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My recent books read include "Exploration & Empire" by Goetzmann, a history of topography, so you know I enoy plain stuff.
Many of the sympton analyses in this book surprised me, but after careful thought, realized they were beneficial.
Was especially interested in "borderline" type stuff and the OCD sections which showed how OCD can be on both axis I and II.
This book taught me once again that while we all have personality "traits" only the mentally have a DSM number assigned to our excesses.
Was especially inspired by parts about "organic" dysfunctions, so you know it was inspirational. Have a friend with OPD (310.10 explosice type) and became more sensitive to the difficulty adjusting when you are not maladaptive to begin with.
Love to complain, but can't find anything to fault this book. Buy it, read it and if you don't have a place for it in your library, pass it on.
This book is truly a "learning companion." Concepts and terminology are illustrated by real-life clinical situations, which can be enormously helpful for clinician and student alike to see how the DSM IV-TR plays out in the real world.
The New England Journal of Medicine said that this book is "educational and fun to read," and I would have to agree on both counts.
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The book moves along the lines of a number of cases given in no particular order. The reader has the ability to read the case and come up with his own dignosis and then finally comparing it with the discussion presented after. The no particular order of presentation is greatly helpful in that the reader does not know what to expect and has to think and formulate his own differential. Most of the cases are well presented and though not classic like those showcased in books, they have the spice of being real cases. In other words, these are the same features you will be seeing in your everyday practice or psychiatry clerkship. If you wanted a specific case to read about, the index in the back clearly highlights where to find it in more than one different classification.
The biggest letdown of this book is that it fails to point out patient management. It is understandable that this is more of a case presentation book, but knowing how to tailor therapy for each individulaized patients is a great plus. This, however, is not implemented greatly in this book. The authors would mention the use of antidepressants or neuroleptics, but not mention exactly which type or kind of those does the patient respond to. Brief therapeutics and a follow-up discussion is presented most of the time, but that still fails to point out how management of the patient has progressed.
All in all, this book is excellent for learning in a more clinical type setting. Required reading before this book is a well established Psychiatry textbook to identify the diseases in general and after that, you're set to go. This aids the reader to independently identify the problem accordingly and to form an well established differential and final diagnosis. All in all, I strongly recommend this book as an adjunct to a Psychiatry textbook, if not the DSM-IV per se.
This all begs the question of the validity of the DSM or the usefulness of labeling people, but if you have to work within that system, this book will help get you up to speed.
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