Psychosomatic Medicine examines the definition, constructs, and dilemmas that confront professionals working at the interface of medicine and psychiatry, psychosomatic medicine, and consultation-liaison psychiatry. It is intended to define key problems and advise methods of diagnosis and treatment, and to adumbrate where the field needs to develop in the 21st century to fulfill its mission. Accompanying the book is a DVD with searchable references, PowerPoint lectures, questions and answers for the reader, and other clinical work and materials for teaching. This includes trial software to enhance documentation of patient encounters, pertinent literature citations from experts in addition to those listed at the end of each chapter, and an innovative method to assess medical students on clerkships in regard to their clinical learning experiences. These “cutting edge” technologies are an example of the kinds of advances that are hoped for in the 21st century.
An important theme throughout the book is the dilemma of diagnostic accuracy: Diagnosis remains the bête noire of psychosomatic medicine. Even the name psychosomatic medicine contributes to the confusion in that it could refer to a patient with:
(a) physical illness that affects mental thoughts and feelings (e.g., mastectomy and its mental aftermath);
(b) a psychiatric disorder that occurs in a medically ill patient (e.g., bipolar disorder in a patient with an acute myocardial infarction);
(c) a psychological reaction to the use of medical, psychiatric medications, or drug–drug interactions;
(d) the precipitation of a physiological process by a mental event—psychosomatic (e.g., a stressor); and
(e) psychiatric symptoms from medical illnesses—somatopsychic phenomenon (e.g., delirium, depressive disorders from visceral neoplasia).
This is not an ordinary textbook. Not only does the content reflect the up-to-date evidence-based literature and expert opinions on theory and practice, but it also includes a DVD, which makes it a book of its time. On the DVD, there is an electronic version of the complete text, as well as references that are completely searchable. There are also PowerPoint slides for most of the chapters, which enable lectures to be given using the material in the text. There are questions and answers that can also be used for teaching. These components make this volume a unique learning tool for the promulgation of this newest subspecialty of psychiatry.
Contents
EVOLUTION OF PSYCHOSOMATIC MEDICINE:
- Psychosomatic Medicine: History of a "New" Specialty
- An International View of Consult-Liaison Psychiatry
- Symptoms: Historical Perspective and Effect on Diagnosis
- Diagnostic and Classificatory Dilemmas
- Depression: A Systemic Illness
- Evolution of Measurement
- Implications of Culture
- Forensic Considerations
PHYSICAL CONDITIONS:
- Cardiovascular Disease
- Oncology
- Gastrointestinal Disease
- Renal Disease
- Endocrine and Metabolic Disorders
- Pulmonary Disease
- Neurological Disease: Parkinson Disease, Epilepsy, Migraine Headaches, Multiple Sclerosis, Amyotrophic Lateral Sclerosis, and Creutzfeldt-Jakob Disease
- Stroke
- HIV Disease
- Infectious Diseases
- Burn Injuries
- Physical Trauma
- Transplantation
- Rheumatoid Diseases
PSYCHIATRIC CONDITIONS:
- Anxiety
- Suicidality
- Alcoholism
- Substance Abuse
- Delirium
- Dementia
- Somatization
- Body Dysmorphic Disorder
- Conversion Disorders
- Hypochondriasis
- Factitious Disorders
SPECIAL TOPICS:
- Women's Health Issues
- Pregnancy
- Sexuality
- Death and Dying
- Pain and Palliative Care
- Ethical Considerations
- Psychotropic Drugs in the Medically Ill
- Overview of Drug Interactions in Psychosomatic Medicine
- Psychotherapy
- Psychodynamic Approach
- Cognitive Behavioral Therapy
- Personality Traits and Disorders
- Interventions, Outcomes, and Costs
FUTURE PERSPECTIVES:
- Evidence-Based Medicine
- Genomic Testing
- Brain Imaging
- Medical Informatics
Index
Book Details
- Hardcover: 987 pages
- Publisher: Lippincott Williams & Wilkins; 1 Har/DVD edition (May 15, 2006)
- Language: English
- ISBN-10: 0781760461
- ISBN-13: 978-0781760461
- Product Dimensions: 11.2 x 8.8 x 1.9 inches
List Price: $225.95