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1
Shaw, Michael. The lead, copper & barytes mines of Shropshire. Almeley: Logaston, 2009.
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Shaw, Michael. The lead, copper & barytes mines of Shropshire. Almeley: Logaston, 2009.
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Myth of the 200 Barrier: How to Lead Through Transitional Growth. Abingdon Press, 2005.
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Serrano, Víctor, and Javier Monclús, eds. Regeneración urbana (VI). Propuesta para el barrio de Torrero - La Paz, Zaragoza. Prensas Universitarias de Zaragoza, 2020. http://dx.doi.org/10.26754/uz.978-84-1340-048-8.
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This publication contains the reflections and proposals made within the framework of the 2018–2019 University of Zaragoza Master of Architecture programme. Continuing on from the work of previous years on other districts of the city of Zaragoza we refer to as ‘inner peripheries’, particularly those com- prising the so-called ‘Orla Este’ (‘eastern fringe’) – the neighbourhoods of San José and Las Fuentes – this time the team of students and teaching staff involved turned their focus to the Torrero-La Paz dis- trict. This area of the city has problems similar to those previously studied, as they are distinguished by depopulation and ageing, in other words, the tendency to lose inhabitants, particularly younger generations. Moreover, its physical structure is characterised by a congested network of streets, high population density, a scarcity of green spaces and facilities, and the poor design of existing public spaces and deficiencies in the standards of construction of many of its buildings. All of this is reflec- ted in the proliferation of urban fabrics in the process of becoming obsolete, which may lead to the appearance of pockets of vulnerability. Nonetheless, the diagnostic exercises undertaken have also allowed the potential of the district to be identified. This publication contains the proposals for urban renewal and building restoration based on the interventions to improve public spaces and dwellings, in addition to facilities, traffic management and public parking spaces. In a nutshell, all those aspects that we can include within the broad concept of urban renewal and with the aim of progressing towards a much-improved neighbourhood. The publication of this book was made possible by the collaboration agreement between Zaragoza City Council, through Zaragoza Vivienda, and the School of Engineering and Architecture of the University of Zaragoza.
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Paganoni, Sabrina, and Nazem Atassi. Upper Motor Neuron Disorders Hereditary Spastic Paraplegia and Primary Lateral Sclerosis. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199937837.003.0032.
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Upper motor neuron (UMN) syndromes are a group of rare, degenerative neurological disorders that are classified as either hereditary spastic paraplegia (HSP) or primary lateral sclerosis (PLS). Our understanding of their underlying pathophysiology is unfortunately very limited and has been a significant barrier to the development of disease-modifying treatments. Recent advances in genetics and in vitro and in vivo disease modeling have provided new insights into disease mechanisms and hold the promise to lead to the future development of mechanism-based therapies.
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Harrois, Anatole, and Jacques Duranteau. Pathophysiology of severe capillary leak. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0164.
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Severe capillary leak plays an important role in the pathogenesis of several inflammatory syndromes, including sepsis, acute lung injury, and shock syndromes. Microvascular leak is caused by an increase in endothelial permeability. This is due to a range of inflammatory mediators that destabilize endothelial junctions, thereby causing tissue oedema with potential harmful effects on tissue oxygenation and organ function. Tissue oedema can impair tissue oxygenation by increasing the distance required for the diffusion of oxygen to cells, and by decreasing microvascular perfusion due to an increase in interstitial pressure. Better understanding of the pathogenesis of microvascular permeability may lead to new therapies targeting the microvascular barrier in sepsis and the acute respiratory distress syndrome.
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Cohen, Jeffrey A., Justin J. Mowchun, Victoria H. Lawson, and Nathaniel M. Robbins. A 45-Year-Old Male with Toxin Exposure. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190491901.003.0004.
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A patient presents with a sensorimotor neuropathy and believes he has been poisoned. The approach to the differential diagnosis of arsenic toxicity is presented. Comparisons with mimics of this entity are made, and clinical clues to its early detection are provided. There are typical skin and nail changes with can occur with arsenic poisoning. Arsenic poisoning can appear similar to Guillain-Barre syndrome with gastrointestinal symptoms and later an ascending paralysis. Urine arsenic levels are more reliable than blood levels. Hair and nail samples are very useful in confirming the diagnosis. Electrodiagnostic testing confirmed an axonal polyneuropathy. Treatment of arsenic poisoning is discussed. The recent lead contamination in Flint Michigan points out that heavy metal poisoning still occurs despite public health awareness.
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Sen, Kunal, and Matthew Tyce. The Politics of Structural (De)Transformation. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198801641.003.0010.
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The chapter sets out the similarities between Thailand and Malaysia’s patterns of economic growth and political settlements. Both countries have witnessed strong economic growth since the 1960s to the late 1990s, followed by a period of growth deceleration which continues to the present day. In both countries, a dualistic deal environment existed where closed deals were offered to the powerbrokers and rentiers within both economies while open deals were offered for magicians. This allowed both countries to preserve rents for economic elites which maintained political stability while accelerating economic growth. However, this type of dualistic deals approach may act as a barrier to future economic growth as well as structural transformation over time. If negative feedback loops exist within a country, it may lead to a future narrowing of the deals space.
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Winchester, Robert, Darren D. O’Rielly, and Proton Rahman. Genetics of psoriatic arthritis. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198737582.003.0006.
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The psoriatic phenotype is clinically heterogeneous with psoriatic arthritis (PsA) itself being heterogeneous. Studies have consistently demonstrated that PsA has a strong genetic component and disease pathogenesis encompasses a complex interplay between genetic, immunological, and environmental factors. In this chapter, we will review the genetics of PsA including the major histocompatibility complex (MHC) region and non-MHC loci. We will detail how susceptibility genes can be grouped into barrier integrity, innate immune response, and adaptive immune response (particularly Th-17 lymphocyte signalling). We will articulate how these studies strongly support PsA as genetically different from PsV and that the genetic heterogeneity is likely attributed to different HLA susceptibility alleles within the MHC region that an individual carries. Furthermore, we will highlight new emerging technologies, in particular, next-generation sequencing, which may lead to new genetic discoveries in PsA.
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Peterson, Susan, and Staci Reintjes. Otitis Externa, Otitis Media, and Mastoiditis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0011.
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Otitis Externa is an infection of external auditory canal. Infection typically occurs via penetration of the epithelial barrier. Patients typically present with inflammation of the auricle, external auditory canal, or outer tympanic membrane. First-line therapy includes topical acidic agents and antibiotic drops. Oral antibiotics should be considered for recurrent infections, those resistant to topical therapy, severe disease, extension beyond the external auditory canal, diabetics, or immunocompromised patients. Otitis Media is an infection of the middle ear. Patients typically present with otalgia, otorrhea, fever, irritability, anorexia, and hearing loss. Mastoiditis is an infection of the mastoid bone. Patients present with pain, swelling, and erythema over the mastoid bone. Fever, irritability, otalgia, and hearing loss are also often present. Infection can be serious and may lead to sepsis, sigmoid sinus thrombosis, and intracranial abscess if not treated appropriately. More common complications include chronic infection, resistant bacteria, and mild hearing loss.
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Afreen, Samina, Hector R. Wong, and Marian G. Michaels. Infections in the Intensive Care Unit. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199918027.003.0015.
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Infections are a frequent problem for children cared for in the intensive care setting. The child can have a primary infectious condition that is severe enough to require hospitalization in the intensive care unit (ICU). Alternatively once in the ICU setting children are at risk for nosocomial infections due to a need for catheters that breech the cutaneous barriers, mechanical ventilation and exposures to blood products. Finally, many children sick enough to be in an intensive care setting have underlying immune deficiencies which put that at increased risk. This chapter reviews some of the major underlying infections that lead to intensive care stays as well as the major nosocomial infections which can plague our patients.
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Hughes, Jim. Radiation protection. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198813170.003.0005.
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The basics of radiation protection in theatre for the patient follow principles similar to those used in plain-film imaging. These include ensuring positive identification of the patient, justification of radiation exposure, avoiding irradiation of pregnant patients wherever possible, minimization and optimization of exposures performed (ALARP principle), protection of all staff involved, and recording and monitoring of all exposures performed. This chapter covers the aspects of protection from radiation for the patient, surgical team, and the radiographer when performing imaging during surgical interventions. Topics covered include the use of beam collimation, minimizing exposure to the patient and team, radiation scatter, and the use and requirements of radiation shielding such as lead aprons and barriers.
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Douaihy, Antoine, Neeta Shenai, Kimberly Clinebell, and Mary Ann Cohen. HIV Discrimination, Stigma, and Gender-Based Violence. Edited by Mary Ann Cohen, Jack M. Gorman, Jeffrey M. Jacobson, Paul Volberding, and Scott Letendre. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199392742.003.0006.
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Stigma, discrimination, and gender-based violence complicate and perpetuate the human immunodeficiency virus (HIV) pandemic. Although remarkable strides have transformed AIDS from a rapidly fatal infectious illness to a chronic manageable illness, HIV-based stigma, discrimination, and gender-based violence, together known as AIDSism, still exist and have not been transformed in the same way as the illness itself. These barriers continue to have a negative impact on prevention and testing as well as in engagement, retention, and adherence to care. This chapter explores the role that clinicians can play in recognizing and ameliorating HIV stigma, discrimination, and gender-based violence in order to diminish both suffering and HIV transmission and lead to compassionate and competent approaches to care.
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Macauley, Robert C. Requests for Nonbeneficial Treatment (DRAFT). Edited by Robert C. Macauley. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199313945.003.0014.
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The 1990s were termed the “futility decade” because of greater interest in cases where the patient demands treatment that the physician is reluctant to provide. In many ways this was the converse of the “right to die” movement of the 1970s and 1980s, except it did not lead to resolution because of definitional and practical barriers. The concept of nonbeneficial treatment—a more acceptable term—has recently received additional attention in the context of soaring health care costs. Some states have proposed clear and definitive mechanisms for adjudicating such disputes (such as the Texas Advance Directives Act). Each institution should have its own policy that can be modeled after a recent consensus statement on the topic.
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Borjas, George J., and Barry R. Chiswick. Foundations of Migration Economics. Edited by Benjamin Elsner. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198788072.001.0001.
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Migration these days is as topical as ever. A substantial and even increasing percentage of the world population live outside their country of birth. Climate change, conflicts, but also better education in developing countries will lead to more international migration, and will present new challenges to the societies in the sending and receiving countries. This volume offers insights into core topics of migration economics that have been pioneered by 2011 IZA Prize Laureates George Borjas and Barry Chiswick. The book shows migration economics at its best and underscores its high relevance for shaping the future of modern societies and labor markets.
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Ohler, Christoph. CETA, TTIP, TiSA, and Financial Services. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198808893.003.0008.
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Financial services are considered as an economic sector that is particularly suited for trade liberalization. While many countries opened their markets considerably, financial institutions are at the same time subject to strict domestic regulation and supervision. They lead to financial and organizational burdens for service suppliers which may have an effect similar to trade barriers. However, traditional market access obligations do not apply to these national or, in the case of the EU, supranational regulatory systems. In addition, the GATS as well as bilateral trade agreements contain so-called prudential carve-out provisions. As a consequence, any international attempt for further liberalization in the financial services sector will be limited in its effect as long as regulatory issues are not integrated in these negotiations.
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de Costa Farinaci, Richard. Acredite, Confie, Obedeça: Princípios para uma vida de transformação. Brazil Publishing, 2021. http://dx.doi.org/10.31012/978-65-5861-636-8.
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I write this book for all those who want to transform their lives through three principles, in it I bring examples of people who fulfilled these principles and achieved extraordinary results in their lives and marked generations, this book will be a manual for your life, it will help you teach how to overcome the difficulties and barriers that are preventing you from achieving your dreams and goals, you will learn how to have a life of achievement even in the midst of challenges, this book will awaken you to a new reality that you may not yet know. These principles, if put into practice, can lead you to live a lighter and more hopeful life, because nothing can beat us if we are determined to transform our lives!
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Eder-Ramsauer, Andreas, Seongcheol Kim, Andy Knott, and Marina Prentoulis, eds. Populism, Protest, and New Forms of Political Organisation. Nomos Verlagsgesellschaft mbH & Co. KG, 2022. http://dx.doi.org/10.5771/9783748931669.
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The past decade saw new forms of protest in public squares around the world: from Zuccotti Park to Maidan, from the Yellow Vests’ roundabout occupations to the Querdenker anti-lockdown protests. The performative enactment of an unredeemed ‘people’ reclaiming its rightful sovereignty in such locations suggests intersections with both populism—whose meteoric rise also defined the decade—as well as new forms of political organisation that emerged in the wake of the post-2010 protest wave, from ‘digital parties’ to ‘movement parties’. This edited volume explores these intersections and the manifold tensions underlying them, drawing on numerous theoretical approaches and case studies ranging from South America to Southern Europe. With contributions by Marwan Attalah, M.A.; Morgane Belhadi, M.A.; Dr. Lluis de Nadal; Williames de Sousa da Costa; Dr. Seongcheol Kim; Étienne Levac, B.A.; Marieluise Mühe, M.A.; Prof. Dr. Marina Prentoulis; Dr. Céline Righi; Héctor Ríos-Jara, M.A.; Florian Skelton, B.A. and Dr. Thomás Zicman de Barros.
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Raghavan, Sri. Infection in the Cancer Patient. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0054.
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Cancer patients have increased susceptibility to a variety of both common and atypical infections due to the steady increase in outpatient chemotherapy regimens, these patients are presenting more often to the emergency department when acutely ill. Already immunocompromised, patients’ chemotherapy regimens lead to neutropenia, deficits in cellular and humoral immunity, and disruption of mucosal barriers that predisposing them to severe disease presentations with high morbidity and mortality rates. There are different subsets of oncologic patients predisposed to specific infections. One of the most common presentations of oncologic chemotherapy patients is neutropenic fever caused by bacterial infection; neutropenic patients are also highly susceptible to fungal infections. Patients with hematologic malignancies, particularly those undergoing chemotherapy or bone marrow transplant, can present with inflammation of the cecum with high risk for bacterial translocation and possible perforation. Patients who have indwelling catheters or mediports are at risk for catheter-associated bloodstream infections.
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Hollis, Chris. ADHD and transitions to adult mental health services. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198739258.003.0043.
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Despite the recognition of ADHD as a lifespan neurodevelopmental disorder, the majority of young people with ADHD fail to transition successfully to adult services. Health service transition marks a particularly vulnerable time for young people with ADHD, as disengagement from services and untreated ADHD lead to serious adverse psychiatric and social outcomes. Barriers to successful transition include the lack of adult ADHD services, differences in acceptance thresholds, lack of knowledge and training among practitioners in adult services, and a less family-orientated culture in adult services that may exclude parents. Young people and parents should routinely be involved in the design and evaluation of services related to transition. The role of an ADHD transition worker and increased involvement of primary care in the management of ADHD is recommended to provide greater continuity and support before and after the transfer of care from child and adolescent to adult mental health services.
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André, Naomi, Karen M. Bryan, and Eric Saylor, eds. Representing Blackness on the Operatic Stage. University of Illinois Press, 2017. http://dx.doi.org/10.5406/illinois/9780252036781.003.0001.
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This book examines the ways in which the idea of blackness has worked as a complex of representational strategies in the genre of opera. Offering new readings of both canonical and lesser-known operas by black and nonblack composers alike, it explores what representations of blackness in opera had in their original contexts, and what kind of performative and cultural significance they have retained. It shows that getting a black opera singer onstage involves successfully negotiating many professional and cultural barriers, but achieving that aim can lead to new and equally limiting obstacles. This is evident in the case of minstrelsy, which entail greater challenges for black performers compared to their white counterparts. Through an analysis of the “representation of blackness in opera,” the book brings to the fore questions about race and identity that are intertwined with questions of musical presentation. Most of the essays it contains are grounded in the phenomenon of black Other—the treatment of darker-skinned people as exotic or Other.
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Gailmard, Sean. Mathew D. McCubbins, Roger G. Noll, and Barry R. Weingast, “Administrative Procedures as Instruments of Political Control”. Edited by Martin Lodge, Edward C. Page, and Steven J. Balla. Oxford University Press, 2016. http://dx.doi.org/10.1093/oxfordhb/9780199646135.013.1.
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This chapter examines the perspective introduced by Mathew McCubbins, Roger Noll, and Barry Weingast (collectively called “McNollgast”) to explain the origins and effects of the administrative procedures employed by public bureaucracies in the formulation and implementation of public policy. Founded on concepts of positive political theory, this perspective essentially argues that Congress is quite effective at influencing bureaucratic agencies to pursue policies in its own interests, a theory known as “Congressional dominance.” The chapter reviews and contextualizes McNollgast’s seminal arguments, paying particular attention to their 1987 paper “Administrative Procedures as Instruments of Political Control.” It summarizes the content of the paper and discusses the nature of its originality, as well as the reasons for its importance. Finally, it analyses the paper’s key premises that lead McNollgast to interpret administrative procedures as devices to enhance political control.
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Gatta, John. Spirits of Pilgrimage, Peregrination, and Re-Placement. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190646547.003.0003.
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Movement, immigration, and pilgrimage have long been keynotes of American experience. Following the opening chapter’s attention on the spiritual inscape of home dwellings, this chapter concerns itself with the spirituality of motion, re-placement, and pilgrimage as reflected in American works of literary imagination. Lead characters in this story include travelers, explorers, and would-be pilgrims as well as resettlers—that is, those who leave their place of birth to adopt another as their own. The religious implications of these peregrinations and adoptions are considered in relation to prose texts by Carolyn Servid, Barry Lopez, John Muir, N. Scott Momaday, Gary Snyder, and others. These texts often associate their spirituality of place with reverence for what’s found in the going there rather than in the getting there. Developing the theme of localism versus globalism, this chapter concludes by assessing two versions of globally engaged localism as represented in works by Wendell Berry and David Haskell.
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McClearen, Jennifer. Fighting Visibility. University of Illinois Press, 2021. http://dx.doi.org/10.5622/illinois/9780252043734.001.0001.
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Over the first twenty years of the Ultimate Fighting Championship’s (UFC) history, the mixed-martial arts (MMA) promotion adamantly excluded female athletes and upheld sports media’s time-honored tradition of ignoring and undervaluing sportswomen. Yet, in the early 2010s, Ronda Rousey burst onto the MMA stage and convinced the UFC to include women, which ushered in a new fervor for female athletes in a male-dominated cultural milieu. The popularity of women in the UFC might suggest that female athletes in combat sports are breaking the barriers of a notoriously stubborn glass ceiling. However, as the first academic book analyzing the UFC as a sports media brand, Fighting Visibility urges advocates of women’s sports to consider the limits of representation for cultural change and urges caution against the celebratory discourse of women’s inclusion. Part cultural history of the UFC as a media juggernaut and part cautionary tale for the future of women as sports laborers, Fighting Visibility argues that the UFC’s promotion of diverse female athletes actually serves as a seductive mirage of progress that enables the brand’s exploitative labor practices. The UFC’s labor model disproportionately taxes female athletes, particularly women of color and gender nonnormative women, despite also promoting them at unprecedented levels. Fighting Visibility complicates a prevalent notion among sports scholars, activists, and fans that the increased visibility of female athletes will lead to greater equity in sports media and instead urges us to question who ultimately benefits from that visibility in neoliberal brand culture.
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Kapoor, Reena, and Ezra E. H. Griffith. Cultural competence. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0060.
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Disparities exist in the rate of incarceration of minorities, with substantial elevations occurring in African American, Latino, and Native populations. Cultural competence is an essential aspect of providing mental health care in any setting. An understanding of culture is even more important in correctional settings, as several unique factors may lead to conflict and misunderstanding if not adequately addressed. First, minority ethnic groups are vastly overrepresented in prisons and jails, so a familiarity with the predominant culture of those groups is necessary to engage inmates in treatment and diagnose them accurately. Second, mental health clinicians may be unfamiliar with law enforcement culture, which heavily influences the practices of corrections officers and differs significantly from health care culture. Third, many correctional psychiatrists grow up and train outside the United States, bringing their own cultural beliefs about crime and punishment into the American health care system. As the field of cultural psychiatry has developed, scholars have attempted to apply its principles to the correctional setting to deliver competent care in prisons and jails. These papers have provided guidance to correctional mental health clinicians on matters such as immigrant populations, language barriers, validity of psychological testing in different ethnic groups, stigma of mental illness in prison, religion’s role in coping with the stress of incarceration, and many others. This chapter reviews the evolution of cultural competence skills in correctional settings and current best practices in jails and prisons to optimize effective treatment outcomes.
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Baer, Madeline. Stemming the Tide. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190693152.001.0001.
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The human right to water and sanitation emerged as a rallying cry for protestors and a legal tool to challenge privatization of water services. This book explores how the right to water and sanitation is fulfilled in different contexts, whether neoliberal policies like privatization pose a threat to the right to water, and whether rights fulfillment leads to meaningful social change. It analyzes the global dynamics of water governance as well as two in-depth country case studies: Chile, the most extreme case of water privatization in the developing world, and Bolivia, the site of the “water wars” that sparked a global movement for the human right to water. An analysis of state capacity, political will, and citizen participation in the case studies reveals that the minimum standard for the right to water and sanitation can be achieved in the absence of political will, and even in a privatized setting. However, achieving this requires strong state capacity, which runs counter to neoliberal logics. Furthermore, the broader standard for the right to water and sanitation requires citizen participation, accountability, and respect for alternatives to the state/market binary. The book argues that a human rights-based approach to water policy will not necessarily lead to social transformation because of the limits of the rights frame itself and preexisting barriers in each local context. The analysis draws from and modifies an analytical framework for evaluating socioeconomic rights realization. In this way, the book builds theory on socioeconomic human rights realization and social transformation.
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Irani, Lilly. Chasing Innovation. Princeton University Press, 2019. http://dx.doi.org/10.23943/princeton/9780691175140.001.0001.
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Can entrepreneurs develop a nation, serve the poor, and pursue creative freedom, all while generating economic value? This book shows the contradictions that arise as designers, engineers, and businesspeople frame development and governance as opportunities to innovate. The book documents the rise of “entrepreneurial citizenship” in India over the past seventy years, demonstrating how a global ethos of development through design has come to shape state policy, economic investment, and the middle class in one of the world's fastest-growing nations. The book chronicles the practices and mindsets that hold up professional design as the answer to the challenges of a country of more than one billion people, most of whom are poor. While discussions of entrepreneurial citizenship promise that Indian children can grow up to lead a nation aspiring to uplift the poor, in reality, social, economic, and political structures constrain whose enterprise, which hopes, and which needs can be seen as worthy of investment. In the process, the book warns, powerful investors, philanthropies, and companies exploit citizens' social relations, empathy, and political hope in the quest to generate economic value. The book argues that the move to recast social change as innovation, with innovators as heroes, frames others—craftspeople, workers, and activists—as of lower value, or even dangers to entrepreneurial forms of development. The book lays bare how long-standing power hierarchies such as class, caste, language, and colonialism continue to shape opportunity in a world where good ideas supposedly rule all.
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Markowitz, John C. Brief Supportive Psychotherapy. Oxford University PressNew York, 2022. http://dx.doi.org/10.1093/med-psych/9780197635803.001.0001.
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Abstract Supportive psychotherapy is widely practiced but poorly defined, often misunderstood, and unfairly disparaged. Dr. Markowitz and his colleagues manualized Brief Supportive Psychotherapy (BSP) years ago as a time-limited control treatment to compare to “more active” established psychotherapies like Cognitive Behavioral Therapy and Interpersonal Psychotherapy in research studies. In fact, BSP, an emotion-focused, bare-bones treatment based on Carl Rogers’s Client-Centered Therapy, has since proven to be a robust treatment in multiple randomized controlled treatment trials. It has generally kept pace with the brand-name treatments in treating patients with difficult disorders like chronic depression. It deserves a place among evidence-based treatments in depression treatment guidelines. Some therapists previously trained in cognitive and behavioral approaches have found this affect-focused approach adds a new dimension to their thinking and to patients’ lives. This book is both an elaboration of the now well-tested research treatment manual for BSP and a primer for clinicians. It illustrates how BSP helps patients with mood and anxiety disorders to tolerate rather than avoid their powerful negative emotions. It describes the key elements of supportive psychotherapy, covering the crucial “common factors” that help make all evidence-based psychotherapies effective (e.g., affective arousal, helping the patient to feel understood, realistic optimism for improvement, a therapeutic ritual, clinical poise, and success experiences). BSP maximizes patient autonomy, letting the patient lead sessions, and prescribes no homework. It is an elemental, relatively simple approach for a psychotherapy, yet no psychotherapy is easy to do well. Its affect-focused approach enhances the application of all psychotherapeutic approaches.