Approach to the Psychiatric Patient

Approach to the Psychiatric Patient : Case-Based Essays

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Approach to the Psychiatric Patient is a case-based exploration of psychiatry. It is both a general introduction to multiple aspects of the field and a series of sophisticated discussions that clarify controversies, dilemmas, and ambiguities. By covering the psychiatric waterfront while featuring many subspecialties, the book intends to fill a gap that exists between standard psychiatric reviews, specialty texts, and pocket guides. Further, by making use of over 100 essayists, Approach to the Psychiatric Patient captures much of the complexity and richness that make modern psychiatry a fascinating challenge.The ten cases span a broad diagnostic spectrum, from geriatric depression (case 2) and schizophrenia (case 4) to substance abuse (case 6) and disappointment over an exam failure (case 10). The situations range from inpatient hospitalizations (case 1) and emergency room evaluations (case 3) to outpatient assessments (case 7) and long-term psychotherapies (case 8). Perhaps most importantly, the 100 essays have been written by a broad range of specialists who have all been asked to comment specifically on one aspect of their particular case. These essays are brief (about 1500 words) and are intended to serve as "curbside consults" in which the expert dispenses a sharp perspective on the particular situation. The book highlights a broad span of human experience. For example, in the first case, a middle-aged man has been admitted to a psychiatric unit after having tried to kill himself. Experts comment on depression, suicidality, psychodynamics, the interview, the neurobiology of stress, inpatient psychiatry, brain stimulation, pharmacology, supportive psychotherapy, and couples therapy, and they also describe relevant aspects of the African American experience and the historical development of the field of psychiatry. In the final case, a medical student presents for a psychiatric assessment after having failed a gross anatomy test. This case prompts discussions of her evaluation (e.g., essays on the medical school experience, somatoform disorders, the neurobiology of obsessions, narcissism, and the first-generation Asian American), and on her treatment (e.g. essays on complementary medicine, mindfulness meditation, self psychology, therapeutic zeal, empathy, self-defeating behavior, and evidence-based psychotherapy). An expert then provides an overview for each of the 10 chapters. After the overview, each chapter concludes with a set of thought-provoking assertions that are intended to provoke the reader into further consideration of the patient and situation.In order to create the book's richly complex mosaic, the editor has attracted some of the country's most eminent psychiatrists and psychologists. There are several ways to attract such a multidisciplinary group and to then encourage their best efforts. In this case, the editor chose to recruit faculty members from one set of interconnected institutions: Weill Cornell Medical College, Columbia University College of Physicians and Surgeons, New York-Presbyterian Hospital, Memorial Sloan-Kettering Cancer Center, and Rockefeller University. This limitation inevitably led to the exclusion of some distinguished authors, but it did lead to the vigorous participation of some experts who might not have otherwise agreed to contribute.Practical and thoughtful, Approach to the Psychiatric Patient serves as an expert on the shoulder to clinicians who approach psychiatric patients as well as to anyone who is curious about the state of the art of modern psychiatry.show more

Product details

  • Paperback | 565 pages
  • 152.4 x 223.52 x 27.94mm | 748.42g
  • American Psychiatric Association Publishing
  • VA, United States
  • English
  • 1 Halftones, black and white; 11 Line drawings, unspecified; 10 Tables, unspecified
  • 1585623008
  • 9781585623006
  • 1,551,405

Review quote

This is a unique and interesting book. It is quite useful and refreshing to see a multidisciplinary approach used to discuss the various cases; it is as though each author is offering a "curbside consult" on how he/she might approach the case. Psychiatrists will find this book quite helpful. I personally will consider using the book and its cases/essays in educating my medical students about the necessity of a multidisciplinary approach to psychiatric medicine. * Doody Enterprises, Inc. * This book emphasizes the recognition of the usefulness of multiple approaches, presents recent advances to our knowledge base and highlights controversies. * Amit Nulkar,The British Journal of Psychiatry * One important achievement of this collection is that it approximates a historical snapshot of the field. Each short essay is written from a well-defined angel. This book provides an educational resource that is valuable not only to trainees bur also to seasoned clinicians in any of our disciplines. This book if filled with wisdom and insight. * Jeffrey L. Geller, M.D., MPH, * Readers of Approaches to the Psychiatric Patient will gain an appreciation for these myriad perspectives of a psychiatrist. Indeed, each essay offers a window into how psychiatrists think. * Matthew N. Goldenberg, M.D., Psychiatry: Interpersonal and Biological Processes *show more

Flap copy

Approach to the Psychiatric Patient consists of more than 100 essays that address one of 10 carefully selected psychiatric cases. The essays reflect the breadth of modern psychiatry, the cases span the diagnostic spectrum, and the situations range from emergency rooms and inpatient services to outpatient psychotherapy offices. Basic scientists, social scientists, clinicians, clinical researchers, psychopharmacologists, and psychoanalysts have contributed 1500-word essays. Each author was asked to discuss a specific aspect of a case, as if providing a "curbside consult" to a colleague or student. In addition to presenting a sharp perspective on our knowledge base, each author highlights pertinent dilemmas and ambiguities. In so doing, the authors help create a sophisticated biopsychosocial approach to patients. Approach to the Psychiatric Patient's unique structure and multiplicity of perspectives place it as a valuable accompaniment to traditional psychiatric reviews, pocket guides, and specialty texts. The brief, accessible essays demonstrate the sophisticated complexity of modern psychiatry while also underlining the field's limitations and opportunities. In order to create the book's richly complex mosaic, the editor has attracted some of the country's most eminent psychiatrists and psychologists. There are several ways to attract such a multidisciplinary group and to then encourage their best efforts. In this case, the editor chose to recruit faculty members from one set of interconnected institutions: Weill Cornell Medical College, Columbia University College of Physicians and Surgeons, New York-Presbyterian Hospital, Memorial Sloan-Kettering Cancer Center, and Rockefeller University. This limitation inevitably led to the exclusion of some distinguished authors, but it did lead to the vigorous participation of some experts who might not have otherwise agreed to contribute. Practical and thoughtful, Approach to the Psychiatric Patient serves as an expert on the shoulder to clinicians who approach psychiatric patients as well as to anyone who is curious about the state of the art of modern psychiatry.show more

About John W. Barnhill

John W. Barnhill, M.D., is Associate Professor of Clinical Psychiatry and Public Health at Weill Cornell Medical College; Chief of the Consultation-Liaison Service at New York-Presbyterian Hospital/Weill Cornell Medical Center; and a faculty member at the Columbia University Center for Psychoanalytic Training & Research in New York City.show more

Table of contents

ContributorsForeword Preface How to Use This BookChapter 1. Double Depression and James AveryChapter 2. Geriatric Depression and Peter BurkeChapter 3. Mood Instability and Amy Cahill Chapter 4. Schizophrenia and Anthony Da PiazzaChapter 5. Terminal Illness and Dorothy EwingChapter 6. Agitation and Stephen FrankenChapter 7. Adolescent Bereavement and AmeliaChapter 8. Anxiety and Sophia HastingsChapter 9. Hypomania and Jennifer IngramChapter 10. Exam Failure and Grace JinBibliographySubject IndexIndex of Cases by Diagnostic Conceptsshow more