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The practice of medicine is both learned and advanced through the compilation and study of cases—vignettes that record the presentation, diagnosis, and treatment of individual patients and diseases. This is especially true of psychosomatic medicine (PSM), which depends on the "compelling case" to distill clinical knowledge and communicate it to students, residents, and clinicians. An invaluable contribution to the field, the Casebook of Psychosomatic Medicine describes the psychiatric symptoms and/or illnesses managed by the PSM psychiatrist in collaboration with other medical colleagues. The book presents a broad range of cases illustrating the medical, psychosocial, and intertwined situations psychiatrists are likely to encounter in an academic medical center setting.
No other single volume offers a broader range of engaging,
detailed, and nuanced PSM cases, or grounds them so firmly in a psychiatric,
psychosocial, and spiritual context. Here are just a few of this
patient-centered book's most impressive and useful features:
• The relevant science underlying each case is addressed in discussion
sections, allowing the book to be read as a stand-alone volume.
Alternatively, the cases can be read as instructive and insightful
illustrations by the reader who has already absorbed the fundamentals of PSM
from standard textbooks in the field.
• This user-friendly book is
organized by the organ system or disease type of the presenting illness or
symptom.
• Content rare in volumes of this kind includes detailed
coverage of the diagnosis and management of cognitive disorders; the
management of drug toxicity states; determinations of decisional capacity
for medical decision making; and "stress and adaptation", an issue the PSM
psychiatrist encounters daily.
• The authors strongly believe that one
of the most crucial roles for the psychiatrist is in the medical center, and
the book reflects that orientation.
• The book addresses the importance
of understanding the impact of patients' systemic illnesses on their
psychiatric symptoms, and modifying interventions and care accordingly.
These abilities are critical to sound PSM practice.
Although PSM has a long and noble history, it is the newest of the psychiatric subspecialties, and as the literature expands, more and more clinicians will incorporate PSM treatment modalities into their practice. The Casebook of Psychosomatic Medicine is an essential contribution to that body of knowledge and establishes a new standard with which to face the future of this exciting field.
The Casebook of Psychosomatic Medicine is a well-written
collection of fascinating case reports derived from the authors' years of
experience as psychosomatic medicine clinicians. The wide variety and number
of compelling stories are a testament to their collective wisdom and skill.
This is an enlightening, entertaining, and informative textbook that would
be well suited for trainees as well as those who already practice
psychosomatic medicine.
The reader should find this to be a very
satisfying text that can be incorporated into coursework for medical
students, a general-residency training program, or a psychosomatic-medicine
fellowship. I would also recommend this book to the seasoned
psychosomatic-medicine specialist, because the cases and discussions
presented are thoroughly enjoyable, as well as educational.
This is a very practical manual. Readers from medical students all the way up to seasoned clinicians will find it useful. Concepts come to life through well-chosen clinical cases. The discussion of each case is evidence-based with numerous and current references from the scientific literature. Anyone who regularly sees patients in a consultation-liaison setting or who cares for psychiatric patients with a high level of medical comorbidity will appreciate this book.
James A. Bourgeois, O.D., M.D., is Alan Stoudemire Professor of Psychosomatic Medicine in the Department of Psychiatry and Behavioral Sciences at the University of California, Davis Medical Center in Sacramento, California.
Debra Kahn, M.D., is Assistant Clinical Professor in the Department of Psychiatry and Behavioral Sciences at the University of California, Davis Medical Center in Sacramento, California.
Kemuel Philbrick, M.D., is Assistant Professor of Psychiatry at the Mayo Medical School, College of Medicine, and Consultant in Psychiatry at the Mayo Clinic in Rochester, Minnesota.
John Michael Bostwick, M.D., is Associate Professor of Psychiatry at the Mayo Medical School, College of Medicine, and Consultant in Psychiatry at the Mayo Clinic in Rochester, Minnesota.
Contributors
Preface
Chapter 1. Challenges in
Psychiatric Assessment
Chapter 2. Acute Mental Status
Changes/Delirium
Chapter 3. Heart Disease
Chapter 4. Lung
Disease
Chapter 5. Gastrointestinal Disorders
Chapter 6. Renal
Disease
Chapter 7. Endocrine Disorders
Chapter 8.
Oncology
Chapter 9. Rheumatology
Chapter 10. Infectious
Diseases
Chapter 11. Dermatology
Chapter 12. Surgery
Chapter 13.
Organ Transplantation
Chapter 14. Neurology and Neurosurgery
Chapter
15. Obstetrics and Gynecology and Pediatrics
Chapter 16.
Pain
Chapter 17. Psychosis in the General Medical Setting
Diagnosis
Index
Subject Index