ABSTRACT

This book shows how contemporary psychoanalytic thinking can be applied in the everyday practice of medicine to enhance the practice of family medicine and all clinical specialties.

Dr. Steinberg analyzes his writings over the past 35 years—on psychiatry and family medicine, liaison psychiatry, and  mentoring—based on developments in psychoanalytic thinking. Divided into sections based on different venues of medical practice, including family medicine clinics, inpatient medical and surgical units, and psychiatric inpatient units and outpatient programs, chapters illustrate how various concepts in psychoanalysis can enhance physicians’ understanding and management of their patients. A concluding section contains applications of psychoanalytic thought in non-clinical areas pertinent to medicine, including preventing suicide among physicians, residents, and medical students, sexual abuse of patients by physicians, and oral examination anxiety in physicians.

Readers will learn to apply psychoanalytic concepts with a rational approach that enhances their understanding and management of their patients and practice of medicine generally.

Introduction Part 1; Introduction Part 2: A Little Theory; Part A: Learning from Liaison with Family Medicine; Chapter 1 "Problem Patients": Patients with Significant Personality Disturbance; Chapter 2 Interviewing the Patient; Chapter 3 "Are All My Patients Depressed?" The (Mis-)diagnosis of Depression; Chapter 4 "My Patient is Psychotic": Dealing with a Patient with a Paranoid Delusion about Her Disease; Chapter 5 Holding Patients with Medication: Using Neuroleptics as an Adjunct to Psychotherapy in the Patients with Severe Personality Disorders; Chapter 6 What Psychoanalysis and Psychiatry Offer to Medicine; Part B. Learning from Consultation/Liaison Psychiatry; Chapter 7 Psychoanalytic Approaches to Psychosomatic Medicine; Chapter 8 Psychiatry for the Masses: Broader Indications for Psychiatric Consultation; Chapter 9 Where Does My Patient Fit In? Organizing One’s Diagnostic Thinking In Differentiating Patients according to their Symptoms; Chapter 10 "The Most Unkindest Cut of All": Psychiatric Complications of Surgery in Men; Chapter 11 Psychiatric Diagnosis is not a Diagnosis of Exclusion: A Patient with Insulinoma Presenting for Psychiatric Assessment; Chapter 12 Differentiating Psychiatric and Medical Conditions: A Case of Hyperthyroidism Presenting as Delusional Disorder; Chapter 13 "My Patient is Hysterical": Adrenal Carcinoma and Hypertension Presenting with Catatonic Stupor; Part C. Learning from Inpatient and Day Hospital Psychiatry; Chapter 14 The Mother Who Couldn’t Name Her Child: Problems of Attachment, Identity and The Capacity to Think; Chapter 15 Freud on the Ward: Integration of Psychoanalytic Concepts in the Formulation and Management of Hospitalized Psychiatric Patients;Chapter 16 Psychoanalytic Approaches Integrated into Day Treatment and Inpatient Settings; Part D. Nonclinical Topics; Chapter 17 Attack of Nerves: Oral Examination Anxiety in Physicians; Chapter 18 Healers Caring for Themselves and Each Other: Preventing Suicide in Medical Students, Residents and Ourselves; Chapter 19 Professional Betrayal: Sexual Abuse of Adult Female Patients by Male Physicians.