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As more patients seek information about family risks of psychiatric illness—an interest likely to increase as gene-identification studies are publicized—most psychiatrists agree it is their role to discuss these issues but admit they are ill-prepared to do so. Psychiatric Genetics addresses that need as the first book to focus on clinical applications of genetics in psychiatry. It covers issues involved in genetic counseling, the interpretation of familial and genetic information for clinical use, information regarding risks associated with specific psychiatric disorders, risk/benefit considerations related to medication use during pregnancy, and the ethical and social implications of psychiatric genetic knowledge and research—including the prospects for genetic testing.
While other books have been written for the genetics
community, this volume is addressed to practitioners: a clinically relevant
resource that can help them understand the often bewildering flood of
information about genetics—information difficult to interpret, let alone
integrate into practice—and enable them to respond to patients' requests to
predict the risk of recurrence of psychiatric illness or provide information
about reproductive and pregnancy-related issues. Experts from psychiatry,
genetic epidemiology, molecular genetics, genetic counseling, cognitive
psychology, and ethics focus on issues that have received little attention
elsewhere yet are of increasing importance to clinicians. Written at a level
that assumes no particular expertise in genetics, the book features these
immediately applicable benefits:
• It offers a framework for understanding and critically evaluating the
psychiatric genetic research literature, enabling clinicians to better
understand the meaning and limitations of genetic discoveries when patients
raise questions about media reports.
• It provides a resource for
clinicians who would like more information about the role and content of
genetic counseling, outlining a typical counseling session while
demonstrating how risks are estimated and discussed.
• It summarizes
genetic aspects of major psychiatric conditions—from childhood-onset
disorders through psychotic, mood, and anxiety disorders to dementia—as well
as neuropsychiatric manifestations of other genetic disorders.
• It
alerts clinicians to risk/benefit considerations related to medication use
during pregnancy.
• It covers the ethical, legal, and social
implications of genetic research and counseling, illustrating the dilemmas
that arise with new advances.
Whether used as a clinical guide, reference, or ancillary text, this
book sets the standard for the application of psychiatric genetic knowledge
in everyday practice. Psychiatrists, mental health clinicians, and genetic
counselors will find it an essential resource for all patient encounters in
which genetic issues arise.
It serves both as a clinical reference and teaching text, and professionals in multiple disciplines would find it an excellent source for training. The format, structure, llustrations, and chapter order all contribute to a clean, orderly progression of knowledge. The selected authors all demonstrate significant expertise in their fields, and the editors have produced a valuable work that introduces a substantial amount of information in a relatively brief space.
This book succeeds admirably, distilling a vast amount of information into an easily readable volume emphasizing practical implications of genetics.
— Richard Kennedy, M.D., Ph.D.
Jordan W. Smoller, M.D., Sc.D., is Associate Professor of Psychiatry at Harvard Medical School; Associate Professor in the Department of Epidemiology at the Harvard School of Public Health; Assistant Vice Chair of the Department of Psychiatry at Massachusetts General Hospital; Director of the Psychiatric Genetics Program in Mood and Anxiety Disorders in the Department of Psychiatry; co-Director of the Genetics and Genomics Unit of the Massachusetts General Hospital Clinical Research Program; and a faculty member in the Center for Human Genetic Research at Massachusetts General Hospital in Boston, Massachusetts.
Beth Rosen Sheidley, M.S., CGC, is Associate Professor of the Practice and Co-Director of Research and Professional Development in the Genetic Counseling Program in the Department of Biology at Brandeis University in Waltham, Massachusetts; and Genetic Counselor in the Division of Genetics and Metabolism at Tufts Medical Center, Floating Hospital for Children, in Boston, Massachusetts.
Ming T. Tsuang, M.D., Ph.D., D.Sc., is Behavioral Genomics Endowed Chair and University Professor at the University of California; Distinguished Professor of Psychiatry and Director of the Center for Behavioral Genomics in the Department of Psychiatry at the University of California, San Diego in La Jolla, California; Adjunct Professor and Director of the Harvard Institute of Psychiatric Epidemiology and Genetics in the Department of Epidemiology at the Harvard School of Public Health in Boston, Massachusetts; and Senior Lecturer at the Massachusetts Mental Health Center Academic Division of Public Psychiatry in the Department of Psychiatry at Beth Israel Deaconess Medical Center and Harvard Medical School in Boston, Massachusetts
Contributors
Preface
Part 1: General
Principles
Chapter 1. Psychiatric Genetics: A Primer
Chapter 2.
Principles of Genetic Counseling
Chapter 3. Risk Communication: Simple
Tools to Foster Understanding
Part 2: Genetics of Specific
Disorders
Chapter 4. Genetics of Childhood-Onset Psychiatric
Disorders
Chapter 5. Genetics of Schizophrenia and Psychotic
Disorders
Chapter 6. Genetics of Mood and Anxiety Disorders
Chapter
7. Genetics of Alzheimer's Disease
Chapter 8. Neuropsychiatric Aspects
of Genetic Disorders
Part 3: Special Topics
Chapter 9. Perinatal
Psychiatry and Teratogenicity
Chapter 10. Ethical, Legal, and Social
Implications of Psychiatric Genetics and Genetic Counseling
Chapter 11.
The Road Ahead
Glossary
Index