Treating Vulnerable Populations Of Cancer Survivors A Biopsychosocial Approach

Download Treating Vulnerable Populations Of Cancer Survivors A Biopsychosocial Approach full books in PDF, epub, and Kindle. Read online Treating Vulnerable Populations Of Cancer Survivors A Biopsychosocial Approach ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!

Treating Vulnerable Populations of Cancer Survivors: A Biopsychosocial Approach

Author : Tanya R. Fitzpatrick
Publisher : Springer
ISBN 13 : 3319323644
Total Pages : 170 pages
Book Rating : 4.3/5 (193 download)

DOWNLOAD NOW!

Book Synopsis Treating Vulnerable Populations of Cancer Survivors: A Biopsychosocial Approach by : Tanya R. Fitzpatrick

Download or read book Treating Vulnerable Populations of Cancer Survivors: A Biopsychosocial Approach written by Tanya R. Fitzpatrick and published by Springer. This book was released on 2016-05-26 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: This competence-building resource synthesizes a rich trove of conceptual and practical information on treating cancer survivors at risk of being underserved. Spotlighting a diverse group of ethnic and other demographic populations surviving diverse forms of cancer, the book models the assessing of needs and the developing of strategies to meet them. The multiple burden of cancer—medical and psychosocial problems, discrimination and stigma, quality of life issues—is described in depth as it affects different cultural and age populations. Contributors also present interventions that effectively and meaningfully address these complex intersections of physical, emotional, interpersonal, and layered social concerns. Included among the topics: Providing psychosocial distress screening, coping resources and self-care to newly diagnosed cancer survivors. Latino cancer survivors: the old and the young. An exploration of Latvian immigrants' cancer experience and implications for supportive interventions. Survivorship issues among Muslim women with cancer. How art therapy can benefit the quality of life of young breast cancer survivors. The family caregiver as cancer survivor: supporting and promoting positive bereavement outcomes. Unique among the survivor literature, Treating Vulnerable Populations of Cancer Survivors ably assists health psychologists, social workers, and nurses in providing services to patients facing special challenges during recovery.

Cancer Care for the Whole Patient

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309134161
Total Pages : 455 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!

Book Synopsis Cancer Care for the Whole Patient by : Institute of Medicine

Download or read book Cancer Care for the Whole Patient written by Institute of Medicine and published by National Academies Press. This book was released on 2008-03-19 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.

Quality of Life Among Cancer Survivors

Author : Tanya R. Fitzpatrick
Publisher : Springer
ISBN 13 : 3319752235
Total Pages : 219 pages
Book Rating : 4.3/5 (197 download)

DOWNLOAD NOW!

Book Synopsis Quality of Life Among Cancer Survivors by : Tanya R. Fitzpatrick

Download or read book Quality of Life Among Cancer Survivors written by Tanya R. Fitzpatrick and published by Springer. This book was released on 2018-04-26 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This multidisciplinary reference explores the concepts and realities of quality of life among cancer survivors in its physical, psychological, cognitive, social, and familial dimensions. Informed by a broad range of fields including genetics, psychiatry, nursing, dentistry, rehabilitation, and ethics, it addresses daily challenges of living for this population, from self-care to cultural concerns and from social interactions to experiences with providers. Family issues of pediatric, young adult, and elder survivors, caregiving parents, and siblings are a major area of concern. And contributors describe interventions for survivors as individuals, in family content, and as part of integrated care across primary and specialty settings. Included among the topics: Play, leisure activities, and cognitive health among older cancer survivors. Genetic mutations in cancer susceptibility genes: a family history of cancer. Cancer patients in a pediatric intensive care unit: a single center experience. The impact of childhood cancer on the quality of life among healthy siblings. When cancer returns: family caregivers and the hospice team. Experiencing cancer services: a story of survival and dissatisfaction. A significant addition to the cancer survivorship literature, Quality of Life Among Cancer Survivors is a practice-building resource for oncology and allied health professionals, health psychologists, and social workers, as well as researchers in these fields.

The Biopsychosocial Model of Health and Disease

Author : Derek Bolton
Publisher : Springer
ISBN 13 : 3030118991
Total Pages : 157 pages
Book Rating : 4.0/5 (31 download)

DOWNLOAD NOW!

Book Synopsis The Biopsychosocial Model of Health and Disease by : Derek Bolton

Download or read book The Biopsychosocial Model of Health and Disease written by Derek Bolton and published by Springer. This book was released on 2019-03-28 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book is a systematic update of the philosophical and scientific foundations of the biopsychosocial model of health, disease and healthcare. First proposed by George Engel 40 years ago, the Biopsychosocial Model is much cited in healthcare settings worldwide, but has been increasingly criticised for being vague, lacking in content, and in need of reworking in the light of recent developments. The book confronts the rapid changes to psychological science, neuroscience, healthcare, and philosophy that have occurred since the model was first proposed and addresses key issues such as the model’s scientific basis, clinical utility, and philosophical coherence. The authors conceptualise biology and the psychosocial as in the same ontological space, interlinked by systems of communication-based regulatory control which constitute a new kind of causation. These are distinguished from physical and chemical laws, most clearly because they can break down, thus providing the basis for difference between health and disease. This work offers an urgent update to the model’s scientific and philosophical foundations, providing a new and coherent account of causal interactions between the biological, the psychological and social.

Handbook of Oncology Social Work

Author : Grace Christ
Publisher : Oxford University Press
ISBN 13 : 0199941939
Total Pages : 873 pages
Book Rating : 4.1/5 (999 download)

DOWNLOAD NOW!

Book Synopsis Handbook of Oncology Social Work by : Grace Christ

Download or read book Handbook of Oncology Social Work written by Grace Christ and published by Oxford University Press. This book was released on 2015-01-28 with total page 873 pages. Available in PDF, EPUB and Kindle. Book excerpt: The development of this inaugural Handbook of Oncology Social Work: Psychosocial Care for People With Cancer provides a repository of the scope of oncology social workers' clinical practice, education, research, policy and program leadership in the psychosocial care of people with cancer and their families. It focuses on the unique synergy of social work perspectives, values, knowledge, and skills with the psychosocial needs of cancer patients, their families, and the health care systems in which they are treated. It addresses both the science and art of psychosocial care and identifies the increasing specialization of oncology social work related to its unique knowledge base, skills, role, and the progressive complexity of psychosocial challenges for patients with cancer. This Handbook equips the reader with all that we know today in oncology social work about patient and family centered care, distress screening, genetics, survivorship, care coordination, sociocultural and economic diversity, legal and ethical matters, clinical work with adults living with cancer, cancer across the lifespan, their caregivers and families, pediatrics, loss and grief, professional career development, leadership, and innovation. Our hope is that in reading this Handbook you will identify new areas where each of you can leave your mark as innovators and change agents in our evolving field of practice.

Cognitive-Behavioral Stress Management

Author : Michael H. Antoni
Publisher : Oxford University Press
ISBN 13 : 0190450029
Total Pages : 144 pages
Book Rating : 4.1/5 (94 download)

DOWNLOAD NOW!

Book Synopsis Cognitive-Behavioral Stress Management by : Michael H. Antoni

Download or read book Cognitive-Behavioral Stress Management written by Michael H. Antoni and published by Oxford University Press. This book was released on 2007-09-10 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Living with HIV can be stressful, which can affect both your emotional and physical well-being. You may feel a loss of control over your life, socially isolated, or anxious and depressed. Studies have shown that prolonged stress can negatively impact the immune system, making it less effective in fighting illness. If you are concerned about the impact stress has on your life and on your health, this book can help you learn to relax and manage stress more effectively. This book presents a group treatment program that has been scientifically proven to reduce stress in individuals living with HIV. Written by the developers of this groundbreaking program, this workbook is based on the principles of Cognitive-Behavioral Stress Management (CBSM). You will learn a variety of relaxation techniques, all designed to help you reduce tension and stress. As you become more aware of stress and its effects, stress management skills will increase your ability to cope. This workbook comes complete with user-friendly monitoring forms and homework exercises designed to help reinforce the skills learned in group. It also includes instructions for relaxation practice that will remain useful long after you've completed the program. Used in conjunction with the group program described in the corresponding facilitator guide, this workbook will help you successfully manage stress and lead a more healthy life. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Comprehensive Handbook of Childhood Cancer and Sickle Cell Disease

Author : Ronald T. Brown
Publisher : Oxford University Press
ISBN 13 : 0195169859
Total Pages : 603 pages
Book Rating : 4.1/5 (951 download)

DOWNLOAD NOW!

Book Synopsis Comprehensive Handbook of Childhood Cancer and Sickle Cell Disease by : Ronald T. Brown

Download or read book Comprehensive Handbook of Childhood Cancer and Sickle Cell Disease written by Ronald T. Brown and published by Oxford University Press. This book was released on 2006-04-06 with total page 603 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over recent decades, tremendous advances in the prevention, medical treatment, and quality of life issues in children and adolescents surviving cancer have spawned a host of research on pediatric psychosocial oncology. This important volume fulfills the clear need for an up-to-date, comprehensive handbook for practitioners that delineates the most recent research in the field--the first of its kind in over a decade. Over 60 renowned authors have been assembled to provide a thorough presentation of the state-of-the art research and literature, with topics including:-Neuropsychological effects of chemotherapy and radiation therapy-Bone marrow transplantation-Important issues about quality of life during and following treatment-Collaborative research among child-focused psychologists-Standards of psychological care for children and adolescents-Stress and coping in the pediatric cancer experience-The role of family and peer relationshipsThe Comprehensive Handbook of Childhood Cancer and Sickle Cell Disease represents both multidisciplinary and international efforts, an alliance between physicians and parents, and a combination of research and service. With a wealth of information of great interest to patients and their families, this volume will also be a welcome resource to the psychologists, psychiatrists, pediatricians, oncologists, nurses, and social workers who confront these issues as they help children and their families through the treatment, recovery, and grieving processes.

Pain Management in Vulnerable Populations

Author : Paul J. Christo
Publisher : Oxford University Press
ISBN 13 : 0197649173
Total Pages : 569 pages
Book Rating : 4.1/5 (976 download)

DOWNLOAD NOW!

Book Synopsis Pain Management in Vulnerable Populations by : Paul J. Christo

Download or read book Pain Management in Vulnerable Populations written by Paul J. Christo and published by Oxford University Press. This book was released on 2024 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain Management in Vulnerable Populations addresses the clinical problem of pain in vulnerable populations in our society. Their vulnerability is related to the challenging nature of their clinical conditions, for which standard therapies are often ineffective, or social factors, structural to the nation's health system, that limit access to the personalized, multidisciplinary specialty and integrative care that is needed. Each vulnerable group demands a unique approach - this book reveals the details behind the history, examination, and therapeutic options.to remediate vulnerability and achieve quality care in these populations.

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309092116
Total Pages : 753 pages
Book Rating : 4.3/5 (9 download)

DOWNLOAD NOW!

Book Synopsis Critical Perspectives on Racial and Ethnic Differences in Health in Late Life by : National Research Council

Download or read book Critical Perspectives on Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-10-16 with total page 753 pages. Available in PDF, EPUB and Kindle. Book excerpt: In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.

Meaning-centered Group Psychotherapy for Patients with Advanced Cancer

Author : William S. Breitbart
Publisher : Oxford University Press, USA
ISBN 13 : 0199837252
Total Pages : 129 pages
Book Rating : 4.1/5 (998 download)

DOWNLOAD NOW!

Book Synopsis Meaning-centered Group Psychotherapy for Patients with Advanced Cancer by : William S. Breitbart

Download or read book Meaning-centered Group Psychotherapy for Patients with Advanced Cancer written by William S. Breitbart and published by Oxford University Press, USA. This book was released on 2014 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meaning-Centered Psychotherapy (MCP) for advanced cancer patients is a highly effective intervention for advanced cancer patients, developed and tested in randomized controlled trials by Breitbart and colleagues at Memorial Sloan-Kettering Cancer Center. This treatment manual for group therapy provides clinicians in the oncology and palliative care settings a highly effective, brief, structured intervention shown to be effective in helping patients sustain meaning, hope and quality of life.

Handbook of Pain and Palliative Care

Author : Rhonda J. Moore
Publisher : Springer
ISBN 13 : 3319953699
Total Pages : 905 pages
Book Rating : 4.3/5 (199 download)

DOWNLOAD NOW!

Book Synopsis Handbook of Pain and Palliative Care by : Rhonda J. Moore

Download or read book Handbook of Pain and Palliative Care written by Rhonda J. Moore and published by Springer. This book was released on 2019-06-12 with total page 905 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive revision of the invaluable reference presents a rigorous survey of pain and palliative care phenomena across the lifespan and across disciplines. Grounded in the biopsychosocial viewpoint of its predecessor, it offers up-to-date understanding of assessments and interventions for pain, the communication of pain, common pain conditions and their mechanisms, and research and policy issues. In keeping with the current public attention to painkiller use and misuse, contributors discuss a full range of pharmacological and non-pharmacological approaches to pain relief and management. And palliative care is given expanded coverage, with chapters on interventive, ethical, and spiritual concerns. · Pain, intercultural communication, and narrative medicine. · Assessment of pain: tools, challenges, and special populations. · Persistent pain in the older adult: practical considerations for evaluation and management. · Acute to chronic pain: transition in the post-surgical patient. · Evidence-based pharmacotherapy of chronic pain. · Complementary and integrative health in chronic pain and palliative care. · The patient’s perspective of chronic pain. · Disparities in pain and pain care. This mix of evolving and emerging topics makes the Second Edition of the Handbook of Pain and Palliative Care a necessity for health practitioners specializing in pain management or palliative care, clinical and health psychologists, public health professionals, and clinicians and administrators in long-term care and hospice.

Cancer Survivorship

Author : Patricia A. Ganz
Publisher : Springer Science & Business Media
ISBN 13 : 0387682651
Total Pages : 316 pages
Book Rating : 4.3/5 (876 download)

DOWNLOAD NOW!

Book Synopsis Cancer Survivorship by : Patricia A. Ganz

Download or read book Cancer Survivorship written by Patricia A. Ganz and published by Springer Science & Business Media. This book was released on 2007-07-28 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides the necessary information about not only the clinical aspects of caring for cancer survivors, but also the psychosocial impacts. There are multiple resources available to serve as oncology textbooks, but nothing to provide the necessary information on patient care for the non-MD members of the cancer patient management team. In the post-treatment phase, the management team must go beyond the realm of "conventional" follow-up, helping the patient to intellectually understand and emotionally grasp the path ahead. Cancer Survivorship will prove a vital tool to physicians, nurses, clinical social workers and mental health professionals.

Psychology of Health

Author : Simon George Taukeni
Publisher : BoD – Books on Demand
ISBN 13 : 1838802177
Total Pages : 112 pages
Book Rating : 4.8/5 (388 download)

DOWNLOAD NOW!

Book Synopsis Psychology of Health by : Simon George Taukeni

Download or read book Psychology of Health written by Simon George Taukeni and published by BoD – Books on Demand. This book was released on 2019-10-30 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychology of Health - Biopsychosocial Approach is based on the bio-psychosocial model of health, which aims to examine how biological, psychological, and social factors influence people's behavior regarding their health status. This book reflects the application of the bio-psychosocial model of health in many disciplines such as public health, psychology, psychiatric, mental health, community health, and nursing education. All the authors of this book have demonstrated how the bio-psychosocial model played an important role in addressing mental disease, tuberculosis, post-traumatic stress disorder, and obesity. This is an important book for students, academics, policy-makers, and community health practitioners.

Neurobiology of Mood Disorders

Author : Bruno P. Guiard
Publisher : Bentham Science Publishers
ISBN 13 : 1608054675
Total Pages : 300 pages
Book Rating : 4.6/5 (8 download)

DOWNLOAD NOW!

Book Synopsis Neurobiology of Mood Disorders by : Bruno P. Guiard

Download or read book Neurobiology of Mood Disorders written by Bruno P. Guiard and published by Bentham Science Publishers. This book was released on 2014-02-27 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This monograph is a collection of selected articles on the subject of mood disorders such as depression and schizophrenia. It is divided into 3 sections: 1) Research methods in psychopharmacology - which highlights some established experimental techniques to study mood disorders in human and relevant animal models, 2) Pathophysiology of mood disorders – which explains the physiological and pharmacological mechanisms responsible for mood disorders and 3) New strategies for the treatment of mood disorders – a concluding section that provides recent examples on the beneficial effects of pharmacological and non-pharmacological interventions in the relief of mood disorders. The e-book serves as a primer for graduate students and researchers interested in the physiology and treatment of affective psychological disorders.

The Behavioral Health Specialist in Primary Care

Author : Mary Ann Burg, PhD, MSW, LCSW
Publisher : Springer Publishing Company
ISBN 13 : 0826129889
Total Pages : 338 pages
Book Rating : 4.8/5 (261 download)

DOWNLOAD NOW!

Book Synopsis The Behavioral Health Specialist in Primary Care by : Mary Ann Burg, PhD, MSW, LCSW

Download or read book The Behavioral Health Specialist in Primary Care written by Mary Ann Burg, PhD, MSW, LCSW and published by Springer Publishing Company. This book was released on 2015-09-10 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients with chronic conditions often need psychosocial support and brief counseling to help them make the lifestyle and behavioral changes required to prevent disease complications. This innovative text, with contributions from respected clinicians and researchers in all arenas of behavioral health, provides comprehensive training for all health professionals including those in medicine, nursing, social work, mental health, and clinical and health psychology who desire targeted evidence-based training in Behavioral Health skills . Rich case examples drawn from typical patient presentations demonstrate the relationship between physical and psychological health and the complexity of behavior change in chronic illness. This text is a timely, relevant and practical resource for all members of the primary care team. It prepares team members to work in the model of patient-centered integrated care in accordance with the recommendations of the Affordable Health Care Act (ACA) and the National Committee for Quality Assurance (NCQA) medical home standards for identifying patient needs and providing coordinated and comprehensive patient care. It focuses on knowledge and skills needed for working with the most common chronic conditions such as diabetes, obesity, chronic pain, cardiovascular conditions, sleep disorders, geriatric conditions, cancer-related conditions, and substance abuse. It includes chapters on epidemiological trends in chronic illness and systems medicine. Theories of health behavior and behavior change and evidence-based interventions provide a foundation for skill development, followed by detailed coverage of the requirements for behavioral management of specific chronic conditions. Sample referrals and consultation notes provide concrete examples of how the behavioral health specialist might respond to a referral. . Key Features: Provides comprehensive graduate-level training for the role of Behavioral Health Specialist Describes the health promotion and counseling skills needed to function as part of an integrated health team Focuses on proficiencies needed for working with common chronic conditions Addresses the psychosocial components of primary care disorders Includes case examples demonstrating the relationship between physical and psychological health and the complexity of behavior change in chronic illness

Diagnosing and Treating Adult Cancers and Associated Impairments

Author : National Academies Of Sciences Engineeri
Publisher : National Academies Press
ISBN 13 : 9780309684002
Total Pages : pages
Book Rating : 4.6/5 (84 download)

DOWNLOAD NOW!

Book Synopsis Diagnosing and Treating Adult Cancers and Associated Impairments by : National Academies Of Sciences Engineeri

Download or read book Diagnosing and Treating Adult Cancers and Associated Impairments written by National Academies Of Sciences Engineeri and published by National Academies Press. This book was released on 2021-11-10 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer is the second leading cause of death among adults in the United States after heart disease. However, improvements in cancer treatment and earlier detection are leading to growing numbers of cancer survivors. As the number of cancer survivors grows, there is increased interest in how cancer and its treatments may affect a person's ability to work, whether the person has maintained employment throughout the treatment or is returning to work at a previous, current, or new place of employment. Cancer-related impairments and resulting functional limitations may or may not lead to disability as defined by the U.S. Social Security Administration (SSA), however, adults surviving cancer who are unable to work because of cancer-related impairments and functional limitations may apply for disability benefits from SSA. At the request of SSA, Diagnosing and Treating Adult Cancers and Associated Impairments provides background information on breast cancer, lung cancer, and selected other cancers to assist SSA in its review of the listing of impairments for disability assessments. This report addresses several specific topics, including determining the latest standards of care as well as new technologies for understanding disease processes, treatment modalities, and the effect of cancer on a person's health and functioning, in order to inform SSA's evaluation of disability claims for adults with cancer.

Biopsychosocial Approaches in Primary Care

Author : Hoyle Leigh
Publisher : Springer Science & Business Media
ISBN 13 : 146155957X
Total Pages : 239 pages
Book Rating : 4.4/5 (615 download)

DOWNLOAD NOW!

Book Synopsis Biopsychosocial Approaches in Primary Care by : Hoyle Leigh

Download or read book Biopsychosocial Approaches in Primary Care written by Hoyle Leigh and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: ST MEDICINE IN A CHANGING UNIVERSE AT THE THRESHOLD OF THE 21 CENTURY Hoyle Leigh, M. D. I Professor ofPsychiatry San Francisco, University ofCalifornia, and Fresno VAMedical Center INTRODUCTION During my lifetime, the universe has changed beyond recognition. The universe into 111 which I was born, in the first halfofthe 20 century, was still infinite, permanent, orderly, and tranquil --- a universe that worked like a masterfully constructed clock. Matter and energy followed Newton's lawsofconservation. Shortly after my birth, Hiroshima proved, with a big bang, that matter was no longer permanent, everything was relative. Einstein had also shown thateverything that happened was local, that is, there was an event horizon beyond which no information could reach as nothing can travel faster than light. When I was growing up, the moon was for lovers, and going there was an impossible dream. Cosmologically, the Big Bang theory that postulates that the universe was born out ofan explosion some 10-15 billion years ago from a primordial point won over steady state. Ithas been expanding ever since, although the ultimate fateofthe universe is still unknown whetherit will keep on expanding resulting in aperpetual stateofheat death, or will at some point startcontracting, resulting in a big crunch ofgravitational collapse ending in a single black hole out ofspace, time, and existence. Quantum theory has defeated even Einstein's genius and proven that God indeed plays dice.