Systematic Psychiatric Evaluation: A Step-by-Step Guide to Applying the Perspectives of Psychiatry

Overview

The Perspectives approach to psychiatry focuses on four aspects of psychiatric practice and research: disease, dimensional, behavior, and lifestory. In Systematic Psychiatric Evaluation, Drs. Margaret S. Chisolm and Constantine G. Lyketsos underscore the benefits of this approach, showing how it improves clinicians' abilities to evaluate, diagnose, and treat patients.

Drs. Chisolm and Lyketsos use increasingly complex case histories to help the mental health provider evaluate ...

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Systematic Psychiatric Evaluation: A Step-by-Step Guide to Applying The Perspectives of Psychiatry

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Overview

The Perspectives approach to psychiatry focuses on four aspects of psychiatric practice and research: disease, dimensional, behavior, and lifestory. In Systematic Psychiatric Evaluation, Drs. Margaret S. Chisolm and Constantine G. Lyketsos underscore the benefits of this approach, showing how it improves clinicians' abilities to evaluate, diagnose, and treat patients.

Drs. Chisolm and Lyketsos use increasingly complex case histories to help the mental health provider evaluate patients demonstrating symptoms of bipolar disorder, psychosis, suicidal ideation, depression, eating disorders, and cutting, among other conditions. The book also includes an exercise that simulates the Perspectives approach side by side with traditional methods, revealing the advantages of a method that engages not one but four points of view.

Featuring a foreword by Drs. Paul R. McHugh and Phillip R. Slavney, the originators of the Perspectives approach, this innovative book will be used in psychiatric training programs as well as by practicing mental health clinicians.

Johns Hopkins University Press

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Editorial Reviews

Clinical Psychiatry News - Dinah Miller

The best go-to book I have seen for teaching thoughtful evaluation.

American Journal of Psychiatry - Renato D. Alarcón

A well-presented, compact summation of McHugh and Slavney's four perspectives. Faithful and concise, the descriptions are intended to formulate practical, diagram-based steps in the conceptualization of each perspective.... From bereavement to cognitive decline, from bipolarity to eating disorders, from personality... to hypochondriasis, from suicidal behavior to psychosis, the cases attempt to combine theoretical cogency with clinical clarity

Canadian Journal of Psychiatry - Paul Grof

Innovative in its orientation, this book not only should be used in psychiatric training programs but also would enrich the approach of many practising mental health professionals.

Aeta Psychiatrica Scandinavica - Kenneth Brandt Hansen

It comes highly recommended as both an educational tool and an argument against the instrumentalization and reductionism prevalent in some approaches to clinical psychiatric practice.

Tijdschrift voor Psychiatrie - M.W. Hengeveld

It would be good if the practical book by Chisolm and Lyketsos is used in education and if the residents (and their teachers) are so enthusiastic about it that they also read the book by McHugh and Slavney themselves.

Journal of Nervous and Mental Disease - Radu V. Saveanu

I believe that this book will be a useful companion to psychiatric residents and other mental health practitioners who struggle to better understand, diagnose, and treat patients with complex psychiatric and medical conditions.

Clinical Psychiatry News
The best go-to book I have seen for teaching thoughtful evaluation.

— Dinah Miller, MD

Notes of a Psychology Watcher - Dr. Steven J. Ceresnie

If you are a mental health clinician—or a consumer—and you want to understand psychiatric disorders—buy this book.

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Product Details

  • ISBN-13: 9781421407029
  • Publisher: Johns Hopkins University Press
  • Publication date: 9/30/2012
  • Pages: 264
  • Product dimensions: 5.80 (w) x 8.90 (h) x 0.70 (d)

Meet the Author

Margaret S. Chisolm, M.D., is assistant professor and director of education in the Johns Hopkins Bayview Department of Psychiatry and director of psychiatry and co-medical director for the Johns Hopkins Center for Addiction and Pregnancy. Constantine G. Lyketsos, M.D., M.H.S., is Elizabeth Althouse Professor and director of psychiatry at the Johns Hopkins Bayview Medical Center and vice-chairman of the department of psychiatry at Johns Hopkins Medicine, where he is also co-director of the division of geriatric psychiatry and neuropsychiatry and director of the Memory and Alzheimer’s Treatment Center.

Johns Hopkins University Press

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Table of Contents

Foreword Paul R. McHugh Phillip R. Slavney ix

Preface xiii

Acknowledgments xv

Part I The Concepts behind the Approach

Chapter 1 An Introduction 3

Chapter 2 The Psychiatric Evaluation 15

Chapter 3 The Life-Story Perspective 31

Chapter 4 The Dimensional Perspective 40

Chapter 5 The Behavior Perspective 50

Chapter 6 The Disease Perspective 59

Part II The Approach in Action

Introduction 71

Case 1 Bipolar Disorder: Maintaining Personhood in the Face of a Disease 73

Case 2 A Young Man with Psychosis: The Role of Life Story and Behavior in Disease 87

Case 3 A Mother's Overdose: Life Story and Dimension 101

Case 4 A Man with Depression amidst Multiple Life Stressors: Life Story or Disease? 120

Case 5 A Matriarch with Memory and Mood Problems: Managing Diagnostic Dilemmas 131

Case 6 An Executive with Health Worries: Dimension or Disease? 145

Case 7 A Young Woman's Fear of Fat: An Aberration in Feeding Behavior 164

Case 8 A Lawyer Who Lies and Cuts: Synthesis of a Complex Case 181

Case 9 A Case of Bereavement: Why Psychotherapy Matters 200

Summary 215

Appendix A The Psychiatric Evaluation 217

Appendix B The Mental Status Examination 225

References 235

Index 241

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