EAS Syndrome: Healing Burnout in Adults Lacking Parental Affirmation By Trevor Walters With Jim Stanley, M.D. _____________________________________________ Why do so many pastors burnout and leave the ministries they''ve diligently shepherded? The phenomenon is epidemic, with record numbers leaving monthly. Writing in professional partnership with a psychiatrist, Trevor Walters shows that midlife burnout is not caused by stress, as we thought, but by an inner conflict strong and persistent enough to ignite burnout in professional men and women. From decades of counseling burned out clergy and other professionals, the author concludes that in most cases the operative inner conflict is affirmation deficiency. When parents fail in their task of affirming a son''s or daughter''s unique personhood, the child embarks on a life long quest of seeking after affirmation elsewhere. This is a pursuit they can maintain only so long before burning out around age 50. No book until now has explained External Affirmation Syndrome (EAS), its consequences, and therapy for healing. This will enrich readers and all therapeutic counselors, Christians especially. In this groundbreaking new book, Bishop Trevor Walters draws on his more than three decades as an Anglican priest and marriage and family counselor to show why high-functioning professionals break down in midlife. Contrary to the popular assumption, Walters explains that the primary cause of burnout isn''t stress. (Some very high-stress professions have low burnout rates.) Rather, burnout results from an internal conflict. Adults lacking affirmation from parents - particularly fathers - during the formative years will go about seeking it from those whom they serve - an inevitable path to burnout. In collaboration from psychiatrist Jim Stanley, M.D., Walters offers hope by demonstrating that recognizing this hidden source of burnout, far from being a dire diagnosis, is the first necessary step to seeking healing available through the Great Physician, Jesus Christ. Walters looks to the example of the Heavenly Father''s relationship with Jesus during his incarnate earthly ministry as a heavenly pattern for relationships. When earthly fathers fall short, real injury is done to their children. Identifying, acknowledging, understanding the nature, and the full extent, of this injury can set the course for genuine healing and forgiveness. The insights this milestone book offers to psychologists, psychiatrists, and religious counselors are very accessible to anyone seeking to understand their own struggles, and to employers and loved ones concerned about a fall-off in the performance or wellbeing of another. This is neither a man''s nor a woman''s book, nor is it a book for any particular age or group. Individual chapters identify and explain the following: · The usual cause of midlife burnout is not stress as we thought, but inner conflict. · Observable symptoms of burnout are catalogued. · The heavenly template: Jesus was affirmed at the Jordon before he had done anything to earn it. He was able to slough-off his temptations and challenges knowing that that his Father affirmed him. · The behaviors Jesus modeled are not beyond our reach today. · EAS people live in subjectivity (internalizing happenings according to their feelings and previous experiences) rather than objectively; hence their addiction to affirmation. · How childhood affects you; e.g., resentment begins at home, caused by lack of affirmation. · Unpacking co-dependencies of the growing-up years. A reprise of the therapy so far and an outline of the next steps to healing. · How misapprehending the Fifth Commandment (Honoring your father and your mother) gets in the way of healing. · Victims of abuse accept responsibility for what happened. Children attribute lack of affirmation to being unworthy of it, with harmful consequences in life. · Cataloging parental failures is a necessary step to assigning blame where it belongs and to true forgiveness. Excusing parental failures in the guise of forgiveness allows wounds to continue festering. · One must know the extent of the damage done before choosing to forgive. · Grieving the loss of what could have been when growing up, and grieving for one''s parents, who also missed out on God''s plan. · An imaginary return to one''s home of origin in order to offload toxic emotions generated there. · Coaching for the imaginary trip to the home of origin. · The preeminence of Christ and what he has in store for those who seek his healing touch. · Seeking out people of godly wisdom. St. Paul''s affirmations in the introductions to his letters. · Living into words of affirmation given by discerning people. · Building healthy peer-to-peer relationships to replace shallow "best friend" relationships. · Persons healed of EAS must parent themselves. Doing it well. · Advice about affirming children.

Cushing ́s syndrome is a relatively rare clinical disorder that is associated with many co-morbidities such as systemic hypertension, diabetes, osteoporosis, impaired immune function and growth impairment in children, all of which severely reduce quality of life and life expectancy. Cushing’s Syndrome: Pathophysiology, Diagnosis and Treatment reviews the difficulties in distinguishing Cushing’s syndrome from these and other common conditions, such as central obesity, menstrual irregularity and depression. It also provides state-of-the-art information on various strategies to establish the diagnosis of Cushing’s syndrome and the differential diagnosis among its diverse etiologies, as well as therapeutic approaches. Additionally, a range of conditions that represent challenges for the diagnosis and treatment--such as renal failure, pediatric age, cyclic hypercortisolism, and pregnancy--are covered in detail. A valuable resource not only for endocrinologists but also internal medicine physicians, gynecologists, pediatricians, , pituitary surgeons and urologists, Cushing’s Syndrome: Pathophysiology, Diagnosis and Treatment provides insights by experts that will help all physicians dealing with Cushing ́s syndrome to expand their knowledge about the condition and provide targeted, comprehensive care.

This issue of Endocrinology and Metabolism Clinics, edited by Adriana G. Ioachimescu, will focus on Cushing’s Syndrome. Topics include--but are not limited to--1. Diagnosis of Cushing’s syndrome in the modern era, Gene mutations in patients with Cushing’s syndrome, Morbidity in Cushing’s syndrome and impact of treatment, Localization of ACTH-dependent Cushing’s syndrome, Prognostic factors of long-term remission after surgical treatment of Cushing’s disease, Outcomes of pituitary radiation for Cushing’s disease, New molecular targets in Cushing’s disease, Recent advances in subclinical Cushing’s syndrome, Adrenal surgery for Cushing’s syndrome, Adrenocortical carcinoma with hypercortisolism, Ectopic Cushing’s syndrome, Medical therapy for Cushing’s syndrome in the 21st century, Pregnancy in patients with Cushing’s syndrome, Mortality in patients with Cushing’s syndrome, and Cushing’s syndrome in children and adolescents.

**Selected for Doody's Core Titles® 2024 in Veterinary Medicine** Use the veterinarian's #1 reference on general pathology and the pathology of organ systems! Pathologic Basis of Veterinary Disease, 7th Edition helps you understand and diagnose diseases of domestic animals by using the latest scientific and medical research. Focusing on dogs, cats horses, cattle, sheep, goats, and pigs, this reference describes and vividly illustrates and explores the pathogeneses of animal diseases, how cells and tissues respond to injury, and the morphology (lesions) of this injury. New to this edition is basic coverage of tumor, inflammatory, and microbial cytology. Edited by veterinary pathologist James F. Zachary and a team of expert veterinary pathologists, this book includes access to an enhanced eBook with every new print purchase, featuring a fully searchable version of the entire text, an image collection, and much more – and available on a variety of devices. - Clear, up-to-date illustrations and explanations of the macroscopic (gross) and microscopic lesions resulting from diseases occurring in domestic animals - Complete coverage of both general pathology and the pathology of organ systems that includes the latest research, practice, and diagnostic information on disease mechanisms, pathogenesis, and lesions. - Clear explanations of disease mechanisms that describe cell, tissue, and organ system responses to injury and infection. - Easy-to-follow organization for each systemic disease chapter including a brief review of the study of diseases that occur in specific tissues, organs, and organ systems, with basic principles related to anatomy, structure, and function, followed by congenital and functional abnormalities and discussions of infectious disease responses, helping students apply principles to veterinary practice. - More than 2,100 full-color illustrations featuring color photographs, schematics, flow charts, and diagrammatic representations of disease processes as well as summary tables and boxes, making it easier to understand difficult concepts. - Content on cellular and organ system pathology updated throughout the book, with expanded coverage of genetics and disease. - Key Readings Index in each chapter with page numbers for key topics. - Essential Concept boxes in each General Pathology chapter break down complicated topics that are critical to understanding lesions and pathogeneses. - More than 20 recognized experts deliver the most relevant information for the practitioner, student, or individual preparing for the American College of Veterinary Pathologists' board examination. - An enhanced eBook is included with new print purchase, featuring the complete, fully searchable text plus an image collection; the text, tables, and boxes linked to the website that are cited throughout the book; ten new appendices that focus on veterinary diagnostic pathology, postmortem examination, interpretation of lesions, and more; plus an established appendix of photographic techniques used in veterinary diagnostic pathology.

Oxford Specialty Training is a specialty revision series for postgraduate trainees taking into account the training structures and syllabuses and the busy lives of junior doctors. Training in Medicine is a complete guide to early years specialty training in medicine, and particularly focuses on core medical training. Essential for those taking the MRCP, the book covers all of the relevant areas in general medicine training, including epidemiology, evidence based medicine, and professional related issues. Each chapter covers the basic science and clinical topics which trainees are required to learn as part of their basic training and demonstrate in the MRCP. This book is authored by both trainees and specialists, and has been comprehensively edited and peer-reviewed by both groups in order to create an authoritative yet accessible text. Easy navigation is combined with discrete double-page spreads on individual topics allowing rapid access to information, making the book extremely useful in clinical practice. This is complemented by over 600 full colour illustrations, including high quality clinical photographs, images and diagrams, to aid visual memory of the topics. Breakout boxes highlight the key learning points. The organisation of the material is unique, and the topic-based design ensures easy navigation, and structured revision and learning.