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Doody's Review ServiceReviewer: Michael Joel Schrift, DO, MA (University of Illinois at Chicago College of Medicine)
Description: This is an outstanding and comprehensive book covering an ever present vexing problem for physicians and resulting in disability for an enormous number of patients. The book developed out of an international workshop in 2003 which was sponsored by The Movement Disorder Society and The National Institute for Neurological Disorders and Stroke. Written and edited by an internationally recognized group of clinicians - scientists in neurology and psychiatry — this book is a welcome contribution to the field with new insights that cognitive neuroscience has brought to these puzzling disorders of movement and willed intentions.
Purpose: The purpose of the book (as well as the workshop on which it is based) is "defining psychogenic movement disorders, advancing knowledge about their mechanisms and providing guidance for their treatment...."
Audience: The target is "Any physician who sees these patients (or any patients with medically unexplained symptoms) should find it (the book) valuable."
Features: The 37 chapters are grouped into six sections, including a section on abstracts from the meeting and an index. Topics covered include history, neurological and psychiatric phenomenology, pathophysiology, diagnostic techniques, and treatment. The chapters for the most part are excellent and informative. Several of the chapters tended to view neurological and psychiatric disorders as categorically distinct or psychiatric disorders as a "ghost in the machine." The pathophysiology section is extremely interesting and is representative of how functional brain imaging and cognitive neuroscience is facilitating the needed development of phenomenological — brain function relationships. Each chapter concludes with relevant citations of the scientific literature and the index is helpful.
Assessment: This is an excellent and needed book on medically unexplained movement disorders. This is required reading for all neurologists, psychiatrists, behavioral neurologists and neuropsychiatrists!