Basic Psychotherapeutics: A Programmed Text

This book provides instruction in applying basic treatment strategies to patient care. Emphasis is placed on teachi. ng diagnostic skills, and especially, the therapeutic management of emotionally disturbed patients. This book is intended as a companion text to Basic Psychopathology: A Programmed Text, whi. ch focuses more on teaching the description and observational skills for diagnosing common psychopathologic syn­ dromes. Basic Psychotherapeutics gives pragmatic suggestions for treating a variety of psychopathologic disorders, many of which are newly classi­ fied in the Diagnostic Statistical Manual - III (DSM-II1) published by The American Psychiatric Association. We have adopted the terminology and many, but not all, of the diagnosti. c criteria used in DSM-III. The treatment recommendations proposed are eclectic in nature and the infor­ mation presented is non-theoretical and patient centered. Basic Psychotherapeutics is divided into three parts. The first re­ views basic data collection procedures and treatment skills; it includes chapters on interviewing, the mental status examination and pharmaco­ logic, psychologic and behavioral therapy. The next section includes chapters on commonly encountered psychiatric syndromes such as schiz­ ophrenic, affective and anxiety disorders. The final chapters are pre­ sentations of special clinical interest, such as the management of suicidal patients, psychiatric emergencies, treating the dying patient and his family, and others.

I. Basic Psychotherapeutic Procedures.- 1. Abbreviated Psychological Assessment.- Goals of Abbreviated Psychological Assessment.- Psychopathologic Conditions Important to Diagnosis.- Open- and Closed-Ended Questions.- General Principles of Interviewing.- Conducting The Interview.- 2. Mental Status Examination.- General Principles.- Mental Status Categories.- Appearance.- Behavior.- Feeling (Affect and Mood).- Perception.- Thinking.- 3. Supportive Psychotherapy.- Comparison of Supportive and Uncovering Psychotherapy.- Patients Needing Special Consideration.- Basic Premises of Psychotherapy.- Important Characteristics of the Therapist.- Supportive Psychotherapeutic Techniques.- Directive Guidance.- Nondirective Guidance.- Environmental Intervention.- Ventilation.- Reassurance.- Education.- Diversion.- 4. Behavior Therapy.- General Principles of Behavior Therapy.- Indications for Behavior Therapy.- Techniques Used in Behavior Therapy.- Token Therapy.- Desensitization.- Biofeedback.- Aversive Therapy.- Contractual Methods.- Modeling.- 5. Pharmacologic Therapy.- Basic Principles For Prescribing Psychotropic Drugs.- Drug Prescription Directions.- Modern Psychotropic Medications.- Anti-Psychotic Medications.- Anti-Mania Medications.- Anti-Depressant Medications.- Anti-Anxiety Medications.- Anti-Insomnia Medications.- 6. Consultation and Referral.- Indications For Psychological Referral.- Principles of Effective Consultation and Referral.- II. Psychotherapeutics for Specific Disorders.- 7. Schizophrenic Disorders.- Characteristics of Schizophrenic Disorders.- Etiology.- Mental Status Examination Findings.- Course and Early Symptoms.- Schizophreniform and Schizophrenic Disorders.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavior Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 8. Affective Disorders.- Etiology of Affective Disorders.- Physical Symptoms Accompanying Affective Disorders.- Mental Status Examination Findings of Affective Disorders.- Classification of the Affective Disorders.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavior Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 9. Organic Mental Disorders.- General Diagnostic Considerations.- Mental Status Examination Findings.- Physical Findings Suggesting Drug Intoxication or Withdrawal.- Common Organic Brain Syndromes.- Predisposing Factors of Organic Brain Syndromes.- Physical Causes of Organic Brain Syndromes.- Therapeutic Intervention.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 10. Anxiety Disorders.- General Diagnostic Considerations.- Physical Findings Associated With Anxiety Disorders.- Mental Status Examination Findings.- Subtypes of Anxiety Disorders.- Panic Disorders.- Generalized Anxiety Disorders.- Phobic Disorders.- Obsessive/Compulsive Disorders.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 11. Substance Use Disorders.- Terminology.- Criteria for Diagnosing Substance Use Disorders.- Etiologic Factors.- Drug Characteristics.- Central Nervous System Depressants.- Central Nervous System Stimulants.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 12. Somatoform Disorders.- Mental Status Examination (MSE) Findings.- Subtypes of Somatoform Disorders.- Somatization Disorders.- Conversion Disorders.- Psychogenic Pain Disorder.- Hypochondriasis.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 13. Mental Retardation.- Mental Retardation Defined.- Causes of Mental Retardation.- Mental Status Findings.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- III. Psychotherapeutics for Problems of Living.- 14. Psychiatric Emergencies.- Diagnostic Findings.- Mental Status Findings.- Significant Patient Characteristics.- Principles of Therapeutic Management.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 15. Hospitalization and Critical Care.- Common Fears Relating to Illness.- Patient Responses to Illness.- Stress Caused by Hospitalization.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 16. Suicide.- Indications for a Careful Evaluation.- Physical Findings of Depression.- Mental Status Examination Mndings of Depression.- The Assessment of Suicidal Risk.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 17. Childhood.- Major Causes of Childhood Problems.- Common Childhood Problems.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 18. Adolescence.- Developmental Tasks of Adolescents.- Indications of Psychopathology.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.- 19. Grief and Terminal Illness.- Grief and Bereavement.- Common Responses of Dying Patients.- Fears of Dying Patients.- Therapeutic Interventions.- Supportive Psychotherapy.- Behavioral Therapy.- Pharmacologic Therapy.- Consultation and Referral.