Handbook of Psychiatry in Palliative Medicine

by Chochinov, Harvey Max; Breitbart, William

• ISBN13: 9780195301076
• ISBN10: 0195301072
• Edition: 2nd
• Format: Hardcover
• Copyright: 2009-04-08
• Publisher: Oxford University Press

Summary

Eight years have passed since the first edition of The Handbook of Psychiatry in Palliative Medicine was published. In that time, psychiatric (or psychosocial) palliative care has evolved; the net effect on palliative medicine has been transformative. Palliation that neglects psychosocial dimensions of patient and family experience, de facto, fails to meet contemporary standards of comprehensive palliative care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential, and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying beginning to take hold. The first comprehensive handbook of psychiatric palliative care, this new edition has been fully updated, reorganized and expanded to include eleven new chapters. Written by 67 internationally known psychiatry and palliative care experts, the book is truly an essential reference for all providers of palliative care including psychiatrists, psychologists, mental health counselors, oncologists, hsopice workers and social workers. Each chapter has been updated to address new therapeutic modalities and approaches as well as new research trends and opportunities for each topic.

Author Biography

Harvey Max Chochinov is a Distinguished Professor of Psychiatry at the University of Manitoba and Director of the Manitoba Palliative Care Research Unit, CancerCare Manitoba. He holds the only Canada Research Chair in Palliative Care and is a member of the Governing Council of the Canadian Institutes of Health Research. He is a recipient of the Queen's Golden Jubilee Medal and his provinces' highest honor, the Order of Manitoba, for his work in palliative care. He was also the 2008 recipient of the National Cancer Institute and Canadian Cancer Society O. Harold Warwick Prize. He is a Fellow of the Royal Society of Canada and the Canadian Academy of Health Sciences. He is the Co-Editor of the Journal Palliative and Support Care. William Breitbart is Chief of the Psychiatry Service and an Attending Psychiatrist in the Department of Psychiatry and Behavioral Sciences at Memorial Sloan-Kettering Cancer Center in New York. Dr. Breitbart is also an Attending Psychiatrist, in the Pain and Palliative Care Service at Memorial Sloan-Kettering Cancer Center and a Professor of Psychiatry at Weill Medical College of Cornell University. Dr. Breitbart was the recipient of the 2003 Research Award from the Academy of Psychosomatic Society, the 2007 Donald Oken Award from the American Psychosomatic Society, and the 2008 Lifetime Achievement Award from the Society of Liaison Psychiatry. Dr. Breitbart is Editor-in-Chief of Palliative Supportive Care, an international palliative care journal.

Table of Contents

Contributors	p. xix
Psychiatric and Psychosocial Palliative Care: Critical Milestones
Hospice and Palliative Care: A Psychiatric Perspective	p. 3
Integrating Psychiatry and Palliative Medicine: The Challenges and Opportunities	p. 13
Psychiatric Complications of Terminal Illness
An Overview of Care and Management of the Patient at the End of Life	p. 23
Diagnosis and Management of Depression in Palliative Care	p. 39
Anxiety in Palliative Care	p. 69
Delirium in the Terminally Ill	p. 81
Suicide and Desire for Hastened Death in the Terminally Ill	p. 101
Palliative Care for Patients with Serious Mental Illness	p. 113
Palliative Care for Patients with Substance Abuse and Patients with Personality Disorders	p. 122
Psychosocial Issues in Palliative Care
What Dying People Want	p. 141
Communication with Terminally Ill Patients and Their Families	p. 157
Interdisciplinary Teamwork in Palliative Care: Compassionate Expertise for Serious Complex Illness	p. 172
Cultural Diversity and Palliative Care	p. 186
Understanding and Managing Bereavement in Palliative Care	p. 202
Family Issues and Palliative Care	p. 220
Burnout and Symptoms of Stress in Staff Working in Palliative Care	p. 236
Ethical, Existential, and Spiritual Issues in Palliative Care
Ethical Issues in Palliative Care	p. 267
Personal Growth and Human Development in Life-Threatening Conditions	p. 281
The Treatment of Suffering in Patients with Advanced Cancer	p. 300
Dignity, Meaning, and Demoralization: Emerging Paradigms in End-of-Life Care	p. 324
Spiritual Issues in Palliative Care	p. 341
Understanding and Managing Symptoms
Physical Symptom Management in the Terminally Ill	p. 355
Psychiatric Aspects of Pain Management in Patients with Advanced Cancer and AIDS	p. 384
Eating Issues in Palliative Cancer Patients	p. 417
Psychiatric Aspects of Fatigue at the End of Life	p. 427
Psychotherapeutic Interventions in Palliative Care
Individual Psychotherapy for the Patient with Advanced Disease	p. 443
Narrative Medicine: Writing through Bereavement	p. 454
Cognitive-Behavioral Approaches to Symptom Management in Palliative Care: Augmenting Somatic Interventions	p. 470
Group Psychotherapy and the Terminally Ill	p. 490
Family-Focused Grief Therapy	p. 504
Life Cycle Considerations in Palliative Care
Psychiatric Care of the Terminally Ill Child	p. 519
The Child and Adolescent in Palliative Care	p. 531
Special Care Considerations for the Seriously Ill Older Adult	p. 544
Index	p. 553
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