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Person Centered Approach to Recovery in Medicine: Insights from Psychosomatic Medicine and Consultation-Liaison Psychiatry PDF

318 Pages·2019·3.85 MB·English
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Integrating Psychiatry and Primary Care Series Editors: Dinesh Bhugra · Michelle B. Riba Luigi Grassi · Michelle B. Riba   Thomas Wise E ditors Person Centered Approach to Recovery in Medicine Insights from Psychosomatic Medicine and Consultation-Liaison Psychiatry WORLD PSYCHIATRIC ASSOCIATION Integrating Psychiatry and Primary Care Series Editors Dinesh Bhugra Institute of Psychiatry King’s College London London, United Kingdom Michelle B. Riba University of Michigan Rogel Cancer Center Ann Arbor, Michigan, USA This series of books will serve to provide models of clinical care; transfer research advances and evidence-based practices into practical applications for mental health providers and primary care providers; and increase knowledge about this feld. Both editors are strongly associated with the World Psychiatry Association, one of the world’s largest medical organizations, which together with its partners provides services to help bring new information and fndings to clinicians in many disciplines, who are caring for patients and families. This series brings together well known editors and authors to develop important topics in primary care psychiatry. More information about this series at http://www.springer.com/series/13818 Luigi Grassi • Michelle B. Riba • Thomas Wise Editors Person Centered Approach to Recovery in Medicine Insights from Psychosomatic Medicine and Consultation-Liaison Psychiatry Editors Luigi Grassi Michelle B. Riba Institute of Psychiatry, Department of University of Michigan Rogel Cancer Biomedical and Specialty Surgical Sciences Center University of Ferrara Ann Arbor, MI Ferrara USA Italy Thomas Wise Inova Fairfax Hospital Johns Hopkins University Inova Fairfax Hospital Falls Church, VA USA ISSN 2522-5693 ISSN 2522-5707 (electronic) Integrating Psychiatry and Primary Care ISBN 978-3-319-74735-4 ISBN 978-3-319-74736-1 (eBook) https://doi.org/10.1007/978-3-319-74736-1 Library of Congress Control Number: 2018956338 © Springer International Publishing AG, part of Springer Nature 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifcally the rights of translation, reprinting, reuse of illustrations, recita- tion, broadcasting, reproduction on microflms or in any other physical way, and transmission or infor- mation storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publica- tion does not imply, even in the absence of a specifc statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland To my parents, my wife, and my daughter for their love and constant encouragement. To all my patients who have taught me the profound sense of being persons. Luigi Grassi Thank you to my family for their love and support. My sincere appreciation to my patients and their families for the privilege to participate in their care. Michelle B. Riba To Karen Wise who always supported my work and schedule Thomas Wise Preface This volume offers an important compliment to the current texts about consultation- liaison psychiatry. Readers should understand that consultation-liaison is the clini- cal derivative of psychosomatic theory. The book discusses both and weaves into its chapters how the role of the individual with unique hopes and fears, with a biopsy- chosocial perspective, may collaborate with clinicians and family and others. The book is divided into three parts. The frst part starts with the historical roots of psychosomatic theory which are addressed with the current mandate to incorpo- rate valid, effcient, and clinically useful screening methodologies to identify indi- viduals in distress from common psychological maladies and how to follow them with clinimetric assessment. The second part of this volume focuses on topics that are rarely covered in depth in other texts. It is essential to understand “who” the patient is as well as “what” symptoms or disease they present to their physician or what they think may be prob- lematic. Cultural background understanding is essential to best organize the com- plaints with which a patient presents and how to organize such information. To conserve dignity in the seriously ill is essential for good care but is too often ignored. Topics about rehabilitation and prevention in psychosomatic medicine are discussed and remind the reader that psychosomatic concepts as well as psychiatric consulta- tion interventions are important in public health constructs. The techniques of com- munication and establishing relationships are also highlighted. The fnal part of this volume ends with the mandate for integrated care consider- ing both psychiatric and psychological perspectives along with the medical bio- medical approach. The unique specialty of psychosomatic medicine in German-speaking countries offers an insight into a different form of healthcare delivery from the traditional partition of psychiatry and internal medicine. The vol- ume closes with an important contribution about training in consultation-liaison psychiatry in our feld. The consultation psychiatrist is to be the true link between biomedicine and psychosocial interventions in offering patient-centered care, but all physicians and other healthcare professionals must know what is offered in this volume. This book will be of great value to all who understand this essential union. Ferrara, Italy Luigi Grassi Ann Arbor, MI, USA Michelle B. Riba Falls Church, VA, USA Thomas Wise vii Contents 1 T he Role of Patient-Centered and Recovery-Oriented Models in Medicine: An Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Luigi Grassi, Thomas Wise, and Michelle B. Riba Part I C linical Concepts and Methods in Psychosomatic Medicine 2 P sychosomatic and Biopsychosocial Medicine: Body-Mind Relationship, Its Roots, and Current Challenges . . . . . . . . . . . . . . . . . 19 Luigi Grassi, Thomas Wise, David Cockburn, Rosangela Caruso, and Michelle B. Riba 3 P sychosomatic and Person-Centered Medicine . . . . . . . . . . . . . . . . . . 37 Juan E. Mezzich and Ihsan M. Salloum 4 S creening for Psychosocial Distress and Psychiatric Disorders in Medicine: From Concepts to Evidence . . . . . . . . . . . . . . . . . . . . . . . 57 Alex J. Mitchell 5 C linimetric Assessment in Psychosomatic Medicine . . . . . . . . . . . . . 79 Fiammetta Cosci and Giovanni A. Fava Part II T he Clinical Contexts of Psychosomatic Medicine 6 D ignity-Conserving Care in Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Luigi Grassi, Harvey Chochinov, Giuseppe Moretto, and Maria Giulia Nanni 7 C ross-Cultural Issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Ilaria Tarricone, Iris T. Graef-Calliess, Nasim Chaudhry, Marianne Kastrup, Domenico Berardi, Dinesh Bhugra, Mauro Braca, Ronald Burian, Albert Diefenbacher, Silvia Ferrari, Nusrat Husain, Adil Qureshi, Meryam Schouler-Ocak, and Sarah Tosato 8 P revention in Psychosomatic Medical Care and Rehabilitation . . . . . 137 Richard Fielding and Wendy Lam 9 C ommunication and Relational Skills in Medicine . . . . . . . . . . . . . . . 163 Carmel Loughland, Philippa Ditton-Phare, and David W. Kissane ix x Contents 1 0 S omatic Health Issues in Trauma-Related Disorders: Effects on Psychobiological Axes Affecting Mental and Physical Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Anthony P. King 1 1 I mplementing Psychiatric Rehabilitation in the Mental Health System Services: From Theory to Practice . . . . . . . . . . . . . . . 217 Afzal Javed and Paola Carozza 1 2 R ehabilitation-Oriented Treatment and Care in Psychosomatic Medicine Under a Lifespan Perspective . . . . . . . . . . . . . . . . . . . . . . . . 237 Michael Linden 1 3 A Psychosomatic Approach of Anorexia Nervosa . . . . . . . . . . . . . . . . 249 Thibaut Lebailly, Stéphane Saint-André, Stephane Laplace, Anne-Sophie Lancien-Dereine, Adeline Gourbil, and Michel Botbol Part III Integrated Intervention 1 4 T he Role of Integrated Interventions in Psychosomatic Diseases . . . . . 263 Massimo Biondi, Francesco Saverio Bersani, and Massimo Pasquini 1 5 E thical Counselling for a Patient-Centred Approach in the Context of Psychosomatic Medicine . . . . . . . . . . . . . . . . . . . . . . 279 Giovanni Boniolo 1 6 O rganization of Psychosomatic Service in Health Systems: The German Perspective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289 Stephan Zipfel, Anne Herrmann-Werner, and Florian Junne 1 7 T raining in Consultation-Liaison Psychiatry and Psychosomatic Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303 Wolfgang Söllner, Else Guthrie, and Alexandre Berney The Role of Patient-Centered 1 and Recovery-Oriented Models in Medicine: An Introduction Luigi Grassi, Thomas Wise, and Michelle B. Riba Abstract As medicine achieves new scientifc fndings regarding disease causation and treatment, a human element has receded in actual clinical practice. This has lim- ited the importance of the doctor-patient relationship which has serious implica- tions for medical care as both patient and health-care provider exist in a biopsychosocial matrix. Various international health organizations are now work- ing together to better integrate person-centered and recovery-oriented approaches into general medical care. Such a comprehensive approach to clinical patient care as well as medical research is more than mere psychosomatic medicine but requires attention to issues of functionality in an autonomous manner as well as participation in social groups. Dignity conservation, reaffrmation, and spiritual needs are necessary elements of the doctor-patient relationship. This requires L. Grassi (*) eUIn-nmsitviateiulr:ts eli utoyifg oPi.fgs

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