This fully updated third edition of Psychiatry in Medical Practice takes into account major changes in medical education since 1994. New sections provide information on problem-based learning and observed structured clinical examinations. Divided into four sections, this book covers: clinical approaches to the patient syndromes of disorder disorders related to stages of the life cycle services, ethics and the law. As well as retaining the key features of the previous editions, this book includes two brand new chapters on risk assessment and the Mental Health Service. A handy portable reference card is also included; this has been updated to incorporate a scale for assessing cerebral impairment in the elderly, and a new assessment of suicidal risk scale. This highly practical book is an essential guide for all medical students and doctors in training who are involved with psychiatry. It is also a useful reference tool for those who are more experienced in the field.
Psychiatry in Practice: Education, Experience, and Expertise provides detailed advice and useful tips for early career psychiatrists, and all others who wish to enhance their practical psychiatry skills. Each chapter is written by prominent early career psychiatrists from around the world, offering relevant and timely advice to those who are newly qualified, as well as a global perspective on the practical issues faced today. Covering a variety of topics from 'Psychiatric Emergencies' to 'Ethics and clinical practice in psychiatry', chapters include vignettes of scenarios that may be encountered, making this book pertinent and easily applicable to many early career situations. Skills related to personal management and managing resources are often not taught during training but are key to establishing a career in psychiatry - this book will help the new clinician to develop professionally. The emphasis on practicality ensures psychiatrists are prepared for the needs of the modern health service and society at large, and ensures patients across the world experience the best treatment available.
The Textbook of Medical Psychiatry was written for the wide range of clinicians who grapple with the diagnostic and treatment challenges inherent in this clinical reality: medical and psychiatric illnesses do not occur in isolation from one another. Because assessment in these cases may be challenging, the book addresses general medical conditions that directly cause psychiatric illness and the medical differential diagnosis of common psychiatric illnesses. In addition, the book describes how the presentation and treatment of both psychiatric and medical disorders are modified by the presence of comorbid conditions. The editors, who are at the forefront of the field, have assembled an outstanding group of contributors, all of whom share the objective of helping psychiatrists, internists, neurologists, trainees, and other health care providers recognize the medical issues facing patients with psychiatric symptoms, and vice versa. Proper assessment and treatment are dependent on the skillful application of this knowledge. Written in down-to-earth, clinically grounded prose, this text Provides a comprehensive exploration of approaches to the patient, including perspectives from internists and neurologists on dealing with diagnostic uncertainty and special chapters on the neurological examination, cognitive testing, neuroimaging, laboratory testing, and toxicological syndromes. Presents a review of medical disorders that can directly or indirectly affect the clinical presentation and course of psychiatric disorders. Presents a review of psychiatric disorders that can be caused by medical illnesses or affect the clinical presentation and course of medical disorders. Includes chapters on pain, insomnia, and somatoform disorders, conditions that accompany many psychiatric and medical illnesses and that fall in the boundary between these practice settings. In clinics and offices every day, physicians encounter patients whose presentations are atypical or whose symptoms are not responsive to usual care. When facing the challenges of accurately assessing complicated symptoms and managing the care of complex patients, clinicians often seek advice from colleagues whose perspectives and expertise they trust. The chapters in the Textbook of Medical Psychiatry can be consulted in much the same fashion, expanding clinicians' knowledge base and helping them to more effectively diagnose and care for their patients.
The psychiatric profession in Germany changed radically from the mid-nineteenth century to the beginning of World War I. In a book that demonstrates his extensive archival knowledge and an impressive command of the primary literature, Eric J. Engstrom investigates the history of university psychiatric clinics in Imperial Germany from 1867 to 1914, emphasizing the clinical practices and professional debates surrounding the development of these institutions and their impact on the course of German psychiatry.The rise of university psychiatric clinics reflects, Engstrom tells us, a shift not only in asylum culture, but also in the ways in which social, political, and economic issues deeply influenced the practice of psychiatry. Equally convincing is Engstrom's argument that psychiatrists were responding to and working to shape the rapidly changing perceptions of madness in Imperial Germany. In a series of case studies, the book focuses on a number of important clinical spaces such as the laboratory, the ward, the lecture hall, and the polyclinic. Engstrom argues that within these spaces clinics developed their own disciplinary economies and that their emergence was inseparably intertwined with jurisdictional contests between competing scientific, administrative, didactic, and sociopolitical agendas.
While there are a number of books on positive psychology, Positive Psychiatry is unique in its biological foundation and medical rigor and is the only book designed to bring positive mental health ideas and interventions into mainstream psychiatric research, training, and clinical practice. After an overview describing the definition, history, and goals of positive psychiatry, the contributors—pioneers and thought leaders in the field—explore positive psychosocial factors, such as resilience and psychosocial growth; positive outcomes, such as recovery and well-being; psychotherapeutic and behavioral interventions, among others; and special topics, such as child and geriatric psychiatry, diverse populations, and bioethics. The book successfully brings the unique skill sets and methods of psychiatry to the larger positive health movement. Each chapter highlights key points for current clinical services, as practiced by psychiatrists, primary care doctors, and nurses, as well as those in allied health and mental health fields. These readers will find Positive Psychiatry to be immensely helpful in bringing positive mental health concepts and interventions into the clinical arena.
This guide to modern psychiatry explores approaches to diagnosing and treating psychiatric disorders. It illustrates each approach's strengths and weaknesses and then suggests how to interweave them in working with patients. Using clinical vignettes, it illustrates the connections between clinical phenomenology, pathophysiology, and treatment.
Precision psychiatry, as outlined in this groundbreaking book, presents a new path forward. By integrating findings from basic and clinical neuroscience, clinical practice, and population-level data, the field seeks to develop therapeutic approaches tailored for specific individuals with a specific constellation of health issues, characteristics, strengths, and symptoms.
Written and edited by leading emergency psychiatrists, this is the first comprehensive text devoted to emergency psychiatry. The book blends the authors' clinical experience with evidence-based information, expert opinions, and American Psychiatric Association guidelines for emergency psychiatry. Case studies are used throughout to reinforce key clinical points. This text brings together relevant principles from many psychiatric subspecialties—community, consultation/liaison, psychotherapy, substance abuse, psychopharmacology, disaster, child, geriatric, administrative, forensic—as well as from emergency medicine, psychology, law, medical ethics, and public health policy. The emerging field of disaster psychiatry is also addressed. A companion Website offers instant access to the fully searchable text. (www.glickemergencypsychiatry.com)
Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians was written for psychiatrists in training and in clinical practice, as well as other health care providers who wish to learn an evidence-based and user-friendly approach to prevent commonly encountered, treatable, and potentially deadly illnesses in their patients. The poor health and early mortality of people with serious mental illnesses has been well documented: People who have serious mental illness have increased general medical comorbid conditions, receive minimal preventive medical services, and have a reduced life span of as much as thirty years when compared to the general population. In addition, there is now extensive data showing bidirectional interactions between chronic medical illnesses and mental disorders. Clearly, treating the whole person, instead of the disorder in isolation, is critical to improving outcomes and reducing suffering. The book's logical structure makes it easy to use, with sections devoted to general principles of preventive psychiatry, cardiovascular and pulmonary disorders, endocrine and metabolic disorders, infections disorders, and oncologic disorders. In addition, the volume: Provides evidence-based approaches to care across the prevention spectrum, from primary prevention (how to keep people healthy), to secondary prevention (how to detect early signs of common illnesses), through tertiary prevention (how to prevent disability and adverse outcomes once patients develop medical problems). Informs clinicians about how to more effectively interface with general medical practitioners, and instructs them in providing screening for common medical problems, as well as ensuring that preventive measures, such as vaccinations, are performed. Covers, in a section addressing "special topics," child, adolescent, and geriatric populations, as well as strategies for assessing and managing chronic pain. Concludes with an appendix that features a health questionnaire, Preventive Medicine in Psychiatry (PMAP), for use in screening and follow-up, and a handy summary of age based preventive medicine recommendations, references to which clinicians will return repeatedly. The Affordable Care Act has provided mental health practitioners with new opportunities to develop integrated models of care that better serve patients and populations, furthering the existing trend of treating the whole patient. Preventive Medical Care in Psychiatry: A Practical Guide for Clinicians is a critical resource which will prove indispensable to clinicians dedicated to improving the quality of life and longevity for patients who suffer from serious mental illness. Twenty-five percent of royalties help support Resident-Fellow Members (RFM) within the California Psychiatric Association.
Physicians recognize the importance of patients' emotions in healing yet believe their own emotional responses represent lapses in objectivity. Patients complain that physicians are too detached. Halpern argues that by empathizing with patients, rather than detaching, physicians can best help them. Yet there is no consistent view of what, precisely, clinical empathy involves. This book challenges the traditional assumption that empathy is either purely intellectual or an expression of sympathy. Sympathy, according to many physicians, involves over-identifying with patients, threatening objectivity and respect for patient autonomy. How can doctors use empathy in diagnosing and treating patients rithout jeopardizing objectivity or projecting their values onto patients? Jodi Halpern, a psychiatrist, medical ethicist and philosopher, develops a groundbreaking account of emotional reasoning as the core of clinical empathy. She argues that empathy cannot be based on detached reasoning because it involves emotional skills, including associating with another person's images and spontaneously following another's mood shifts. Yet she argues that these emotional links need not lead to over-identifying with patients or other lapses in rationality but rather can inform medical judgement in ways that detached reasoning cannot. For reflective physicians and discerning patients, this book provides a road map for cultivating empathy in medical practice. For a more general audience, it addresses a basic human question: how can one person's emotions lead to an understanding of how another person is feeling?
