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Sometimes described as "the nemesis of the primary care
physician," somatoform disorders are frustrating, expensive to treat, and
under-investigated. Somatic Presentations of Mental Disorders
provides a fascinating and practical review of the epidemiology, diagnosis,
and treatment of this ill-defined category of disease.
Somatic Presentations of Mental Disorders summarizes the
proceedings of a unique international conference that convened experts from
across disciplines to review perspectives on somatoform disorders. The broad
range of experience and specialization results in a compendium that
addresses both theoretical and practical issues presented in somatoform
disorders. For the researcher, the book offers a thorough and critical
overview of the research landscape, surveying and synthesizing the available
literature from around the world on all aspects of the disorder.
Acknowledging the unique challenges presented in studying such a
heterogeneous collection of disorders, the authors identify specific gaps in
the research literature. Somatic Presentations of Mental Disorders
also addresses controversial issues of nosology in advance of the
publication of DSM-V.
Despite its utility for researchers, the book
primarily serves as an invaluable reference and resource for the
practitioner. Organized with the clinician in mind, Somatic Presentations
of Mental Disorders surveys the latest data on phenomenology;
etiology and clinical course; and treatment options. Unlike other literature
on this difficult topic, the authors thoroughly explore the entire range of
this category of disorders, including conversion disorder, chronic pain and
fatigue, and the multitude of presentations of medically unexplained
symptoms. Aimed at both primary care and mental health practitioners, the
book addresses crucial issues for effective diagnosis and treatment, including:
• Comorbidity and association with anxiety and depressive
disorders
• Unique insights into cultural factors affecting the
presentation and treatment of somatic disorders around the globe
• The
prevalence of misdiagnosis, and contemporary diagnostic tools and techniques
to help avoid a missed organic diagnosis
• The complicated
interrelationship of somatoform disorders and substance abuse
• The
efficacy of various treatment modalities, including pharmacology and
cognitive behavioral therapy
• Collaboration between primary care and
mental health providers to maximize treatment outcomes
Comprehensive, thoughtful, and up-to-date, Somatic Presentations of Mental Disorders is a must-have both for researchers in the field and for clinicians with somatizing patients.
Joel E. Dimsdale, M.D., is Distinguished Professor of Psychiatry in the Department of Psychiatry at the University of California, San Diego in San Diego, California.
Yu Xin, M.D., is Professor of Psychiatry at the Peking University Institute of Mental Health in Beijing, China.
Arthur Kleinman, M.D., is the Victor and William Fung Director of Harvard University Asia Center; the Esther and Sidney Rabb Professor of Anthropology in the Department of Anthropology in the Faculty of Arts and Sciences at Harvard University; and Professor of Medical Anthropology and Professor of Psychiatry in the Department of Global Health and Social Medicine at Harvard Medical School in Cambridge, Massachusetts.
Vikram Patel, Ph.D., is Professor of International Mental Health and Wellcome Trust Senior Clinical Research Fellow in Tropical Medicine at the London School of Hygiene & Tropical Medicine in London, England.
William E. Narrow, M.D., M.P.H., is Associate Director of the American Psychiatric Institute for Research and of the Division of Research of the American Psychiatric Association in Arlington, Virginia.
Paul J. Sirovatka, M.S., was Director of Research Policy Analysis at the Division of Research and American Psychiatric Institute for Research and Education at the American Psychiatric Association in Arlington, Virginia.
Darrel A. Regier, M.D., M.P.H., is Executive Director of the American Psychiatric Institute for Research and Education and Director of Division of Research at the American Psychiatric Association in Arlington, Virginia.
Contributors
Disclosure
Statement
Foreword
Evolution of psychosomatic diagnosis in
DSM
Introduction
Chapter 1. Epidemiology of the association between
somatoform disorders and anxiety and depressive disorders
Chapter 2. The
association or otherwise of the functional somatic syndromes
Chapter 3.
Cultural models and somatic syndromes
Chapter 4. Influence of cultural
and social factors on the epidemiology of idiopathic somatic complaints and
syndromes
Chapter 5. Are somatoform disorders changing with
time?
Chapter 6. A biological substrate for somatoform
disorders
Chapter 7. Somatoform and substance use disorders
Chapter
8. Stability of somatoform symptoms
Chapter 9. What is the evidence for
the efficacy of treatments for somatoform disorders?
Chapter 10. Are
treatments for common mental disorders also effective for functional
symptoms and disorder?
Chapter 11. Efficacy of treatment of somatoform
disorders
Chapter 12. The evidence for treatments for somatoform
disorders
Index