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Kaplan & Sadock’s Synopsis of Psychiatry PDF

3768 Pages·2021·32.065 MB·English
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E A DITORIAL SSISTANT Arya Shah, M.D. Resident in Psychiatry Brigham and Women’s Hospital/Harvard Medical School Program Boston, Massachusetts C E ONTRIBUTING DITORS Caroly S. Pataki, M.D. Clinical Professor of Psychiatry and the Biobehavioral Sciences, Keck School of Medicine at the University of Southern California;Director, Child and Adolescent Psychiatry Residency Training Program, University of Southern California, Los Angeles, California Norman Sussman, M.D. Professor of Psychiatry, New York University School of Medicine;Director, Treatment Resistant Depression Program and Co- director, Continuing Education in Psychiatry, Department of Psychiatry;Attending Psychiatrist, Tisch Hospital, New York, New York KAPLAN & SADOCK’S SYNOPSIS OF PSYCHIATRY TWELFTH EDITION EDITORS Robert Joseph Boland, M.D. Vice-Chair for Education Department of Psychiatry Brigham and Women’s Hospital Associate Professor Harvard Medical School Boston, Massachusetts Marcia L. Verduin, M.D. Associate Dean for Students Professor of Psychiatry Department of Medical Education Department of Clinical Sciences University of Central Florida College of Medicine Orlando, Florida CONSULTING EDITOR Pedro Ruiz, M.D. Clinical Professor Menninger Department of Psychiatry and Behavioral Sciences Baylor College of Medicine Acquisitions Editor: Chris Teja Development Editor: Ariel S. Winter Editorial Coordinator: Ashley Pfeiffer Editorial Assistant: Maribeth Wood Marketing Manager: Kirsten Watrud Production Project Manager: Bridgett Dougherty Design Coordinator: Stephen Druding Manufacturing Coordinator: Beth Welsh Prepress Vendor: Aptara, Inc. 12th edition Copyright © 2022 Wolters Kluwer. Copyright © 2010 Wolters Kluwer Health / Lippincott Williams & Wilkins. Copyright © 2008 Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright © 2007, 2003. Copyright © 1998, 1994, 1991, 1988 by Williams & Wilkins. Copyright © 1985, 1981, 1976, 1972. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at [email protected], or via our website at shop.lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in China Library of Congress Cataloging-in-Publication Data Names: Boland, Robert Joseph, editor. | Verduin, Marcia L., editor. | Ruiz, Pedro, 1936- editor. | Shah, Arya, editor. | Sadock, Benjamin J., 1933- Kaplan & Sadock’s synopsis of psychiatry. Title: Kaplan & Sadock’s synopsis of psychiatry / editors, Robert Joseph Boland, Marcia L. Verduin; consulting editor, Pedro Ruiz; editorial assistant, Arya Shah. Other titles: Kaplan and Sadock’s synopsis of psychiatry Description: Twelfth edition. | Philadelphia : Wolters Kluwer, 2022. | Preceded by Kaplan & Sadock’s synopsis of psychiatry / Benjamin James Sadock, Virginia Alcott Sadock, Pedro Ruiz. Eleventh edition. 2015. | Includes bibliographical references and index. Identifiers: LCCN 2020056686 | ISBN 9781975145569 (paperback) Subjects: MESH: Mental Disorders Classification: LCC RC454 | NLM WM 140 | DDC 616.89–dc23 LC record available at https://lccn.loc.gov/2020056686 This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work. This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments. Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. shop.lww.com To my wife, Susan, who contributed to this work—and everything else —in more ways than she will ever know. Also to my sons, Rich and Greg—perhaps I helped encourage you once but now you are both my inspiration. —RB To my husband, Jonathan, and my children, Max and Sarah—for their encouragement, support, and inspiration in all that I do. —MV Preface “No one can replace him, Sir; I am only his successor.” Thomas Jefferson would routinely say this when asked if he was replacing Benjamin Franklin as Minister to France. Although not quite the same historical scale, this aptly describes our feelings about taking over as editors for Kaplan & Sadock’s Synopsis of Psychiatry. The Synopsis was one of the first psychiatry books we encountered and was our “Bible” during our respective training years. As we became educators, it was the book that we recommended to our students and residents. In our roles as editors of the Psychiatry Resident-In-Training Examination®, administered by the American College of Psychiatrists to virtually all trainees in the United States, the Synopsis was the book we would most often turn to when deciding whether a given question on the test was within the accepted body of knowledge for all psychiatrists. As we approach the book again from this new perspective, the time we have spent editing and revising the book has only given renewed respect for this fantastic work. The previous authors have done an incredible job of creating a book that is comprehensive, approachable, and frankly enjoyable to read. Much of our approach to this new edition has been careful, and we have preserved much of the previous editions, often verbatim. Our edits have been either to incorporate discoveries in our rapidly growing field or to reorganize the book in a way we think practical for a new generation of psychiatrists. We have emphasized the clinical material upfront. The underlying science and theory of the field have been moved later in the book. This reorganization does not reflect any value or order of importance; it is meant to be practical: one can imagine a busy trainee grabbing the book during the day to answer a crucial question about the diagnosis or management of a patient, and later that day, with, hopefully, more time for reflection, sitting down and reading further to understand their patient more deeply. Whenever we could, we grouped disorders syndromally. Thus, we first discuss the various depressive disorders’ phenomenology as a group before discussing diagnosis and, eventually, treatment. This approach was a strategic choice as much modern research no longer groups patients by clinical diagnoses, and many incorporate larger groupings: depressed patients or psychotic patients, for example. That said, in deference to Emerson, we did not let our desire for organization and consistency become so rigid as to be foolish, and in cases where the disorders within a chapter are fundamentally different, we did create separate sections for each. We realize that some may worry that our “practical” approach might take away some of the artistry of this book. Indeed, we no longer include many paintings, creative photos, and other artistic touches that were a defining part of previous volumes. These are personal choices reflecting on our personal approaches. We certainly do not wish to wring out all of the personality from the book, and we hope that our preservation of much of the prose, case histories, and historical references keep some of what made the previous volumes special. The other philosophy we bring to this work is that mental health is part of physical health, and one cannot discuss psychiatric disease except within the context of all medicines. Even the term “mind—body” seems obsolete and implying a divide that does not exist. We were frequently reminded of this as we edited during the COVID-19 pandemic and witnessed in our patients, faculty, and trainees how a simple virus can wreak such havoc on the psyche. HISTORY This textbook evolved as a condensation of the Comprehensive Textbook of Psychiatry. That book is an extensive, two-volume work with many contributions by experts in the field. It helps those who require an exhaustive, detailed, and encyclopedic survey of the entire field. That work aims at all levels of expertise in the field who desire an up-to-date work that is as comprehensive as possible. This textbook is aimed more at the trainee, who needs a brief and more condensed statement of the field of psychiatry.

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