This is a practical and comprehensive guide to communication in family medicine for doctors nurses and staff in the primary healthcare team. It brings together all facets of communication in healthcare including involvement of patients staff and external workers. It shows how to address all aspects of communication in relation to one-to-one situations teaching and groups and encourages the reader to reflect on their own clinical and work experience. Using think boxes exercises and references this is an accessible guide relevant to all members of the practice team.
This accessible work is the first in more than seventy-five years to discuss the many roles of adrenaline in regulating the "inner world" of the body. David S. Goldstein, an international authority and award-winning teacher, introduces new concepts concerning the nature of stress and distress across the body's regulatory systems. Discussing how the body's stress systems are coordinated, and how stress, by means of adrenaline, may affect the development, manifestations, and outcomes of chronic diseases, Goldstein challenges researchers and clinicians to use scientific integrative medicine to develop new ways to treat, prevent, and palliate disease. Goldstein explains why a former attorney general with Parkinson disease has a tendency to faint, why young astronauts in excellent physical shape cannot stand up when reexposed to Earth's gravity, why professional football players can collapse and die of heat shock during summer training camp, and why baseball players spit so much. Adrenaline and the Inner World is designed to supplement academic coursework in psychology, psychiatry, endocrinology, cardiology, complementary and alternative medicine, physiology, and biochemistry. It includes an extensive glossary.
A psychologist's stories of doctors who seek to help others but struggle to help themselves From ER and M*A*S*H to Grey's Anatomy and House, the medical drama endures for good reason: we're fascinated by the people we must trust when we are most vulnerable. In Also Human, vocational psychologist Caroline Elton introduces us to some of the distressed physicians who have come to her for help: doctors who face psychological challenges that threaten to destroy their careers and lives, including an obstetrician grappling with his own homosexuality, a high-achieving junior doctor who walks out of her first job within weeks of starting, and an oncology resident who faints when confronted with cancer patients. Entering a doctor's office can be terrifying, sometimes for the doctor most of all. By examining the inner lives of these professionals, Also Human offers readers insight into, and empathy for, the very real struggles of those who hold power over life and death.
Mental health practitioners and students learning psychodynamic psychotherapy are often exposed to multiple schools of thought—Freudian theory, interpersonal theory, ego theory, object-relations theory, self-psychology, and affect theory. In this book, Scott Ahles introduces and explains the major theories and integrates them into a model of psychodynamics that can be used to treat common psychiatric complaints. After explaining the theories, Ahles, applies an integrated approach to two general areas of patient discomfort: problems with sense of self, such as anxiety, depression, low self-esteem, and feelings of worthlessness; and problems with interpersonal relationships, such as difficulty forming long-term relationships, excessive shyness or fear of others, and aggressive personality. The psychotherapy of both problems of sense of self and interpersonal relationships are discussed and illustrated with clinical cases. Ahles also discusses the psychodynamic model in relation to neurobiological research into brain function, and he explores how psychotherapy can best be combined with pharmacotherapy. Throughout, the primary concepts of object relations and ego psychology are demonstrated with diagrams and case studies. A valuable tool for teaching concepts to students of psychiatry, psychology, social work, and general medicine, Our Inner World allows the future clinician to keep various psychodynamic aspects of the patient in mind during treatment.
This unique book recounts the experience of facing one's death solely from the dying person's point of view rather than from the perspective of caregivers, survivors, or rescuers. Such unmediated access challenges assumptions about the emotional and spiritual dimensions of dying, showing readers that—along with suffering, loss, anger, sadness, and fear—we can also feel courage, love, hope, reminiscence, transcendence, transformation, and even happiness as we die. A work that is at once psychological, sociological, and philosophical, this book brings together testimonies of those dying from terminal illness, old age, sudden injury or trauma, acts of war, and the consequences of natural disasters and terrorism. It also includes statements from individuals who are on death row, in death camps, or planning suicide. Each form of dying addressed highlights an important set of emotions and narratives that often eclipses stereotypical renderings of dying and reflects the numerous contexts in which this journey can occur outside of hospitals, nursing homes, and hospices. Chapters focus on common emotional themes linked to dying, expanding and challenging them through first-person accounts and analyses of relevant academic and clinical literature in psycho-oncology, palliative care, gerontology, military history, anthropology, sociology, cultural and religious studies, poetry, and fiction. The result is an all-encompassing investigation into an experience that will eventually include us all and is more surprising and profound than anyone can imagine.
As Doctor Who approaches its fiftieth anniversary recent series have taken the show to new heights in terms of popular appeal and critical acclaim.The Doctor and his TARDIS-driven adventures, along with companions and iconic monsters, are now recognised and enjoyed globally. The time is ripe for a detailed analytic assessment of this cultural phenomenon. Focussing on the most recent television output The Inner World of Doctor Who examines why the show continues to fascinate contemporary audiences. Presenting closely-observed psychoanalytic readings of selected episodes, this book examines why these stories of time travel, monsters, and complex human relationships have been successful in providing such an emotionally rich dramatization of human experience. The Inner World of Doctor Who seeks to explore the multiple cultural and emotional dimensions of the series, moving back and forth from behind the famous sofa, where children remember hiding from scary monsters, and onto the proverbial psychoanalytic couch.
Donald Kalsched explores the interior world of dream and fantasy images encountered in therapy with people who have suffered unbearable life experiences. He shows how, in an ironical twist of psychical life, the very images which are generated to defend the self can become malevolent and destructive, resulting in further trauma for the person. Why and how this happens are the questions the book sets out to answer. Drawing on detailed clinical material, the author gives special attention to the problems of addiction and psychosomatic disorder, as well as the broad topic of dissociation and its treatment. By focusing on the archaic and primitive defenses of the self he connects Jungian theory and practice with contemporary object relations theory and dissociation theory. At the same time, he shows how a Jungian understanding of the universal images of myth and folklore can illuminate treatment of the traumatised patient. Trauma is about the rupture of those developmental transitions that make life worth living. Donald Kalsched sees this as a spiritual problem as well as a psychological one and in The Inner World of Trauma he provides a compelling insight into how an inner self-care system tries to save the personal spirit.
A clairvoyant, Leadbeater wrote, is simply a person who develops "the power to respond to another octave out of the stupendous gamut of possible vibrations" and so is enabled "to see more of the world..than those of more limited perception." And what a world Leadbeater describes for us in these pages---a world of Master adepts and their pupils, untapped human powers and potentials, ancient mysteries, devas and nature spirits--in short, the unseen workings of the universe.
