The Clinician In The Psychiatric Diagnostic Process
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Author | : Ahmed Samei Huda |
Publisher | : Oxford University Press |
Total Pages | : 417 |
Release | : 2019-05-16 |
Genre | : Medical |
ISBN | : 0192534092 |
Many published books that comment on the medical model have been written by doctors, who assume that readers have the same knowledge of medicine, or by those who have attempted to discredit and attack the medical practice. Both types of book have tended to present diagnostic categories in medicine as universally scientifically valid examples of clear-cut diseases easily distinguished from each other and from health; with a fixed prognosis; and with a well-understood aetiology leading to disease-reversing treatments. These are contrasted with psychiatric diagnoses and treatments, which are described as unclear and inadequate in comparison. The Medical Model in Mental Health: An Explanation and Evaluation explores the overlap between the usefulness of diagnostic constructs (which enable prognosis and treatment decisions) and the therapeutic effectiveness of psychiatry compared with general medicine. The book explains the medical model and how it applies in mental health, assuming little knowledge or experience of medicine, and defends psychiatry as a medical practice.
Author | : Massimo Biondi |
Publisher | : Springer Nature |
Total Pages | : 238 |
Release | : 2022-03-15 |
Genre | : Medical |
ISBN | : 3030904318 |
The vast majority of mental health clinicians and researchers rely on diagnostic systems based on operational criteria. However, in their everyday practice, many clinicians also pay attention to their own feelings or intuitions about the patient. For an even greater number of clinicians, this process may occur inadvertently. Scholars from various fields are increasingly stressing the importance of complementing the emphasis on operational criteria with thoughtful attention to the subjective and intersubjective elements involved in a thorough psychopathological evaluation. This book aims at capturing the essence, implications and full potential of the clinician’s subjective experience in the diagnosis and treatment of mental disorders. It gathers contributions from several different disciplines, such as phenomenology, neuroscience, the cognitive sciences, and psychoanalysis. It also presents the development, validation, and clinical application of a psychometric instrument that reliably investigates the clinician’s feelings, thoughts, and perceptions related to the clinical encounter.
Author | : National Academies of Sciences, Engineering, and Medicine |
Publisher | : National Academies Press |
Total Pages | : 473 |
Release | : 2015-12-29 |
Genre | : Medical |
ISBN | : 0309377722 |
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Author | : Stijn Vanheule |
Publisher | : Springer |
Total Pages | : 252 |
Release | : 2017-02-22 |
Genre | : Psychology |
ISBN | : 331944669X |
This book explores the purpose of clinical psychological and psychiatric diagnosis, and provides a persuasive case for moving away from the traditional practice of psychiatric classification. It discusses the validity and reliability of classification-based approaches to clinical diagnosis, and frames them in their broader historical and societal context. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is used across the world in research and a range of mental health settings; here, Stijn Vanheule argues that the diagnostic reliability of the DSM is overrated, built on a limited biomedical approach to mental disorders that neglects context, and ultimately breeds stigma. The book subsequently makes a passionate plea for a more detailed approach to the study of mental suffering by means of case formulation. Starting from literature on qualitative research the author makes clear how to guarantee the quality of clinical case formulations.
Author | : Juan E. Mezzich |
Publisher | : Jason Aronson |
Total Pages | : 304 |
Release | : 2008 |
Genre | : Medical |
ISBN | : 9780765704894 |
The publication of the Cultural Formulation Outline in the DSM-IV represented a significant event in the history of standard diagnostic systems. It was the first systematic attempt at placing cultural and contextual factors as an integral component of the diagnostic process. The year was 1994 and its coming was ripe since the multicultural explosion due to migration, refugees, and globalization on the ethnic composition of the U.S. population made it compelling to strive for culturally attuned psychiatric care. Understanding the limitations of a dry symptomatological approach in helping clinicians grasp the intricacies of the experience, presentation, and course of mental illness, the NIMH Group on Culture and Diagnosis proposed to appraise, in close collaboration with the patient, the cultural framework of the patient's identity, illness experience, contextual factors, and clinician-patient relationship, and to narrate this along the lines of five major domains. By articulating the patient's experience and the standard symptomatological description of a case, the clinician may be better able to arrive at a more useful understanding of the case for clinical care purposes. Furthermore, attending to the context of the illness and the person of the patient may additionally enhance understanding of the case and enrich the database from which effective treatment can be planned. This reader is a rich collection of chapters relevant to the DSM-IV Cultural Formulation that covers the Cultural Formulation's historical and conceptual background, development, and characteristics. In addition, the reader discusses the prospects of the Cultural Formulation and provides clinical case illustrations of its utility in diagnosis and treatment of mental disorders. Book jacket.
Author | : Allen Frances |
Publisher | : Guilford Publications |
Total Pages | : 241 |
Release | : 2013-08-15 |
Genre | : Psychology |
ISBN | : 1462513492 |
This book provides a concise and user-friendly guide to more accurate diagnosis and coding. It offers: - One or more screening questions for each disorder. - Clear prototypal descriptions of the mental disorders rather than complex and cumbersome criteria sets that are often ignored. - The most crucial differential diagnoses that must be ruled out for each disorder. - Diagnostic tips--everything I have learned through 40 years of seeing patients, supervising, and preparing DSM III, DSM IIIR, and DSM IV. - The required ICD-9 codes for each disorder. - Cautions to reduce diagnostic inflation and counter the influence of fad diagnosing. - Cautions on questionable aspects of DSM-5"--Provided by publisher
Author | : Barry Nurcombe |
Publisher | : CUP Archive |
Total Pages | : 772 |
Release | : 1986-06-27 |
Genre | : Medical |
ISBN | : 9780521289283 |
Many texts review the scientific knowledge, diagnostic procedures, clinical syndromes, and therapeutic methods of importance to modern psychiatry. Barry Nurcombe and Rollin Gallagher offer something further. The Clinical Process in Psychiatry is about how to think in clinical settings. The authors take as their organizing theme the supple, efficient, systematic problem-solving of the experienced practitioner: from the eliciting of diagnostic clues and the intuition of patterns, through the generation of hypotheses and the gathering of evidence, to the formulation of comprehensive diagnoses and the design of goal-directed management plans. Throughout, they present theotetical material in a manner which is readily accessible to both students and clinicians during their daily encounters with patients.
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 411 |
Release | : 1996-09-05 |
Genre | : Medical |
ISBN | : 0309175690 |
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Author | : Nancy McWilliams |
Publisher | : Guilford Publications |
Total Pages | : 448 |
Release | : 2020-02-06 |
Genre | : Medical |
ISBN | : 1462543693 |
This acclaimed clinical guide and widely adopted text has filled a key need in the field since its original publication. Nancy McWilliams makes psychoanalytic personality theory and its implications for practice accessible to practitioners of all levels of experience. She explains major character types and demonstrates specific ways that understanding the patient's individual personality structure can influence the therapist's focus and style of intervention. Guidelines are provided for developing a systematic yet flexible diagnostic formulation and using it to inform treatment. Highly readable, the book features a wealth of illustrative clinical examples. New to This Edition *Reflects the ongoing development of the author's approach over nearly two decades. *Incorporates important advances in attachment theory, neuroscience, and the study of trauma. *Coverage of the contemporary relational movement in psychoanalysis. Winner--Canadian Psychological Association's Goethe Award for Psychoanalytic and Psychodynamic Scholarship
Author | : Roberto Lewis-Fernández |
Publisher | : American Psychiatric Pub |
Total Pages | : 366 |
Release | : 2015-05-06 |
Genre | : Medical |
ISBN | : 1615370242 |
DSM-5® Handbook of the Cultural Formulation Interview provides the background, context, and detailed guidance necessary to train clinicians in the use of the Cultural Formulation Interview (CFI), which was created as part of the 2007-2013 DSM revision process. The purpose of the CFI -- and this unique handbook -- is to make it easier for providers to account for the influence of culture in their clinical work to enhance patient-clinician communication and improve outcomes. Cultural psychiatry as a field has evolved enormously from the days when it was principally concerned with epidemiological and clinical studies of disease prevalence; it now examines a multitude of issues, primary among them the differing patient, family, and practitioner models of illness and treatment experiences within and across cultures. The editors, all of whom have been intimately involved in the evolution of the field, have designed the book and accompanying videos for maximum instructional and clinical utility. The Handbook boasts many strengths and useful features, including: A detailed description of each of the three CFI components: a core 16-item questionnaire, which can be applied in any clinical setting with any patient by any mental health clinician; an informant version of the core CFI used to obtain information from caregivers; and 12 supplementary modules that expand on these basic assessments. This material facilitates implementation of the CFI by clinicians. Over a dozen clinical vignettes are included to illustrate use of the three components, and the Handbook also includes multiple videos that demonstrate the application of portions of the core CFI, and several supplementary modules. Strategies for incorporating the CFI into clinical training are identified and discussed, furthering the objective of developing culturally-sensitive and astute practitioners. The theoretical bases of the CFI are explored, raising questions for discussion and identifying areas for further research. The CFI is a valuable tool for all patients, not just those judged to be culturally different. The CFI has been called the single most practically useful contribution of cultural psychiatry and medical anthropology to clinical psychiatry, primary care, and medicine in general. DSM-5® Handbook on the Cultural Formulation Interview is the only book on the market that equips readers with the skills and insight to incorporate the CFI into practice, making it a critically important addition to the clinical literature.