Documents American Psychiatric Press 21 résultats

- xiv, 211 p. : ill.
Cote : WM 412 B573e 1998

Électrochoc ; Enseignement programmé

Electroconvulsive therapy (ECT) is an effective and lifesaving procedure for treating certain psychiatric conditions, especially when alternative therapies have proved ineffective.

Using an enjoyable and effective learning format, Electroconvulsive Therapy: A Programmed Text, Second Edition, provides a concise review of the contemporary practice of ECT. This practical book details recent advances in the administration and technology of ECT and carefully and thoroughly explains the procedure, from the initial evaluation to treatment administration and posttreatment planning. It places special emphasis on practical clinical management problems during ECT, including evaluation, care of the medically ill patient, treatment algorithms, seizure, assessment, and termination algorithms. Short chapter tests and comprehensive tests at the end of the book involve the reader in the learning process and teach important aspects of ECT treatment. This book also contains more than 50 useful tables and figures for quick reference and a reference list for ECT device manufacturers; continuing education activities; and lists of educational materials for health care providers, patients, and families. A sample consent form and patient information sheet are also provided.

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- xii, 210 p.
Cote : WM 165 S465 2001

Automutilation ; Psychopathologie

Throughout history, people have invented many different ways to inflict direct and deliberate physical injury on themselves--without an intent to die. Even today, the concept and practice of self-injury is sanctioned by some cultures, although condemned by most.

This insightful work fills a gap in the literature on pathologic self-injury. The phenomenon of people physically hurting themselves is heterogeneous in nature, disturbing in its impact on the self and others, frightening in its blatant maladaptiveness, and often indicative of serious developmental disturbances, breaks with reality, or deficits in the regulation of affects, aggressive impulses, or self states. Further complicating our understanding is the large and diverse scope of psychiatric conditions, such as pervasive developmental disorders, Tourette's syndrome, and psychosis, in which these behaviors occur.

This volume presents a comprehensive nosology of self-injurious behaviors, classifying them as stereotypic, major, compulsive, and impulsive (with greater emphasis on the last two categories because they are the most commonly seen). - The chapter on stereotypic self-injurious behaviors (highly repetitive, monotonous behaviors usually devoid of meaning, such as head-banging) focuses on the neurochemical systems underlying the various forms of stereotypic movement disorders with self-injurious behaviors, typically seen in patients with mental retardation and autism, and discusses their psychopharmacological management.- The chapter on psychotic, or major, self-injurious behaviors (severe, life-threatening behaviors, such as castration) presents a multidimensional approach to evaluating and treating patients with psychosis and self-injurious behaviors, including the neuroanatomy and neurobiology of sensory information processing as background for its discussion of neurobiological studies and psychopharmacological treatments.- Chapters on the neurobiology of and psychopharmacology and psychotherapies for compulsive self-injurious behaviors (repetitive, ritualistic behaviors, such as trichotillomania [hair-pulling]) offer much-needed biological research and the first empirical treatment studies on compulsive self-injurious behaviors, and argue that a distinction can indeed be made between compulsive and impulsive self-injurious behaviors.- Chapters on the neurobiology, psychopharmacology, and dialectic behavior and psychodynamic theory and treatment of impulsive self-injurious behaviors (habitual, chronic behaviors, such as skin picking) supplement the few neurobiological studies measuring impulsivity, aggression, dissociation, and suicide and detail the efficacy of various medications and psychotherapies.

An eminently practical guide with exhaustive references to the latest data and research findings, this concise volume contains clinical material and therapeutic interventions that can be used right away by clinicians to better understand and treat patients with these complex and disturbing behaviors.

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- xvii, 198 p. : ill.
Cote : WS 350.6 H498d 1999

Troubles du comportement chez l'enfant ; Troubles du comportement chez l'adolescent ; Opposition (Psychiatrie) chez l'adolescent ; Trouble déficitaire de l'attention

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- xix, 405 p.
Cote : WS 350.2 K99g 1996

Adolescents - Psychothérapie de groupe ; Enfants - Psychothérapie de groupe ; Psychothérapie de groupe

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- xv, 561 p.
Cote : WM 307 D722t 2001

Handicapés mentaux - Services de santé mentale ; Déficience intellectuelle ; Handicapés mentaux ; Thérapie de comportement ; Maladies mentales ; Psychothérapie

Since the 1970s, the development of normalization philosophy and the implementation of community care policies have highlighted the nature and treatment of psychiatric and behavior disorders in people with mental retardation and rekindled the interest of scientists, psychiatric practitioners, and service providers. With these changes has grown a substantial body of new research and information on the phenomenology, epidemiology, classification, and clinical features of mental illness and behavior disorders in mentally retarded persons.

In response to this growing interest and awareness, the editors, together with internationally renowned contributors from the United States and Europe, have compiled the first comprehensive handbook of the current theory and practice of mental health treatment and care in mentally retarded children and adults.

Both contemporary and in-depth, this multidisciplinary, multidimensional volume covers all available therapeutic methods, including psychopharmacotherapy, psychotherapy, behavior therapies, cognitive therapy, and the systems approach for all the main diagnostic disorders in people with mental retardation.

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- svii, 238 p.
Cote : WM 203 S337s 2001

Schizophrénie ; Comorbidité ; Schizophrénie - Diagnostic

Schizophrenia is one of the most difficult diagnoses to make. And, once made, it was once among the most limited, offering few options in the management of care for schizophrenia patients with comorbid conditions. It was not until 1994, with the publication of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), that diagnostic guidelines first permitted additional diagnoses on Axis I, such as anxiety disorder, in the presence of schizophrenia. Yet remnants of the old hierarchical diagnostic system remain, diverting attention from the pressing issue of managing what appear to be common--and treatable--disabling conditions, such as panic disorder and obsessive-compulsive disorder (OCD), that often occur with schizophrenia.

Schizophrenia and Comorbid Conditions: Diagnosis and Treatment lays diagnostic oversimplification of schizophrenia to rest once and for all. All schizophrenia patients are not the same. The editors of this groundbreaking work criticize the reductionist view of schizophrenia as a single unitary disorder--a view that has led many psychiatrists and mental health care professionals to overlook potentially important syndromes.

Asserting that these patients should be managed on the basis of their individual clinical presentations, not just their categorical diagnosis, recognized experts in their specialties offer a fascinating array of topics. Chapter 1 goes straight to the heart of this assertion, beginning with epidemiology and showing how hierarchical diagnostic concepts keep associated psychiatric syndromes (APS) hidden from clinical and scientific attention. Also presented are the findings of the few treatment studies of APS in schizophrenia.

Additional chapters feature the following topics: - Chapter 2 takes an indepth look at the extensive literature on depression in patients with schizophrenia, including a discussion on differential diagnosis and treatment approaches.- Chapters 3 and 4 detail obsessive-compulsive disorder and panic symptoms, using case vignettes to illustrate the clinical management of schizophrenia with these two conditions.- Chapters 5 and 6 discuss the recognition and management of medical and surgical illness and the management of pregnancy in patients with schizophrenia, respectively.- Chapter 7 reviews cognitive impairment in older patients with schizophrenia, including etiology, assessment, and treatment approaches.- Chapter 8 presents old and new approaches to the treatment of aggressive behaviors and violence in patients with schizophrenia.- Chapter 9 extensively reviews substance abuse in schizophrenia, with suggested practical approaches to assessing and treating the "dual-diagnosis" schizophrenia patient.

Intended to help practitioners enhance their recognition of and improve treatment for the large--and often neglected and clinically challenging--group of schizophrenia patients with comorbid conditions, this unique collection combines a wealth of clinical and research experience of enduring value to practitioners and researchers alike.

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- xiv, 201 p.
Cote : WM 203 N384 2001

Schizophrénie - Diagnostic ; Schizophrénie - Chimiothérapie ; Troubles de la cognition

For the first time in a single volume, distinguished experts address the complex issues -- issues rarely confronted in empirical studies of patients with schizophrenia -- and controversial research surrounding the assessment of negative symptoms and cognitive deficits in patients with schizophrenia.

Despite recent advances in our understanding of schizophrenia, still notably absent is consensus in assessing negative symptom treatment response. What is the most effective assessment method -- given the varying methodologies and contradictory results to date? What constitutes an adequate response? Which medication -- none is specifically indicated and licensed for negative symptom treatment -- yields the best results? What are the indications for use of this medication? Which instrument best measures negative symptom treatment response (eight rating scales are analyzed here)? Reaching consensus among clinicians and researchers alike is even more difficult because assessment is often thwarted by extrapyramidal side effects of medications, similarities to depressive symptoms, and secondary effects of psychotic experiences.

In addition to clarifying these pressing issues, Negative Symptom and Cognitive Deficit Treatment Response in Schizophrenia also discusses the importance of measuring the experience of emotion versus the more traditional objectively measured symptoms in patients with schizophrenia, and how deficits in emotional experience may resist treatment -- even in treatment-responsive patients.

• The family as an often overlooked source of information about negative symptom improvement or worsening, and the impact of negative symptoms on patients' relatives.
• How treatment affects social functioning and subjective experience of "quality of life," and the importance of neurocognitive dysfunction in the social deficits of schizophrenia, which often persist despite significant amelioration of other symptoms.
• Specific guidelines for assessing neurocognitive treatment response. Cognitive enhancement is a major factor in improving the quality of patients' lives.
• The latest research on the neurobiology of negative symptoms, including the role of various neurotransmitter systems and brain regions in mediating negative symptom pathology. Also discussed is single vs. multiple pathophysiological processes and single treatment modality vs. distinct treatments for different aspects of negative symptoms.
• How to distinguish "pure" negative symptoms from deficit symptoms (i.e., those that persist for at least 1 year and are not secondary to factors such as depression, medication side effects, anxiety, delusions, and hallucinations), and which treatment is indicated for each.

Highlighted by patient vignettes, this in-depth guide will be welcomed by all clinicians who treat patients with schizophrenia and want to know and document whether their interventions ameliorate negative symptoms and cognitive dysfunction, and by all researchers who study schizophrenia, particularly those interested in clinical issues and treatment studies.

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- xxxiii, 382 p.
Cote : WS 39 C399c 2000

Entretiens (Psychiatrie de l'enfant) - Guides, manuels, etc. ; Entretiens (Psychiatrie de l'adolescent) - Guides, manuels, etc.

Not long ago, child psychiatrists rarely conducted Mental Status Examinations on their patients for fear of nosological labeling. Due to an increasing recognition that childhood psychiatric syndromes often continue into adulthood, direct and systematic interviewing of pre-adolescents has become more prevalent. Cost-effective pressures have made it imperative that sound diagnostic processes are performed and relevant treatment plans are implemented. The Concise Guide to the Psychiatric Interview of Children and Adolescents provides residents and veteran practitioners with the skills to conduct effective interviews for the Mental Status Examination of children and adolescents. It covers -General aspects of interviewing, phases of the diagnostic interview, and strategies and considerations regarding different situations in the interviewing process -How to use non-verbal techniques during the interview process and how to evaluate internal, external, and other symptoms -The documentation required for the Mental Status Examination and considerations regarding the neuropsychiatric examination -The theory and pragmatics of the formulation process and a model for a comprehensive psychiatric diagnostic formulation -The issues related to symptom formation and symptom maintenance -How to deal with issues related to countertransference responses that surface during the diagnostic interview With a wealth of tables, case examples, glossary, and bibliography, this concise guide quickly demonstrates the techniques described in this book. It has the perfect clinical reference for residents and practitioners working with children and adolescents.

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- xii, 226 p.
Cote : WM 140 S933 1999

Psychiatrie de liaison ; Consultation psychiatrique

This study guide covers many aspects of consultation-liaison psychiatry, including the history of the field, the organization and economics of related services, and details on a variety of conditions and their diagnosis and treatment.

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- xiii, 508 p.
Cote : WM 145.5.N4 A846 1999

Tests neuropsychologiques ; Maladies mentales - Diagnostic

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