Handbook of Psychiatry in Palliative Medicine / Edition 2

Hardcover (Print)
Not Available on BN.com


Nine years have passed since the first edition of The Handbook of Psychiatry in Palliative Medicine was published. In that time, psychiatric or psychosocial palliative care has dramatically evolved; the net effect on palliative medicine has been transformative. Most doctors, palliative care experts or not, agree that palliation that neglects psychosocial dimensions of patient and family experience fails to meet contemporary standards of comprehensive care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying beginning to take hold.

The first comprehensive handbook of psychiatric palliative care, this new edition is fully updated, reorganized and expanded to include eleven new chapters. Written by internationally known psychiatry and palliative care experts, this book is truly an essential reference for all providers of palliative care including psychiatrists, psychologists, mental health counselors, oncologists, hospice workers and social workers. Each chapter has been updated to address new therapeutic modalities, approaches and research topics.

About The Editors:

Read More Show Less

Editorial Reviews

Doody's Review Service
Reviewer: Jeffrey Rado, MD (Rush University Medical Center)
Description: This is an attempt at a state-of-the-art review of psychiatry in the larger context of palliative care. It is a well-written compendium that addresses a wide variety of topics in end-of-life care.
Purpose: The goal is to promote a comprehensive vision of hospice and palliative care that addresses all facets of suffering. In doing so, it shows us how all members of the palliative care team (oncologists, psychologists, psychiatrists, internists, social workers, etc.) can make a huge impact on patients' quality of life by becoming more sensitive to the issues these patients face on a daily basis.
Audience: Although the authors do not clearly specify their audience, the book is written for practitioners in the field of palliative care medicine. It is not appropriate for medical students or more junior residents.
Features: Numerous psychiatric diagnoses are discussed, but communication with patients is the focus. However, the authors also spend considerable time discussing how to improve clinical interactions with family members as well. Psychotherapeutic issues that are particularly well addressed include spirituality, bereavement, dignity, and demoralization. Each chapter ends with a section on controversies and research opportunities which nicely explores the unanswered questions in the field. The book could have benefited from the use of more real-world case examples to illustrate the concepts being discussed.
Assessment: This is a well-organized, thoughtfully written book. The authors include many experts who work at the interface of psychiatry and palliative care. The book is clearly written and summarizes the current state of research in this ever expanding field of study. I would recommend it for anyone interested in learning more about psychiatry in end-of-life care or who is contemplating a career in this area.
Read More Show Less

Product Details

  • ISBN-13: 9780195301076
  • Publisher: Oxford University Press
  • Publication date: 4/8/2009
  • Edition number: 2
  • Pages: 592
  • Product dimensions: 7.30 (w) x 10.00 (h) x 4.10 (d)

Meet the Author

Harvey Max Chochinov is Distinguished Professor of Psychiatry at the University of Manitoba and Director of the Manitoba Palliative Care Research Unit at CancerCare Manitoba.

William Breitbart is Vice Chair of the Department of Psychiatry and Behavioral Sciences and Chief of Psychiatry Service at Memorial Sloan-Kettering Cancer Center in New York. He is also Professor of Psychiatry at Weill Cornell Medical College at Cornell University.

Read More Show Less

Table of Contents

Contributors xix

Part I Psychiatric and Psychosocial Palliative Care: Critical Milestones

1 Hospice and Palliative Care: A Psychiatric Perspective John L. Shuster Irene J. Higginson 3

2 Integrating Psychiatry and Palliative Medicine: The Challenges and Opportunities J. Andrew Billings Susan D. Block 13

Part II Psychiatric Complications of Terminal Illness

3 An Overview of Care and Management of the Patient at the End of Life Edwin H. Cassem, S.J. 23

4 Diagnosis and Management of Depression in Palliative Care Keith G. Wilson, Ph.D., C.Psych Mark Lander Harvey Max Chochinov, O.M 39

5 Anxiety in Palliative Care Andrew J. Roth Mary Jane Massie 69

6 Delirium in the Terminally Ill William Breitbart Peter G. Lawlor Miriam Friedlander 81

7 Suicide and Desire for Hastened Death in the Terminally Ill Megan Olden Hayley Pessin Wendy G. Lichtenthal William Breitbart 101

8 Palliative Care for Patients with Serious Mental Illness Mary Ellen Foti 113

9 Palliative Care for Patients with Substance Abuse and Patients with Personality Disorders Tatiana D. Starr Lauren J. Rogak David J. Casper Kenneth L. Kirsh Steven D. Passik 122

Part III Psychosocial Issues in Palliative Care

10 What Dying People Want David R. Kuhl 141

11 Communication with Terminally Ill Patients and Their Families Peter Maguire Joseph S. Weiner 157

12 Interdisciplinary Teamwork in Palliative Care: Compassionate Expertise for Serious Complex Illness Matthew J. Loscalzo Charles F. von Gunten 172

13 Cultural Diversity and Palliative Care Leslie J. Blackhall 186

14 Understanding and Managing Bereavement in Palliative Care Sidney Zisook Scott A. Irwin M. Katherine Shear 202

15 Family Issuesand Palliative Care David K. Wellisch David W. Kissane 220

16 Burnout and Symptoms of Stress in Staff Working in Palliative Care Mary L.S. Vachon, R.N. Monika Muller 236

Part IV Ethical, Existential, and Spiritual Issues in Palliative Care

17 Ethical Issues in Palliative Care Edmund D. Pellegrino Daniel P. Sulmasy 267

18 Personal Growth and Human Development in Life-Threatening Conditions Ira Byock 281

19 The Treatment of Suffering in Patients with Advanced Cancer Nathan I. Cherny 300

20 Dignity, Meaning, and Demoralization: Emerging Paradigms in End-of-Life Care David W. Kissane Christina Treece William Breitbart Nancy A. McKeen, R.N. Harvey Max Chochinov, O.M 324

21 Spiritual Issues in Palliative Care Christina M. Puchalski 341

Part V Understanding and Managing Symptoms

22 Physical Symptom Management in the Terminally Ill Russell K. Portenoy Badi El Osta Eduardo Bruera 355

23 Psychiatric Aspects of Pain Management in Patients with Advanced Cancer and AIDS William Breitbart Steven D. Passik David J. Casper Tatiana D. Starr Lauren J. Rogak 384

24 Eating Issues in Palliative Cancer Patients Susan E. McClement, R.N. 417

25 Psychiatric Aspects of Fatigue at the End of Life Susan E. Abbey 427

Part VI Psychotherapeutic Interventions in Palliative Care

26 Individual Psychotherapy for the Patient with Advanced Disease Gary Rodin 443

27 Narrative Medicine: Writing through Bereavement Robert A. Neimeyer James W. Pennebaker Jessica G. van Dyke 454

28 Cognitive-Behavioral Approaches to Symptom Management in Palliative Care: Augmenting Somatic Interventions Dennis C. Turk Caryn S. Feldman 470

29 Group Psychotherapy and the Terminally Ill David Spiegel Molyn Leszcz 490

30 Family-Focused Grief Therapy Sidney Bloch David W. Kissane 504

Part VII Life Cycle Considerations in Palliative Care

31 Psychiatric Care of the Terminally Ill Child Margaret L. Stuber Brenda Bursch 519

32 The Child and Adolescent in Palliative Care Barbara M. Sourkes Joanne Wolfe 531

33 Special Care Considerations for the Seriously Ill Older Adult Lynn B. O'Neill Diane E. Meier R. Sean Morrison 544

Index 553

Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star


4 Star


3 Star


2 Star


1 Star


Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation


  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)