The Casebook of Psychosomatic Medicine brings to life the patients whom psychosomatic medicine serves and the variety of challenges they face -- classic psyche--soma involvement; psychotic attributions to physical illness; catastrophic events and injuries; major systemic medical challenges with comorbid psychopathology; and more.
A neurologist explores the very real world of psychosomatic illness. Most of us accept the way our heart flutters when we set eyes on the one we secretly admire, or the sweat on our brow as we start the presentation we do not want to give. But few of us are fully aware of how dramatic our body's reactions to emotions can sometimes be. Take Pauline, who first became ill when she was fifteen. What seemed at first to be a urinary infection became joint pain, then food intolerances, then life-threatening appendicitis. And then one day, after a routine operation, Pauline lost all the strength in her legs. Shortly after that her convulsions started. But Pauline's tests are normal; her symptoms seem to have no physical cause whatsoever. Pauline may be an extreme case, but she is by no means alone. As many as a third of men and women visiting their GP have symptoms that are medically unexplained. In most, an emotional root is suspected and yet, when it comes to a diagnosis, this is the very last thing we want to hear, and the last thing doctors want to say. In It's All in Your Head consultant neurologist Dr Suzanne O'Sullivan takes us on a journey through the very real world of psychosomatic illness. She takes us from the extreme -- from paralysis, seizures and blindness -- to more everyday problems such as tiredness and pain. Meeting her patients, she encourages us to look deep inside the human condition. There we find the secrets we are all capable of keeping from ourselves, and our age-old failure to credit the intimate and extraordinary connection between mind and body.
Get much-needed exposure to real-world clinical scenarios and psychiatric evaluations, with this invaluable guide to positive, effective psychiatric advance practice nursing care. For an expert guide to providing patient-centered, evidence-based psychiatric care, keep Psychiatric Case Studies for Advanced Practice by your side. Practical and easy-to-follow, these more than 50 case scenarios clearly display the complaints, diagnoses, and treatments of the most common psychiatric disorders, supporting the critical decision-making skills of nurses practicing in a broad range of settings. Psychiatric, family, emergency, and general practice nurse practitioners of all experience levels will find this an invaluable aid for creating an informed, holistic practice. Follow the real-life cases and expert analysis of psychiatric patients of a wide variety of ages, backgrounds, and conditions . . . Real-world child, adolescent, adult, and geriatric inpatient and outpatient psychiatric case studies that emphasize problem-based learning and an evidence-based practice Current diagnostic content from the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), that includes DSM-5’s newer diagnoses—gender dysphoria, binge eating disorder, and autism spectrum, plus current treatments for alcohol and opiate addiction Sample routine screening tools that offer convenient checklists and handouts to support patient treatment Content presented in a simple format—organized by age and indexed by diagnostic category for quick reference Each case presented in a standard format: chief complaint, history, mental status, diagnosis, differential diagnosis, treatment plan, and rationale for treatment prescribed—with questions at the end that guide you to create a diagnosis using the DSM-5 Cases addressing a wide range of disorders and supporting all experience levels in a variety of treatment settings—counseling centers, correctional facilities, homeless shelters, inpatient psychiatric units, and hospital consultation and liaison services Treatments and rationales that represent current, evidence-based research—treatment sections divided into psychopharmacology, diagnostic tests, referral, psychotherapy, and psychoeducatio Supplemental teaching tool for graduate psychiatric nurse practitioner/APN programs
The role of stress in the development of certain medical illnesses is increasingly recognised and there is a growing need to find effective psychological treatments that can address this factor in physical illness. This text considers the ways in which stressful situations can interact with individuals to cause bodily changes that result in illness or physical symptoms. Accessible and fully up-to-date, this engaging text offers, in particular: - An analysis of neuroscientific bases for understanding psycho somatic reactions - Full clinical accounts of disorders, including telling case study material - An original approach to understanding mind-body medicine - A clear account of the development of psychoanalytic approaches to this complex field Trainees and practitioners in counselling, psychotherapy, healthcare and medicine will find this a fascinating text that both deepens their understanding and enriches their practice.
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.
In the first section of this encyclopedic volume, Dr. Robert Kellner surveys the biological, psychological, and psychiatric studies on nine psychosomatic syndromes, draws conclusions about the complex etiology of these syndromes, offers guidelines for diagnosis, and recommends treatments based on research findings. The second section is an overview of the various processes that lead to bodily complaints, including somatization. The author discusses how psychosomatic syndromes described in the first section contribute to the symptoms of somatoform disorders and how knowledge gained from research on treatment of psychosomatic syndromes can be applied to the treatment of somatoform disorders.
This intriguing volume presents the most contemporary views on the conceptualization and treatment of somatoform disorders and related conditions from experts in psychodynamic and cognitive behavioral approaches. It does so with respect to both perspectives, without advocating for either approach. By presenting expert views from diverse perspectives, the book raises, what is a central point in most of the chapters, that emotion, its processing and regulation, is a cornerstone of these disorders. The volume also highlights the role of pathogenic coping or defense mechanisms like dysfunctional avoidance (from a CBT perspective) and conversion (from the psychodynamic perspective) in the maintenance of psychosomatic symptoms. The volume’s contents include detailed literature reviews on the most common—and most treatment-resistant—mind/body conditions, including chronic pain, responses to trauma, alexithymia, and the spectrum of health anxiety disorders. Noted experts distinguish between types of medically unexplained symptoms, discuss their complex processes, and provide models for intervention where cognitive-behavioral or psychodynamic approaches may be appropriate or effective. And a fascinating case study of a patient presenting multiple trauma-related disorders explores therapist resourcefulness over a course of shifting symptoms and frustrating setbacks. Among the topics covered: Maintaining mechanisms of health anxiety: current state of knowledge. Negative affect and medically unexplained symptoms. Alexithymia as a core trait in psychosomatic and other psychological disorders. Trauma and its consequences for body and mind. Embodied memories, a new pathway to the unconcious. Psychotherapy among HIV patients: a look at a psychoimmunological research study after 20 years. Health anxiety: a cognitive-behavioral framework. The wealth of options discussed in Somatoform and Psychosomatic Disorders offers health psychologists, psychiatrists, psychotherapists, counselors, and psychoanalysts bold new ideas for case formulation, treatment planning, and intervention with some of their most intractable cases.
Jean Benjamin Stora has worked as a psychoanalyst and psychosomatist for almost five decades. The aim of integrative psychosomatics is to heal the body and mind in relationship to one another rather than treating the body as a machine with parts to be fixed. Thus, Stora explores a patient's current and past life history in relation to physical illness and offers therapeutic support alongside medical treatments. To better understand this revolutionary approach, Stora presents fifteen case studies from the past twenty years. We read of George suffering from hyperlipidemia; Giles, a diabetic facing amputation; Elvira, an alcoholic; Dorothy, who complains the doctors treat body parts but not her; Beatrice facing a reappearance of breast cancer; and ten further patients. This complex process takes into account the fundamental role of the central nervous system in the relationship of mind and body. Thus, neuroscience is a key component of this holistic approach, as well as the new discipline of neuropsychoanalysis. This is most clearly shown in the case of Emma, suffering after brain surgery. The Psychosomatic Therapy Casebook is an excellent introduction to integrative psychosomatics. The stories presented in the first four chapters can be read by anyone with an interest in the subject. The fifth and final chapter is aimed at psychotherapists, psychoanalysts, and doctors looking to gain a greater understanding of the practice. It contains a comprehensive review of the technical points involved and clearly shows the difference between psychoanalytic technique and the technique of psychosomatic therapy. This is an important book in learning to treat the person as a whole rather than split into mind and body.
This condensed version of The American Psychiatric Publishing Textbook of Psychosomatic Medicine shows the importance of psychiatric intervention in comprehensive medical care in prevention, relief of suffering, and improved medical outcomes. Essentials of Psychosomatic Medicine contains that portion of the larger work's content devoted to comprehensive coverage of specific disorders. Contributions cover epidemiology, psychological factors affecting specific diseases, those diseases' effects on mental health, diagnostic issues, and treatment, including psychotherapy, psychopharmacology, psychiatric side effects of drugs for medical conditions, and drug interactions relevant to the diseases covered. Essentials first guides users through general principles in evaluation and management and then offers concise versions of all 18 specialty chapters from the Textbook, updated for this edition. All of the medical specialties are covered, including the internal medicine subspecialties, neurology, surgery, ob-gyn, organ transplantation, pediatrics, dermatology, physical medicine and pain management. Each chapter ends with multiple-choice questions for self-assessment. Concise yet comprehensive, Essentials of Psychosomatic Medicine can help the consultant better diagnose, understand, and manage a wide array of conditions in order to address the needs of both the patient and the medical-surgical team.
The Psyche of the Body is a passionate and well-informed plea for a Jungian version of psychosomatic medicine and psychotherapy. Illustrated by vivid clinical illustrations of case histories, The Psyche of the Body reviews the long history of psychosomatic medicine and models of the relationship between psyche and body that have evolved over time, and presents a full revision of research in the field over the last twenty years. It presents a much-needed theoretical model together with practical guidelines that demonstrate how the psychological aspects of specific illnesses should be handled in therapy and analysis. Practicing and training Jungian analysts, as well as all those involved in clinical treatment, will find the interdisciplinary approach to psychosomatic medicine promoted in this book fascinating reading.