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Anxiety disorders are the most common psychiatric illnesses affecting both children and adults. Anxiety disorders may develop from a complex set of risk factors, including genetics, brain chemistry, personality, and life events. Generalised Anxiety Disorder (GAD) is characterised by excessive, unrealistic worry that lasts six months or more; in adults, the anxiety may focus on issues such as health, money, or career. In obsessive-Compulsive Disorder (OCD) individuals are plagued by persistent, recurring thoughts (obsessions) that reflect exaggerated anxiety or fears; typical obsessions include worry about being contaminated or fears of behaving improperly or acting violently. Panic Disorder, a third type of anxiety disorder, is when people suffer severe attacks of panic which may make them feel like they are having a heart attack or are going crazy for no apparent reason. Post-Traumatic Stress Disorder (PTSD) can follow an exposure to a traumatic event such as a sexual or physical assault, witnessing a death, the unexpected death of a loved one, or natural disaster. Social Anxiety Disorder (Social Phobia; SAD) is characterised by extreme anxiety about being judged by others or behaving in a way that might cause embarrassment or ridicule. In regards to specific phobias people with specific phobias suffer from an intense fear reaction to a specific object or situation (such as spiders, dogs, or heights); the level of fear is usually inappropriate to the situation, and is recognised by the sufferer as being irrational. Drugs used to treat anxiety disorders include selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants, benzodiazepines, beta blockers, and monoamine oxidase inhibitors (MAOIs). This new book brings together leading research from throughout the world.
Decipher the complex interplay of neurology, psychology, trauma, and memory!In the midst of the controversies over how repressed, false, and recovered memories should be interpreted, Trauma and Cognitive Science presents reliable original research instead of rhetoric. This landmark volume examines the way different traumas influence memory, information processing, and suggestibility. The research provides testable theories on why people forget some kinds of childhood abuse and other traumas. It bridges the cognitive science and clinical approaches to traumatic stress studies.Written by the foremost researchers in the field, including Bessel van der Kolk and Jennifer Freyd, these scientific evaluations of the way traumatic memories are processed offer powerful new perspectives on the interplay of biology and psychology. Trauma and Cognitive Science discusses a range of traumas, including combat, child abuse, and sexual assault across the lifespan. Fascinating perceptual experiments shed light on the cognitive uses of dissociation, the encoding and recall of memory, and the effects of early trauma on subsequent information processing. Trauma and Cognitive Science offers solid information on the most challenging questions in this field: How is memory encoded, stored, and retrieved? How is it forgotten? How does trauma influence these processes? What kinds of memories can be created by suggestion? What physical changes take place in the brain under traumatic stress? How is consciousness disturbed during and after trauma? What are the ethical, clinical, and societal implications of traumatic stress studies? How can people suffering from traumatic memories be healed? Trauma and Cognitive Science also offers an astonishing array of true case studies, including the story of an adult woman who was raped, went to court, and saw her rapist convicted--and then forgot the whole traumatic episode. The independently corroborated accounts of recovered memories and the carefully designed research studies on multiple modes and levels of memory may offer the key to understanding how we remember and why we forget. The results of these controlled scientific studies have wide-ranging implications for abuse survivors, combat veterans, rape victims, and people who have survived traumatic events from earthquakes to car accidents. Written in clear, accessible prose, Trauma and Cognitive Science belongs on the bookshelf of all mental health professionals, researchers in the areas of traumatic stress and child abuse, attorneys, judges, and survivors of abuse and trauma.
Emotion in Posttraumatic Stress Disorder provides an up-to-date review of the empirical research on the relevance of emotions, such as fear, anxiety, shame, guilt, and disgust to posttraumatic stress disorder (PTSD). It also covers emerging research on the psychophysiology and neurobiological underpinnings of emotion in PTSD, as well as the role of emotion in the behavioral, cognitive, and affective difficulties experienced by individuals with PTSD. It concludes with a review of evidence-based treatment approaches for PTSD and their ability to mitigate emotion dysfunction in PTSD, including prolonged exposure, cognitive processing therapy, and acceptance-based behavioral therapy. - Identifies how emotions are central to understanding PTSD. - Explore the neurobiology of emotion in PTSD. - Discusses emotion-related difficulties in relation to PTSD, such as impulsivity and emotion dysregulation. - Provides a review of evidence-based PTSD treatments that focus on emotion.
Providing an arresting and readable overview of family violence, Understanding Family Violence presents a thorough exploration of the major types of family violence and details the range of abusive behaviors perpetrated within family systems. Author Vernon R. WieheÆs extensive study of family violence includes partner abuse in gay and lesbian relationships, battered husbands, sibling abuse, marital rape, response patterns of battered women, the cycle of violence, preconditions of child sexual abuse, emotional abuse, effects of abuse on victims, treatment of offenders, and much more. Case vignettes are used effectively throughout this text to describe violent events and to illustrate the victimsÆ experience and perception of the abuse. Focusing on prevention and intervention, chapters delineate reasons that various types of abuse continue, suggest how different types of violent behavior may be treated, and recommends prevention strategies. In addition, the author has created a comprehensive and cohesive volume by carefully defining terms at the beginning of each chapter and offering summarizing remarks, valuable references, and suggested readings at the conclusion of each chapter. Understanding Family Violence translates theory and research into a practical format, easily accessible to undergraduate and graduate students in areas including psychology, counseling, sociology, social work, nursing, family studies, and pastoral counseling. While the book is an overview and not intended as a "how-to" book, any practitioner engaged in an empirically based practice will find Vernon R. WieheÆs insight invaluable.
This article reviews studies that have tried to confirm empirically the effects of child sexual abuse cited in the clinical literature. In regard to initial effects empirical studies have indicated reactions of fear, anxiety, depression, anger and hostility, aggression and sexually inappropriate behaviour. Frequently reported long-term effects include depression and self-destructive behaviour, anxiety, feelings of isolation and stigma, poor self-esteem, difficulty in trusting others, a tendency toward revictimization, substance abuse and sexual maladjustment. The controversy over the impact of child sexual abuse is discussed and recommendations for future research efforts are suggested.
Developed under the auspices of the PTSD Treatment Guidelines Task Force of the International Society for Traumatic Stress Studies, this tightly edited work is the definitive best-practice reference for practitioners caring for any trauma population. Leading clinical scientists thoroughly review the literature on widely used therapeutic approaches for both adults and children. Succinct treatment guidelines are presented that feature standardized ratings of the evidence for each approach. The book also offers insightful guidance to help clinicians select the most suitable therapy for particular patients and overcome frequently encountered obstacles.
Domestic violence is control by one partner over another in a dating, marital or live-in relationship. The means of control include physical, sexual, emotional and economic abuse, threats and isolation. Survivors face many obstacles in trying to end the abuse in their lives. These obstacles include psychological and economic entrapment, physical isolation and lack of social support, challenges to religious and cultural values, fear of social judgement, threats and intimidation over custody or separation, immigration status or disabilities and lack of viable alternatives. Despite the vastness and power of these challenges most are able to overcome them because of increased public, legal and health care awareness and improved community resources that enable survivors to rebuild their lives. Domestic violence occurs in every culture, country and age group. It affects people from all socio-economic, educational and religious backgrounds and takes place in same sex as well as heterosexual relationships. Women with fewer resources or greater perceived vulnerability -- girls and those experiencing physical or psychiatric disabilities or living below the poverty line -- are at even greater risk for domestic violence and lifetime abuse. Children are also affected by domestic violence, even if they do not witness it directly. The book examines crucial issues in the field.