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Books > Medicine > Clinical & internal medicine > Medical diagnosis > General
The Hands-on Guide to Clinical Reasoning in Medicine is the perfect companion to your time on clinical placements, providing an easy-to-read, highly visual guide to help develop your clinical decision making skills, and transfer your knowledge into practice. Packed full of useful tips, key boxes, exercises and summaries that are designed to help you apply the knowledge gained in clinical practice. Divided into the common clinical placements that you would find yourself in: Respiratory, Cardiovascular, Neurology, Geriatrics, Gastroenterology, Nephrology, Endocrinology and Rheumatology, each chapter covers the diagnosis of common clinical conditions, as well as decision-making in their investigation and management. Written for medical students in their clinical years, as well as new doctors and advanced nurse practitioners, The Hands-on Guide to Clinical Reasoning in Medicine provides students with an accessible resource for honing their clinical reasoning skills. Take the stress out of clinical decision making with The Hands-on Guide!
There is an urgent need to develop and integrate new statistical, mathematical, visualization, and computational models with the ability to analyze Big Data in order to retrieve useful information to aid clinicians in accurately diagnosing and treating patients. The main focus of this book is to review and summarize state-of-the-art big data and deep learning approaches to analyze and integrate multiple data types for the creation of a decision matrix to aid clinicians in the early diagnosis and identification of high risk patients for human diseases and disorders. Leading researchers will contribute original research book chapters analyzing efforts to solve these important problems.
Early detection of cancer has been recognized as an important area of preventive medicine for quite some time. In a few sites, such as the cervix, the breast, and the skin, it has been shown beyond doubt that early detection and secondary prevention of cancer are realistic goals. However, the general success of this approach is limited and re- quires substantial additional effort in research and public health education. The present volume is based on an International Symposium on Cancer Diagnosis - Early Detection, which was organized by the Committee Coordinating Cancer Research in GroBforschungsein- richtungen of the Federal Republic of Germany. The meeting was held at the German Cancer Research Center in Heidelberg, June 3-15, 1991. I am grateful to all members of the Scientific Committee who gave valuable advice in preparing the program of the conference: Gunther Bastert (Heidelberg), John Collins (Braunschweig), Heinz Hofler (MunichINeuherberg), Ernst Jung (Mannheim), Gerhard van Kaick (Heidelberg), Stefan Meuer (Heidelberg), Michael Wannenmacher (Heidelberg), and Wolfgang Wilmanns (Munich/ Neuherberg). I am obliged to Volker Diehl (Cologne), Gunther Bastert (Heidelberg), Hans K. Miiller-Hermelink (Wiirzburg), Manfred Schwab (Heidelberg), and Georg Dhom (Homburg/Saar) for serving as chairmen of the sessions. I am also grateful to Horst Metzler and the administration of the German Cancer Research Center for all their efforts to guarantee a smooth running of the Conference.
The first pocket-size resource to guide PA students through their family medicine rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Family Medicine edition of this 7-volume series delineates the exact duties required in this specialty. Written by experienced PA educators, this guide details the clinical approach to common presentations such as abdominal pain, headache and fatigue. It also provides a systems-based approach to more than 70 of the most frequently encountered disease entities you will see in this rotation, including diabetes, anxiety, and coronary artery disease. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during the family medicine rotation, including incision and drainage, joint injections, and skin biopsies. Key Features: Provides a pocket-size overview of the PA family medicine rotation Describes common clinical presentations, disease entities, and procedures Offers a step-by-step approach to diagnosis and treatment planning Offers clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year; Internal Medicine; Emergency Medicine; Surgery; OB-GYN; Pediatrics; Behavioral Health.
The first pocket-size resource to guide PA students through their behavioral health rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Behavioral Health edition of this 7-volume series delineates the exact duties required in this specialty. Written by an experienced PA educator, this guide details the clinical approach to common presentations such as anxiety, depression, and substance use disorders. It also provides a systems-based approach to 40 of the most frequently encountered disease entities you will see in this rotation, including bipolar disorder, schizophrenia, and personality disorders. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory studies, screening tools, and diagnostic criteria needed to confirm a diagnosis. This guide also describes the urgent management techniques you will learn during the behavioral health rotation, including suicide risk assessment, management of delirium tremens, and use of restraints. Key Features: Provides a pocket-size overview of the PA behavioral health rotation Describes common clinical presentations and disease entities Offers a step-by-step approach to diagnosis and treatment planning Includes clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Emergency Medicine; Surgery; OB-GYN; Pediatrics.
EMG Lesion Localization and Characterization: A Case Studies Approach takes a unique approach to electrodiagnostic (EDX) medicine, using case studies and exercises to teach clinical reasoning and build technical skills. The first section presents basic principles, reviewing pertinent nerve and muscle anatomy, physiology, and pathophysiology along with study techniques, measurements, and pitfalls. The second section emphasizes how to most effectively utilize the book's featured case studies, followed by 60 cases covering the range of disorders encountered in the EMG lab and organized by regional and multiregional disorders of the upper and lower extremities, brachial plexopathies, generalized disorders, and challenging cases. Through the EDX case studies, lesion localization and characterization are demonstrated and discussed step-by-step using a floating text box that tracks the findings for each case. Each case begins with the clinical features, which dictate the initial EDX studies performed. The results of those studies drive the next round of testing, which continues until the abnormality has been localized and characterized and a diagnosis is made. In this manner the dynamic nature of electrodiagnostic testing and process of sequential study analysis is reinforced in the cases, just as it would be in the EMG laboratory. Authored by two leading experts in neurology and electrodiagnostic medicine, all aspects of lesion localization and characterization are extensively covered, including calculations of lesion severity for demyelinating conduction block and axon loss lesions and calculations of various types of motor unit action potential recruitment frequencies. The book features a large number of anatomical drawings, charts, and EDX images in order to illustrate the skills of lesion localization and characterization comprehensively. By conveying the "cognitive approach" to EDX medicine, EMG Lesion Localization and Characterization merges clinical knowledge with real-life cases to better instruct residents, fellows, technicians, and neuromuscular providers in the field of electrodiagnostic medicine. Key Features: Includes 60 cases covering all major neuromuscular disorders Presents basic and advanced anatomic, physiologic, pathophysiologic, and temporal principles and concepts pertinent to EDX medicine EDX studies are evaluated as they are collected, providing insight into the principles underlying electrodiagnostic medicine Through sequential step-by-step analysis of findings, the decision-making process required in the EMG laboratory is simulated Purchase includes access to the ebook for use on most mobile devices or computers
In writing this book, I have attempted to provide information about the relative value of particular investigations in various neurological disorders. The book is divided into sections dealing with the methods of investigation, the investigation of particular symptoms, the investigation of specific neurological conditions and neurological emergencies. Finally, the assessment of certain disorders suggesting a particular anatomical localization, for example isolated optic atro phy, is considered. Following an appraisal of the literature, each section ends with a recommendation regarding appropriate investigation. In some in stances this is supported by an algorithm. Specific recommendations have been attempted despite the risk of producing over-dogmatic criteria for patient management. A small amount of illustrative material is included. I am grateful to colleagues at Charing Cross Hospital who have provided some of the illustrations. Figs 1. 4, 2. 1 and 10. 2 are reproduced from Atlas of Clinical Neurology, by G. D. Perkin eta/. , Gower Medical Publishing, 1986, courtesy of the publishers. Fig. 3, in Chapter 4, is reproduced from Brain, vol. 2 104, 753-78, 1981, courtesy of the editor and Dr. R. S. J. Frackowiak. Fig. 6, in the same chapter, is reproduced from Fig. 62 in the Atlas of Positron Emission Tomography, edited by E-D. Heiss et al. , Springer-Verlag, 1985, courtesy of the publishers and Dr. J. C. Maziotta. Fig. 3 in Chapter 6 is reproduced from Fig.
In spite of years of tuition and examination, newly qualified doctors are often left inadequately prepared for real-world clinical practice. The major concern is that 'book knowledge' gleaned at medical school does not always translate to safe and effective practical knowhow.Based on the author's many years of expertise as an educator globally, this book helps final-year students make the difficult transition to first-year doctors. Drawing on the latest evidence-based information, it focuses on aspects important to clinical practice in the areas of gastroenterology, cardiology and respiratory medicine such as differentials, investigations and management with full references provided throughout. Also detailed are examination skills; although not the routine form of how to examine but what to be thinking when asked to examine: what conditions should be prevalent in a doctor's mind? And how can these conclusions be reached before even seeing the patient? Practical knowledge like this defines an effective clinician.Clear, concise and rigorous in its approach, this comprehensive volume is indispensable companions to any new doctor in the above fields.
Apathy is characterized by loss of motivation, decreased initiative, and emotional blunting. It is highly prevalent in neurological, and psychiatric disorders like Alzheimer's disease, traumatic brain injury, schizophrenia, Parkinson's disease, Huntington's disease, cerebrovascular disorders, and mild behavioural impairment. It has negative outcomes including impairments in activities of daily living, caregiver burden, and higher rates of institutionalization and mortality. The definition of apathy has changed over the years alongside the development of diagnostic criteria and apathy scales and measurements. Apathy is emerging as a treatment target with interest in pharmacological, non-pharmacological, and neuromodulatory treatments for apathy. There is also an increased understanding of the neurobiology of apathy with functional and structural neuroimaging research studies. This book is a comprehensive, in-depth review from experts in neurology and psychiatry. It reviews the current state of apathy in these various disorders while also summarizing apathy diagnostic criteria, scales and measurements, neuropathology, and treatments.
"Diagnostic Electron Microscopy: A Practical Guide to Interpretation and Technique "summarises the current interpretational applications of TEM in diagnostic pathology. This concise and accessible volume provides a working guide to the main, or most useful, applications of the technique including practical topics of concern to laboratory scientists, brief guides to traditional tissue and microbiological preparation techniques, microwave processing, digital imaging and measurement uncertainty. The text features both a screening and interpretational guide for TEM diagnostic applications and current TEM diagnostic tissue preparation methods pertinent to all clinical electron microscope units worldwide. Containing high-quality representative images, this up-to-date text includes detailed information on the most important diagnostic applications of transmission electron microscopy as well as instructions for specific tissues and current basic preparative techniques.The book is relevant to trainee pathologists and practising pathologists who are expected to understand and evaluate/screen tissues by TEM. In addition, technical and scientific staff involved in tissue preparation and diagnostic tissue evaluation/screening by TEM will find this text useful.
Cholecystoses, as dealt with in this book by Dr J. H. J. Ruijs, radiologist, and DrS. G. Th. Hulst, internist, is an interesting clinical and pathologi- cal entity and is unique in that it was introduced into medicine by radiological examination. Soon after the discovery of a usable contrast medium for the gallbladder examination- 35 years ago - some features of cholecystoses have appeared in publications: Rokitansky-Aschoff sinuses and adeno- myomatosis. Jutras' display at the Congress in Montreal in 1962, informed the international radiological world of the common basis for the many different manifestations of cholecystoses. Every radiologist is now acquainted with cholecystoses, but as symptoms are sometimes extremely slight - radiological technique must be exact. The aim of this book is to inform the clinician and surgeon on this clinical and radiodiagnostic entity, and to correlate symptoms and signs with the possible need for surgery. Drs Ruijs and Hulst have succeeded in presenting all this information clearly and succinctly. C.B.A.J. Puijlaert, M.D.
This scenario-based text provides answers to urgent and emergent
questions in acute, emergency, and critical care situations
focusing on the electrocardiogram in patient care management. The
text is arranged in traditional topics areas such as ACS,
dysrhythmia, etc yet each chapter is essentially a question with
several cases illustrating the clinical dilemma - the chapter
itself is a specific answer to the question. This is a unique format among textbooks with an ECG focus. The
clinical scenarios cover the issues involved in detecting and
managing major cardiovascular conditions. Focused, structured
discussion then solves these problems in a clinically relevant,
rapid, and easy to read fashion. This novel approach to ECG instruction is ideal for practicing critical care and emergency physicians, specialist nurses, cardiologists, as well as students and trainees with a special interest in the ECG.
1. Would a better understanding of the anatomy and improvement of the method make it possible to reduce the percentage of failures sufficiently to earn selective arteriography of bronchial and intercostal arteries a place among the accepted methods of selective arteriographic investigation? 2. Can indications for such selective arteriographical investigations be formulated? The answers to these questions were considered to offer a basis for the evaluation of the clinical contribution to be expected of this method. In designing this research project, we started by making a detailed study of the radiological and anatomical literature. I I LITERATURE 11.1. PART I -RADIOLOGY Wide bronchial arteries can be demonstrated by conventional radiological methods. CAMPBELL AND GARDNER (1950), CSAKANY (1964) and KIEFFER ET AL. (1965) described characteristic pictures seen on normal X-ray's and RICHTER (1965) those seen on tomograms of the thorax. TAUSSIG (1947) and SEGERS AND BROMBART (1953) established typical impressions in the esophagus. Some of these authors, including CAMPBELL AND GARDNER (1950) and GARUSI (1961), saw wide bronchial arteries on venous angiocardiograms, but direct study of the bronchial arteries can only be done by arteriography, which still has a rather brief history. Research has been done in dogs and in man; only the latter will be discussed.
Praise for the First Edition " . . . the book is a valuable addition to the literature in the field, serving as a much-needed guide for both clinicians and advanced students."--Zentralblatt MATH A new edition of the cutting-edge guide to diagnostic tests in medical research In recent years, a considerable amount of research has focused on evolving methods for designing and analyzing diagnostic accuracy studies. Statistical Methods in Diagnostic Medicine, Second Edition continues to provide a comprehensive approach to the topic, guiding readers through the necessary practices for understanding these studies and generalizing the results to patient populations. Following a basic introduction to measuring test accuracy and study design, the authors successfully define various measures of diagnostic accuracy, describe strategies for designing diagnostic accuracy studies, and present key statistical methods for estimating and comparing test accuracy. Topics new to the Second Edition include: Methods for tests designed to detect and locate lesions Recommendations for covariate-adjustment Methods for estimating and comparing predictive values and sample size calculations Correcting techniques for verification and imperfect standard biases Sample size calculation for multiple reader studies when pilot data are available Updated meta-analysis methods, now incorporating random effects Three case studies thoroughly showcase some of the questions and statistical issues that arise in diagnostic medicine, with all associated data provided in detailed appendices. A related web site features Fortran, SAS(R), and R software packages so that readers can conduct their own analyses. Statistical Methods in Diagnostic Medicine, Second Edition is an excellent supplement for biostatistics courses at the graduate level. It also serves as a valuable reference for clinicians and researchers working in the fields of medicine, epidemiology, and biostatistics.
Combining a professional development course on diagnostic endoscopy from SPIE (the international society advancing light-based research) and the authors' graduate course on biomedical optics, this work is written for researchers in medical optics and biomedical engineering as well as graduate medical optics students. It uses extensive examples/case studies to familiarize readers with the basics of endoscopic optics, the pros and cons of white light endoscopy and fluorescence endoscopy for diagnostic applications, and various microscopic endoscopy imaging modalities. It covers basic optics, details of design and biomedical uses, as well as microscopic endoscopy, and endoscopic spectroscopy.
This book highlights assessment techniques, issues, and procedures
that appeal to practicing clinicians. Rather than a comprehensive
handbook of various tests and measures, The Clinical Assessment of
Children and Adolescents is a practitioner-friendly text that
provides guidance for test selection, interpretation, and
application. With topics ranging from personality assessment to
behavioral assessment to the assessment of depression and thought
disorder, the leaders in the field of child and adolescent
measurement outline selection and interpretation of measures in a
manner that is most relevant to clinicians and graduate students.
Each chapter makes use of extensive case material in order to
highlight issues of applicability.
1: General Aspects of Laryngeal Cancer.- 1. Introduction.- 1.1. Incidence.- 1.2. Predisposing factors.- 2. TNM staging.- 2.1. Introduction.- 2.2. Clinical classification.- 3. Diagnostic aspects.- 3.1. History.- 3.2. External examination.- 3.3. Laryngoscopy.- 4. Therapeutic options.- 4.1. Radiotherapeutic options.- 4.1.1. Technique.- 4.1.2. Prognostic factors of irradiation treatment.- 4.1.3. Complications due to radiation therapy.- 4.2. Surgical options.- 4.2.1. Laser therapy and microsurgical stripping.- 4.2.2. Laryngofissure and cordectomy.- 4.2.3. Vertical partial laryngectomy.- 4.2.4. Antero-frontal laryngectomy for excision of the anterior commissure.- 4.2.5. Supraglottic laryngectomy.- 4.2.6. (Wide-field) total laryngectomy.- 4.3. Chemotherapeutic options.- 5. Therapeutic management.- Tl- and T2-glottic carcinomas.- T1- and T2-subglottic carcinomas.- T2- and T2-supraglottic carcinomas.- T3- and T4-laryngeal cancer.- Nodal metastasis.- References.- 2: The Patterns of Growth And Spread of Laryngeal Cancer.- 1. Introduction.- 2. Spread of cancer in various regions.- 2.1. Cancer of the supraglottic region.- 2.2. Cancer of the glottic region.- 2.3. Cancer of the subglottic region.- 3. Cartilage invasion.- 4. Lymphatic spread.- 5. Vascular and perineural invasion.- References.- 3: The Radiological Examination of the Larynx.- 1. Introduction.- 2. Phonation manoeuvers.- 3. Frontal tomography.- 4. Contrast laryngography.- 5. Computed tomography.- 6. CT versus conventional radiological techniques.- 6.1. CT versus conventional tomography.- 6.2. CT versus contrast laryngography.- References.- 4: General Aspects of MR Imaging.- 1. Introduction.- 2. Technical principles.- 2.1. Properties of atomic nuclei.- 2.2. Resonance.- 2.3. Behaviour of a sample of nuclei.- 2.4. Proton density, tissue characteristics.- 2.5. Spin echo technique.- 3. The equipment.- 3.1. Magnet.- 3.2. Gradient system.- 3.3. Coils.- 3.4. Computer.- 4. Disadvantages of MR imaging.- 4.1. Claustrophobia.- 4.2. Contra-indications.- References.- 5: MR Imaging Techniques of the Larynx.- 1. Surface coils.- 1.1. Coil selection.- 2. Parameters.- 2.1. Pulse sequences.- 2.2. Slice thickness.- 2.3. Slice direction.- 2.4. Matrix size.- 2.5. Number of signal measurements.- 3. Artifacts.- 3.1. Motion artifacts.- 3.2. System artifacts.- 3.3. Chemical shift artifacts.- 3.4. Artifacts due to ferromagnetic implants.- 4. Performance of the laryngeal examination.- References.- 6: MR Imaging of the Normal Larynx.- 1. Introduction.- 2. MR imaging of laryngeal structures.- 2.1. Laryngeal skeleton.- 2.2. Laryngeal compartments.- 3. Landmarks.- 3.1. Hyoid bone.- 3.2. Aryepiglottic fold.- 3.3. False vocal cords.- 3.4. True vocal cords.- 3.5. Subglottic level.- References.- 7: MR Imaging of Laryngeal Cancer.- Abstract.- 1. Introduction.- 2. Materials and methods.- 3. Case reports.- Case 1.- Case 2.- Case 3.- Case 4.- Case 5.- Case 6.- Case 7.- 4. Discussion.- 5. Conclusions.- References.- 8: MR imaging of Normal and Cancerous Laryngeal Cartilages. Histopathological Correlation.- Abstract.- 1. Introduction.- 2. Materials and methods.- 3. Results.- 3.1. Epiglottic cartilage.- 3.2. Thyroid cartilage.- 3.3. Cricoid cartilage.- 3.4. Arytenoid cartilage.- 4. Discussion.- 5. Conclusions.- References.- 9: Dagnosis of Laryngeal Cartilage Invasion by Cancer. Comparison of CT and MR Imaging.- Abstract.- 1. Introduction.- 2. Materials and methods.- 2.1. Imaging techniques.- 2.2. Image interpretation.- 2.3. Pathological findings.- 3. Results.- 3.1. Epiglottic cartilage.- 3.2. Thyroid cartilage.- 3.3. Arytenoid cartilage.- 3.4. Cricoid cartilage.- 3.5. Group of patients for which no pathologic correlation was available.- 3.6. Movement artifacts.- 4. Discussion.- 4.1. Elastic cartilage: epiglottic cartilage.- 4.2. Hyaline cartilage: thyroid, cricoid and arytenoid cartilages.- 5. Summary.- References.- 10: MR Findings of Cartilage Invasion by Laryngeal Cancer. Value in Predicting Outcome of Radiation Therap...
A comprehensive guide for the eye specialist, Principles of Ocular Imaging presents essential information on imaging modalities for ophthalmologists, residents, and fellows. Ophthalmology and imaging are inextricably intertwined, and practicing eye care professionals need a single definitive source on multiple imaging modalities to reference in clinical practice. Together with their contributors, Drs. Gologorsky and Rosen provide concise but thorough information on the technology and clinical application of 22 imaging modalities unique to ophthalmology, with illustrations and photos throughout that demonstrate how to apply each imaging principle in clinical practice. Principles of Ocular Imaging is divided into the following subspecialties for easy reference in busy clinical environments: Oculoplastics: external photography, ptosis visual fields, slit lamp photography, and orbital ultrasonography Cornea and refractive: corneal topography, confocal microscopy, anterior segment optical coherence tomography (AS-OCT), ultrasound biomicroscopy (UBM), biometry for intraocular lens (IOL) calculations Glaucoma: visual fields, optical coherence tomography (OCT) in glaucoma Retina: fundus photography, fluorescein angiography (FA), indocyanine green (ICG) angiography, fundus autofluorescence (FAF), OCT in retina, optical coherence tomography angiography (OCTA), adaptive optics (AO), microperimetry, retinal ultrasonography Neuro-Ophthalmology: electrophysiology of vision and computed tomography (CT) & magnetic resonance imaging (MRI) A practical, illustrative guide to ophthalmic imaging, Principles of Ocular Imaging is an indispensable addition to the practicing ophthalmologist's professional library.
The long-awaited companion to the award-winning Browse's Introduction to the Symptoms and Signs of Surgical Disease; this book explains clearly how the pathological features and extent of the disease dictate the necessary diagnostic investigations and treatment. Each chapter will include 3 sections: (1) Relevant Pathology - a brief description of the important pathological features of the disease relevant to the clinical diagnosis, the investigations and treatment. (2) Investigations - covering significant diagnostic clinical findings; radiological, biochemical, haematological, immunological, and pathological investigations, and genetics. The relevance of the investigations will be clearly defined, whether they confirm the diagnosis, or detect the local extent of the disease, the distant spread of the disease, or other systemic effects of the disease. The work will also cover investigations for detecting other diseases relevant to management; and investigations that help exclude confusing differential diagnoses. (3) Treatment - to review all aspects of management; this section will summarize the diagnostic information required to plan management: it will describe each method of treatment available, discuss the indications for each treatment, describe any special preparation and pre-treatment care, any post-treatment care and the complications of treatment, enumerate the results of treatment, and provide a management plan. The 2-book set will provide all the information necessary for the clinical years of undergraduate study, through to surgery at foundation years 1 and 2, planning for the MRCS exams, and beyond.
Dr. Jerome Blackman, author of 101 Defenses: How The Mind
Shields Itself, has once again crafted an extraordinarily
user-friendly book that demonstrates to all readers, from trainees
to advanced analysts, the process of diagnosing mental disturbance.
Get the Diagnosis Right provides a systematic method for accurately
determining whether a person suffering with mental problems needs
medication, supportive/cognitive, dynamic, and/or psychoanalytic
treatment. Amalgamating the most useful ideas from general
psychiatry, cognitive psychology, and modern psychoanalytic theory,
Dr. Blackman guides readers who prescribe treatment for mental
disturbances. The book also serves as a check for those who are
considering what type of mental health professional they should be
consulting.
Western medicine treats sick patients like broken machines -- figure out what is physically wrong, fix it, and send the patient on their way. But humans are not machines. When we are ill, we experience our illness: we become scared, distressed, tired, weary. Our illnesses are not just biological conditions, but human ones. It was Arthur Kleinman, a Harvard psychiatrist and anthropologist, who saw this truth when most of his fellow doctors did not. Based on decades of clinical experience studying and treating chronic illness, The Illness Narratives makes a case for interpreting the illness experience of patients as a core feature of doctoring. Before Being Mortal or The Body Keeps the Score, there was The Illness Narratives. It remains today a prescient and passionate case for bridging the gap between patient and practitioner.
Written to help identify major gaps in our knowledge of how gender and age affect psychiatric diagnoses and to stimulate much-needed research to fill these gaps, Age and Gender Considerations in Psychiatric Diagnosis serves as both a valuable short-term source for the DSM-V Task Force and its disorder-specific workgroups, and a long-term guide for future studies that will contribute to revised psychiatric classifications in these three areas. Here, 47 experts present findings in three areas of psychiatric research that historically have been neglected but rightfully have received increasing attention in recent years and thus are worthy of investigation into their clinical features, etiology, and course: 1. Significant gender differences in prevalence, symptom profiles, and risk factors for mental disorders, including neurodevelopmental, neurophysiological, and environmental factors for men and women that cut across diagnostic categories-for example, the critical importance of gender in how psychiatric illness develops and presents; DSM's approach to gender to date; and relevant research findings and gaps in the epidemiology, etiology, and pathophysiology of disorders and the gender-related expression of psychopathology, including the controversial and complex question of whether DSM should have different diagnostic criteria for men and women. 2. Mental disorders in infancy and early childhood, including diagnosis and measurement of psychopathology; PTSD and social and cognitive factors related to the experience of stress; reactive attachment disorder (unique in part because of its specificity to early childhood); mood and anxiety disorders and difficulties in diagnosis; sleep disorders, including two new disorders, Night-Waking Dysomnia and Sleep-Onset Dysomnia; feeding disorders, including the need to address overeating and overfeeding (especially given the alleged U.S. epidemic of obesity); early childhood manifestations of behavior disorders; and early symptoms and diagnosis of autism. 3. Mental disorders in the elderly, such as dementia and depression, once considered normal consequences of aging but now understood to represent mental disorders, including the need to identify specific brain structure abnormalities, biomarkers, and the many contributing biological, psychosocial, and environmental factors of mental illness in late life and to understand their roles in the elderly to better diagnose and monitor disease progression. Written for clinicians and researchers alike, this thought-provoking compendium contributes critical information that helps enhance our understanding of the causes of mental disorders, develop effective preventive and treatment interventions, and inform future editions of DSM and ICD. |
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