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Therapy of the Substance Abuse Syndromes HENRY JAY RICHARDS New Jersey, Jason Aronson, Inc., 1993, 478 pp.
This book is an impressive and interesting monograph on the subject of substance abuse. The book provides the reader with a systematic and comprehensive approach to substance abuse treatment. In more than 450 pages it combines both theoretic demands and clinical relevance. The models and methods presented have been developed specifically to address treatment planning for patients, who have been recurrent treatment failures in both psychotherapy and addiction treatment programmes, so it is of particular use for those who work in dual diagnosis programmes as well as therapists in psychiatric or addiction facilities.
In discussing theoretical implications in close connection with and relation to clinical programmes, Richards develops his own framework that is also useful and interesting for readers that do not share all of his ideas. From my own point of view this is a big advantage of this work. Richards describes the process of addiction as a movement to a cycle of three primitive states of self-experience: (1) a position typified by egoism and assertiveness (the inflated-grandiose position); (2) a position typified by depression and helplessness (the depleted-depressed position); and (3) a position typified by isolation, fantasy an self-absorption (the detached-schizoid position). Movement in this cycle is given by failures in self-regulation.
With respect to his goal of organizing and planning several specialized programmes including substance abuse services, Richards presents a comprehensive system for assessment and treatment planning based on a dual diagnosis paradigm. The system consists of three interrelated concept sets: drug categories, symptom complexes and biopsychosocial functions of addiction.
All in all this is a substantial contribution to treatment research and the discussion of special needs for patients with severe mental illness and addiction. It can also be recommended to European and other non-American readers, although it is written from a background of special experiences in the United States of America.
Michael M. Krausz University Hospital Hamburg-Eppendorf, Germany
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"So quiet too, was the sea, and so steady the breeze, that if the sails had been sculptured marble they could not have been more motionless. Not a ripple upon the surface of the canvas; not even a quivering of the extreme edges of the sail, so perfectly were they distended by the breeze. I was so lost in the sight that I forgot the presence of the man who came out with me, until he said, 'How quietly they do their work!'"
Dana so perfectly described sea life you will be a part of the crew, you will feel his fear, his wonder, his joy and his awe.
You will not regret reading this, philosophy disguised as a travelogue, a must-read!
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Rufus disrupted Xantippus's class by writing "Caius is a dumbbell" on a tablet, provoking Caius to start yelling. In the blink of an eye, Rufus has been thrown out of the schoolmates, alarming his classmates. What's even more alarming is that the same message is scrawled on a sacred temple's wall the next day -- in Rufus's handwriting. This act of sacrilege will destroy Rufus's life, and for some reason he won't deny it.
The day of the defacing, Xantippus's house is robbed and the wax tablet is taken, but the robber leaves behind a beautiful golden brooch. The boys go to the soothsayer Lukos, but that goes horribly wrong when the soothsayer chases them out, and they leave behind Mucius, who then proceeds to fall into the Baths of Diana -- discovering that Rufus spent the night there before. The boys soon become enmeshed in a deadly game of cat-and-mouse centering on politics, money and revenge.
Henry Winterfield clearly had solid memories of being a teenage boys. His gaggle of young boys are entirely realistic -- they bicker, they make idiots of themselves, they make all the wrong decisions, they all have distinct personalities. With a cast including seven young boys from similar backgrounds, you would think that they would all be the same, but Winterfield manages to make each one unique. Xantippus is the crabby grandfather with a marshmallowy interior. He clearly cares about all the boys, but is impatient about their blunders.
Kids may leave this charming mystery with a wish to learn a little more about Rome (and to read the sequel, of course). And don't be surprised if you hear someone shouting, "Mike asinus est!"
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I liked the grueling portarit of life at sea, reading some first written observations of early California, a fine and admiring description of a very able-bodied seaman that Dana encountered and many other points.
I think to that this challenging adventure for Mr. Dana restulted in restored vision for his failing eyes after he removed himself from life perhaps largely behind a desk. Could the neccessity of challenge and needed to see have contributed?
There are many facets and admirable points in this book. I think you would enjoy it.
Turgenev is a master of engaging the reader through the complexities of his characters. While you may initially feel contempt for some them, the more you learn of their contrasting personalities, you will eventually love them all in the end. If not for their beliefs and actions story-wise, then for how deep and well thought-out their various histories are. You may find yourself endlessly devouring page after page, wanting to know more about these fascinating people he's created.
For me, reading this book was like opening my eyes to a world I long neglected. In the next few days, I will no doubt find myself hunting down more of his works. In "Fathers and Sons" he focuses on every character's humanity and principles, then lets it all play out with such craft and unmistakable skill. From their conflicts and influences with each other, every character develops and yet remains the same.
Every scene he creates, is depicted vividly, with descriptions of subtle details in the backgrounds bringing his world to life. From the effortless way he lets the reader see his visions, we can easily grasp the character of his creations, their moods, their thoughts, and how we can relate to their emotions. It is certainly a crime for someone who's even remotely interested in novels not to read this book. And for those who aren't, they shouldn't neglect reading this either, they might just find something they will love.
Turgenev is the bridge between the Russian writers of the early 19th century and the later 19th century. In many ways, Fathers and Sons reminded me of the theme which Lermontov explored in "A Hero of Our Time," and Turgenev appears in Dostoevsky's work, even if deliberately as a caricature.
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Other important topics covered include exactly how Castigation affects your Shadow- and while your Shadow is by definition your adversary, the isn't always your enemy. There is a lot more to Psyche/Shadow interaction than just "I'm the Good Guy, he's the Bad Guy."
Every Circle of Wraiths should have this one- you owe it to yourselves... and to your Shadows. :)