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In the first section of this encyclopedic volume, Dr. Robert Kellner surveys the biological, psychological, and psychiatric studies on nine psychosomatic syndromes, draws conclusions about the complex etiology of these syndromes, offers guidelines for diagnosis, and recommends treatments based on research findings. The second section is an overview of the various processes that lead to bodily complaints, including somatization. The author discusses how psychosomatic syndromes described in the first section contribute to the symptoms of somatoform disorders and how knowledge gained from research on treatment of psychosomatic syndromes can be applied to the treatment of somatoform disorders.
This book, with contributions emanating from the 21st World Congress of Psychosomatic Medicine held in Seoul in August 2011, presents the latest evidence-based information about the mechanisms, assessment, and management of psychosomatic disorders from a biopsychosociocultural perspective. Somatization is a process characterized by excessive or inappropriate focus on physical symptoms that are medically unexplained. It is highly prevalent in primary care medicine, as somatoform (psychosomatic) disorders tend to be chronic and can cause significant personal suffering and social problems as well as financial burden.
Author : Benjamin B. Wolman Publisher : Springer Science & Business Media Page : 305 pages File Size : 31,78 MB Release : 2012-12-06 Category : Medical ISBN : 1468455206
This volume is an encyclopedic book on psychosomatic disorders, written for neurologists, psychiatrists, psychologists, psychiatric social workers, and other mental and physical health professionals. It could be used as a textbook in advanced training programs for the above-mentioned profes sions. It covers the entire field of mind-body issues in psychology and psychiatry and related areas of clinical medicine. The mind-body relationship is a two-way street. Anxiety, fear, anger, and other emotional states can produce physiological changes such as tears, elevated heart rate, and diarrhea. When these changes affect one's health, they belong to the province of psychosomatic medicine. On the other hand, the intake of alcohol and other substances can affect such psycholog ical processes as thinking and mood. When the intake of substances is helpful, they belong to the province of psychopharmacology. The substances that are hurtful and adversely affect one's mental health belong to the category of addictions and drug abuse. All these issues are somatopsychic. The present volume does not deal with somatopsychic phenomena no matter what effect they may have. It deals with the physical effects of psychological issues, and only with those that cause harm to the human body. Thus, it describes and analyzes psychosomatic disorders. It is divided into four major parts: theoretical viewpoints, etiological considerations, the psychosomatic diseases, and treatment methods.
Patients with psychosomatic diseases lack the capacity for emotional connection and symbolic thinking and the physical symptoms of asthma, anorexia nervosa and ulcerative colitis have been outside our domain.
This intriguing volume presents the most contemporary views on the conceptualization and treatment of somatoform disorders and related conditions from experts in psychodynamic and cognitive behavioral approaches. It does so with respect to both perspectives, without advocating for either approach. By presenting expert views from diverse perspectives, the book raises, what is a central point in most of the chapters, that emotion, its processing and regulation, is a cornerstone of these disorders. The volume also highlights the role of pathogenic coping or defense mechanisms like dysfunctional avoidance (from a CBT perspective) and conversion (from the psychodynamic perspective) in the maintenance of psychosomatic symptoms. The volume’s contents include detailed literature reviews on the most common—and most treatment-resistant—mind/body conditions, including chronic pain, responses to trauma, alexithymia, and the spectrum of health anxiety disorders. Noted experts distinguish between types of medically unexplained symptoms, discuss their complex processes, and provide models for intervention where cognitive-behavioral or psychodynamic approaches may be appropriate or effective. And a fascinating case study of a patient presenting multiple trauma-related disorders explores therapist resourcefulness over a course of shifting symptoms and frustrating setbacks. Among the topics covered: Maintaining mechanisms of health anxiety: current state of knowledge. Negative affect and medically unexplained symptoms. Alexithymia as a core trait in psychosomatic and other psychological disorders. Trauma and its consequences for body and mind. Embodied memories, a new pathway to the unconcious. Psychotherapy among HIV patients: a look at a psychoimmunological research study after 20 years. Health anxiety: a cognitive-behavioral framework. The wealth of options discussed in Somatoform and Psychosomatic Disorders offers health psychologists, psychiatrists, psychotherapists, counselors, and psychoanalysts bold new ideas for case formulation, treatment planning, and intervention with some of their most intractable cases.
A neurologist explores the very real world of psychosomatic illness. Most of us accept the way our heart flutters when we set eyes on the one we secretly admire, or the sweat on our brow as we start the presentation we do not want to give. But few of us are fully aware of how dramatic our body's reactions to emotions can sometimes be. Take Pauline, who first became ill when she was fifteen. What seemed at first to be a urinary infection became joint pain, then food intolerances, then life-threatening appendicitis. And then one day, after a routine operation, Pauline lost all the strength in her legs. Shortly after that her convulsions started. But Pauline's tests are normal; her symptoms seem to have no physical cause whatsoever. Pauline may be an extreme case, but she is by no means alone. As many as a third of men and women visiting their GP have symptoms that are medically unexplained. In most, an emotional root is suspected and yet, when it comes to a diagnosis, this is the very last thing we want to hear, and the last thing doctors want to say. In It's All in Your Head consultant neurologist Dr Suzanne O'Sullivan takes us on a journey through the very real world of psychosomatic illness. She takes us from the extreme -- from paralysis, seizures and blindness -- to more everyday problems such as tiredness and pain. Meeting her patients, she encourages us to look deep inside the human condition. There we find the secrets we are all capable of keeping from ourselves, and our age-old failure to credit the intimate and extraordinary connection between mind and body.
This book focuses on the assessment and treatment of patients with somatic symptoms, based on biopsychosociospiritual model. Specific assessment skills and treatment techniques are required to approach them effectively. A broad spectrum of knowledge about stress is also needed because stress is closely related to the onset and course of disorders with somatic symptoms. This book consists of four parts. Part 1 ‘Stress’ explores stress, vulnerability, and resilience; intermediate mechanisms between stress and illnesses such as psychoendocrinology and psychoimmunology; the measurement of stress; and the relationship between stress and accidents. Part 2 ‘Somatization’ deals with the concept, mechanisms, assessment, and treatment of somatization. In addition, somatic symptom and related disorders in DSM-5 is included. However, the approach to chronic pain is separately added to this part because pain is a major concern for patients with these disorders. Part 3 ‘Specific physical disorders’ mainly deals with common and distressing functional physical disorders as well as major physical disorders. Therapeutic approach for individuals at risk of coronary heart disease is also included. Part 4 ‘Religion, spirituality and psychosomatic medicine’ emphasizes the importance of a biopsychosociospiritual perspective in an approach for patients with somatic symptoms, especially depressed patients with physical diseases and patients with terminal illnesses because of the growing need for spirituality in such patients. This book explores stress and a variety of issues relevant to the assessment and treatment of disorders with somatic symptoms in terms of biopsychosociospiritiual perspectives. It will be of interest to researchers and healthcare practitioners dealing with stress, health and mental health.
"Psychosomatic illness has no apparent physiological cause. By definition, it originates in the mind. But now, in this fascinating work, the foremost authority on the history of psychosomatic illness shows that the forms it takes are in fact a product of something much larger. Symptoms are produced not just by an individual's psychology, but also by one's genetic history and even by the time and culture in which we live. When we fall ill with psychosomatic pain, our symptoms most often - and quite unconsciously - reflect our particular ethnic group, age, class, or gender." "In this landmark work, Edward Shorter continues his important inquiry into the nature of psychosomatic illness. Drawing on a vast array of engrossing, colorful, and often humorous historical case studies, he explores the newly discovered relationship between social identity and the varieties of psychosomatic disorders." "Tracing the interplay of cultural and biological factors in psychosomatic distress, Shorter shows that while some individuals are genetically more predisposed than others to develop chronic illness, their particular historical era and circumstances will influence the likely nature of their maladies. Women have more abdominal problems than men. Eastern European Jews have more nervous disorders than other ethnic groups. Boston Irish tend to experience their distress in their faces and throats, while Boston Italians have more general malaise. Adolescent middle-class girls are most prone to anorexia nervosa. An extraordinary number of fashionable wealthy people became invalids in the early part of this century and spent their lives traveling from spa to spa in search of a cure." "Shorter explores how symptoms are forged by a number of factors, including the stress caused by changing patterns of family life and by patterns of persecution and the influence of the medical community and the media, which position some symptoms as more acceptable than others. His lively anecdotes reveal for the first time just how stress, popular notions, and social forces together construct many of our symptoms and create much of our pain."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved
The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5® categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking. Noteworthy features include the following: Content is organized according to DSM-5® categories to make for rapid retrieval of relevant treatment information for the busy clinician. Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient. Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text. Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5® world.