Gastrointestinal, Gynecology, Genitourinary, Head and Neck, Thorax, and Central Nervous System. Radiation oncological apsects are discussed for several difficult cases of breast cancer, pancreatic cancer, rectal cancer, anal cancer, endometrial cancer, prostate cancer, laryngeal carcinoma, oral tongue cancer, small-cell lung cancer, non-small cell lung cancer, anaplastic oligodendroglioma and glioblastoma. The book provides residents, fellows, and clinicians with a practical, evidence-based guide to the current management of difficult cases in radiation oncology. Emphasis is on the management of those clinical challenges commonly seen in practice that the community practitioner would normally handle without outside referral.
This book offers an in-depth look at the ways in which contemporary undergraduate students may differ from past generations, as well as noting how some things never change, such as needs related to finding social support, romantic intimacy, and academic achievement. It first provides a brief overview of the various developmental transformations that are taking place within the many levels of cognitive, affective, and physiological development of emerging adults. The book then considers the typical counseling concerns that counselors can expect to meet across the academic year. Next, it addresses the social concerns of students as they seek to find the best way to fit in on campus. It addresses the growing diversity of college campuses as well as provides counselors with guidance on helping their clients connect into the campus community. Then, the book moves into ways to assist clients who are facing unexpected hurdles, including grief over the loss of significant others; difficulties with self-esteem and self-image presented by the competitive culture of college-age females; and navigational challenges in romantic relationships that may be more intense and sexually tinged than prior high school relationships had been. Specific mental health disorders that frequently appear in the college-age population are also addressed in the book. The book provides guidelines for treatment and intervention that are relevant to college counselors working within a brief counseling framework. Topics include eating disorders, substance abuse, depression, anxiety, self-injury, suicidal students, obsessive-compulsive disorder, and impulse-control disorders. Finally, the book provides readers with ideas for promoting student well-being beyond the counseling office.
This book addresses key health literacy issues as they affect the health and well-being of the aging population. It emphasizes increasing health literacy among older adults through the use of technological tools and features, the most current research, and evidence-based programs and practices. It provides expansive coverage of the intersection of technology and health literacy, highlighting innovative approaches and discussing how to use technology with resource-limited groups. The book focuses on rural, impoverished, culturally diverse, and low literacy elders and presents gold standard intervention programs and models. Individual chapters discuss interpretation of lab results, how the family physician can explain the diagnosis and treatment regimen to older patients, how the Explanatory Model can facilitate communication between the physical therapist and the patient and how health literacy fits into the public health domain. Occupational therapy (OT) professionals advocate for the well-being of the clients they serve and promote higher levels of independence among older adults. The book also has a chapter explaining the different modalities located within the radiology department and what can be expected as part of the examination process for the geriatric patient population.
This book addresses strategies for community-oriented health services, including those that arise from systemic influences such as environmental and social injustices. It seeks to present an imperative transdisciplinary shift in thinking about health services toward understanding communities as resources for their own health improvement. Applying a transdisciplinary approach, this book seeks to bridge the discourses between environmental justice, public health, community well-being, and service development, which are rarely considered together in spite of their mutual interdependence. The book is intended for use by senior undergraduate and graduate students in public or population health sciences, including rehabilitation counseling, community psychology, counseling psychology, public health, medical anthropology, social policy, and related disciplines. Health policy and service providers in the private and public sectors and international aid agencies will find the book an invaluable resource for their health promotion and development programs in global communities. The individual chapters of the book aim to present as comprehensive a coverage of the specific themes as possible. Each chapter addresses community-oriented health from a variety of health conditions and traditions. Each chapter also addresses pertinent health policy aspects in the context of national, federal, or international conventions to highlight the importance of the community-oriented health concepts being discussed.
Quality and Safety in Radiation Oncology:Implementing Tools and Best Practices for Patients, Providers, and Payers
This book provides an authoritative and evidence-based guide to the understanding and implementation of quality and safety procedures in radiation oncology practice. Chapter topics range from fundamental concepts of value and quality to commissioning technology and the use of metrics. They include perspectives on quality and safety from the patient, third-party payers, as well as from the federal government. Other chapters cover prospective testing of quality, training and education, error identification and analysis, incidence reporting, as well as special technology and procedures, including MRI-guided radiation therapy, proton therapy and stereotactic body radiation therapy (SBRT), quality and safety procedures in resource-limited environments, and more. The book is divided into three parts. Part I presents the basic concepts in quality, value and safety includes descriptions of value in the American and European health care systems, and error prevention and risk management. Part II is devoted to quality considerations in radiation physics. Chapters cover equipment, software and techniques that are used, and the quality considerations that need to be kept in mind during external beam radiotherapy, brachytherapy, and proton and particle therapy. The third part discusses quality considerations in clinical practice settings. Discussions range from creation of a quality culture, testing of quality and safety measures, and training in graduate medical education to patient’s perspectives, reporting and investigation of incidents, error disclosures and error identifications, and the role of dosimetrist and therapist in radiation oncology.
This book presents a research-driven, competency-based approach for the health and human service professionals who work with older rural residents. It discusses both the problems facing older adults and their families and evidence-based solutions regarding policy and best practices. The book contains 13 chapters, organized into five parts. The first part provides an introduction to aging in rural places, including the overwhelming task of defining what is meant by “rural” and presenting demographics, descriptions, and the diversity of rural communities. It offers a picture of persons aging in rural areas, including their challenges and strengths, with special consideration for social and ethnic minorities within this population. Whereas the second part focuses on the health status and the specific health and human service needs and opportunities of rural older adults and their focuses on needs and opportunities, the third part moves toward addressing these issues with health and human services available to rural older adults and their families. The fourth part examines the role of health and human service professionals who work with rural older adults and their families in these programs and services, with attention to interdisciplinary practice and professional competency. In addition to the aforementioned content, the book offers several unique features, including the following: case examples, professional competencies, useful websites, suggested activities and exercises, discussion questions, PowerPoint slides, and instructors manual with test question bank.
This book describes the public health system in broad strokes in order to focus the reader on basic public health goals, principles, structures, and practices. Public health shares with the clinical professions a fundamental caring for humanity through concern for health. For these reasons, public health is sometimes viewed as a type of clinical profession. Primary prevention intends to prevent the development of disease and the occurrence of injury, and thus, to reduce their incidence in the population. The central focus of clinical professions is to restore health or prevent exacerbation of health problems. The health care system undoubtedly has its smallest impact on primary prevention, once again that group of interventions that focus on preventing disease, illness, and injury from occurring. The control of an infectious disease outbreak is an example of the promise of public health collective action that prevents the occurrence of disease, disability, and premature death by assuring conditions in which people can be healthy. Among the programs administered by the National Center for Chronic Disease Prevention and Health Promotion is the Preventive Health and Health Services Block Grant program, which provides funds to state-level agencies to support both public health agency capacity development and chronic disease prevention programs. The Agency for Healthcare Research and Quality (AHRQ) is the lead federal agency charged with improving the quality, safety, efficiency, and effectiveness of health care for all Americans. Unintentional injuries are a leading cause of death in the United States among all age, race, and ethnic groups, and motor vehicle accidents are the foremost cause of unintentional injuries. Good leadership is essential for the well-being of any organization, including public health.
This book for undergraduate and graduate survey courses encompasses a wide range of key issues in occupational health psychology (OHP) from a North American perspective. It draws from the domains of psychology, public health, preventive medicine, nursing, industrial engineering, law, and epidemiology to focus on the theory and practice of protecting and promoting the health, well-being, and safety of individuals in the workplace and improving the quality of work life. The book addresses key psychosocial work issues that are often related to mental and physical health problems, including psychological distress, burnout, depression, accidental injury, obesity, and cardiovascular disease. It examines leadership styles as they impact organizational culture and provides specific recommendations for reducing employee-related stress through improved leader practices. Also addressed is the relationship between adverse psychosocial working conditions and harmful health behaviors, along with interventions aimed at improving the work environment and maximizing effectiveness. Additionally, the book discusses how scientists and practitioners in OHP conduct research and other important concerns such as workplace violence, work/life balance, and safety.
The experience of life-threatening illness is one of the most difficult situations that individuals and their families ever have to face. This book is meant to be a guide for anyone counseling or offering professional care to persons with life-threatening illness. Living with life-threatening illness is the theme of this book as it describes the particular challenges that individuals, families, and caregivers face at varying points, namely prediagnostic phase, diagnostic phase, chronic phase, recovery phase and terminal phase, during serious illness. After a brief introduction on the terminology, Chapter 2 of the book reviews those caregivers who have impacted history, placing this work in its context as well as highlighting newer developments such as concurrent care. This is followed by two chapters addressing the particular ethical and systematic stresses that those persons who counsel or care for individuals with life-threatening illness may experience, causing moral distress. People respond to life-threatening illness in a variety of ways, and accordingly, Chapter 5 considers the range of responses to life-threatening illness, which individuals, their families, and their caregivers may experience. Developmental, psychological and social factors and generational differences affect the ways that an individual responds to life-threatening illness. Five other chapters describe particular issues that arise at different points during the experience of life-threatening illness. Chapter 12 considers the ways in which families might be affected by the illness and offers suggestions for counseling families that are coping with the illness of a family member.
This book is a guide to the values and traits, knowledge, and competencies needed by public health professionals to mobilize people, organizations, and communities to effectively tackle tough public health challenges. This competency-based leadership book is designed specifically for students and practitioners in public health, highlighting those aspects of leadership unique to this field. The book is divided into four parts. The first part of the book deals with the call for public health leadership. It introduces a framework for the book based on the values, traits, knowledge base, and competencies of effective public health leaders. The framework builds on four complementary perspectives on leadership: servant leadership, complexity leadership, integrative leadership, and adaptive leadership. The second part is devoted to preparing for public health leadership. Chapters here survey the values, traits, and knowledge base of effective public health leaders. Seven values of public health leaders are particularly critical for their effectiveness: social justice, reliance on evidence, interdependence, respect, community self-determination, transparency, and the requisite role of government. Along with behavioural skills, these values, traits, and knowledge base are the foundation for mastering the competencies. The competencies for public health leadership are discussed in Part III. The five competency sets are invigorating bold(er) pursuit of population health; engaging diverse others; effectively wielding power; preparing for surprise; and driving for execution and continuous improvement. Each chapter highlights the public health leadership values, traits, and knowledge that contribute particularly to effective performance of the competency set. Then, each of the five competencies in the competency set is examined in turn. The last part of the book provides guidance for intentional actions to improve leadership competencies and to sustain effectiveness.
Historically, mental health clinicians were trained to refer clients’ spiritual issues to pastoral professionals. However, the current requirement for competence with diverse cultural concerns in counseling and psychotherapy may include those of a religious nature. This book helps therapists and counselors gain competence in working with clients who are dealing with spiritual issues in their lives. It offers counselors and psychotherapists who lack experience or comfort in dealing with spiritual issues ways of understanding the nature of spirituality. The book is divided into three parts. Part I orients clinicians to respectfully help clients who have spiritual and religious issues. It provides basic information about Western and Eastern spiritual worldviews and provides a basic framework for competently addressing spiritual issues for clients of any faith. Part II of the book discusses four ways in which spirituality can inform psychotherapy, spiritual work in the context of a therapeutic relationship, in the context of a complex situation, in the interpretation of experience, and in the movement to behavior enactment. In Part III, the book addresses specific issues therapists may encounter such as the issue of truth, clients’ uncertainties in faith, struggles with oppressively rigid faith communities, grief and loss, and abuse at the hands of religious community leaders. Specific recommendations for providing therapeutic help as well as case examples drawn from actual practice provide practical guidelines for enhancing spiritual competency in psychotherapy.
This book on child and adolescent dissociation provides the reader with a window into the fractured minds of traumatized children and adolescents and offers an effective pathway toward healing. It delves into the inner workings of vulnerable children’s use of dissociation. An in-depth discussion of the Star Theoretical Model (STM), an inclusive theoretical model that examines five intersecting theories attachment, neurobiology, developmental theory, family systems, and dissociation provides a solid foundation for understanding how and why children dissociate and also a road map to guide traumatized children toward successful recovery. One of the chapters deals with 16 warning signs such as auditory hallucinations which are suggestive of dissociation in children and adolescents. Familiarity with the warning signs can enhance proper evaluation for dissociation so that children can receive appropriate treatment and care. The Adolescent Dissociative Experiences Scale (A-DES) is a commonly used checklist to assess for dissociative symptoms. A phase-oriented treatment model specifically designed for dissociative children will help them develop integrative functions. Another chapter focuses on helping children to further develop their skills in self-reflection, mindfulness, and somatic awareness, along with managing traumatic triggers and learning to calm down the overactive stress-response system. The book also deals with creative art therapy interventions for adolescents with dissociation and integrating dissociative treatment and eye movement desensitization and reprocessing therapy (EMDR) therapy with children with trauma and dissociation.
This book provides a concise and practical resource to assist in real-time, clinical decision making for managing lung cancer. The first two chapters deal with epidemiology and etiology of lung cancer, lung carcinogenesis, lung cancer genetics, epigenetics, and tumor microenvironment. Environmental Tobacco Smoke (ETS) is associated with a 20% to 40% increase in lung cancer risk. The third chapter provides an overview of several of the driver oncogenes that are important in the pathogenesis of non–small-cell lung carcinoma (NSCLC) and have emerged as targets for therapeutic approaches. The advent of molecular profiling and targeted therapy renewed interest in the distinguishing between the major subtypes of NSCLC: adenocarcinoma (ADC), squamous cell carcinoma (SqCC) and large cell lung carcinoma (LCLC). The fourth and fifth chapters deal with screening and diagonosis of lung cancer. This is followed by four chapters which describe the management of early stage, locally advanced stage, advanced stage, and recurrent NSCLC, and their respective treatment therapies such as video-assisted thoracic surgery, robotic-assisted thoracic surgery, sequential induction chemotherapy, necitumumab, maintenance therapy, and sequential single-agent therapy. Chapters 10 and 11 discuss the management of limited-stage and extensive-stage small-cell lung carcinoma (SCLC) and the treatment therapies. Lung cancer is a disease of the elderly, and accordingly chapter 13 covers the management of elderly and high-risk patients suffering from this disease. This is followed by a focus on the management of neuroendocrine tumors (NET), pleural mesothelioma, and thymic tumors. The book ends with a discussion on palliative care in thoracic oncology.
This book is a practical guide to the management of patients with breast malignancies and related non-neoplastic lesions. It focuses on the application of conventional and novel treatment strategies to the care of patients with nonmalignant breast disease and all stages of breast cancer. The book is organized chronologically, from screening, through diagnosis and management, to survivorship care and related medical issues. The bulk of these chapters provide evidence-based treatment strategies for all patient subsets, including how to manage patients with high risk breast lesions, invasive breast carcinoma at each stage, and with all known molecular subtypes of breast cancer. Surgical, radiation, and medical treatment options are all discussed for each stage of breast cancer including treatment approaches in pregnancy and for high risk lesions and Phyllodes. The book is a comprehensive yet concise resource for residents, fellows, and early-career practitioners. Community oncologists, breast surgeons, radiation oncologists, primary care practitioners, and OBGYNs will also find its concise review of new research and procedures to be very useful in this dynamic field of medicine.
This book demonstrates a logical approach to the nervous system that should serve the student throughout medical school rotations, postgraduate residency training, and medical practice during the lifelong learning task of evaluating patients with neurological problems. After a brief introduction to the concept of localization, Chapter 2 of the book deals with the brain and spinal cord of the central nervous system (CNS). The brain includes the cerebrum, cerebellum, and brainstem, and is organized into the four lobes of each cerebral hemisphere, plus the basal ganglia, thalamus and hypothalamus (diencephalon), brainstem, and cerebellum. Chapter 3 discusses the function of peripheral nerves and cardinal signs of peripheral nerve disease such as weakness, wasting and areflexia, and reviews the anatomical organization of peripheral nervous system (PNS). The fourth chapter includes special applications of neuro-logic covering coma, epilepsy, movement, vertigo, cord compression, and autonomics. The autonomic nervous system (ANS) enables, modulates, and controls the automatic functions we take for granted during day-to-day life until something goes awry. Chapter 6 focuses on the frontal lobe and associated subcortical structures that are the areas most involved in the pathogenesis of many psychiatric syndromes. The neurological examination is designed to assist with the localization of a patient’s disturbance affecting the nervous system. The exam consists of examination of mental status, cranial nerves, and that of other elements, namely motor, sensory and reflexes.
Melanoma is the sixth most common invasive cancer in the United States. The Melanoma Handbook is a concise and comprehensive resource for anyone who treats patients with local, advanced, or metastatic melanoma in all its various forms. Epidemiologic studies have helped define genetic and environmental risk factors that may contribute to the development of melanoma. The book highlights the incidence, patient demographics, and mortality rates of melanoma and reviews the environmental and genetic risk factors. The recommendation practices for screening pigmented lesions are then summarized. The book covers the pathology, treatment, and management of all presentations of melanoma, including essential clinical knowledge on staging and workup considerations. The content emphasizes both overall treatment guidelines and more nuanced applications for patient groups who have different presentations, metastases, or other complications to treatment. Each chapter summarizes important concepts and features illustrative figures that arm practitioners with visual guidance to diagnosis, treatment, and management for all subtypes and stages of melanoma. The book covers the surgical management of lentigo melanoma, invasive melanoma, mucosal melanoma, acral lentiginous melanoma, sentinel lymph node biopsies, lymph node metastases, and distant organ metastases. Tables throughout the handbook consolidate helpful classification and staging information, survival data, FDA-approved treatment regimens, and toxicity risk.