Sims' Symptoms in the Mind: Textbook of Descriptive Psychopathology

379 Pages·2022·4.615 MB·English

by  Femi Oyebode

Sims’ Symptoms in the Mind
Textbook of Descriptive Psychopathology
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7th Edition
Sims’ Symptoms
in the Mind
Textbook of Descriptive
Psychopathology
Femi Oyebode, MBBS, MD, PhD, FRCPsych, FRCPsych
(Honorary)
Honorary Professor of Psychiatry
University of Birmingham
Birmingham, UK
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©2023, Elsevier Limited. All rights reserved.
First edition 1988
Second edition 1995
Third edition 2005
Fourth edition 2008
Fifth edition 2015
Sixth edition 2018
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Notices
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ISBN: 978- 0- 7020- 8525- 3
Printed in Scotland
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Content Strategist: Trinity Hutton
Content Project Manager: Arindam Banerjee
Design: Bridget Hoette
Marketing Manager: Belinda Tudin
Contents
Preface to the Seventh Edition, vi 13 D epersonalization, 197
Additional Materials Within Accompanying 14 Disorder of the Awareness of the Body, 207
Electronic Version, vii
15 The Psychopathology of Pain, 231
Section I
Section V
CONCEPTS AND METHOD, 1
EMOTIONS AND ACTION, 241
1 Fundamental Concepts of Descriptive
Psychopathology, 3 16 Affect and Emotional Disorders, 243
2 Eliciting the Symptoms of Mental Illness, 19 17 Anxiety, Panic, Irritability, Phobia and
Obsession, 265
Section II
18 Disorders of Volition and Execution, 279
CONSCIOUSNESS AND COGNITION, 29
19 Disorder of Aesthetic Perception and Praxis, 301
3 Consciousness and Disturbed Consciousness, 31
Section VI
4 Attention, Concentration, Orientation and
VARIATIONS OF HUMAN NATURE, 313
Sleep, 43
5 Disturbance of Memory, 57 20 T he Expression of Disordered Personality, 315
Section III Section VII
AWARENESS OF REALITY: TIME, PERCEPTION AND DIAGNOSIS, 327
JUDGEMENT, 71
21 Psychopathology and Diagnosis, 329
6 D isorder of Time, 73
Self-A ssessment 1, 339
7 Pathology of Perception, 85
Self-A ssessment 2, 345
8 Delusions and Other Erroneous Ideas, 111
Self-A ssessment 1: Answers, 349
9 Disorder of the Thinking Process, 137
Self-A ssessment 2: Answers, 357
10 Disorder of Speech and Language, 157
Index, 363
11 I nsight, 169
Section IV
SELF AND BODY, 179
12 The Disordered Self, 181
v
Preface to the Seventh Edition
In this new seventh edition, as in the previous edi- our understanding and explanations regarding psy-
tions, I have retained the original structure of the book chopathology. Descriptive psychopathology is today
but made some changes and many additions. I have even more relevant to the endeavours of clinicians
added a new chapter on abnormalities of aesthetic per- and researchers. The standard psychiatric nomencla-
ception and praxis. This new chapter deals with a little ture is under strain. This means that the fundamental
discussed but nonetheless important aspect of human abnormal phenomena, the infrastructure of nosol-
existence, namely, our sense of the beautiful, which is ogy, must of necessity assume greater importance in
fundamental to social life and that is very definitely clinical practice. Otherwise the ability to communi-
affected by psychopathology. Other notable additions cate meaningfully across the profession will markedly
include an expanded description of Ganser State, deteriorate.
Charles Bonnet syndrome, autoscopy, jealousy, eroto- I am indebted to many more people than I can
mania and thought disorder. I have also included a list. The Birmingham Philosophy Group has been
section on musical hallucinations and on the nature of meeting regularly since 1992. Its members (Theo
gestures and gestural abnormalities. These additions, Arvantis, Lenia Constantine, Simon O’Loughlin, Kate
like the additions in earlier editions, are prompted by Robertson, Sandy Robertson and Persephone Sextou)
my desire to ensure that readers fully appreciate that continue to influence my thinking about psychiat-
psychopathology is not a dead subject but one that is ric phenomena as do the members of the European
alive and is constantly in need of revision in response Psychiatric Association Section of Psychopathology
to conceptual changes or new empirical findings. including Guenda Bernegger, Paolo Colavero, John
It is my belief that descriptive psychopathology, as Cutting, Maria Luisa Figueira, Mircea Lazarescu, Luis
a method, is the pre-e minent foundation for the prac- Madeira, Michael Musalek, Gilberto di Petta and Pedro
tice of clinical psychiatry. This method allows us to Varandas. Finally, without the patients who experience
observe and describe abnormal subjective phenom- and endure these abnormal phenomena, and the stu-
ena and behaviours, and to categorize these in order dents and psychiatric trainees who ask awkward ques-
to communicate more precisely about the world that tions and out of curiosity enquire into the nature of
patients inhabit. The clinician trained in the phenom- these phenomena, this book would definitely be the
enological approach is all the more aware of the need poorer.
for empathic understanding, for assuming an atheo-
retical stance and finally of the provisional status of Femi Oyebode
vi
Additional Materials Within Accompanying
Electronic Version
The searchable full text for Sims’ Symptoms in the • Nine author podcasts on the following topics:
Mind, seventh edition, is available at www.expertcon- 1. What is psychopathology?
sult.com, accessible via the enclosed pin code. Please 2. Consciousness
follow the instructions on the inside front cover of 3. What are hallucinations?
this book. Additional materials integrated within this 4. Critique of the nature of delusions
enhanced electronic version include the following: 5. Embodiment
• Four patient scenarios (videos with transcripts), 6. The self in psychopathology
exploring: 7. Affect, mood and emotions
1. auditory verbal hallucinations, 8. Shame and Guilt
2. persecutory delusion, 9. The nature of obsessions
3. low mood and Look out for alongside the related sections within
4. obsessive compulsive phenomenon. this book.
Look out for alongside the related sections within • Interactive question-a nd- answer sections for each
this book. chapter to test your understanding of key topics.
vii
For my father, Jonathan Akinyemi Oyebode (1918–71)
FEMI OYEBODE
Section I
CONCEPTS AND METHOD
11