Psychological Managements for Psychosomatic Disorders

Psychological Managements for Psychosomatic Disorders
医学生物化学

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￥ 1826.00

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作者

J.W. Paulley; H.E. Pelser

出版社

Springer Berlin Heidelberg

出版时间

1989年09月14日

装帧

ＩＳＢＮ

9783540192985

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页码

335

开本

9.61 x 6.69 x 0.73

语种

英文

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图书简介

It is a privilege to introduce this unusual book. In a time when most docotrs practise medicine as a technical application of the natural sciences, the authors, both experienced clinicians, combine the use of modem techniques with human understanding and psychological management of their patients in the practice of internal medicine. Many of these patients suffer from ?psychosomatic disorders?, i. e. diseases in which emotional stresses play a major role in the production of the symptoms and/or signs. But just because such a large proportion of all illnesses seen by physicians fall within this category (whether functional or organic), this book is not only a guide to the theory of psychosomatic medicine; it describes the way in which the authors deal with patients in their daily practice. Based on many years of clinical experience and a critical appraisal of the literature, they have developed and tested an approach to what they describe as ?psychological management?. This is partly based on psychological and psychiatric principles but differs from specialised ?psychotherapy? and can be learned and practised by physicians in combination with their technical medical treatment. Extensive attention is paid to the stresses, ambivalences and incompatibilities which the patients encounter in their communication with the key figures in their family and at work, and to which they have unsuccesfully tried to adapt without having been able to solve the problems actively.

1 Introduction.- 2 Definitions and Terms.- 2.1 Somatopsychic Presentations.- 2.2 Profiles and Associated Hypotheses.- 2.3 Typicality of Life Events and Situations.- 2.4 Multicausality.- 2.5 Syndrome Shift.- 2.6 Superstability.- 2.7 Alexithymia.- 2.8 Hypochondriasis.- 2.9 Placebo Effect.- 2.10 Conversion Hysteria Versus Psychosomatic Disorder: Diagnosis.- 3 Psychosomatic Disorders: Who should Treat Them?.- 3.1 A Need for Greater Clinical Exposure.- 3.2 Why Clinicians Gave up Referring Classical Psychosomatoses.- 3.3 The Team.- 3.4 Support Groups.- 3.5 Couple Therapy.- 3.6 Group Therapy.- 3.7 Reassurance.- 4 Psychodynamic Concepts and Mechanisms.- 4.1 Transference.- 4.2 Ambivalence.- 4.3 ?Identifying With?.- 4.4 Defences.- 4.5 When Illness Is Gainful.- 4.6 Stages of Personality Development.- 5 Interviews.- 5.1 The First Interview.- 5.2 Subsequent Appointments and Spacing of Interviews.- 5.3 An Additional Note for General Practice.- 6 Alimentary Tract.- 6.1 The Aphthoses.- 6.2 Sjögren?s Syndrome/Sicca Syndrome/Keratoconjunctivitis Sicca.- 6.3 Nervous Dysphagia/Oesophageal Spasm and Aerophagy.- 6.4 The Splenic Flexure Syndrome.- 6.5 Persistent Severe Disabling Aerophagy and/or Dysphagia.- 6.6 Duodenal Ulcer.- 6.7 Whipple?s Disease (Intestinal Lipodystrophy).- 6.8 Coeliac Disease (Idiopathic Steatorrhoea).- 6.9 Appendicitis.- 6.10 Crohn?s Disease (Regional Enteritis).- 6.11 Ulcerative Colitis.- 6.12 Irritable Bowel Syndrome.- 6.13 Proctalgia Fugax.- 6.14 Chronic Relapsing Amoebic Dysentery.- 6.15 Chronic Constipation.- 7 Respiratory Tract.- 7.1 Hyperventilation Syndrome.- 7.2 Vasomotor Rhinitis.- 7.3 Asthma.- 8 Cardiovascular Disorders.- 8.1 Essential Hypertension.- 8.2 Cardiac Arrhythmias.- 8.3 Ischaemic Heart Disease.- 8.4 Raynaud?s Phenomenon.- 9 Central Nervous System.- 9.1 Migraine, Vascular Headache and Premenstrual Tension.- 9.2 Multiple Sclerosis.- 9.3 Stroke.- 9.4 Subarachnoid Haemorrhage.- 9.5 Idiopathic Parkinsonism.- 9.6 Guillain-Barré Syndrome.- 9.7 Myasthenia Gravis.- 10 Immune System: Disorders of Immunological Competence and Autoimmunity.- 10.1 Rheumatoid Arthritis and Autoimmune Disease.- 10.2 Infectious Mononucleosis.- 10.3 Sarcoidosis.- 10.4 Cancer and Malignancy: Psychosomatic Aspects.- 10.5 Guillain-Barré Syndrome.- 11 Endocrinological Disorders.- 11.1 General Considerations.- 11.2 Diabetes Mellitus.- 11.3 Dwarfism: Emotional Deprivation and Growth Retardation.- 11.4 Idiopathic Hirsutism.- 11.5 Hyperprolactinaemia.- 11.6 Thyroiditis.- 12 Musculoskeletal System.- 12.1 The Dropped Shoulder Syndrome ? Costoclavicular Compression.- 12.2 Intervertebral Disc Disorders.- 13 Urological Disorders.- 13.1 Case Histories.- 13.2 Urethral Syndrome, Detrusor Irritability or Pseudocystitis.- 13.3 Hunner?s Ulcer ? Interstitial Cystitis.- 13.4 Factitious Haematuria.- 14 Disorders of Blood.- 14.1 Pernicious Anaemia.- 14.2 Infectious Mononucleosis.- 14.3 Acquired Haemolytic Anaemia and Essential Thrombocytopenia.- 14.4 Hypereosinophilic Syndrome.- 14.5 Psychogenic Purpura: Autoerythrocyte Sensitisation.- 14.6 Thrombosis.- 14.7 The Haematological Stress Syndrome.- 15 Disorders of the Skin.- 15.1 Psoriasis.- 15.2 Atopic Dermatitis.- 15.3 Chronic Urticaria.- 16 Gynaecology, Obstetrics and Sexual Function.- 16.1 Menstrual Disorders.- 16.2 Vaginal Discharge.- 16.3 Irritable Colon, Colon Spasm, Spastic Colon.- 16.4 Infertility.- 16.5 Pregnancy and Labour.- 16.6 Breast Feeding.- 16.7 Disorders of Sexual Function.- 17 Anorexia Nervosa, Bulimia, Induced Vomiting and Purging.- 17.1 Psychopathogenesis.- 17.2 Psychological Management.- 17.3 Behavioural Management.- 17.4 Outpatient or Inpatient Management or Both.- 17.5 Family Therapy ? The Systems Model.- 17.6 Prognosis.- 18 Ear, Nose and Throat and Eye Disorders.- 19 Psychosomatic Medicine: Past, Present and Future.- 19.1 Distant Past.- 19.2 Past.- 19.3 Recent Past and Present.- 19.4 The Futur

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