Fundamentals of psychiatry

668 Pages·2011·4.41 MB·English

by  Mohr

Contents
Cover
Title Page
Copyright
Dedication
Preface
Acknowledgments
Unit 1: Foundations
Chapter 1: Introduction
1.1 Mental Health and Mental Illness
1.2 Incidence and Prevalence of Mental Illness
1.3 Etiology of Mental Illness
1.4 The Burden of Mental Illness
1.5 The Recovery Movement
1.6 Vision of a Transformed Mental Health System
Further Reading
Chapter 2: The Therapeutic Relationship
2.1 Introduction
2.2 Rapport
2.3 Listening to the Patient
2.4 The Therapeutic Relationship
2.5 Mediating Factors Affecting the Therapeutic Relationship
2.6 Other Issues Affecting the Therapeutic Relationship
Further Reading
Chapter 3: An Integrative Approach to Developmental
Psychopathology
3.1 Introduction
3.2 Toward a Comprehensive, Multidisciplinary Understanding
of Psychopathology
3.3 Theories of Development
3.4 Biological Considerations
3.5 Cognitive Development
3.6 Emotional Development
3.7 Social Development
3.8 Moral Development
3.9 The Importance of Identity Formation
3.10 The Emergence of Mental Illness
Further Reading
Chapter 4: Psychiatric Classifications
4.1 Introduction
4.2 Development of the Diagnostic and Statistical Manual of
Mental Disorders
4.3 Nosology, Diagnoses, and the DSM
4.4 Validity, Reliability, and Limitations of the DSM
4.5 The International Classification of Diseases
4.6 Psychiatric Terminology and Accuracy in Communication
Further Reading
Chapter 5: Psychiatry and the Neurosciences
5.1 Introduction
5.2 Brain Development
5.3 Mind and Brain in Psychiatric Illness
5.4 Other Issues in Neuroscience
Further Reading
Unit 2: The Context of Care
Chapter 6: Care Settings and the Continuum of Care
6.1 Introduction
6.2 Background
6.3 Inpatient Facilities
6.4 Community Support Programs
6.5 Assertive Community Treatment
6.6 Child and Adolescent Service System Programs
6.7 Forensic Settings
6.8 Court Diversion Schemes
Further Reading
Chapter 7: Cultural Context of Care
7.1 Introduction
7.2 Sociocultural Aspects and Influences
7.3 Culture: The Broad Territory of a Concept
7.4 Gender
7.5 Religion and Spirituality
7.6 Cultural Congruence
Further Reading
Chapter 8: The Multidisciplinary Treatment Team and
Working with Other Professionals
8.1 Introduction
8.2 The Multidisciplinary Team
8.3 Referrals
8.4 Turf Battles
8.5 Courtesies and Professional Relationships
Further Reading
Chapter 9: Ethical Practice
9.1 Introduction
9.2 Professional Ethics
9.3 Sources of Ethics
9.4 Ethical Behavior of Psychiatric Physicians
9.5 Selected Ethical Issues in Psychiatric Practice
9.6 Rights of Psychiatric Patients
Further Reading
Chapter 10: Legal Context of Psychiatric Practice
10.1 Introduction
10.2 Hospitalization
10.3 Informed Consent
10.4 Consent to the Treatment of Minors
10.5 Substituted Consent
10.6 Refusal of Treatment and Competence
10.7 Confidentiality
10.8 Responsible Record-keeping
10.9 Lawsuits and Legal Redress
10.10 Liability for Supervising other Professionals
10.11 Criminal Issues
Legal Citations
Further Reading
Unit 3: Clinical Disorders
Chapter 11: Pediatric Disorders
11.1 Introduction
11.2 Risk Factors
11.3 Importance of the Family Context
11.4 General Interventions
11.5 Common Psychiatric Disorders
Further Reading
Chapter 12: Sleep Disorders
12.1 Introduction
12.2 The Physiology of Sleep
12.3 Sleep Hygiene
12.4 Sleep Disorders
Further Reading
Chapter 13: Bipolar Mood Disorders
13.1 Introduction
13.2 The Bipolar Spectrum
13.3 Etiology
13.4 Course and Prognosis
13.5 Treatments
Further Reading
Chapter 14: Depression
14.1 Introduction
14.2 Epidemiology
14.3 Etiology
14.4 Signs, Symptoms, and Diagnostic Criteria
14.5 Other Clinical Features in Depressive Disorders and
Subtypes
14.6 Differential Diagnosis
14.7 Depressive Disorders with Comorbid Psychiatric
Disorders
14.8 Depressive Disorders with Comorbid General Medical
Conditions
14.9 Treatments
14.10 Treatment-related Suicidality
Further Reading
Chapter 15: Anxiety Disorders
15.1 Fear and Anxiety
15.2 Epidemiology
15.3 Etiology
15.4 Panic Disorder
15.5 Obsessive–Compulsive Disorder
15.6 Post-traumatic Stress Disorder
15.7 Acute Stress Disorder
15.8 Social and Specific Phobias
15.9 Generalized Anxiety Disorder
Further Reading
Chapter 16: Eating Disorders
16.1 Introduction
16.2 Anorexia Nervosa
16.3 Bulimia Nervosa
16.4 Binge-eating Disorder
Further Reading
Chapter 17: Cognitive Disorders
17.1 Introduction
17.2 The Dementias
17.3 Dementia due to Alzheimer's Disease
17.4 Vascular Dementia
17.5 Dementia due to Huntington's disease
17.6 Dementia due to Lewy-body disease
17.7 Dementia due to Pick's disease
17.8 Dementia due to Parkinson's disease
17.9 Dementia associated with Human Immunodeficiency
Virus
17.10 Dementia associated with Creutzfeldt–Jakob disease
17.11 Dementia due to Head Trauma
17.12 Substance-induced Persisting Dementia
17.13 Dementia due to other General Medical Conditions
17.14 Management of the Dementias
17.15 Amnestic Disorders
Further Reading
Chapter 18: Substance Use, Abuse, and Dependence
18.1 Introduction
18.2 Terminology of Substance Abuse and Dependence
18.3 Recreational Use of Substances
18.4 Epidemiology
18.5 Etiology of Drug and Alcohol Dependence
18.6 Comorbidity and Dual Diagnoses
18.7 Alcohol Use and Dependence
18.8 Hypnotic or Anxiolytic Use or Dependence
18.9 Cocaine Abuse and Dependence
18.10 Amphetamine Abuse and Dependence
18.11 Opioid Abuse and Dependence
18.12 Other Substances of Abuse and Dependence
Further Reading
Chapter 19: Personality Disorders
19.1 Introduction
19.2 The Categorical–Dimensional Debate
19.3 Epidemiology
19.4 Course
19.5 Etiology
19.6 The Three Clusters of Personality Disorder
Further Reading
Chapter 20: Stereotyped Movement Disorder and
Reactive Attachment Disorder
20.1 Introduction
20.2 Stereotypic Movement Disorder
20.3 Reactive Attachment Disorder
Further Reading
Chapter 21: Adjustment Disorder
21.1 Introduction
21.2 Diagnostic Criteria
21.3 Epidemiology
21.4 Etiology
21.5 Treatments
Further Reading
Chapter 22: Impulse Control Disorders
22.1 Introduction
22.2 Impulsivity
22.3 Intermittent Explosive Disorder
22.4 Kleptomania
22.5 Pyromania and Fire-setting Behavior
22.6 Pathological Gambling
22.7 Trichotillomania
Further Reading
Chapter 23: Mental Disorders due to a Medical
Condition
23.1 Introduction
23.2 Clinical Considerations
23.3 Psychotic Disorders
23.4 Mood Disorder with Depressive Features
23.5 Manias
23.6 Anxiety Disorder with Panic Attacks or with Generalized
Anxiety
23.7 Obsessive–Compulsive Disorder
23.8 Catatonic Disorders
23.9 Personality Change
23.10 Mental Disorders Not Otherwise Specified
Further Reading
Chapter 24: Factitious Disorder
24.1 Introduction
24.2 Sick-role Behavior
24.3 Factitious Disorder
24.4 Factitious Disorder by Proxy
Further Reading
Chapter 25: Schizophrenia and Psychoses
25.1 Introduction