This chapter, written by a psychiatrist working with people with severe and complex addictions, sets the scene. We are provided with a graphic account of the multiple problems¿physical, psychological, social, financial¿of someone with severe drug addiction, where sex working and the risks of pregnancy, infection, and assault compound an already challenging presentation. The personal history of trauma and abuse means that the patient requires highly skilled and sensitive management, and adaptations in service provision¿such as no morning appointments¿that respect the individual¿s lifestyle. The conflict for professionals is encapsulated in a brief description of the responses of Vanessa Crawford¿s patient group when asked what messages they would like to be conveyed to future doctors: don¿t prejudge us, treat us as individuals, give us proper pain control¿and ¿don¿t trust us¿. Implicit in this is the recognition that they are in the grip of something that leads them to deceive, probably
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100+ writers, artists, philosophers and scientists explore the nature of consciousness.
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<P>This is a problem almost all practising psychoanalysts will face at some time in their career, yet there is very little in the existing literature which offers guidance in this important area.</P><P><EM>On Bearing Unbearable...
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Most governments in the world have taken responsibility for social policy and elected to develop services in health, education and social security. This book explores the role of government and the state in the contemporary world and discusses views about...
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