Endings in Clinical Practice, Second Edition

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Author :
Publisher : Oxford University Press, USA
ISBN 13 : 9780190616526
Total Pages : 0 pages
Book Rating : 4.6/5 (165 download)

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Book Synopsis Endings in Clinical Practice, Second Edition by : Joseph Walsh

Download or read book Endings in Clinical Practice, Second Edition written by Joseph Walsh and published by Oxford University Press, USA. This book was released on 2007-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective endings ensure that intervention gains continue after the therapeutic relationship ends. Joseph Walsh relates this critical topic to all practitioners through his use of diverse settings, detailed coverage of clinical endings, and extensive case illustrations that make the content concrete, practical, and accessible. Walsh takes a multi-setting and multi-theoretical approach to the often-overlooked topic of endings in clinical practice. Endings in Clinical Practice is organized into three parts. The first part covers types of endings in clinical practice, both planned and unplanned; the importance of closure; and common endings tasks across fields of practice. Part Two outlines theoretical perspectives on endings especially pertinent to advanced practitioners. The final section considers a variety of specific clinical ending situations and the ways in which clients and practitioners may react to them.

Endings in Clinical Practice

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Publisher :
ISBN 13 : 9781933478005
Total Pages : 268 pages
Book Rating : 4.4/5 (78 download)

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Book Synopsis Endings in Clinical Practice by : Joseph F. Walsh

Download or read book Endings in Clinical Practice written by Joseph F. Walsh and published by . This book was released on 2007 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective endings ensure that intervention gains continue after the therapeutic relationship ends. Joseph Walsh relates this critical topic to all practitioners through his use of diverse settings, detailed coverage of clinical endings, and extensive case illustrations that make the content concrete, practical, and accessible. Walsh takes a multi-setting and multi-theoretical approach to the often-overlooked topic of endings in clinical practice. Endings in Clinical Practice is organised into three parts. The first part covers types of endings in clinical practice, both planned and unplanned; the importance of closure; and common endings tasks across fields of practice. Part Two outlines theoretical perspectives on endings especially pertinent to advanced practitioners. The final section considers a variety of specific clinical ending situations and the ways in which clients and practitioners may react to them. New to the Second Edition: 10 new case studies. Revised and expanded chapter on endings with families. An exploration of client suicide. Discussion on how children and adolescents experience clinical endings. More material on the role of agency administrators in maximizing chances to experience positive endings with clients.

Endings and Beginnings, Second Edition

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Author :
Publisher : Routledge
ISBN 13 : 1134639406
Total Pages : 312 pages
Book Rating : 4.1/5 (346 download)

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Book Synopsis Endings and Beginnings, Second Edition by : Herbert J. Schlesinger

Download or read book Endings and Beginnings, Second Edition written by Herbert J. Schlesinger and published by Routledge. This book was released on 2013-10-01 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this second edition of Endings & Beginnings (Routledge, 2006), Herbert J. Schlesinger explores endings and beginnings within psychoanalysis and psychoanalytic therapy; both the obvious main endings and beginnings of any course in treatment, and the many little endings and beginnings that permeate analysis. The second edition contains new chapters including one on transference and counter-transference as sources of information about the process of therapy and as sources of difficulty in ending. It deals especially with the impact of prospective ending on the therapist, which if not understood and well handled, might interfere with working through and impede termination, if not ending itself. Another new chapter deals with the difficulties in terminating with especially narcissistic patients. One of the main criticisms against psychoanalysis and the psychotherapies derived from it is that it lacks criteria for when the patient has had enough. Herbert J. Schlesinger shows how we may view the process as a series of episodes each with an ending and possibly with a new beginning. He presents the way patients signal, even before they are aware of it, that ending is "in the air," and how it organizes how they experience the therapy. If alerted, the therapist can make use of these signals to locate self and patient in the process. So informed, the therapist is better able to discern when the therapy should end and help the patient work through the issues of separation and loss to terminate the treatment constructively. All patients tend to end psychotherapy in the way they end all other relationships. In several chapters on the problems related to severe regression, therapists can learn how to help vulnerable patients, for whom attachment is problematic, deal with separation non-traumatically. In Endings & Beginnings 2nd Edition, the theory of the continuous experience of ending and beginning and the array of landmarks that parse the clinical process are distinct advances to the technique of psychoanalysis and the psychotherapies derived from it. Schlesinger offers many clinical examples of ending and beginning with their technical problems and solutions. This contribution to the technique of ending and beginning psychotherapy electively will be useful to practicing psychotherapists and psychoanalysts, and to undergraduate and post-graduate students in clinical psychology, psychiatry and social work.

Endings and Beginnings

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Author :
Publisher : Routledge
ISBN 13 : 1135829764
Total Pages : 255 pages
Book Rating : 4.1/5 (358 download)

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Book Synopsis Endings and Beginnings by : Herbert J. Schlesinger

Download or read book Endings and Beginnings written by Herbert J. Schlesinger and published by Routledge. This book was released on 2013-04-15 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: What sets off the termination of analysis and psychodynamic therapy from the variety of endings that enter into all human relationships? So asks Herbert J. Schlesinger in Endings and Beginnings: On Terminating Psychotherapy and Psychoanalysis, a work of remarkable clarity, conceptual rigor, and ingratiating readability. Schlesinger situates termination - which he understands, variously, as a phase of treatment, a treatment process, and a state of mind - within the family of "beginnings and endings" that permeate one another throughout the course of therapy. For Schlesinger, therapeutic endings cannot be aligned with the final phase of treatment; ending-phase phenomena are ongoing accompaniments of therapeutic work. They occur whenever patients achieve some portion of their treatment goals and supervene when therapy stagnates. Small wonder that an assessment of the patient's relationship to time and capacity to end therapy are key aspects of diagnostic evaluation. By linking beginning and ending phases not to the chronology of treatment but to the patient’s experience of it, Schlesinger brings revivifying insight to a host of psychodynamic concepts. Nor does he shy away from a trenchant critique of the instrumental “medical model” of psychiatric and psychotherapeutic training, which militates against the therapeutic exploration of treatment endings. Schlesinger's exemplification of how to begin treatment from the point of view of ending; his sensitive delineation of the mid-treatment "ending" crises characteristic of "vulnerable patients"; his richly woven case vignettes illustrating various "ending" contingencies and permutations - these inquiries are gems of pragmatic clinical wisdom. Endings and Beginnings distills lessons learned over the course of a half century of practicing, teaching, and supervising psychotherapy and psychoanalysis and is a gift to the profession.

Endocrinology in Clinical Practice, Second Edition

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Author :
Publisher : CRC Press
ISBN 13 : 1841849510
Total Pages : 606 pages
Book Rating : 4.8/5 (418 download)

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Book Synopsis Endocrinology in Clinical Practice, Second Edition by : Philip E. Harris

Download or read book Endocrinology in Clinical Practice, Second Edition written by Philip E. Harris and published by CRC Press. This book was released on 2014-03-24 with total page 606 pages. Available in PDF, EPUB and Kindle. Book excerpt: Endocrinology is a complex specialty that spans a wide range of diseases, disorders, and conditions. The field is now moving toward an increasingly personalized approach to patient management, with a greater focus on mechanisms of disease and biomarkers. Written by internationally renowned specialists, the second edition of Endocrinology in Clinical Practice provides a cutting-edge, problem-orientated approach to the management of clinical problems in endocrinology. Highlights of the new edition include: An overview of neuroendocrine disease Strides made by the identification of aryl hydrocarbon receptor–interacting protein mutations in patients with familial isolated pituitary adenomas The diverse roles of IGF-I Changes in diagnostic imaging and the increasing use of positron emission tomography The rapidly increasing incidence of neuroendocrine tumors and their management Hereditary primary hyperparathyroidism and multiple endocrine neoplasia Mechanistic and genomic advances related to disorders of calcium regulation and infertility The endocrinology of aging Protocols for pituitary function testing With complete updates to existing chapters, the second edition also presents new research data, diagnostic techniques, treatment options, and safety concerns related to existing therapies. This edition offers current guidance and scientifically focused information relevant to a range of clinical problems, making it an essential reference for practicing endocrinologists and specialist clinicians.

Doing Family Therapy, Second Edition

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Author :
Publisher : Guilford Press
ISBN 13 : 1609180925
Total Pages : 290 pages
Book Rating : 4.6/5 (91 download)

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Book Synopsis Doing Family Therapy, Second Edition by : Robert Taibbi

Download or read book Doing Family Therapy, Second Edition written by Robert Taibbi and published by Guilford Press. This book was released on 2007-05-29 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: This popular text helps students and clinicians build essential skills common to all family interventions. The entire process of systemic therapy is richly illustrated with chapter-length case examples. Rather than advocating one best approach, the author shows that there are multiple ways of working, and provides reflection questions and exercises that encourage readers to develop their own clinical style.

Phonetic Science for Clinical Practice, Second Edition

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Publisher : Plural Publishing
ISBN 13 : 1635504066
Total Pages : 355 pages
Book Rating : 4.6/5 (355 download)

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Book Synopsis Phonetic Science for Clinical Practice, Second Edition by : Kathy J. Jakielski

Download or read book Phonetic Science for Clinical Practice, Second Edition written by Kathy J. Jakielski and published by Plural Publishing. This book was released on 2023-11-21 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Phonetic Science for Clinical Practice, Second Edition is designed to serve as an introductory, one-term textbook for undergraduate phonetics courses in communication sciences and disorders. The text introduces the fundamental tool of transcription, the International Phonetic Alphabet, while also presenting the science underlying that set of symbols. The goal of this text is to teach students how to think about the data being transcribed—in other words, how to think like a phonetician. Every chapter begins with learning objectives and an “Applied Science” feature, which presents a research- or clinical-based question that can be answered by applying the phonetic science concepts covered in that chapter. By the end of the chapter, students will revisit the question and be asked to solve the problem posed. Students studying communication sciences and disorders, practicing speech-language pathologists, and audiologists will be more successful in their clinical work if they understand the science that underlies the tool of transcription. Each chapter also offers several diverse clinical examples to review the application of concepts covered. Key Features * Focused on practical, clinical application and the information needed for clinical practice * “Did You Get It?” comprehension checks on the material throughout each chapter * “Applied Science” sections at the beginning and end each chapter to increase students’ curiosity about the topic of the chapter, concluding with real-world clinical solutions New to the Second Edition * Transcription readiness quiz (Chapter 1) with accompanying tutorials * New information about disordered speech and developmental speech errors that affect consonants (Chapter 7) and new section about developmental speech errors that affect vowels (Chapter 8) * 12 new audio case studies that students can use to practice transcribing errors in typical speech development * 12 new video case studies that students can use to practice transcribing disordered speech Disclaimer: Please note that ancillary content such as study aids, flashcards, audio maps, and quizzes are not be included as published in the original print version of this book.

Clinical Pain Management Second Edition: Practice and Procedures

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Publisher : CRC Press
ISBN 13 : 0340940069
Total Pages : 743 pages
Book Rating : 4.3/5 (49 download)

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Book Synopsis Clinical Pain Management Second Edition: Practice and Procedures by : Harald Breivik

Download or read book Clinical Pain Management Second Edition: Practice and Procedures written by Harald Breivik and published by CRC Press. This book was released on 2008-09-26 with total page 743 pages. Available in PDF, EPUB and Kindle. Book excerpt: Largely reorganised and much expanded in this second edition, Practice and Procedures brings together in a single volume general methods of pain assessment and presents the wide range of therapies that can be provided by a range of health care disciplines. Authored by a multidisciplinary team of experts, chapters can stand alone for readers looking for a general overview of the methods of techniques for pain management available to them or work to complement chapters in the preceeding three volumes, providing practical procedures and applications in the management of acute, chronic and cancer pain. The book is divided into three parts. Part One covers the principles of measurement and diagnosis, including history taking and examination, the selection of pain measures, diagnostic tests and novel imaging techniques. Part Two discusses the full range of therapeutic protocols available, from pharmacological therapies, through psychological techniques, physical therapy and international procedures, to techniques specific to pain assessment and management in paediatric patients. Part Three provides information on planning, conducting, analysing and publishing clinical trials, with invaluable guidance on the techniques of systematic review and meta-analysis in pain research. Part Four considers the role of multidisciplinary pain management teams, their organization, their place within different health care systems, and how best to manage change when implementing such a service. Part Five concludes the volume, investigating the use of guidelines, standards and quality improvement initiatives in the management of post-operative pain, and discussing the expert medicolegal report.

The Costs of Courage

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Publisher : Oxford University Press
ISBN 13 : 0190616083
Total Pages : 225 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis The Costs of Courage by : Josephine G. Pryce

Download or read book The Costs of Courage written by Josephine G. Pryce and published by Oxford University Press. This book was released on 2011-10 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Costs of Courage is one of the very few comprehensive volumes that shed a light on the needs of US military personnel and their families. The authors introduce social workers and other helping professionals to the dynamic warrior culture of the US military and their families and provides practitioners with the cultural competence necessary to successfully interact with members of this culture. This book includes best practices and eclectic approaches that encourage social workers and other mental health professionals to better consider the needs of our military and their families. The text contains the most up-to-date subject matter on social work with military personnel and their families, including thorough descriptions of major conditions suffered by members of the warrior culture in the past and present. Relevant topics such as suicide, sexual assault, veteran issues, and Don't Ask, Don't Tell, Don't Pursue, are discussed. The content is accented with a glossary of commonly used military terms and acronyms.

Essential Interviewing and Counseling Skills, Second Edition

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Publisher : Springer Publishing Company
ISBN 13 : 0826192661
Total Pages : 479 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Essential Interviewing and Counseling Skills, Second Edition by : Tracy A. Prout, PhD

Download or read book Essential Interviewing and Counseling Skills, Second Edition written by Tracy A. Prout, PhD and published by Springer Publishing Company. This book was released on 2021-08-11 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: The only comprehensive interviewing and counseling text grounded in a strong multi-theoretical foundation Structured around CACREP standards, Essential Interviewing and Counseling Skills Second Edition uniquely encompasses both theory and practice from the perspectives of a diverse array of theoretical schools and practice strategies. While continuing to disseminate counseling fundamentals, the second edition focuses extensively on the acquisition of robust interviewing and counseling skills including special preparation for the initial assessment and counseling session. It is also distinguished by its integration of cognitive behavioral and psychodynamic therapy approaches. Throughout, the text emphasizes the importance of multicultural humility and a multicultural orientation to counseling—including challenging students to examine their own backgrounds and biases. This latest edition also addresses key aspects of telehealth that have come to the fore during the COVID pandemic. The use of case examples throughout highlights multiple theoretical approaches and illustrates how to integrate a wide range of perspectives. With an emphasis on counseling clients from diverse cultural backgrounds, each chapter focuses on strategies for working with varied populations, with an emphasis on intersectionality. The authors consider many forms of diversity including race, ethnicity, immigration, and country of origin along with age, gender, sexual orientation, religion, language, and physical and cognitive abilities. Purchase includes digital access for use on most mobile devices or computers. Updates to the instructor's resources include an Instructor's Manual, Power Points and a new test bank. New to the Second Edition: Includes a new chapter on Theoretical Integration of Approaches in Counseling New discussions on how to successfully use telehealth for interviewing and counseling Includes "Hot off the Press" boxes highlighting cutting edge research to inform strategies for counseling and professional development The entire text has been updated with the latest research and clinical references. Key Features: Includes an emphasis on multicultural competence and humility throughout the text and features a "Spotlight on Culture" focusing on specific cultural considerations in each chapter Provides a balanced, integrated theoretical and practical approach to interviewing and counseling with a focus on skills development Discusses evidence-based practice, assessment, diagnosis, and when/how to end treatment Teaches the fundamental skills of empathy, active listening, treatment planning and developing a strong therapeutic alliance with the client

Botulinum Toxins in Clinical Aesthetic Practice, Second Edition

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Publisher : CRC Press
ISBN 13 : 1841847550
Total Pages : 298 pages
Book Rating : 4.8/5 (418 download)

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Book Synopsis Botulinum Toxins in Clinical Aesthetic Practice, Second Edition by : Anthony Benedetto

Download or read book Botulinum Toxins in Clinical Aesthetic Practice, Second Edition written by Anthony Benedetto and published by CRC Press. This book was released on 2011-01-18 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Well illustrated with high-quality photographs, Botulinum Toxins in Clinical Aesthetic Practice has proven itself a premier guide to the clinical use of different types of botulinum toxins for both esthetic and medical purposes. This second edition retains all the features that made its predecessor so successful, including detailed anatomic drawings, a review of the different formulations available, and specimen forms. This edition has been revised and updated throughout and features additional new material on medico-legal considerations and psychological and cultural factors that may affect the intentions of patients and the results that can be achieved.

Clinical Manual for Assessment and Treatment of Suicidal Patients, Second Edition

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615371370
Total Pages : 392 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Clinical Manual for Assessment and Treatment of Suicidal Patients, Second Edition by : John A. Chiles, M.D.

Download or read book Clinical Manual for Assessment and Treatment of Suicidal Patients, Second Edition written by John A. Chiles, M.D. and published by American Psychiatric Pub. This book was released on 2018-08-23 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Challenging the underlying assumption that suicidal behavior can be predicted and controlled, the authors conceptualize suicidality as problem-solving behavior to which an individual resorts when other options seem to have failed.

Termination Challenges in Child Psychotherapy

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Publisher : Guilford Publications
ISBN 13 : 1462523196
Total Pages : 240 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Termination Challenges in Child Psychotherapy by : Eliana Gil

Download or read book Termination Challenges in Child Psychotherapy written by Eliana Gil and published by Guilford Publications. This book was released on 2015-10-14 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ending therapy in an appropriate and meaningful way is especially important in work with children and adolescents, yet the topic is often overlooked in clinical training. From leading child clinicians, this much-needed book examines the termination process/m-/both for brief and longer-term encounters/m-/and offers practical guidance illustrated with vivid case material. Tools are provided for helping children and families understand termination and work through associated feelings of loss and grief. Challenges in creating positive endings to therapy with children who have experienced trauma and adversity are given particular attention. Several reproducible forms can be downloaded and printed from the companion website in a convenient 8 1/2" x 11" size. This e-book edition features nine full-color figures. (Figures will appear in black and white on black-and-white e-readers).

Introduction to the Practice of Psychoanalytic Psychotherapy

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118788834
Total Pages : 358 pages
Book Rating : 4.1/5 (187 download)

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Book Synopsis Introduction to the Practice of Psychoanalytic Psychotherapy by : Alessandra Lemma

Download or read book Introduction to the Practice of Psychoanalytic Psychotherapy written by Alessandra Lemma and published by John Wiley & Sons. This book was released on 2015-11-09 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2nd Edition of Introduction to the Practice of Psychoanalytic Psychotherapy, the highly successful practice-oriented handbook designed to demystify psychoanalytic psychotherapy, is updated and revised to reflect the latest developments in the field. Updated edition of an extremely successful textbook in its field, featuring numerous updates to reflect the latest research and evidence base Demystifies the processes underpinning psychoanalytic psychotherapy, particularly the development of the analytic attitude guided by principles of clinical technique Provides step-by-step guidance in key areas such as how to conduct assessments, how to formulate cases in psychodynamic terms and how to approach endings The author is a leader in the field – she is General Editor of the New Library of Psychoanalysis book series and a former editor of Psychoanalytic Psychotherapy

Best Practice in Professional Supervision, Second Edition

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Publisher : Jessica Kingsley Publishers
ISBN 13 : 1784508578
Total Pages : 290 pages
Book Rating : 4.7/5 (845 download)

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Book Synopsis Best Practice in Professional Supervision, Second Edition by : Allyson Davys

Download or read book Best Practice in Professional Supervision, Second Edition written by Allyson Davys and published by Jessica Kingsley Publishers. This book was released on 2020-12-21 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition of Best Practice in Professional Supervision is a fully updated and revised guide to being an excellent supervisor in the social care, nursing, counselling and allied health professions. This field has developed rapidly in the past 10 years, and this new edition contains essential updates reflecting the very latest research and practice. The book covers basic skills, the practicalities of forming and maintaining the supervision relationship, and the organisational context and culture of supervision. Viewing supervision as a place for learning, the book also considers how supervision can help practitioners to develop professional resilience and promote their own wellbeing despite the stresses of complex work environments. It also includes specific chapters on supervision of clinical student placements, and in child protection settings. Full of clinical case vignettes illustrating good practice, this is an essential guide for all those undertaking supervision, or supervision training.

Clinical Pain Management Second Edition: Acute Pain

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Author :
Publisher : CRC Press
ISBN 13 : 0340940093
Total Pages : 629 pages
Book Rating : 4.3/5 (49 download)

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Book Synopsis Clinical Pain Management Second Edition: Acute Pain by : Pamela Macintyre

Download or read book Clinical Pain Management Second Edition: Acute Pain written by Pamela Macintyre and published by CRC Press. This book was released on 2008-09-26 with total page 629 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute Pain brings coverage of this diverse area together in a single comprehensive clinical reference, from the basic mechanisms underlying the development of acute pain, to the various treatments that can be applied to control it in different clinical settings. Much expanded in this second edition, the volume reflects the huge advances that continue to be made in acute pain management. Part One examines the basic aspects of acute pain and its management, including applied physiology and development neurobiology, the drugs commonly used in therapy, assessment, measurement and history-taking, post-operative pain management and its relationship to outcome, and preventive analgesia. Part Two reviews the techniques used for the management of acute pain. Methods of drug delivery and non-pharmacological treatments including psychological therapies in adults and children and transcutaneous electrical nerve stimulation are considered here. Part Three looks at the many clinical situations in which acute pain can arise, and the methods of treatment that may be suitable in each circumstance, whether the patient is young or old, has pain due to surgery, trauma, medical illness or childbirth, or is undergoing rehabilitation. Issues specific to the management of acute pain in the developing world are also covered here.

Forced Endings in Psychotherapy and Psychoanalysis

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Author :
Publisher : Routledge
ISBN 13 : 1317510011
Total Pages : 261 pages
Book Rating : 4.3/5 (175 download)

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Book Synopsis Forced Endings in Psychotherapy and Psychoanalysis by : Anne Power

Download or read book Forced Endings in Psychotherapy and Psychoanalysis written by Anne Power and published by Routledge. This book was released on 2015-09-25 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Forced Endings in Psychotherapy and Psychoanalysis: Attachment and Loss in Retirement explores the ambivalence the therapist may feel about letting go of a professional role which has sustained them. Anne Power explores the process of closing a private practice, from the first ethical decision-making, through to the last day when the door of the therapy room shuts. She draws on the personal accounts of retired therapists and others who had to impose an ending on clients due to illness, in order to move house, to take maternity leave or a sabbatical. A forced ending is an intrusion of the clinician’s own needs into the therapeutic space. Anne Power shows how this might compromise the work but may also be an opportunity for deeper engagement. Drawing on attachment theory to understand how the therapeutic couple cope with an imposed separation, Power includes interviews with therapists who took a temporary break to demonstrate the commonality of challenges faced by those who need to impose an ending on clients. Forced Endings in Psychotherapy and Psychoanalysis opens up an area which has been considered taboo in the profession so that future cohorts can benefit from the reflections and insights of this earlier generation. It will support clinicians making this transition and aims to support ethical practice so that clients are not exposed to unnecessary risks of the sudden termination of a long treatment. This book will be essential reading for practicing psychotherapists and psychoanalysts, and to undergraduate and post-graduate students in clinical psychology, psychiatry and social work