Handbook of Psychiatry in Palliative Medicine / Edition 2

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Psychiatric, or psychosocial, palliative care has transformed palliative medicine. Palliation that neglects psychosocial dimensions of patient and family experience fails to meet contemporary standards of comprehensive palliative 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 take hold. Written by internationally known psychiatry and palliative care experts, the Handbook of Psychiatry in Palliative Medicine is an essential reference for all providers of palliative care, including psychiatrists, psychologists, mental health counselors, oncologists, hospice workers, and social workers.

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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.
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Product Details

  • ISBN-13: 9780199862863
  • Publisher: Oxford University Press
  • Publication date: 1/16/2012
  • Edition number: 2
  • Pages: 592
  • Product dimensions: 7.00 (w) x 10.00 (h) x 1.20 (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.

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Table of Contents

Part I
Psychiatric and Psychosocial Palliative Care: Critical Milestones

1 Hospice and Palliative Care: A Psychiatric Perspective
John L. Shuster, Jr., M.D.
Irene J. Higginson, BMedSci, BMBS, FFPHM, Ph.D., FRCP

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

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., M.D.

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

5 Anxiety in Palliative Care
Andrew J. Roth, M.D.
Mary Jane Massie, M.D.

6 Delirium in the Terminally Ill
William Breitbart, M.D.
Peter G. Lawlor, MB MMedSc, CCFP
Miriam Friedlander, M.D.

7 Suicide and Desire for Hastened Death in the Terminally Ill
Megan Olden, M.A.
Hayley Pessin, Ph.D.
Wendy G. Lichtenthal, Ph.D.
William Breitbart, M.D.

8 Palliative Care for Patients with Serious Mental Illness
Mary Ellen Foti, M.D.

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

Part III
Psychosocial Issues in Palliative Care

10 What Dying People Want
David R. Kuhl, M.D., Ph.D.

11 Communication with Terminally Ill Patients and Their Families
Peter Maguire, M.D.
Joseph S. Weiner, M.D., Ph.D.

12 Interdisciplinary Teamwork in Palliative Care: Compassionate Expertise for Serious Complex Illness
Matthew J. Loscalzo, MSW
Charles F. von Gunten, M.D., Ph.D.

13 Cultural Diversity and Palliative Care
Leslie J. Blackhall, M.D., MTS

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

15 Family Issues and Palliative Care
David K. Wellisch, Ph.D.
David W. Kissane, M.D., MPM, FRANZCP, FAChPM

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

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

17 Ethical Issues in Palliative Care
Edmund D. Pellegrino, M.D., MACP
Daniel P. Sulmasy, M.D., Ph.D.

18 Personal Growth and Human Development in Life-Threatening Conditions
Ira Byock, M.D.

19 The Treatment of Suffering in Patients with Advanced Cancer
Nathan I. Cherny, MBBS, FRACP, FRCP

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

21 Spiritual Issues in Palliative Care
Christina M. Puchalski, M.D., FACP

Part V
Understanding and Managing Symptoms

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

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

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

25 Psychiatric Aspects of Fatigue at the End of Life
Susan E. Abbey, M.D., FRCPC

Part VI
Psychotherapeutic Interventions in Palliative Care

26 Individual Psychotherapy for the Patient with Advanced Disease
Gary Rodin, M.D., FRCPC

27 Narrative Medicine: Writing through Bereavement
Robert A. Neimeyer, Ph.D.
James W. Pennebaker, Ph.D.
Jessica G. van Dyke, B.A.

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

29 Group Psychotherapy and the Terminally Ill
David Spiegel, M.D.
Molyn Leszcz, M.D., FRCPC

30 Family-Focused Grief Therapy
Sidney Bloch, M.D., Ph.D.
David W. Kissane, M.D., MPM, FRANZCP, FAChPM

Part VII
Life Cycle Considerations in Palliative Care

31 Psychiatric Care of the Terminally Ill Child
Margaret L. Stuber, M.D.
Brenda Bursch, Ph.D.

32 The Child and Adolescent in Palliative Care
Barbara M. Sourkes, Ph.D.
Joanne Wolfe, M.D., MPH

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

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