Not long ago, it was assumed that coronary heart disease mainly--or only--affected men. Now that CHD is recognized as a leading killer of women as well as men, numerous research studies have been made of its diverse presentations in women, causal factors, and possibilities for prevention and treatment. The expert contributions to Psychosocial Stress and Cardiovascular Disease in Women span the results of this cross-disciplinary awareness. This progressive resource takes a three-dimensional approach to its subject, focusing on epidemiology and risk factors for heart disease in women, the psycho- and neurobiology of stress and coronary disease, and promising clinical interventions. Chapters identify and analyze multiple intersections of social, biological, and psychological factors in affecting women's heart health, from the social dimensions of depression to genetic/environmental interactions to the demands of balancing work and family. These wide-ranging findings will assist and motivate professionals in choosing and creating interventions, developing appropriate prevention strategies, and reducing gender-based disparities in health care. Among the topics covered: Enhancing women's heart health: a global perspective. Coronary heart disease in women: evolution of our knowledge. Gender observations on basic physiological stress mechanisms in men and women. Sleep as a means of recovery and restitution in women. LifeSkills training: benefiting both genders, for different reasons. Gender considerations in psychosocial-behavioral interventions for coronary heart disease. In particular this book will be helpful for cardiologists and other clinicians who may ask themselves why patients do not seem to make rational choices. "Why do patients not follow the advice they are offered?" is a common complaint. The role of psychosocial stress for patient compliance and adherence can be traced throughout the volume. It is emphasized in the chapters on psychosocial interventions along with other tangible and conceptual suggestions and experiences with psychosocial stress and life style change. Psychosocial Stress and Cardiovascular Disease in Women offers a deep practical level of understanding of this epidemic to help expand the work of health and clinical psychologists, sociologists, cardiologists, primary care physicians, and epidemiologists.

Not long ago, it was assumed that coronary heart disease mainly--or only--affected men. Now that CHD is recognized as a leading killer of women as well as men, numerous research studies have been made of its diverse presentations in women, causal factors, and possibilities for prevention and treatment. The expert contributions to Psychosocial Stress and Cardiovascular Disease in Women span the results of this cross-disciplinary awareness. This progressive resource takes a three-dimensional approach to its subject, focusing on epidemiology and risk factors for heart disease in women, the psycho- and neurobiology of stress and coronary disease, and promising clinical interventions. Chapters identify and analyze multiple intersections of social, biological, and psychological factors in affecting women's heart health, from the social dimensions of depression to genetic/environmental interactions to the demands of balancing work and family. These wide-ranging findings will assist and motivate professionals in choosing and creating interventions, developing appropriate prevention strategies, and reducing gender-based disparities in health care. Among the topics covered: Enhancing women's heart health: a global perspective. Coronary heart disease in women: evolution of our knowledge. Gender observations on basic physiological stress mechanisms in men and women. Sleep as a means of recovery and restitution in women. LifeSkills training: benefiting both genders, for different reasons. Gender considerations in psychosocial-behavioral interventions for coronary heart disease. In particular this book will be helpful for cardiologists and other clinicians who may ask themselves why patients do not seem to make rational choices. "Why do patients not follow the advice they are offered?" is a common complaint. The role of psychosocial stress for patient compliance and adherence can be traced throughout the volume. It is emphasized in the chapters on psychosocial interventions along with other tangible and conceptual suggestions and experiences with psychosocial stress and life style change. Psychosocial Stress and Cardiovascular Disease in Women offers a deep practical level of understanding of this epidemic to help expand the work of health and clinical psychologists, sociologists, cardiologists, primary care physicians, and epidemiologists.

More and more clinicians as well as researchers realize that anorexia nervosa and bulimia nervosa often are extremely difficult to treat and that the short-term outcome can be very misleading. In many cases these disordersprevail for a long period of time and can have serious consequences for the patient's further life. This book gives a detailed over- view oftoday's knowledge regarding the long-term outcome of the treatment of anorexic and bulimic patients, many of whom were treated in highly spezialized centers. Experts from bo- th Europe and the U.S. report on theirmost recent research. Their studies include medical as well as psychosocial and psychiatric aspects of eating disorders. Clinicians with long experience in the treatment of eating disorder patients discuss the important practical implications of these rese- arch findings. The information given in this book is helpful for both treatment and prevention of eating disorders. Finally, concrete guidelines show as how to conduct further follow-up studies in this field.

Der Zugang zu einem vertieften Verstandnis des Kranken, wie ihn L. von Krehl auf der Grundlage seiner pathologischen Physiologie im "Medizinischen Personalismus", R. Siebeck in der "Biogra- phischen Medizin" und V. von Weizsacker in der "Anthropo- logischen Medizin" gesucht hatten, ist heute in vielen medizini- schen Subdisziplinen zu einer gewissen Selbstverstandlichkeit ge- worden. Er wird aber in seinen Konsequenzen fiir Praxis und Theorie durch iiberkommende Vorurteile und veraltetes Modell- denken behindert. Die Wissenschaftstheorie der Gegenwart hat sich langst von dem Erbteil des kartesianischen Dualismus, dem Alternativdenken zwischen "Soma" und "Psyche", und damit von der grundsatzlichen Unterscheidung zwischen Natur- und Geisteswissenschaften getrennt. So ist es auch die Aufgabe der medizinischen Forschung, mit Hilfe der fachiibergreifenden me- thodischen Disziplinen zu neuen Schwerpunktbildungen zu kom- men und ihre Konzepte moglichst patienten- und wirklichkeits- nah zu entwickeln. 20 Jahre nach den umfangreichen psychoanalytischen Untersu- chungen von Cl. de Boor (1965) und den klinisch-empirischen Er- gebnissen von A. Jores und M. Kerekjarto (1967) legt der Verfas- ser nicht nur eine iibersichtliche Bestandsaufnahme der psycho- somatischen Forschung iiber das Asthma bronchiale vor, sondern versucht auch eine den modernen klinischen Gesichtspunkten ge- rechtwerdende Unterteilung und Gewichtung der verschiedenen Atiologien und Pathogenesen. Es wird deutlich, in welcher Weise sich die friihere nosologische Einheit "Asthma bronchiale" zu einem klinischen Syndrom gewandelt hat, dessen multikonditio- nale Genese psychische und somatische Aspekte so ineinander verwoben erscheinen HiBt, daB neben der Clusteranalyse verschie- dener Subgruppierungen nur noch der Riickgriff auf die differen- zierte Einzelanalyse F ortschritte verspricht.