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Psychological medicine has a long history. Until the development of pharmacological and other specific treatments, it was a mainstay of a physician’s practice.
Since then the successes of biomedical theory during the 20th century have led to a loss of interest in the psychological aspects of medicine and core clinical skills have sometimes been neglected. Although many modern doctors are comfortable with the latest advances in molecular medicine, they lack confidence in applying similar intellectual rigour to the psychological problems of their patients. These deficiencies are particularly apparent in the management of patients with chronic disease and of patients whose symptoms seem out of proportion to disease pathology. Accumulating research evidence now clearly shows that psychological variables make a substantial contribution to the outcome of most common medical conditions. The identification of problems, appropriate formulation and the implementation of appropriate treatment results in not only better outcomes for patients but also in greater satisfaction for the doctors treating them. A rediscovery of the psychological aspects of medicine is underway.
This ABC of psychological medicine is a practical and evidence based overview of the psychological aspects of medical practice. It aims to guide practitioners and to provide them with not only relevant information but also an intellectual structure for assessing and managing their patients. The emphasis is on day to day practice and problems rather than psychological theory. The book – Medical PDF Free: ABC of Psychological Medicine PDF assumes knowledge of medical assessment, investigation, and treatment. The opening three chapters describe general principles within which individual assessment and treatment can be formulated. They include the clinical examination and the initiation of treatment but also a critique of the structure within which care is delivered, which can often be as critical as the individual’s consultation. The following three chapters describe the core skills of psychological medicine: the assessment and management of anxiety, depression, and functional somatic symptoms. The remaining chapters then describe how these skills are transferred and adapted in specific situations including the care of patients with cancer, trauma, musculoskeletal pain, fatigue, chest pain, abdominal pain, and delirium. This list is not comprehensive but provides a range of examples that should help the reader to adapt the principles to their own practice.
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