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Mental Health Services: A Public Health Perspective

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"Mental Health Services: A Public Health Perspective" Feature

This revised and expanded third edition text utilizes a public health framework and the latest epidemiological, treatment, and service systems research to promote a comprehensive understanding of the organization, financing, and delivery of mental health and substance abuse services in the United States. Written by national experts in the field, this timely work will provide policymakers, administrators, clinicians, and public health and behavioral health graduate students with the knowledge base needed to manage and transform mental health service systems, both nationally and locally.

The book is unique in providing a public health framework of the most significant issues facing mental health policy makers, administrators, planners, and practitioners. It combines issues (e.g., evaluation; law; ethnicity) that extend across different age groups, treatment settings, and disorders, with issues that are population and disorder specific.
The publication of this book is timely for those involved with the debate over national health care reform legislation, and provides important and timely information (on populations at-risk for mental disorders, services, and systems issues) for those responsible for implementing policies and programs resulting from this reform effort.

Treating The Adult Survivor Of Childhood Sexual Abuse: A Psychoanalytic Perspective Shopping

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Entering the tumultuous, dissociated world of the adult survivor of childhood sexual abuse presents an intimidating challenge for clinicians. But as the authors of this innovative book argue, therapists must be willing and able to work within the powerful and rapidly shifting relational paradigms of transference and countertransference commonly found in treatment of these patients. Such dual roles enacted in treatment include the unseeing, uninvolved parent and the unseen, neglected child; the sadistic abuser and the helpless, enraged victim; the idealized rescuer and the entitled child; and the seducer and the seduced.This is the first model for treatment of adult survivors of childhood sexual abuse that takes advantage of a relational approach and that integrates psychoanalytic thinking with the latest findings from the literature on psychological trauma and sexual abuse. Diverging from a more classical perspective, the authors view dissociation as the means by which a person adapts to and expresses traumatogenic material and by which such patients defend against traumatic memories, affects, and fantasy elaborations emerging into consciousness. The authors also detail how dissociation helps organize the patient's personality and presentation of self.Richly illustrated case examples bring to life the authors’ treatment model and show how clinicians can work through the relational paradigms between patient and therapist and, ultimately, reach the core of the patient’s deeply buried experiences of self and other.

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