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A special word of thanks is due to a number of people and organisations without whom this book would not have been possible.

Firstly, I would like to thank the academic institutions where I have studied over the last two decades, specifically the Universities of Pretoria, Stellenbosch and London. These institutions set my academic career in motion and have, over the years, nurtured and mentored me. Without the Department of Psychiatry at the University of Stellenbosch and the MSc programme at the University of London, this book would not have been possible.

Secondly, I would like to thank my colleagues in South Africa and the United Kingdom. I have valued their collegiality over many years. I have learnt much from them and look forward to learning even more in the future. Working alongside them has made the journey in the field of medicine, mental health and addictions more rewarding.

Thirdly, to all the patients who have allowed me to participate in their treatment. Academic theory has taught me much, but it is by practising it that I have come to appreciate the complexities that each of my patients has brought into my office.

A specific thank you to Ansie, whose patient and regular reminders have encouraged me to complete this book.

Finally, I would like to express my gratitude to my wife, who has kept the promise she made many years ago.

Volker Hitzeroth