Cover

Front Matter

Contents

Preface

Psychosomatic Medicine in the 21st Century: Understanding Mechanisms and Barriers to Utilization

Abstract

Today and Tomorrow: Challenges and Opportunities

References

Communication with Patients Suffering from Serious Physical Illness

Abstract

Introduction

The Problem of Communication with Physically Ill Patients

Barriers to Communication in Medical Settings

Characteristics of Effective Communication

Specific Aspects Influencing Doctor-Patient Communication and Relationships

Attachment Styles

Cultural Issues

Training in Communication

Conclusions

Acknowledgements

References

Dimensional Psychopharmacology in Somatising Patients

Abstract

Introduction

Categorical versus Dimensional Approach

The Scale for the Rapid Assessment of Dimensional Psychopathology

Dimensional Psychopharmacology Approach to Somatic Symptom Disorders

Conclusions

References

Forensic Issues in Medical Evaluation: Competency and End-of-Life Issues

Abstract

Introduction

Ethical and Legal Principles

Principles of Capacity Assessment

Standardized Tests and Instruments

Overview of Options for Treating Incompetent Patients

Misconceptions and Pitfalls

Decision-Making Capacity at the End of Life

Advance Directives

How Surrogates Make Decisions

Physicians’ Involvement in End-of-Life Decisions

Conflicts between Surrogates and Treatment Teams

Euthanasia

Suggested Approach to Capacity Consultation

Conclusion

References

Then and Now … HIV Consultation Psychiatry Update

Abstract

Introduction

Substance Abuse Issues During Human Immunodeficiency Virus Infection

Cannabis Abuse and Human Immunodeficiency Virus

Opioid and Human Immunodeficiency Virus Epidemiology

3,4-Methylenedioxymethamphetamine and Club Drugs and Human Immunodeficiency Virus

New Guidelines for Human Immunodeficiency Virus Exposure

Hepatitis C and Human Immunodeficiency Virus Co-Infection: Updates

Drug-Drug Interactions in the Setting of Hepatitis C Virus Treatment

Updates in Human Immunodeficiency Virus-Associated Cognitive Disorders

Conclusion

References

Fibromyalgia and Chronic Fatigue: The Underlying Biology and Related Theoretical Issues

Abstract

Introduction

The Role of the Immune System and Its Implication in Chronic Fatigue Syndrome/ Fibromyalgia

Elevated Inflammatory Markers in Chronic Fatigue Syndrome/Fibromyalgia

Oxidative Stress and Mitochondrial Dysfunction in Chronic Fatigue Syndrome and Fibromyalgia

Hypothalamic-Pituitary-Adrenal Axis Abnormalities and Chronic Fatigue Syndrome/Fibromyalgia

Summary of Findings and Concluding Remarks

Acknowledgements and Conflicts of Interest

References

Fibromyalgia and Chronic Fatigue Syndrome: Management Issues

Abstract

Fibromyalgia

Diagnosis

Additional Symptoms and Comorbidities

Management

Pharmacological Approaches

Antidepressants

Emerging Pharmacological Treatments

Nonpharmacological Management

Chronic Fatigue Syndrome

Diagnosis

Additional Symptoms and Comorbidities

Emerging Treatments

Summary

References

Telomeres, Early-Life Stress and Mental Illness

Abstract

Introduction

Basic Concepts of Telomere Biology

Measurement of Telomere Length

Cross-Sectional versus Longitudinal Approaches in Studies of Telomere Length

Source Tissue and Telomere Length

Telomere Length and Dynamics in Somatic Diseases

Obesity

Heart Disease

Asthma and Pulmonary Disease

Telomeres in Somatic Diseases: Summary

Telomere Length and Dynamics in Psychiatric Conditions

Telomere Length and Dynamics with Psychosocial Stressors

Telomeres and Early-Life Stress

Potential Mechanisms Mediating Telomere Length in Early-Life Stress

Telomeres and Early-Life Stress: Methodological Issues

Effects of Therapeutic Stress Reduction on Telomeres

Summary and Implications

References

Coping with Losses, Grief, and Mourning in Prostate Cancer

Abstract

Introduction

Functional Losses after Prostate Cancer Treatment

Urinary Incontinence and Irritability

Bowel Irritability

Sexual Dysfunction

Losses in Advanced and Metastatic Prostate Cancer

Physical Changes

Loss of Function due to Androgen Deprivation

Comorbidities

The Impact of Advanced or Metastatic Cancer on Relationships

Death

Theoretical Models of the Impact of Cancer on the Individual’s Psychology and on Couples’ Emotional and Sexual Intimacy

A Biopsychosocial Approach to the Care of Prostate Cancer Survivors

Physiologic Rehabilitation for the Side Effects of Localized Prostate Cancer Treatments

Erectile Dysfunction

Physiologic Rehabilitation for the Side Effects of Advanced and Metastatic Prostate Cancer Treatments

Psychosocial Care

Loss and Grief

Conclusion

References

Psychodermatology

Abstract

Introduction

Classification of Psychodermatologic Disorders

Primary Psychiatric Disorders

Secondary Psychiatric Disorders

Psychophysiologic Disorders

Cutaneous Sensory Disorders

Primary Psychiatric Disorders in Psychodermatology

Delusional Infestations

Clinical Presentation and Diagnosis

Therapeutic Approach

Neurotic Excoriations

Clinical Presentation and Diagnosis

Therapeutic Approach

Factitial Dermatitis

Clinical Presentation and Diagnosis

Therapeutic Approach

Trichotillomania

Clinical Presentation and Diagnosis

Therapeutic Approach

Body Dysmorphic Disorder

Clinical Presentation and Diagnosis

Therapeutic Approach

Conclusion

References

Huntington’s Disease: Looking Beyond the Movement Disorder

Abstract

Introduction

Motor Dysfunction

Cognitive Dysfunction

Behavioral and Psychiatric Dysfunction

Conclusion

References

Joint Hypermobility, Anxiety and Psychosomatics: Two and a Half Decades of Progress Toward a New Phenotype

Abstract

History of Link Joint Laxity – Anxiety

What is Joint Laxity (Hypermobility) Syndrome

The Diagnosis of Joint Hypermobility (Hyperlaxity)

Clinical Studies

Nonclinical Studies

Reviews

Psychosomatic Mechanisms Involved

Toward a New Psychosomatic Phenotype: The Neuroconnective Phenotype

Conclusions

References

Author Index

Subject Index

Cover