By Michael Alan Taylor
In an effort to competently describe and diagnose psychiatric sickness, practitioners require in-depth wisdom of the signs of behavioral issues. Descriptive Psychopathology presents a wide evaluate of the psychopathology of psychiatric sickness, past the restrictions of the DSM and ICD standards. starting with a dialogue of the historical past to psychiatric class, the authors discover the issues and boundaries of present diagnostic platforms. the next chapters then current the foundations of psychiatric exam and analysis, defined with accompanying sufferer vignettes and precis tables, and regarding varied diagnostic issues. A thought-provoking end proposes a restructuring of psychiatric category in response to the psychopathology literature and its validating information. Written for psychiatry and neurology citizens, in addition to medical psychologists, it really is precious to a person who accepts the accountability for the care of sufferers with behavioral syndromes.
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Extra info for Descriptive Psychopathology: The Signs and Symptoms of Behavioral Disorders
The hallucinations were perceived as originating from a non-specific external source. The voices were loud, clear, and derogatory in content. They were most intense for several hours in the morning, but the patient would hear them occasionally in the early afternoon. He recognized that his experiences were a sign of illness, but when the voices were most intense, he believed them to be real and not self-generated. He did not work, had no future plans, and mostly kept to himself, worrying about the voices and fearful of their inevitable return.
He had never been depressed or manic. Meeting DSM criteria for schizophrenia, several antipsychotics had been prescribed, with minimal relief. A consultant noted that the man’s morning hallucinations typically began upon awakening. The patient would awake, become immediately frightened, and then hear the voices. After several hours, they diminished in intensity and ended. They recurred shortly after lunch. Because a nonaffective psychosis 16 Section 1: Present, past, and future with preserved emotional expression is often associated with recognizable neurologic disease,69 and hallucinations that are linked to a specific time of day, event, or stimulus are also most likely due to such disease, the hallucinations were considered post-ictal consequences of seizures that occurred upon wakening (when the afternoon voices occurred it was after a heavy lunch followed by a nap).
2004); First et al. (2004); Sbrana et al. (2005). 26 Siebel et al. (1997); Willemse et al. (2003). 27 Flaum et al. (1991). 28 Ries et al. (2001). 29 Sartorius et al. (1993); Regier et al. (1994). 30 Jager et al. (2003). 31 Maj et al. (2000). 32 Bertelsen (2002). 33 Kessing (2005a,b). 34 Hiller et al. (1994a). 35 Vetter et al. (2001). 36 Sartorius et al. (1995). 37 Blashfield (1984). 38 Zanarini and Frankenburg (2001). 39 Benazzi (2003b). A structured interview is conducted using a pamphlet requiring the user to ask questions as written and in the order written, regardless of the clinical state of the patient.
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