The Perspectives of Psychiatry / Edition 2

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Overview

Substantially revised to include a wealth of new material, the second edition of this highly acclaimed work provides a concise, coherent introduction that brings structure to an increasingly fragmented and amorphous discipline. Paul R. McHugh and Phillip R. Slavney offer an approach that emphasizes psychiatry's unifying concepts while accommodating its diversity. Recognizing that there may never be a single, all-encompassing theory, the book distills psychiatric practice into four explanatory methods: diseases, dimensions of personality, goal-directed behaviors, and life stories. These perspectives, argue the authors, underlie the principles and practice of all psychiatry. With an understanding of these fundamental methods, readers will be equipped to organize and evaluate psychiatric information and to develop a confident approach to practice and research.

Johns Hopkins University Press

The book contains black-and-white illustrations.

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Editorial Reviews

Psychological Medicine
I know many physicians who would like their own liaison psychiatrist in their pocket (in more ways than one). Those who work at Johns Hopkins now have just that. This book comprises the portable advice of the Johns Hopkins Professor of Psychiatry and Medicine to help physicians with some of the commonest psychiatric issues they encounter.

— Eleanor Feldman

Journal of Psychosomatic Research
A very informative text that does an excellent job of introducing to some and presenting to others effective approaches to psychiatric and neurological symptoms... Provides practical, time friendly, concepts that would be usable after only the first read.

— M. Ojinga Harrison, M.D.

New England Journal of Medicine
This brilliant book illuminates psychiatry more clearly than any other work I know.... This is the best (and the shortest) single volume on psychiatry that anyone could read.
Journal of Clinical Psychiatry
Every psychiatry department, regardless of ideology, should build a course around this... work. Open-mindedness might become fashionable.
Hospital and Community Psychiatry
An elegantly reasoned and eloquently written book that enriches our understanding of clinical events.... [It provides] an opportunity to open our eyes to new possibilities.
Psychological Medicine - Eleanor Feldman
I know many physicians who would like their own liaison psychiatrist in their pocket (in more ways than one). Those who work at Johns Hopkins now have just that. This book comprises the portable advice of the Johns Hopkins Professor of Psychiatry and Medicine to help physicians with some of the commonest psychiatric issues they encounter.
Journal of Psychosomatic Research - M. Ojinga Harrison
A very informative text that does an excellent job of introducing to some and presenting to others effective approaches to psychiatric and neurological symptoms... Provides practical, time friendly, concepts that would be usable after only the first read.
Doody's Review Service
Reviewer: Nancy Schell, MD (Rush University Medical Center)
Description: This is the second edition of a book composed more than a decade ago. It assists in the understanding of basic patterns and elements of psychiatric reasoning so that students can more easily grasp the details and problems encountered in this field.
Purpose: The purpose is to describe psychiatric thought and forge a conceptual structure on which better research and practices can arise while showing how the informational content of psychiatry is organized.
Audience: Though the stated audience is students, it is equally useful to anyone in the field of psychiatry.
Features: The authors explore different methods of reasoning necessary to understand patients. These are called "perspectives" and are distinct but complementary ways of looking at mental disorders. The four perspectives are discussed in four chapters, using psychiatric conditions that best illustrate each perspective. There is a good introductory chapter and recapitulation at the end. An appendix and references are also provided.
Assessment: This is a well-organized and logical presentation. It is very useful in today's clamor of biology versus psychology and helps anyone interested in psychiatry to consider patients and conditions in an integrated, open-minded fashion.
Nancy P. Schell
This is the second edition of a book composed more than a decade ago. It assists in the understanding of basic patterns and elements of psychiatric reasoning so that students can more easily grasp the details and problems encountered in this field. The purpose is to describe psychiatric thought and forge a conceptual structure on which better research and practices can arise while showing how the informational content of psychiatry is organized. Though the stated audience is students, it is equally useful to anyone in the field of psychiatry. The authors explore different methods of reasoning necessary to understand patients. These are called ""perspectives"" and are distinct but complementary ways of looking at mental disorders. The four perspectives are discussed in four chapters, using psychiatric conditions that best illustrate each perspective. There is a good introductory chapter and recapitulation at the end. An appendix and references are also provided. This is a well-organized and logical presentation. It is very useful in today's clamor of biology versus psychology and helps anyone interested in psychiatry to consider patients and conditions in an integrated, open-minded fashion.
Booknews
Expanding upon the 1986 edition, Johns Hopkins' psychiatry faculty present the ways in which the subject matter is organized rather than the entire informational content of the field. Boldly proclaiming that such a structure provides a better basis for research and practice than the all-encompassing "biopsychosocial" orientation, the authors cover: assessment and explanation; the concepts of diseases, dimensions, behaviors, and life stories; practical implications; and reliability and validity. Annotation c. by Book News, Inc., Portland, Or.

4 Stars! from Doody
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Product Details

Meet the Author

Paul R. McHugh, M.D., is Henry Phipps Professor and Director in the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine. Phillip R. Slavney, M.D., is Eugene Meyer III Professor of Psychiatry and Medicine at the Johns Hopkins University School of Medicine.

Johns Hopkins University Press

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Table of Contents

Preface
Acknowledgments
I Assessment and Explanation in Psychiatry
1 The Mind-Brain Problem and a Structure for Psychiatry 3
2 Factionalism: The Other Source of Disarray in Psychiatry 18
3 Classification in Psychiatry and the Method of DSM-IV 31
II The Concept of Diseases
4 The Disease Perspective: Its Premises, History, Strengths, and Limitations for Psychiatry 45
5 The Disease Concept Exemplified by Psychiatric Conditions with Known Neuropathologies 54
6 The Disease Concept Applied to Psychiatric Conditions without Known Neuropathologies 63
7 Manic-Depression: A Disorder in the Affective Realm 71
8 Schizophrenia 82
III The Concept of Dimensions
9 The Dimensional Perspective: Graded, Quantitative, Dispositional Distinctions 99
10 Mental Subnormality: Distinctions within a Dimensional Feature 110
11 Temperament, Affective Dimensions, and Personality Disorders 126
12 Emotions, Life Events, Traits of Temperament, and Treatment 138
IV The Concept of Behaviors
13 The Behavior Perspective 151
14 Characteristics of Motivated Behaviors 165
15 The Causes of Behavioral Disorders 178
16 Treatment Principles for Behavioral Disorders 195
17 Bulimia Nervosa: A Behavior Treated through Stages of Change 210
18 Hysteria 223
19 Suicide 238
V The Concept of Life Stories
20 The Life-Story Perspective 253
21 The Application of the Life-Story Perspective in Practice: Power, Process, and Pitfalls 268
VI Practical Implications
22 Practical Implications of the Perspectives 285
23 Integrative Summary 294
App Reliability and Validity: The Processes of Verification 301
Notes 305
Index 325
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