The Primary Care Companion To The Journal of Clinical Psychiatry最新文献

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The Dream Experience 梦的经历
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2009-02-15 DOI: 10.4088/PCC.08BK00674
B. Vaidya
{"title":"The Dream Experience","authors":"B. Vaidya","doi":"10.4088/PCC.08BK00674","DOIUrl":"https://doi.org/10.4088/PCC.08BK00674","url":null,"abstract":"The Dream Experience: A Systematic Exploration is a comprehensive text about dreaming. It initially guides the reader through a number of basic concepts about dreaming, including the evidence for dreams actually existing, how dreams are recalled, how dreams are measured and collected in the laboratory, and the range of different types of dreams people experience. It then examines more complex ideas about dream function and meaning. On a personal level, I feel that the subject of dreams is one that was neglected in my own undergraduate medical training, and, although we were taught some basic sleep physiology, the area of dreams had always seemed somewhat mysterious and unscientific. This book has certainly done a good job of filling gaps in my knowledge and has helped me to appreciate the extent of scientific evidence already available in the area. It has provided me with a good foundation to be able to consider and discuss dreams more confidently.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126211458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Treating the Aching Heart 治疗疼痛的心
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2008-12-15 DOI: 10.4088/PCC.V10N0613A
J. McKrell
{"title":"Treating the Aching Heart","authors":"J. McKrell","doi":"10.4088/PCC.V10N0613A","DOIUrl":"https://doi.org/10.4088/PCC.V10N0613A","url":null,"abstract":"I suspect I am like many family physicians, often left to wonder why many of my depressed patients and my patients with heart disease do not seem to respond well to standard treatments. I cannot explain why these patients do not get better or even how they got so sick in the first place. Dr. Wulsin's book illuminates some of the answers to these questions. Treating the Aching Heart is a fascinating and extremely helpful book for both patients and clinicians. The author tackles 2 enormous subjects, depression and coronary artery disease, and explores the pathologic links between the 2 as well as the influences they have on each other. \u0000 \u0000Dr. Wulsin presents his material logically, chapter building upon chapter. He makes a potent argument that Americans pay a high price for ignoring the connection between these 2 common diseases that cause a tremendous burden of suffering for many in the United States. He clearly explains how depression negatively affects the major risk factors for heart disease. He takes us through the current understanding of the neurobiology of depression and then elucidates its links with chronic inflammation and sympathetic nervous system overactivity in the pathophysiology of heart disease. Dr. Wulsin pulls all of this together in several elegant charts and diagrams that he intends to be used as practical tools for the assessment and treatment of depression and heart disease. He closes the book with a challenge to integrate the care of depression and heart disease in our fragmented health care system and so begin to ease the suffering of our patients. \u0000 \u0000This book has multiple features that will be helpful to both patients and the physicians who care for them. The Clinical Tips are practical suggestions that will help patients take a more active role in their treatment. I think the tips may be especially helpful in giving patients practical advice about depression. The appendices contain a number of figures, charts, and Web site links that provide practical tools for both patients and physicians. In particular, I found the Patient Health Questionnaire Depression checklist to be a tool I can easily put to use in my practice. There are several features I particularly enjoyed about the book. Dr. Wulsin's use of clinical vignettes reminded me of my own patients and grounded the book in day to day clinical practice. The figures at the end of chapters 7 and 8 are not just an excellent visual summary of his main thoughts but are also novel clinical tools I am anxious to apply directly to the care of my patients. I expect the visual summary of a patient's risk profile for coronary artery disease will make it easier to provide more comprehensive care. Finally, I appreciated his challenge to join the process of overhauling our health care system and work to integrate the care of these 2 common and debilitating diseases. I think most of us have been frustrated many times by the separation of mental health care and care for physical prob","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116731694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevention and Treatment of Suicidal Behaviour 自杀行为的预防和治疗
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2008-12-15 DOI: 10.4088/PCC.v10n0613c
R. Bota
{"title":"Prevention and Treatment of Suicidal Behaviour","authors":"R. Bota","doi":"10.4088/PCC.v10n0613c","DOIUrl":"https://doi.org/10.4088/PCC.v10n0613c","url":null,"abstract":"Making any choice creates in us a sense of being vulnerable. With each decision, we lose all the other choices that we did not make. What about the decision to die? Regardless of the cause of suicidal gestures or attempts, the individuals involved usually feel an intense sense of anxiety. One of the reasons is that deciding to die involves no further choices after that. It cannot be undone and people that have reached operational stages of thinking know that. In children, however, suicidality is more dangerous, as they have no or a limited sense of the irreversibility of dying. \u0000 \u0000The majority of the successful acts of suicide are carefully planned in advance. It has been described as a process in which the persons develop suicidal thoughts without a plan but rather a passive desire to “not wake up.” Most often, this ideation disappears for a time or leads to one or several plans regarding the means to be used. This stage can lead to acquiring the means to accomplish this task. It can last for months (e.g., storing months’ worth of prescribed medication). In the time leading up to the act, many individuals go through a testing phase, mainly designed to decrease their anxiety (playing with the gun initially, cocking the gun without ammunition, buying the bullets, and loading the weapon, etc.). This interval often provides a prolonged window of time during which the individual can be identified as at risk by friends or physicians. This progression also might lead to reduction in anxiety about the final act. For example, some Golden Gate Bridge survivors did not report any anxiety symptoms as they fell, but others “changed their mind” about the act of dying.1 \u0000 \u0000In light of the above conceptualization, we can hypothesize that the anxiety of “final choice” occasionally helps overturn the desire to die in some patients, at least for the time necessary to seek help. During this time, those caring for an individual at risk need to assure that the person is observed carefully to promote safety, assess protective and contributory factors, and develop a plan to anticipate and manage future attempts. \u0000 \u0000Unfortunately, even with our best efforts, the rate of completed suicide is high in those who have had a previous attempt. Those in whom thoughts of suicide recur are not “exploring new ground” anymore. They have been there before. We have limited information since patients are often secretive about these thoughts and hide them even from close family and friends. The risk of suicide is highest after hospital discharge in psychiatric patients, particularly if there is a change in provider at the time of discharge. Proposed explanations include that patients return to the same environment that caused their suicidal symptoms, perceive loss of the supports available during hospitalization, perceive a sense of shame about being hospitalized, and perceive “inadequacy.” Therefore, immediate follow-up and close coordination between psychiatric and primary care servi","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130825775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Psychiatric Issues in Parkinson's Disease 帕金森病的精神问题
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2008-12-15 DOI: 10.4088/PCC.v10n0613b
M. Hasnain, W. Vieweg
{"title":"Psychiatric Issues in Parkinson's Disease","authors":"M. Hasnain, W. Vieweg","doi":"10.4088/PCC.v10n0613b","DOIUrl":"https://doi.org/10.4088/PCC.v10n0613b","url":null,"abstract":"Parkinson's disease is a progressive neurodegenerative disorder characterized by motor, somatic, and neuropsychiatric features. It leads to significant disability for the patient and burden for the caregivers. Providing care for patients with Parkinson's disease can be very challenging. A biopsychosocial approach best meets these difficulties, and editors Menza and Marsh provide a comprehensive practical guide to these ends. \u0000 \u0000The book is divided into 4 sections. The first section offers an “introductory” overview to help the reader understand the clinical aspects of Parkinson's disease and its management. The information in this section is probably too basic for a neurologist but adequate for a nonneurologist clinician. The discussion on the etiology and pathogenesis of Parkinson's disease is brief but sufficient from a clinical perspective. Differentiating Parkinson's disease from other conditions with parkinsonian features is crucial for effective clinical management, patient and family education, and predicting clinical progression and outcome. A concise section in the first chapter tabulates the main features of other parkinsonian conditions to help in the differential diagnosis. Medical management of early Parkinson's disease is the focus of chapter 2. Antiparkinsonian medications are reviewed in this chapter with a brief section on the nonmedical treatments. The chapter guides prescribing practices and assessing patient's response to treatment. Motor complications related to disease progression and dopaminergic treatment are common in advanced Parkinson's disease. A concise discussion of these complications appears in chapter 3. An overview of the nonmotor somatic symptoms is offered in chapter 4. \u0000 \u0000Section 2 focuses on cognitive dysfunction in Parkinson's disease. Cognitive impairment not meeting the threshold of dementia is common in patients with Parkinson's disease and can adversely affect their social, recreational, and occupational functioning. Because of its “subthreshold” nature, such cognitive impairment may not draw enough clinical attention. We were pleased to see a complete chapter on this topic in the book. Dementia associated with Parkinson's disease is the topic of the next chapter. After a concise and clinically relevant review of the definition of dementia and epidemiology of dementia in Parkinson's disease, the authors discuss assessment and management in more detail. Once Parkinson's disease dementia has developed, it is extremely difficult to differentiate it from dementia with Lewy bodies. The last chapter in this section reviews the differences between these 2 types of dementia and provides guidelines for clinical management of related issues that are found in both of these conditions. \u0000 \u0000Section 3 addresses topics that one would expect based on the title of the book. Depression as a symptom is very common in patients with Parkinson's disease, but the true prevalence of the syndrome of major depression is hard to es","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"279 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114611296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Handbook of Medicine in Psychiatry. 精神病学医学手册。
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2008-10-15 DOI: 10.4088/PCC.V10N0512A
H. Goforth
{"title":"Handbook of Medicine in Psychiatry.","authors":"H. Goforth","doi":"10.4088/PCC.V10N0512A","DOIUrl":"https://doi.org/10.4088/PCC.V10N0512A","url":null,"abstract":"The Handbook of Medicine in Psychiatry is directed toward psychiatrists who may not feel comfortable addressing medical conditions that often arise in psychiatric patients—especially lipid management, common infections, and electrolyte abnormalities. The book is well organized into a series of common medical conditions, and the chapters vary in content from directions on how to manage situations of less acuity to discussions of more complex differentials and needs for referral in higher acuity cases. Many chapters are further enhanced by the presence of flowcharts for quick reference and increased ease of use. \u0000 \u0000The book is well written at an appropriate level for psychiatrists who may not have an internal medicine background, and the table of contents and index provide for easy accessibility. The text will find a primary home in the offices of psychiatrists who wish to take a more active role in the management of their patients’ medical conditions as well as those who may have suboptimal medical backup for routine complaints. \u0000 \u0000While the Handbook of Medicine in Psychiatry will not replace the value of consulting physicians, psychiatrists will gain in medical knowledge such that it will be less likely for medical comorbidities to be underrecognized or suboptimally treated. The authors should be commended for their effort. \u0000 \u0000 \u0000Harold W. Goforth, M.D. \u0000 \u0000Duke University Medical Center, Durham, North Carolina","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"277 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125286280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Playing Sick? Untangling the Web of Munchausen by Proxy, Malingering, and Factitious Disorder 打生病吗?通过代理、装病和人为障碍来解开蒙乔森的网络
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2008-08-15 DOI: 10.4088/PCC.V10N0412A
Stephen M. Adams
{"title":"Playing Sick? Untangling the Web of Munchausen by Proxy, Malingering, and Factitious Disorder","authors":"Stephen M. Adams","doi":"10.4088/PCC.V10N0412A","DOIUrl":"https://doi.org/10.4088/PCC.V10N0412A","url":null,"abstract":"","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131025536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Child and Adolescent Clinical Psychopharmacology Made Simple. 儿童和青少年临床精神药理学变得简单。
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2008-08-15 DOI: 10.4088/PCC.V10N0412C
S. Wylie
{"title":"Child and Adolescent Clinical Psychopharmacology Made Simple.","authors":"S. Wylie","doi":"10.4088/PCC.V10N0412C","DOIUrl":"https://doi.org/10.4088/PCC.V10N0412C","url":null,"abstract":"There are many informative books available on the topic of psychopharmacology, but it is difficult to find concise and informative guidelines for treating children and adolescents. In addition, most psychiatric medications are not approved for use in children, and the U.S. Food and Drug Administration has placed limitations on using certain medications with this population. Practicing psychopharmacology with children and adolescents is not only more challenging clinically, it is also a much riskier practice clinically and medicolegally than practicing adult psychopharmacology; this book addresses these issues in a very precise manner. \u0000 \u0000Dr. Preston, a well-known leader in teaching clinical psychopharmacology, has combined his knowledge with that of Dr. O'Neal (a psychiatrist) and Dr. Talaga (a psychiatric pharmacist) to produce a brief but informative practice guide for mental health and medical professionals alike. The book is well organized, with an introductory chapter that highlights current issues in prescribing psychiatric medications for children and adolescents followed by succinct chapters on each diagnostic category. This book also covers diagnoses such as autism, Tourette's disorder, and tic disorder, which are often omitted. I am not aware of a comparable book on the market that addresses treatment issues in an equally brief yet informative manner. \u0000 \u0000This book addresses several pertinent issues in treating children and adolescents, including specific medical guidelines as well as often neglected yet vital contributory issues such as family dynamics, social variables, and cultural issues. Also included in this text are important concepts that might be overlooked by clinicians who are not used to treating this population; these include clinically significant changes in hepatic metabolism that accompany puberty, the need for concurrent psychotherapy with any psychopharmacology, the reality that parents who do not 100% endorse your treatment will often sabotage it, and the fact that clinicians who treat these patients will be prescribing mainly off-label and to a population that receives significant negative media coverage in regards to psychiatry. This book is easy to read and is based on both relevant clinical experience and sound research. \u0000 \u0000In a book this size that covers a topic this big, there are bound to be omissions, and most of the omissions noted were secondary only to the depth allowed in a reference-based publication. However, I did discover some omissions that most likely should have been included. For example, very little coverage was given to the use of atypical antipsychotics for childhood bipolar disorder, which is out of step with current research and practice. Aside from mainly minor omissions, this book covered a very broad, difficult, and contentious psychiatric specialty in a very informative manner. I would recommend this book to my peers.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124018285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The Early Course of Schizophrenia. 精神分裂症的早期病程。
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2008-08-15 DOI: 10.4088/PCC.V10N0412B
J. Goeb
{"title":"The Early Course of Schizophrenia.","authors":"J. Goeb","doi":"10.4088/PCC.V10N0412B","DOIUrl":"https://doi.org/10.4088/PCC.V10N0412B","url":null,"abstract":"Schizophrenia is a chronic psychiatric disease that represents an immense amount of individual and familial suffering and an important social burden. Early explanations involved various unique etiologies (among others: a virus, a single gene, or, unfairly, the mother), but the last decades of research have recognized schizophrenia as a multifactorial disease. The Early Course of Schizophrenia, edited by Tonmoy Sharma, M.D., and Philip D. Harvey, Ph.D., and written by experts in the field, addresses the most pressing questions in the pathogenesis and treatment of schizophrenia, focusing on the strongest evidence to date with great clarity. \u0000 \u0000The first section, “Schizophrenia in the Premorbid Period,” begins with a discussion of some of the key evidence supporting the neurodevelopmental hypothesis of schizophrenia. The neurodevelopmental hypothesis distinguishes several periods of this illness, extending from vulnerability to risk factors to the definite clinical diagnosis. These include an early premorbid period, associated with nonspecific abnormalities, and the prodromal period, retrospectively assessed as a time of various symptoms and difficulties (including many that are hardly specific to schizophrenia, such as depressed mood, anxiety, social withdrawal, irritability, and aggressive behavior; suicidal ideation and attempts; and substance use). These periods precede the onset of frank psychotic symptoms (hallucinations, delirious thoughts, and negative symptoms). \u0000 \u0000This widely accepted model involves a developing brain, with genetic vulnerabilities interacting with environmental insults that may occur both in early life (when risk factors may include prenatal exposure or obstetric complications) and during adolescence or early adulthood (when risk factors may include pubertal changes, substance use, or the process in adolescence that requires coping with the new identity, sexuality oriented toward other people, and autonomy from the parents). The interactions between these different kinds of internal and external risk factors are best illustrated by the example of one person's believing that others are thinking badly about or laughing at him, resulting in social withdrawal; nonattendance at school, university, or work; and suspiciousness and altered behavior toward family and friends. \u0000 \u0000Precocious therapeutic interventions may permit the patient to benefit from social integration and avoid psychiatric chronicity. That outcome requires both treating the disease intensively in the early phases and respecting what may retrospectively appear as a transitory adaptation to a stressful period in the patient's life. \u0000 \u0000“Schizophrenia in the Premorbid Period” provides, interestingly, a synthetic description of intellectual and cognitive functioning before and at the onset of the first episode, stressing that, for a subgroup of patients, cognitive deficits (executive functions, working memory, attention, and abstract reasoning) are already evident m","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131482026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding Depression: A Complete Guide to Its Diagnosis and Treatment, 2nd ed. 理解抑郁症:一个完整的指南,其诊断和治疗,第二版。
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2008-06-16 DOI: 10.4088/PCC.V10N0313C
Jeff Mitchell
{"title":"Understanding Depression: A Complete Guide to Its Diagnosis and Treatment, 2nd ed.","authors":"Jeff Mitchell","doi":"10.4088/PCC.V10N0313C","DOIUrl":"https://doi.org/10.4088/PCC.V10N0313C","url":null,"abstract":"This book is written for laypeople who want to understand mood disorders from a biological perspective. It could also be used by primary care physicians for purposes of patient education. This is the second edition; the first was published in 1993.1 Both of the authors are pioneers in biological psychiatry. Dr. Klein is an emeritus professor at the New York State Psychiatric Institute. Dr. Wender is an emeritus professor at the University of Utah School of Medicine and a lecturer at Harvard Medical School. \u0000 \u0000The book contains chapters on recognizing depression (with a helpful self-rating questionnaire), distinguishing depression from bipolar mood disorders, causes of mood disorders, diagnosis and treatment of depression, a brief guide to psychophar-macologic drugs, illnesses related to depression, and how to get help. This is a readable book for laypersons and includes excellent case examples. The information about antidepressants is up-to-date and informative. Psychiatrists and primary care physicians regularly have to contend with public misinformation about antidepressants; the chapter on these medications would go a long way toward properly educating patients about the risks and benefits of these drugs. There are also sections on sleep aids, antipsychotics, anticonvulsants, and benzodiazepines. Herbal treatments are also addressed. \u0000 \u0000This publication strongly focuses on the biological model of depression, which has been the authors' lifetime area of study. They have less expertise on non-biological models of treatment, and it shows in this book. Drs. Klein and Wender acknowledge the relationship between biological predisposition and life stress, though they heavily favor medical treatment over psychotherapy. They incorrectly state that there is little evidence that cognitive-behavioral therapy is more effective than placebo in treating depression (page 105). Nor do the authors touch upon lifestyle issues such as maintaining active schedules and exercise. Readers might also get the impression that psychiatrists are the only individuals qualified to treat depression. It is well known, particularly in non-urban settings, that antidepres-sants are primarily prescribed by primary care physicians. \u0000 \u0000With the shortcomings aside, I would recommend this book for any layperson looking for authoritative information about the biology of mood disorders.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133950533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Psychotherapy for Depression in Older Adults 老年人抑郁症的心理治疗
The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2008-06-16 DOI: 10.4088/PCC.V10N0313A
B. Cairns
{"title":"Psychotherapy for Depression in Older Adults","authors":"B. Cairns","doi":"10.4088/PCC.V10N0313A","DOIUrl":"https://doi.org/10.4088/PCC.V10N0313A","url":null,"abstract":"Psychotherapy for Depression in Older Adults is the first book in the Wiley Series in Clinical Geropsychology, which is directed primarily at psychologists who are currently, or seeking to begin, working with an aging patient population. As the authors are quick to point out, the demographic of the American population, regardless of ethnic group or socioeconomic status, is shifting toward a greater geriatric representation as the “baby boomer” cohort comes of retirement age. In the face of this aging population, however, there is a lack of professionals trained in the mental health needs of the elderly.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125324939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
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