Hughes' Outline of Modern Psychiatry (eBook)

David Gill (Autor)

eBook Download: PDF

2007 | 1. Auflage
432 Seiten
Wiley (Verlag)
978-0-470-51657-7 (ISBN)

Infos

Hughes' Outline of Psychiatry, Fifth Edition presents a comprehensive account of current practice in psychiatry, summarising up-to-date knowledge of the subject in a concise way.

Part I touches on general classification, causes and prevention of mental disorders. It also outlines the basics of the psychiatric interview, examination and investigation. Part II gives an overview of the most common clinical syndromes, covering frequency, epidemiology, causes, clinical features, clinical types, diagnostic criteria, differential diagnosis and treatment for each disorder. Part III focuses on all different treatment options, from Psychological Treatment to Psychosurgery. 

• Fully up-to-date in respect to drugs and treatments, classification systems, and recent legal developments
• Concentrates on practical clinical techniques rather than psychiatric theory
• Includes plenty of case studies
• Format ideal for quick reference or revision

This new edition of a well-established and well-received book is an invaluable textbook for medical and psychology students, trainees and psychologists. It is also a helpful resource for mental health nurses, professionals working in health service management and occupational therapy, general practitioners, and other non-specialists who need grounding in all practical aspects of mental health care.

From the reviews of the previous edition:

'The chapters are well structured, maintaining a balance between remaining comprehensive and interesting. The addition of illustrative case histories is welcome... a highly recommended text' JOURNAL OF SOCIAL PSYCHIATRY

'...very easy to read and the general layout is excellent... useful as a quick summary...' THE BRITISH JOURNAL OF PSYCHIATRY

Dr. David Gill. Consultant Psychiatrist, Department of Psychiatry (L18), Hertfordshire Partnership NHS Trust, Stevenage, UK
Dr Gill is engaged in the programme of Continuous Professional Development of the Royal College of Psychiatrists and of Hertfordshire Partnership Trust and has an active involvement in forensic psychiatry and education.

Inhalt

Hughes’ Outline of Modern Psychiatry 1
Contents 9
Preface 17
Part I: The nature and assessment of psychiatric disorder 19
1: Classification 21
The basis of classification 22
Reliability and validity 22
Limitations and problems of classification 23
Common terms in psychiatric classification 24
Classification systems 25
2: Causes and prevention 29
Causation in clinical practice 29
Historical background 30
Genetics 30
Neurochemistry 32
Neuroradiology 33
Epidemiology 33
Individual life experience 36
Prevention of psychiatric disorder 37
3: Assessment 41
Circumstances of referral 41
The psychiatric interview 42
Mental state examination 46
Physical examination 50
Structured interviews and questionnaires 52
Further assessments 53
Physical investigations 54
Part II: Clinical syndromes 57
4: Schizophrenia 59
Definition 59
Frequency 59
Epidemiology 60
Causation 60
Clinical features 66
Clinical types 73
Diagnostic criteria 76
Differential diagnosis 78
Treatment 79
Prognosis 84
5: Mood disorders: depressive illness and mania 87
Frequency 88
Epidemiology 89
Causes 89
Clinical features of depressive illness 94
Types of depressive illness 97
Diagnosis of depressive illness 103
Clinical features of mania 103
Differential diagnosis of mood disorders 104
Treatment of depressive illness 105
Treatment of mania 110
Prophylaxis of affective disorder 110
6: Anxiety and stress-related disorders 113
Boundaries of anxiety disorder 114
Hierarchy of diagnosis 114
Frequency 114
Epidemiology 115
Causes 115
Clinical features 116
Differential diagnosis 118
Treatment 118
Prognosis 121
Generalized anxiety disorder (anxiety state) 122
Panic disorder 123
Agoraphobia 123
Social phobia 124
Simple phobias (specific phobias, monophobias) 124
Obsessive-compulsive disorders 124
Post-traumatic stress disorder (PTSD) 125
Adjustment disorders 129
Bereavement 129
7: Personality disorders 131
Definition 131
Classification 131
Types of personality disorder 133
Epidemiology 135
Differential diagnosis 136
Treatment 137
Prognosis 139
Sociopathic (dissocial) personality disorder 139
8: Paranoid states 143
Definition 143
Predisposing factors 143
Differential diagnosis of paranoid states 144
Management 145
Culture-bound syndromes 145
9: Physical symptoms and psychiatric disorder 147
Introduction 147
Assessing physical symptoms in psychiatric practice 148
Unexplained physical symptoms 149
Management 155
Malingering and exaggeration 157
10: Organic brain syndromes 161
Causes 162
Clinical features 163
Delirium 163
Dementia 165
Focal brain damage 177
11: Liaison psychiatry 181
Psychological influences on the course of physical disease 182
The stresses of physical illness 183
Adjustment and coping 183
Clinical depression in medically ill patients 184
Management and prevention 185
Liaison psychiatric services 186
12 Drug misuse 189
Definitions 189
Epidemiology 190
Causes 190
Psychiatric and physical complications 190
Legal aspects 191
Pharmacology 192
Prevention 192
Treatment 193
Opiates 194
Amphetamines (Speed) 197
Cocaine and crack 198
Cannabis (Indian Hemp, Hashish, Pot) 199
Lysergic ACID diethylamide (LSD, ACID) 200
MDMA (Ecstasy) 201
Glues and solvents 202
Tobacco 202
Caffeine 203
Barbiturates 204
Benzodiazepines 205
13: Alcohol misuse 207
Safe limits of drinking 207
Frequency 208
Epidemiology 208
Causes 209
Effects of alcohol 210
Course of alcohol abuse 213
Recognition 213
Treatment 214
Prognosis 216
Prevention 216
14: Deliberate self-harm 217
Suicide 217
Non-fatal deliberate self-harm (Parasuicide, attempted suicide) 223
15: Eating disorders: anorexia nervosa and bulimia nervosa 229
Introduction 229
Anorexia nervosa (AN) 229
Bulimia nervosa 234
Obesity 235
16: Disorders of female reproductive life 237
Pregnancy 237
Puerperal psychosis 238
Post-natal depression and other neurotic syndromes 240
Abortion 243
Stillbirth and perinatal death 243
Premenstrual syndrome 243
The menopause 244
Hysterectomy 244
17: Sexual problems 245
Sexual dysfunctions 245
Sexual deviations 249
Gender-identity disorders 253
Homosexuality 254
18: Child and adolescent psychiatry 255
Predisposing factors 255
Classification 256
History taking and examination 257
Treatment 259
Relationship with adult disorder 259
Neurotic (Emotional) disorders 260
Conduct disorders 261
Attention deficit disorder 261
Psychoses 262
Delays in development 262
Symptomatic disorders 264
Child abuse 265
Psychiatry of adolescence 267
19: Learning disability 269
Frequency 269
Causes 269
Diagnosis of learning disability 270
Associated phenomena 271
Management 272
Prognosis 273
Prevention 273
Chromosomal abnormalities 276
Gene abnormalities 277
Acquired handicap 279
Miscellaneous 279
20: Psychiatry of old age 281
Frequency 281
Clinical syndromes 282
Assessment 284
Specific treatments 285
Organization of services 287
21: Forensic psychiatry 289
Offending behaviour 290
Predicting violence and dangerousness 291
Psychiatric aspects of specific offences 292
Treatment: general considerations 296
Facilities for mentally disordered offenders 297
Psychiatric reports: criminal 300
Part III: Treatment 305
22: Psychological treatment 307
Historical background 307
Principles of psychotherapy today 310
Counselling 312
Cognitive-behavioural therapy (CBT) 313
Psychodynamic psychotherapy 319
Group therapy 321
Family and marital therapy 321
Recent advances 323
23: Psychopharmacology 325
General principles of using psychotropic drugs 325
Antipsychotics 328
Antidepressants 333
Antidepressants: tricyclic group 334
Antidepressants: SSRI group 337
Antidepressants: MAOI group 340
Other antidepressant drugs 341
Benzodiazepines 342
Mood stablizers 346
Other drugs 349
24: Electroconvulsive therapy (ECT) and psychosurgery 351
Indications 352
Mode of action 352
Efficacy and prediction of response 353
Timing and number of treatments 353
Practicalities of treatment 353
Contraindications 354
Bilateral versus unilateral ECT 354
Unwanted effects 354
Consent for ECT 355
Myths 355
For the future 356
Psychosurgery 356
Video 357
25: Organization of services 359
Introduction 359
Background and history 360
Community care 361
The psychiatric multidisciplinary team 362
Psychiatry in primary care 363
Inpatient services 364
Outpatient clinics 365
Crisis and home treatment 365
Day hospitals 366
Resource centres and day centres 366
Assertive outreach teams 366
Recovery and rehabilitation 366
The care programme approach 368
Non-NHS health-care facilities 368
26: The Mental Health Act 1983 371
Introduction 371
Background 372
Compulsory admission 373
Patients already in hospital 374
Patients in the community 374
Relatives 375
Approved social workers (ASWs) 375
Police powers 376
Mentally abnormal offenders 376
Consent to treatment 377
Information for detained patients 378
Mental Health Act Commission 379
Glossary 381
Index 405

Produkt-Details

• Erscheint lt. Verlag: 30.4.2007
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Gesundheitsfachberufe
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Psychiatrie / Psychotherapie
• Schlagworte: Clinical psychology • Klinische Psychologie • Medical Science • Medizin • Psychiatrie • Psychiatry • Psychologie • Psychology • Psychopathologie
• ISBN-10: 0-470-51657-7 / 0470516577
• ISBN-13: 978-0-470-51657-7 / 9780470516577