Extensively updated in this second edition, The American Psychiatric Publishing
Textbook of Psychosomatic Medicine: Psychiatric Care of the Medically III is
the preeminent reference for this new subspecialty, which has grown from a field
relying on clinical experience and theory into a discipline grounded in empirical
research with relevance throughout medical care. The authors and editorial board
who shaped this text include psychiatrists and clinicians from nine countries
with particular expertise in the diagnosis and treatment of psychiatric conditions
in complex medically ill patients.
This book captures the diversity of the field, whose practitioners—scholars, physicians, and clinicians of varied backgrounds—represent a multiplicity of perspectives and do not always agree on some issues. A quarter of the chapters are entirely new, and all have been extensively revised. This comprehensive text
- Presents a detailed approach to psychiatric assessment and consultation in medical settings
- Covers general principles in evaluation and management, legal and ethical issues, and psychological reactions to illness
- Examines a variety of psychiatric symptoms and disorders in the medically ill, including dementia, depression, eating disorders, sexual dysfunction, and substance abuse
- Reviews disease- and organ system-specific issues associated with 20 medical specialties, including epidemiology and risk factors; the effects of the psychiatric disorder on medical disorders and, conversely, the effects of medical diseases on the psyche; clinical features; diagnosis and assessment; differential diagnosis; management; and treatment
- Summarizes psychiatric treatment in the medically ill, including psychopharmacology, psychotherapy, electroconvulsive therapy, and palliative care
Up-to-date, scholarly, and encyclopedic in scope, this text also reflects an understanding that the clinician must approach each patient as a unique individual coping with illness and medical treatment. A central task of the psychiatrist working with the medically ill is to empathically apprehend each patient’s subjective experience of illness in order to design therapeutic interventions that modulate the patient’s behavioral or emotional responses, decrease the patient’s distress, and improve the patient’s medical outcomes. Clinicians who evaluate and treat medically ill patients with psychiatric disorders will turn to The American Psychiatric Publishing Textbook of Psychosomatic Medicine time and time again for guidance in this task.
Contributors. Foreword. Preface. Part I: General Principles in Evaluation and Management. Psychiatric assessment and consultation. Legal issues. Ethical issues. Psychological responses to illness. Part II: Symptoms and Disorders. Delirium. Dementia. Aggression and violence. Depression. Suicidality. Psychosis, mania, and catatonia. Anxiety disorders. Somatization and somatoform disorders. Deception syndromes: factitious disorders and malingering. Eating disorders. Sleep disorders. Sexual disorders. Substance-related disorders. Part III: Specialties and Subspecialties. Heart disease. Lung disease. Gastrointestinal disorders. Renal disease. Endocrine and metabolic disorders. Oncology. Hematology. Rheumatology. Chronic fatigue and fibromyalgia syndromes. Infectious diseases. HIV/AIDS. Dermatology. Surgery. Organ transplantation. Neurology and neurosurgery. Obstetrics and gynecology. Pediatrics. Physical medicine and rehabilitation. Pain. Medical toxicology. Part IV: Treatment. Psychopharmacology. Psychotherapy. Electroconvulsive therapy. Palliative care. Index.
"Already a classic, the new edition of Levenson’s Textbook of Psychosomatic
Medicine offers significant updates in this increasingly important field of
Psychiatry. From general principles of clinical assessment, including legal
and ethical issues, to specific concerns in understanding and managing patients
with psychiatric problems associated with virtually every organ system afflicted
by every type of pathogenic process across the life cycle, authoritative chapters
in this book will provide state of the art information and clinical guidance.
Practitioners, residents and students who need to stay current with the rapidly
expanding evidence-base in all aspects of this field pertinent to the care of
patients in both ambulatory and hospital settings can do no better than to have
this volume close at hand."—Joel Yager, M.D., Chair, American
Psychiatric Association Steering Committee on Practice Guidelines Professor
of Psychiatry, University of Colorado Professor Emeritus, Department of Psychiatry
and Biobehavioral Sciences, David Geffen School of Medicine, University of California
at Los Angeles Professor Emeritus, Department of Psychiatry, University of New
Mexico School of Medicine
"The second edition of the Textbook of Psyshosomatic Medicine: Psychiatric Care of the Medically Ill edited by James L. Levenson, M.D. provides up to date, evidence based information about the diagnosis and treatment of the common conditions seen in consultation-liaison psychiatry. Once again he has called upon a variety of national and international experts to write chapters on their particular areas of expertise. This will remain the classic reference book in this important subspecialty of psychiatry."—Daniel K. Winstead, M.D., Department of Psychiatry and Behavioral Sciences, Tulane University School of Medicine
About the Author
James L. Levenson, M.D., is Professor of Psychiatry, Medicine, and Surgery; Chair of the Division of Consultation-Liaison Psychiatry; and Vice-Chair of Psychiatry for Clinical Services at the Virginia Commonwealth University School of Medicine in Richmond, Virginia.