Dementia is a devastating disorder which may dramatically interfere with decision-making abilities. Effort has focused on trying to determine when a person is no longer capable of making particular decisions or is globally incompetent. However, much less focus has been placed on understanding how the capacity to make decisions influences one's view of oneself, one's world and one's treatment by others. This book aims to broaden discussion around this issue by moving beyond a focus on notions of capability and competence to explore the importance of personhood and the underlying complexities of decision-making for those with dementia. Based on papers from the Centre for Research on Personhood in Dementia (CRPD) workshop, experts in dementia care, law, ethics and philosophy discuss the interface between dementia, personhood and decision-making. Drawing on a wide range of interdisciplinary and international perspectives, the book forges new understandings of relationships between everyday, informal decision-making and more formal biomedical or legal processes for assessing competence. This collection of papers provides an in-depth understanding of decision-making in relation to dementia for researchers, healthcare practitioners, service providers, legal professionals and anyone with an interest in personhood in dementia care.
Working in any area of mental health nursing presents complex issues regarding the nurse-patient relationship. For those working in prolonged clinical contact with offenders, relationships with patients and colleagues can be particularly emotionally intense and sometimes difficult to express. This book attempts to understand and articulate the emotional labour of forensic nursing and explores the challenge of establishing and maintaining therapeutic relationships with offenders. The first book to consider the emotional and relational component of forensic mental health nursing, the chapters cover a number of specialist forensic areas from this psychodynamic perspective, such as women's services, services for people with personality disorders, intensive care, high security psychiatric hospitals, medium secure units and services for adolescent offenders. A chapter on therapeutic communities is also included, along with chapters on challenging relational phenomena such as working with hate and the difficulties of managing difference when working in environments that produce high levels of anxiety. Therapeutic Relationships with Offenders provides essential information for mental health nurses working in the forensic field and will be of interest to any professionals working with challenging populations and people with personality disorders.
A book such as this both demonstrates the progress that has been made over recent years, and will also serve to enhance respect for the human rights of persons with intellectual disabilities in the years to come.' – From the Foreword by Orville Endicott This wide-ranging volume provides a multidisciplinary examination of human rights and the lives of people with intellectual disabilities. The book combines historical, psychological, philosophical, social, educational, medical and legal perspectives to form a unique and insightful account of the subject. Initial chapters explain the historical context of rights for people with intellectual disabilities, including the right to life, and propose a conceptual framework to inform contemporary practice. Contributors then explore the many theoretical and practical challenges that people with intellectual disabilities face, in exercising their civil rights, educational rights or participatory rights, for instance. The implications arising from these issues are identified and practical guidelines for support and accommodation are provided. This book will be an essential resource for practitioners, advocates, lawyers, policy-makers and students on disability courses.
Personality Disorder offers a comprehensive and accessible collection of papers that will be practically useful to practitioners working in secure and non-secure settings with patients who have personality disorders. This book brings together fourteen classic papers, which address the impact that working with personality disorder patients can have on staff. It also offers theoretical explanations for personality disorder, and explores other issues such as the concept of boundaries in clinical practice, psychiatric staff as attachment figures and the relationship between severity of personality disorder and childhood experiences. Each paper is introduced with contextual material, and is followed by a series of questions that are intended to be used as educational exercises. This book will be essential reading for clinical and forensic psychologists, psychiatrists, community psychiatric nurses, social workers and students.
Thousands suffer from bulimia secretly and in silence. They are never diagnosed and their story goes untold. Bulimics on Bulimia is a collection of accounts by people who are living with the disorder, shedding new light on the day-to-day struggle of coping with bulimia. This book challenges the stereotypical image of the bulimic teenage girl, revealing that bulimia affects a far wider range of people, and dispelling the myth that bingeing involves only food and purging involves only vomiting. The powerful stories in this book provide new perspectives on the experience of bulimia, revealing the complex realities of the illness and the different ways in which different people view themselves and the disorder that has become a part of their lives. This book is a must-read for counselors, psychologists, and mental health professionals and will strike a chord with anyone who is suffering or has suffered from an eating disorder, as well as their friends and families.
Use of the arts in palliative care settings is a powerful and effective way of addressing the practical, psychological, social and spiritual issues faced by service users in end-of-life care. The Creative Arts in Palliative Care uncovers the possibilities for using the creative arts and provides guidance on how to implement arts projects successfully. Part 1 focuses on designing objectives for the creative arts in palliative care – such as self-fulfilment, social participation, diversion from pain and other common symptoms – and managing creative arts services. Part 2 demonstrates the theory and principles in practice, with detailed case studies: each chapter draws on a real-life project, the approaches it employed and the outcomes achieved. This book will be essential reading for healthcare professionals, arts practitioners and all those involved in providing palliative care services.
Children do not always have the capacity or need to express themselves through words. They often succeed in saying more about their feelings and experiences by communicating non-verbally through play and other expressive, creative activities. The basic premise of Speaking about the Unspeakable is that life's most pivotal experiences, both good and bad, can be truly expressed via the language of the imagination. Through creativity and play, children are free to articulate their emotions indirectly. The contributors, all experienced child therapists, describe a wide variety of non-verbal therapeutic techniques, including clay, sand, movement and nature therapy, illustrating their descriptions with moving case studies from their professional experience. Accessible and engaging, this book will inspire child psychologists and therapists, art therapists and anyone with an interest in therapeutic work with children.
All humans have an innate need and ability to communicate with others, and this book presents successful approaches to nurturing communicative abilities in people who have some type of communication impairment. The contributors look at a wide range of approaches, including intensive interaction, co-creative communication, sensory integration and music therapy, for a variety of impairments, including autism, profound learning disabilities, deafblindness, severe early neglect and dementia. This wide perspective provides insight into what it feels like to struggle with a communicative impairment, and how those who work with and care about such individuals can and should think more creatively about how to make contact with them. Covering both the theory and practical implementation of different interventions, this book will be invaluable for health and social work professionals, psychologists, psychotherapists, counsellors, speech and language therapists, as well as researchers, teachers and students in these fields.
This book is essential reading to understand the social abilities of adults with Asperger's syndrome. The contributors each have different personalities and experiences, but together they provide a range of strategies to encourage people with Asperger's syndrome to achieve the social relationships they desire.' – Professor Tony Attwood Social interaction among neurotypical people is complex and in many ways illogical. To the person with Asperger Syndrome (AS) it is also woefully unintuitive. In this book, adults with AS discuss social relationships, offer advice and support for others with AS and provide necessary insights into AS perspectives for those working and interacting with them. The contributors evaluate a range of social contexts and relationship aspects, including: * online relationships – a worldwide social network based on non-verbal communication, * the unwritten rules of neurotypical socialising, * the need for mutual understanding between those with AS and neurotypicals, * the effects of struggling socially on one's self-esteem and frame of mind, and * the opportunities provided by social skills workshops or interest groups. This is essential reading for adults with AS, their family and friends, as well as service providers and other professionals providing support for people with AS in adult life.
This is the book we need for guidance on employment for people with Asperger's syndrome. The contributors describe their employment experiences and offer sound advice. I thoroughly enjoyed reading the success stories and took note of the words of warning of what not to do.' – Professor Tony Attwood Employment is an important part of a healthy, balanced and fulfilling life but less than 20 per cent of people with Asperger Syndrome (AS) are in work at any one time. The adults with AS in this book explore the issues surrounding employment, providing advice and insights for others with AS, as well as their employers and colleagues. Drawing on personal experience and lessons learned, Asperger Syndrome and Employment looks at: * the transition from education to employment, * the importance of matching skills to career choices, * practical coping strategies for employees with AS in the workplace, * advice for employers, including the need to make `reasonable adjustments' to avoid discrimination, * ways in which employment services ought to work for people with AS. This is essential reading for adults with AS, their family and friends, employment services and career advisers, and companies needing to know how, in practical terms, to accommodate employees with AS.