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Sims' Symptoms in the Mind: Textbook of Descriptive Psychopathology E-Book

Sims' Symptoms in the Mind: Textbook of Descriptive Psychopathology E-Book

Femi Oyebode

(2018)

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