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The chapters as they delineate conditions and DSMIV categories were well chosen. Academic disorders received appropriate emphasis within the total clinical perspective.
So what's missing? The advances of neuropsychiatry for one. The Ungame and the other published materials are offered in the back for purposes of purchase and review.
The methodologies are limited to play therapy and techniques like the "ungame." The precision, as in, what and how such activities will yield is just too vague and rather dated.
A nonverbal learning disability, for example, will need a qualitatively different play activity than a child with disorder of written expression, or autistic spectrum. No more one size fits all.
The book suffers from a fixation on the psychodynamic approach which we know from research has not effectively met the needs for many disturbed kids. All patients, but more so for children, need successes to undergo change. Brain science has given us more precise tools to assess where those weaknesses lay and therefore a map to gain greater insight into the nature of the condition. Interfamilial discord, then, may be a result of poor communication or an inability to model behaviors- to treat all such dynamics similarly is generally a waste of time. Children have not got the resources to be in such confusing and often haphazard services.
The basic product then can be used for limited support and I see that as a solution in writing treatment plans. I think a good updating would do the trick.

Una excelente fuente para diseƱar planes de tratamiento!


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In each case study of technological disaster, the authors go straight to the heart of the problem: human error. Evan and Manion rightly recognize that "technological disasters are failures of sociotechnical systems." In other words, technologies are human creations, and therefore the root causes of technological disasters should be sought in the human systems that gave rise to the technologies in the first place. Once the causes are isolated, future solutions can be developed. But only at the social, economic, and political levels can acceptable solutions to technological risk be generated. To prevent future disasters, we must mind the machines; the machines will not mind themselves.
The pace of the book is slowed somewhat by the exhaustive analysis to which academics are prone. Yet the diligent reader is rewarded. The case studies of the Titanic, Challenger, and Three Mile Island disasters make for fascinating, if sometimes morbid, reading. The meat of the book can be found in chapters five ("The Root Causes of Technological Disasters"), eleven ("The Role of Corporations in the Management of Technological Disasters"), thirteen ("Assessing the Risks of Technology"), and fourteen ("Technological Decisions and the Democratic Process"). With these four chapters alone, Minding the Machines may prove invaluable for those in industry and government who want to better understand how a little prevention can be worth billions in cure-not to mention saved lives.
[This review is modified from my original review of Minding the Machines, Colorado Springs Business Journal, 12 July 2002]

Unlike natural disasters, technological disasters are predictable and preventable - but only if we recognize the new vulnerabilities and risks inherent in technological advances and effectively neutralize them. For that, it is essential that we learn from those man-made disasters that have already occurred. Evan and Manion have analyzed a wide range of technological disasters to their root causes, and describe how they can be prevented by appropriate training and action by scientists and engineers, by corporate executives and managers, by administrators of government agencies, by legislators, by academics like themselves, and by the general public. Here we have the example of the Year 2000 problem. Many believe this was overblown because it came to nothing. But it had so little effect because corporations and governments world wide spent more than $600 billion to avert it, aided by teams of engineers and scientists, largely from the US.
We also have the example of September 11. With the likelihood of terrorists exploiting the vulnerabilities in the technologies on which we increasingly depend, it is vital that we understand and act upon the very important work that Evan and Manion have done for us here. Executives and shareholders will be especially interested in how a corporation can avoid causing a technological disaster, with its potentially crippling costs - while by the same means being an exemplary corporate citizen.
The book is thorough, well documented, and easy to read. Every page is an eye opener.


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I HIGHLY reccomend this for couples (married of course) of all ages!



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Here is what I found profound about this book, from a cognitive therapy perspective. Cognitive therapists have long known that automatic thoughts are related to various psychopathologies, but they typically theorized that CHANGING those thoughts was the royal road to psychological health. The alternative studied and developed by the authors is that carefully ATTENDING to cognitions fully as they arise and fall is itself healing. Rather than focusing on cognitive restructuring of thoughts and thinking, this cognitive therapy postulates that observing thoughts, feelings, perceptions, bodily sensations, and world events in a compassionate, "non-attached" manner liberates one from the suffering that accompanies them. The authors have begun to collect outcome data consistent with this unusual cognitive theory.
I found the authors' review of the depression literature quite informative, and the evidence in support of MBCT is described clearly. At the same time, I couldn't help noting that the MBCT approach is specifically designed to target recovering depressives, with an eye toward preventing relapse. So although MBCT is "for depression, " it is not currently intended to treat depression per se, and it is intended as an adjunct to other treatments (e.g., medication, individual psychotherapy, etc.). So, the authors focus, at least for now, on a narrowly defined population. This is not a criticism of the book or MBCT. But for now, MBCT is quite limited in scope by its infancy. I expect that someone eventually will attempt to systematize a form of MBCT for depression in general, for individuals, or for other clinical populations.
I'm always tempted to buy another book on meditation and psychotherapy. I have to be careful here. There is a glut of excellent, relevant books (e.g., books by Mark Epstein, Daniel Goleman, Ken Wilber). Buying or reading yet another book is the easy, habitual behavior when books are your drug of choice, and your cluttered house is screaming at you with volumes of printed matter. Practicing mindfulness continuously, noticing a habitual tendency, and attending fully to the present moment, presents itself as the mindful, non-habitual alternative choice. Did I really need yet another book?
Well, I'm glad I read yet another book on this topic. This book shares many elements with Mindfulness-Based Stress Reduction (MBSR), an influential meditative approach that has considerable empirical support and is finding its way into many medical and psychological settings (seeJon Kabat-Zinn's "Full Catastrophe Living"). Initially the authors attempted to bolt MBSR approaches onto previously existing variants of Cognitive Therapy. But as their methods and awareness evolved, MBCT increasingly came to resemble Kabat-Zinn's MBSR. Their current MBCT approach is an 8-week group program that strongly resembles the UMASS MBSR program, with some elements of traditional cognitive therapy added. I think that the MBCT variant of MBSR will be valuable in that it provides additional tools and strategies for running Mindfulness-based groups in a clinical setting. Additionally, I think MBCT nicely integrates empirically-validated components of CT with empirically-validated components of MBSR. It is worth noting that the MBCT approach is specifically psycho-educational, and takes place in a group setting. This could be the beginning of a beautiful psychotherapy.

Whew! So many good things to say:
The book actually reads very well -- not just by the minimal standards of academic writing, but by popular standards as well. It's clear, unpretentious and has a surprising amount of drama to it.
Many people now try to adapt some kind of mindfulness a la John Kabat-Zinn to a variety of needs for people to overcome this or that disorder, pain, etc. Nearly all assume that one can just take the whole Kabat-Zinn plan and just throw anyone into it. As someone who has taken a class based on the Kabat-Zinn program, and someone who has tried to adapt it to teaching law students and others about negotiation, I can tell you this does not work too well. Among other things, few people really manage to meditate 45 minutes a day.
The book explains how the researchers tried to adapt the program to a more specific need: preventing people from getting depressed again after they've been treated. They explain how they changed their thinking about meditation and how to teach it.
One of the most beautiful parts of the book is how frankly the authors admit how their first attempts fell short. They also frankly explain how they needed to meditate themselves before they could teach it.
Highly recommended!





Maybe a Self-Made Worlds Volume II is in order?