Download PDF PSYCHIATRY THIRD EDITION Vol 1 by Alan Tasman

Sinopsis

It was Freud who raised the technique of psychiatric examination—listening—to an expert level unexplored in earlier eras. Binswanger (1963) said of the period prior to Freud: “psychiatric ‘auscultation’ and ‘percussion’ was performed as if through the patient’s shirt with so much of his essence remaining covered or muffl ed that layers of meaning remained unpeeled away or unexamined.” This metaphor and parallel to the cardiac examination is worth considering as we ask if listening will remain a central part of psychiatric examination. The explosion of biomedical knowledge has radically altered our evolving view and practice of the doctor–patient relationship. Physicians of an earlier generation were taught that the diagnosis is made at the bedside; that is, the history and physical examination are paramount. Laboratory and imaging examinations were seen as confi rmatory exercises. As our technologies have blossomed, the bedside and/or consultation room examinations have evolved into the method whereby the physician determines what tests to run, and the tests are often viewed as making the diagnosis. A cardiologist colleague expresses the opinion that, given the growing availability of noninvasive tests—echocardiograms, for example—he is not sure that this is a bad thing (Hillis 2001, personal communication). This alteration of the core doctor–patient relationship has been exacerbated by the advent of the electronic medical record. It is not unusual for the patient to carry on a conversation with his/her physician as the doctor scans a computer screen.

Content

1. Listening to the Patient
2. Physician–Patient Relationship
3. The Psychiatric Interview: Settings and Techniques
4. The Cultural Context of Clinical Assessment
5. Professional Ethics and Boundaries
6. Legal Issues in Psychiatric Practice
7. A Psychiatric Perspective on Human Development
8. Infant Development: The First 3 Years of Life
9. Preschool Development
10. School-Age Development
11. Adolescent Development
12. Adult Development
13. Late Life
14. A Brief History of Psychiatry
15. Are there Biological Commonalities among Different Psychiatric Disorders ?
16. Genetic Epidemiology and Molecular Genetics of Psychiatric Disorders
17. Modeling Psychiatric Disorders in Experimental Animals

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