Points of Viewis desingned to provide students at various levels of experience and training with illustrative examples of individuals with different forms of psychopathology. The work is designed primarily for students who are studying descriptive psychopathology, including psychiatric residents, medical students on psychiatry rotations graduate students in psychology, or students in various related mental health fields, including psychiatric nursing, social work, and school counseling. The stories are written to illustrate the key elements of psychopathology for these various disorders. Each is written from two perspectives: the perspective of the individual who has the disorder, and the perspective of someone else in their environment (e.g. a family member, a friend, a doctor). The thoughts of these individuals, as opposed to their speech, are given in parentheses. This design was chosen to attempt to illustrate not only how people with these disorders think and feel themselves but also howthey appear to other people around them. The emphasis, therefore, is on the difficulties, often the suffering, experienced by people with various mental illnesses, and also on the adverse impact these illnesses have on others, which is often substantial.

James E. Mitchell, M.D. is a Professor and Chair in the Department of Neuroscience at the University of North Dakota Medical School.

Acknowledgments

xv

Preface

xvii

PART I DELIRIUM, DEMENTIA, AMNESTIC, AND OTHER COGNITIVE DISORDERS

Delirium

3

(7)

Introduction

3

(1)

Diagnostic Criteria

4

(1)

The Stories

4

(3)

Discussion

7

(1)

Questions for Further Discussion

8

(1)

References

8

(1)

Suggested Readings

9

(1)

Dementia of the Alzheimer's Type

10

(9)

Introduction

10

(1)

Diagnostic Criteria

10

(1)

The Stories

11

(2)

Discussion

13

(1)

Questions for Further Discussion

14

(1)

References

14

(1)

Suggested Readings

14

(5)

PART II SUBSTANCE RELATED DISORDERS

Alcohol Dependence

19

(7)

Introduction

19

(1)

Diagnostic Criteria

19

(1)

The Stories

20

(3)

Discussion

23

(1)

Questions for Further Discussion

24

(1)

References

24

(1)

Suggested Readings

24

(2)

Amphetamine Dependence

26

(9)

Introduction

26

(1)

Diagnostic Criteria

27

(1)

The Stories

27

(3)

Discussion

30

(1)

Questions for Further Discussion

31

(1)

References

32

(1)

Suggested Readings

32

(3)

PART III SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS

Schizophrenia

35

(8)

Introduction

35

(1)

Diagnostic Criteria

35

(1)

The Stories

36

(3)

Discussion

39

(2)

Questions for Further Discussion

41

(1)

References

41

(1)

Suggested Readings

41

(2)

Delusional Disorder

43

(10)

Introduction

43

(1)

Diagnostic Criteria

44

(1)

The Stories

44

(3)

Discussion

47

(1)

Questions for Further Discussion

48

(1)

References

48

(1)

Suggested Readings

61

(2)

Mania

63

(14)

Introduction

63

(1)

Diagnostic Criteria

64

(1)

The Stories

64

(6)

Discussion

70

(3)

Questions for Further Discussion

73

(1)

References

73

(1)

Suggested Readings

73

(4)

PART V ANXIETY DISORDERS

Specific Phobia

77

(6)

Introduction

77

(1)

Diagnostic Criteria

77

(1)

The Stories

78

(2)

Discussion

80

(1)

Questions for Further Discussion

81

(1)

References

81

(1)

Suggested Readings

82

(1)

Panic Disorder

83

(8)

Introduction

83

(1)

Diagnostic Criteria

84

(1)

The Stories

85

(3)

Discussion

88

(1)

Questions for Further Discussion

89

(1)

References

89

(1)

Suggested Readings

89

(2)

Obsessive-Compulsive Disorder

91

(9)

Introduction

91

(1)

Diagnostic Criteria

92

(1)

The Stories

93

(3)

Discussion

96

(2)

Questions for Further Discussion

98

(1)

References

98

(1)

Suggested Readings

98

(2)

Social Phobia

100

(7)

Introduction

100

(1)

Diagnostic Criteria

100

(1)

The Stories

101

(3)

Discussion

104

(1)

Questions for Further Discussion

105

(1)

References

105

(1)

Suggested Readings

106

(1)

Post-traumatic Stress Disorder

107

(8)

Introduction

107

(1)

Diagnostic Criteria

107

(2)

The Stories

109

(3)

Discussion

112

(1)

Questions for Further Discussion

113

(1)

References

113

(1)

Suggested Readings

113

(2)

Generalized Anxiety Disorder

115

(10)

Introduction

115

(1)

Diagnostic Criteria

116

(1)

The Stories

116

(3)

Discussion

119

(1)

Questions for Further Discussion

120

(1)

References

120

(1)

Suggested Readings

120

(5)

PART VI SOMATOFORM DISORDERS

Somatization Disorder

125

(8)

Introduction

125

(1)

Diagnostic Criteria

125

(1)

The Stories

126

(4)

Discussion

130

(1)

Questions for Further Discussion

131

(1)

References

132

(1)

Suggested Readings

132

(1)

Body Dysmorphic Disorder

133

(8)

Introduction

133

(1)

Diagnostic Criteria

134

(1)

The Stories

134

(2)

Discussion

136

(1)

Questions for Further Discussion

137

(1)

References

137

(1)

Suggested Readings

137

(4)

PART VII FACTITIOUS DISORDER

Factitious Disorder

141

(8)

Introduction

141

(1)

Diagnostic Criteria

142

(1)

The Stories

142

(3)

Discussion

145

(1)

Questions for Further Discussion

146

(1)

References

146

(1)

Suggested Readings

146

(3)

PART VIII DISSOCIATIVE DISORDERS

Dissociative Identity Disorder

149

(10)

Introduction

149

(1)

Diagnostic Criteria

149

(1)

The Stories

150

(4)

Discussion

154

(1)

Questions for Further Discussion

154

(1)

References

154

(1)

Suggested Readings

155

(4)

PART IX EATING DISORDERS

Anorexia Nervosa

159

(9)

Introduction

159

(1)

Diagnostic Criteria

160

(1)

The Stories

160

(5)

Discussion

165

(1)

Questions for Further Discussion

166

(1)

References

166

(1)

Suggested Readings

166

(2)

Bulimia Nervosa

168

(13)

Introduction

168

(1)

Diagnostic Criteria

169

(1)

The Stories

170

(3)

Discussion

173

(2)

Points for Further Discussion

175

(1)

References

176

(1)

Suggested Readings

176

(5)

PART X IMPULSE-CONTROL DISORDERS NOT OTHERWISE CLASSIFIED

Pathological Gambling

181

(7)

Introduction

181

(1)

Diagnostic Criteria

181

(1)

The Stories

182

(3)

Discussion

185

(1)

Questions for Further Discussion

186

(1)

References

186

(1)

Suggested Readings

186

(2)

Trichotillomania

188

(9)

Introduction

188

(1)

Diagnostic Criteria

188

(1)

The Stories

189

(2)

Discussion

191

(1)

Questions for Further Discussion

192

(1)

References

192

(1)

Suggested Readings

193

(4)

PART XI PERSONALITY DISORDERS

Borderline Personality Disorder

197

(7)

Introduction

197

(1)

Diagnostic Criteria

198

(1)

The Stories

198

(3)

Discussion

201

(1)

Questions for Further Discussion

202

(1)

References

202

(1)

Suggested Readings

202

(2)

Antisocial Personality

204

(9)

Introduction

204

(1)

Diagnostic Criteria

204

(1)

The Stories

205

(5)

Discussion

210

(1)

Questions for Further Discussion

211

(1)

References

211

(1)

Suggested Readings

211

(2)

Conclusions

213

(2)

Index

215

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Points of View: Stories of Psychopathology

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