A risk conundrum can be viewed as a risk that poses major issues in assessment, and whose management is not easily engaged. Such perplexing problems can either paralyze or badly delay risk analysis and directions for progression. Rather than simply focusing on the progress in risk analysis that has already been made, it is crucial to consider what has been learnt about these seemingly unmanageable problems and how best to move forward. Risk Conundrums seeks to answer this question by bringing together a range of key thinkers in the field to explore key issues such as risk communication, uncertainty, social trust, indicators and metrics, and risk management, drawing upon case study examples including natural disasters, terrorism, and energy transitions. The initial chapters address risk conundrums, their properties, and the challenges they pose. The book then turns to a greater emphasis on systemic and regional risk conundrums. Finally, it considers how risk management can be changed to address these unsolvable conundrums. Alternative pathways are defined and scrutinized and predictions for future developments set out. This book will be of great interest to students and scholars of risk governance, environmental policy, and sustainable development.

Stepped Care 2.0: A Paradigm Shift in Mental Health, by Dr Peter Cornish, made a compelling argument for why the existing mental health care system has consistently struggled to meet the needs of clients from all walks of life, and laid out key principles and guidelines for how the system could be changed. But what challenges are involved in putting these ideas into practice? Stepped Care 2.0: The Power of Conundrums features essays, interviews, and arguments from a wide range of contributors who have tried to do just that. The Power of Conundrums dives deep into the practical application of the Stepped Care 2.0 model (SC2.0), looking at the ways SC2.0 has succeeded, the difficulties administrators face when implementing it, and how it could be improved. Chapters touch on topics including: the evidence for stepped care, the way SC2.0 can be stymied by the Western cultural values that dominate mental healthcare, implementation science and SC2.0, the risk paradigm and SC2.0, the model’s one-at-a-time approach to therapy, what co-design means in an SC2.0 context, a case study on how implementing SC2.0 can go wrong, the understanding of recovery put forward by the model, and how SC2.0 can work for clients experiencing complex, persistent, or chronic mental health issues. Each chapter is followed by a reflection from Cornish, and the book concludes with a roundtable discussion about how SC2.0 can evolve to meet the challenges it faces. This text brings theory and practice together by including an updated version of Stepped Care 2.0: A Paradigm Shift in Mental Health, as well as the full text of Stepped Care 2.0: The Power of Conundrums.

This book provides the readers with a series of complex cases that are organized by psychiatric disorder. Written by experts in the field, the cases offer insight on how to navigate care in delicate situations while considering preexisting medical conditions. Topics cover pharmacological concerns in women who are pregnant or nursing, working with dementia patients suffering from HIV, assessing and treating ADHD in special populations, monitoring medication use in patience recovering from Substance Use Disorder, and working with patients suffering from personality disorders. Each chapter offers guidance through the maze of classifications, clinical features, diagnosis and various complex interventions. The book also covers new information on the advances in research and management aspects. Complex Clinical Conundrums in Psychiatry is a valuable resource for psychiatrists, psychologists, family physicians, geriatricians, counselors, social workers, nurses, and all medical professionals working with complex psychiatric patients.

This book contains more than 300 papers presented at the 28th International Conference on Coastal Engineering, held in Cardiff, Wales, in July 2002. It is divided into five parts: coastal waves; nearshore currents, swash, and long waves; coastal structures; sediment transport; and coastal morphology, beach nourishment, and coastal management. The papers cover a broad range of topics, including theory, numerical and physical modeling, field measurements, case studies, design, and management. Coastal Engineering 2002 provides engineers, scientists, and planners with state-of-the-art information on coastal engineering and coastal processes.

‘Best of the Best’ solutions to challenging reconstructive surgery of the nose The nose, with its unique and individual topography, presents particular challenges for reconstructive and skin cancer surgeons. A number of approaches can be adopted, but how does the dermatologic surgeon choose the best for any particular defect? Reconstructive Conundrums in Dermatology: The Nose provides an atlas compendium of novel approaches to these challenges. Based on the Reconstructive Conundrum series published in the journal Dermatologic Surgery, a range of cases provide photographs of the defect before and immediately after reconstruction, and two long-term, follow-up images. The authors provide a detailed explanation for their choice of reconstruction. The Editors’ commentaries allow residents and experienced surgeons alike to compare different reconstructive alternatives and to explore the thought processes behind them. The 30 conundrums each provide a full background to the problem and the strategies underpinning successful surgical solution. They have been grouped into nasal subunits covering: Nasal dorsum Nasal sidewall Nasal tip Nasal ala Alar groove Alar rim Jam packed with clinical wisdom and surgical pearls, Reconstructive Conundrums in Dermatologic Surgery: The Nose provides a guiding hand to anyone faced with daunting surgical reconstructions.

Risk science is becoming increasingly important as businesses, policymakers and public sector leaders are tasked with decision-making and investment using varying levels of knowledge and information. Risk Science: An Introduction explores the theory and practice of risk science, providing concepts and tools for understanding and acting under conditions of uncertainty. The chapters in this book cover the fundamental concepts, principles, approaches, methods and models for how to understand, assess, communicate, manage and govern risk. These topics are presented and examined in a way which details how they relate, for example, how to characterize and communicate risk with particular emphasis on reflecting uncertainties; how to distinguish risk perception and professional risk judgments; how to assess risk and guide decision-makers, especially for cases involving large uncertainties and value differences; and how to integrate risk assessment with resilience-based strategies. The text provides a variety of examples and case studies that relate to highly visible and relevant issues facing risk academics, practitioners and non-risk leaders who must make risk-related decisions. This revised and updated second edition features an entirely new chapter on the integrity and quality of risk studies, and dealing with misinformation in the context of risk. Presenting both the foundational and most recent advancements in the subject matter, this work particularly suits students of risk science courses at college and university level. The book also provides broader key reading for students and scholars in other domains, including business, engineering and public health.

Risks, including health and technological, attract a lot of attention in modern societies, from individuals as well as policy-makers. Human beings have always had to deal with dangers, but contemporary societies conceptualise these dangers as risks, indicating that they are to some extent controllable and calculable. Conceiving of dangers in this way implies a need to analyse how we hold people responsible for risks and how we can and should take responsibility for risks. Moral Responsibility and Risk in Society combines philosophical discussion of different concepts and notions of responsibility with context-specific applications in the areas of health, technology and environment. The book consists of two parts addressing two crucial aspects of risks and responsibility: holding agents responsible, i.e. ascribing and distributing responsibility for risks, and taking responsibility for risk. More specifically, the book discusses the values of fairness and efficacy in responsibility distributions and makes distinctions between backward-looking and forward-looking responsibility as well as individual and collective responsibility. Additionally, it analyses what it means to take responsibility for technological risks, conceptualising this kind of responsibility as a virtue, and furthermore, explores the notion of responsible risk communication and the implications for adult-child relationships. This book will be of great interest to students and scholars of environmental ethics, bioethics, public health ethics, engineering ethics, philosophy of risk and moral philosophy.

This edited volume looks at whether it is possible to be more transparent about uncertainty in scientific evidence without undermining public understanding and trust. With contributions from leading experts in the field, this book explores the communication of risk and decision-making in an increasingly post-truth world. Drawing on case studies from climate change to genetic testing, the authors argue for better quality evidence synthesis to cut through the noise and highlight the need for more structured public dialogue. For uncertainty in scientific evidence to be communicated effectively, they conclude that trustworthiness is vital: the data and methods underlying statistics must be transparent, valid, and sound, and the numbers need to demonstrate practical utility and add social value to people’s lives. Presenting a conceptual framework to help navigate the reader through the key social and scientific challenges of a post-truth era, this book will be of great relevance to students, scholars, and policy makers with an interest in risk analysis and communication.

This book answers the need for a contextual, long-term and interpretative analysis of risk from original sources. Risk has historically been a way of imagining what could happen in the future based on expert theories and predictions. This book explores this notion of "managing the future" by tracing the conceptual development of risk from its origin in Islamic Koranic theology. It follows its long voyage from mercantile law and navigation in Medieval Mediterranean and the Atlantic Ocean, to Columbus' arrival to the Indies and the Spanish exploration and colonization in the Americas. It considers the mathematical invention of probability in games of chance, the birth of journalism in Britain with Defoe’s Journal of the Plague Year, the earthquake of Lisbon in 1755 and the subsequent controversy between apocalyptic believers and enlightened philosophers. Tracking the growth and evolution of risk as a concept across various historical periods and events, Mairal highlights four key features of risk - time, knowledge, relationship and probability - and argues that risk is not based on perception as it is generally presented, but rather on knowledge accrued and developed over a vast historical time frame. A Pre-Modern Cultural History of Risk will be of great interest to students and scholars of risk management.

Risk in Extreme Environments presents a wide-ranging discussion of approaches for assessing and managing extreme risks. Extreme events are not only severe, but also outside the normal range of experience of the system in question, and can include environmental catastrophe; engineering failure; financial or business meltdown; and nuclear or other extreme terrorism. The book focuses on synthesizing research results in a way that provides insights useful to decision makers, and enables them to ask probing questions about the risks faced by their organizations, identify creative solutions, and minimize the neglect of extreme risks that can come from a focus on mundane or ordinary management challenges. The book details case studies on nuclear power, infectious diseases, and global catastrophic risks, in addition to sections on risk assessment, risk management, and risk perceptions. Since effective management benefits from an interdisciplinary perspective, the chapter authors include experts in economics, engineering, geography, law, political science, psychology, sociology, and science in addition to risk analysis. Risk in Extreme Environments is an accessible and valuable resource for risk managers and other decision makers responsible for large complex business and government decisions, while also providing enough detail and references to be informative for risk analysts interested in learning more about technical aspects of the various methods.