Psychiatry

ContentsPreface to the Second Edition Preface to the First Edition Acknowledgements Part 1: Concepts in Psychiatry 1.Definitions What is Psychiatry? Detection Who is a Psychiatrist? Terminology—Madness and the Mind Further Reading Questions 2. General Concepts Health Service Type of Hospital Cases Community Care Out-patient Referrals Normality: What is It? Abnormalities in a Normal Curve of Distribution Personality—Normal Ranges Intelligence Mental Retardation—Amentia v. Dementia Community Limitations Further Reading Questions 3. Hospital Admission under the Mental Health Act 1983 Reasons for Admission The Mental Health Act 1983 Further Reading Questions 4 History of Psychiatry Early Acts The Mental Health Act 1959 The Mental Health Act 1983 Diagnostic Criteria The Psychoses Drug Therapy The Major Tranquillizers Anti-depressants Psychotherapy Further Reading Questions 5 Causation Labelling Aetiological Factors Research into Schizophrenia Research into Affective Illness Research into Neuroses Personality Disorders—Environmental Influences Further Reading Questions 6 Treatment General Concepts In-patient or Out-patient? Drug Therapy or Medication Anxiolytics Anti-depressants Neuroleptics Physical Methods of Treatment Relaxation Techniques Psychotherapy Behaviour Therapy Further Reading Questions 7 Psychotherapy Types of Psychotherapy Transference Individual Psychotherapy Group Therapy Psychodrama Gestalt Therapy Bioenergetics Transactional Analysis Cognitive Therapy Family Therapy Behavioural Psychotherapy Further Reading Questions 8 Electroplexy The Nature of Electroplexy Insulin Coma Therapy Effects of Electroplexy Evidence of Effectiveness Research and Efficacy Mode of Action Hazards Anaesthetic Risks Dangers of Withholding Treatment Further Reading Questions 9 Relationship of Psychiatry with Other Disciplines ('Liaison Psychiatry') General Practice Neurology Psychology Sociology Biochemistry Pharmacology Statistics Neurosurgery (Leucotomy) Further Reading Questions Part 2: Psychiatric Syndromes 10 Conditions Where Disorder of Thought Predominates Summary Description Incidence and Causation Biochemical Disturbance Epidemiology Symptom Patterns Hebephrenia Hallucinations Other Symptoms Simple Schizophrenia Catatonia Paranoid Schizophrenia Paraphrenia Paranoia Residual Schizophrenia Treatment Rehabilitation Prognosis Further Reading Questions 11 Conditions Where Disorder of Affect Predominates Summary Description Suicide Unipolar Affective Psychosis Treatment Bipolar Affective Psychosis Puerperal Psychosis Mania and Hypomania Aggression and Aggressive Psychosis Further Reading Questions 12 Affective Disorders: The Neuroses Summary Description Symptoms Pervasive Anxiety Phobic States Obsessional Compulsive Neuroses Neurotic Depression Depersonalization Hysteria Parasympathetic Over-activity Differential Diagnosis Treatment Further Reading Questions 13 Psychosomatic Disorders Summary Classification The Autonomic Nervous System Gastro-intestinal System Respiratory System Cardiovascular System The Skin Musculoskeletal System Genito-urinary System Metabolic and Endocrine Disorders Somato-psychic Disorders Further Reading Questions 14 Disorders of Personality and Behaviour Summary Classification Distortions of Personality Development Addictions Sexual Behavioural Anomalies Psychopathy Other Personality Problems The Adolescent Personality Disorder Further Reading Questions 15 Alcoholism and Drug Addiction Summary Alcoholism Delirium Tremens Wernicke's Encephalopathy Korsakoff's Psychosis Treatment for Alcoholism Drug Addiction Treatment for Drug Addiction Further Reading Questions 16 The Elderly Mentally Infirm Summary Description Patients Who Have Grown Old in Hospitals for the Mentally Ill Elderly Persons with Functional Mental Illness Elderly Persons with Dementia Conclusions Further Reading Questions 17 Disorders of Intellectual Function Summary Description Patterns of Diseases Symptoms Organic Psychoses Delirium Dementia Senile Dementia Arteriosclerotic Dementia Pre-senile Dementias GPI (General Paralysis of the Insane) Epilepsy Withdrawal Fits Tumours Head Injury Organic Psychoses Encephalitis Thyroid Disease Hypoglycaemia Myalgie Encephalomyelopathy Pernicious Anaemia Bromide Intoxication Lead and Mercury Poisoning Investigation and Treatment Further Reading Questions 18 Psycho-Sexual Disorders: Partnership Dysharmonies Summary Description Male and Female Problems Mechanism of Arousal Erective and Arousal Failure Orgasmic Dysfunction Ejaculatory Disorders Vaginismus Management of Partnership Dysfunctions Treatment Programmes Medication Sexual Aids Further Reading Questions 19 Psycho-Sexual Disorders: Sexual Behavioural Anomalies Summary Description Homosexuality Paedophilia Fetishism Transvestism Trans-sexualism Exhibitionism and Voyeurism Sado-masochism Treatment Aversion Therapy Sex Change Operations Further Reading Questions 20 Child Psychiatry Summary Description Deprivation and Disrupted Relationships Behavioural Disorders Childhood Neuroses Anorexia Nervosa School Phobia Tics and the Gilles de la Tourette Syndrome Autism Hyperkinesis Dyslexia Psychosis in Children Adolescence Further Reading Questions 21 Mental Handicap (Impairment) Summary Description Training Needs Legal Aspects of Mental Retardation Causation Diagnosis Treatment Individual Syndromes Genetic Defects Sex-Linked Causes Foetal Abnormalities of Developmental Origin Environmentally Determined Causes Further Reading Questions 22 Forensic Psychiatry Summary Description Legal Responsibility Murder and Manslaughter Suicide Termination of Pregnancy, Child Destruction and Infanticide Mentally Disordered Offenders Legislation on Drugs Sexual Offences The 'Battered Baby' Syndrome The 'Battered Wife' Syndrome Child Abuse Shoplifting Epilepsy Further Reading Questions 23 Future Trends The Multidisciplinary Team Psychoses Psychoneuroses The Elderly (Psycho-geriatrics) The Personality Disorders A New Range of Problems ('Liaison Psychiatry') Further Reading GlossaryIndex