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| Preface | |
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| An Introduction to the Competency-Based Treatment Model | |
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| The Need for Competency-Based Practice | |
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| Importance of the Working Relationship | |
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| Client Strengths and the Competency-Based Treatment Model | |
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| Recent Changes in the Mental Health Care Field | |
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| Guidelines for Ethical Practice | |
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| Effects of Managed Care on the Field of Mental Health | |
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| Characteristics of Competency-Based Practice | |
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| The Role of the Diagnostic and Statistical Manual | |
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| Components of the Competency-Based Treatment Model | |
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| The Biopsychosocial Framework | |
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| Concepts from Systems Theory | |
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| Contributions from the Ecological Perspective | |
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| The Partnership between Strengths, Empowerment, and Resiliency | |
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| Merging the DSM, Resilience, and the Competency-Based Model of Treatment | |
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| Psychological Protective Factors | |
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| Social or Relational Factors | |
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| Sociological or Environmental Buffers | |
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| Summary | |
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| Practitioner Reflections | |
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| Counseling and Social Work Theories and Methods Supporting Competency-Based Practice | |
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| Biological Therapies | |
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| Historical Background | |
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| Tenets of Biological Therapies | |
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| Principles of Practice | |
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| Advantages and Disadvantages of Biological Therapies | |
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| Crisis Intervention | |
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| Historical Background | |
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| Tenets of Crisis Intervention | |
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| Principles of Practice | |
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| Advantages and Disadvantages of Crisis Intervention | |
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| Solution-Focused Therapy | |
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| Historical Background | |
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| Tenets of Solution-Focused Therapy | |
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| Principles of Practice | |
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| Advantages and Disadvantages of Solution-Focused Therapy | |
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| Cognitive-Behavioral Therapy | |
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| Historical Background | |
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| Tenets of Cognitive-Behavioral Therapy | |
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| Principles of Practice | |
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| Advantages and Disadvantages of Cognitive-Behavioral Therapy | |
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| Psychosocial Therapy | |
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| Historical Background | |
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| Tenets of Psychosocial Therapy | |
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| Principles of Practice | |
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| Advantages and Disadvantages of Psychosocial Therapy | |
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| Psychoeducation | |
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| Historical Background | |
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| Tenets of Psychoeducation | |
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| Principles of Practice | |
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| Advantages and Disadvantages of Psychoeducation | |
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| Methods of Family Practice | |
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| Historical Background | |
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| Social Work and the Family Systems Approach to Practice | |
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| Tenets of Family Therapy | |
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| Principles of Practice | |
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| Advantages and Disadvantages of Family Practice | |
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| Methods of Group Work Practice | |
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| Historical Background | |
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| Tenets of Group Work | |
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| Principles of Practice | |
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| Advantages and Disadvantages of Group Work Practice | |
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| Summary | |
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| Practitioner Reflections | |
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| Cognitive Disorders, Including Delirium and Dementia | |
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| Understanding the Cognitive Disorders | |
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| Delirium | |
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| Dementia | |
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| Alzheimer's Disease | |
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| The Three Stages of Alzheimer's Disease | |
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| Amnestic Disorder | |
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| Overview of Major Interventions | |
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| Treatment of Delirium | |
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| Biological Therapies | |
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| Environmental and Supportive Interventions | |
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| Treatment of Dementia-Alzheimer's Disease | |
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| Treatment of Amnestic Disorder | |
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| Risks Associated with Cognitive Disorders | |
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| Intrapersonal Risks | |
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| Interpersonal Risks | |
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| Community and Environmental Risks | |
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| Case Illustration: Zelda "Jean" Pfohl | |
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| Operationalizing Competency-Based Treatment | |
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| Working with Jean Individually | |
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| Family Intervention | |
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| Group Work Intervention | |
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| Environmental Interventions: Institutional Care and Nursing Home Placement | |
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| Conclusion | |
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| Summary | |
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| Practitioner Reflections | |
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| Schizophrenia and Other Psychotic Disorders | |
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| Understanding Schizophrenia and Other Psychotic Disorders | |
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| Overview of Major Interventions | |
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| Hospitalization | |
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| Biological Therapies | |
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| Risks Associated with Schizophrenia and Other Psychotic Disorders | |
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| Intrapersonal Risks | |
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| Interpersonal Risks | |
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| Community and Environmental Risks | |
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| Case Illustration: Rudy Rosen | |
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| Operationalizing Competency-Based Treatment | |
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| Working with Rudy Individually | |
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| Family Intervention | |
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| Rehabilitation | |
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| Group Work Interventions | |
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| Case Management | |
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| Conclusion | |
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| Summary | |
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| Practitioner Reflections | |
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| Mood Disorders | |
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| Understanding Mood Disorders | |
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| The Major Depressive Disorders | |
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| Bipolar Disorder | |
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| The Minor Mood Disorders | |
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| Suicide and the Mood Disorders | |
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| Overview of Major Interventions | |
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| Biological Therapies | |
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| Natural or Herbal Treatments | |
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| Electroconvulsive Therapy (ECT) | |
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| Other Treatments | |
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| Risks Associated with the Mood Disorders | |
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| Intrapersonal Risks | |
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| Interpersonal Risks | |
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| Community and Environmental Risks | |
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| Case Illustration: Anita Richards | |
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| Operationalizing Competency-Based Treatment | |
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| Working with Anita Richards Individually | |
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| Working with the Family | |
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| Working with the Community | |
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| Summary | |
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| Pratitioner Reflections | |
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| Anxiety Disorders | |
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| Understanding Anxiety Disorders | |
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| Agoraphobia | |
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| Specific Phobia | |
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| Social Phobia | |
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| Obsessive-Compulsive Disorder | |
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| Post-Traumatic Stress Disorder | |
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| Generalized Anxiety Disorder | |
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| Overview of Major Interventions | |
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| Assessment Considerations | |
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| Biological Interventions | |
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| Panic and Agoraphobia | |
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| Specific Phobia | |
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| Social Phobia | |
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| Obsessive-Compulsive Disorder | |
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| Post-Traumatic Stress Disorder | |
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| Generalized Anxiety Disorder | |
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| Summary | |
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| Risks Associated with Anxiety Disorders | |
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| Intrapersonal Risks | |
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| Interpersonal Risks | |
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| Community and Environmental Risks | |
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| Summary | |
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| Case Illustration: Jada Wu | |
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| Operationalizing Competency-Based Treatment | |
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| Working with Jada Individually | |
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| Family Intervention | |
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| Environmental Intervention | |
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| Conclusion | |
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| Summary | |
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| Practitioner Reflections | |
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| Somatoform, Factitious, and Malingering Disorders | |
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| Understanding Somatoform, Factitious, and Malingering Disorders | |
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| Somatization Disorder | |
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| Conversion Disorder | |
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| Pain Disorder | |
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| Hypochondriasis | |
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| Body Dysmorphic Disorder | |
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| Re-Thinking Cultural Influences | |
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| Undifferentiated Somatoform Disorder | |
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| Somatoform Disorder Not Otherwise Specified | |
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| Related Disorders: Factitious and Malingering | |
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| Overview of Major Interentions | |
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| Somatization Disorder and Undifferentiated Somatoform Disorder | |
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| Conversion Disorder | |
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| Pain Disorder | |
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| Hypochondriasis | |
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| Body Dysmorphic Disorder | |
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| Factitious Disorder | |
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| Malingering Disorder | |
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| Risks Associated with Somatoform, Factitious, and Malingering Disorders | |
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| Intrapersonal Risks | |
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| Interpersonal Risks | |
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| Community and Environmental Risks | |
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| Case Illustration: Brad Jones | |
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| Operationalizing Competency-Based Treatment | |
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| Working with Brad Individually | |
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| Supervision of Practice | |
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| Summary | |
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| Practitioner Reflections | |
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| Dissociative Disorders | |
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| Understanding Dissociative Disorders | |
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| Dissociative Identity Disorder | |
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| Dissociative Amnesia Disorder | |
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| Dissociative Fugue Disorder | |
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| Depersonalization Disorder | |
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| Overview of Major Interventions | |
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| Dissociative Identity Disorder | |
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| Dissociative Amnesia and Dissociative Fugue | |
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| Depersonalization Disorder | |
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| Risks Associated with Dissociative Disorders | |
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| Intrapersonal Risks | |
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| Interpersonal Risks | |
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| Community and Environmental Risks | |
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| Case Illustration: Jean Redhorse Osceola | |
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| Operationalizing Competency-Based Treatment | |
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| Working with Jean Redhorse Individually | |
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| Working with the Family | |
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| Working with the Community | |
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| Summary | |
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| Practitioner Reflections | |
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| Eating Disorders | |
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| Understanding Eating Disorders | |
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| Anorexia Nervosa | |
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| Bulimia Nervosa | |
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| Binge Eating Disorder | |
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| The Role of Obesity | |
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| Overview of Major Interventions | |
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| Assessment | |
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| Prevention | |
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| Self-Help Programs | |
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| Biological Therapy | |
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| Risks Associated with Eating Disorders | |
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| Intrapersonal Risks | |
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| Interpersonal Risks | |
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| Community and Environmental Risks | |
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| Case Illustration: Mary McDaniel | |
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| Operationalizing Competency-Based Treatment | |
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| Working with Mary Individually | |
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| Working with the Family | |
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| Working with the Group | |
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| Summary | |
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| Practitioner Reflections | |
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| The Personality Disorders | |
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| Understanding Personality Disorders | |
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| Cluster A Personality Disorders | |
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| Cluster B Personality Disorders | |
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| Cluster C Personality Disorders | |
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| Overview of Major Interventions | |
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| Dialectical Behavior Therapy | |
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| Residential Treatment | |
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| Biological Therapy | |
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| Risks Associated with Personality Disorders | |
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| Intrapersonal Risks | |
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| Interpersonal Risks | |
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| Community and Environmental Risks | |
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| Case Illustration: Suzie Hutchfield | |
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| Operationalizing Competency-Based Treatment | |
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| Working with Suzie Individually | |
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| Working with the Group | |
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| Working with the Community | |
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| Summary | |
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| Practitioner Reflections | |
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| Substance-Related Disorders | |
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| Understanding Substance-Related Disorders | |
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| Central Nervous System (CNS) Depressants | |
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| Central Nervous System (CNS) Stimulants | |
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| Opioids or Narcotics | |
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| Cocaine | |
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| Hallucinogens | |
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| Cannabis | |
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| Anabolic Steroids | |
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| Over-the-Counter Substances | |
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| Overview of Major Interventions | |
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| Motivational Enhancement | |
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| Biological Therapies | |
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| Opioid Antagonists | |
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| Specific Glutamate Antagonists | |
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| Serotonergic Medications | |
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| Twelve-Step and Self-Help Groups | |
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| Detoxification | |
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| Risks Associated with Substance-Related Disorders | |
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| Intrapersonal Risks | |
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| Interpersonal Risks | |
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| Community and Environmental Risks | |
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| Case Illustration: Luke Rossey | |
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| Operationalizing Competency-Based Treatment | |
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| Working with Luke Individually | |
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| Dual Diagnosis Considerations | |
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| Case Management | |
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| Cognitive-Behavioral Therapy | |
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| Conclusion | |
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| Summary | |
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| Practitioner Reflections | |
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| The DSM-IV Classification | |
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| References | |
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| Name Index | |
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| Subject Index | |