By David Kupfer, Michelle S. Horner, David Brent, David Lewis, Charles Reynolds, Michael Thase, Michael Travis
At the 1200+ razor-thin pages of tiny textual content, this publication has whatever to claim approximately each subject in psychiatry. this is often its maximum power. a few major shortcomings are there in addition: a significant portion of this knowledge is just too imprecise, no longer medical, or outright beside the point. a couple of very important issues are lacking. additionally, the ebook has rather a lot info it's always tough to discover something.
To provide its due credits, the ebook is healthier pocket advisor to psychiatry for citizens. in spite of the fact that, i will in simple terms say that as the authors controlled to squeeze an inordinate volume of data within the 1200+ pages, and no different publications can be found for a good comparison.
Closer inspection of the big quantities of data finds a few shortcomings.
#1 The booklet is just too imprecise and never clinically orientated. (For an instance of what a scientific advisor should still appear like, open Pocket drugs from Mass General.) right here, loads of ink is wasted on introductions, heritage classes, and wide epidemiology info (nothing opposed to public wellbeing and fitness, yet this consultant is going overboard). A scientific psych reference doesn't desire musings on stigma of psychiatry, heritage, and the way forward for the sector. The books is making an attempt to discuss every little thing, and, with this lost concentration, it misses its audience (presumably citizens, attendings). for instance, authors of bankruptcy four on EBM have made an intensive use of diagrams and visible aids to give an explanation for varieties of medical reports and trials, roles of members, and so forth over many pages. How a few visible diagram on whatever extra clinically appropriate just like the choice steps in pharmacological administration of ADHD or melancholy. Too little textual content is dedicated to that. one other instance: the part on character problems does a good task describing every one; even if by way of administration, all PDs are abruptly grouped as one ; that is not fairly important specifically in terms of therapy and behavioral administration. the fast paragraph on psychopharmacology of PDs is nauseatingly inadequate.
Also a few info is duplicated including to an unwieldy tome that stretches a white-coat pocket: (e.g. nervousness part (Chapter nine) features a thesaurus of phobias; bankruptcy three word list of psychiatric phrases additionally lists a few phobias, yet now not all).
#2 a few details is lacking: ER psychiatry part may still include details on dealing with TCA overdose - i couldn't locate it wherever within the ebook.
More most likely than no longer, a psychiatric resident will witness a number of seizures in the course of her education. No notice on the way to deal with them, not to mention Vfib/Vtach protocol.
#3 it can be tough to discover what you're looking for. speedy instance: as an example you've an acutely psychotic sufferer, and also you need to know how a lot Haldol to offer him. looking for the reply you know that haloperidol doesn't look within the index! (neither is QT prolongation!!). taking a look up psychosis within the index won't ship you to the correct web page both. The ER part is silent in this. (The solution is in the course of the part on schizophrenia, very unlikely to discover, except you might have 20 mins loose to flick thru the book).
The final analysis, in an try to write a entire textual content, the authors introduced jointly loads of details with little regard for its medical relevance. The ebook can assist clinical scholars find out about psychiatry and research for the shelf examination, however it will not aid citizens deal with TCA overdose, and it doesn't have particular sufficient info for an getting to deal with outpatient meds. With all it is shortcoming it's the most sensible available in the market (no one else troubled to jot down a guide). yet this e-book calls for dedication to be necessary. it's going to take time to benefit the book's cryptic method of organizing info, and to discover hidden medical solutions. And consistently hold epocrates, pocket DSM-IV and ACLS card for backup.
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Extra resources for Oxford American Handbook of Psychiatry (Oxford American Handbooks of Medicine (Quality Paperback))
Or, sometimes, the fetishist simply fondles, smells, or gazes at his fetish. Or, at other times, the fetishist wears the garment himself. Freud’s comments do not help us to decide who is wearing the fetish. However, they do clarify the accidental circumstances leading up to the choice of the fetish. According to Freud, the transformation of this ordinary supporter into a fetish was inspired by a fig leaf seen on a statue when the fetishist was a little boy. But this solution just leads to another conundrum.
38 But, Gay then raises a forceful criticism of Freud’s re-examination of the developmental schedules of boys and girls. ”39 U n r av e l i n g F r e u d o n F e t i s h i s m 23 As Gay depicts the changes in Freud’s thinking, “his robust and caustic language” represented “a turn to the right, subverting his own idea,”40 so congenial to the feminists of that time, that males and females have very similar psychological histories. ”41 However, while Gay attributes this sea change to Freud’s attempt to puzzle through some difficulties in his new way of thinking about the Oedipus complex, I am, as I mentioned earlier, attributing these “caustic” and “scurrilous” attitudes toward women to the physical castrations that Freud had endured and continued to endure until the end of his life.
Much of Freud’s suffering was due to the outcomes of the second surgical procedure, which had joined the mouth with the nasal passages. This drastic surgery required the insertion of a prosthesis, a huge denture-like apparatus, designed to block off the gaping wound in his mouth, separating it from the nasal cavity. ”18 Since the prosthesis made it impossible for Freud to open his mouth wide, it was difficult to remove it for a few hours of relief from the pressure it caused, or to replace it afterwards.
Oxford American Handbook of Psychiatry (Oxford American Handbooks of Medicine (Quality Paperback)) by David Kupfer, Michelle S. Horner, David Brent, David Lewis, Charles Reynolds, Michael Thase, Michael Travis