Additional Information
Book Details
Abstract
Since its first edition in 1988, this book has become the leading introductory textbook on clinical psychopathology. Now fully revised and updated, it is an invaluable reference for psychiatrists of all levels as well as clinical psychologists, allied mental health professionals and researchers in this field.
- Comprehensive and accessible overview of clinical psychopathology.
- Defines, clarifies and describes the main symptoms and syndromes of mental illness encountered in clinical practice.
- Illustrates key principles of psychopathology with examples drawn from a wide range of sources.
- Fully updated throughout.
- Includes key point summaries.
- Complementary access to the e-book through ExpertConsult.
- Additional online electronic resources include:
- Patient interview scenarios exploring key themes (videos with transcripts).
- Author podcasts (audio) to expand and clarify core topics.
- Interactive question and answer sections for each chapter, to test your understanding and aid revision of essential areas.
- Now in 4 colour.
- New, bigger, more user-friendly format.
- Three new podcasts (consciousness, embodiment, shame and guilt).
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | cover | ||
Inside Front Cover | ifc1 | ||
Sims' Symptoms in the Mind: Textbook of Descriptive Psychopathology | i | ||
Copyright Page | iv | ||
Table Of Contents | v | ||
Dedication | vi | ||
Preface to the Sixth Edition | vii | ||
Additional Materials Within Accompanying Electronic Version | viii | ||
1 Concepts and Method | 1 | ||
1 Fundamental Concepts of Descriptive Psychopathology | 3 | ||
Keywords | 3 | ||
Summary | 3 | ||
What Is Psychopathology? | 4 | ||
Phenomenology and Psychopathology | 6 | ||
Concepts | 8 | ||
Disease and Illness | 8 | ||
Norms, Normal and Abnormal | 9 | ||
Understanding and Un-Understandable | 9 | ||
Empathy | 11 | ||
Form and Content | 13 | ||
Primary and Secondary Phenomena | 14 | ||
Subjectivity and Objectivity in Psychopathology | 14 | ||
Unconscious Experience and Phenomenology | 15 | ||
Organic and Neural Substrates and Psychopathology | 15 | ||
Mind–Brain Duality and Psychopathology | 16 | ||
References | 16 | ||
2 Eliciting the Symptoms of Mental Illness | 19 | ||
Keywords | 19 | ||
Summary | 19 | ||
Diagnosis and Labelling | 21 | ||
The Psychiatric History | 21 | ||
Premorbid, Previous or Usual Personality | 22 | ||
Differentiation of Personality Disorder | 23 | ||
The Mental State Examination | 24 | ||
Systematic Enquiry | 25 | ||
References | 27 | ||
2 Consciousness and Cognition | 29 | ||
3 Consciousness and Disturbed Consciousness | 31 | ||
Keywords | 31 | ||
Summary | 31 | ||
Disorders of Consciousness | 33 | ||
Dimensional Changes in Levels of Consciousness | 33 | ||
Unconsciousness | 33 | ||
Abnormalities of Vigilance | 35 | ||
Abnormalities of Lucidity | 35 | ||
Abnormalities of Consciousness of Self | 36 | ||
Qualitative Changes of Consciousness | 36 | ||
Delirium. | 36 | ||
Fluctuation of Consciousness | 38 | ||
Confusion | 38 | ||
Other Terms | 38 | ||
Twilight State | 38 | ||
Mania à Potu (Pathologic Intoxication) | 39 | ||
Automatism | 39 | ||
Dream-Like (Oneiroid) State | 40 | ||
Stupor | 40 | ||
Sleep Disorders | 40 | ||
References | 40 | ||
4 Attention, Concentration, Orientation and Sleep | 43 | ||
Keywords | 43 | ||
Summary | 43 | ||
Attention, Awareness and Concentration | 43 | ||
Alteration of the Degree of Attention | 44 | ||
Disorder of Attention in Psychosis | 45 | ||
Hemi-Inattention | 47 | ||
Orientation | 48 | ||
Disorientation | 49 | ||
Delusions That Mimic Disorientation | 49 | ||
Dissociation and Disorientation | 49 | ||
Sleep Disorders | 49 | ||
Insomnia | 50 | ||
Hypersomnia | 51 | ||
Parasomnias | 52 | ||
Dreams | 52 | ||
Hypnosis | 53 | ||
References | 55 | ||
5 Disturbance of Memory | 57 | ||
Keywords | 57 | ||
Summary | 57 | ||
Mechanisms of Memory | 57 | ||
Sensory Memory | 57 | ||
Short-Term Memory | 57 | ||
Long-Term Memory | 58 | ||
Organic Impairment of Memory | 58 | ||
Impairment of Registration/Encoding | 58 | ||
Impairment of Retention | 58 | ||
Impairment of Retrieval or Recall | 59 | ||
Impairment of Recognition | 59 | ||
Disturbances of Memory | 59 | ||
Normal Variations | 59 | ||
Déjà Vu and Related Phenomena (Paramnesia) | 59 | ||
Selective Forgetting | 60 | ||
Falsification of Memory | 60 | ||
Meaningful Disturbances of Memory | 61 | ||
Psychogenic Disturbance of Memory | 61 | ||
Dissociative Focal Retrograde Amnesia | 61 | ||
Dissociative Fugue | 62 | ||
Recovered Memory and False Memory Syndrome | 62 | ||
Memory Disturbance Secondary to Psychiatric Disorder | 63 | ||
Confabulation | 63 | ||
Perseveration | 65 | ||
Memory Impairment in Schizophrenia | 65 | ||
Affective Disorder of Memory | 65 | ||
Ganser State | 66 | ||
References | 66 | ||
3 Awareness of Reality: Time, Perception and Judgement | 69 | ||
6 Disorder of Time | 71 | ||
Keywords | 71 | ||
Summary | 71 | ||
Objective (Clock) Time and Subjective (Personal) Time | 72 | ||
Biological Rhythms and Time | 72 | ||
Disorder of Objective Time | 72 | ||
Disorientation in Time | 73 | ||
Age Disorientation | 73 | ||
Disorder of Time Duration | 73 | ||
Disorder of Chronology (Temporal Order) | 73 | ||
Disorder of Subjective (Personal) Time | 73 | ||
Disorder of Flow of Time | 74 | ||
Disorder of Direction of Time | 75 | ||
Disorder of Uniqueness of Time | 75 | ||
Disorder of the Quality of Time | 76 | ||
Biological Rhythms and Their Relation to Psychiatry | 76 | ||
Circadian Rhythms | 77 | ||
Monthly Cycles | 78 | ||
Seasonal Variation | 78 | ||
Life Epochs | 79 | ||
References | 80 | ||
7 Pathology of Perception | 83 | ||
Keywords | 83 | ||
Summary | 83 | ||
Sensation and Perception | 83 | ||
Imagery | 84 | ||
Form Constants, Extension and Synaesthesia | 85 | ||
Private Speech and Inner Speech | 86 | ||
Abnormal Perception | 87 | ||
Sensory Distortions | 87 | ||
Elementary Aspects of Visual Perception | 87 | ||
Elementary Aspects of Auditory Perception | 88 | ||
Elementary Aspects of Tactile Perception | 88 | ||
Splitting of Perception | 89 | ||
False Perception | 89 | ||
Illusion | 89 | ||
Hallucination | 90 | ||
Auditory Hallucination | 93 | ||
Visual Hallucination | 95 | ||
Hallucination of Bodily Sensation | 97 | ||
Olfactory and Gustatory Hallucination | 98 | ||
Olfactory Hallucinations | 98 | ||
Gustatory Hallucinations | 98 | ||
Differentiation of Hallucinations | 98 | ||
Pseudohallucinations | 98 | ||
Other Abnormalities of Perception | 99 | ||
Autoscopy | 99 | ||
Extracampine Hallucination (Concrete Awareness) | 100 | ||
Hypnagogic and Hypnopompic Hallucination | 100 | ||
Functional Hallucination | 100 | ||
Reflex Hallucination | 100 | ||
Abnormal Imagery | 101 | ||
Sensory Deprivation | 101 | ||
References | 102 | ||
8 Delusions and Other Erroneous Ideas | 105 | ||
Keywords | 105 | ||
Summary | 105 | ||
Ideas, Beliefs and Delusions | 105 | ||
Meaning of Delusion | 105 | ||
Definition of Delusion | 106 | ||
Primary and Secondary Delusions | 107 | ||
The Ultimately Ununderstandable | 108 | ||
How Ideas and Delusions Are Initiated | 108 | ||
Secondary Delusions | 108 | ||
Types of Primary Delusion | 109 | ||
Autochthonous Delusion (Delusional Intuition) | 109 | ||
Delusional Percept | 109 | ||
Delusional Atmosphere | 111 | ||
Delusional Memory | 111 | ||
The Origins of Delusion | 112 | ||
Cognition and Reasoning in Delusion | 114 | ||
Attribution in Delusion | 114 | ||
Delusion and Meaning in Life | 115 | ||
Content of Delusions | 115 | ||
Delusions of Persecution | 115 | ||
Morbid Jealousy and Delusion of Infidelity | 116 | ||
Delusions of Love | 117 | ||
Delusional Misidentification | 117 | ||
Grandiose Delusions | 118 | ||
Religious Delusions | 119 | ||
Delusions of Guilt and Unworthiness | 119 | ||
Delusions of Poverty and Nihilistic Delusions | 119 | ||
Hypochondriacal Delusions | 120 | ||
Delusions of Infestation | 121 | ||
Communicated Insanity | 122 | ||
Delusions of Control | 123 | ||
The Reality of Delusions | 123 | ||
Erroneous Ideation | 123 | ||
Overvalued Idea | 123 | ||
Paranoid Ideas and Syndromes | 125 | ||
References | 125 | ||
9 Disorder of the Thinking Process | 129 | ||
Keywords | 129 | ||
Summary | 129 | ||
Types of Thinking | 129 | ||
Fantasy Thinking | 130 | ||
Imaginative Thinking | 130 | ||
Rational or Conceptual Thinking | 131 | ||
Heuristics and Decision-Making | 131 | ||
The Processes of Disordered Thinking | 132 | ||
A Model of Associations Based on Jaspers | 132 | ||
Acceleration of Thinking | 132 | ||
Retardation | 134 | ||
Circumstantial Thinking | 134 | ||
Interruption to the Flow of Thought | 135 | ||
Thought Blocking | 136 | ||
Changes in the Flow of Thinking | 136 | ||
Disturbance of Judgement | 137 | ||
Disturbance of Judgement and Delusion | 137 | ||
Concrete Thinking | 138 | ||
Psychological Theories of Thinking in Schizophrenia | 138 | ||
Over-Inclusive Thinking | 138 | ||
Schizophrenic Inattention and Abnormality of Working Memory: Effect on Performance | 139 | ||
Disorder of Control of Thinking | 140 | ||
Delusions of the Control of Thought | 140 | ||
First-Rank Symptoms of Schizophrenia | 141 | ||
Examples of First-Rank Symptoms | 142 | ||
References | 145 | ||
10 Disorder of Speech and Language | 147 | ||
Keywords | 147 | ||
Summary | 147 | ||
Speech Disturbances | 148 | ||
Aphonia and Dysphonia | 148 | ||
Dysarthria | 149 | ||
Stuttering and Stammering | 149 | ||
Logoclonia | 149 | ||
Echolalia | 149 | ||
Changes in the Volume and Intonation of Speech | 149 | ||
Unintelligible Speech | 149 | ||
Organic Disorders of Language | 149 | ||
Sensory Dysphasia | 149 | ||
Pure Word Deafness (Subcortical Auditory Dysphasia) | 150 | ||
Pure Word Blindness (Subcortical Visual Aphasia) | 150 | ||
Primary Sensory Dysphasia (Receptive Dysphasia) | 150 | ||
Nominal Dysphasia | 151 | ||
Jargon Dysphasia | 151 | ||
Motor Aphasia | 151 | ||
Pure Word Dumbness | 151 | ||
Pure Agraphia | 151 | ||
Primary Motor Dysphasia | 151 | ||
Alexia With Agraphia | 151 | ||
Isolated Speech Area | 151 | ||
Mutism | 152 | ||
Schizophrenic Language Disorder | 152 | ||
Clinical Description and Thought Disorder | 152 | ||
Misuse of Words and Phrases | 153 | ||
Destruction of Words and Grammar | 155 | ||
Psychogenic Abnormalities | 155 | ||
Statistical Model of Language | 156 | ||
Linguistic Approaches to Schizophrenia | 156 | ||
Syntactical Analysis | 157 | ||
Propositional Analysis | 157 | ||
References | 157 | ||
11 Insight | 159 | ||
Keywords | 159 | ||
Summary | 159 | ||
Insight in Clinical Practice | 160 | ||
Overview of the Concept | 161 | ||
Development of the Concept | 161 | ||
Measurement of Insight | 162 | ||
Schizophrenia | 163 | ||
Insight and Cognitive Impairment | 163 | ||
Outcome | 164 | ||
Bipolar Disorders | 165 | ||
Criticisms of the Concept | 165 | ||
Aetiology of Impaired Insight | 165 | ||
References | 166 | ||
4 Self and Body | 169 | ||
12 The Disordered Self | 171 | ||
Keywords | 171 | ||
Summary | 171 | ||
Ego and Self | 171 | ||
Embodiment and the Self | 172 | ||
Self-Concept and Body Image | 172 | ||
Self-Image and Nonverbal Communication | 174 | ||
Awareness of the Body | 174 | ||
Disorders of Self | 175 | ||
Disorder of Being or Ego Vitality | 175 | ||
Disorder of Activity | 176 | ||
Disorder of Singleness or Ego Consistency and Coherence | 176 | ||
Autoscopy (Heautoscopy) | 176 | ||
Multiple Personality (Dissociative Identity Disorder) | 178 | ||
Lability in the Awareness of Personality | 179 | ||
Disorder of Identity | 180 | ||
Possession State | 181 | ||
Disorder of the Boundaries of Self or Ego Demarcation | 182 | ||
Boundaries of Self in Schizophrenia | 182 | ||
Other Alterations to Boundaries | 183 | ||
References | 183 | ||
13 Depersonalization | 185 | ||
Keywords | 185 | ||
Summary | 185 | ||
Definitions and Descriptions | 185 | ||
Subjective Experience of Depersonalization | 187 | ||
Organic and Psychological Theories | 190 | ||
Depersonalization: Further Considerations | 191 | ||
References | 192 | ||
14 Disorder of the Awareness of the Body | 195 | ||
Keywords | 195 | ||
Summary | 195 | ||
The Body in Psychopathology | 196 | ||
Classification | 197 | ||
Disorders of Beliefs About the Body (Bodily Complaint Without Organic Cause) | 197 | ||
Hypochondriasis | 198 | ||
What Is Hypochondriasis? | 199 | ||
Psychopathology of the Hypochondriacal Patient | 200 | ||
Disorders of Bodily Function – Conversion and Dissociation | 201 | ||
Disorders of the Physical Characteristics and Emotional Value of the Body (Dislike of the Body) | 203 | ||
Dysmorphophobia (Body Dysmorphic Disorder) | 204 | ||
Body Integrity Identity Disorder | 206 | ||
Transsexualism | 206 | ||
Disturbance of Eating and Body Size | 207 | ||
Obesity | 207 | ||
Anorexia Nervosa | 207 | ||
Bulimia Nervosa | 210 | ||
Muscle Dysmorphia | 210 | ||
Disorders of the Sensory Awareness of the Body (Organic Changes in Body Image) | 210 | ||
Pathologic Accentuation of Body Image (Hyperschemazia) | 211 | ||
Diminished or Absent Body Image (Hyposchemazia, Aschemazia) | 211 | ||
Distortion of the Body Image (Paraschemazia) | 212 | ||
Phantom Limb | 213 | ||
Culture-Bound Disorders of Body Image | 214 | ||
References | 215 | ||
15 The Psychopathology of Pain | 219 | ||
Keywords | 219 | ||
Summary | 219 | ||
Organic or Psychogenic Pain? | 219 | ||
Pain and Heightened Sensation | 221 | ||
Diminished Pain Sensation and Pain Craving | 221 | ||
Pain Without Organic Cause | 222 | ||
Pain and Loss | 223 | ||
Psychogenic Facial Pain | 223 | ||
Burning Mouth Syndrome | 224 | ||
Vulvodynia | 224 | ||
Psychogenic Itch | 225 | ||
Pain and Suffering | 225 | ||
References | 225 | ||
5 Emotions and Action | 229 | ||
16 Affect and Emotional Disorders | 231 | ||
Keywords | 231 | ||
Summary | 231 | ||
Theories of Emotion | 232 | ||
Basic Emotions | 233 | ||
Communication of Mood | 233 | ||
Classification of Pathology of Emotions | 234 | ||
Pathologic Changes in Basic Emotions | 234 | ||
Changes in Intensity of Emotions | 234 | ||
Diminution of Intensity: Feeling of a Loss of Feeling | 234 | ||
Anhedonia | 235 | ||
Exacerbation of Emotions: Melancholia, Mania, Ecstasy | 236 | ||
Intensification of Fear, Anger and Surprise | 237 | ||
Changes in Timing, Duration and Appropriateness to Situation | 238 | ||
Timing, Duration and Appropriateness to Situation | 238 | ||
Abnormalities of Expression and Appropriateness to Object | 238 | ||
Blunting and Flattening of Feeling | 238 | ||
Bodily Feelings Associated With Emotion | 238 | ||
Feelings Attached to the Perception of Objects | 240 | ||
Feelings Directed Towards People | 240 | ||
Free-Floating Emotion | 240 | ||
Abnormality of Experience and Physiologic Activity | 240 | ||
Abnormalities of Evaluation | 241 | ||
Abnormality of Mood in Bipolar Disorder | 242 | ||
Depression of Mood | 242 | ||
Core Experience: Psychological and Physical | 242 | ||
Shame and Guilt | 243 | ||
Suicidal Thoughts | 245 | ||
Depression and Loss | 246 | ||
Grief | 246 | ||
Mania | 247 | ||
References | 248 | ||
17 Anxiety, Panic, Irritability, Phobia and Obsession | 251 | ||
Keywords | 251 | ||
Summary | 251 | ||
Anxiety | 252 | ||
Panic Attacks and Disorder | 254 | ||
Phobic States | 255 | ||
Anxiety in Other Disorders | 256 | ||
Irritability | 257 | ||
Obsessions and Compulsions | 257 | ||
References | 260 | ||
18 Disorders of Volition and Execution | 263 | ||
Keywords | 263 | ||
Summary | 263 | ||
Urge, Drive and Will and Their Disturbance | 263 | ||
Abnormalities of Need, Instinct, Motivation and Will | 265 | ||
Organic Causes | 266 | ||
Disturbance of Volition in Schizophrenia | 267 | ||
Disturbance of Volition in Mood Disorders | 267 | ||
Impulsive and Aggressive Acts | 269 | ||
Psychopathology of Impulsive and Aggressive Behaviour | 270 | ||
Diminished Aggression | 271 | ||
Disturbance of Movement and Behaviour | 271 | ||
Disturbance of Movement | 271 | ||
Agitation | 271 | ||
Hyperactivity | 272 | ||
Retardation | 272 | ||
Disorder of Movement in Schizophrenia | 272 | ||
Isolated Disorders of Movement and Posture | 273 | ||
Motor Disorders in Chronic Schizophrenia | 274 | ||
Motor Disorder in Brain Disease | 275 | ||
Parkinson’s Disease. | 275 | ||
Extrapyramidal Side Effects of Antipsychotic Drugs. | 275 | ||
Huntington’s Chorea | 276 | ||
Tics and Gilles de la Tourette’s Syndrome | 276 | ||
Disturbance of Behaviour | 277 | ||
Behavioural Disorders of Schizophrenia | 277 | ||
Behavioural Signs of Emotional Disturbance | 278 | ||
References | 279 | ||
6 Variations of Human Nature | 281 | ||
19 The Expression of Disordered Personality | 283 | ||
Keywords | 283 | ||
Summary | 283 | ||
Paranoid Personality Disorder | 286 | ||
Schizoid Personality Disorder | 287 | ||
Dissocial Personality Disorder | 287 | ||
Emotionally Unstable Personality Disorder | 289 | ||
Impulsive Type | 289 | ||
Borderline Type | 289 | ||
Histrionic Personality Disorder | 289 | ||
Anankastic Personality Disorder | 290 | ||
Anxious (Avoidant) Personality Disorder | 291 | ||
Dependent Personality Disorder | 291 | ||
Persistent Mood Disorders | 292 | ||
Other Personality Disorders | 292 | ||
Narcissistic Personality Disorder | 292 | ||
Avoidant Personality Disorder | 292 | ||
References | 293 | ||
7 Diagnosis | 295 | ||
20 Psychopathology and Diagnosis | 297 | ||
Keywords | 297 | ||
Summary | 297 | ||
Concepts of Health and Psychopathology | 298 | ||
Use of Symptoms to Form Diagnostic Categories | 299 | ||
The Present State Examination | 300 | ||
Postscript | 302 | ||
Uses of Psychopathology | 302 | ||
Need for Research | 303 | ||
References | 304 | ||
Self-Assessment 1 | 305 | ||
Instructions | 305 | ||
Chapter 1 | 305 | ||
Chapter 2 | 305 | ||
Chapter 3 | 305 | ||
Chapter 4 | 306 | ||
Chapter 5 | 306 | ||
Chapter 6 | 306 | ||
Chapter 7 | 306 | ||
Chapter 8 | 307 | ||
Chapter 9 | 307 | ||
Chapter 10 | 307 | ||
Chapter 11 | 307 | ||
Chapter 12 | 308 | ||
Chapter 13 | 308 | ||
Chapter 14 | 308 | ||
Chapter 15 | 308 | ||
Chapter 16 | 309 | ||
Chapter 17 | 309 | ||
Chapter 18 | 309 | ||
Chapter 19 | 310 | ||
Chapter 20 | 310 | ||
Self-Assessment 2 | 311 | ||
Instructions | 311 | ||
Chapters 3 and 4 | 311 | ||
Chapter 5 | 311 | ||
Chapter 7 | 311 | ||
Chapter 8 | 312 | ||
Chapter 9 | 312 | ||
Chapter 10 | 312 | ||
Chapter 14 | 313 | ||
Chapter 16 | 313 | ||
Chapter 17 | 313 | ||
Chapter 18 | 314 | ||
Self-Assessment 1: Answers | 315 | ||
Chapter 1 | 315 | ||
Chapter 2 | 315 | ||
Chapter 3 | 315 | ||
Chapter 4 | 315 | ||
Chapter 5 | 315 | ||
Chapter 6 | 315 | ||
Chapter 7 | 315 | ||
Chapter 8 | 315 | ||
Chapter 9 | 316 | ||
Chapter 10 | 316 | ||
Chapter 11 | 316 | ||
Chapter 12 | 316 | ||
Chapter 13 | 316 | ||
Chapter 14 | 316 | ||
Chapter 15 | 316 | ||
Chapter 16 | 316 | ||
Chapter 17 | 316 | ||
Chapter 18 | 317 | ||
Chapter 19 | 317 | ||
Chapter 20 | 317 | ||
Self-Assessment 2: Answers | 319 | ||
Chapters 3 and 4 | 319 | ||
Chapter 5 | 319 | ||
Chapter 7 | 319 | ||
Chapter 8 | 319 | ||
Chapter 9 | 320 | ||
Chapter 10 | 320 | ||
Chapter 14 | 320 | ||
Chapter 16 | 321 | ||
Chapter 17 | 321 | ||
Chapter 18 | 321 | ||
Index | 323 | ||
A | 323 | ||
B | 324 | ||
C | 325 | ||
D | 325 | ||
E | 327 | ||
F | 327 | ||
G | 328 | ||
H | 328 | ||
I | 329 | ||
J | 329 | ||
K | 329 | ||
L | 329 | ||
M | 330 | ||
N | 331 | ||
O | 331 | ||
P | 331 | ||
Q | 333 | ||
R | 333 | ||
S | 333 | ||
T | 335 | ||
U | 335 | ||
V | 335 | ||
W | 336 | ||
Y | 336 | ||
Z | 336 | ||
Inside Back Cover | ibc1 |