THE PATIENT: Biological, Psychological, and Social Dimensions of Medical Practice

Hoyle Leigh, M.D. and Morton F. Reiser, M.D.

TABLE OF CONTENTS

Part I. On Becoming a Patient: Psychosocial Considerations

Chapter 1.Illness and Help‑Seeking Behavior 3

Chapter 2.The Sick Role 17

Chapter 3.Expectations in the Consulting Room 25

Part II. On Being a Patient: Psychophysiological Considerations

Chapter 4.Anxiety 41

Chapter 5.Psychological Defense Mechanisms 79

Chapter 6.Depression, Mania, and Suicide: Mood<R>Disorders 101

Chapter 7.Psychosis 145

Chapter 8.Confusion, Delirium, and Dementia: Organic Brain Syndromes 179

Chapter 9.Pain 211

Chapter 10.Substance Abuse 245

Chapter 11.Sleep and Dreaming 271

Part III. On Assessing a Patient: A Clinical Systems Approach

Chapter 12.Approach to a Patient: The Patient Evaluation Grid 305

Chapter 13.Current Context 325

Chapter 14.Recent Context 341

Chapter 15.Background Context 351

Part IV. On Managing a Patient

Chapter 16.The Case of the “Sick Tarzan”: A Challenging Case History 371

Chapter 17.The Doctor‑Patient Relationship 375

Chapter 18.The Patient's Personality 383

Chapter 19.The Hospitalized Patient 401

Chapter 20.Therapeutic Dimensions 421

Chapter 21.Drugs That Affect Behavior 437

Chapter 22.Some Illustrative Patients 457

Chapter 23.Summary and Perspectives 475

Index 483