Psychiatry At A Glance Katona Robertson 2Nd Edition.pdf

Psychiatry at a Glance

CORNELIUS

KATONA

MDFRCPsych

Professor

MARY ROBERTSON

MDFRCPsych

Professor

Both of the Department of Psychiatry,

Royal Free and University College Medical School

SECOND EDITION

fl) Blackwell

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A catalogue record for this title

is available from the British Library

ISBN 0-632-05554-5

Library of Congress

Cataloguing-in-publication Data

Katona, C. L. E. (Comelius L. E.), 1954-

Psychiatry at a glance I Comelius Katona,

Mary Robertson.-2nd ed.

p. ; cm.

Includes index.

ISBN 0-632-05554-5

1. Psychiatry.

I. Robertson, Mary M.

n. Title.

[DNLM: 1. Mental Disorders. 2. Psychiatry.

WM 149 K19p 1999]

RC454.K366

this publication may be reproduced,

stored in a retrieval system, or

transmitted in any form or by any

means, electronic, mechanical,

photocopying, recording or otherwise,

except as permitted by the UK

1988, without the prior permission

of the copyright owner.

First published 1995

Second edition 2000

Reprinted 2000, 2001, 2005

1999

616.89-dc21

99-044556

Set by GFaphical Ltd, Hong Kong

Printed and bound by

Replika Press Pvt. Ltd, India

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Contents

Introduction to the second edition, 6

19 Neuropsychiatry I, 44

20 Neuropsychiatry II, 46

21 Child psychiatry I, 48

22 Child psychiatry II, 50

23 The psychiatry of adolescence, 52

24 Learning disability (mental retardation), 54

25 Consultation-liaison psychiatry, 56

26 Psychiatry in the community, 58

27 Forensic psychiatry, 60

28 The 1983 Mental Health Act (MHA), 62

29 Risk assessment and management in psychiatry, 64

30 Psychosexual disorders, 66

31 Psychiatric aspects ofHIV and AIDS, 68

32 Psychological treatments, 70

33 Physical treatments I, 72

34 Physical treatments II, 74

35 Cross-cultural psychiatry, 76

36 Unusual psychiatric syndromes, 78

Introduction to the first edition, 7

The psychiatric history and mental state examination

(MSE), 8

2 Diagnosis and classification in psychiatry, 10

3 Schizophrenia: phenomenology and aetiology, 12

4 Schizophrenia: management and prognosis, 14

5 Depression, 16

6 Bipolar affective disorder (including mania), 18

7 Suicide and deliberate self-harm (DSH), 20

8 Stress reactions (including bereavement), 22

9 Anxiety disorders, 24

10 Obsessions and compulsions, 26

11 Eating disorders, 28

12 Disorders of personality, 30

13 Substance misuse, 32

14 Alcohol abuse and dependence, 34

15 Disorders offemale reproductive life, 36

16 Functional disorders in old age, 38

17 Acute confusional states (delirium), 40

18 The dementias, 42

Further reading, 80

Questions, 82

Answers, 87

Index, 89

Introduction to the second edition

We are gratified by the very positive response we have received

for Psychiatry at a Glance since its original publication in 1995.

We are delighted that it received a commendation in the 1996

British Medical Association book awards. We are also pleased

to note the publication of Japanese and Hungarian editions.

Psychiatry at a Glance remains targeted primarily at the medical

students who will be tomorrow's doctors. We very much hope

that it will continue to meet their need for core psychiatric

knowledge within their new curricula. The feedback we have

received suggests that Psychiatry at a Glance is equally useful

to nurses, social workers and psychologists and for psychiatric

trainees. We have tried to consider the needs of all these groups

of readers in preparing the second edition.

In the new edition we have taken the opportunity to correct

any errors that have been brought to our notice by users of the

book. We have also thoroughly revised the manuscript, both

updating and reorganizing the text and figures. In so doing we

have relied heavily on the goodwill of many expert colleagues,

and take this opportunity of thanking Professor Michael King,

Drs Abou-Saleh, Alcorn, Bruno, Channon, Cookson, Dein,

Eapen, Freeman, Hassiotis, Hossain, Livingston, Morris, Nor-

ton, Orrell, Sensky, Shergill, Sturgeon, Turner, Tylee, Walker

and Mr Geoffrey Smith for giving up their time, and for their

helpful and constructive criticism. Responsibility for any errors

and inaccuracies remains, of course, entirely ours. We have also

written a new chapter on Risk Assessment and Management.

In response to popular request we have added a 'further reading'

list and multiple choice questions.

As before we would like to thank Philippa Katona and

John Ludgate for their continued patience, support and helpful

comments.

Cornelius Katona

Mary Robertson

London, October 1999

Introduction to the first edition

We have written Psychiatry at a Glance at the instigation of

many of our students, with the intention of providing a text that

is concise, easily portable and enjoyable to read. The book sum-

marizes the content of a comprehensive lecture course in psychi-

atry. It is targeted primarily at clinical undergraduate medical

students doing their psychiatry attachment and revising for final

MB examinations. It should also be useful for psychiatric

trainees revising for their MRCPsych Part 1 (or equivalent first

specialist examination).

We have both been MB final (and MRCPsych Part 1) exam-

iners for several years, as well as being involved in the design

and delivery of the DCL Medical School undergraduate and

postgraduate psychiatry courses. We are confident of having

provided all the information content relevant to the psychiatry

element of the GMC 'core' undergraduate medical curriculum.

The diagrams encapsulate all a medical student needs to know

in order to pass~and should also help in last minute revision!

The text supplements this sufficiently to provide enough for a

student to do well.

We are also aware that, as psychiatric care moves into the

community, a basic knowledge of psychiatry is increasingly

important for a variety of clinical practitioners. Psychiatry at a

Glance should provide a useful introduction to the specialty

for psychiatric nurses (especially doing Project 2000 and post-

graduate courses), for psychologists and social workers (in

training and in clinical practice), and for general practitioners

finding themselves in the psychiatric front line.

We have been encouraged throughout the writing of the

book by students and colleagues (at DCL Medical School and

elsewhere) alike. We owe a particular debt of gratitude to those

who have taken the time to criticize individual chapters: Profs

Bames and Dinan; Drs Alcom, AlIen, Appleby, Bames, Bhugra,

Chesser, Collis, Cookson, Dein, Eapen, Feinmann, Freeman, Gar-

dner, Jackson, Kahle, Kennedy, Livingston, McCarthy, Norton,

Read, Ring, Orrell, Stansfeld, Sturgeon and Tannock; Jamie

Arkel, Gina Hossain, Cheryl Moore, Paul de Keyser and Pippa

Vincent. The content has been much improved by their criti-

cism, although responsibility for any errors remains, of course,

our own. We hope that you, the reader, will also feel able to offer

suggestions for improvements to future editions. We would also

like to thank John Ludgate for his support and encouragement.

Finally, we owe an enormous debt of gratitude to Philippa

Katona, the GP on the Clapham omnibus, who has offered in-

estimable tolerance and support during the many evenings of

writing, and helped ensure that both text and diagrams were

much more relevant and comprehensible than they would other-

wise have been.

Comelius Katona

Mary Robertson

London

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