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Age and Gender Considerations in Psychiatric Diagnosis

Age and Gender Considerations in Psychiatric Diagnosis
Author: William E. Narrow
Publisher: American Psychiatric Pub
Total Pages: 580
Release: 2008-05-20
Genre: Medical
ISBN: 1585626767

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Written to help identify major gaps in our knowledge of how gender and age affect psychiatric diagnoses and to stimulate much-needed research to fill these gaps, Age and Gender Considerations in Psychiatric Diagnosis serves as both a valuable short-term source for the DSM-V Task Force and its disorder-specific workgroups, and a long-term guide for future studies that will contribute to revised psychiatric classifications in these three areas. Here, 47 experts present findings in three areas of psychiatric research that historically have been neglected but rightfully have received increasing attention in recent years and thus are worthy of investigation into their clinical features, etiology, and course: 1. Significant gender differences in prevalence, symptom profiles, and risk factors for mental disorders, including neurodevelopmental, neurophysiological, and environmental factors for men and women that cut across diagnostic categories-for example, the critical importance of gender in how psychiatric illness develops and presents; DSM's approach to gender to date; and relevant research findings and gaps in the epidemiology, etiology, and pathophysiology of disorders and the gender-related expression of psychopathology, including the controversial and complex question of whether DSM should have different diagnostic criteria for men and women. 2. Mental disorders in infancy and early childhood, including diagnosis and measurement of psychopathology; PTSD and social and cognitive factors related to the experience of stress; reactive attachment disorder (unique in part because of its specificity to early childhood); mood and anxiety disorders and difficulties in diagnosis; sleep disorders, including two new disorders, Night-Waking Dysomnia and Sleep-Onset Dysomnia; feeding disorders, including the need to address overeating and overfeeding (especially given the alleged U.S. epidemic of obesity); early childhood manifestations of behavior disorders; and early symptoms and diagnosis of autism. 3. Mental disorders in the elderly, such as dementia and depression, once considered normal consequences of aging but now understood to represent mental disorders, including the need to identify specific brain structure abnormalities, biomarkers, and the many contributing biological, psychosocial, and environmental factors of mental illness in late life and to understand their roles in the elderly to better diagnose and monitor disease progression. Written for clinicians and researchers alike, this thought-provoking compendium contributes critical information that helps enhance our understanding of the causes of mental disorders, develop effective preventive and treatment interventions, and inform future editions of DSM and ICD.


A Handbook for the Study of Mental Health

A Handbook for the Study of Mental Health
Author: Teresa L. Scheid
Publisher: Cambridge University Press
Total Pages: 735
Release: 2010
Genre: Medical
ISBN: 0521491940

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The second edition of A Handbook for the Study of Mental Health provides a comprehensive review of the sociology of mental health. Chapters by leading scholars and researchers present an overview of historical, social and institutional frameworks. Part I examines social factors that shape psychiatric diagnosis and the measurement of mental health and illness, theories that explain the definition and treatment of mental disorders and cultural variability. Part II investigates effects of social context, considering class, gender, race and age, and the critical role played by stress, marriage, work and social support. Part III focuses on the organization, delivery and evaluation of mental health services, including the criminalization of mental illness, the challenges posed by HIV, and the importance of stigma. This is a key research reference source that will be useful to both undergraduates and graduate students studying mental health and illness from any number of disciplines.


A Research Agenda For DSM V

A Research Agenda For DSM V
Author: David J. Kupfer
Publisher: American Psychiatric Pub
Total Pages: 332
Release: 2008-08-13
Genre: Medical
ISBN: 1585627720

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In the ongoing quest to improve our psychiatric diagnostic system, we are now searching for new approaches to understanding the etiological and pathophysiological mechanisms that can improve the validity of our diagnoses and the consequent power of our preventive and treatment interventions -- venturing beyond the current DSM paradigm and DSM-IV framework. This thought-provoking volume -- produced as a partnership between the American Psychiatric Association, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse -- represents a far-reaching attempt to stimulate research and discussion in the field in preparation for the eventual start of the DSM-V process, still several years hence. The book Explores a variety of basic nomenclature issues, including the desirability of rating the quality and quantity of information available to support the different disorders in the DSM in order to indicate the disparity of empirical support across the diagnostic system. Offers a neuroscience research agenda to guide development of a pathophysiologically based classification for DSM-V, which reviews genetic, brain imaging, postmortem, and animal model research and includes strategic insights for a new research agenda. Presents highlights of recent progress in developmental neuroscience, genetics, psychology, psychopathology, and epidemiology, using a bioecological perspective to focus on the first two decades of life, when rapid changes in behavior, emotion and cognition occur. Discusses how to address two important gaps in the current DSM-IV: (1) the categorical method of diagnosing personality disorders and their relationship with Axis I disorders, and (2) the limited provision for the diagnosis of relational disorders -- suggesting a research agenda for personality disorders that considers replacing the current categorical approach with a dimensional classification of personality. Reevaluates the relationship between mental disorders and disability, asserting that research into disability and impairment would benefit from the diagnosis of mental disorders be uncoupled from a requirement for impairment or disability to foster a more vigorous research agenda on the etiologies, courses, and treatment of mental disorders as well as disabilities and to avert unintended consequences of delayed diagnosis and treatment. Examines the importance of culture in psychopathology and the main cultural variables at play in the diagnostic process, stating that training present and future professionals in the need to include cultural factors in the diagnostic process is a logical step in any attempt to develop comprehensive research programs in psychology, psychiatry, and related disciplines. This fascinating work, with contributions from an international group of research investigators, reaches into the core of psychiatry, providing invaluable background and insights for all psychology and psychiatry professionals -- food for thought and further research that will be relevant for years to come.


Gender and Psychopathology

Gender and Psychopathology
Author: Mary Violette Seeman
Publisher: American Psychiatric Pub
Total Pages: 424
Release: 1995
Genre: Medical
ISBN: 9780880485647

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Gender and Psychopathology explores the gender differences in psychiatric syndromes in terms of symptoms, courses of illness, epidemiology, and treatment responses. The book addresses the reasons for the differences from many competing and additive points of view by distinguished multidisciplinary contributors. This text includes comprehensive up-to-date DSM-IV categories of illness for the male-female differences in psychiatric disorders. Depression, anxiety, schizophrenia, eating disorders, somatoform disorders, sleep disorders, and addictions are among the topics explored. Those interested in specific issues can read particular chapters of interest because each chapter is complete in itself. This is the first book to explore gender differences in psychopathology. Gender and Psychopathology will be informative and useful to students, researchers, and mental health clinicians of all disciplines.


Common Mental Health Disorders

Common Mental Health Disorders
Author: National Collaborating Centre for Mental Health (Great Britain)
Publisher: RCPsych Publications
Total Pages: 316
Release: 2011
Genre: Health services accessibility
ISBN: 9781908020314

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Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.


The Conceptual Evolution of DSM-5

The Conceptual Evolution of DSM-5
Author: Darrel A. Regier
Publisher: American Psychiatric Pub
Total Pages: 392
Release: 2010-11-03
Genre: Medical
ISBN: 1585629480

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There is a need to refine our current psychiatric nosology to produce diagnostic criteria and disorder categories that keep pace with advances in neuroscience while at the same time enhance clinical utility. Furthermore, dimensional aspects of psychiatric disorders require greater recognition so as to improve our understanding of boundaries between disorders and underscore the heterogeneous nature of psychopathology. The Conceptual Evolution of DSM-5 provides a framework for the evolution of the forthcoming diagnostic system in the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which will help advance clinical practice and facilitate ongoing development of diagnostic criteria. This manual: Highlights recent progress in our understanding of cross-cutting factors relevant to psychiatric diagnosis and symptom presentation Includes detailed discussions on the role of factors such as age, gender, culture, and disability in the expression of mental disorders Provides a review of genetic evidence supporting a cross-cutting approach to nosology Offers suggestions for integrating cross-cutting factors with DSM-5. The Conceptual Evolution of DSM-5 was written to impart a theoretical context for understanding potential revisions to DSM-5. The authors reevaluate the structure of the current manual and discuss cross-cutting approaches to facilitate clinical practice and refine research approaches that will guide clinical trials, genetics, imaging, and treatment guidelines. The authors provide the following insights: Detailed descriptions of age-, gender-, and culture-specific aspects relevant to psychiatric diagnosis and the need for sensitivity to these factors when making diagnoses Discussions on the dimensional aspects of mental disorders, including overlapping symptoms relevant to many or most diagnoses Consideration of alternative classifications of disorders that recognize disorders sharing validating features Presentation of neuroscientific and epidemiologic evidence to expand understanding of disorders beyond that of the categorical organization presented in DSM-IV A review of clinical implications, including how clinicians may shift their conceptualization of previously reified diagnostic criteria and their consequences. As presented to the 99th Annual Meeting of the American Psychopathological Association, The Conceptual Evolution of DSM-5 explores the rapidly changing research base for the understanding of neurodevelopmental, neurocognitive, addictive, and other psychiatric disorders. The contributions in this volume confirm that DSM-5 is intended to be a living document that can accommodate revisions to specific diagnostic areas based on new evidence that is replicable and subject to review. This efficient updating process will help researchers and clinicians keep abreast of the latest protocols for the research, diagnosis, and treatment of mental illness.


Transgender Medicine

Transgender Medicine
Author: Leonid Poretsky
Publisher: Springer
Total Pages: 481
Release: 2019-02-22
Genre: Medical
ISBN: 303005683X

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Although transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature. The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient’s needs. While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.


The Cambridge Handbook of the International Psychology of Women

The Cambridge Handbook of the International Psychology of Women
Author: Fanny M. Cheung
Publisher: Cambridge University Press
Total Pages: 1524
Release: 2020-08-06
Genre: Social Science
ISBN: 1108602185

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There is a growing knowledge base in understanding the differences and similarities between women and men, as well as the diversities among women and sexualities. Although genetic and biological characteristics define human beings conventionally as women and men, their experiences are contextualized in multiple dimensions in terms of gender, sexuality, class, age, ethnicity, and other social dimensions. Beyond the biological and genetic basis of gender differences, gender intersects with culture and other social locations which affect the socialization and development of women across their life span. This handbook provides a comprehensive and up-to-date resource to understand the intersectionality of gender differences, to dispel myths, and to examine gender-relevant as well as culturally relevant implications and appropriate interventions. Featuring a truly international mix of contributors, and incorporating cross-cultural research and comparative perspectives, this handbook will inform mainstream psychology of the international literature on the psychology of women and gender.


Psychopathology in Women

Psychopathology in Women
Author: Margarita Sáenz-Herrero
Publisher: Springer
Total Pages: 740
Release: 2014-10-14
Genre: Medical
ISBN: 3319058703

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Gender has a fundamental influence on the human brain, not only by virtue of biological and hormonal differences between the sexes but also because of the impact of gender-specific cultural, social, anthropological and environmental factors. Nevertheless, the relation of gender and psychopathology remains a largely neglected field. Gender perspective has been treated as a paradigm in this book on psychopathology because it determines the way in which a psychiatric symptom is defined, perceived and understood. This conception of gender as being of key importance in the definition of psychiatric symptomatology is exceptional in the literature. The book opens by examining historical and cultural aspects of mental health in women worldwide and the relation of sex, brain and gender, with coverage of both neurobiological and psychosocial aspects. The significance of gender with regard to specific aspects of psychopathology is then addressed in detail. A wide range of psychological disorders are considered, as well as hormonal influences and issues concerning body image, self identity, sexuality and life instinct. It is hoped that this book will make a significant contribution in ensuring that gender perspective receives due attention within descriptive psychopathology.