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This clinical training manual presents a critical analysis of several, very challenging individual therapy cases of severely mentally ill clients of color. Key interchanges and cultural dynamics in the therapies are explored through discussion questions. Key hypotheses' about those interchanges are supported with citations from research on the subject and are linked to relevant theories. This helps to establish an evidence-based framework for the larger discussion matter. The integration of contemporary theory, research and practice makes this a must have addition to your library of clinical t

Not being epistemologically different from treatment of congenital diseases, the therapy of hereditary diseases has to be considered in its complex relationship with the concepts of nature and culture, and with the ideas of Greek authors about generation and education. As such, therapy of hereditary diseases can be described as the (often hopeless) attempt by the ancient, particularly Hippocratic physician to restore the health condition or to contrast the natural tendency of the patient to develop and give expression to his or her pathological inheritance. If for the Greek physician dietetics represents the most widely practised way of treating disaeses on a presumed inherited basis, the notion of therapy may be more generally applied to the various forms of eugenic measures and rules controlling and shaping the social and political life of Greek citizens according to the real and ideal political systems. Key words: Therapy of Hereditary and Congenital Diseases - Genetics - Greek Medicine - Hippocratic Corpus

The development and design of financial incentiveschemes as a sustainable and cost-effectiveintervention strategy to foster effectiveness ofmedical interventions remains a significantchallenge in health care delivery.Based on the findings of the conceptual model ofmedical non-persistence we test three differentfinancial incentive schemes. These incentives arederived upon concepts of behavioral economics, inparticular mental accounting, prospect theory andchoice bracketing, and incorporated into deposit,copayment and bonus schemes. We conductrandomized laboratory experiments to evaluate theperformance and effectiveness of each incentivescheme on persistence behavior under controlledconditions. Participants in the experiment arestudents remunerated according to theirperformance in the experiment.We find that financial incentive schemes based onthe principles of prospect theory significantlyimprove treatment persistence compared to thesituation where there are no incentives at all. Thisfinding implies that the simple but smart reallocationof co-payments and co-payment supportbetween the treatment initiation phase and treatmentmaintenance phase represents an effective way ofpromoting persistence behavior.This study delivers first applications of behavioralinterventions based on theoretical foundation. Usingthe method of experimental economics the studyserves as a first proof of concept of a scalable wayto design, calibrate and test the effectiveness offinancial incentives on behavioral change. Thisapproach is inevitable for broad application in realworld as it minimizes the need for patient researchwhile clarifying the impact of interventions undercontrolled conditions before these interventions getimplemented in the field. ; eng

ZusammenfassungVon den Strafverfolgungsbehörden werden Jugendliche und Heranwachsende als Intensivtäter (IT) registriert, die in der Vergangenheit nicht nur wiederholt, sondern auch mit schweren Gewaltdelikten strafrechtlich in Erscheinung getreten sind und bei denen die Gefahr einer sich verfestigenden kriminellen Karriere besteht. Der vorliegende Beitrag befasst sich mit der Erreichbarkeit junger IT durch die kriminalpräventiven Maßnahmen des Jugendstrafvollzuges. In einer Vollerhebung der sozialtherapeutischen Abteilung (n = 191) und einer parallelisierten Vergleichsstichprobe (n = 43) des Berliner Jugendstrafvollzuges wurde jeweils etwa die Hälfte der Strafgefangenen als IT identifiziert. Die jungen IT wiesen vielfältige soziale und kriminogene Risiko- und Belastungsfaktoren auf und zeigten mehr Verhaltensauffälligkeiten im Vollzug. Zudem ergaben sich Hinweise für eine ausgeprägtere Zugehörigkeit der IT zur organisierten Kriminalität. Die Untersuchung des zukünftigen Legalverhaltens ergab, dass IT im Vergleich zu Nicht-IT häufiger (60 % vs. 31 %) und schneller nach ihrer Entlassung (1,2 Jahre vs. 1,8 Jahre) mit einem gewalttätigen Delikt polizeilich in Erscheinung treten. Ein Einfluss der SothA-Behandlung auf das Legalverhalten der IT konnte für nichtgewalttätige Delikte nachgewiesen werden. Weiterführende Analysen weisen auf einen Zusammenhang zwischen einer Zugehörigkeit zur organisierten Kriminalität und gewalttätigen sowie nichtgewalttätigen Delikten nach Entlassung hin. Die vorliegende Studie zeigt verschiedene Herausforderungen im Umgang mit jungen IT auf und gibt dabei wichtige Anhaltspunkte für die Ausgestaltung entsprechender Maßnahmen des Jugendstrafvollzugs entlang der besonderen kriminogenen Bedürfnisse dieser Subgruppe.

AbstractAlcoholism appears to be manifested in several dimensions that are statistically independent, rather than being a single entity falling along a continuum from abstinence to excessive alcohol use.

When it is necessary to send your child away for residential therapeutic treatment? How do you choose the right program? Will the program even work? What happens if it doesn't? In answering these questions and many others, Second Shelter gives a comprehensive overview of therapeutic boarding schools and residential treatment facilities in a format that is readable and accessible for counselors, educators, and parents alike. The book examines which adolescents are best served in these environments as well as the different therapeutic approaches provided. It also takes a practical look at the costs involved with these schools, how long the programs take, how effective they are, and how parents and educators can help students transition back to traditional day schools when the treatment process is complete. In addition, parts of the book are dedicated to residential school safety and academic standards. Written with compassion and insight by authors who are both educators and parents of children who have recently been enrolled in these types of schools, Second Shelter is an essential guide for any family that is considering residential therapeutic treatment for the safety and health of its adolescents.

Because of the drugs, violence, and other aspects of prison life that militate against rehabilitation, the therapeutic community would appear to be the most appropriate form of drug abuse treatment in correctional settings. The therapeutic community is a total treatment environment isolated from the rest of the prison population. The primary clinical staff are typically former substance abusers who themselves were rehabilitated in therapeutic communities. The treatment perspective is that drug abuse is a disorder of the whole person—that the problem is the person and not the drug; that addiction is a symptom and not the essence of the disorder; and that the primary goal is to change the negative patterns of behavior, thinking, and feeling that predispose drug use. In Delaware's system of corrections-based therapeutic communities, a variety of treatment techniques are used, including behavioral, cognitive, and emotional therapies; transactional analysis; psychodrama; and branch groups. The clinical foundations and usages of these approaches are described at length, and preliminary data on their apparent efectiveness are presented.

AbstractMandatory treatment may have both positive and negative effects on patient outcomes. This chapter discusses empirical research and psychological theory bearing on the effects of coercion and choice and suggests ways that clinicians can apply the law more effectively in mandatory treatment contexts.

Objectives: This study examines potential predictors (e.g., attachment style, frequency of therapeutic treatment sessions) of client-rated therapeutic alliance between the social worker and client. The relationship between therapeutic alliance and client's psychological outcomes (hope and posttraumatic stress symptoms [PTS's]) was also assessed. Methods: The study sample included 95 of 193 female clients (average age = 39.35, SD = 8.66) at four methadone clinics in Israel. Results: Clients reported a strong therapeutic alliance with their social workers. Stepwise hierarchical multiple regression analyses revealed that only the frequency of treatment sessions, the avoidance dimension of attachment, and less frequent opiate use were significant predictors of therapeutic alliance. Therapeutic alliance significantly predicted hope but did not predict reduced PTS. Conclusions: Implications for social work practice and future research are discussed.