Table of contents for The psychological impact of acute and chronic illness : a practical guide for primary care physicians / Tamara McClintock Greenberg.


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1.    EDCAL LLESS: WHY CONSIDER
EMOTIONAL FACTORS?                                     1
Depression                                             2
Anxiety                                                5
Hostility                                              5
Coping and Illness                                     7
Social Support                                       8
Religion                                             9
Personality Factors                                 10
Additional Factors                                    12
Stress                                              13
Class, Race, and Disparities in Health Care         16
Child Abuse                                          17
Mind-Body Relationships: Integration of Research Findings  19
Conclusions                                           22
References                                            23
2.  DOCTORS AND PATENTS: THE CONTEXT
OF MODERN MEDICNE                                     31
Science and the Culture of Medicine                   32
Working in Medicine Today: A Crisis in Health Care?   36
Technology, Relationships, and Physician Authority    38
Addressing Emotions in the Context of Modern Medicine  43
References                                            44
3. BECOMING A PATIENT. ADAPTING TO LLNESS                 47
From Person to Patient: Becoming Ill                  48
The Diagnostic Process                                49
Normative and Maladaptive Anxiety in the Face of Illness  52
The Narcissistic Injury of Illness                    53
Denial of Illness                                     57
Dependency and Illness                                60
Adjusting to Being a Patient                          63
References                                            64
4. SPECAL SSUES IN COPING WITH CHRONIC LLNESS             65
Resuming Life After a Serious Illness                 67
Anger m Response to Illness                            73
hen Symptornms and Limitations are Chronic             75
Conclusions                                           78
References                                            78
5. PHARMACOLOGICAL NTERVENTIONS                           81
Antidepressants for Major Depression                  84
Medications for Anxiety Disorders                     89
Generalized Anxiety Disorder                          90
Panic Disorder                                        91
Post-Traumnatic Stress Disorder                       91
Drug Interactions and Special Considerations in Medical
and Geriatric Patients                                94
Screening for Alcohol and Caffeine Use                98
Special Issues in the Use of Serotonin Agents         99
Conclusions                                           102
Reerences                                            103
6. THE IMPACT OF ILLNESS ON FAMLY MEMBERS                109
Caregiver Strles, Guilt, and Anxiety                  111
Problematic Social Support                            115
When Patients and Families Don't Comunicate           117
Suggestions for Family Interventions                   119
Conclusions                                            120
References                                             122
7   TRUST N PATIENTPHYS ICAN RELATIONSHIPS                123
Trust and Communication                                124
Trust and Ethnicity                                    129
Trust and Adherence                                    131
Conclusions                                            133
References                                             134
8.  DIFFICULT MEDICAL PATENTS                             137
Noncompliance                                          138
Medication Abuse and Addiction                         144
Angry and Disruptive Patients                          148
Psychosomatic Complaints                               151
What Can Difficult Patients Teach Us? Implications
for Medical Practice                                   153
References                                             154
9.  REFERRING TO A MENTAL HEALTH PROFESSIONAL             157
D)ifficulties in Referrals for Mental Health           158
When to Refer                                          161
How to Refer                                           168
Conclusions                                            170
References                                             171



Library of Congress subject headings for this publication: Medicine and psychology, Chronic diseases Psychological aspects, Primary care (Medicine)