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Doody's Review ServiceReviewer: Michael Joel Schrift, DO, MA (University of Illinois at Chicago College of Medicine)
Description: Now in its 6th edition, this book remains a useful guide for psychiatry residents studying for the written examination by the American Board of Psychiatry and Neurology. Advances in neuroscience have continually validated the notions that all mental processes derive from brain processes and that neuropsychiatric symptoms are manifestations of brain dysfunction. It should be considered reprehensible for a psychiatrist who is currently in practice not to understand modern concepts of nervous system functioning and know how to examine and think about the nervous system when it is dysfunctional. The understanding of a patient's mental status or psychopathology is not valid without consideration of the patient's neurologic functioning. The information in this book is essential basic knowledge for the practicing psychiatrist.
Purpose: The purpose, according to its author, is to assist psychiatrists in learning about modern neurology. It is unfortunate that this is not part and parcel of training in psychiatry residency programs or at least taught extensively.
Audience: The intended audience is primarily psychiatrists in training and this should be required knowledge for all practicing psychiatrists.
Features: Section 1 covers clinically relevant neuroanatomy and section 2, the major neurologic symptoms. Topics covered include assessment, psychogenic disorders, cranial nerve impairments, peripheral nerve and muscle disorders, dementia, aphasia, headache, epilepsy, multiple sclerosis, movement disorders and other common neurologic problems. The review cases with questions and answers are the highlights. Each chapter ends with a list of useful and relevant references.
Assessment: This edition remains a useful book for psychiatry residents studying for the boards. The only criticisms are that the areas of neuropsychiatry and behavioral neurology need more coverage and emphasis. Also, the categorical thinking regarding neurological versus psychiatric would be helped by a review of the relevant cognitive neuroscience literature. Nevertheless, this remains a useful book and I highly recommend it.