All the chapters have been rewritten to reflect recent research findings, changes in classification and terminology, and new organizational structures within the NHS plus the implications of the Mental Health Act. As in the fourth edition, case histories are included to illustrate the clinical relevance of the material.
This book is designed primarily for medical students and trainee and practising psychiatrists. Its clear format and easy–to–read text mean that it is also of value to readers in other specialties and anyone with a general interest in psychiatry.
PART I: THE NATURE AND ASSESSMENT OF PSYCHIATRIC DISORDER.
The basis of classification.
Reliability and validity.
Limitations and problems of classification.
Common terms in psychiatric classification.
2 Causes and Prevention.
Causation in clinical practice.
Individual life experience.
Prevention of psychiatric disorder.
Circumstances of referral.
The psychiatric interview.
Mental state examination.
Structured interviews and questionnaires.
PART II: CLINICAL SYNDROMES.
5 Mood Disorders: Depressive Illness and Mania.
Clinical features of depressive illness.
Types of depressive illness.
Diagnosis of depressive illness.
Clinical features of mania.
Differential diagnosis of mood disorders.
Treatment of depressive illness.
Treatment of mania.
Prophylaxis of affective disorder.
6 Anxiety and Stress–Related Disorders.
Boundaries of anxiety disorder.
Hierarchy of diagnosis.
Generalized anxiety disorder (anxiety state).
Simple phobias (specific phobias, monophobias).
Conversion and dissociative disorders.
Post–traumatic stress disorder (PTSD).
7 Personality Disorders.
Types of personality disorder.
Sociopathic (dissocial) personality disorder.
8 Paranoid States.
Differential diagnosis of paranoid states.
9 Physical Symptoms and Psychiatric Disorder.
Assessing physical symptoms in psychiatric practice.
Malingering and exaggeration.
10 Organic Brain Syndromes.
Focal brain damage.
11 Liaison Psychiatry.
Psychological influences on the course of physical disease.
The stresses of physical illness.
Adjustment and coping.
Clinical depression in medically ill patients.
Management and prevention.
12 Drug Misuse.
Psychiatric and physical complications.
Cocaine and crack.
Cannabis (Indian hemp, hashish, pot).
Lysergic acid diethylamide (LSD, acid).
Glues and solvents.
13 Alcohol Misuse.
Safe limits of drinking.
Effects of alcohol.
Course of alcohol abuse.
14 Deliberate Self–Harm.
Non–fatal deliberate self–harm (parasuicide, attempted suicide).
15 Eating Disorders: Anorexia Nervosa and Bulimia Nervosa.
16 Disorders of Female Reproductive Life.
Post–natal depression and other neurotic syndromes.
Stillbirth and perinatal death.
17 Sexual Problems.
18 Child and Adolescent Psychiatry.
History taking and examination.
Relationship with adult disorder.
Neurotic (emotional) disorders.
Attention deficit disorder.
Delays in development.
Psychiatry of adolescence.
19 Learning disability.
Diagnosis of learning disability.
20 Psychiatry of Old Age.
Organization of services.
21 Forensic Psychiatry.
Predicting violence and dangerousness.
Psychiatric aspects of specific offences.
Treatment: general considerations.
Facilities for mentally disordered offenders.
Psychiatric reports: criminal.
PART III: TREATMENT.
22 Psychological Treatment.
Principles of psychotherapy today.
Cognitive–behavioural therapy (CBT).
Family and marital therapy.
General principles of using psychotropic drugs.
Antidepressants: tricyclic group.
Antidepressants: SSRI group.
Antidepressants: MAOI group.
Other antidepressant drugs.
24 Electroconvulsive Therapy (ECT) and Psychosurgery.
Mode of action.
Efficacy and prediction of response.
Timing and number of treatments.
Practicalities of treatment.
Bilateral versus unilateral ECT.
Consent for ECT.
For the future.
25 Organization of Services.
Background and history.
The psychiatric multidisciplinary team.
Psychiatry in primary care.
Crisis and home treatment.
Resource centres and day centres.
Recovery and rehabilitation.
The care programme approach.
Assertive outreach teams.
Non–NHS health–care facilities.
26 The Mental Health Act 1983.
Patients already in hospital.
Patients in the community.
Approved social workers (ASWs).
Mentally abnormal offenders.
Consent to treatment.
Information for detained patients.
Mental Health Act Commission.