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The Psychosomatic Assessment
Expands and refines the psychosomatic approach in clinical practice Psychosomatic medicine has developed methods to increase diagnostic accuracy and improve targeted therapeutic approaches in all fields of medicine. In this context, clinimetrics, the science of clinical measurements, provides unprecedented opportunities for psychosomatic assessment. This volume illustrates how this approach can be translated into everyday practice complementing and improving the medical interview. The most sensitive and reliable clinical methods are presented for evaluating specific psychosocial aspects of disease, i.e. childhood adversities, life events and chronic stress, lifestyle, sexual function, subcli...
Emotional Aspects of Pituitary Disease
This publication derives from the collaboration of endocrinologists, psychiatrists, psychologists, and patients' advocates. Pituitary diseases, such as hyperprolactinemia, Cushing's disease and growth hormone disturbances, entail a significant degree of psychological distress and invalidism. Awareness of these problems have led to the development of patients' associations such as the Pituitary Tumor Network Association. This is the first specific monograph on the topic and provides an updated survey - enriched by case illustrations - of the main psychological problems which patients with pituitary disease may encounter. It will be of interest to both professionals, such as endocrinologists, neurologists, neurosurgeons and psychiatrists, as well as to patients.
Psychological Factors Affecting Medical Conditions
In DSM-IV, the relationships between physical illness and psychological factors are grouped under the classifications 'Somatoform Disorders' and 'Psychological Factors Affecting Medical Conditions'(PFAMC). This volume introduces the 'Diagnostic Criteria for Psychosomatic Research' (DCPR) as a new proposal for the PFAMC section of DSM-V. The DCPR approach focuses on psychological characteristics of patients presenting symptoms across different medical disorders related to the clinically relevant psychosocial constructs of abnormal illness behavior, i.e. somatization, demoralization, type A behavior, alexithymia, conversion, and irritability. The distinct DCPR categories are consistent with co...
Psychological Factors Affecting Medical Conditions
In DSM-IV, the relationships between physical illness and psychological factors are grouped under the classifications 'Somatoform Disorders' and 'Psychological Factors Affecting Medical Conditions'(PFAMC). This volume introduces the 'Diagnostic Criteria for Psychosomatic Research' (DCPR) as a new proposal for the PFAMC section of DSM-V. The DCPR approach focuses on psychological characteristics of patients presenting symptoms across different medical disorders related to the clinically relevant psychosocial constructs of abnormal illness behavior, i.e. somatization, demoralization, type A behavior, alexithymia, conversion, and irritability. The distinct DCPR categories are consistent with co...
From Clinical Observations to Clinimetrics
This issue of the Journal is dedicated to Alvan R. Feinstein, the father of clinical epidemiology. We like to join those who honor his memory and acknowledge his invaluable contribution to methodology in clinical research. The debate is still open and calls for reassessment of the field.
The Hormone Factor in Mental Health
Endocrine imbalances can cause a whole host of physical and mental health problems. Yet, there is currently no definitive source of information that shows how hormones can bridge the gap between mental health and medical health modalities. This book is a bold crossover between the disciplines of medical and mental health, exploring the understanding that some of the major mental diagnoses belong not only to the field of mental health but also to that of medicine. Clients with depression, anxiety, sexual dysfunction, infertility, suicidality, anger and rage, fatigue, apathy, cognitive impairments, confusion, eating disorders, and poor body image may actually be presenting symptoms of hormonal...
An Integrated View of Health and Well-being
Concepts like Health and Well-being are not exclusive products of the Western culture. Research has widely demonstrated that the representation of the body and of its pathologies, as well as treatment and healing practices vary across cultures in relation to social norms and beliefs.The culture of India is a melting pot of nine main Darshanas, or philosophical systems, that share the common core of a realization of the self in society. India’s traditional health system, Ayurveda, is a result of the practical application of the Darshanas to the observation of human nature and behavior. Ayurveda conceptualizes health, disease and well-being as multidimensional aspects of life, and it seeks t...
Cushing's Disease
In Cushing’s Disease, leading authorities in the field offer a thorough review of the pathogenesis, diagnostic algorithm and treatment options for this complex disease. Beginning with a fascinating history of Cushing's disease that outlines its historical significance to both endocrinology and neurosurgery, the book goes onto to cover the full range of important issues, including the molecular pathogenesis of Cushing’s, anatomic pathology, the diagnosis of Cushing's syndrome, the differential of pseudo-Cushing's syndromes, hypercortisolemia, surgical removal of the corticotroph adenoma, post-operative management and assessment of remission, radiotherapeutic options, and the exciting deve...
Neurological and Psychiatric Disorders in Endocrine Diseases
Neurological and psychiatric disorders can occur in endocrine diseases either in the setting of the clinical manifestations of the same (i.e., hyper- or hyposecretion of hormones or peptides from the endocrine glands) or as events secondary to the pathogenetic mechanisms of the endocrinopathy (i.e., autommunity affecting endocrine glands and the brain). Also the medical or surgical treatment of the endocrine disease can sometimes determine the occurrence of neurological or psychiatric abnormalities. Moreover some genetic alterations can lead to syndromes affecting both the endocrine and the nervous system with a variety of possible manifestations. In the last couple of decades a number of as...
The Pituitary
The pituitary, albeit a small gland, is known as the "master gland" of the endocrine system and contributes to a wide spectrum of disorders, diseases, and syndromes. Since the publication of the second edition of The Pituitary, in 2002, there have been major advances in the molecular biology research of pituitary hormone production and action and there is now a better understanding of the pathogenesis of pituitary tumors and clinical syndromes resulting in perturbation of pituitary function. There have also been major advances in the clinical management of pituitary disorders. Medical researchers and practitioners now better understand the morbidity and mortality associated with pituitary ho...
