Ivan gulas (13 résultats)
- Couverture souple
Vendeur : California Books, Miami, FL, Etats-UnisCalifornia Books
Contacter le vendeurVendeur avec une évaluation de 4 étoilesEtat: Neuf
EUR 19,88
Frais de port gratuitsExpédition nationale : Etats-UnisQuantité disponible : Plus de 20 disponibles
Etat : New.
- Couverture souple
- impression à la demande
Vendeur : Grand Eagle Retail, Bensenville, IL, Etats-UnisGrand Eagle Retail
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 19,87
Frais de port gratuitsExpédition nationale : Etats-UnisQuantité disponible : 1 disponible(s)
Paperback. Etat : 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.
- Couverture souple
- impression à la demande
Vendeur : Grand Eagle Retail, Bensenville, IL, Etats-UnisGrand Eagle Retail
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 21,92
Frais de port gratuitsExpédition nationale : Etats-UnisQuantité disponible : 1 disponible(s)
Paperback. Etat : 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.
- Couverture souple
- impression à la demande
Vendeur : BuchWeltWeit Ludwig Meier e.K., Bergisch Gladbach, AllemagneBuchWeltWeit Ludwig Meier e.K.
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 21,00
EUR 23,00 expéditionExpédition depuis Allemagne vers Etats-UnisQuantité disponible : 2 disponible(s)
Taschenbuch. Etat : 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 u…nifying 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.
- Couverture souple
- impression à la demande
Vendeur : AussieBookSeller, Truganina, VIC, AustralieAussieBookSeller
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 29,92
EUR 32,45 expéditionExpédition depuis Australie vers Etats-UnisQuantité disponible : 1 disponible(s)
Paperback. Etat : new. Paperback. Couples lying awake at 2 a.m., each pretending to be asleep. Widows untouched for years because no one told them it was permitted. Doctors who will discuss anything but this. A culture that pretends sexuality has an expiration date - when bodies, hearts, and the longing for connection all say ot…herwise.In Senior Sex: The Elephant in the Room, clinical psychologist Ivan Gulas confronts the conversation that medicine, marriage, and modern culture have all refused to have. Drawing on more than fifty years of clinical practice - and on his own life as a man in his late seventies, married for fifty-seven years - Gulas writes with the directness of someone who has run out of patience for the silence.This is not a self-help guide. It offers no techniques and no prescriptions. What it offers is rarer: a vocabulary for the questions older adults have been carrying alone for years, and a clinical framework - the Comfort Model and Stress Model of monogamy - that helps couples stop blaming each other for what is actually a structural collision between long marriages and aging bodies.Across twenty-six chapters, Gulas takes up topics most books on aging refuse to address: the biology no one wants to acknowledge, the asymmetry of desire when one partner can no longer participate, the aftermath of prostate surgery and pelvic pain, the loneliness of widowhood, the ethics of seeking sexual fulfillment outside a marriage when one partner is permanently incapacitated, and the conversations adult children would prefer not to have about their aging parents' inner lives.Written with the empathy of a clinician and the honesty of a participant, Senior Sex is for the couple who have run out of words for what they have lost; for the widow who is healthy and vital and starving for touch; for the husband whose body has betrayed him; for the wife who still wants what her partner can no longer give. It is also for the doctors, therapists, nurses, social workers, and clergy who serve older adults and have no idea where to begin the conversation. Couples lying awake at 2 a.m. Widows starving for touch. Doctors who will discuss anything but this. After decades of clinical practice with individuals and couples, and a fifty-seven-year marriage, psychologist Ivan Gulas confronts the conversation medicine, marriage, and modern culture have all refused to have. 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.
- Couverture souple
- impression à la demande
Vendeur : AussieBookSeller, Truganina, VIC, AustralieAussieBookSeller
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 31,93
EUR 32,45 expéditionExpédition depuis Australie vers Etats-UnisQuantité disponible : 1 disponible(s)
Paperback. Etat : 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.
- Couverture souple
- impression à la demande
Vendeur : CitiRetail, Stevenage, Royaume-UniCitiRetail
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 24,10
EUR 43,31 expéditionExpédition depuis Royaume-Uni vers Etats-UnisQuantité disponible : 1 disponible(s)
Paperback. Etat : 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.
- Couverture souple
- impression à la demande
Vendeur : CitiRetail, Stevenage, Royaume-UniCitiRetail
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 25,31
EUR 43,31 expéditionExpédition depuis Royaume-Uni vers Etats-UnisQuantité disponible : 1 disponible(s)
Paperback. Etat : 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.
- Couverture souple
- impression à la demande
Vendeur : AHA-BUCH GmbH, Einbeck, AllemagneAHA-BUCH GmbH
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 25,29
EUR 61,44 expéditionExpédition depuis Allemagne vers Etats-UnisQuantité disponible : 1 disponible(s)
Taschenbuch. Etat : Neu. nach der Bestellung gedruckt Neuware - Printed after ordering - Couples lying awake at 2 a.m., each pretending to be asleep. Widows untouched for years because no one told them it was permitted. Doctors who will discuss anything but this. A culture that pretends sexuality has an expiration date - when bo…dies, hearts, and the longing for connection all say otherwise.In Senior Sex: The Elephant in the Room, clinical psychologist Ivan Gulas confronts the conversation that medicine, marriage, and modern culture have all refused to have. Drawing decades of clinical practice - and on his own life as a man in his late seventies, married for fifty-seven years - Gulas writes with the directness of someone who has run out of patience for the silence.This is not a self-help guide. It offers no techniques and no prescriptions. What it offers is rarer: a vocabulary for the questions older adults have been carrying alone for years, and a clinical framework - the Comfort Model and Stress Model of monogamy - that helps couples stop blaming each other for what is actually a structural collision between long marriages and aging bodies.Across twenty-six chapters, Gulas takes up topics most books on aging refuse to address: the biology no one wants to acknowledge, the asymmetry of desire when one partner can no longer participate, the aftermath of prostate surgery and pelvic pain, the loneliness of widowhood, the ethics of seeking sexual fulfillment outside a marriage when one partner is permanently incapacitated, and the conversations adult children would prefer not to have about their aging parents' inner lives.Written with the empathy of a clinician and the honesty of a participant, Senior Sex is for the couple who have run out of words for what they have lost; for the widow who is healthy and vital and starving for touch; for the husband whose body has betrayed him; for the wife who still wants what her partner can no longer give. It is also for the doctors, therapists, nurses, social workers, and clergy who serve older adults and have no idea where to begin the conversation.
- Couverture souple
- impression à la demande
Vendeur : AHA-BUCH GmbH, Einbeck, AllemagneAHA-BUCH GmbH
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 25,20
EUR 62,14 expéditionExpédition depuis Allemagne vers Etats-UnisQuantité disponible : 2 disponible(s)
Taschenbuch. Etat : 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 unifyi…ng 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.
- Couverture souple
- impression à la demande
Vendeur : AHA-BUCH GmbH, Einbeck, AllemagneAHA-BUCH GmbH
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 27,15
EUR 62,31 expéditionExpédition depuis Allemagne vers Etats-UnisQuantité disponible : 2 disponible(s)
Taschenbuch. Etat : 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 Lo…s 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.
- Couverture souple
- impression à la demande
Vendeur : preigu, Osnabrück, Allemagnepreigu
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 21,65
EUR 70,00 expéditionExpédition depuis Allemagne vers Etats-UnisQuantité disponible : 5 disponible(s)
Taschenbuch. Etat : Neu. Senior Sex, The Elephant In The Room | The Elephant In The Room | Ivan Gulas | Taschenbuch | Englisch | 2026 | Salisbury & York | EAN 9798295636912 | Verantwortliche Person für die EU: Libri GmbH, Europaallee 1, 36244 Bad Hersfeld, gpsr[at]libri[dot]de | Anbieter: preigu Print on Demand.
- Couverture souple
- impression à la demande
Vendeur : preigu, Osnabrück, Allemagnepreigu
Contacter le vendeurVendeur avec une évaluation de 5 étoilesEtat: Neuf
EUR 23,55
EUR 70,00 expéditionExpédition depuis Allemagne vers Etats-UnisQuantité disponible : 5 disponible(s)
Taschenbuch. Etat : 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.
