Brad DeFord – författare

Named a 2013 Doody's Core Title!Bushfield and DeFord offer us an excellent, informed and sensitive work that speaks both of the erosion of family systems due to addiction and the complications that arise when these victimized families face end-of-life care." --Illness, Crisis and Loss With a growing elderly population comes an increased need to recognize the medical and psychological needs of older adults suffering from addiction, particularly towards the end of life. This guide describes the challenges such persons and families present to those providing end-of-life care, and shows caregivers how to best negotiate these issues with clients and their families. The authors place special emphasis on the role of the family, presenting a cohesive family systems approach to end-of-life care. The book demonstrates how hospice teams can work collaboratively with the client and family to help alleviate some of the emotional stress and pain of addiction. The authors also present practical guidelines for recognizing and diagnosing addiction, determining appropriate interventions, and outlining special concerns for addicted people in end-of-life care. Key features: Identifies the known markers of substance abuse and appropriate interventions Provides guidance on how to address the physiological, psychological, and spiritual effects of addiction Details what every hospice team needs to know about family systems theory Discusses the emotional process of addicted clients, and what hospice teams, caregivers, and family members can do to help

One of the unspoken aspects of mourning concerns the ways that loss affects our intimate relationships and our sexual expressiveness. This text opens these subjects for conversation, with the aim of promoting the trust, care, and respect that enable us to be vulnerable. It purposefully covers a range of topics, including: (1) the meaning of intimacy and the significance of sexuality, providing a basis for the use of these terms throughout the book; (2) death, grief, and differences in sexual orientation, including death and intimacy in the lesbian, gay, bisexual, and transgender (LGBT) community and the losses endured by young people due to gender issues; (3) loss of relationship and restoration of intimacy in families, including pharmacological effects on the grief processes of widowers; grieving a not-so-loved parent; the "layered losses" of infertility and intimacy; and the tolls of war--intimacy and sexuality challenges for soldiers and their families; (4) adjusting to life's losses associated with aging or illness or infirmity, including Alzheimer's and dementia-related illnesses, physical health losses after 50, and intimacy, sex, and hospice--self-determination and dignity at the end of life; and (5) religious bases that have shaped our perspectives for understanding intimacy, sexuality, and healing after loss, and which give us hope--including the spiritual reflections of a rabbi and a Christian voice in defining what is right. Set in a framework that is both psychological and spiritual, the well-researched contributions are intended to acknowledge these experiences both professionally and personally. The book concludes with an extensive bibliography, valuable for research and reference. This book will be of value in undergraduate and graduate courses on thanatology, as well as for anyone interested in knowing more about grief--both those currently bereaved and those who wish to support others in mourning. The contributors appreciate both the importance of our capacities for intimacy and sexuality and our inhibitions and hesitations in giving voice to our needs and concerns, perhaps especially when we are grieving. The information and compassionate understanding they provide encourage us to bridge the gap between the secret and the private and to share what is close to our hearts.