Biopsychosocial Approaches in Primary Care: State of the Art and Challenges for the 21st Century / Edition 1

by Hoyle Leigh

Overview

ST MEDICINE IN A CHANGING UNIVERSE AT THE THRESHOLD OF THE 21 CENTURY Hoyle Leigh, M. D. I Professor ofPsychiatry San Francisco, University ofCalifornia, and Fresno VAMedical Center INTRODUCTION During my lifetime, the universe has changed beyond recognition. The universe into 111 which I was born, in the first halfof the 20 century, was still infinite, permanent, orderly, and tranquil —- a universe that worked like a masterfully constructed clock. Matter and energy followed Newton's lawsofconservation. Shortly after my birth, Hiroshima proved, with a big bang, that matter was no longer permanent, everything was relative. Einstein had also shown thateverything that happened was local, that is, there was an event horizon beyond which no information could reach as nothing can travel faster than light. When I was growing up, the moon was for lovers, and going there was an impossible dream. Cosmologically, the Big Bang theory that postulates that the universe was born out ofan explosion some 10-15 billion years ago from a primordial point won over steady state. Ithas been expanding ever since, although the ultimate fateof the universe is still unknown ­ whetherit will keep on expanding resulting in aperpetual stateofheat death, or will at some point startcontracting, resulting in a big crunch ofgravitational collapse ending in a single black hole out ofspace, time, and existence. Quantum theory has defeated even Einstein's genius and proven that God indeed plays dice.

Product Details

ISBN-13:	9780306455827
Publisher:	Springer US
Publication date:	02/28/1997
Edition description:	1997
Pages:	242
Product dimensions:	7.01(w) x 10.00(h) x 0.02(d)

About the Author

Leigh, Hoyle, MD (UCSF)

The contributors represent the specialty of psychiatry. Most are from U.S. universities and medical centers, with one each from Israel and Germany. Institutions prominently represented include UCSF and Fresno Community Alzheimer's Living Center.

Table of Contents

Introduction: Medicine in a Changing Universe at the Threshold of the 21st Century.- 1. Psychiatric Diagnosis in Primary Care: The Biopsychosocial Perspective.- 2. Biopsychosocial Approaches to Anxiety in Primary Care.- 3. Biopsychosocial Approaches to Depression in Primary Care.- 4. Psychiatry in the Primary Care Setting: Managing Chronic Illness: Psychiatric Issues.- 5. Factitious Physical Disorders in the Managed Care Setting.- 6. Chronic Pain.- 7. Biopsychosocial Approaches to Mental Disorders in the Elderly.- 8. Aggressive Nutritional Program for the Institutionalized Alzheimer’s Patient.- 9. The Expanded Biopsychosocial Model in Child Psychiatry.- 10. From Biopsychosocial Model to Patientology.- 11. Teaching Psychiatry to Primary Care Physicians.- 12. Psychosomatic Thinking as Reflected in Practice and Teaching of Primary Health Care — Introducing the Salutogenic Approach.- 13. Reductionism Revisited: Return of the Biomedical Model.- 14. Religion and Spirituality in the Primary Care Setting: Toward the 21st Century.- 15. A Biopsychosocial Critique of Managed Mental Health Care and Its Relation to Primary Care.- Contributors.

Editorial Reviews

Proceedings of the September 1995 symposium. Contains 15 contributions intended to show primary care physicians and psychiatrists who work with primary physicians that it is possible to provide biopsychosocial care to patients efficiently, even in a managed care setting. Topics include psychiatric diagnosis in primary care, chronic pain, mental disorders in the elderly, biopsychosocial approaches to anxiety and depression, and religion and spirituality in the primary care setting. Annotation c. by Book News, Inc., Portland, Or.

Booknews