The essentials of postgraduate psychiatry:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Cambridge
Univ. Press
1997
|
| Edition: | 3. ed. |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XXV, 843 S. |
| ISBN: | 0521578019 0521443962 |
Staff View
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Record in the Search Index
| _version_ | 1804127328552353792 |
|---|---|
| adam_text | Contents
List of contributors page xvii
Foreword to the First Edition xx
Preface to the First Edition xxi
Preface to the Second Edition xxiii
Preface to the Third Edition xxiv
Parti General Principles 1
1 The mental state and states of mind 3
Paul E. Mullen
Abnormalities of mental state as symptoms 3
Abnormal phenomena 4
Feelings, emotions and affects 11
Obsessive and compulsive phenomena 19
Delusions 20
Morbid interpretations 25
Beliefs about the world 26
Passivity phenomena (disturbances of ego boundary) 30
Volition 33
Disturbance of language 34
Conclusion 40
2 The disease concept in psychiatry 41
Anthony W. Clare
Introduction 41
The disease concept 42
The medical model 47
The sick role 51
Summary 52
CONTENTS
3 Current approaches to classification 53
Anne E. Farmer
Why classify? 53
Historical background 54
Advantages and disadvantages of operational definitions 57
The development of an international classification of diseases 59
The International Classification of Diseases 10th Edition: Classification of
Mental and Behavioural Disorders 59
ICD 10 and structural interviews 63
Other matters of coding and mental health information systems 63
4 Measurement in psychiatry 65
A. PSYCHIATRIC AND SOCIAL INSTRUMENTS
Scott Weich, Michael Phelan and Anthony Mann
Principles underlying measurement in psychiatry 65
Instruments in common use in psychiatry 68
Assessment of global psychopathology 70
Assessment of the severity of specific conditions 73
Instruments of social psychiatry 80
Other measures relevant to psychiatry 83
Conclusions 84
B. BRAIN STRUCTURE AND FUNCTION
Shon W. Lewis
Introduction 86
X ray imaging 86
Computed tomography 87
Magnetic resonance imaging 88
Quantitative measurement of brain structure 90
Functional imaging: brain activity and emission tomography 90
Clinical applications: dementias 93
The psychoses 94
Future developments 94
Part II Clinical Disorders 95
5 Child and adolescent psychiatry 97
Peter Hill
Introduction 97
Classification 98
Epidemiology 100
Development and disorder 103
Child abuse and neglect 104
CONTENTS
Anxiety disorders 111
Dissociative and somatoform disorders 117
Depression 117
Overdoses 121
Suicide 121
Obsessive compulsive disorder (OCD) 122
Conduct disorder 124
Hyperkinetic disorder 127
Enuresis 131
Faecal soiling 133
Tic disorders and Tourette s syndrome 135
Specific learning disabilities 136
Childhood autism and other pervasive developmental disorders 137
General principles of treatment in child and adolescent psychiatry 141
Coda 143
6 Neurosis and personality disorder 145
Glyn Lewis and Simon Wessely
General aspects of neurosis 145
The neurotic disorders 164
Neurosis and physical complaints 176
Personality disorder 183
7 Eating disorders 192
Janet Treasure
A. ANOREXIA NERVOSA
Introduction 192
Classification 192
Historical case presentations 194
Epidemiology 195
Aetiology 196
Clinical features 198
Somatic effects 200
Assessment 201
Treatment 204
Outcome 209
B. BULIMIA NERVOSA
Introduction 211
Classification 211
History 211
Epidemiology 211
Aetiology 213
CONTENTS
Clinical features 215
Medical assessment 216
Overview of treatment 218
Medication 219
Outcome 221
Prognostic factors 221
8 Drug use and drug dependence 222
Michael Farrell and Emily Finch
Introduction 222
Dependence and problems 222
The measurement of dependence and withdrawal 223
Harm reduction 223
History 224
Epidemiology 225
Aetiology 226
Natural history of drug use 227
Medical complications of drug misuse 229
Substance misuse and mental health issues 230
Treatment 234
Treatment evaluation 239
Specific drugs and related treatments 240
Organising a treatment and advice centre 246
9 Alcohol problems 247
liana B. Crome
Diagnosis and classification 247
Alcohol related disabilities 249
Epidemiology 253
Course and natural history 256
What drives drinking behaviour? 257
Treatment: assessment 264
Management: pharmacological treatment 266
Management: psychological treatments 268
Treatment outcome research 271
Special groups 273
Public health, policy and prevention 275
Conclusion 277
Appendix: Questionnaires 278
CONTENTS
10 Schizophrenia 281
Robin M. Murray
The concept of schizophrenia 281
Epidemiology 289
Genetics 291
Early environmental hazards 294
Brain structure and function 295
The antecedents of schizophrenia 296
Social factors 298
Psychology 298
Neurochemistry 300
Biology and nosology 301
Management 302
Antipsychotic drugs 302
Social treatment 306
Community care 307
Psychological treatment 308
Outcome 308
11 Affective disorders 310
Peter McGuffin
Introduction 310
Psychopathology 311
Classification 316
Epidemiology 319
Aetiology 322
Treatment 338
Course and outcome 349
12 Atypical psychosis 352
Anthony S. David
Introduction 352
Phenomenology 353
Course 357
Cause 359
Conclusion 361
13 Psychiatric manifestations of organic illness 362
R. J. McClelland and A. B. Wilson
General considerations 362
Impairments of psychological functions 362
The effects of focal damage 370
CONTENTS
Clinical syndromes 371
Neuropsychiatric consequences of neurological disease 373
Neuropsychiatric effects of systemic disease 391
Investigations 394
Management 396
14 The psychiatry of old age 398
E. Jane Byrne and A. Burns
Introduction 398
Socio economic factors and the health of old people 398
Psychogeriatric services 399
Dementia 402
Alzheimer s disease 406
Delirium 414
Affective disorders 416
Mania 420
Late paraphrenia 422
Neurosis 423
Suicide and deliberate self harm in the elderly 426
Alcohol abuse 426
Other psychiatric disorders of old age 427
15 The psychiatry of learning disability 429
W. I. Fraser
Introduction 429
Distinguishing behaviour disturbance and psychiatric disorder 432
A developmental perspective to assessment 434
Pathogenesis of psychiatric disorders 437
Schizophrenia 438
Affective disorder 438
Neurotic disorders 439
Personality disorder 439
Personalities associated with particular phenotypes 440
Organic psychoses 441
Epilepsy 442
Treatment issues 442
In conclusion 445
16 Sexual disorders 446
M. J. Crowe
Introduction 446
Sexual dysfunctions 447
CONTENTS
Alternative sexuality 458
Sexual offences 462
Sexual abuse and its consequences 464
Conclusions 465
17 Mental illness in childbearing women 466
R. Kumar, R. J. Mclvor and A. Danes
Introduction 466
Psychological and social influences on obstetric outcome 466
Impact of pregnancy on pre existing mental illness 469
Psychiatric problems associated with the puerperium 471
Services for childbearing women with psychiatric disorders 476
Part III Psychiatry in Special Settings 477
18 Social and transcultural psychiatry 479
Paul Bebbington
Introduction 479
Epidemiology 480
Social science and psychiatry 482
Selected topics in social and transcultural psychiatry 490
19 Psychiatry in general practice 503
Greg Wilkinson
Introduction 503
Epidemiology of mental disorders in primary care settings 504
Diagnostic practices 505
Therapeutic practices 505
Referral and consultation 509
Outcome of mental disorder in primary care settings 510
Discussion 511
20 Community psychiatry and service evaluation 513
Geraldine Strathdee and Graham Thornicroft
Introduction 513
The definition of community psychiatry 513
The policy framework 514
Seven steps to community services 517
The ten core components of a comprehensive mental health service 524
Conclusion 533
CONTENTS
21 Liaison psychiatry 534
G. G Lloyd
Introduction 534
Psychosomatic medicine 534
The association between psychiatric and physical morbidity 535
Somatic presentation of psychiatric illness 542
Future developments in liaison psychiatry 550
22 Suicide and self harm 551
Louis Appleby
Epidemiology 551
Suicide by psychiatric patients 554
Parasuicide 558
Suicide prevention 559
23 Forensic psychiatry 563
Pamela J. Taylor
Introduction 563
Victims of crime 564
The nature, range and distribution of crime 566
Associations between mental disorder and crime 570
Laws as they affect people with mental disorder 577
Specialist service provision 584
Assessment for legal purposes 597
Appendix: cases cited 600
Part IV Principles of Treatment 603
24 Biological treatments in psychiatry 605
L. S. Pilowsky and R W. Kerwin
Introduction 605
Drug evaluation 605
Pharmacokinetics 607
General issues in psychiatric drug prescribing 609
Antipsychotic drugs 613
Anti anxiety drugs 621
Antidepressants 625
Antimanic agents 632
Electroconvulsive therapy 634
CONTENTS
25 Psychotherapy 636
A. BEHAVIOURAL AND COGNITIVE THERAPIES
Stirling Moorey and Ruth Williams
Introduction 636
Development of behavioural and cognitive psychotherapies 636
Principles of assessment 638
Principles of treatment 639
Applications of cognitive and behavioural therapy 645
Conclusions 649
B. ANALYTICALLY INFORMED
Christopher Dare
Introduction 650
The nature of psychoanalytic psychotherapy 650
Considerations as to how psychoanalytic psychotherapy can be
viewed 651
Science and psychoanalysis 652
A history of psychoanalysis 654
The conduct of psychoanalytic psychotherapy 657
The structure of psychoanalytic psychotherapy 658
Psychoanalytic psychotherapy, object relations and the process of
change in treatment 664
Psychoanalysis and brief psychotherapy 667
Brief psychodynamic psychotherapies today 670
The decision to use psychoanalytic psychotherapy 676
References 679
Index 810
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| title | The essentials of postgraduate psychiatry |
| title_auth | The essentials of postgraduate psychiatry |
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