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Exercise and Disease Management
by Brian C. Leutholtz Ignacio RipollExercise and Disease Management is designed to help managed care physicians, their patients, other health care professionals, and interested readers integrate current exercise guidelines into their practices. This extraordinary book is accompanied by a series of 11 workbooks, each one for a chronic disease, designed specifically for physicians to give to their patients. These workbooks make it convenient for physicians to prescribe physical activity to their patients in a ready-to-use format. Each book chapter and workbook contains a section on the background, medical management, and exercise guidelines, accompanied by self-care instructions for patients, encouraging them to take a proactive role in their health and disease management. New and Updated in the Second Edition: A ready-to-use "Exercise Prescription Page," which follows each chapter on a specific disease, enables health care professionals, especially physicians in managed care, to prescribe exercise quickly to clients with specific medical conditions The "Rate Pressure Product" method for prescribing exercise helps health care providers individualize exercise prescriptions for patients with heart disease by accounting for the amount of oxygen the heart uses Individual companion workbooks on the downloadable resources provide patient health maintenance information about diabetes, AIDS, obesity, golden years (age 65 and older), heart, kidney, peripheral arterial, and lung disease. Workbooks for physical inactivity, osteoporosis, arthritis and high blood pressure also are included on the downloadable resources Common question-and-answer sections that help patients understand the diseases from which they suffer and encourages them to take responsibility for their health Exercise and Disease Management, Second Edition consolidates the current knowledge base on exercise and chronic disease, providing a ready-made format for health care providers to use when prescribing exercise programs for their clients. Using guidelines set forth by the American College of Sports Medicine and the American Association of Cardiovascular and Pulmonary Rehabilitation, this book helps physicians, other health care providers, and health enthusiasts respond to the challenge to keep patients healthier and active and reduce recurrent hospitalizations and health care costs.
Exercise and Human Reproduction
by Ashok Agarwal Diana Vaamonde Stefan S du PlessisProviding a comprehensive review of the interactions between exercise and human reproduction, this unique text focuses on both the positive and negative consequences of sport and physical activity on male and female fertility and infertility and the biological mechanisms and processes behind them. Beginning with a review of the structure and function of the male and female reproductive systems as well as fertilization and gestation, the discussion then turns to the physiology and endocrinology of sport and exercise, which is further elaborated in subsequent chapters on the impact of physical activity, hormonal changes, pathologies, and consequences of drug use for active men and women. Additional chapters address related topics, such as the impact of sport on young athletes and developing reproductive potential, physical activity and pregnancy, the use of oral contraceptives in athletes, oxidative stress, and the impact of nutritional deficiencies on athletes' fertility, with a final chapter providing recommendations and therapeutic guidelines for exercise-related reproductive disorders. Covering everything from the fundamental principles of sports physiology and human reproductive potential to the interaction between physical exercise and the endocrinology of the reproductive system, Exercise and Human Reproduction is an authoritative resource for helping clinicians understand how the reproductive system adapts to activity and exercise and offers strategies to avoid potential harm to human reproduction.
Exercise and Immune Function (Nutrition in Exercise & Sport)
by Laurie Hoffman-GoetzIn Exercise And Immune Function, leading experts discuss what is known about physical activity and its effects on the immune system. This unique reference describes the science and application of exercise immunology, providing an excellent source of expert information for researchers, students, and practitioners. The impact of exercise on immune function in dieters, in combination with alcohol use, and in the elderly are addressed, and up-to-date reviews on the relationships between exercise and the risk of disease are provided. Anyone in basic medical science, sports medicine, exercise physiology, immunology, and health promotion should have a copy of this book.
Exercise and Mental Health (Current Topics in Behavioral Neurosciences #67)
by Josh M. Cisler Kevin M. Crombie Thomas G. AdamsThis edited volume describes key domains of the emerging research literature linking exercise and mental health. The volume is divided into three sections. The first section provides an overview of foundational knowledge regarding basic processes of exercise, including neurocircuitry, neurotransmitter, and immunology systems. The second section describes emerging research on the acute impact of exercise on affect, mood, and cognition. The third section explores the role of exercise in the etiology and treatment of related mental and physical health disorders, including depression, PTSD, eating disorders, and autoimmune disorders. Collectively, this volume provides readers with foundational knowledge of what exercise is, the basic brain, behavioral and cognitive processes engaged by exercise, and a role of exercise in developing and treating mental health disorders.
Exercise and Physical Activity During Pregnancy and Postpartum: Evidence-Based Guidelines
by Rita Santos-RochaThis is the second edition of a well-received, practice oriented, multidisciplinary book filling the gap between evidence-based knowledge on the benefits of physical activity and exercise during pregnancy and postpartum and the implementation of exercise programs and related health promotion measures in pregnant women.Readers will find up-to-date evidence on the psychological, social, physiological, body composition, musculoskeletal, and biomechanical changes that occur during pregnancy and their implications for physical activity and exercise. Further, the authors equip the reader with the latest guidelines and detailed description of exercise testing, prescription, selection and adaptation for pregnant and postpartum women, including those with clinical conditions.This new edition has been thoroughly updated, and includes additional chapters focused on the pedagogical intervention in pre and postnatal exercise programs, exercise prescription and adaptation during postpartum and diet recommendations for the pregnant exerciser and athlete. Written by recognized experts in the field, the book aims to allay undue fears regarding the consequences of exercising during pregnancy. Moreover, it provides medical, sports, and fitness professionals both with the knowledge and the practical expertise needed to offer an optimal guidance on exercising to pregnant exercisers and athletes.
Exercise and Physical Functioning in Osteoarthritis
by Joost DekkerOsteoarthritis (OA) is among the top 10 of most disabling diseases in the Western world. It is the major cause of pain and disability among the elderly. This book provides a contextual review of recent research on neuromuscular factors and behavioral risk factors for functional decline in OA, with a special emphasis on explanatory mechanisms. In addition, the book discusses innovative approaches to exercise and physical activity in OA, derived from research on behavioral and neuromuscular risk factors for functional decline in OA. Recent research has shown that neuromuscular factors (such as muscle strength, joint laxity) and behavioral factors (such as avoidance of activity, depressed mood) predict pain and disability in OA. Furthermore, exercise and physical activity are among the dominant interventions aiming at reducing pain and disability, and innovative interventions targeting neuromuscular and behavioral interventions have been recently developed. This research has been published as separate papers, with the result that the field is in need of an integrative contextual review that puts the research into theoretical perspective. TARGETED MARKET SEGMENTS Rehabilitation specialists, health psychologists, gerontologists, rheumatologists, pain specialists
Exercise and Respiratory Diseases in Paediatrics (Routledge Research in Paediatric Sport and Exercise Science)
by Craig A. WilliamsIt is commonly accepted that "exercise is good for children" but, considering the number of children worldwide exercising, we know comparatively little, compared to adults, about how specific mechanisms influence health and sports performance. There are considerable obstacles that challenge the progress of paediatric research, not least in relation to ethical and methodological considerations. Therefore, advances in the science and clinical application of paediatric exercise physiology, psychology and biomechanics have not reached their potential. Paediatric clinical exercise physiology has application to the role of exercise in the assessment and treatment of paediatric chronic diseases, the utilization of physical activity in preventing illness and enhancing wellbeing and can enhance our understanding of how sports can be made safer and more enjoyable for our young athletes. Exercise and Respiratory Diseases in Paediatrics highlights research by various methodologies, including literature reviews, experimental research and innovations, applied to children and adolescents with respiratory diseases. Chronic conditions such as asthma, bronchiectasis (e.g., cystic fibrosis), and those associated with prematurity and medical complexity are worldwide health problems for young people and although management includes pharmaceutical medications, physiotherapy, nutritional and psychological support, exercise has a role in optimising multidisciplinary care. There has been unprecedented acceleration in new technologies and methodologies that promise to facilitate paediatric research and these are explained and discussed as future research directions. This is reading for post graduate students, researchers, academics and policy makers within the field of paediatric healthcare, physical activity, physiology and the related disciplines.
Exercise and Sport Pharmacology
by Mark D. MamrackExercise and Sport Pharmacology is an essential book for teaching upper-level undergraduates or entry-level graduate students about how drugs can affect exercise and how exercise can affect the action of drugs. It leads students through the related pathology, exercise physiology, and drug action of many of today's chronically used medications, and discusses how drugs can affect exercise performance. This new second edition of the book is divided into four parts: Section I provides the basics of pharmacology, exercise physiology, autonomic pharmacology, and the stress response; Section II presents chapters on major cardiovascular and respiratory drug classes; Section III describes frequently prescribed medications for such common conditions as diabetes, depression, pain, fever, inflammation, and obesity; and Section IV includes discussions of nutritional supplements and commonly used drugs such as caffeine, nicotine, cannabis, and performance-enhancing drugs. The second edition offers many updates, enhances muscle cell physiology, includes the involvement of the gut microbiome, and each chapter has a new section on the effects of aging. In Sections II and III, chapters include an overview of the pathology that therapeutic drugs are designed to treat and how the drug works in the human body. In contrast to standard pharmacology texts, Exercise and Sport Pharmacology also includes the effect of exercise on the pathology of the condition and the effect of exercise on how the body responds to a drug. Each chapter has a section on whether the drugs under discussion have performance-enhancing potential. Section IV is concerned with self-medication and drugs or supplements taken without a prescription or with limited medical supervision. Throughout, figures and tables as well as data from experiments in exercise pharmacology help to illustrate and summarize content. Each chapter opens with an on-going case example to preview and apply chapter content. In the text, boldface terms indicate which concepts are contained in the book's Glossary. Chapters conclude with a Key Concepts Review and Review Questions.
Exercise and Sports Pulmonology: Pathophysiological Adaptations and Rehabilitation
by Annalisa Cogo Matteo Bonini Paolo OnoratiThis book provides an innovative and comprehensive overview of the relationship between lung and exercise, both in healthy, active subjects and in subjects with chronic respiratory diseases. It investigates in detail the central role of the lungs during exercise and illustrates the impact of respiratory impairment due to both acute and chronic lung diseases on performance. Further, the book presents the latest evidence-based findings, which confirm that exercise is an effective and safe form of prevention and rehabilitation in respiratory diseases.The first section describes the changes in the respiratory system during exercise and the contribution of respiration to exercise, while readers will learn how to perform a respiratory assessment in the second section. The third section addresses a broad range of chronic respiratory diseases and the (in)ability of those affected to play sports and perform exercise, thus providing a basis for individual assessments. The last two sections focus on respiratory training, rehabilitation and the relationship between respiration and the environment, e.g. in high-altitude and underwater sports. The book will appeal to a wide readership, including pulmonologists, sport medicine physicians, physiotherapists and trainers, as well as instructors and students in exercise science.
Exercise and the Brain: Why Physical Exercise is Essential to Peak Cognitive Health
by Robert W. BalohThis book focuses on the benefits of exercise for prevention and treatment of chronic brain disorders. It is a guide for finding the right exercise routine for each individual. The goal is to show the reader why everyone needs to exercise, especially as we get older. The brain needs physical exercise both for normal health and for preventing and treating diseases common with aging.How much exercise is needed? As we see throughout the book there is no one fits all rule with regard to the amount of exercise required. The key is to make exercise a part of one’s daily routine. The beneficial effect of exercise is transient, lasting days to weeks, so it must be a lifelong pursuit. Can we exercise too much? Anything done in excess can potentially be dangerous but with the common sense approach outlined in this book anyone, regardless of underlying health condition, can find some type of exercise that is safe and effective.
Exercise for Aging Adults
by Gail M. Sullivan Alice K. PomidorThis book translates the new findings in exercise research for the elderly for busy practitioners, trainees, students and administrators. This book provides practical strategies that can be implemented immediately in the common settings in which practitioners care for adults. The format includes key points and case examples which showcase the strong evidence supporting exercise by older adults as a key tool to enhance health, prevent serious outcomes, such as hospitalization and functional loss, and as part of the treatment plan for diseases that are common in older adults. Written by experts in the field of exercise in older persons, this book is a guide to maintaining quality of life and functional independence from frail to healthy aging adults. Strategies and exercises are discussed for specific care settings and illustrated via links to video examples, to ensure readers can immediately apply described techniques. Exercise for Aging Adults: A Guide for Practitioners is a useful tool for physicians, residents in training, medical students, physical therapists, gerontology advance practice nurse practitioners, assisted living facility administrators, directors of recreation, and long-term care directors.
Exercise for Aging Adults: A Guide for Practitioners
by Gail M. Sullivan Alice K. PomidorExercise has been rightly termed the “fountain of youth” for older adults. Exercise is associated with lower risks of developing many chronic conditions (cardiac disease, diabetes mellitus, osteoporosis) as well as being a key treatment modality for common geriatric problems (osteoarthritis, falls, incontinence, sleep issues, frailty). Exercise, or regularly planned physical activity, is also associated with higher functional levels and well-being, which many older adults consider critical for a high quality of life. Indeed, many physiologic changes formerly attributed to senescence appear due to disuse and thus less inevitable than assumed. The dictum of “use it or lose it” holds true, for people 70 years and older. This user-friendly text provides practical strategies for health care professionals who work with or advise older adults to create exercise prescriptions suitable for specific settings and medical conditions. Expanded and revised,the second edition translates new findings in exercise research for the elderly for busy practitioners, trainees, students and administrators and provides practical strategies that can be implemented immediately in the common settings in which practitioners care for adults. It includes key points and case examples which showcase the strong evidence supporting exercise by older adults as a key to enhance health, prevent serious outcomes, such as hospitalization and functional loss, and as part of the treatment plan for diseases that are common in older adults. Strategies and exercises are discussed for specific care settings and illustrated via video examples to ensure readers can immediately apply described techniques.Written by experts in the field, Exercise for Aging Adults is a valuable guide to maintaining quality of life and functional independence from frail to healthy aging adults for physicians, residents in training, medical students, physical therapists, gerontology advance practice nurse practitioners, assisted living facility administrators, directors of recreation, and long-term care directors.
Exercise for Cardiovascular Disease Prevention and Treatment
by Junjie XiaoThe book provides an intensive overview on exercise for cardiovascular disease prevention and treatment, from basic research to clinical practice. The volume firstly summarizes the acute and chronic response to exercise. Secondly, evidence for exercise as medicine for the heart based on clinical studies and basic research is summarized. Thirdly, molecular mechanisms mediating the beneficial effects of exercise including IGF-1-PI3K-AKT signalling, NO signalling, C/EBPB-Cited4 signalling, Non-coding RNAs, epigenetic regulators, mitochondria adaption and exosomes are presented. Finally, exercise dosing, prescription and future prospects are provided. This book will provide valuable reference for researchers in cell biology, physiology, as well as physician, physical therapist in cardiology, sport medicine, etc.
Exercise for Special Populations
by Peggie WilliamsonPublisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. This updated 2nd Edition of Williamson’s highly applied Exercise for Special Populations provides just enough background for practicing and future personal trainers, exercise physiologists, and other health and fitness professionals to develop and implement exercise programs for special populations. For each condition, the book provides a general description, anatomy and physiology variances, precautions, recommendations for exercise testing and prescription, instructions and images of various exercises, and nutritional considerations. Reflecting the latest best practices in the field, the 2nd Edition features new chapters and pedagogy and a powerful suite of online resources.
Exercise, Autophagy and Chronic Diseases
by Ning ChenThis book establishes a bridge between exercise-mediated functional status of autophagy and non-communicable chronic diseases for elucidating and clarifying the corresponding signal pathways and underlying mechanisms. The book consists of 13 chapters focusing on the in-depth discussion on signal pathways for regulating the functional status of autophagy for the prevention, treatment and rehabilitation of chronic diseases, the optimization of exercise intervention strategies for common and frequently-occurring chronic diseases, and the development of exercise mimetic pills for the persons with disability for exercise performance, or the persons without willing to exercise. This book is interesting and will be useful to a wide readership in the various fields of exercise science, exercise fitness, sports medicine, preventive medicine, and functional foods.
Exercise, Energy Balance, and Cancer
by Nathan A. Berger Cornelia M. Ulrich Karen SteindorfWhile it is well established that the worldwide pandemic of overweight and obesity has profound effects on promoting cancer, it is now recognized that an alternative aspect of energy balance, namely physical activity and exercise have significant beneficial effects on all aspects of cancer across the spectrum from prevention through treatment and extending through survivorship. Moreover, salutary effects of physical activity and exercise extend across the age span from youth to old age and occur at all stages of cancer extending into palliative care. While the effect of physical activity and exercise on cancer may be partially mediated through obesity control, it is clear that considerable research is required and is ongoing at both the molecular and clinical levels to better understand the associated mechanisms and to develop optimal exercise strategies. This volume will contain chapters on the effect of exercise on biological pathways in tumor growth, state art exercise strategies and cutting edge research focused on different cancers and patient groups. It will provide an important volume in this series on energy balance and cancer and a basis for ongoing research, experimental approaches and application of evidence based practices to clinical care for patients with cancer.
Exercise, Nutrition and the Older Woman: Wellness for Women Over Fifty
by Maria A. Fiatarone SinghExercise, Nutrition and the Older Woman: Wellness for Women Over Fifty is a comprehensive guide to the major wellness issues for women over fifty. The author is a physician who explores diet, exercise and lifestyle choices from a medical perspective. The book assists in the design and implementation of programs to optimize good health and quality o
Exercise, Respiratory and Environmental Physiology: A Tribute from the School of Milano (Perspectives in Physiology)
by Guido FerrettiThis book sheds new light on the history of exercise physiology and how it essentially grew, thanks to the work of a few major Schools. Analysing and interpreting the evolution of the field, the authors focus on the School of Milano, which was founded by Rodolfo Margaria and is one of the most prominent representatives, having played a central role in promoting and advancing this field of physiology. In turn, the authors trace Margaria’s biography; under his influence, the school introduced new concepts with regard to both the energetics of muscular exercise and to human locomotion. These concepts were further developed by Margaria’s pupils and by subsequent generations. Indeed, the course that was set in Milano greatly influenced the entire history of modern physiology. Readers with a keen interest in the origins of modern concepts and technologies in exercise physiology will find this book a fascinating and informative read.
Exercise, Sports and Hypertension (Updates in Hypertension and Cardiovascular Protection)
by Giuseppe Mancia Enrico Agabiti-Rosei Paolo PalatiniThis book presents the current knowledge on the mechanisms by which exercise lowers blood pressure in hypertension and on its effects on the heart and arteries. In addition, it focuses on the optimal exercise protocols, the international consensus on clinical implementation, and the clinical indications for special populations (obese, diabetic etc). It also addresses possible drawbacks of exercise on left ventricular structure and function. Many experts in epidemiology, patophysiology and clinical research have contributed in preparing the chapters, with the main purpose of guiding clinicians in the optimal application of the present knowledge and to stimulate scientists to fill the gaps in knowledge by performing further research.The book is addressed not only to specialists in Hypertension, Internal Medicine, Cardiology, Metabolism, and Nephrology, but also to general practitioners and all healthcare professionals working in the field of rehabilitation medicine.
Exercise: A Scientific and Clinical Overview
by Dr Hugh J. Bethell Professor David BrodieThis book is about exercise - what it is, how it affects the individual, how it is measured and most of all what benefits it brings. Beginning with an introduction to the history and biology of exercise, the authors review the interactions between exercise and specific diseases, such as diabetes, coronary heart disease, cancer and many more, before considering exercise in a wider health context. The book covers: - Current societal norms, as well as the social and economic costs of inactivity. - Exercise for life - from starting young, to pregnancy, longevity and frailty. - Complications of exercise. - The intersections of behavioural psychology and exercise, such as encouragement and excuse making. With comprehensive and clear explanations based on sound science, yet written in an approachable and accessible style, this book is a valuable resource for students of medicine, public health, physiotherapy, sports science, coaching and training.
Exertional Heat Illness: A Clinical and Evidence-Based Guide
by William M. Adams John F. JardineThis authoritative work provides clinicians, scientists and students with a comprehensive overview of exertional heat illness. Specifically, it addresses the prevention, recognition, treatment, and care of the various medical conditions that fall within the realm of exertional heat illness. In doing so, the book also offers a setting-specific (that is, athletics, military, occupational, and road race medicine) discussion of exertional heat illness for the consideration of the varied medical providers working in these settings. Clinicians will benefit from the discussion of the evidence-based best-practice considerations that should be made in the management of exertional heat illness. Scientists will benefit from this text in that it will provide them with a review of the current scientific evidence related to exertional heat illness and the translation of evidence to clinical practice – while also discussing directions for future research. Finally, students -- primarily postgraduate students interested in developing a line of research related to exertional heat illness -- will find this title an indispensable text to familiarize themselves with this fascinating field of study. A major contribution to the literature, Exertional Heat Illness: A Clinical and Evidence-Based Guide will be of significant interest to clinicians and scientists at all levels of training and experience, especially professionals in athletic training, emergency medical services, emergency room care, sports medicine and primary care.
Exhaustion: A History
by Anna K. SchaffnerToday our fatigue feels chronic; our anxieties, amplified. Proliferating technologies command our attention. Many people complain of burnout, and economic instability and the threat of ecological catastrophe fill us with dread. We look to the past, imagining life to have once been simpler and slower, but extreme mental and physical stress is not a modern syndrome. Beginning in classical antiquity, this book demonstrates how exhaustion has always been with us and helps us evaluate more critically the narratives we tell ourselves about the phenomenon.Medical, cultural, literary, and biographical sources have cast exhaustion as a biochemical imbalance, a somatic ailment, a viral disease, and a spiritual failing. It has been linked to loss, the alignment of the planets, a perverse desire for death, and social and economic disruption. Pathologized, demonized, sexualized, and even weaponized, exhaustion unites the mind with the body and society in such a way that we attach larger questions of agency, willpower, and well-being to its symptoms. Mapping these political, ideological, and creative currents across centuries of human development, Exhaustion finds in our struggle to overcome weariness a more significant effort to master ourselves.
Exhibiting Health: Public Health Displays in the Progressive Era (Critical Issues in Health and Medicine)
by Jennifer Lisa KoslowIn the early twentieth century, public health reformers approached the task of ameliorating unsanitary conditions and preventing epidemic diseases with optimism. Using exhibits, they believed they could make systemic issues visual to masses of people. Embedded within these visual displays were messages about individual action. In some cases, this meant changing hygienic practices. In other situations, this meant taking up action to inform public policy. Reformers and officials hoped that exhibits would energize America's populace to invest in protecting the public's health. Exhibiting Health is an analysis of the logic of the production and the consumption of this technique for popular public health education between 1900 and 1930. It examines the power and limits of using visual displays to support public health initiatives.
Existential Concerns and Cognitive-Behavioral Procedures: An Integrative Approach to Mental Health
by Ross G. Menzies Rachel E. Menzies Genevieve A. DingleClients enter therapy grappling with a range of difficulties. They don’t speak in diagnostic terms, but instead focus on the everyday problems that confront them. Their struggles may include isolation, loneliness, anxiety, guilt and regret, and problems making decisions in a world that offers seemingly endless choice. In contrast, the cognitive-behavior therapist is trained in the language of conditioning and extinction, avoidance and safety behaviors, behavioral activation and attentional biases. This book explores the ideas of the existentialist philosophers as a bridge between the suffering client and technically trained clinician. The volume is not a rejection of cognitive behavior therapy (CBT), but seeks to place CBT in the broader context of the most popular philosophic tradition of the 19th and 20th centuries. Therapists versed in existentialism argue that the individual's starting point is characterized by a sense of disorientation in the face of an apparently meaningless and absurd world. Each individual must become solely responsible for giving meaning to life and living it passionately and authentically. Each of us must confront the ‘Big 5’ existential issues of death, isolation, identity, freedom and meaning and find our solutions to these problems. The present volume explores each of these existential themes in turn. Each section opens with a theoretical chapter describing the relevant existential dilemma and its impact on human experience. The second chapter in each section explores its relationship to mental health disorders and psychopathology. The third chapter in each section explores the evidence for treating the existential issue from a CBT framework. This book will be of value to those interested in CBT, philosophy and mental health, and will appeal to psychotherapists, clinical psychologists and psychiatrists.
Existential Health Psychology: The Blind-spot in Healthcare
by Patrick M. WhiteheadThis volume critiques the increasingly reductive, objectifying, and technologized orientation in mainstream biomedicine. Drawing on the methods of hermeneutic phenomenology and existential analysis in the work of Martin Heidegger, Kurt Goldstein, Medard Boss, and Hans-Georg Gadamer, the author seeks to expose this lacuna and explore the ways in which it misrepresents (or misunderstands) the human condition. Whitehead begins by examining the core distinction in the sociology of medicine between “disease” and “illness” and how this distinction maps onto a more fundamental distinction between the corporeal/objective body and the experiential/lived body. Ultimately, the book exposes the tendency in modern medicine to medicalize the human condition and forwards a reorientation framed by what the author terms “existential health psychology.”