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Psychiatric Ethics in Late-Life Patients: Medicolegal and Forensic Aspects at the Interface of Mental Health
By Aarti Gupta, Meera Balasubramaniam, Rajesh R. Tampi. 2019
The process of aging is frequently associated with changes in the physical and mental functioning of older adults, challenging their…
autonomy and rendering them vulnerable to exploitation. Certain illnesses that are more common in older adults can affect their capacity to function independently. These include the capacity to make medical decisions, live independently, manage finances, to name a few. Healthcare professionals, especially psychiatrists are often entrusted with the responsibility of assessing an older adult’s capacity to perform one or more functions. This makes it imperative for them to be cognizant of these issues, understand the need for these evaluations, and be able to conduct them in a comprehensive manner. Another way of protecting an older person’s rights and facilitating a life based on their own decisions even after they lose decision making capacity is Advanced Health Care Planning (AHCP). Health care professionals are required to initiate a discussion about AHCP with their patients and their families and review it periodically. Lastly, the older adults incarcerated in prisons is a group that is growing in numbers. They have unique needs at the intersection of the geriatric and forensic services, but are often marginalized by both services. The combination of poor quality of life and increasing costs makes the care of older adults in the criminal justice system makes this topic an important public health concern. There is a pressing need for better training of prison staff in issues of geriatric psychiatry. Assessment of criminal responsibility and competence to stand trial in aging offenders are other complex but under-studied issues. This proposed book will provide a comprehensive view of ethical, medicolegal, and forensic issues that will be useful in clinical practice. There will be three sub-sections, each focusing on ethical, medicolegal and forensic issues respectively. The first section will focus on ethical issues. Its first chapters will provide an overview of the how age and the process of aging influence decision-making and introduce unique ethical dimensions to clinical care. This will be followed by a discussion of the concepts of informed consent and capacity evaluation. The next chapters will focus on common scenarios that arise in the care of elderly patients and offer a practical approach to understanding and managing them. These will include assessments of the capacity to make medical decisions, the capacity to live independently, manage finances, drive a vehicle, have sexual relations etc. A chapter on ethical issues specific to dementia will outline issues related to diagnostic disclosure and genetic testing. Research ethics issues in geriatric psychiatry will also be outlined. The next section of the book will focus on surrogate decision making in an older adult who has been deemed to lack the capacity to serve one or more functions independently. The first chapters in this sub-section will focus on patient directed advance health care planning tools, namely, living will and power of attorney. This will be followed by an overview of default surrogate making. Guardianship will subsequently be covered. A separate chapter will cover the issue of elder abuse and discuss an approach to assessing it. The last section of the book will cover forensic issues in geriatric psychiatry. The first chapter will discuss aging older adults in the criminal justice system from an epidemiological perspective. The growing numbers of incarcerated older adults, their illness burden, the challenges in the diagnosis and management of neurocognitive disorders in the prison setting will be elucidated. The following chapter will discuss competence to stand trial with reference to elderly offenders. This will be followed by a discussion of the concepts of medical reprieve, compassionate release as well as model programs and policies currently in the works for older incarcerated adults.Training for Change: Transforming Systems to be Trauma-Informed, Culturally Responsive, and Neuroscientifically Focused
By Alisha Moreland-Capuia. 2019
This book offers an integrated training and coaching system to facilitate change in systems that serve youth (education, healthcare, and…
juvenile justice). The integrated training and coaching system combines brain development, cultural responsivity, and trauma-informed practices. The book provides a comprehensive overview of the neurobiology of fear, brain development, trauma, substance use, and mental health, structural bias and environmental factors that pose a threat to healthy brain development. The book employs practical applications/recommendations and case examples that help solidify understanding of key concepts. Each chapter begins with a set of objectives and interactive exercises that builds on the next, thoughtfully challenging the reader (and giving specific, practical ways for the reader) to apply the information presented with the goal of "change". The text is written from the perspective of a trauma-informed addiction psychiatrist who has effectively facilitated systems change. Topics featured in this book include:Common threats to healthy brain development.The neurobiology of trauma.Applying trauma-informed practices and approaches.Cannabis and its impact on the brain.Labeling theory and implicit bias.Exploring the connection between fear and trauma.Rehabilitation versus habilitation.Managing stress through mindfulness. Training for Change will be of interest to graduate and advanced undergraduate students and researchers in the fields of cognitive psychology, criminology, public health, and child and adolescent development as well as parents, teachers, judges, attorneys, preventative medicine and pediatric providers.The Gendered Landscape of Suicide: Masculinities, Emotions, and Culture
By Anne Cleary. 2019
This book is an attempt to understand suicide from the perspective of a group of men who decided to take…
their own lives. Their stories imply that male suicide is not, as frequently portrayed, an impulsive action arising from particular, sex-specific, causes but relates to a cluster of interlinked issues which accumulate over time. These issues were not distinctively male concerns but were connected to gender in that the men’s difficulties were exacerbated by the existence of an emotional culture which inhibited males from expressing specific feelings. The prevailing form of masculinity impeded them in developing knowledge of, and speaking about, their emotional needs and from accessing help and this prolonged their suffering and made suicide a possibility. These men produced compelling accounts of their emotional pain which belied notions of male inexpressiveness but the findings point to a link between emotionally constraining cultures and suicidal behaviour for some groups of men.Scientific Pollyannaism: From Inquisition to Positive Psychology
By Oksana Yakushko. 2019
This book argues that the story of the orphan girl Pollyanna (namely, her strategy of playing the “glad games” to…
manage loss, abuse, and social prejudice) serves as a framework for critiquing historical forms of Western scientific Pollyannaism. The author examines Pollyannaism as it relates to the sciences, demonstrating how the approach has been used throughout modern Western history to enforce happiness and to criticize negative human emotional states. These efforts, carried out by scientists and popularized as scientific, focus on negating the role of the environment and on promoting varied forms of emotional control. Ultimately, the book emphasizes strategies used to compel individuals into becoming Pollyannas about science itself.The Art of Decision Making: How we Move from Indecision to Smart Choices
By Joseph Bikart. 2019
Drawing from different 'fields' such as philosophy, psychology, literature, and theology, Joseph Bikart uses decades of experience as a business…
coach for senior executives around the globe to explore how and why we make the decisions we do.What is it that makes some of us better - or worse - than others at committing to a choice? What are the forces that hold us back, and how can we successfully overcome them? Every facet of our lives depends on the decisions we make. Yet, how often do we pause to reflect on our ability to make the best and smartest choices? The key is how we confront and refine the decision making process. Joseph Bikart explores the intricacies of decision making, challenging us to understand why we make the choices we do. He explores how the true power of decisions, especially the toughest among them, help us to face our fears and may in turn change how we think about ourselves. The book is broken into four clear parts and punctuated with short practical essays Bikart presents a lively and compelling exploration of the process of decision making covering; Indecision, indecision - what makes us indecisive? What holds us back and why? Where Art Thou? How and where we get stuck and the importance of relaxing one's grip. The Momentum of Decisiveness - Keeping our focus and proactivity. The Deciding Mind - making our smartest choices. Drawing from such different fields as philosophy, psychology, neurology, literature, art history and theology, we are taken on a journey from the depths of procrastination to the elation of decision making. Presenting a fresh perspective on what to do at the proverbial fork in the road, Bikart's unique philosophy is insightful, thought provoking, and potentially life-changing.The Art and Science of Making Up Your Mind
By Rex V. Brown. 2020
The Art and Science of Making Up Your Mind presents basic decision-making principles and tools to help the reader respond…
efficiently and wisely to everyday dilemmas. Although most decisions are made informally (whether intuitively without deliberate thought, or based on careful reflection), over the centuries people have tried to develop systematic, scientific and structured ways in which to make decisions. Using qualitative counterparts to quantitative models, Rex Brown takes the reader through the basics, like ‘what is a decision’ and then considers a wide variety of real-life decisions, explaining how the best judgments can be made using logical principles. Combining multiple evaluations of the same judgment ("hybrid judgment") and exploring innovative analytical concepts (such as "ideal judgment"), this book explores and analyzes the skills needed to master the basics of non-mathematical decision making, and what should be done, using real world illustrations of decision methods. The book is an ideal companion for students of Thinking, Reasoning and Decision-Making, and also for anyone wanting to understand how to make better judgments in their everyday lives.Positive Discipline for Preschoolers, Revised 4th Edition: For Their Early Years -- Raising Children Who Are Responsible, Respectful, and Resourceful
By Jane Nelsen, Cheryl Erwin, Roslyn Ann Duffy. 2019
Completely updated with the latest research in child development and learning, Positive Discipline for Preschoolers will help parents understand their…
preschooler and provide early methods to raise a child who is responsible, respectful, and resourceful.Caring for young children is one of the most challenging tasks an adult will ever face. No matter how much you love your child, there will be moments filled with frustration, anger, and even desperation. There will also be questions: Why does my four-year-old deliberately lie to me? Why is everything a struggle with my three-year-old? Should I ever spank my preschooler when she is disobedient? Over the years, millions of parents have come to trust the Positive Discipline series and its common-sense approach to child-rearing.This revised and updated fourth edition includes a new chapter on the importance of play and outdoor experiences on child development, along with new information on school readiness, childhood brain growth, and social/emotional learning. You'll also find practical solutions for how to:- Teach appropriate social skills at an early age- Avoid the power struggles that often come with mastering sleeping, eating, and potty training- See misbehavior as an opportunity to teach nonpunitive discipline--not punishmentThis book uses the Afro-Brazilian art of capoeira to examine how security has been pursued from below and what significance…
this has for security analysis and policy. Illegal at the beginning of the twentieth century, capoeira is now a cultural institution and export that is protected by the Brazilian state and recognised by UNESCO, with capoeira players protecting and promoting their interests through the practice and development of their art. The book brings the musical and corporeal narrative from capoeira into conversation with debates on security; these have typically been dominated by northern, white, military voices, and as a result, the perspective of the weaker player is routinely overlooked in security literature and policy making. Bringing the perspective of the weaker party, Cultural Resistance and Security from Below examines the distribution of security from two angles. First, it presents the history of the interaction between capoeira players and the Brazilian society and state that resulted in political and legal acceptance of capoeira. Second, it explores how the practice of capoeira generates knowledge of identities, explanations and values, and how this knowledge empowers communities of players and is communicated to society more broadly. The book then turns to consider how capoeira resists within Brazil's contemporary context of insecurity, and what significance the knowledge and power, along with capoeira's core move of escape, have to security analysis and policy. The book concludes by taking the lessons from capoeira to inform understanding of other cultural activities and ways of life as potential sites and forms of resistance. Conceptually and methodologically original, this book will be of interest to scholars and students in the fields of security studies, development studies, political science and international studies. It will also be of interest to those scholars interested in the changing interaction between politics and the arts.CAPS-CA DSM-5 – handleiding: Klinisch interview voor PTSS bij kinderen en adolescenten
By Ramón Lindauer. 2019
Doel van de testDe CAPS-CA 5 is een semigestructureerd interview voor het diagnosticeren van post-traumatische stressstoornis (PTSS) en acute stressstoornis…
bij kinderen en adolescenten volgens de criteria van de DSM 5. Onbehandelde PTSS heeft bij kinderen en adolescenten een ernstige negatieve invloed op de ontwikkeling en het psychosociaal functioneren, terwijl evidence-based traumabehandelingen beschikbaar zijn. Signalering van traumagerelateerde klachten is dan ook van belang om ernstige problemen op het gebied van de psychosociale ontwikkeling te voorkomen. Toepassing• Individuele diagnostiek: stelt de aanwezigheid van PTSS en acute stressstoornis vast volgens de DSM 5. Stelt de impact vast van de aanwezige symptomen op het psychosociaal functioneren.• Evaluatie: meet het effect van (evidence-based) traumabehandeling.Wat meet de CAPS-CA 5?De CAPS-CA 5 meet de frequentie en de intensiteit van symptomen die samenhangen met de DSM 5 PTSS-kenmerken en stelt daarnaast vast wat de impact van deze symptomen is. Voor wie?De CAPS-CA 5 wordt afgenomen door psychologen, orthopedagogen en kinder- en jeugdpsychiaters. Afname en scoringDe CAPS-CA 5 wordt individueel bij kinderen afgenomen. De duur van het interview is ca. 45-60 minuten (afhankelijk van de leeftijd van het kind, en de ernst en type van het trauma). Hulpmiddelen bij de afnameEr zijn hulpmiddelen die men kan gebruiken bij de afname van de CAPS-CA 5: een kalender, een intensiteitsblad en een frequentieblad. Deze hulpmiddelen zijn gratis downloadbaar via de BSL site en te vinden op de pagina van de complete set van de CAPS-CA 5. Het intensiteitsblad en frequentieblad zijn ook als herbruikbare plastic kaart opgenomen in de complete set. NormenDe CAPS-CA 5 wordt vooralsnog gebruikt met de valideringsgegevens van de vorige editie van de CAPS-CA uit 2014 die werd onderzocht met een groep kinderen die één of meer traumatische gebeurtenissen meemaakten en met kinderen die stressvolle gebeurtenissen meemaakten die niet aan het A-criterium voldeden. Deze valideringsgegevens zijn al bijlag opgenomen in de handleiding van de CAPS-CA 5. Materiaal• Complete set (handleiding, set interviewboekjes, frequentiekaart en intensiteitskaart)• Interviewboekjes (set van 10 stuks)Evidence-Based Practice in Action: Bridging Clinical Science and Intervention
By Sona Dimidjian. 2019
A growing number of empirically supported treatments are available to mental health practitioners, yet evidence-based practice requires knowledge and skills…
that are often overlooked in clinical training. This authoritative reference and text grounds the reader in the concepts, rationale, and methods of evidence-based practice. Clinicians and students are guided to consult and evaluate the research literature, use data to inform clinical decision making, consider the role of culture and context, craft sound case formulations, monitor progress and outcomes, and continuously develop their expertise. Of particular utility, the book includes rich, chapter-length case studies. Leading proponents of cognitive-behavioral therapy, dialectical behavior therapy, behavioral activation, and other approaches make explicit the ways they draw on evidence throughout the process of assessment and treatment.The philosopher's dog
By Raimond Gaita. 2002
The Philosopher's Dog is Raimond Gaita's most personal work to date. It's a mixture of story-telling, and philosophical reflections on…
the stories he tells, combining a love for animals with a love for fellow humans, and a thirst for knowledge. Many of the stories are about animals Gaita himself has known and loved: Jack the cockatoo, Gypsy the dog and Tosca the cat. These stories are interwoven with reflections on how animals think, hope, trust and feel. What does Gypsy think about when she sits on her mat gazing out to sea? Is it mistaken to attribute the concepts of love, devotion, loyalty, grief, bravery or friendship to animals? Why do we care so much for some creatures and so little for others?Let evening come: reflections on aging
By Mary C Morrison. 1998
In this daring yet gently written reflection on aging, eighty-seven-year-old Mary C. Morrison considers the sources of strength and dignity…
that truly allow people to grow old gracefully, and to retain a joy for life. Morrison writes about the process of aging with humour and sensitivity. She does not ignore the difficulties that old age brings, but instead emphasizes the benefits of peace, balance, and perspective that come with it. She shows how the gradual movement away from the center of work, family, and community can be a blessing in disguise and how one can feel renewed, instead of made powerless, by old age. The diminishments of age and its real afflictions are treated openly and courageously.The spirit of the digger: then & now
By Patrick Lindsay. 2003
"In many ways the Digger is a study in contradictions: he doesn’t crave war yet he will fight with unequalled…
ferocity; he hates spit and polish but will hold his discipline under the most trying conditions; he is tough yet compassionate; he hates his enemy until he surrenders, then he is generous in victory; he despises histrionics but will cry unashamedly at the loss of a mate..." 'The Digger' is a key piece of the complex jigsaw puzzle that makes up 'The Australian'. But who is the Digger exactly, and what elements have gone into forging his spirit? Australian soldiers have had an impact in world conflicts far in excess of their numbers. They've won acclaim for their fighting prowess and bravery, while retaining their larrikin spirit, their compassion and their strong sense of mateship. Those who fought in the trenches of Gallipoli, the Somme and Ypres have an immediate kinship with the Diggers who followed in their footsteps in North Africa and New Guinea, and later in Korea, Vietnam, East Timor, Afghanistan and Iraq. We are justifiably proud of the heritage that our Diggers have bequeathed us.Core of my heart, my country: women's sense of place and the land in Australia and Canada, 1828-1950
By Maggie MacKellar. 2004
When Georgiana Molloy gave birth on the beach at Augusta in 1830 with boxes of her possessions lying where they'd…
landed, she was one of the many women who literally had to remake their homes out of the broken bones of their past. In this passionate book Maggie MacKellar tells the stories of women on the frontier in Canada and Australia who ventured out in bonnets and petticoats to collect seeds, who abandoned sidesaddles to ride in the mountains, who risked their reputations to climb mountains - and beyond this it tells of the risky business of women who put their lives on the page to claim the importance of their experience. Core of My Heart, My Country weaves together experience and insight from women who lived and wrote in different landscapes, in different climates and in different eras. It is a provocative and remarkable encounter with buried stories and persistent myths.The Undoing Project: A Friendship That Changed Our Minds
By Michael Lewis. 2017
How a Nobel Prize-winning theory of the mind altered our perception of reality. Forty years ago, Israeli psychologists Daniel Kahneman…
and Amos Tversky wrote a series of breathtakingly original studies undoing our assumptions about the decision-making process. Their papers showed the ways in which the human mind erred, systematically, when forced to make judgments in uncertain situations. Their work created the field of behavioral economics, revolutionized Big Data studies, advanced evidence-based medicine, led to a new approach to government regulation, and made much of Michael Lewis's own work possible. Kahneman and Tversky are more responsible than anybody for the powerful trend to mistrust human intuition and defer to algorithms. The Undoing Project is about a compelling collaboration between two men who have the dimensions of great literary figures. They became heroes in the university and on the battlefield--both had important careers in the Israeli military--and their research was deeply linked to their extraordinary life experiences. Amos Tversky was a brilliant, self-confident warrior and extrovert, the center of rapt attention in any room; Kahneman, a fugitive from the Nazis in his childhood, was an introvert whose questing self-doubt was the seedbed of his ideas. They became one of the greatest partnerships in the history of science, working together so closely that they couldn't remember whose brain originated which ideas, or who should claim credit. They flipped a coin to decide the lead authorship on the first paper they wrote, and simply alternated thereafter. This story about the workings of the human mind is explored through the personalities of two fascinating individuals so fundamentally different from each other that they seem unlikely friends or colleagues. In the process they may well have changed, for good, mankind's view of its own mind. A New York Times BestsellerThe Body Never Lies: The Lingering Effects of Cruel Parenting
By Alice Miller, Andrew Jenkins. 2005
An examination of childhood trauma and its surreptitious, debilitating effects by one of the world's leading psychoanalysts. Never before has…
world-renowned psychoanalyst Alice Miller examined so persuasively the long-range consequences of childhood abuse on the body. Using the experiences of her patients along with the biographical stories of literary giants such as Virginia Woolf, Franz Kafka, and Marcel Proust, Miller shows how a child's humiliation, impotence, and bottled rage will manifest itself as adult illness--be it cancer, stroke, or other debilitating diseases. Never one to shy away from controversy, Miller urges society as a whole to jettison its belief in the Fourth Commandment and not to extend forgiveness to parents whose tyrannical childrearing methods have resulted in unhappy, and often ruined, adult lives. In this empowering work, writes Rutgers professor Philip Greven, "readers will learn how to confront the overt and covert traumas of their own childhoods with the enlightened guidance of Alice Miller."Beyond Words: What Animals Think And Feel
By Carl Safina. 2015
I wanted to know what they were experiencing, and why to us they feel so compelling, and so-close. This time…
I allowed myself to ask them the question that for a scientist was forbidden fruit: Who are you? Weaving decades of field observations with exciting new discoveries about the brain, Carl Safina's landmark book offers an intimate view of animal behavior to challenge the fixed boundary between humans and nonhuman animals. In Beyond Words, readers travel to Amboseli National Park in the threatened landscape of Kenya and witness struggling elephant families work out how to survive poaching and drought, then to Yellowstone National Park to observe wolves sort out the aftermath of one pack's personal tragedy, and finally plunge into the astonishingly peaceful society of killer whales living in the crystalline waters of the Pacific Northwest. Beyond Words brings forth powerful and illuminating insight into the unique personalities of animals through extraordinary stories of animal joy, grief, jealousy, anger, and love. The similarity between human and nonhuman consciousness, self-awareness, and empathy calls us to re-evaluate how we interact with animals. Wise, passionate, and eye-opening at every turn, Beyond Words is ultimately a graceful examination of humanity's place in the world.The End of Forgetting: Growing Up with Social Media
By Kate Eichhorn. 2019
Thanks to Facebook and Instagram, our younger selves have been captured and preserved online. But what happens, Kate Eichhorn asks,…
when we can’t leave our most embarrassing moments behind? Rather than a childhood cut short by a loss of innocence, the real crisis of the digital age may be the specter of a childhood that can never be forgotten.Violence and Mental Illness: An Overview (SpringerBriefs in Criminology)
By Lia Ahonen. 2019
This brief summarizes the existing body of knowledge about the links between mental illness and violence, recommends improved methods to…
deal with potentially violent individuals with mental illness, and identifies pressing implementation and research needs. In public perception and media reports, mental illness and violence - particularly gun violence - are unquestionably linked. However, empirical research presents a more nuanced and complex view of this relationship.Taking into account differences between youth and adults, as well as gender and racial difference, this innovative volume will be useful to policy-makers, legislators, researchers and students interested in addressing the growing public concern about mentally ill individuals at risk for violence.Addressing Loneliness: Coping, Prevention and Clinical Interventions (Researching Social Psychology)
By Ami Sha'Ked, Ami Rokach. 2015
This is a volume on loneliness and what can be done to address its pain. While most books simply describe…
loneliness from one author’s point of view, this volume includes a comprehensive review of the literature and employs top researchers in the field discuss their own research findings, conclusions and clinical experience. It explores the relationship between loneliness and sexuality, loneliness and optimism, and parental loneliness during pregnancy and childbirth. It also addresses loneliness throughout the life cycle in children, adolescents, the elderly and disabled, leading to a variety of coping and therapeutic modalities aimed at helping those who suffer from loneliness in its various forms.