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Medical Psychiatry: Theory And Practice (In 2 Volumes)

Medical Psychiatry: Theory And Practice (In 2 Volumes)

Garza-trevino Enrique S

(1989)

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Book Details

Abstract

The goal of this book is to provide a conceptual framework for understanding the relationship between the ';psychological'; areas of medicine and the more somatic aspects of health care in our current social environment.

Table of Contents

Section Title Page Action Price
CONTENTS vii
ACKNOWLEDGEMENTS vi
FOREWORD xi
PREFACE xv
PSYCHOSOMATIC MEDICINE: PAST AND PRESENT 1
HISTORICAL ANTECEDENTS 2
THE CONCEPT OF PSYCHOGENESIS 3
THE CONCEPT OF HOLISM 10
PSYCHOSOMATIC MEDICINE: THE FIRST PHASE 15
NEW TRENDS IN THEORY AND RESEARCH 20
THE CORE QUESTIONS 24
CORE THEORETICAL CONCEPTS 26
NEW TRENDS IN CLINICAL APPLICATION 30
THE KEY DEFINITIONS 32
CLASSIFICATION OF PSYCHOSOMATIC RESEARCH 38
PSYCHOPHYSIOLOGICAL STUDIES 39
PSYCHOENDOCRINOLOGY 41
PSYCHOIMMUNOLOGY 42
PSYCHONEUROPHYSIOLOGY 44
ETIOLOGIC STUDIES 47
SOMATOPSYCHIC STUDIES 58
THERAPY-RELATED STUDIES 60
CONCLUSIONS 61
REFERENCES 63
PSYCHIATRIC MANIFESTATIONS OF STRUCTURAL BRAIN DISEASE 75
POST-STROKE MOOD DISORDERS 76
CLINICAL MANIFESTATIONS 77
PREVALENCE AND DURATION OF DEPRESSIVE DISORDERS 78
PREVALENCE 78
DURATION 79
MECHANISMS OF POST-STROKE MOOD DISORDERS 80
BIOLOGICAL MARKERS OF POST-STROKE DEPRESSION 82
TREATMENT 83
ACKNOWLEDGEMENTS 88
MENTAL CHANGES IN MENINGOENCEPHALITIS AND CEREBRAL CYSTICERCOSIS 89
INTRODUCTION AND HISTORY 89
PSYCHIATRIC SYMPTOMS IN ACUTE VIRAL ENCEPHALITIS 90
PSYCHIATRIC MANIFESTATIONS IN TUBERCULOUS MENINGOENCEPHALITIS FUNGIMENINGITIS AND OTHER BACTERIAL INFECTIONS 93
PSYCHIATRIC DISORDERS IN CEREBRAL CYSTICERCOSIS 94
SUMMARY AND CONCLUSIONS 97
REFERENCES PART A 100
REFERENCES PART B 103
DEMENTIA 107
DEMENTIA 108
CLINICAL SYMPTOMATOLOGY OF DEMENTIA 110
EPIDEMIOLOGY OF THE DEMENTIAS 111
CLASSIFICATION OF DEMENTIAS 111
ETIOLOGIC CLASSIFICATION OF DEMENTIAS 112
PRIMARY CORTICAL AND PRIMARY SUBCORTICAL DEMENTIAS 115
DIAGNOSIS OF DEMENTIA 116
NEUROPHYSIOLOGIC TESTING 121
RADIOLOGICAL DIAGNOSIS 123
PSYCHOLOGICAL TESTS 123
ALZHEIMER'S DISEASE 124
CRITERIA FOR THE CLINICAL DIAGNOSIS OF ALZHEIMER'S DISEASE 126
ALZHEIMER'S DISEASE. GENETICS 127
PATHOLOGICAL FINDINGS 128
ALZHEIMER'S DISEASE, IT'S RELATIONSHIP WITH OTHER CONDITIONS 134
A. DOWN'S SYNDROME 134
B. INFECTIONS 135
P. SLEEP APNEA. 136
E. ALUMINUM 138
F. OTHER 138
PICK'S DISEASE 138
PARKINSON'S DISEASE 139
AMYOTROPHIC LATERAL SCLEROSIS-PARKINSONISM-DEMENTIA COMPLEX OF GUAM. 140
PROGRESSIVE SUPRANUCLEAR PALSY 141
HUNTINGTON'S DISEASE 141
DEMENTIA AND VASCULAR DISORDERS 141
CREUTZFELD-JAKOB DISEASE 143
GERTSMANN-STRAUSSLER-SCHEINKER'S DISEASE 145
DIALYSIS DEMENTIA. 146
OTHER CAUSES OF DEMENTIA AND DELIRIUM. 147
PSEUDODEMENTIA 149
THE FAMILY AND THE PATIENT WITH DEMENTIA 150
Acknowledgments: 152
BIBLIOGRAPHY 153
UNFOUNDED PHYSICAL COMPLAINTS: CONCEPTUAL AND EPIDEMIOLOGICAL ASPECTS 177
UNFOUNDED PHYSICAL COMPLAINTS: CONCEPTUAL AND EPIDEMIOLOGTCAL ASPECTS 178
CONCEPTUAL ISSUES 178
SOMATIZATION AS PSYCHIATRIC PHENOMENON 181
SOMATIZATION\" VS. \"PSYCHOLOGIZATION 181
PSYCHOSOCIAL DETERMINANTS OF SOMATIZATION 182
SOMATIZATION IN DEVELOPED NATIONS 183
SOMATIZATION AS CHARACTER TRAIT 183
PSYCHOSOMATIC\" VS. \"SOMATIZATION 184
THE COMPLEXITY OF CHRONIC PAIN SYNDROMES - THE CASE OF LOWBACK PAIN 184
GOLD STANDARDS'' IN MEDICINE 185
SCREENING THE SOMATIZER 186
DEPRESSION. ANXIETY AND SOMATIZATION 186
SOMATIZERS IN MEDICAL SETTINGS 187
INSTRUMENTS TO SCREEN THE SOMATIZER 187
THE SOMATIZER AND DSM III 188
EPIDEMIOLOGICAL ASPECTS EPIDEMIOLOGY OF SOMATIZATION IN THE COMMUNITY 188
NEW (POST-DSM III) OPERATIONAL CONSTRUCTS OF SOMATIZATION 189
SOMATIZATION AND THE DIAGNOSTIC INTERVIEW SCHEDULE 190
DEVELOPING AN OPERATIONAL CONSTRUCT OF SOMATIZATION FROM THE DIS 190
SOMATIZATION IN THE COMMUNITY: THE ECA STUDY 191
LOS ANGELES ECA DATA ON SOMATIZATION 192
CONSCLUSIONS 196
REFERENCES 198
PATIENTS WHO AMPLIFY BODILY SENSATIONS 203
PATIENTS WHO AMPLIFY BODILY SENSATIONS 204
AMPLIFYING OR MINIMIZING A SYMPTOM 205
PSYCHOLOGICAL REASONS FOR AMPLIFYING SYMPTOMS 207
INFLUENCES OF THE MEDICAL CARE PROCESS ON AMPLIFICATION OF SYMPTOMS 212
SITUATIONAL SOCIAL AND CULTURAL REASONS FOR AMPLIFYING SYMPTOMS 215
EVALUATION OF SOMATIC SYMPTOMS 217
REFERENCES 225
PSYCHIATRIC MANIFESTATIONS OF COMPLEX PARTIAL SEIZURES 233
PSYCHIATRIC MANIFESTATIONS OF COMPLEX PARTIAL SEIZURES 234
INTRODUCTION 234
CLASSIFICATION OF SEIZURE DISORDERS 234
BRIEF HISTORY OF PARTIAL SEIZURES 235
THE LIMBIC SYSTEM AND THE NEUROLOGY OF EMOTIONS 240
GENERAL EPIDEMILOGOCIAL CONSTDRATIONS OF EPILEPSY\r 243
PREVALENCE 244
PHYSIOPATHQLOGY OF SEIZURES 245
PSYCHIATRIC PHENOMENOLOGY OF PARTIAL SEIZURES 246
CLINICAL PRESENTATION OF COMPLEX PARTIAL SEIZURES 247
MANAGEMENT OF CPS 258
PSYCHOPHARMACOLOGICAL MANAGEMENT 259
CARBAMAZEPINE 260
NEUROSURGICAL TREATMENT OF CPS 265
CONCLUSIONS 266
REFERENCES 275
AFFECTIVE DISORDERS: DIAGNOSTIC ASSESSMENT AND CLINICALCONSIDERATIONS 283
AFFECTIVE DISORDERS: DIAGNOSTIC ASSESSMENT AND CLINICALCONSIDERATIONS 284
PHENOMENOLOGY OF DEPRESSIVE DISORDERS 284
ETIOLOGICAL FACTORS IN AFFECTIVE DISORDERS 287
GENETIC FACTORS 290
RECENT FINDINGS 291
PSYCHOLOGICAL MODELS 292
COGNITIVE ASPECTS IN DIAGNOSIS AND TREATMENT 294
SOCIOLOGICAL MODELS 295
SOCIAL NETWORKS AND SOCIAL SUPPORT SYSTEMS 298
THE WORKUP OF A PATIENT WITH MAJOR AFFECTIVE DISORDER 302
CLINICAL SUBTYPES OF MAJOR AFFECTIVE DISORDERS 311
DIFFERENTIAL DIAGNOSIS OF MAJOR AFFECTIVE DISORDER 319
MAJOR DEPRESSION 319
DIFFERENTIAL DIAGNOSES IN MANIC DEPRESSIVE ILLNESS 320
DSYTHYMIC DISORDERS 321
DIAGNOSTIC CRITERIA 321
CYCLOTHYMIC DISORDER 322
DIAGNOSTIC CRITERIA 322
DEPRESSION AND PHYSICAL ILLNESS 323
DEPRESSION AS A FIRST SIGN OF PHYSICAL ILLNESS 324
DEPRESSION SECONDARY TO PHYSICAL ILLNESS 324
DEPRESSION AND DRUG THERAPY 324
DEPRESSION MASKED BY COMPLAINTS OF PHYSICAL ILLNESS 325
GRIEF AND BEREAVEMENT 325
SEASONAL DEPRESSIONS 326
CROSS-CULTURAL ASPECTS OF DEPRESSION 326
CONCLUSIONS 338
REFERENCES 340
PRACTICAL MANAGEMENT OF DEPRESSIVE AND MANIC EPISODES 351
PRACTICAL MANAGEMENT OF DEPRESSIVE AND MANIC EPISODES 352
EVALUATION AND SELECTION OF TREATMENT 353
Approach to the patient 353
Identification of the depressive syndrome 355
Elimination of other disorders 356
Other characteristics that influence drug choice 357
SELECTION OF TREATMENT 358
Types of antidepressant drugs 359
PRESENTATION OF DRUG TREATMENT TO THE PATIENT 362
Understanding the basis of drug treatment of depression 363
Mechanics of treatment 363
Short term expectations and monitoring 364
Long range planning 365
INITIAL TREATMENT: MANAGEMENT OF THE INDEX EPISODE 365
Rate and specificity of drug response 365
Monitoring drug response 366
ADVERSE EFFECTS AND PRECAUTIONS 368
Tricyclic drugs 368
Monoamine oxidase inhibitors 370
Lithium salts 372
Anticonvulsants 376
MANAGEMENT OF NONRESPONSE 376
Augmentation of antidepressant treatment 377
Changing drug treatment 379
MANIC EPISODES 380
Approach to the patient and evaluation 380
Selection of treatment 381
Management of the episode 382
Prophylactic treatment 383
LONG-TERM PLANNING 384
CONCLUSIONS 385
Remarks: 387
REFERENCES 388
PSYCHIATRIC ASPECTS OF GASTROINTESTINAL DISEASE 401
PSYCHIATRIC FACTORS IN ESOPHAGEAL DISEASE 402
REVIEW OF ESOPHAGEAL PHYSIOLOGY 403
ACMIASIA 404
DIFFUSE ESOPHAGEAL SPASM. 406
RUMINATION 408
PRIMARY PSYCHIATRIC DISORDER 409
PEPTIC ULCER DISEASE (PUD) 411
EPIDEMIOOLOGICAL ASPECTS 411
HISTORICAL DATA ON HIND-GOT INTERACTIONS 413
GENETIC FACTORS 414
PSYCHOLOGICAL CONFLICTS 416
SYCHOLOGICAL VARIABLES IN WOMEN 417
PSiCnOSOClAL STRESSORS 418
TREATMENT APPROACHES 419
A) SOHATIC APPROACHES 419
B) PSYCnoPIlARMACOLOGICAL APPROACHES 421
C) PSYCHOTHERAPEUTIC APPROACHES 423
IRRITABLE BOWEL SYNDROME 425
EPIDEMIOLOGY 425
REVIEW OF INTESTINAL PHYSIOLOGY 427
RESEARCH ON BRAIN-GOT INTERACTION 428
DIAGNOSTIC CRITERIA FOR IBS 429
SEARCH FOR ETIOLOGICAL FACTORS 430
CLINICAL PHENOMENOLOGY 432
PSYCHOLOGICAL CHARACTERISTICS 433
TREATMENT APPROACHES 435
CONCLUSIONS 440
SECONDARY 443
REFERENCES 449
PSYCHIATRIC FACTORS IN MITRAL VALVE PROLAPSE 463
PSYCHIATRIC FACTORS IN MITRAL VALVE PROLAPSE 464
INTRODUCTION 464
PREVALENCE AND DIAGNOSTIC CRITERIA 464
CLINICAL PRESENTATION 465
PATHOPHYSIOLOGY 466
PSYCHIATRIC ASPECTS OF MVP 469
TREATMENT 470
THE CORONARY PRONE PERSONALITY 473
DEFINITION OF THE PROBLEM 473
DEFINITION OF THE CORONARY PRONE PERSONALITY 473
TESTING FOR TYPE A 474
EMPIRICAL BASIS 476
PHYSIOLOGICAL BASIS 476
PSYCHOLOGICAL BASIS 476
SOCIOLOGICAL VARIABLES 478
MODIFICATION OF TYPE A BEHAVIOR 479
CONTROVERSIES 480
REFERENCES 482
PART I. PSYCHOLOGIC FACTORS IN MYOCARDIAL INFARCTIONPART II. PSYCHOLOGIC FACTORS IN SUDDEN CARDIAC DEATH 489
PSYCHOLOGIC FACTORS IN MYOCARDIAL INFARCTION 490
PSYCHOLOGICAL REACTIONS DURING HOSPITALIZATION 490
Denial 493
Depression 494
Delirium 499
PSYCHOLOGICAL REACTIONS AFTER DISCHARGE 500
Psychological Symptoms 501
Sexual Adjustment 508
Occupational Adjustment 510
Physical Activity/Sports 512
PSYCHOLOGIC FACTORS IN SUDDEN CARDIAC DEATH 514
ANIMAL STUDIES 517
HUMAN STUDIES 520
CONCLUSION 523
REFERENCES 526
BIOPSYCHOSOCIAL ASPECTS OF RHEUMATOID ARTHRITIS 531
BIOPSYCHOSOCIAL ASPECTS OF RHEUMATOID ARTHRITIS 532
MEDICAL ASPECTS OF RHEUMATOID ARTHRITISEPIDEMIOLOGY 533
ETIOLOGY AND PATHOGENESIS 534
CLINICAL MANIFESTATIONS 536
DIAGNOSIS 537
TREATMENT 539
PROGNOSIS 543
PSYCHOLOGICAL AND SOCIAL ASPECTS OF RHEUMATOID ARTHRITISINFLUENCE OF PERSONALITY AND STRESS 545
Methodological Problems in Previous Studies 545
Childhood Conflicts Recalled by Patients and Siblings 545
The Role of Stress 548
Conclusions 551
HEALTH AND PSYCHOSOCIAL STATUS 552
PSYCHOSOCIAL IMPAIRMENT AND PSYCHIATRIC COMPLICATIONS 557
The impact on Sexuality, Marriage, and the Family 558
The Impact on Work 560
Chronic Pain 565
Psychotherapy 569
CONCLUSIONS 572
REFERENCES 577
EATING DISORDERS:ANOREXIA NERVOSA, BULIMIA NERVOSA AND OBESITY 587
EATING DISORDERS:ANOREXIA NERVOSA, BULIMIA NERVOSA AND OBESITY 588
INTRODUCTION 588
ANCKEXIA NERTOSA 590
HISTCRY AND EPIIEMICLOGICAL DATA 590
PREMORBID PERSONALITY TRAITS AND OTHER FACTORS ASSOCIATED WITH THE ILLUNESS\r 593
PHENOMELOGY\r 594
Symptoms And Signs 594
ETIOLOGY AND PRECIPITATING FACTORS\r 595
COMPLICATIONS AND ASSOCIATED CONOCOMMITANT DISEASE PROCESS\r 596
DIFFERENTIAL DIAGNOSIS\r 598
PROGNOSIS 599
TREATMENT 600
THERAPIES\r 600
BULIMIA NERVOSA 607
HISTORY AND EPIDEMIOLOGICAL DATA\r 607
INCIDENCE\r 609
PHENOMOLOGY\r 611
Signs and Symptoms 611
ETIOLOGY AND FBBCIFITftriMG FACTORS 611
MEEICAL COMHJCATICNS AND CCNCOMMITANT DISEASE HOCESS 613
DIFFERENTIAL DIAGNOSIS\r 614
MANAGEMENT AND TREATMENT 616
Inpatlent Treatment 616
Outpatient Treatment 616
Psycho-Educational Techniques 617
Group Therapy 618
Family Therapy 619
Behavioral Therapy 619
Cognitive Behavioral Therapy 620
Pyschodynamic Therapy 620
Pharmocologlcal Treatment 620
OBESITY 623
DEMOGRAPHIC AND EPIDEMIOLOGICAL \rDATA 623
PREMORBID PERSONALITY TRAITS ASSOCIATED WITH OBESITY 625
PHENOMELOGY\r 626
Predetermlnants of obesity 627
COMPLICATIONS RESULTING FROM OBESITY AND ASSICIATED OR CONCOMITANT DISEASE PROCESSES\r 630
Psychological complications. 632
DIFFERENTIAL DIAGNOSIS\r 633
PROGNOSTIC ASSESSMENT\r 634
TREATMENT REGIMENS\r 635
Mild obesity 635
Pharmacology 645
Other forms of therapy-psychoanalysis 646
CONCLUSION 646
ANOREXIA NERVOSA REFERENCES 649
BULIMIA REFERENCES 654
OBESITY REEBSMCBS 659
ACKNOWLEDGMENTS 663
Volume 2 I
Psychoneuroendocrinology M
Hypothalamic-Pituitary-Thyroid Axis N
Hypothalamic-Pituitary-Adrenal Axis S
Hypothalamic-Pituitary-Gonadal Axis V
Growth Hormone X
Prolactin Z
Conclusions AA
References DD
Psychosomatic Considerations of Infertility OO
Emotional Impact of Infertility PP
Psychological Considerations of Current Therapies for Infertility TT
Hormonal: UU
Artificial insemination: UU
In vitro fertilization and embryo transfer (IVE-ET): XX
Gamete intra-fallopian transfer (GIFT) YY
Surrogate motherhood: BBB
Phychological Aspects of Infertility and the Infertility Specialist: BBB
Role of the Psychiatrist and Other Mental Health Professionals GGG
Psychotherapy with infertility patients JJJ
Ethics of Reproductive Intervention KKK
Conclusion LLL
References MMM
Sexual Dysfunction: Psychosomatic Perspectives QQQ
Sexual Response and Function QQQ
Neurologic and Endocrinologic Aspects of Sex UUU
Illness and Sexuality ZZZ
Drugs and Sexuality AAAA
Sexuality in Pregnancy and the Puerperium DDDD
Sexuality and Aging EEEE
Psychosocial Influences on Sexuality GGGG
The Sexual Dysfunctions IIII
Evaluation of Sexual Dysfunction: A Biopsychosocial Approach IIII
The Sexual Dysfunctions Inhibited Sexual Desire LLLL
Male Erection Disorder (51) NNNN
Female Sexual Arousal Disorders TTTT
Inhibited Female Orgasm (51) UUUU
Inhibited Male Orgasm (51) WWWW
Premature Ejaculation (51) ZZZZ
Functional Dyspareunia (51) AAAAA
Functional Vaginismus (51) BBBBB
The Treatment of Sexual Dysfunction CCCCC
The Treatment of the Major Psychosexual Dysfunctions Sexual Desire Disorders FFFFF
Psychosexual Therapy for ISD (24, 40, 60, 62, 98) GGGGG
Sexual Arousal Disorders HHHHH
Psychosexual Therapy for Erectile Dysfunction (40, 48) IIIII
Female Sexual Arousal Disorder JJJJJ
Psychosexual Therapy for Inhibited Female Excitement (40, 48) JJJJJ
Inhibited Female Orgasm JJJJJ
The Psychosexual Therapy of Primary Inhibited Female Orgasm (6, 101) KKKKK
Psychosexual Therapy of Situational Inhibited Female Orgasm (48) KKKKK
Inhibited Male Orgasm LLLLL
Psychosexual Therapy of Inhibited Male Orgasm (Ejaculatory Incompetence) LLLLL
Premature Ejaculation MMMMM
Psychosexual Therapy of Premature Ejaculation (40, 48) NNNNN
Functional Dyspareunia NNNNN
Functional Vaginismus NNNNN
The Psychosexual Therapy of Vaginismus (58) OOOOO
Outcome of the New Sex Therapy PPPPP
Sex and Depression TTTTT
Conclusions VVVVV
References XXXXX
Psychiatric Aspects of Obstetrics and Gynecology KKKKKK
Introduction KKKKKK
Postpartum Depression KKKKKK
The Significance of Postpartum Depression MMMMMM
The detection of postpartum depression NNNNNN
Etiology OOOOOO
The Three Kinds of Postpartum Depressions RRRRRR
Postpartum blues definition RRRRRR
Etiology SSSSSS
Clinical characteristics SSSSSS
Psychodynamics TTTTTT
Treatment TTTTTT
Major Depression TTTTTT
Clinical characteristics TTTTTT
Differential diagnosis UUUUUU
Psychodynamics VVVVVV
Risk Factors VVVVVV
Treatment WWWWWW
Postpartun Psychosis XXXXXX
Classification XXXXXX
Clinical characteristics XXXXXX
Treatment YYYYYY
Depression During Pregnancy ZZZZZZ
A past history of depressio BBBBBBB
Effect on children BBBBBBB
Postpartum psychiatric hospitalization BBBBBBB
Recurrence and outcome CCCCCCC
Neonaticide CCCCCCC
Prevention DDDDDDD
Conclusion EEEEEEE
Pseudocyesis EEEEEEE
Definition EEEEEEE
History EEEEEEE
Incidence FFFFFFF
Clinical course FFFFFFF
Diagnosis HHHHHHH
Etiology IIIIIII
Psychological factors IIIIIII
Psychiatric Diagnoses KKKKKKK
Endocrine factors KKKKKKK
Treatment LLLLLLL
Conclusion MMMMMMM
Vomiting During Pregnancy MMMMMMM
Introduction MMMMMMM
Vomiting due to nonpregnancy causes NNNNNNN
Third trimester vomiting OOOOOOO
Morning Sickness OOOOOOO
Definition OOOOOOO
Etiology OOOOOOO
Clinical characteristics RRRRRRR
Treatment SSSSSSS
Hyperemesis Gravidarum TTTTTTT
Introduction TTTTTTT
Definition TTTTTTT
Psychological factors UUUUUUU
Psychiatric diagnoses VVVVVVV
Biological factors VVVVVVV
Treatment WWWWWWW
Chronic Pelvic Pain XXXXXXX
Background XXXXXXX
Anatomy and Physiology of Gynecologic Pain YYYYYYY
The Meaning of Pain - Psychodynamic Factors ZZZZZZZ
Methodologic Problems in Studies AAAAAAAA
Clinical characteristics BBBBBBBB
Effect on the physician DDDDDDDD
Etiology DDDDDDDD
The relationship between chronic pelvic pain and psychopathology DDDDDDDD
The psychosomatic hypothesis EEEEEEEE
The somatopsychic hypothesis EEEEEEEE
Physical Factors FFFFFFFF
Pelvic patholocy on laparoscopy GGGGGGGG
Psychological Factors HHHHHHHH
Psychiatric diagnoses JJJJJJJJ
Sexual abuse KKKKKKKK
Evaluation KKKKKKKK
Treatment LLLLLLLL
Conclusion OOOOOOOO
References QQQQQQQQ
Psychological Distress in Oncology Patients GGGGGGGGG
Assessment Issues GGGGGGGGG
Prevalence of Psychological Distress LLLLLLLLL
Variables Related to Adjustment PPPPPPPPP
Psychological Distress: Site-Specific Data VVVVVVVVV
Breast Cancer WWWWWWWWW
Psychological distress WWWWWWWWW
Postmastectomy adjustment AAAAAAAAAA
Predictors of adjustment to breast cancer CCCCCCCCCC
Effects of Cancer on Sexual Activity EEEEEEEEEE
Cancer Survivors FFFFFFFFFF
Conclusion JJJJJJJJJJ
References QQQQQQQQQQ
A Model for Psychotherapy with the Early-State Cancer Patient WWWWWWWWWW
Abstract WWWWWWWWWW
Introduction WWWWWWWWWW
An Integrated Model of Psychotherapy YYYYYYYYYY
Psychodynamic Psychotherapeutic Issues in Cancer Patients FFFFFFFFFFF
Fear Induced by the Disease Itself Include: GGGGGGGGGGG
Fears Related to the Cancer Therapy Focus on: GGGGGGGGGGG
Fears Related to Living with Cancer Include: HHHHHHHHHHH
Specific Countertransference Issues KKKKKKKKKKK
Additional Psychotherapeutic Issues NNNNNNNNNNN
Developing a realistic attitude toward noncancer-related physical ailments. NNNNNNNNNNN
Loss of a sense of omnipotence. NNNNNNNNNNN
Assertion and competence. OOOOOOOOOOO
Transference. PPPPPPPPPPP
Fears of abandonment, rejection and isolation. PPPPPPPPPPP
Conclusions QQQQQQQQQQQ
References SSSSSSSSSSS
Neuropsychiatric Complications of Cancer and Its Treatment XXXXXXXXXXX
I. Objectives YYYYYYYYYYY
II. Diagnostic Criteria ZZZZZZZZZZZ
III. A Neuropsychiatric Approach in Examining Cancer Patients ZZZZZZZZZZZ
IV. Organic Mental Disorders in Oncology BBBBBBBBBBBB
A. Delirium BBBBBBBBBBBB
B. Dementia CCCCCCCCCCCC
C. Organic personality syndrome (OPS) DDDDDDDDDDDD
D. Organic affective syndromes (OAS) EEEEEEEEEEEE
E. Other organic disorders EEEEEEEEEEEE
V. Depression and Cancer FFFFFFFFFFFF
VI. Anxiety Disorders IIIIIIIIIIII
VII. Pain KKKKKKKKKKKK
VIII. Neurotoxicities NNNNNNNNNNNN
IX. Nausea and Vomiting TTTTTTTTTTTT
X. Quality of Life WWWWWWWWWWWW
Summary YYYYYYYYYYYY
References NNNNNNNNNNNNN
Benzodiazepines AAAAAAAAAAAAAA
Pharmacokinetic Properties AAAAAAAAAAAAAA
Considerations in the Elderly BBBBBBBBBBBBBB
Considerations in the Medically Ill DDDDDDDDDDDDDD
Considerations in Pregnancy GGGGGGGGGGGGGG
Benzodiazepine-Drug Interactions IIIIIIIIIIIIII
Guidelines for Treatment of Anxiety Disorders Introduction MMMMMMMMMMMMMM
Clinical Considerations in Initiating and Maintaining Treatment OOOOOOOOOOOOOO
Guidelines for Withdrawal of a Benzodiazepine TTTTTTTTTTTTTT
Alcohol Detoxification VVVVVVVVVVVVVV
Treatment of Insomnia YYYYYYYYYYYYYY
Benzodiazepines as Antidepressants AAAAAAAAAAAAAAA
Benzodiazepines in the Treatment of Psychoses, Mania, and Agitated States Benzodiazepines in Psychoses EEEEEEEEEEEEEEE
Benzodiazepines in Mania HHHHHHHHHHHHHHH
Benzodiazepines in Delirious States JJJJJJJJJJJJJJJ
Benzodiazepines in Acutely Agitated States LLLLLLLLLLLLLLL
Conclusion OOOOOOOOOOOOOOO
References UUUUUUUUUUUUUUU
Psychological Aspects of Organ Transplantation CCCCCCCCCCCCCCCC
Types of Transplant DDDDDDDDDDDDDDDD
The Role of the Psychosocial Team EEEEEEEEEEEEEEEE
Stages of Transplantation GGGGGGGGGGGGGGGG
State I. Transplant Proposal HHHHHHHHHHHHHHHH
Medical Factors in the Transplant Proposal Stage IIIIIIIIIIIIIIII
Medical causes. IIIIIIIIIIIIIIII
Cost of the transplant. KKKKKKKKKKKKKKKK
Psychosocial Factors in the Transplant Proposal Stage KKKKKKKKKKKKKKKK
Initial psychological reactions. KKKKKKKKKKKKKKKK
Informed consent. LLLLLLLLLLLLLLLL
Intervention Issues in the Transplant Proposal Stage NNNNNNNNNNNNNNNN
Stage II. Evaluation OOOOOOOOOOOOOOOO
Medical Factors in the Evaluation Stage OOOOOOOOOOOOOOOO
Psychosocial Factors in the Evaluation Stage PPPPPPPPPPPPPPPP
Need for selection. PPPPPPPPPPPPPPPP
Psychiatric disorder as a contraindication. SSSSSSSSSSSSSSSS
Social problems as a contraindication. UUUUUUUUUUUUUUUU
Cognitive problems as a contraindication. UUUUUUUUUUUUUUUU
Compliance, problems as a contraindication. UUUUUUUUUUUUUUUU
Intervention Issues in the Evaluation Stage VVVVVVVVVVVVVVVV
Predicting medical outcome. VVVVVVVVVVVVVVVV
Predicting compliance. XXXXXXXXXXXXXXXX
Predicting quality of life. YYYYYYYYYYYYYYYY
Living related donors. ZZZZZZZZZZZZZZZZ
The patient's decision. AAAAAAAAAAAAAAAAA
Summary. BBBBBBBBBBBBBBBBB
Stage III. Waiting for Donor Organ CCCCCCCCCCCCCCCCC
Medical Factors in the Waiting Stage CCCCCCCCCCCCCCCCC
Psychosocial Factors in the Waiting Stage DDDDDDDDDDDDDDDDD
Intervention Issues in the Waiting Stage FFFFFFFFFFFFFFFFF
Assisting patients. FFFFFFFFFFFFFFFFF
Staff reactions. HHHHHHHHHHHHHHHHH
Stage IV. perioperative Stage IIIIIIIIIIIIIIIII
Medical Factors in the Perioperative Stage IIIIIIIIIIIIIIIII
Psychosocial Factors in the Perioperative Stage KKKKKKKKKKKKKKKKK
Intervention Issues in the Perioperative Stage LLLLLLLLLLLLLLLLL
Stage V. Recovery LLLLLLLLLLLLLLLLL
Medical Factors in the Recovery Stage LLLLLLLLLLLLLLLLL
Psychosocial Factors in the Recovery Stage NNNNNNNNNNNNNNNNN
Fear of graft rejection. NNNNNNNNNNNNNNNNN
Immunosuppressant medications. QQQQQQQQQQQQQQQQQ
Denial. RRRRRRRRRRRRRRRRR
Family Concerns. RRRRRRRRRRRRRRRRR
Intervention Issues in the Recovery Stage RRRRRRRRRRRRRRRRR
Psychopharmacology. RRRRRRRRRRRRRRRRR
Psychotherapy. SSSSSSSSSSSSSSSSS
Brief counseling. TTTTTTTTTTTTTTTTT
Traditional psychotherapy. UUUUUUUUUUUUUUUUU
Group psychotherapy. VVVVVVVVVVVVVVVVV
Consultation functions. XXXXXXXXXXXXXXXXX
Stage VI. Post Discharge YYYYYYYYYYYYYYYYY
Medical Factors in the Post Discharge Stage YYYYYYYYYYYYYYYYY
Medical complications. ZZZZZZZZZZZZZZZZZ
Noncompliance. ZZZZZZZZZZZZZZZZZ
Psychosocial Factors in the Post Discharge Stage AAAAAAAAAAAAAAAAAA
Post-transplant psychiatric disorder. BBBBBBBBBBBBBBBBBB
Quality of life. EEEEEEEEEEEEEEEEEE
Subjective quality of life. EEEEEEEEEEEEEEEEEE
Objective quality of life. FFFFFFFFFFFFFFFFFF
Sexual functioning. HHHHHHHHHHHHHHHHHH
Family issues. IIIIIIIIIIIIIIIIII
Intervention Issues in the Post Discharge Stage IIIIIIIIIIIIIIIIII
Psychopathology. IIIIIIIIIIIIIIIIII
Compliance. JJJJJJJJJJJJJJJJJJ
Rehabilitation. JJJJJJJJJJJJJJJJJJ
Sexual dysfunction. LLLLLLLLLLLLLLLLLL
Conclusions MMMMMMMMMMMMMMMMMM
References OOOOOOOOOOOOOOOOOO
Organic and Psychiatric Aspects of Headache CCCCCCCCCCCCCCCCCCC
Clinical Examination GGGGGGGGGGGGGGGGGGG
Differential Diagnosis of Headaches GGGGGGGGGGGGGGGGGGG
Tests to be Done in the Study of Headache (Modified from 5, 6, 7) JJJJJJJJJJJJJJJJJJJ
Mechanism of Headache KKKKKKKKKKKKKKKKKKK
Classification of Headaches LLLLLLLLLLLLLLLLLLL
A. Muscle contraction headache: LLLLLLLLLLLLLLLLLLL
B. Vascular headaches: LLLLLLLLLLLLLLLLLLL
C. Diseases of the eye, ear, nose, tongue, throat and teeth. LLLLLLLLLLLLLLLLLLL
D. Retention of CO2: LLLLLLLLLLLLLLLLLLL
E. Neuralgias: LLLLLLLLLLLLLLLLLLL
F. Atypical facial pain LLLLLLLLLLLLLLLLLLL
G. Exertional headache. LLLLLLLLLLLLLLLLLLL
H. Temperature and climate dependent headache: LLLLLLLLLLLLLLLLLLL
I. Multiple sclerosis LLLLLLLLLLLLLLLLLLL
J. Other types of headaches LLLLLLLLLLLLLLLLLLL
Head Trauma and Headache MMMMMMMMMMMMMMMMMMM
Muscle Contraction Headache MMMMMMMMMMMMMMMMMMM
Treatment of the Contraction Headache OOOOOOOOOOOOOOOOOOO
Psychogenic Headache PPPPPPPPPPPPPPPPPPP
Vascular Headaches RRRRRRRRRRRRRRRRRRR
Migraine Equivalent VVVVVVVVVVVVVVVVVVV
Paramenstrual Migraine VVVVVVVVVVVVVVVVVVV
Chronic Paroxysmal Hemicrania VVVVVVVVVVVVVVVVVVV
Basilar Migraine VVVVVVVVVVVVVVVVVVV
Cyclical Migraine WWWWWWWWWWWWWWWWWWW
Opthalmoplegic Migraine WWWWWWWWWWWWWWWWWWW
Hemiplegic Migraine WWWWWWWWWWWWWWWWWWW
Treatment of Migraine WWWWWWWWWWWWWWWWWWW
Prophylaxis of Migraine XXXXXXXXXXXXXXXXXXX
Hypertension and Headaches ZZZZZZZZZZZZZZZZZZZ
Pheochromocytoma ZZZZZZZZZZZZZZZZZZZ
Cluster Headaches ZZZZZZZZZZZZZZZZZZZ
Prophylactic Treatment of Cluster Headaches AAAAAAAAAAAAAAAAAAAA
Temporal Arteritis BBBBBBBBBBBBBBBBBBBB
Neuralgias and other Associated Pain Disorders CCCCCCCCCCCCCCCCCCCC
Trigeminal Neuralgia CCCCCCCCCCCCCCCCCCCC
Paratrigeminal Neuralgia (Raeder's neuralgia) CCCCCCCCCCCCCCCCCCCC
Glossopharyngeal Neuralgia DDDDDDDDDDDDDDDDDDDD
Superior Laryngeal Neuralgia DDDDDDDDDDDDDDDDDDDD
Greater Occipital Neuralgia DDDDDDDDDDDDDDDDDDDD
Ocular Origin of Headaches DDDDDDDDDDDDDDDDDDDD
Ent Causes of Headache EEEEEEEEEEEEEEEEEEEE
Sphenopalatine Neuralgia (Sluder's Neuralgia) EEEEEEEEEEEEEEEEEEEE
Headache or Oral Origin EEEEEEEEEEEEEEEEEEEE
Temporomandibular Joint Dysfunction FFFFFFFFFFFFFFFFFFFF
Brain Tumors and Headache FFFFFFFFFFFFFFFFFFFF
Pseudotumor Cerebri FFFFFFFFFFFFFFFFFFFF
Sleep Apnea Headaches GGGGGGGGGGGGGGGGGGGG
Atypical Facial Pain and Headache GGGGGGGGGGGGGGGGGGGG
Headaches and Convulsive Disorder HHHHHHHHHHHHHHHHHHHH
Exertional and Coital Cephalalgia IIIIIIIIIIIIIIIIIIII
Sympathetic Neurovascular Reflex Dysfunction IIIIIIIIIIIIIIIIIIII
Meningeal Irritation and Headaches JJJJJJJJJJJJJJJJJJJJ
Multiple Sclerosis KKKKKKKKKKKKKKKKKKKK
Post Lumbar Puncture Headache KKKKKKKKKKKKKKKKKKKK
Uncommon Causes of Headaches KKKKKKKKKKKKKKKKKKKK
Thermography and Headache KKKKKKKKKKKKKKKKKKKK
Medication Overuse LLLLLLLLLLLLLLLLLLLL
Biofeedback, Tens and Physical Therapy LLLLLLLLLLLLLLLLLLLL
Conclusion: MMMMMMMMMMMMMMMMMMMM
Acknowledgments: MMMMMMMMMMMMMMMMMMMM
Bibliogaraphy PPPPPPPPPPPPPPPPPPPP
Psychosomatic Illness and the Geriatric Patient DDDDDDDDDDDDDDDDDDDDD
Introduction DDDDDDDDDDDDDDDDDDDDD
Factors Influencine Symptom Presentation DDDDDDDDDDDDDDDDDDDDD
Sociocultural factors DDDDDDDDDDDDDDDDDDDDD
Psychodynamic factors EEEEEEEEEEEEEEEEEEEEE
Cognitive Status EEEEEEEEEEEEEEEEEEEEE
Case Vignette FFFFFFFFFFFFFFFFFFFFF
Physical illness GGGGGGGGGGGGGGGGGGGGG
Physical signs and symptoms of disease GGGGGGGGGGGGGGGGGGGGG
Sleep HHHHHHHHHHHHHHHHHHHHH
Sexuality JJJJJJJJJJJJJJJJJJJJJ
Gastrointestinal Complaints LLLLLLLLLLLLLLLLLLLLL
Ambiguous Presentations of Psychiatric Illness MMMMMMMMMMMMMMMMMMMMM
Other Atypical Depressions PPPPPPPPPPPPPPPPPPPPP
Hypochondriasis QQQQQQQQQQQQQQQQQQQQQ
Adjustment reactions TTTTTTTTTTTTTTTTTTTTT
Chronic pain TTTTTTTTTTTTTTTTTTTTT
Psychosomatic disorders WWWWWWWWWWWWWWWWWWWWW
Conclusion XXXXXXXXXXXXXXXXXXXXX
References AAAAAAAAAAAAAAAAAAAAAA
Disorders of Sphincter Control in Children FFFFFFFFFFFFFFFFFFFFFF
Definition GGGGGGGGGGGGGGGGGGGGGG
Etiology: Organic KKKKKKKKKKKKKKKKKKKKKK
Etiology-Psychogenic MMMMMMMMMMMMMMMMMMMMMM
Psychoanalytic MMMMMMMMMMMMMMMMMMMMMM
Etiology: Behavioral OOOOOOOOOOOOOOOOOOOOOO
Organic QQQQQQQQQQQQQQQQQQQQQQ
Pediatric RRRRRRRRRRRRRRRRRRRRRR
Psychoanalytic UUUUUUUUUUUUUUUUUUUUUU
Behavioral WWWWWWWWWWWWWWWWWWWWWW
Discussion YYYYYYYYYYYYYYYYYYYYYY
Conclusions CCCCCCCCCCCCCCCCCCCCCCC
Definition EEEEEEEEEEEEEEEEEEEEEEE
Epidemiology GGGGGGGGGGGGGGGGGGGGGGG
Etiology IIIIIIIIIIIIIIIIIIIIIII
Treatment PPPPPPPPPPPPPPPPPPPPPPP
Summary ZZZZZZZZZZZZZZZZZZZZZZZ
References EEEEEEEEEEEEEEEEEEEEEEEE
Evaluating Treatments in Medical Psychiatry TTTTTTTTTTTTTTTTTTTTTTTT
Introduction VVVVVVVVVVVVVVVVVVVVVVVV
Controls VVVVVVVVVVVVVVVVVVVVVVVV
Randomization YYYYYYYYYYYYYYYYYYYYYYYY
Type I and Type II Errors ZZZZZZZZZZZZZZZZZZZZZZZZ
Sample Size AAAAAAAAAAAAAAAAAAAAAAAAA
Measurement BBBBBBBBBBBBBBBBBBBBBBBBB
Clinical Significance DDDDDDDDDDDDDDDDDDDDDDDDD
Crossover Design EEEEEEEEEEEEEEEEEEEEEEEEE
Parallel Design GGGGGGGGGGGGGGGGGGGGGGGGG
Conclusions HHHHHHHHHHHHHHHHHHHHHHHHH
References MMMMMMMMMMMMMMMMMMMMMMMMM
Acknowledgments QQQQQQQQQQQQQQQQQQQQQQQQQ
List of Contributors RRRRRRRRRRRRRRRRRRRRRRRRR
Index XXXXXXXXXXXXXXXXXXXXXXXXX