ivan gulas (16 Ergebnisse)

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Paperback. Zustand: new. Paperback. ASYLUM WITHOUT WALLSAmerica's Abandonment of the Severely Mentally IllIn 1971, a young clinical psychology intern walked through the locked wards of an Ohio state psychiatric hospital. Fifty years later, that same clinician drives through Los Angeles, seeing identical symptoms-catatonia, command hallucinations, psychotic deterioration-playing out on sidewalks instead of in treatment facilities.Asylum Without Walls is Dr. Ivan Gulas's unflinching account of how America dismantled its mental health system without building anything to replace it. Drawing on five decades of clinical observation, historical research, and neuroscientific evidence, Gulas traces the arc from the therapeutic promise of the Kirkbride asylums through the legal and financial forces that emptied state hospitals, to the present catastrophe: 250,000 to 350,000 severely mentally ill Americans living on our streets, with ten times more incarcerated in jails than housed in psychiatric facilities.This is not an abstract policy debate. Gulas brings clinical precision to the human cost-the families watching loved ones deteriorate while a system designed to refuse help points to "autonomy," the medieval diseases returning to American cities, the preventable deaths recorded as "homeless mortality."But Asylum Without Walls is more than witness testimony. Examining what other nations have built-the Netherlands, Germany, Italy, Japan-Gulas demonstrates that alternatives exist. He proposes concrete reforms: new legal standards that acknowledge what neuroscience now proves about impaired decision-making, a continuum of care that doesn't require catastrophe as the price of admission, and the principle that responsibility for the severely mentally ill must be structurally inescapable.A former Harvard Medical School faculty member and Board-Certified Clinical Psychologist, Gulas writes with the authority of someone who was there at the beginning and has watched the consequences unfold across five decades. Dr. Gulas exposes the legal standards, financial incentives, and ideological forces that made abandonment inevitable-and proposes what must be built to replace it. This book is both a devastating indictment and a blueprint for reform, This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.

Paperback. Zustand: new. Paperback. In Changing the Odds: A New Understanding of PTSD, Dr. Ivan Gulas draws on more than fifty years of clinical practice-spanning psychoanalytic training, cognitive-behavioral modalities, neuropsychology, and brain imaging-to introduce a unifying framework that reshapes how PTSD can be understood, treated, and successfully navigated.Through vivid narrative, clinical insight, and neuroscience, Dr. Gulas argues that trauma does more than produce fear. It shatters the brain's internal probability-assessment system-the quiet, invisible mechanism that continuously evaluates risk and allows people to live without constant terror. Trauma forces an instant, catastrophic recalibration: the brain, proven wrong in a moment of mortal danger, overcorrects toward hypervigilance and constant alarm.The result is the condition we call PTSD: not a collection of symptoms, but a disorder of miscalibrated threat assessment affecting memory, emotion, behavior, and the body's survival systems. Through this lens, intrusive memories, avoidance, hypervigilance, triggers, dissociation, and emotional numbing become understandable responses to a system struggling to avoid ever being "wrong" about danger again.This book is neither a treatment manual nor a self-help guide. Instead, it opens a fiercely original window onto the unseen mechanisms that shape trauma and recovery. It explains why certain therapeutic approaches work, why others falter, and what recovery truly looks like: the gradual restoration of trust in a world that once proved catastrophically unsafe. Written for clinicians, trauma survivors, and families, Changing the Odds offers clarity, hope, and a powerful new way of understanding the path to healing. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.

PAP. Zustand: New. New Book. Shipped from UK. THIS BOOK IS PRINTED ON DEMAND. Established seller since 2000.

PAP. Zustand: New. New Book. Shipped from UK. THIS BOOK IS PRINTED ON DEMAND. Established seller since 2000.

PAP. Zustand: New. New Book. Delivered from our UK warehouse in 4 to 14 business days. THIS BOOK IS PRINTED ON DEMAND. Established seller since 2000.

PAP. Zustand: New. New Book. Delivered from our UK warehouse in 4 to 14 business days. THIS BOOK IS PRINTED ON DEMAND. Established seller since 2000.

Taschenbuch. Zustand: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -In Changing the Odds: A New Understanding of PTSD, Dr. Ivan Gulas draws on more than fifty years of clinical practice-spanning psychoanalytic training, cognitive-behavioral modalities, neuropsychology, and brain imaging-to introduce a unifying framework that reshapes how PTSD can be understood, treated, and successfully navigated.Through vivid narrative, clinical insight, and neuroscience, Dr. Gulas argues that trauma does more than produce fear. It shatters the brain's internal probability-assessment system-the quiet, invisible mechanism that continuously evaluates risk and allows people to live without constant terror. Trauma forces an instant, catastrophic recalibration: the brain, proven wrong in a moment of mortal danger, overcorrects toward hypervigilance and constant alarm.The result is the condition we call PTSD: not a collection of symptoms, but a disorder of miscalibrated threat assessment affecting memory, emotion, behavior, and the body's survival systems. Through this lens, intrusive memories, avoidance, hypervigilance, triggers, dissociation, and emotional numbing become understandable responses to a system struggling to avoid ever being 'wrong' about danger again.This book is neither a treatment manual nor a self-help guide. Instead, it opens a fiercely original window onto the unseen mechanisms that shape trauma and recovery. It explains why certain therapeutic approaches work, why others falter, and what recovery truly looks like: the gradual restoration of trust in a world that once proved catastrophically unsafe. Written for clinicians, trauma survivors, and families, Changing the Odds offers clarity, hope, and a powerful new way of understanding the path to healing. 260 pp. Englisch.

Paperback. Zustand: new. Paperback. ASYLUM WITHOUT WALLSAmerica's Abandonment of the Severely Mentally IllIn 1971, a young clinical psychology intern walked through the locked wards of an Ohio state psychiatric hospital. Fifty years later, that same clinician drives through Los Angeles, seeing identical symptoms-catatonia, command hallucinations, psychotic deterioration-playing out on sidewalks instead of in treatment facilities.Asylum Without Walls is Dr. Ivan Gulas's unflinching account of how America dismantled its mental health system without building anything to replace it. Drawing on five decades of clinical observation, historical research, and neuroscientific evidence, Gulas traces the arc from the therapeutic promise of the Kirkbride asylums through the legal and financial forces that emptied state hospitals, to the present catastrophe: 250,000 to 350,000 severely mentally ill Americans living on our streets, with ten times more incarcerated in jails than housed in psychiatric facilities.This is not an abstract policy debate. Gulas brings clinical precision to the human cost-the families watching loved ones deteriorate while a system designed to refuse help points to "autonomy," the medieval diseases returning to American cities, the preventable deaths recorded as "homeless mortality."But Asylum Without Walls is more than witness testimony. Examining what other nations have built-the Netherlands, Germany, Italy, Japan-Gulas demonstrates that alternatives exist. He proposes concrete reforms: new legal standards that acknowledge what neuroscience now proves about impaired decision-making, a continuum of care that doesn't require catastrophe as the price of admission, and the principle that responsibility for the severely mentally ill must be structurally inescapable.A former Harvard Medical School faculty member and Board-Certified Clinical Psychologist, Gulas writes with the authority of someone who was there at the beginning and has watched the consequences unfold across five decades. Dr. Gulas exposes the legal standards, financial incentives, and ideological forces that made abandonment inevitable-and proposes what must be built to replace it. This book is both a devastating indictment and a blueprint for reform, This item is printed on demand. Shipping may be from our Sydney, NSW warehouse or from our UK or US warehouse, depending on stock availability.

Paperback. Zustand: new. Paperback. In Changing the Odds: A New Understanding of PTSD, Dr. Ivan Gulas draws on more than fifty years of clinical practice-spanning psychoanalytic training, cognitive-behavioral modalities, neuropsychology, and brain imaging-to introduce a unifying framework that reshapes how PTSD can be understood, treated, and successfully navigated.Through vivid narrative, clinical insight, and neuroscience, Dr. Gulas argues that trauma does more than produce fear. It shatters the brain's internal probability-assessment system-the quiet, invisible mechanism that continuously evaluates risk and allows people to live without constant terror. Trauma forces an instant, catastrophic recalibration: the brain, proven wrong in a moment of mortal danger, overcorrects toward hypervigilance and constant alarm.The result is the condition we call PTSD: not a collection of symptoms, but a disorder of miscalibrated threat assessment affecting memory, emotion, behavior, and the body's survival systems. Through this lens, intrusive memories, avoidance, hypervigilance, triggers, dissociation, and emotional numbing become understandable responses to a system struggling to avoid ever being "wrong" about danger again.This book is neither a treatment manual nor a self-help guide. Instead, it opens a fiercely original window onto the unseen mechanisms that shape trauma and recovery. It explains why certain therapeutic approaches work, why others falter, and what recovery truly looks like: the gradual restoration of trust in a world that once proved catastrophically unsafe. Written for clinicians, trauma survivors, and families, Changing the Odds offers clarity, hope, and a powerful new way of understanding the path to healing. This item is printed on demand. Shipping may be from our Sydney, NSW warehouse or from our UK or US warehouse, depending on stock availability.

Paperback. Zustand: new. Paperback. ASYLUM WITHOUT WALLSAmerica's Abandonment of the Severely Mentally IllIn 1971, a young clinical psychology intern walked through the locked wards of an Ohio state psychiatric hospital. Fifty years later, that same clinician drives through Los Angeles, seeing identical symptoms-catatonia, command hallucinations, psychotic deterioration-playing out on sidewalks instead of in treatment facilities.Asylum Without Walls is Dr. Ivan Gulas's unflinching account of how America dismantled its mental health system without building anything to replace it. Drawing on five decades of clinical observation, historical research, and neuroscientific evidence, Gulas traces the arc from the therapeutic promise of the Kirkbride asylums through the legal and financial forces that emptied state hospitals, to the present catastrophe: 250,000 to 350,000 severely mentally ill Americans living on our streets, with ten times more incarcerated in jails than housed in psychiatric facilities.This is not an abstract policy debate. Gulas brings clinical precision to the human cost-the families watching loved ones deteriorate while a system designed to refuse help points to "autonomy," the medieval diseases returning to American cities, the preventable deaths recorded as "homeless mortality."But Asylum Without Walls is more than witness testimony. Examining what other nations have built-the Netherlands, Germany, Italy, Japan-Gulas demonstrates that alternatives exist. He proposes concrete reforms: new legal standards that acknowledge what neuroscience now proves about impaired decision-making, a continuum of care that doesn't require catastrophe as the price of admission, and the principle that responsibility for the severely mentally ill must be structurally inescapable.A former Harvard Medical School faculty member and Board-Certified Clinical Psychologist, Gulas writes with the authority of someone who was there at the beginning and has watched the consequences unfold across five decades. Dr. Gulas exposes the legal standards, financial incentives, and ideological forces that made abandonment inevitable-and proposes what must be built to replace it. This book is both a devastating indictment and a blueprint for reform, This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.

Paperback. Zustand: new. Paperback. In Changing the Odds: A New Understanding of PTSD, Dr. Ivan Gulas draws on more than fifty years of clinical practice-spanning psychoanalytic training, cognitive-behavioral modalities, neuropsychology, and brain imaging-to introduce a unifying framework that reshapes how PTSD can be understood, treated, and successfully navigated.Through vivid narrative, clinical insight, and neuroscience, Dr. Gulas argues that trauma does more than produce fear. It shatters the brain's internal probability-assessment system-the quiet, invisible mechanism that continuously evaluates risk and allows people to live without constant terror. Trauma forces an instant, catastrophic recalibration: the brain, proven wrong in a moment of mortal danger, overcorrects toward hypervigilance and constant alarm.The result is the condition we call PTSD: not a collection of symptoms, but a disorder of miscalibrated threat assessment affecting memory, emotion, behavior, and the body's survival systems. Through this lens, intrusive memories, avoidance, hypervigilance, triggers, dissociation, and emotional numbing become understandable responses to a system struggling to avoid ever being "wrong" about danger again.This book is neither a treatment manual nor a self-help guide. Instead, it opens a fiercely original window onto the unseen mechanisms that shape trauma and recovery. It explains why certain therapeutic approaches work, why others falter, and what recovery truly looks like: the gradual restoration of trust in a world that once proved catastrophically unsafe. Written for clinicians, trauma survivors, and families, Changing the Odds offers clarity, hope, and a powerful new way of understanding the path to healing. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.

Taschenbuch. Zustand: Neu. nach der Bestellung gedruckt Neuware - Printed after ordering - In Changing the Odds: A New Understanding of PTSD, Dr. Ivan Gulas draws on more than fifty years of clinical practice-spanning psychoanalytic training, cognitive-behavioral modalities, neuropsychology, and brain imaging-to introduce a unifying framework that reshapes how PTSD can be understood, treated, and successfully navigated.Through vivid narrative, clinical insight, and neuroscience, Dr. Gulas argues that trauma does more than produce fear. It shatters the brain's internal probability-assessment system-the quiet, invisible mechanism that continuously evaluates risk and allows people to live without constant terror. Trauma forces an instant, catastrophic recalibration: the brain, proven wrong in a moment of mortal danger, overcorrects toward hypervigilance and constant alarm.The result is the condition we call PTSD: not a collection of symptoms, but a disorder of miscalibrated threat assessment affecting memory, emotion, behavior, and the body's survival systems. Through this lens, intrusive memories, avoidance, hypervigilance, triggers, dissociation, and emotional numbing become understandable responses to a system struggling to avoid ever being 'wrong' about danger again.This book is neither a treatment manual nor a self-help guide. Instead, it opens a fiercely original window onto the unseen mechanisms that shape trauma and recovery. It explains why certain therapeutic approaches work, why others falter, and what recovery truly looks like: the gradual restoration of trust in a world that once proved catastrophically unsafe. Written for clinicians, trauma survivors, and families, Changing the Odds offers clarity, hope, and a powerful new way of understanding the path to healing.

Taschenbuch. Zustand: Neu. nach der Bestellung gedruckt Neuware - Printed after ordering - ASYLUM WITHOUT WALLSAmerica's Abandonment of the Severely Mentally IllIn 1971, a young clinical psychology intern walked through the locked wards of an Ohio state psychiatric hospital. Fifty years later, that same clinician drives through Los Angeles, seeing identical symptoms-catatonia, command hallucinations, psychotic deterioration-playing out on sidewalks instead of in treatment facilities.Asylum Without Walls is Dr. Ivan Gulas's unflinching account of how America dismantled its mental health system without building anything to replace it. Drawing on five decades of clinical observation, historical research, and neuroscientific evidence, Gulas traces the arc from the therapeutic promise of the Kirkbride asylums through the legal and financial forces that emptied state hospitals, to the present catastrophe: 250,000 to 350,000 severely mentally ill Americans living on our streets, with ten times more incarcerated in jails than housed in psychiatric facilities.This is not an abstract policy debate. Gulas brings clinical precision to the human cost-the families watching loved ones deteriorate while a system designed to refuse help points to 'autonomy,' the medieval diseases returning to American cities, the preventable deaths recorded as 'homeless mortality.'But Asylum Without Walls is more than witness testimony. Examining what other nations have built-the Netherlands, Germany, Italy, Japan-Gulas demonstrates that alternatives exist. He proposes concrete reforms: new legal standards that acknowledge what neuroscience now proves about impaired decision-making, a continuum of care that doesn't require catastrophe as the price of admission, and the principle that responsibility for the severely mentally ill must be structurally inescapable.A former Harvard Medical School faculty member and Board-Certified Clinical Psychologist, Gulas writes with the authority of someone who was there at the beginning and has watched the consequences unfold across five decades.

Taschenbuch. Zustand: Neu. Asylum Without Walls | Ivan Gulas | Taschenbuch | Englisch | 2026 | Salisbury & York | EAN 9798218891107 | Verantwortliche Person für die EU: Libri GmbH, Europaallee 1, 36244 Bad Hersfeld, gpsr[at]libri[dot]de | Anbieter: preigu Print on Demand.

Taschenbuch. Zustand: Neu. Changing The Odds | A New Understanding of PTSD and the Path to Recovery | Ivan Gulas | Taschenbuch | Englisch | 2025 | Salisbury & York | EAN 9798218942700 | Verantwortliche Person für die EU: Libri GmbH, Europaallee 1, 36244 Bad Hersfeld, gpsr[at]libri[dot]de | Anbieter: preigu Print on Demand.