Diagnosis -- History -- Mental state examination and psychopathology -- Cognitive state examination and organic disease -- Office-based psychiatric assessment -- Understanding and managing relationships with patients -- Difficulties relating to psychosis -- Unpopular patients -- Values and beliefs -- Culture -- Who should i be? -- Interviewing with other team members -- Interviewing families and other informants -- In the community -- Fragmented interviewing and assessment -- 'Impossible' assessments -- Neurodevelopmental assessment -- Personality -- Risk and safety -- Record keeping and reports.
General principles of the interview -- General principles of psychodynamics -- The obsessive-compulsive patient -- The histrionic patient -- The narcissistic patient -- The masochistic patient -- The depressed patient -- The anxiety disorder patient -- The borderline patient -- The traumatized patient / Alessandra Scalmati -- The dissociative identity disorder patient / Brad Foote -- The antisocial patient -- The paranoid patient -- The psychotic patient -- The psychosomatic patient / John W. Barnhill -- The cognitively impaired patient / John W. Barnhill -- The emergency patient -- The hospitalized patient / John W. Barnhill -- The patient of different background -- Note taking and the psychiatric interview -- Telephones, e-mail, and the psychiatric interview.
"There is an unspoken dark side of American medicine--keeping patients alive at all costs. Two thirds of Americans die in healthcare institutions tethered to machines and tubes, even though research indicates that most prefer to die at home in comfort, surrounded by loved ones. The question How do you want to live? must be posed to the seriously ill because they deserve to choose. If doctors explain options--including the choice to forego countless medical interventions that are often of little benefit--then patients can tell doctors how they wish to spend the remainder of their lives. A doctor's heroic efforts to prolong a life can instead prolong that patient's death, and these traumatic measures also bankrupt the healthcare system. One third of the Medicare budget is spent on the last six months of life, often on technological interventions that are not helpful and inflict more suffering. Through the stories of six patients and six very different end-of-life experiences, Volandes explores the trajectory of events and treatments that occur with and without this essential conversation. He argues for a radical re-envisioning of the patient-doctor relationship--including videos to spark discussions--and offers ways for patients and their families to talk about this difficult issue to ensure that patients will be at the center and in charge of their medical care"--Provided by publisher.
This book examines medical professionalism, dissecting the concept into various components while providing both an evidence-based and personal approach. In recent years professionalism has come under intense scrutiny and stimulated wide-ranging and far-reaching debate. The big issues include teaching and learning professionalism, the assessment of professional behaviour at all levels of practice and the problem of what should happen when professionals are deemed to be acting 'unprofessionally'. Professionalism also encompasses self-care, lifelong learning, teamwork and interaction within a culturally diverse society. This book comprehensively examines all these aspects, to provide a thorough overview of this important and evolving field. It has significant implications for doctors' education and continuing professional development, and is vital reading for medical educators and everyone concerned with the future of the medical profession.
Includes bibliographical references and index.
Purchased with Kelowna General Hospital Foundation funds