Difficult Psychiatric Consultations: An Integrated Approach [Paperback]

The fields of psychiatry and child psychiatry are encumbered by numerous and complex relational, medicolegal, and ethical dilemmas. This practical and clinically relevant book attempts to bring clarity to complex clinical presentations through the integration of psychodynamic, family systems, medicolegal, and ethical perspectives. It recognizes that the intimate and often difficult work with such complex cases requires consultation with multidimensional experts to address psychodynamic, family, ethical, and therapeutic issues. In the process, the author aims to foster the comfort and skill in dealing with these cases that is essential to the personal and professional growth of the psychiatrist. It is further anticipated that the book will assist in developing best practice standards for assessment and intervention in cases of this nature.

Introduction.- Integrating theoretical paradigms.- The patient: Cognitive Functioning.- Temperament.- The Family.- Family System Theory.- Family System Concepts.- Genograms and Family Mapping.- The Family in child and adolescent psychiatry.- The treatment team: Evolution of the team.- Anatomy of the team.- Countertransference in the psychiatric consultant and the treatment team.- Ethics and Medisocial issues.- The culture.- A working definition of culture.- Culture Shock.- Mental Health across cultures.- Working with interpreters.- Culture in DSM IV and DSM V.- The clinical presentation.- Presentations.- Preparation of presentations.

From the reviews:

This book was developed in response to a need by the American Academy of Child and Adolescent Psychiatry to provide a program for clinicians who deal with difficult patients. l³'