Somatoform and Factitious Disorders

Somatoform and Factitious Disorders

by Katharine A. Phillips, John M. Oldham, Michelle B. Riba
     
 

Beset by contradictions, somatoform and factitious disorders have an unusually long, rich, and colorful historical and clinical tradition. Yet, some of them have received only limited empirical investigation.

This book continues that rich tradition by offering a broad and scholarly synthesis of the current knowledge -- and controversies -- about somatoform and

Overview

Beset by contradictions, somatoform and factitious disorders have an unusually long, rich, and colorful historical and clinical tradition. Yet, some of them have received only limited empirical investigation.

This book continues that rich tradition by offering a broad and scholarly synthesis of the current knowledge -- and controversies -- about somatoform and factitious disorders. Here you'll find up-to-date, clinically focused overviews of these intriguing and often difficult-to-treat disorders.

Recognized experts present the latest findings along with insightful recommendations and illustrative case studies on • Somatization disorder -- The evolution and problems of diagnostic criteria (e.g., its focus on symptom counting), epidemiology, clinical features, etiologic considerations, differential diagnosis (e.g., contrasted with depressive and anxiety disorders), evaluation (use of questionnaires), and treatment considerations (psychotherapy, psychotropic medications).• Hypochondriasis -- History, clinical features, theoretical models (psychodynamic, cognitive-behavioral, and physiologic), research studies, and practical techniques for treatment (from pharmacotherapy to cognitive behavioral therapy to alternative treatments such as relaxation therapy).• Body dysmorphic disorder -- History and prevalence, clinical features, treatment (including surgery and nonpsychiatric medical treatment), etiology and pathophysiology (its relationship to obsessive-compulsive, depressive, and eating disorders), and diagnosis and misdiagnosis.• Conversion disorder -- Diagnostic criteria and clinical subtypes, history and definitions, models of symptom generation, functions served by conversion symptoms, associated features, epidemiology, demographic and disease course, comorbidity, differential diagnosis, and treatment (best done in collaboration with an internist, primary care physician, or neurologist).• Factitious disorders (widely known as Munchausen syndrome, its most extreme subtype) -- Empirical evidence related to epidemiology and etiology; diagnosis, clinical description, prevalence, and associated costs; limitations of current approaches; the reliability and usefulness of differential diagnoses; comorbidity, etiology, and management.

Both concise and thorough, this extensively annotated volume clarifies the issues surrounding these fascinating disorders and offers practical guidance and recommendations, highlighting the pressing need for further research to improve patient care. As such, it will prove compelling reading for practicing psychiatrists and other physicians in any clinical setting who want to better understand the baffling complexities of these distressing disorders.

American Psychiatric Publishing

Editorial Reviews

Doody's Review Service
Reviewer: William Miles, MD (Rush University Medical Center)
Description: This book, one in the 2001 Review of Psychiatry series, thoroughly reviews the somatoform and factitious disorders, discussing such topics as epidemiology, etiology/pathology, and treatment modalities for these syndromes.
Purpose: The purpose is to provide a concise, thorough, and clinically-focused overview of somatoform and factitious disorders.
Audience: This book is targeted to practicing psychiatrists and other clinicians who want to better understand somatoform and factitious disorders. However, psychiatric residents would also find it invaluable reading. Although not intended for medical students, students who have an interest in these types of psychiatric disorders would also find it useful; it is not written at such a technical level that students would not understand it.
Features: The book is divided into five chapters: somatoform disorders, hypochondriasis, body dysmorphic disorder, conversion disorder, and factitious disorder. Each chapter discusses these syndromes in great detail, outlining such things as history, signs and symptoms, epidemiology, disease course, and treatment modalities. There are no illustrations, but none are needed. A thorough reference list follows each chapter. An index is provided at the end.
Assessment: This book makes for interesting and useful reading. In this age of psychopharmacology, second-messenger systems, and gene expression, it is refreshing to be reminded that there still exists in psychiatry several disorders that cannot be adequately explained by receptor dysregulation, nor easily treated with a simple prescription. Because these disorders are still commonly seen, it would behoove practicing psychiatrists to review them thoroughly; this book serves that function well.
5 Stars! from Doody

Product Details

ISBN-13:
9781585620296
Publisher:
American Psychiatric Publishing, Incorporated
Publication date:
05/28/2001
Series:
Review of Psychiatry Series
Edition description:
1ST
Pages:
216
Product dimensions:
6.00(w) x 9.00(h) x 0.50(d)
Age Range:
18 Years

Meet the Author

Katherine A. Phillips, M.D., is Associate Professor of Psychiatry and Human Behavior, Brown University School of Medicine in Providence, Rhode Island. She is also Associate Medical Director of Ambulatory Care and Director of Body Dysmorphic Disorder at Butler Hospital in Providence.

American Psychiatric Publishing

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