Adverse Childhood Experiences And Health Risk Behaviors Among College Students

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Adverse Childhood Experiences and Health Risk Behaviors Among College Students

Author : Morgan Thompson
Publisher :
ISBN 13 :
Total Pages : 116 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis Adverse Childhood Experiences and Health Risk Behaviors Among College Students by : Morgan Thompson

Download or read book Adverse Childhood Experiences and Health Risk Behaviors Among College Students written by Morgan Thompson and published by . This book was released on 2017 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adverse childhood experiences (ACEs) are associated with social, emotional, and cognitive impairments resulting from disrupted neurodevelopment. These impairments manifest as health risk behaviors (HRBs) including tobacco, alcohol, marijuana, illicit drug use, and sexual risk behaviors. The current study assessed the relation between ACEs and HRBs by examining the cognitive abilities of 144 college students (M = 18.92 years; 56.3% female; 63.9% White; M = .078 ACEs). Participants completed an interview (parental incarceration, Criminogenic Cognitions Scale), surveys (Youth Risk Behavior Survey, ACE Questionnaire), delay discounting task, the Tower of Hanoi, and the Peabody Picture Vocabulary Test. Results revealed a graded relationship between ACE scores and illicit drug use risk behaviors, ACE scores and sexual risk behaviors, and household criminality and sexual risk behaviors. Students who reported more ACEs had an increase in the likelihood of reporting illicit drug use and sexual risk behaviors. Although no significant mediation effects of cognitive impairment were observed, a path analysis model revealed that a subscale of the Criminogenic Cognitions Scale (Negative Attitudes toward Authority) mediated the relation between ACE scores and sexual risk behaviors. These findings demonstrate the cognitive impairments may not serve as the best explanation for the relation between ACEs and HRBs in college students. However, these findings do indicate that a universal approach to preventing and reducing HRBs among at-risk college students may be inappropriate. Rather, it may be best to target specific HRBs.

Adverse Childhood Experiences (ACEs) and Health-Risk Behaviors among Latinoadolescents

Author : Jenny Zhen-Duan
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (14 download)

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Book Synopsis Adverse Childhood Experiences (ACEs) and Health-Risk Behaviors among Latinoadolescents by : Jenny Zhen-Duan

Download or read book Adverse Childhood Experiences (ACEs) and Health-Risk Behaviors among Latinoadolescents written by Jenny Zhen-Duan and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Adverse Childhood Experiences

Author : Gordon G. J. G. Asmundson
Publisher : Academic Press
ISBN 13 : 0128160667
Total Pages : 384 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Adverse Childhood Experiences by : Gordon G. J. G. Asmundson

Download or read book Adverse Childhood Experiences written by Gordon G. J. G. Asmundson and published by Academic Press. This book was released on 2019-10-03 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adverse Childhood Experiences: Using Evidence to Advance Research, Practice, Policy, and Prevention defines ACEs, provides a summary of the past 20 years of ACEs research, as well as provides guidance for the future directions for the field. It includes a review of the original ACEs Study, definitions of ACEs, and how ACEs are typically assessed. Other content includes a review of how ACEs are related to mental and physical health outcome, the neurodevelopmental mechanisms linking ACEs to psychopathology, sexual violence and sexual health outcomes, and violence across the lifespan. Important and contemporary issues in the field, like reconsidering how ACEs should be defined and assessed, the appropriateness of routine ACEs screening, thinking about ACEs from a public health and global perspective, strategies for preventing ACEs, understanding ACEs and trauma-informed care and resilience, and the importance of safe stable and nurturing environments for children are discussed. Adverse Childhood Experiences is a useful evidence-based resource for professionals working with children and families, including physicians, nurses, social workers, psychologists, lawyers, judges, as well as public health leaders, policy makers, and government delegates. Reviews the past 20 years of ACEs research Examines ACEs and mental and physical health Discusses the neurodevelopment mechanisms of ACEs and psychopathology Examines ACEs and violence across the lifespan Reconsiders the definition and assessment of ACEs Examines the issue of routine ACEs screening Discusses ACEs from a public health and global perspective Summarizes effective ACEs prevention, trauma-informed care, and resilience Provides recommendations for the future directions of the ACEs field

Latent Class Analysis of Health Risk Behaviors Among Survivors of Childhood Adversities

Author : Elise Hoover Racette
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.:/5 (112 download)

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Book Synopsis Latent Class Analysis of Health Risk Behaviors Among Survivors of Childhood Adversities by : Elise Hoover Racette

Download or read book Latent Class Analysis of Health Risk Behaviors Among Survivors of Childhood Adversities written by Elise Hoover Racette and published by . This book was released on 2019 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examined the clustering of health risk behaviors among young adults who have experienced adverse childhood experiences (ACE). Data were collected from young adults attending a four-year university in the Midwest using online surveys. Results from a Latent Class Analysis (LCA) indicated that a three-class model was the best fit. These classes include a “Poor Diet, Inactivity, and Risky Behavior” class, “Poor Diet and Inactivity” class, and an “Inactivity” class. Once classes were created, a number of follow up analysis were used to assess differences on key variables. Significant differences were found between the classes. Young adults in the “Poor Diet, Inactivity, and Risky Behavior” class reported higher rates of anxiety and maternal smoking and drinking behaviors compared to those in the “Poor Diet and Inactivity” class. Individuals in the “Poor Diet, Inactivity, and Risky Behavior” class were also more likely to report that a greater number of their peers engage in health risk behaviors, that they currently live off campus, and that they live in a sorority or fraternity compared to those in the “Inactivity” and “Poor Diet and Inactivity” classes. Young adults in the “Inactivity” class reported stronger relationships with faculty and staff and stronger friendships than those classified in the “Poor Diet and Inactivity” class. Those in the “Inactivity” class were also more likely to be a student athlete compared to the other classes, and more likely to report having a higher GPA than individuals in the “Poor Diet, Inactivity, and Risky Behavior” class. Young adults in the “Poor Diet and Inactivity” class were more likely to live without a roommate and be living at home with a parent or guardian compared to individuals in the other classes. Implications for clinical interventions and policy are discussed.

Minority Populations and Health

Author : Thomas A. LaVeist
Publisher : John Wiley & Sons
ISBN 13 : 1118046528
Total Pages : 370 pages
Book Rating : 4.1/5 (18 download)

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Book Synopsis Minority Populations and Health by : Thomas A. LaVeist

Download or read book Minority Populations and Health written by Thomas A. LaVeist and published by John Wiley & Sons. This book was released on 2011-03-10 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The text is state-of-the-art in its analysis of health disparities from both domestic and international perspectives. Minority Populations and Health: An Introduction to Health Disparities in the United States is a welcome addition to the field because it widens access to the complex issues underlying the health disparities problem. "-- Preventing Chronic Disease/CDC, October 2005 "This is a very comprehensive, evidence-based book dealing with the health disparities that plague the United States. This is a welcome and valuable addition to the field of health care for minority groups in the United States."-- Doody's Publishers Bulletin, August 2005 "Health isn’t color-blind. Racial minorities disproportionately suffer from some diseases, but experts say race alone doesn’t completely account for the disparities. Newsweek's Jennifer Barrett Ozols spoke with Thomas LaVeist, director of the Center for Health Disparities Solutions at Johns Hopkins Bloomberg School of Public Health and author of the upcoming book, "Minority Populations and Health: An Introduction to Health Disparities in the U.S." (Jossey-Bass) about race and medicine. "-- MSNBC/Newsweek interview with author Thomas L. LaVeist, February 2005 "The book is readable and organized to be quickly read with specifics readily retrievable. It is comprehensive and visual."-- Journal of the American Medical Association, September 2005 Minority Populations and Health is a textbook that offers a complete foundation in the core issues and theoretical frameworks for the development of policy and interventions to address race disparities in health-related outcomes. This book covers U.S. health and social policy, the role of race and ethnicity in health research, social factors contributing to mortality, longevity and life expectancy, quantitative and demographic analysis and access, and utilization of health services. Instructors material available at http://www.minorityhealth.com

Violence Across the Lifespan (First Edition)

Author : Pearl Berman
Publisher : Cognella Academic Publishing
ISBN 13 : 9781516590711
Total Pages : pages
Book Rating : 4.5/5 (97 download)

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Book Synopsis Violence Across the Lifespan (First Edition) by : Pearl Berman

Download or read book Violence Across the Lifespan (First Edition) written by Pearl Berman and published by Cognella Academic Publishing. This book was released on 2019-12-04 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Violence Across the Lifespan presents students with scholarly articles and chapters that take a multidisciplinary approach to understanding family violence across the lifespan. The anthology is organized into six units. The opening unit introduces key theories from the fields of criminology, psychology, and sociology used in understanding violence. Later units progress through the lifespan, beginning with examining interpersonal violence and children, moving to interpersonal violence and adolescents, adults, and finally, older adults. The readings address all forms of interpersonal family violence including emotional abuse, physical abuse, sexual abuse, and neglect. They also covers abuse that occurs in educational settings such as bullying and sexual assault. Finally, issues of financial exploitation and self-neglect occurring in older adulthood are covered. The collection concludes with strategies for collaborating within multidisciplinary teams to increase effectiveness and for developing effective self-care strategies to prevent secondary traumatic stress. Violence Across the Lifespan is an ideal resource for courses in criminology, psychology, counseling, and social work that prepare students to support or interact with individuals who have endured acts of violence.

Building Resilience in Students Impacted by Adverse Childhood Experiences

Author : Victoria E. Romero
Publisher : Corwin Press
ISBN 13 : 1544319436
Total Pages : 259 pages
Book Rating : 4.5/5 (443 download)

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Book Synopsis Building Resilience in Students Impacted by Adverse Childhood Experiences by : Victoria E. Romero

Download or read book Building Resilience in Students Impacted by Adverse Childhood Experiences written by Victoria E. Romero and published by Corwin Press. This book was released on 2018-05-22 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use trauma-informed strategies to give students the skills and support they need to succeed in school and life Nearly half of all children have been exposed to at least one adverse childhood experience (ACE), such as poverty, divorce, neglect, homelessness, substance abuse, domestic violence, or parent incarceration. These students often enter school with behaviors that don’t blend well with the typical school environment. How can a school community come together and work as a whole to establish a healthy social-emotional climate for students and the staff who support them? This workbook-style resource shows K-12 educators how to make a whole-school change, where strategies are integrated from curb to classroom. Readers will learn how to integrate trauma-informed strategies into daily instructional practice through expanded focus on: The different experiences and unique challenges of students impacted by ACEs in urban, suburban, and rural schools, including suicidal tendencies, cyberbullying, and drugs Behavior as a form of communication and how to explicitly teach new behaviors How to mitigate trauma and build innate resiliency through a read, reflect, and respond model Let this book be the tool that helps your teams move students away from the school-to-prison pipeline and toward a life rich with educational and career choices. "I cannot think of a book more needed than this one. It gives us the tools to support our students who have the most need while practicing the self-care necessary to continue to serve them." —Lydia Adegbola, Chair of English Department New Rochelle High School, NY "This book highlights the impact of trauma on children and the adults who work with them, while providing relevant and practical strategies to understand and address it through reflective practices." —Marine Avagyan, Director, Curriculum and Instruction Saugus Union School District, Sunland, CA

Adverse and Protective Childhood Experiences

Author : Jennifer Hays-Grudo
Publisher : American Psychological Association (APA)
ISBN 13 : 9781433832116
Total Pages : 0 pages
Book Rating : 4.8/5 (321 download)

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Book Synopsis Adverse and Protective Childhood Experiences by : Jennifer Hays-Grudo

Download or read book Adverse and Protective Childhood Experiences written by Jennifer Hays-Grudo and published by American Psychological Association (APA). This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an interdisciplinary lens from which to view the multiple types of effects of enduring childhood experiences, and to recommend evidence-based approaches for protecting and buffering children and repairing the negative consequences of ACEs as adults.

Restorative Practices in Schools

Author : Margaret Thorsborne
Publisher : Taylor & Francis
ISBN 13 : 1351704052
Total Pages : 67 pages
Book Rating : 4.3/5 (517 download)

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Book Synopsis Restorative Practices in Schools by : Margaret Thorsborne

Download or read book Restorative Practices in Schools written by Margaret Thorsborne and published by Taylor & Francis. This book was released on 2017-07-05 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Outlines the techniques to learn and apply when planning and facilitating school conferences. This book contains key documents such as preparation checklist, conference script, typical agreement, evaluation sheet and case studies. It includes guidance on: analysing school practice; deciding whether to hold a conference; and preparing a conference.

Health Risk Behaviors Among College Students

Author : Vicki Woodruff
Publisher :
ISBN 13 :
Total Pages : 130 pages
Book Rating : 4.:/5 (481 download)

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Book Synopsis Health Risk Behaviors Among College Students by : Vicki Woodruff

Download or read book Health Risk Behaviors Among College Students written by Vicki Woodruff and published by . This book was released on 2001 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Developmental Psychopathology, Risk, Resilience, and Intervention

Author : Dante Cicchetti
Publisher : John Wiley & Sons
ISBN 13 : 1119125537
Total Pages : 1155 pages
Book Rating : 4.1/5 (191 download)

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Book Synopsis Developmental Psychopathology, Risk, Resilience, and Intervention by : Dante Cicchetti

Download or read book Developmental Psychopathology, Risk, Resilience, and Intervention written by Dante Cicchetti and published by John Wiley & Sons. This book was released on 2016-02-01 with total page 1155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examine the latest research merging nature and nurture in pathological development Developmental Psychopathology is a four-volume compendium of the most complete and current research on every aspect of the field. Volume Four: Genes and Environment focuses on the interplay between nature and nurture throughout the life stages, and the ways in which a child's environment can influence his or her physical and mental health as an adult. The discussion explores relationships with family, friends, and the community; environmental factors like poverty, violence, and social support; the development of coping mechanisms, and more, including the impact of these factors on physical brain development. This new third edition has been fully updated to incorporate the latest advances, and to better reflect the increasingly multilevel and interdisciplinary nature of the field and the growing importance of translational research. The relevance of classification in a developmental context is also addressed, including DSM-5 criteria and definitions. Advances in developmental psychopathology are occurring increasingly quickly as expanding theoretical and empirical work brings about dramatic gains in the multiple domains of child and adult development. This book brings you up to date on the latest developments surrounding genetics and environmental influence, including their intersection in experience-dependent brain development. Understand the impact of childhood adversity on adulthood health Gauge the effects of violence, poverty, interparental conflict, and more Learn how peer, family, and community relationships drive development Examine developments in prevention science and future research priorities Developmental psychopathology is necessarily interdisciplinary, as development arises from a dynamic interplay between psychological, genetic, social, cognitive, emotional, and cultural factors. Developmental Psychopathology Volume Four: Genes and Environment brings this diverse research together to give you a cohesive picture of the state of knowledge in the field.

Investing in the Health and Well-Being of Young Adults

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309309980
Total Pages : 431 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Investing in the Health and Well-Being of Young Adults by : National Research Council

Download or read book Investing in the Health and Well-Being of Young Adults written by National Research Council and published by National Academies Press. This book was released on 2015-01-27 with total page 431 pages. Available in PDF, EPUB and Kindle. Book excerpt: Young adulthood - ages approximately 18 to 26 - is a critical period of development with long-lasting implications for a person's economic security, health and well-being. Young adults are key contributors to the nation's workforce and military services and, since many are parents, to the healthy development of the next generation. Although 'millennials' have received attention in the popular media in recent years, young adults are too rarely treated as a distinct population in policy, programs, and research. Instead, they are often grouped with adolescents or, more often, with all adults. Currently, the nation is experiencing economic restructuring, widening inequality, a rapidly rising ratio of older adults, and an increasingly diverse population. The possible transformative effects of these features make focus on young adults especially important. A systematic approach to understanding and responding to the unique circumstances and needs of today's young adults can help to pave the way to a more productive and equitable tomorrow for young adults in particular and our society at large. Investing in The Health and Well-Being of Young Adults describes what is meant by the term young adulthood, who young adults are, what they are doing, and what they need. This study recommends actions that nonprofit programs and federal, state, and local agencies can take to help young adults make a successful transition from adolescence to adulthood. According to this report, young adults should be considered as a separate group from adolescents and older adults. Investing in The Health and Well-Being of Young Adults makes the case that increased efforts to improve high school and college graduate rates and education and workforce development systems that are more closely tied to high-demand economic sectors will help this age group achieve greater opportunity and success. The report also discusses the health status of young adults and makes recommendations to develop evidence-based practices for young adults for medical and behavioral health, including preventions. What happens during the young adult years has profound implications for the rest of the life course, and the stability and progress of society at large depends on how any cohort of young adults fares as a whole. Investing in The Health and Well-Being of Young Adults will provide a roadmap to improving outcomes for this age group as they transition from adolescence to adulthood.

The Impact of Early Life Trauma on Health and Disease

Author : Ruth A. Lanius
Publisher : Cambridge University Press
ISBN 13 : 9780521880268
Total Pages : 329 pages
Book Rating : 4.8/5 (82 download)

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Book Synopsis The Impact of Early Life Trauma on Health and Disease by : Ruth A. Lanius

Download or read book The Impact of Early Life Trauma on Health and Disease written by Ruth A. Lanius and published by Cambridge University Press. This book was released on 2010-08-05 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is now ample evidence from the preclinical and clinical fields that early life trauma has both dramatic and long-lasting effects on neurobiological systems and functions that are involved in different forms of psychopathology as well as on health in general. To date, a comprehensive review of the recent research on the effects of early and later life trauma is lacking. This book fills an obvious gap in academic and clinical literature by providing reviews which summarize and synthesize these findings. Topics considered and discussed include the possible biological and neuropsychological effects of trauma at different epochs and their effect on health. This book will be essential reading for psychiatrists, clinical psychologists, mental health professionals, social workers, pediatricians and specialists in child development.

Examining the Role of Social Support and Neighborhood Deprivation in the Relationship Between Multiple ACEs and Health Risk Behaviors

Download Examining the Role of Social Support and Neighborhood Deprivation in the Relationship Between Multiple ACEs and Health Risk Behaviors PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Examining the Role of Social Support and Neighborhood Deprivation in the Relationship Between Multiple ACEs and Health Risk Behaviors by :

Download or read book Examining the Role of Social Support and Neighborhood Deprivation in the Relationship Between Multiple ACEs and Health Risk Behaviors written by and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The accumulation of multiple adverse childhood experiences (ACEs) is associated with the disproportionate development of health risk behaviors (HRBs), such as smoking, substance use, physical inactivity, and risky HIV behaviors. The impact of neighborhood social inequities on the association between multiple ACEs and HRBs is not well known. This study aims to examine the impact of stressors associated with neighborhood deprivation on ACE-related HRBs, the potential protective factor of perceived social support (PSS), as well as better understand disproportionality experienced by racial/ethnic minorities. Through merging data from the 2010 Washington State Behavioral Risk Factor Surveillance System survey (n = 5,447) with the Neighborhood Deprivation Index (NDI), an NDI value is assigned based on participant zip code. Using structural equation modeling, this study demonstrates neighborhood deprivation mediates the relationship between multiple ACEs and HRBs, while both low and high PSS moderate this relationship. Additionally, the impact of exposure to multiple ACEs on health risk behaviors remained steady regardless of race/ethnicity. Acknowledging the contributions of neighborhood stressors and individual protective resources furthers the ACEs knowledgebase by providing a more integrated model of ACE-related disease production, improving explanatory mechanisms and clarifying the role of socio-structural factors in health disparities. Further, contextualizing the unique variances in ACE-related pathways depending on social and neighborhood factors enables more holistic interventions and preventative action at the community level, including policies targeting poverty, education, and housing conditions and increasing community social support assets.

Do Cognitive Processes Mediate the Relationship Between Adverse Childhood Experiences and Health Related Outcomes?

Author : Rebecca Trossman
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (126 download)

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Book Synopsis Do Cognitive Processes Mediate the Relationship Between Adverse Childhood Experiences and Health Related Outcomes? by : Rebecca Trossman

Download or read book Do Cognitive Processes Mediate the Relationship Between Adverse Childhood Experiences and Health Related Outcomes? written by Rebecca Trossman and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Adverse childhood experiences (ACEs) are stressful life events that occur during development. It is well-established that ACE exposure has negative downstream implications for a broad range of health-related behaviors, ultimately hastening mortality. Underlying mechanisms linking the experience of early life adversity with poor health remain less understood, however, and thus potential targets for intervention remain elusive. This work seeks to fill an important theoretical gap in the ACE literature by evaluating whether executive function (EF) constitute a biologically-plausible mediating mechanism in this causal pathway. To do so, two separate studies were conducted. In Study 1, undergraduate students completed measures of ACE exposure, EF, health-risk behaviors (e.g., smoking, drug and alcohol use, unsafe sexual practices), and psychopathology (e.g., anxiety, depression). Multivariate modeling determined that executive dysfunction in daily life mediated the relationship between childhood adversity exposure and current mental health concerns. EF did not mediate the effect between ACEs and health-risk behaviours. Study 2 sought to replicate and extend this work by narrowing the focus of health-risk behaviours to those most relevant for an undergraduate population (i.e., risky alcohol-related behaviours), and incorporating behavioural measures of EF in addition to self-report questionnaires. EF difficulties in daily life, but not on in-lab tasks, mediated the relationship between ACEs and psychopathology symptoms. The relationship between ACEs and risky alcohol use was not mediated by EF. These results partially support a neurodevelopmental model of ACE exposure vis-à-vis future health, focusing on the role of EF.

The Science of Adolescent Risk-Taking

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309158524
Total Pages : 144 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Science of Adolescent Risk-Taking by : National Research Council

Download or read book The Science of Adolescent Risk-Taking written by National Research Council and published by National Academies Press. This book was released on 2011-02-25 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adolescence is a time when youth make decisions, both good and bad, that have consequences for the rest of their lives. Some of these decisions put them at risk of lifelong health problems, injury, or death. The Institute of Medicine held three public workshops between 2008 and 2009 to provide a venue for researchers, health care providers, and community leaders to discuss strategies to improve adolescent health.

Childhood Maltreatment

Author : Christine Wekerle
Publisher : Hogrefe Publishing
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.X/5 (3 download)

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Book Synopsis Childhood Maltreatment by : Christine Wekerle

Download or read book Childhood Maltreatment written by Christine Wekerle and published by Hogrefe Publishing. This book was released on 2006 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The serious consequences of child abuse or maltreatment are among the most challenging things therapists encounter. This volume integrates results from the latest research showing the importance of early traumatization into a compact, practical and evidence-based guide for practitioners. This text first overviews our current knowledge of the effects of childhood maltreatment on psychiatric and psychological health, then provides diagnostic guidance, and subsequently goes on to profile promising and effective evidence-based interventions. It helps the practitioner or student to know what to look for, what questions need to be asked, how to handle the sensitive ethical implications, and what are promising avenues for effective coping."--Publisher.