Clinical Application of Psychiatric Assessment and Treatment in Psychosomatic Diseases

Clinical Application of Psychiatric Assessment and Treatment in Psychosomatic Diseases

Author: Yujun Gao

Publisher: Frontiers Media SA

Published: 2023-11-08

Total Pages: 98

ISBN-13: 2832532438

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Psychosomatic diseases are a group of diseases closely related to psychosocial factors but mainly manifested by somatic symptoms, involving respiratory, digestive, endocrine, and other systems. As a result, the lack of consensus on its diagnosis has plagued clinical treatment in internal medicine, surgery, and psychiatry for decades. In recent years, research on the pathogenesis of psychosomatic diseases has made significant progress. For example, Franz Alexander believes that unresolved subconscious conflicts are the main cause of psychosomatic disorders. The subconscious psychological conflict is caused by the changes in the functional activities of the autonomic nervous system, acting on the corresponding special organs and patients with susceptible qualities. Similarly, mental and psychological factors affect gastrointestinal sensory and motor functions through the autonomic nervous system, brain-gut axis, and neuroendocrine system. Meanwhile, gastrointestinal symptoms also affect emotions and behaviors through the brain-gut axis. In addition, the Cannon-Bard theory of emotional physiology and Pavlovian theory of higher neural activity types from quantitative research methods to study the relationship between conscious psychological factors, such as emotions, and measurable physiological and biochemical changes. In clinical work, the treatment of psychosomatic diseases has gradually shifted from emphasizing physical treatment to comprehensive treatment principles, that is, taking into account the psychological and behavioral aspects of the physical treatment of the primary disease. The main purpose of physical treatment of the primary disease is to control or relieve symptoms. To consolidate the treatment of psychosomatic diseases and reduce the recurrence of psychosomatic diseases, combining physical therapy with necessary psychotherapy would potentially obtain a more comprehensive curative effect.


The Psychosomatic Assessment

The Psychosomatic Assessment

Author: Fava

Publisher: Karger Medical and Scientific Publishers

Published: 2012

Total Pages: 255

ISBN-13: 380559853X

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Expands and refines the psychosomatic approach in clinical practice Psychosomatic medicine has developed methods to increase diagnostic accuracy and improve targeted therapeutic approaches in all fields of medicine. In this context, clinimetrics, the science of clinical measurements, provides unprecedented opportunities for psychosomatic assessment. This volume illustrates how this approach can be translated into everyday practice complementing and improving the medical interview. The most sensitive and reliable clinical methods are presented for evaluating specific psychosocial aspects of disease, i.e. childhood adversities, life events and chronic stress, lifestyle, sexual function, subclinical and affective disturbances, personality, illness behavior, well-being and family dynamics. Each chapter provides practical illustrations as to how crucial information can be obtained with specific methods individualized according to the patients' needs. A hyperlink is provided to a website that contains many of the instruments assessed in the volume. This book enables the reader to understand the value of the psychosomatic approach in clinical practice. It is intended to expand and refine the skills of clinicians who work in general and specialized medicine and psychiatry, whether physicians, psychologists or other health professionals.


A Research Agenda for DSM-V

A Research Agenda for DSM-V

Author: David J. Kupfer

Publisher: American Psychiatric Pub

Published: 2002

Total Pages: 340

ISBN-13:

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Produced as a partnership between the American Psychiatric Association and the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse, this thought-provoking collection of white papers: Examines nomenclature issues. Reviews genetic, brain imaging, postmortem, and animal model research and includes strategic insights for a new research agenda Outlines recent progress in developmental neuroscience, genetics, psychology, psychopathology, and epidemiology, focusing on the turbulent first two decades of life. Suggests a research agenda for personality disorders that uses a dimensional rather than the current categorical approach to diagnosis. Proposes a research agenda to evaluate the clinical utility and validity of adding relational disorders to DSM-IV. Reevaluates the relationship between mental disorders and disability, proposing that diagnosis and disability be uncoupled. Examines the importance of culture in psychopathology and the main cultural variables at play in the diagnostic process.


Psychosomatic Medicine

Psychosomatic Medicine

Author: Kurt Ackerman

Publisher: Oxford University Press, USA

Published: 2015

Total Pages: 489

ISBN-13: 0199329311

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Psychosomatic Medicine (PM) is a rapidly developing subspecialty of psychiatry focusing on psychiatric care of patients with other medical disorders. PM practitioners strive to stay current with the latest research and practice guidelines in a burgeoning field involving complex interactions and combinations of illnesses. To address these challenges, this book provides practical instruction from PM clinicians, educators and researchers, covering core clinical concepts routinely used in practice.


Textbook of Pediatric Psychosomatic Medicine

Textbook of Pediatric Psychosomatic Medicine

Author: Richard J. Shaw

Publisher: American Psychiatric Pub

Published: 2010-03-18

Total Pages: 554

ISBN-13: 1585629308

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The Textbook of Pediatric Psychosomatic Medicine provides a comprehensive, empirically based knowledge of assessment and treatment issues in children and adolescents with physical illness. Scholarly, authoritative, and evidence based, it is the first volume of its kind and will help to define the field going forward. Addressing a very wide range of medical subspecialties, this volume is a first step for researchers who want to obtain a review of the psychiatric issues in their respective specialties. In addition, the book offers many special features, including An exceptionally strong section on psychopharmacology in the medical setting, which is complemented by a comprehensive set of reference tables on psychopharmacological agents, including doses, side effects, and indications for use in the physically ill child. Definitive chapters on less commonly reviewed topics that are of particular relevance for clinicians who treat physically ill children, including pediatric palliative care, Munchausen syndrome by proxy, and pediatric feeding disorders. Coverage of key legal and forensic issues in pediatric psychosomatic medicine. Presentation of material in graphical and tabular formats for maximal usefulness, including templates of specific questions for assessing common psychiatric symptoms and flowcharts illustrating step-by-step approaches to pain and somatoform disorders. Relevance to a broad range of professionals, including psychiatrists, pediatricians, psychologists, nurses, medical students, and social workers who work with children in medical settings. May be adopted as a textbook for psychology undergraduate classes, social work internships, and both general and child psychiatry residency training programs. The editors are recognized both nationally and internationally as being among the foremost experts for their respective fields, and they have assembled the leading practitioners of pediatric psychosomatic medicine to create this volume. The only complete text on pediatric psychosomatic medicine, this volume is destined to prove seminal in the field and indispensable in the clinician's library.


Clinical Manual of Pediatric Psychosomatic Medicine

Clinical Manual of Pediatric Psychosomatic Medicine

Author: Richard J. Shaw

Publisher: American Psychiatric Association Publishing

Published: 2006

Total Pages: 436

ISBN-13:

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The authors offer a practical method of mental health consultation in the medical setting and cover topics not included in standard child psychiatry and psychology texts, such as treatment adherence and organ transplantation. Overview chapters include a hands-on approach to the consultation process and pragmatic assessment guidelines. Succeeding chapters then address specific clinical situations, from delirium and mood disorders to organ transplantation and cancer. Additional chapters consider issues related to treatment and intervention: both individual and family psychotherapy, including cop


Massachusetts General Hospital Guide to Primary Care Psychiatry

Massachusetts General Hospital Guide to Primary Care Psychiatry

Author: Theodore A. Stern

Publisher: McGraw Hill Professional

Published: 2004

Total Pages: 822

ISBN-13: 9780071410014

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From the leading psychiatry department in the world, comes the second edition of this unique, symptom-oriented approach to the diagnosis and treatment of psychiatric diseases. Features coverage of all the salient features of psychiatric diseases as well as new emphasis on evidence-based algorithms, psychopharmacological advances, and the pediatric patient.


Psychosocial Interventions for Mental and Substance Use Disorders

Psychosocial Interventions for Mental and Substance Use Disorders

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2015-09-18

Total Pages: 169

ISBN-13: 0309316979

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Mental health and substance use disorders affect approximately 20 percent of Americans and are associated with significant morbidity and mortality. Although a wide range of evidence-based psychosocial interventions are currently in use, most consumers of mental health care find it difficult to know whether they are receiving high-quality care. Although the current evidence base for the effects of psychosocial interventions is sizable, subsequent steps in the process of bringing a psychosocial intervention into routine clinical care are less well defined. Psychosocial Interventions for Mental and Substance Use Disorders details the reasons for the gap between what is known to be effective and current practice and offers recommendations for how best to address this gap by applying a framework that can be used to establish standards for psychosocial interventions. The framework described in Psychosocial Interventions for Mental and Substance Use Disorders can be used to chart a path toward the ultimate goal of improving the outcomes. The framework highlights the need to (1) support research to strengthen the evidence base on the efficacy and effectiveness of psychosocial interventions; (2) based on this evidence, identify the key elements that drive an intervention's effect; (3) conduct systematic reviews to inform clinical guidelines that incorporate these key elements; (4) using the findings of these systematic reviews, develop quality measures - measures of the structure, process, and outcomes of interventions; and (5) establish methods for successfully implementing and sustaining these interventions in regular practice including the training of providers of these interventions. The recommendations offered in this report are intended to assist policy makers, health care organizations, and payers that are organizing and overseeing the provision of care for mental health and substance use disorders while navigating a new health care landscape. The recommendations also target providers, professional societies, funding agencies, consumers, and researchers, all of whom have a stake in ensuring that evidence-based, high-quality care is provided to individuals receiving mental health and substance use services.


Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health

Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health

Author: Lee Baer

Publisher: Springer Science & Business Media

Published: 2009-10-03

Total Pages: 334

ISBN-13: 1597453870

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Psychiatric clinicians should use rating scales and questionnaires often, for they not only facilitate targeted diagnoses and treatment; they also facilitate links to empirical literature and systematize the entire process of management. Clinically oriented and highly practical, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an ideal tool for the busy psychiatrist, clinical psychologist, family physician, or social worker. In this ground-breaking text, leading researchers provide reviews of the most commonly used outcome and screening measures for the major psychiatric diagnoses and treatment scenarios. The full range of psychiatric disorders are covered in brief but thorough chapters, each of which provides a concise review of measurement issues related to the relevant condition, along with recommendations on which dimensions to measure – and when. The Handbook also includes ready-to-photocopy versions of the most popular, valid, and reliable scales and checklists, along with scoring keys and links to websites containing on-line versions. Moreover, the Handbook describes well known, structured, diagnostic interviews and the specialized training requirements for each. It also includes details of popular psychological tests (such as neuropsychological, personality, and projective tests), along with practical guidelines on when to request psychological testing, how to discuss the case with the assessment consultant and how to integrate information from the final testing report into treatment. Focused and immensely useful, the Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health is an invaluable resource for all clinicians who care for patients with psychiatric disorders.