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Self-Expandable Stents in the Gastrointestinal Tract
by Ho-Young Song Richard Kozarek Todd BaronSelf-expandable stents were initially placed for the treatment of cardiovascular diseases but now play an integral role in the relief of benign and malignant obstruction of the gastrointestinal tract and biliary system. Self-Expandable Stents in the Gastrointestinal Tract will familiarize the reader with the indications, techniques, and outcome following placement of expandable metal stents within the gastrointestinal tract. The volume covers all aspects of expandable stents including their composition, tissue responses, and placement techniques. In addition, placement using endoscopic and radiologic techniques is discussed. Unique illustrations allow the reader to gain knowledge that will improve their ability to care for their patients. The volume will serve as a comprehensive reference for all aspects of expandable stents. Self-Expandable Stents in the Gastrointestinal Tract will be extremely useful for physicians in the field of gastroenterology, endoscopy, and radiology, as well as gastrointestinal and thoracic surgeons whether they are in training or practice.
Self-Expanding Stents in Gastrointestinal Endoscopy
by Douglas AdlerThere is a tremendous interest in information on stents in the world of gastrointestinal endoscopy. Many physicians did not train in an era where these stents were available, but are now being called upon to place them. Self-Expanding Stents in Gastrointestinal Endoscopy looks to provide physicians with the necessary and unique all-in-one resource on stents. Self-Expanding Stents in Gastrointestinal Endoscopy by Dr. Douglas G. Adler covers the use of self-expanding stents. This book will cover the use of all available devices in all clinical contexts, with step-by-step instructions from experts in the field on how to use them and, just as importantly, what not to do when using these devices. Self-Expanding Stents in Gastrointestinal Endoscopy is illustrated with more than 150 color photographs, as well as many tables and diagrams.Benefits and Features:· Soup-to-nuts format covers the use of all devices available on the market in all clinical situations· All chapters authored by recognized experts in the world of stents who have independently published extensive research in gastrointestinal endoscopy· Over 150 color photographs to guide readers from start to finish through all steps of learning about the proceduresSelf-Expanding Stents in Gastrointestinal Endoscopy brings attention to the use of self-expanding stents in benign and malignant diseases, the avoidance and management of complications, and the future of these devices.Self-Expanding Stents in Gastrointestinal Endoscopy is the perfect go-to book for all practicing gastroenterologists, fellows, and general and colorectal surgeons.
Self-Harm in Young People: A Therapeutic Assessment Manual
by Dennis Ougrin Tobias Zundel Audrey V NgSelf-harm is a distressing and all too common presentation to emergency departments, and yet there is no clear understanding of what it represents, and success rates of interventions to prevent future episodes are enormously variable.Therapeutic Assessment for self-harm is a pragmatic model, developed by the authors of this book and forming an orga
Self-Healing With Reiki: How to create wholeness, harmony and balance for body, mind and spirit
by Penelope QuestMost people attending a Reiki workshop are taught the basics of self-treatment with Reiki, but few discover Reiki's real potential for self-healing. It is an amazing tool for healing mind, body, emotions and spirit to create wholeness and harmony, personal peace and a sense of purpose. This book is packed with innovative yet easy-to-use techniques and is aimed at everyone who has worked with Reiki at any level. This book includes: New ways of using Reiki to heal the whole person, from the subtle energies of the aura to the physical body, for a healthier and more balanced life; a 'whole life' approach to self-healing, including psychological, emotional, social and environmental issues; unique methods of using Reiki more creatively for spiritual development and self-understanding; techniques from both Eastern and Western Reiki traditions; exclusive special meditations; easy-to-follow diagrams; accessible text, and clear explanations and examples.
Self-Healing with Chinese Medicine: A Home Guide to Treating Common Ailments
by Clive WithamTransform your health with the ecological approach of ancient Chinese medicine• Addresses how and why illness in the body occurs according to the natural principles of Chinese medicine• Shares self-care treatments for a number of common health disorders, from colds and high blood pressure to backache, nausea, menstrual pain, and depression• Offers clear illustrations and step-by-step instructions for hands-on treatment modalities and techniques such as acupressure, massage, and Gua shaThe human body is a part of nature and as such is governed by the universal principles of the natural world. When we turn to ancient Chinese medicine, we find a unique ecological approach to understanding how our body functions. Basic concepts like yin and yang, the balance of the elements, flow and blockage, dampness and dryness explain the effects of change on our body systems, thus providing tools for how to keep our body healthy and flourishing.In this detailed and easy-to-follow guide, licensed acupuncturist and health promoter Clive Witham addresses how and why illness in the body occurs and what we can do to nurse ourselves back to health. With clear illustrations and step-by-step instructions, he shares effective and proven self-care treatments for a number of common health disorders, from colds and high blood pressure to backache, nausea, menstrual pain, and depression. The simple application of the core principles of Chinese medicine give the backdrop of how you can use food therapy, manual techniques of acupressure and Gua sha, exercise, and lifestyle advice to make the changes you need from within. You can learn to assess your own ailments, understand the main syndromes and illness patterns, and become proactive in lifestyle changes that can alleviate symptoms and support recovery.Self-Healing with Chinese Medicine allows you to manage your own healing process, delve into a fresh perspective of the natural world to maintain balance and flow in your body system, and build up resilience with simple self-care.
Self-Help Manual for Your Back
by H. Duane SaundersThis manual is written for patients with back disorders, for participants in a back injury prevention program or for anyone who wants to have a healthy back.
Self-Injurious Behavior in Individuals with Neurodevelopmental Conditions (Autism and Child Psychopathology Series)
by Frederick Furniss Asit B. BiswasThis book addresses self-injurious behavior (SIB) in individuals with various neurodevelopmental conditions (NDCs). It takes a cross-NDC perspective that synthesizes recent research on variability in incidence and presentation across NDCs and the natural history and neurobiology of SIB. Chapters examine implications for biobehavioral definitions of subtypes of SIB and provide a detailed guide to assessment and intervention using an integrated research-based model for individualized treatment. In addition, chapters present a practice-focused structure using case studies to illustrate clinical implications of research findings. The book concludes with a discussion of current directions in research and their potential to guide innovation in prevention and treatment of SIB.Topics featured in this handbook include:· Self-restraint among individuals who self-injure.· Self-injurious behavior in individuals with autism spectrum conditions.· Assessing and managing short-term effects of SIB.· Reducing risk of, and responding to, relapse following successful intervention with SIB.· Ethical issues associated with working with people who engage in self-injurious behaviors.Self-Injurious Behavior in Individuals with Neurodevelopmental Conditions is a must-have resource for researchers, clinicians and practitioners as well as graduate students in the fields of clinical child and school psychology, applied behavior analysis, pediatrics, social work, developmental psychology, behavioral therapy/rehabilitation, child and adolescent psychiatry, clinical psychology and psychiatry of adult intellectual disability, and special education.
Self-Injury, Medicine and Society
by Amy ChandlerThis book provides an appreciative, sociological engagement with accounts of the embodied practice of self-injury. It shows that in order to understand self-injury, it is necessary to engage with widely circulating narratives about the nature of bodies, including that they are separate from, yet containers of 'emotion'. Using a sociological approach, the book examines what self-injury is, how it functions, and why someone might engage in it. It pays close attention to the corporeal aspects of self-injury, attending to the complex ways in which 'lived experience' is narrated. By interrogating the way in which healthcare and psychiatric systems shape our understanding of self-injury, Self-Injury, Medicine and Society aims to re-invigorate traditional discourse on the subject. Combining analytical theory with real-life accounts, this book provides an engaging study which is both thought-provoking and informative. It will appeal to an interdisciplinary readership and scholars in the fields of medical sociology and health studies in particular.
Self-Management for Persistent Pain: The Blame, Shame and Inflame Game?
by Karen RodhamThis book critiques the current approach to the self-management of persistent pain. The drive towards self-management of chronic pain is flourishing as healthcare systems struggle to facilitate the care of those with long term health conditions. In this book Karen Rodham argues that albeit an empowering idea, self-management has not yet been fully translated from idea to practice and as such, runs the risk of blaming and shaming the person living with a chronic condition for failing to manage their condition effectively. She contends that the additional stress of this tension may in fact worsen their condition. Drawing from the research evidence as well as her practice experience, she advocates a move away from the terms ‘self’ and ‘management’ towards a more collaborative approach. One which takes account of the life-context of the person who is living with persistent pain. This book explores the shortcomings of the tendency to focus on self-management without taking into account life context and considers how we got here and what can be done. It will be a valuable resource to researchers and practitioners, especially in the field of health psychology.
Self-Management in Chronic Illness: Principles, Practice, and Empowerment Strategies for Better Health
by Jose Frantz Laura Schopp Anthea RhodaSelf-management is a term that was used as early as the 1960s when it was applied during the rehabilitation of chronically ill children. Subsequently, self-management was applied as formalized programs for a variety of populations and health issues. In reflecting on self-management, it is important to note that it would be difficult for individuals not to be aware of their specific health behaviors, which could include unhealthy behaviors. As self-management has evolved, essential skills identified include behavioral modeling, decision making, planning, social persuasion, locating, accessing and utilizing resources, assisting individuals to form partnerships with their health care providers and taking action. These are key skills that would benefit health professional educators, clinicians and patients. This book, consisting of three parts, provides insights into the aspects of self-management as it relates to its definition and application. It highlights how self-management can be applied to various long-term health conditions, for different populations or target groups and in different contexts. The text provides an overview of self-management and the rationale for its applications by illustrating its use in specific clinical conditions and in different sub-populations and target groups. Academics can use the book as a textbook when teaching postgraduate and undergraduate students about self-management as a technique to facilitate community reintegration for individuals living with long-term conditions. It can also be used by clinicians to enhance their management of individuals with long-term conditions. Furthermore, researchers can use the text to expand and support their research in this area.
Self-Management of Depression: A Manual for Mental Health and Primary Care Professionals
by Albert Yeung Greg Feldman Maurizio FavaWith growing access to health information, people who suffer from depression are increasingly eager to play an active role in the management of their symptoms. The goal of self-management is to support patients in monitoring and managing their symptoms and provide them with additional resources to promote recovery, enhance quality of life, and prevent relapse. For clinicians, self-management holds promise for improving practice efficiency and efficacy by helping patients maximize their improvement outside of treatment sessions. Self-Management of Depression is written for clinicians who wish to empower their patients to take more active steps to manage depression. Chapters cover care management, self-assessment, exercise, self-help books and computer programs, meditation, and peer-support groups and strategies for how to incorporate self-management into a treatment plan are described. Reproducible handouts to support patients are also available online. This book is relevant to clinical psychologists, psychiatrists, psychiatric nurses, social workers and primary care physicians.
Self-Management of Young People with Chronic Conditions: A Strength-Based Approach for Empowerment and Support
by AnneLoes Van Staa Jane N. T. Sattoe Sander R. HilberinkThis book focuses on young people (12-25 years old) growing up with a chronic somatic condition and/or physical disability, facing different challenges during their transition to adulthood and to adult healthcare services. Becoming an adult often proves extra challenging for them, because the adaptive tasks related to living with a chronic condition can clash with developmental milestones. Finding a good balance and integrating these tasks in daily life is also referred to as self-management. This book addresses self-management and empowerment of young people with chronic conditions as well as the Positive Youth Development concept. It elaborates on theories and approaches and offers a complete overview of self-management interventions for young people with chronic conditions, emphasizing on the tasks of medical, emotion and role management. It also elaborates on the roles and tasks of professionals, as well as the patient-provider relationship; the shifting roles between young people and their parents and the role of peer support. This book is unique in its broad view on self-management, i.e. it goes beyond medical management and focuses on young people achieving their maximum potential and a good quality of life. Furthermore, the book employs a positive youth development approach, focusing on empowerment and growth rather than problems or issues. It offers an overview of the state-of-the-art and evidence concerning self-management support for young people with various chronic conditions. As such it is of benefit for all healthcare professionals working in care for young people, but also for researchers interested in this topic.
Self-Neglect: Challenges for Helping Professionals
by James G O'BrienUnderstand the complex ethical, legal, medical, and psychological issues of the most common form of elder abuse!Self-Neglect examines the social, ethical, medical, and practical implications of the most prevalent form of elder abuse. It can be difficult to diagnose and treat, and it poses ethical questions that cannot be answered simply. Yet it is so common and so destructive that anyone who works with geriatric patients must come to terms with it. Everyone is familiar with the image of the wild-haired elderly recluse hoarding junk in a dilapidated house, but to their neighbors, friends, and family--as well as to the health care professionals, social workers, and clergy who deal with them--these recluses are a special burden. They often refuse care despite such obvious problems as open sores. They tend to be intelligent and independent. Do they have the right to choose to live in squalor, or are their choices dictated by depression or other diseases? Do health care professionals have a responsibility to treat them against their will or a duty to respect their stated preferences?Self-Neglect examines the topics of passive suicide and indirect life-threatening behavior to help medical practitioners working with the elderly understand why patients do not follow doctor's orders or take care of themselves. Through case studies, this informative book explores the ways in which patients practice self-neglect by ignoring their doctors’advice, extreme lack of self-care, refusal to eat, failure to take their prescribed medication, and alcohol abuse. Self-Neglect offers insight into many facets of this condition, including:choosing among the many definitions of self-neglect what kinds of people become self-neglecting managing self-neglecting patients when and how to intervene the patient's autonomy and personal rights versus the rights of the community self-neglect as a way to gain control of a negative life situation when other tactics have failedDiscussing the sometimes tragic outcome of misdiagnosing self-neglect or leaving it untreated, this intelligent book will help you identify and understand this dangerous behavior and offer your patients better care for this condition.
Self-Neglect: Learning from Life (Critical Skills for Social Work)
by Shona Britten Karen WhitbyA practice-based perspective on working with people who self-neglect. This book explores the issues and situations which can arise and helps practitioners to adopt a strengths-based “Learning from Life” approach in the translation of MSP principles to practical implementation. Self-neglect: Learning from Life helps frontline practitioners ensure that Making Safeguarding Personal (MSP) is an everyday reality. Using two case scenarios, the authors examine issues and practice-based situations which arise in the daily application of MSP to casework with adults. The scenarios demonstrate lifespan and experience issues in the adoption of MSP as person-centred and person-led practice with people who self-neglect. The statutory principles of Empowerment, Prevention, Proportionality, Protection, Partnership, and Accountability are also translated into practical language and their meaning and implications are unpacked.This journey from principles to practical implementation uses a suite of clear and concise practice focused resources which adopt a person-centred, relationship-based approach to all conversations, interventions and aspects of practice. The resources include: a range from SnapShots on…- a selection of relevant topic areas in work with adults at risk through their safeguarding journey practice-based tools for practitioners to use in the quality monitoring of their own casework Taking it Further” referencing and suggested sources of more information. This invaluable book fills a gap that currently exists in the practical application of the statutory MSP principles as part of a “life-span approach” to work with people who self-neglect. It minimises the risks associated with “siloed” approaches to ensure the person is held at the centre of all interventions.
Self-Organization in Electrochemical Systems I
by Marek OrlikThis is the first of two volumes offering the very first comprehensive treatise of self-organization and non-linear dynamics in electrochemical systems. The second volume covers spatiotemporal patterns and the control of chaos. The content of both volumes is organized so that each description of a particular electrochemical system is preceded by an introduction to basic concepts of nonlinear dynamics, in order to help the reader unfamiliar with this discipline to understand at least fundamental concepts and the methods of stability analysis. The presentation of the systems is not limited to laboratory models but stretches out to real-life objects and processes, including systems of biological importance, such as neurons in living matter. Marek Orlik presents a comprehensive and consistent survey of the field.
Self-Powered and Soft Polymer MEMS/NEMS Devices (SpringerBriefs in Applied Sciences and Technology)
by Michael S. Triantafyllou Ajay Giri Kottapalli Kai Tao Debarun SenguptaThis book explores the fabrication of soft material and biomimetic MEMS sensors, presents a review of MEMS/NEMS energy harvesters and self-powered sensors, and focuses on the recent efforts in developing flexible and wearable piezoelectric nanogenerators. It also includes a critical analysis of various energy harvesting principles, such as electromagnetic, piezoelectric, electrostatic, triboelectric, and magnetostrictive. This multidisciplinary book is appropriate for students and professionals in the fields of material science, mechanical engineering, electrical engineering, and bioengineering.
Self-Recovery: Treating Addictions Using Transcendental Meditation and Maharishi Ayur-Veda
by David F O'Connell Charles N AlexanderA valuable resource for addressing/promoting the spiritual awakening/development for patients based on a thoroughly researched system of meditationNearly 40% of americans saw an alternative healthcare practitioner last year. Interest in Yoga-an aspect of ayurveda-is growing nationally and is starting to become part of more progressive treatment programs. Patients want more. Providers need to offer more. And choices need to be based on sciencetific research on complementary/alternative medicine, which is under-researched in the addictions treatment field right now. Their has been a flurry of interest in Trancendental Meditation (TM) the past few months, mostly due to very impressive research on lowering blood pressure-especially in African Americans. This groundbreaking, scientifically based book shows how TM can have profound health-promoting effects on addictions as well, according to recent research on profound brain changes caused by TM practice.Self-Recovery acquaints readers with the use of Transcendental Meditation program and Maharishi Ayur-Veda. This natural comprehensive approach to health care, as brought to light from the ancient Vedic tradition of India by Maharishi Mahesh Yogi, allows individuals to break negative habits that arise from an incomplete understanding of the relationship between mind, body, and environment. Self-Recovery shows how this ancient system of mind-body medicine, through its mental and physical procedures, can be used to treat addictive diseases effectively.The first book written on the application of the Transcendental Meditation (TM) program and Maharishi Ayur-Veda to addictions treatment, this volume is interdisciplinary in scope with original chapters by psychologists, physicians, physiologists, neurochemists, and other addictions professionals who offer an alternative paradigm to understanding and treating addictions. In contrast to conventional treatments, the TM program and Maharishi Ayur-Veda appear to provide a natural, comprehensive treatment approach that profoundly influences all levels of individual life that can impact on the addictive process. Not overly technical, Self-Recovery shares the pioneering experiences of clinicians using these holistic procedures as well as the striking findings of researchers who have integrated them into current chemical dependency treatments. For readers without prior introduction to this new approach, the TM program and Maharishi Ayur-Veda are briefly but thoroughly described. Readers looking for an effective mind-body treatment of addictions that is holistic in nature will find it in this book as it introduces them to this very ancient, but quite relevant, system of healing that can act in a complementary fashion with modern psychological and medical approaches to addictive disorders. Practitioners will find a description of Maharishi Ayur-Veda programs and learn about incorporating them into daily practice. Psychotherapists will learn how this unique program can affect the recovery process from addictive diseases. Through rich presentations of theory, research, and clinical case studies, Self-Recovery makes knowledge of Maharishi Ayur-Veda and the addictions come alive. The book is divided into four sections, the first of which contains an examination of the theoretical underpinnings and existing research on the TM program and its applications to addictions treatment. The second section features original research on the impact of TM on severe alcoholism and nicotine addiction. In section three, clinicians share case studies on the impact of the TM program on personal growth experienced during recovery from alcohol and other drug addictions. Section four presents theory and clinical application of the twenty approaches of Maharishi Ayur-Veda in chemical dependency treatment. A vital source of information on addictions treatment, this book is essential rea
Self-Reported Population Health: An International Perspective based on EQ-5D
by Agota Szende Bas Janssen Juan CabasésThe EQ-5D instrument, as a standardized, cross-culturally validated measure of self-assessed health has a hugely important role in understanding population health within and across countries. Over the past two decades a wealth of international population health survey data have been accumulated by the EuroQol Group from research conducted in many countries across four continents. One of the success factors of the EQ-5D instruments has been the easy availability of national or international sets of EQ-5D data, as well as clear explanations and guidance for users. There is an unmet need to produce a comprehensive book that captures up-to-date and expanded information of EQ-5D self-reported health and index values. EQ-5D population norms and cross-country analyses are provided from representative national surveys of 20 countries and additional regional surveys. This book will be a must for those who believe that how people report and value health is very important.
Self-Sufficiency of an Autonomous Reconfigurable Modular Robotic Organism
by Raja Humza QadirThis book describes how the principle of self-sufficiency can be applied to a reconfigurable modular robotic organism. It shows the design considerations for a novel REPLICATOR robotic platform, both hardware and software, featuring the behavioral characteristics of social insect colonies. Following a comprehensive overview of some of the bio-inspired techniques already available, and of the state-of-the-art in re-configurable modular robotic systems, the book presents a novel power management system with fault-tolerant energy sharing, as well as its implementation in the REPLICATOR robotic modules. In addition, the book discusses, for the first time, the concept of "artificial energy homeostasis" in the context of a modular robotic organism, and shows its verification on a custom-designed simulation framework in different dynamic power distribution and fault tolerance scenarios. This book offers an ideal reference guide for both hardware engineers and software developers involved in the design and implementation of autonomous robotic systems.
Self-Tracking, Health and Medicine: Sociological Perspectives
by Deborah LuptonSelf-tracking practices are part of many health and medical domains. The introduction of digital technologies such as smartphones, tablet computers, apps, social media platforms, dedicated patient support sites and wireless devices for medical monitoring has contributed to the expansion of opportunities for people to engage in self-tracking of their bodies and health and illness states. The contributors to this book cover a range of self-tracking techniques, contexts and geographical locations: fitness tracking using the wearable Fitbit device in the UK; English adolescent girls’ use of health and fitness apps; stress and recovery monitoring software and devices in a group of healthy Finns; self-monitoring by young Australian illicit drug users; an Italian diabetes self-care program using an app and web-based software; and ‘show-and-tell’ videos uploaded to the Quantified Self website about people’s experiences of self-tracking. Major themes running across the collection include the emphasis on self-responsibility and self-management on which self-tracking rationales and devices tend to rely; the biopedagogical function of self-tracking (teaching people about how to be both healthy and productive biocitizens); and the reproduction of social norms and moral meanings concerning health states and embodiment (good health can be achieved through self-tracking, while illness can be avoided or better managed). This book was originally published as a special issue of the Health Sociology Review.
Self-Trust and Reproductive Autonomy
by Carolyn McleodThe power of new medical technologies, the cultural authority of physicians, and the gendered power dynamics of many patient-physician relationships can all inhibit women's reproductive freedom.
Self-determination Theory in the Clinic: Motivating Physical and Mental Health
by Kennon M. Sheldon Thomas E. Joiner Geoffrey WilliamsThe authors report on the state of the art regarding an exciting and important theory of human motivation: self-determination theory. This comprehensive theory has been under development for more than thirty years, and its postulates have received voluminous empirical support, derived from the best scientific methodologies (see Deci and Ryan 1985, 1991, 2000). The theory has finally achieved mainstream status within contemporary motivational theory and research.
Self-determination in Health Care: A Property Approach to the Protection of Patients' Rights
by Leroy C. EdozienIt is generally accepted in legal and bioethical discourse that the patient has a right to self-determination. In practice though, this is often not the case. Paternalism is waning and it is increasingly recognised that there are values other than medical factors which determine the choices that patients make. Unfortunately, these developments have not resulted in huge advances for patient self-determination, which is largely because the consent model has fundamental flaws that constrain its effectiveness. This book sets out to offer an alternative model to consent. In the property model proposed here, the patient’s bodily integrity is protected from unauthorised invasion, and their legitimate expectation to be provided with the relevant information to make an informed decision is taken to be a proprietary right. It is argued that the property model potentially overcomes the limitations of the consent model, including the obstacle caused by the requirement to prove causation in consent cases. The author proposes that this model could in the future provide an alternative or complementary approach for the courts to consider when dealing with cases relating to self-determination in health care.
Self-help for Trauma Therapists: A Practitioner's Guide
by Margaret PackFor those offering trauma-informed care, it can be difficult to maintain wellbeing and a balanced, positive outlook when the nature of their job requires frequent engagement with traumatic disclosures. Self-help for Trauma Therapists: A Practitioner’s Guide intends to assist human service workers- such as those working as therapists, social workers and counsellors- to maintain their self- care and professional effectiveness when working in fields where stress and trauma play a key factor in their everyday working lives. Adopting a comprehensive, multi-layered approach to self-care based, the book grounds its exploration of practice through researched accounts with experience professionals. Including accounts from clinical psychologists, therapists, counsellors, social workers and the friends and family of people in these professions, this book creates a narrative on stress and trauma from the human service worker perspective. Interwoven with these stories of practice, the author includes reflections on her own experiences in practice over the past 25 years with trauma survivors. With discussions on risk and resilience, compassion fatigue and vicarious traumatisation, readers are introduced to the theories and practical applications of developing a professional model for maintaining wellbeing and self-care in their work. Self-help for Trauma Therapists: A Practitioner’s Guide is the first book of its kind to be written solely for human service workers. It is essential reading for beginning and more advanced practitioners who are involved in working with trauma and recovery and will also be of interest to supporters of those working in the helping professions.
Self-management. How it Does Work
by Astrid Vermeer Ben WentingIn a self-managing organization, the team members are collectively responsible for the team result. Team decisions are made by consensus, with each team member also taking individual responsibility for the agreements made. This makes a world of difference to the everyday functioning of the organization.More and more directors are becoming aware of the advantages of self-organization, but the thought of making changes to the organizational structure seems so daunting that they don't know where tot start. This practical guide explains how to make the transition from hierarchy to self-management. We discuss the implications for team members, team coaches, managers and supporting staff, as well as the skills they need in order tot caary out their work effectively as part of a self-organization. We also give concrete tools to aid in effecticve communication, such as the Solution Diveren Method of Interaction, solution-oriented meetings, and approaches for handling conflict.