Michel Hersen - Böcker

Handbook of Conceptualization and Treatment of Child Psychopathology evaluates and illustrates the integration of conceptualization and treatment of child and adolescent psychopathology. Organized into seven parts, this book first discusses the issues of conceptualization and developmental considerations in treatment. Subsequent part delineates treatment models and specific interventions for disruptive behavior disorders. Parts III-VI elucidate mood, anxiety, eating and substance use disorders. The last part covers firesetting, trichotillomania, elimination disorders, schizophrenia, sleep problems, and dissociative disorders. This handbook is an educational tool for graduate students and a resource for psychologists, psychiatrists, school counselors, social workers, and other mental health practitioners who treat children and adolescents and their families.

The field of psychological assessment has been undergoing rapid change. The second edition of this Handbook, published in 1990, appeared at the beginning of a decade marked by extensive advances in assessment in essentially all of its specialized areas. There are many new tests, new applications of established tests, and new test systems. Major revisions have appeared of established tests, notably the Wechsler intelligence scales. The time seemed right for a third edition, since even over the relatively brief period of ten years, many tests described in the second edition have been replaced, and are no longer commonly used. Furthermore, much new research in such areas as neuropsychology, cognitive science, and psychopathology have made major impacts on how many tests and other assessment procedures are used and interpreted. This third edition represents an effort to give the reader an overview of the many new developments in assessment, while still maintaining material on basic psychometric concepts in order for it to continue to serve as a comprehensive handbook for the student and professional.

Given the vast amount of research related to behavioral assessment, it is difficult for clinicians to keep abreast of new developments. In recent years, there have been advances in assessment, case conceptualization, treatment planning, treatment strategies for specific disorders, and considerations of new ethical and legal issues. Keeping track of advances requires monitoring diverse resources limited to specific disorders, many of which are theoretical rather than practical, or that offer clinical advice without providing the evidence base for treatment recommendations. This handbook was created to fill this gap, summarizing critical information for adult behavioral assessment. The Clinician's Handbook of Adult Behavioral Assessment provides a single source for understanding new developments in this field, cutting across strategies, techniques, and disorders. Assessment strategies are presented in context with the research behind those strategies, along with discussions of clinical utility, and how assessment and conceptualization fit in with treatment planning. The volume is organized in three sections, beginning with general issues, followed by evaluations of specific disorders and problems, and closing with special issues. To ensure cross chapter consistency in the coverage of disorders, these chapters are formatted to contain an introduction, assessment strategies, research basis, clinical utility, conceptualization and treatment planning, a case study, and summary. Special issue coverage includes computerized assessment, evaluating older adults, behavioral neuropsychology, ethical-legal issues, work-related issues, and value change in adults with acquired disabilities. Suitable for beginning and established clinicians in practice, this handbook will provide a ready reference toward effective adult behavioral assessment.

Given the vast amount of research related to behavioral assessment, it is difficult for clinicians to keep abreast of new developments. In recent years, there have been advances in assessment, case conceptualization, treatment planning, treatment strategies for specific disorders, and considerations of new ethical and legal issues. Keeping track of advances requires monitoring diverse resources limited to specific disorders, many of which give short shrift to child assessment, overlooking developmental considerations. Much of the existing literature is either theoretical/research in focus or clinical in nature. Nowhere are the various aspects of child behavioral assessment placed in a comprehensive research/clinical context, nor is there much integration as to conceptualization and treatment planning. The Clinician's Handbook of Child Behavioral Assessment was created to fill this gap, summarizing critical information for child behavioral assessment in a single source. The Clinician's Handbook of Child Behavioral Assessment provides a single source for understanding new developments in this field, cutting across strategies, techniques, and disorders. Assessment strategies are presented in context with the research behind those strategies, along with discussions of clinical utility, and how assessment and conceptualization fit in with treatment planning. The volume is organized in three sections, beginning with general issues, followed by evaluations of specific disorders and problems, and closing with special issues. To ensure cross chapter consistency in the coverage of disorders, these chapters are formatted to contain an introduction, assessment strategies, research basis, clinical utility, conceptualization and treatment planning, a case study, and summary. Special issue coverage includes child abuse assessment, classroom assessment, behavioral neuropsychology, academic skills problems, and ethical-legal issues. Suitable for beginning and established clinicians in practice, this handbook will provide a ready reference toward effective child behavioral assessment.

This treatment guide is based on selected disorders taken from the American Psychiatric Association DSM-IV Diagnostic Classifications. The disorders selected are treatable or responsive to brief therapy methods.The therapist or student in training can use this book to identify the elements needed for formulating a treatment plan on disorders typically encountered in clinical practice. The approaches taken are based on cognitive behavioral principles and makes use of empirical findings. However, the case study format allows the reader to see how the assessment and treatment is implemented in a "real-life" patient, and not as a clinical abstraction distilled from research studies. Moreover, the treatment plan is outlined in a manner that makes reimbursement likely from managed care organizations and insurance companies. Effective Brief Therapies is useful as a reference for therapists and as a training guide for graduate students. Case Descriptions Treatment Conceptualization Assessment Techniques Treatment Implementation Techniques Concurrent Diagnoses and Treatment Complications and Treatment Implications Dealing with Managed Care and Accountability Outcome and Follow-up Dealing with Recidivism

Psychotherapy research is undoubtedly one of the most puzzling, diverse, com­ plex, controversial, and multidimensional areas tackled by clinical psycholo­ gists, psychiatrists, and psychiatric social workers. The numerous theoretical, methodological, and clinical-research issues dealt with by workers in the field have increased exponentially in the past three decades. To do full justice to the area, monographs in each of the specific subareas would be warranted. In this volume, we, as editors, have endeavored to present the student and interested professional and practitioner with an understanding of the most salient issues and trends confronted by the psychotherapy researcher. In order to accomplish this task, we asked our colleagues, who are experts in their respective areas, to share their current thinking with us and with you, the read­ ers. Thus, many theoretical viewpoints are represented, with none having a monopoly over the others. This is as it should be, given the data collected by clinical researchers at this time. We have also attempted to capture the excite­ ment that has permeated the field in the past 30 years or so.

Despite the occasional outcries to the contrary, the field of behavior therapy is still growing, and the asymptote has not been reached yet. The umbrella of behavior therapy continues to enlarge and still is able to encompass new theories, new con­ cepts, new research, new data, and new clinical techniques. Although the number of new behavioral journals now has stabilized, we still see a proliferation of books on the subject. In the past few years, however, we have seen considerable specialization within behavior therapy. No longer is it possible to be a generalist and remain fully abreast of all the relevant developments. Thus, we see behavior therapists who deal with adults, those who deal with children, those whose specialty is hospital psychiatry, and those who see themselves as practitioners of behavioral medicine. Even within a subarea such as behavioral medicine, specialization runs supreme to the extent that there are experts in the specific addictions, adult medical problems, and child medical problems. Given the extent of specialization, there are numerous ways "to skin" the pro­ verbial "cat." We therefore have chosen to look at the contemporary work in behavior therapy that is being carried out with adults, in part, of course, because of our long-standing interest in this area as teachers, researchers, and clinicians. In so doing, we have chosen to highlight the clinical aspects of the endeavor but not at the expense of the rich research heritage for each of the specific adult disorders.

In the last decade there has been heightened clinical and investigative activity in the area of family violence. This, of course, is partly attributable to recent surveys showing a high incidence of family violence in the United States. For example, there are indications that nearly 30% of married women in this country are victims of physical abuse by spouses at some point in their marriage. Further, FBI statistics show that approximately 13% of all homicides are husband-wife killings. Moreover, it has been projected that such figures are likely to increase over the next several years. Consistent with these trends, funding of family violence research by both federal and private agencies has increased. Indeed, federal agencies, such as the National Institute of Mental Health and the National Institute of Law Enforcement and Criminal Justice, have provided considerable support for work in this area. In addition, family violence, particu­ larly wifebattering, child abuse, and sexual abuse of children has been the focus of media attention at the national level, and has generated intensive interest in both lay and profes­ sional publications. Moreover, there have been several recent governmental hearings and investigations regarding the prevalence of these problems.

During the past several decades, the field of mental health care has expanded greatly. This expansion has been based on greater recognition of the prevalence and treatability of mental disorders, as well as the availability of a variety of forms of effective treatment. Indeed, throughout this period, our field has witnessed the introduction and the wide­ spread application of specific pharmacological treatments, as well as the development, refinement, and more broadly based availability of behavioral, psychodynamic, and marital and family interventions. The community mental health center system has come into being, and increasing numbers of mental health practitioners from the fields of psychiatry, psychology, social work, nursing, and related professional disciplines have entered clinical practice. In concert with these developments, powerful sociopolitical and socioeconomic forces-including the deinstitutionalization movement of the late 1960s and early 1970s and the cost-containment responses of the 1980s, necessitated by the spiraling cost of health care-have shaped the greatest area of growth in the direction of outpatient services. This is particularly true of the initial assessment and treatment of nonpsychotic mental disorders, which now can often be managed in ambulatory-care settings. Thus, we decided that a handbook focusing on the outpatient treatment of mental disorders would be both timely and useful. When we first began outlining the contents of this book, the third edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disor­ ders (DSM-III) was in its fourth year of use.

During the past decade, a dramatic increase in research and clinical interest has risen in child abuse and neglect. This recent growth in awareness isdue at leastpartly to thealarmingstatisticsdocumentingthe incidence of child maltreatment. Almost one million children are re­ ported to be abused and neglected each year, and many experts believe that this figure underestimates the true incidence. Indeed, recentsurveys suggest that almost 1. 5 million children are the targets of domestic vio­ lence every year. A significantproportion of these children die as a func­ tion of this maltreatment, whereas theremaindersuffera variety ofshort­ and long-term deleterious medicaland psychosocial consequences. Child maltreatment is a universal problem that has precipitated a mobilization of effort from a variety of disciplines, including psychology, medicine, psychiatry, social work, sociology, and criminology. Particular attention has been directed toward the prevention and treatment of childabuse and neglect. Such endeavors require the screen­ ing of large groups in order to identify families that are at high-risk for engaging in such behavior. Delineating those characteristics that differ­ entiate high- from low-risk families and children is one of the obvious priorities for researchers and clinicians in the future. This book, there­ fore, carefully considers the status of research on risk factors of abuse and neglect in children. Adduced data undoubtedly will have practical value for subsequent intervention efforts.

The past 20 years have seen the emergence of family violence as one of the most critical problems facing society. The alarming incidence figures of abuse and neglect directed toward family members justify this atten­ tion. For example, over 1 million children are thought to be abused and neglected each year. Similarly, almost 2 million women are victims of wife battering each year. Annual rates of elderly mistreatment are thought to be as high as 32 per 1000 population. Accurate epidemiologi­ cal data only now are being compiled on more recently recognized forms of mistreatment, such as psychological abuse, ritualistic abuse of chil­ dren, and child witnessing of adult violence. The pervasiveness of do­ mestic mistreatment makes it a priority for clinicians and researchers alike. For clinicians, intrafamilial violence represents a formidable chal­ lenge with respect to assessment and treatment. The etiology of abuse and neglect is multidetermined. There are numerous pathways in the development of family violence, and these interact and converge in a nonlinear fashion. The consequences of family violence are equally com­ plex and divergent. Victims of mistreatment can display a variety of physical injuries and psychological disturbances. No single psychiatric syndrome or symptom constellation has been consistently implicated in any form of family mistreatment. The perpetrators of family violence are equally heterogeneous in their clinical presentations. Illustrative dys­ functions in perpetrators include skill deficits, substance abuse, mental illness, and impulse-control disorders.

Social development over one's lifetime is a complex area that has received consider­ able attention in the psychological, social-psychological, and sociological literature over the years. Surprisingl~ however, since 1969, when Rand McNally published Goslin's Handbook of Socialization, no comprehensive statement of the field has appeared in book form. Given the impressive data in this area that have been adduced over the last two decades, we trust that our handbook will serve to fill that gap. In this volume we have followed a lifespan perspective, starting with the social interactions that transpire in the earliest development stages and progressing through childhood, adolescence, adulthood, and, finall~ one's senior years. In so doing we cover a variety of issues in depth. The book contains 21 chapters and is divided into five parts: I, Theoretical Perspectives; II, Infants and Toddlers; ill, Children and Adolescents; Iv, Adults; and V, The Elderly. Each of the parts begins with introductory material that reviews the overall issues to be considered. Many individuals have contributed to the final production of this handbook. Foremost are our eminent contributors, who graciously agreed to share with us their expertise. We also thank our administrative and technical staff for their assistance in carrying out the day-to-day tasks necessary to complete such a project. Finall~ we thank Eliot Werner, Executive Editor at Plenum, for his willingness to publish and for his tolerance for the delays inevitable in the development of a large handbook.

This multiauthored textbook is directed to the psychiatric resident and other professionals who are interested in the issues, strategies, and methods of psychiatric research. Although the field of psychiatry has not attained the scientific rigor and clinical sophistication of some of its sister disciplines in the medical arena, considerable progress has been made in the last decade or two, and a full understanding of the types of articles that now appear in such publications as the American Journal of Psychiatry, the Archives of General Psychi­ atry, and the Journal of the American Academy of Child and Adolescent Psychiatry requires a fair amount of knowledge about research design and strategy. Whereas articles in psychiatric journals 20 years ago dealt mainly with psycho­ dynamic topics and utilized nonexperimental observations, today their counter­ parts are concerned mostly with psychobiology, clinical features, diagnosis, and treatment, and employ scientific experimental designs. The trend of applying scientific methodology to research in psychiatry is increasing and undoubtedly will continue to do so in the future.

Focusing on patients with severe impairments, including mixed and multiple diagnoses, this volume describes how behavior therapy fits into the clinical environment. Psychiatrists, medical clinicians, and residents will appreciate the in-depth coverage of a broad range of difficult issues.

Several year~ ago we edited a casebook on behavior therapy with children. The book appeared to fill a gap in the existing child literature and was quite well received. A similar gap appears to exist in the behavioral literature for adult cases, in that there are very few adult case books currently available. The present book was developed in order to devote an entire casebook to both standard and more innovative clinical applications of behavioral treatments to adult problems. The book, containing 19 chapters, is divided into two parts. In the first part, in a chapter entitled Clinical Considerations, we discuss a variety of clinical issues that are of importance to designing and executing behaviorally based interventions with adults. The bulk of the book, the remaining 18 chap­ ters, contains a variety of cases presented by our experts. Each of the treatment cases is presented using the same format in order to increase consistency and comparability across chapters. Specific sections for each chapter are as follows: (1) Description of the Disorder, (2) Case Identification, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Se­ lection of Treatment, (7) Course of Treatment, (8) Termination, (9) Follow-up, and (10) Overall Evaluation. Thanks are extended to our many expert contributors, without whom this book would not be possible. We also wish to acknowledge the technical support of Mrs. Kim Sterner. Finally, we thank our editor at Plenum, Eliot Werner, for his support and forbearance in the face of the inevitable delays.

This book could not have been conceptualized or published 20 years ago. Indeed, it is doubtful that we could have organized the material for this handbook 10 years ago. Over the last 20 years, however, the painstaking efforts of many clinical researchers working with a variety of resistive psychopathologies have resulted in specific psychotherapies and pharmacotherapies that are effective with a significant propor­ tion of patients, at least for some of the disorders. Much clinical research remains to be carried out in the forthcoming decades. But now that we are nearing the 21st century, at least some statement about efficacy can be made. In 1967, Gordon Paul succinctly stated that the ultimate goal of treatment outcome research is to determine "What treatment, by whom, is most effective for this individual with that specific problem, and under which set of circumstances" (p. 111). At that time, empirical evaluations of psychosocial and pharmacologic treatments were few and far between. Methodological strategies for determining treatment effectiveness were also in the formative stage, as exemplified by introduc­ tion of control groups that received inactive interventions (i. e. , placebo) and the relatively recent practice of comparing two or more treatments in addition to placebo. In the almost three decades since Paul's oft-quoted dictum, both the quantity and the quality of treatment outcome research with adults have increased dramati­ cally.

Bringing together contributions by leaders in the field of clinical psychology, this highly readable textbook provides a current perspective on theory, training, assessment, consultation, research, and outpatient and inpatient practice. Bridging the gap between theory and practice, contributors offer a professional perspective on the various specialized activities and settings of a clinical psychologist. With this unique insight, advanced undergraduate and beginning graduate students gain a realistic understanding of the life of a clinical psychologist as well as the diverse professional opportunities in the field.

Here is a practical reference offering mental health professionals 16 state-of-the-art methods for treating a variety of problems presented by outpatient and inpatient adult clients. Supported by ample clinical illustrations, each chapter offers sufficient information so that the respective methods can be replicated. Problems include obsessive-compulsive disorder, depression, schizophrenia, and obesity. The book also examines contemporary issues of accountability in treatment. This handbook meets the needs of psychologists, psychiatrists, counselors, social workers, rehabilitation specialists, and graduate students.

This multiauthored introductory textbook could not have been conceived or brought to fruition 10 or 15 years ago. Indeed, at that time relatively little attention was accorded to the psychological needs of older adults. The general tenor of the field then was that older adults would not benefit from psychological intervention. As we now know, this was a faulty assumption that has been discredited with empirical data. Indeed, clinical research data adduced, primar­ ily in the last decade, clearly documents that older adults do benefit from specific psychotherapies that are tailored to their unique presentation of symptoms. Given the explosion of interest in this area (as evinced by increased investi­ gatory activity, national funding, and media attention) and the increased number of masters-and doctoral-level courses devoted to this topic, we felt that the time was right for a textbook in the area. Such flurry of activity also has been fueled by statistics showing how our population by the year 2030 will consist of 30% who are senior citizens. Moreover, since 12% of older adults in the community are estimated to have diagnosable psychiatric disorders and 40% to 50% of older adult medical inpatients have a concomitant psychiatric disorder, the task for clinicians in the next century will be overwhelming.

In our first edition of the Handbook in 1983, we the origins and course(s) of maladaptive behav­ ior, whatever the causes, whatever the age of on­ noted that child psychopathology should no longer be viewed as a downward extension of set, whatever the transformations in behavioral adult psychopathology.

In the first part, chapters cover a historical perspective, clinical geropsychology and U.S. federal policy, psychodynamic issues, and other key topics. Part III considers such special issues as family caregiving, minority issues, physical activity, and elder abuse and neglect.

Embracing all aspects of personality study, Advanced Personality addresses major established theories and vital current research topics in the field, from the perspectives of both clinical and scholarly settings. This impressive text-reference features chapters that cover, among other topics-psychobiological theories of personality- conscious and unconscious functioning-and personality disorders from a trait perspective. Written for entry-level graduate and upper-level undergraduate students, the book includes an introductory chapter with a chronological table listing all major figures in the history of the field, and tables that summarize key aspects of various theories.

The past quarter-century has witnessed a dramatic upsurge of violent crime. This handbook systematically and comprehensively examines the most current psychological approaches with violent criminal offenders. An internationally recognized group of contributors addresses such topics as the major theoretical perspectives on violent crime, violence committed by children and youth, homicide, sexual deviance and assault, and family violence.

Since the publication of the first edition in 1991, there has been substantial progress in our understanding of the aetiology and associated features of domestic violence. As in the first edition, this book elucidates and highlights the complex multidisciplinary issues facing clinicians who work with family violence cases. Each chapter combines two illustrative cases with a broader discussion of the issues that are encountered by clinicians working with families that engage in abuse or neglect.

Since the publication of the first edition in 1991, there has been substantial progress in our understanding of the aetiology and associated features of domestic violence. As in the first edition, this book elucidates and highlights the complex multidisciplinary issues facing clinicians who work with family violence cases. Each chapter combines two illustrative cases with a broader discussion of the issues that are encountered by clinicians working with families that engage in abuse or neglect.

This text brings together a broad sampling of the most respected instruments in the psychologist's armamentarium along with promising new tests of cognitive, vocational, and personal functioning. Contributors presents the most up-to-date versions of these tests in a practical, clearly written format that covers the development, psychometrics, administrative considerations, and interpretive hypotheses for each instrument.

This text brings together in a single volume, a broad sampling of research and theory applying a feminist perspective to the study of psychology. The editors have assembled a distinguished roster of contributors to address such topics as historical and scientific foundations, social issues and problems, relationships and sexuality, and psychological and health issues from a social constructionist viewpoint. Discussions of diversity and development are integrated into each chapter.