The Primary Care Companion To The Journal of Clinical Psychiatry最新文献_第6页

Sleepiness Versus Sleeplessness 困倦与失眠

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2004-10-15 DOI: 10.4088/PCC.V06N0505

T. Roth, K. Doghramji, Paul P. Doghramji, Jonathan R. L. Schwartz, J. Walsh

引用次数: 1

Massachusetts General Hospital Guide to Primary Care Psychiatry, 2nd ed. 马萨诸塞州总医院初级保健精神病学指南，第二版。

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2004-06-01 DOI: 10.4088/PCC.V06N0308

T. Schwenk

引用次数: 0

A New Era Begins: Full Text and Indexing in PubMed Central 一个新时代的开始:全文和索引在PubMed中心

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2004-04-01 DOI: 10.4088/PCC.V06N0101

J. Shelton

引用次数: 33

Therapist's Guide to Substance Abuse Intervention 药物滥用干预治疗师指南

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2003-12-01 DOI: 10.4088/PCC.V05N0609

R. Mallin

{"title":"Therapist's Guide to Substance Abuse Intervention","authors":"R. Mallin","doi":"10.4088/PCC.V05N0609","DOIUrl":"https://doi.org/10.4088/PCC.V05N0609","url":null,"abstract":"This text “strives to convey the immense complexity of substance abuse and substance dependency disorders” (p. xvii) as described in the introduction. The book proves to be an excellent resource for primary care providers regarding the heterogeneous world of substance abuse treatment. Given the fact that 20% or more of outpatient visits in primary care are related to substance abuse problems, a text such as this proves essential in the primary care clinician's library. It is not a text to be read cover-to-cover, as it is over 600 pages in length and full of tables, forms, and other guides used to assess and treat patients with substance abuse disorders. \u0000 \u0000The text is separated into 5 parts. As a physician, I found Part 1 to be the weakest in the descriptions of neurobiology and pharmacology, which are oversimplified in some places and simply erroneous in others. The errors are minor, however, and the overall description of the disease of addiction is well thought out and referenced. \u0000 \u0000Part 2 overviews clinical assessment and is a comprehensive look at the many forms, screens, and evaluations that may be used in assessing patients with substance abuse disorders. Many of these clinical assessments are in the public domain and can be used directly from this text. \u0000 \u0000Part 3 deals with substance abuse treatment, and the author does a credible job of describing multiple treatment modalities in an unbiased fashion. Part 4 discusses specific therapy approaches and how they can be used together and addresses the difficult problem of dual-diagnosis. In Part 5, there is a plethora of resources for patients who are continuing their growth in recovery. \u0000 \u0000Therapist's Guide to Substance Abuse Intervention is an excellent resource but cannot be used by the novice to substance abuse treatment without some guidance. The text is so comprehensive as to be confusing to someone uninitiated in addiction treatment. On the other hand, when used as a resource for specific questions by a clinician familiar with the field, it may be one of the most comprehensive sources of its kind.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"703 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133464199","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 Maudsley Handbook of Practical Psychiatry, 4th ed. 莫兹利实用精神病学手册，第4版。

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2003-10-01 DOI: 10.4088/PCC.V05N0511

T. Schwenk

{"title":"The Maudsley Handbook of Practical Psychiatry, 4th ed.","authors":"T. Schwenk","doi":"10.4088/PCC.V05N0511","DOIUrl":"https://doi.org/10.4088/PCC.V05N0511","url":null,"abstract":"A book described as being about practical psychiatry inevitably suggests there must be a text somewhere that emphasizes impractical psychiatry, but that is probably not the editors' intent here. The adjective practical refers to the inclusion of introductory psychiatric knowledge and skills deemed essential for performance by medical students and residents as psychiatric trainees. \u0000 \u0000Two British professors of psychiatry based at the London Institute of Psychiatry and the Maudsley Hospital edit The Maudsley Handbook of Practical Psychiatry, known in Britain as the “Orange Book.” The text is an excellent summary of the details of the psychiatric interview, the mental status examination, specialized neuropsychiatric assessments, and basic information about psychotherapeutic and psychopharmacologic treatments, including several standardized questionnaires and lists of medications. \u0000 \u0000However, the cultural context of psychiatric care presented in the text probably renders the book less useful to U.S. students and residents. For example, the last chapter addresses “things you need to know about” and includes many aspects of British law related to mental health care, involuntary commitment, children, and criminality. Perhaps, more importantly, the value of any pocket book of this genre is increasingly suspect given the easy availability of PDA-based resources, which are more easily searched, more complete, easily customized and updated, and much tidier than the stuffed notebooks those of us from earlier generations carried in our white coat pockets.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117303099","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

Implementing Early Intervention in Psychosis 实施精神病早期干预

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2003-08-01 DOI: 10.4088/PCC.v05n0410

J. Stovall

{"title":"Implementing Early Intervention in Psychosis","authors":"J. Stovall","doi":"10.4088/PCC.v05n0410","DOIUrl":"https://doi.org/10.4088/PCC.v05n0410","url":null,"abstract":"Schizophrenia is a devastating disease that affects 1% of the population worldwide and is associated with extreme disability. Individuals with the illness suffer profoundly, and the burden of the disease upon the individuals, their families, and society is compounded by the typical onset of the illness during early adulthood. While deterioration symptomatically and functionally often occurs early in the course of illness, treatment is often postponed. The average length of time from onset of psychotic symptoms to treatment is 1 year, and from onset of prodromal symptoms to treatment is 3 years.1,2 \u0000 \u0000In Implementing Early Intervention in Psychosis, the authors outline the extent of the problem in recognizing and treating psychotic disorders early in their course and provide optimism that systems of care can be developed to render effective treatment. The authors have written a readable, thorough, and useful resource for clinicians working in community settings. Building on the work of a number of researchers throughout the 1990s, the authors assert that early intervention and treatment can lessen the deterioration and relapse that are prominent during the first few years in the course of psychosis. Tailored treatment can preserve social supports and functioning and decrease repeated hospitalizations and incarcerations, the development of substance abuse disorders, and morbidity and mortality associated with psychosis. \u0000 \u0000Edwards and McGorry divide the book into 2 sections: the first explores the extent of the problem and the second gives a step-by-step guide to developing services in a community. The first section will appeal to any clinician working in the community as it takes the clinician through the process of engagement, assessment, and treatment with a young adult experiencing the onset of psychosis. The authors clearly recognize that most individuals with early symptoms of psychosis will present to their primary care clinician, a clinician who has limited time, perhaps with little experience and training in this area, and with little or no access to specialized systems of care. Clinically oriented and sensitive to the limited resources faced by most community-based primary care clinicians and psychiatrists, these few chapters in the first section serve as an excellent primer for providers and teachers. Keeping this book on hand will benefit any clinician helping patients and their families understand the onset of psychotic disorders. \u0000 \u0000The second half of the book may be of less use to professionals whose work is primarily clinical. However, those involved in planning and developing systems of care will find useful the discussion of the steps involved in establishing services for individuals with new-onset psychosis. The authors draw from their own experiences and refer to programs throughout the world in discussing options that range from community needs assessment, to developing a Web site, to the pros and cons of developing specialized","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124010067","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: 38

Case Studies in Psychopharmacology: The Use of Drugs in Psychiatry, 2nd ed 精神药理学案例研究:精神病学药物的使用，第2版

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2003-06-01 DOI: 10.4088/PCC.V05N09

J. C. Graves

{"title":"Case Studies in Psychopharmacology: The Use of Drugs in Psychiatry, 2nd ed","authors":"J. C. Graves","doi":"10.4088/PCC.V05N09","DOIUrl":"https://doi.org/10.4088/PCC.V05N09","url":null,"abstract":"I am not really a fan of case-based learning, but I did enjoy this book. The authors present the information with an opening case followed by a question-and-answer style discussion, concluding summary points, and references with each issue-based chapter. I found the question-and-answer style text easy to read and practical as well as comprehensive enough to cover the subject without being too long and drawn out. The book was penned by obviously very knowledgeable pharmacists from the United Kingdom. Therefore, they discuss the use of some medications that are not available in the United States. There is the rare reference to “best use of the UK medical system,” but not enough to be distracting. I found the advice to be concise and practical. The discussions are well founded in the scientific literature, and the authors always point out when they had to use experience or limited science to provide guidance in therapy. \u0000 \u0000This book is strictly about pharmacologic treatment and does not stray into biosociomedical theory of causation or psychotherapy. There is some mention of psychotherapy where appropriate, but no attempt is made to discuss the details, which is consistent with the title and goal of the text. \u0000 \u0000In a nutshell, I think this book would be very useful for those who take care of patients who have complicated mental health disorders. I do not think that most primary care physicians would find the types of patients discussed in the text in their practices. While well written, I believe this book is for the small audience of psychopharmacologists and not the general population of physicians.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133667090","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

Science and Pseudoscience in Clinical Psychology 临床心理学中的科学与伪科学

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2003-06-01 DOI: 10.4088/PCC.v05n0209

Stephen M. Adams

{"title":"Science and Pseudoscience in Clinical Psychology","authors":"Stephen M. Adams","doi":"10.4088/PCC.v05n0209","DOIUrl":"https://doi.org/10.4088/PCC.v05n0209","url":null,"abstract":"Practitioners of primary care, by virtue of its very nature, are often responsible for encouraging and/or arranging for patients with mental illness to seek psychological treatment. Those who provide primary care should therefore be familiar with the validity and efficacy of the treatment regimens that they recommend to their patients. Science and Pseudoscience in Clinical Psychology is the “first major volume devoted exclusively to distinguishing scientifically unsupported from scientifically supported practices in modern clinical psychology” (p. xix). \u0000 \u0000The text is divided into 5 sections: (1) Controversies in Assessment and Diagnosis, (2) General Controversies in Psychotherapy, (3) Controversies in the Treatment of Specific Adult Disorders, (4) Controversies in Specific Child Disorders, and (5) Controversies Regarding Self-Help and the Media. Each section is subdivided into chapters devoted to subjects such as autism, posttraumatic stress disorder, dissociative identity disorder, and antidepressant medications (including herbal treatments). For each condition, there is a description of commonly used treatments and a balanced review of the available scientific literature that supports or refutes each treatment method. \u0000 \u0000The authors have exposed widespread reliance upon techniques of diagnosis and treatment that have little or no scientific support. This text is an invaluable resource for anyone with an interest in mental illness. The clear and concise evidence-based chapters can easily be used as a road map for advising patients as to which types of therapies are best suited for their conditions and which ones are best avoided. Some of the material presented is disturbing; all of it is challenging. It is doubtful that many medical practitioners could read the entire book without having to reconsider the validity of at least one “sacred cow.” The information is very current and copiously referenced. The authors are in no way “antipsychology”; rather, their common purpose is to encourage more careful scrutiny of psychological treatments based upon the scientific method. The editors and contributing authors are themselves psychologists representing a variety of clinical and academic backgrounds. This book rates as a “must have” for anyone who performs or recommends psychological evaluation and treatment and should be required reading for both medical students and graduate students in psychology.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125410056","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

DSM-IV-TR Case Studies DSM-IV-TR案例研究

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2003-02-01 DOI: 10.4088/PCC.v05n0111

Vladimir Maletic

{"title":"DSM-IV-TR Case Studies","authors":"Vladimir Maletic","doi":"10.4088/PCC.v05n0111","DOIUrl":"https://doi.org/10.4088/PCC.v05n0111","url":null,"abstract":"DSM-IV-TR Case Studies is an ambitious attempt to provide a clinically relevant guide to differential diagnosis of psychiatric illness. The book is organized into 16 chapters coinciding with major diagnostic categories of DSM-IV-TR and a very useful, final “Test Yourself” chapter. \u0000 \u0000The authors of the text faced a tough challenge: collecting and creating clinical vignettes that would reflect the diagnostic criteria in a comprehensive and accurate way, yet represent what clinicians may encounter in the “real world.” Illustrations needed to be complex enough to showcase the diversity of presentation of psychopathology, yet not mislead or obfuscate. \u0000 \u0000Patient histories, at their best, are infused with lifelike details—evocative, poignant, and reflective of rich clinical experience. The discussion of differential diagnosis is thorough, thoughtful, and, at times, sensitive to cultural, gender, medical, and psychodynamic influences. Helpful diagnostic algorithms are often suggested. The use of the therapeutic relationship as a diagnostic tool is hinted at on several occasions. \u0000 \u0000DSM-IV-TR Case Studies, as well as the diagnostic manual it is based on, may be viewed as a culmination of an effort to codify the great diversity of human emotional, cognitive, and behavioral problems and classify them into clear-cut phenomenological categories. In spite of its “pre-Darwinian” character (conditions are grouped by their common appearance, not necessarily similar genetics or biological underpinning), it would be unfair to criticize this text for being too true to its template. \u0000 \u0000Nevertheless, one can view these case histories as often being “Brady-centric”: as reflective of everyday clinical experience as the family in the Brady Bunch television show is of a typical family. All of the patients are examined in a psychiatric setting. Complex comorbidities, including medical illness, drug interactions, or side effects, are rarely present. Cultural, ethnic, and religious diversity in manifesting symptoms of psychiatric illness is seldom reflected in the selection of case histories. A patient with the same psychiatric condition is likely to have different presentations in the office of a psychiatrist versus that of a family physician, pediatrician, gynecologist, internist, or neurologist. Although the diagnostic manual is designed to be useful in all of these settings, differences in manifestation of psychopathology are not accounted for. Some of the diagnostic modifiers of depressive disorders and posttraumatic stress disorder, specifying the chronicity, may be more reflective of the treatment outcome rather than the nature of the condition. I do not believe it is fair to assign the responsibility for these relative shortcomings to the authors of the text, because, for the most part, they are the limitations of the DSM writ large. \u0000 \u0000In spite of some reservations, I would recommend this text to psychiatrists-in-training, primary care physicians, and other specia","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128041882","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

Treating Suicidal Behavior: An Effective, Time-Limited Approach. 治疗自杀行为:一个有效的，有时间限制的方法。

The Primary Care Companion To The Journal of Clinical Psychiatry Pub Date : 2002-12-01 DOI: 10.4088/PCC.V04N0608

R. Zylstra

{"title":"Treating Suicidal Behavior: An Effective, Time-Limited Approach.","authors":"R. Zylstra","doi":"10.4088/PCC.V04N0608","DOIUrl":"https://doi.org/10.4088/PCC.V04N0608","url":null,"abstract":"Treating Suicidal Behavior: An Effective, Time-Limited Approach is a well-written, thorough, and comprehensive review of an important topic. While providing more information than many primary care providers may be willing to review or are able to utilize, the authors appear to make a conscious effort to present the contents of this volume as accessibly as possible by thoughtfully dividing the text into 2 major sections. \u0000 \u0000The first section, “Establishing a Foundation for Treatment,” contains 3 chapters that review the literature related to suicidality, present an overview of cognitive-behavioral theory (CBT), and summarize the treatment process. These 3 chapters provide a useful orientation to providers wishing to increase their comfort level when dealing with suicidal patients prior to referral for more intensive psychiatric treatment. An understanding of the complexity of primary care is acknowledged by the authors' recognition and consideration of issues related to medical as well as psychiatric comorbidity. \u0000 \u0000The second section, which includes the remaining 7 chapters, provides extensive detail, suggestions, and treatment advice for practitioners interested in learning more about the actual mechanics of the therapeutic process. The standard treatment framework presented is based on a series of 20 sessions that would typically take place over a 6-month time period. Guidelines are provided for topics and tasks to be addressed at each session, which are illustrated with a longitudinal case example. Individual chapters expand on topics introduced earlier such as initial evaluation, risk assessment, crisis intervention, behavioral management, and cognitive restructuring. \u0000 \u0000The authors' obvious interest in providing clinically relevant information is seen throughout the text. Research reviews are chosen on the basis of their clinical orientation and are followed by summary statements discussing implications for clinical practice. CBT and its application to suicide prevention are presented in a clear yet concise manner, with a thoughtful recognition of the tension between theory and practice. Numerous clinical examples, tables, acronyms, and case studies are used to enhance retention and illustrate working concepts. \u0000 \u0000In summary, this is a thoughtfully organized and well-developed text that is structured in such a way as to allow professionals with various levels of interest to improve their understanding of suicidal behavior and treatment. Information is clearly presented and organized in a manner that facilitates quick reference. Treating Suicidal Behavior is a useful guide for clinicians at any level of practice and an excellent tool for those interested in improving their psychotherapeutic skills in this area.","PeriodicalId":371004,"journal":{"name":"The Primary Care Companion To The Journal of Clinical Psychiatry","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122820547","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: 147