Troublesome Disguises Managing Challenging Disorders in Psychiatry

Troublesome Disguises examines psychiatric conditions which are not necessarily uncommon, rare or exotic but are challenging for the clinician who may struggle to reach a diagnosis and to set up management strategies.

However, with familiarity, these conditions can and should be recognised. This new edition is an exercise in consciousness-raising as well as a warning to beware of diagnostic systems which, despite their many virtues, may become too influential and may perpetuate errors which are to the detriment of patients.

For the clinician struggling to understand and treat patients who fail to fit the usual diagnostic categories, Troublesome Disguises provides wise instruction in the virtue of entertaining doubts, as well as practical advice for the assessment and management of atypical cases.

Dinesh Bhugra, Professor of Mental Health and Cultural Diversity, Institute of Psychiatry, King’s College London, UK

Gin S. Malhi, Professor of Psychiatry, Sydney Medical School, The University of Sydney and Head of Department, Royal North Shore Hospital, Sydney, Australia

Contributors vii

Preface xi

Part I: Challenging psychiatric conditions

1 Shared pathologies 3
German E. Berrios and Ivana S. Marková

2 Paraphrenia 16
Richard Atkinson, David Jolley, and Alistair Burns

3 Brief reactive psychoses 27
Jüergen Zielasek and Wolfgang Gaebel

4 Cycloid psychoses 44
Andrea Schmitt, Berend Malchow, Peter Falkai, and Alkomiet Hasan

5 Borderline personality disorder 57
John M. Oldham

6 Recurrent self-harm 67
Rohan Borschmann and Paul Moran

7 Finding the truth in the lies: A practical guide to the assessment of malingering 85
Holly Tabernik and Michael J. Vitacco

8 Recurrent brief depression: “This too shall pass”? 100
David S. Baldwin and Julia M. Sinclair

9 Conversion disorders 114
Santosh K. Chaturvedi and Soumya Parameshwaran

10 ADHD controversies: more or less diagnosis? 129
Florence Levy

11 Post-traumatic stress disorder: Biological dysfunction or social construction? 140
Richard A. Bryant

12 Bipolar disorder: A troubled diagnosis 153
Gin S. Malhi and Michael Berk

Part II:  Rare psychotic disorders

13 Misidentification delusions 169
Michael H. Connors, Robyn Langdon, and Max Coltheart

14 Delirium 186
Sean P. Heffernan, Esther Oh, Constantine Lyketsos, and Karin Neufeld

15 Paraphilias and culture 199
Oyedeji Ayonrinde and Dinesh Bhugra

16 Pseudodementia: History, mystery and positivity 218
Alistair Burns and David Jolley

17 Culture-bound syndromes 231
Oyedeji Ayonrinde and Dinesh Bhugra

18 Delusional infestations 252
Julio Torales

19 Baffling clinical encounters: Navigating a pain and psychiatric quichua syndrome 262
Sioui Maldonado-Bouchard, Lise Bouchard, and Mario Incayawar

Index 273

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.