ABSTRACT

This book shows how contemporary psychoanalytic thinking can be applied in the everyday practice of medicine to enhance the practice of family medicine and all clinical specialties.

Dr. Steinberg analyzes his writings over the past 35 years—on psychiatry and family medicine, liaison psychiatry, and  mentoring—based on developments in psychoanalytic thinking. Divided into sections based on different venues of medical practice, including family medicine clinics, inpatient medical and surgical units, and psychiatric inpatient units and outpatient programs, chapters illustrate how various concepts in psychoanalysis can enhance physicians’ understanding and management of their patients. A concluding section contains applications of psychoanalytic thought in non-clinical areas pertinent to medicine, including preventing suicide among physicians, residents, and medical students, sexual abuse of patients by physicians, and oral examination anxiety in physicians.

Readers will learn to apply psychoanalytic concepts with a rational approach that enhances their understanding and management of their patients and practice of medicine generally.

chapter |21 pages

Introduction Part 1

chapter |7 pages

Introduction Part 2

A Little Theory

part I|2 pages

Learning from Liaison with Family Medicine

chapter Chapter 1|13 pages

“Problem Patients”

Patients with Significant Personality Disturbance

chapter Chapter 2|9 pages

Interviewing the Patient

chapter Chapter 3|6 pages

“Are All My Patients Depressed?”

The (MIS-)Diagnosis of Depression

chapter Chapter 4|8 pages

“My Patient is Psychotic”

Dealing with a Patient with a Paranoid Delusion about Her Disease

chapter Chapter 5|7 pages

Holding Patients with Medication

Using Neuroleptics as an Adjunct to Psychotherapy in Patients with Severe Personality Disorders

chapter Chapter 6|10 pages

What Psychoanalysis and Psychiatry Offer to Medicine

part II|9 pages

Learning from Consultation/Liaison Psychiatry

chapter Chapter 7|12 pages

Psychoanalytic Approaches to Psychosomatic Medicine

chapter Chapter 8|8 pages

Psychiatry for the Masses

Broader Indications for Psychiatric Consultation

chapter Chapter 9|10 pages

Where Does My Patient Fit In?

Organizing One’s Diagnostic Thinking in Differentiating Patients According to Their Symptoms

chapter Chapter 10|14 pages

“The Most Unkindest Cut of All” 2

Psychiatric Complications of Surgery in Men

chapter Chapter 11|3 pages

Psychiatric Diagnosis is Not a Diagnosis of Exclusion

A Patient with Insulinoma Presenting for Psychiatric Assessment

chapter Chapter 12|7 pages

Differentiating Psychiatric and Medical Conditions

A Case of Hyperthyroidism Presenting as Delusional Disorder

chapter Chapter 13|5 pages

“My Patient is Hysterical”

Adrenal Carcinoma and Hypertension Presenting with Catatonic Stupor

part III|2 pages

Learning from Inpatient and Day hospital Psychiatry

chapter Chapter 14|10 pages

The Mother Who Couldn’t Name Her Child:

Problems of Attachment, Identity, and the Capacity to Think

chapter Chapter 15|10 pages

Freud on the Ward

Integration of Psychoanalytic Concepts into the Formulation and Management of Hospitalized Psychiatric Patients

part IV|34 pages

Non-clinical Topics

chapter Chapter 17|8 pages

Attack of Nerves

Oral Examination Anxiety in Physicians

chapter Chapter 18|8 pages

Healers Caring for Themselves and Each Other

Preventing Suicide in Medical Students, Residents, and Ourselves

chapter Chapter 19|12 pages

Professional Betrayal

Sexual Abuse of Adult Female Patients by Male Physicians

chapter |4 pages

Envoi