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While the investigations and reports which have followed recent health care scandals in the UK have highlighted the very important issue of addressing organizational culture and the need for more effective leadership at every level, patients and their families have struggled to comprehend how such things can occur in a health service that is supposed to be the envy of the world. This book has been written to address both the 'why' and the 'how', in the pursuit of excellence and accountability in health care leadership at all levels and in order to prescribe the most effective treatment for the problems that exist in the leadership of hospitals in the UK and beyond. Based on the principles that underpin 'good medicine' in the broadest sense, the text includes detailed assessment, diagnosis, review of the evidence and the application of the experiences shared by a group of senior successful health care leaders. Product de...

One of the most talked-about scholarly works of the past fifty years, Judith Butler's Gender Trouble is as celebrated as it is controversial. Arguing that traditional feminism is wrong to look to a natural, 'essential' notion of the female, or indeed of sex or gender, Butler starts by questioning the category 'woman' and continues in this vein with examinations of 'the masculine' and 'the feminine'. Best known however, but also most often misinterpreted, is Butler's concept of gender as a reiterated social performance rather than the expression of a prior reality. Thrilling and provocative, few other academic works have roused passions to the same extent. Product details Format Paperback ...

People with intellectual disabilities have emotional and mental health needs just like anyone else. Until recently however there has been little research of effective psychological treatment or direct, accessible psychotherapy provision for this client group. Intellectual Disability, Trauma and Psychotherapy focuses on the delivery of psychotherapy services for those with intellectual disabilities. Leading professionals in this specialist field are brought together to describe the history, theory and practice of their work in twelve focused chapters that draw on the work of psychotherapists including Bion, Winnicott, Sinason and Alvarez. Topics covered include: therapeutic responses to cultural and religious diversity support for parents with intellectual disabilities developing healthy and secure attachments within the family dealing with intense feelings of shame helping clients to cope with traumatic sexual experiences. Drawing on over a decade of pioneering practitioner experie...

Trauma and Primitive Mental States: An Object Relations Perspective offers a clinically based framework through which adult survivors of early childhood trauma can re-engage with painful past events to create meaningful futures for themselves. The book highlights the use of the body and the mind in working with these early unmentalized and unrepresented states, illustrating the value of finding language that embodies emotions, and working in the here and now of transference and counter-transference. Including a range of examples of how early trauma can thus be re-presented and clinically understood, the book illustrates how patients can discover themselves and leave their repetitive patterns of suffering behind. Written by a clinician with over 30 years' experience, this will be fascinating reading for psychoanalysts and psychotherapists as well as any mental health professional working with childhood trauma. Product details ...

This volume, originally published in 1997, examines the combined effect of financial instability and industrial restructuring on postwar economic growth and recession in the US. It sheds light on the fundamental question of whether or not these trends are positive for the economy as a whole. To explain the cyclical nature of investment and finance, institutional theory regarding financial instability is examined in depth and related to Minsky's analysis of investment behaviour. The author has created an empirical model of this behaviour which, he claims, accurately predicts historical consumption investment and GDP cycles. Product details Format Hardback | 238 pages ...