Consultation-Liaison Psychiatry

1. Front Matter

   Pages i-x

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2. Consultation-Liaison Psychiatry on the Threshold of a New Century

   • Hoyle Leigh

   Pages 1-5

3. Legal and Ethical Changes in Consultation Psychiatry

   • Lowell Tong, Craig Van Dyke

   Pages 7-27

4. Chronic Pain

   • Jon Streltzer, Byron Eliashof

   Pages 29-42

5. Chronic Pain and Addiction

   • Jon Streltzer

   Pages 43-51

6. Psychiatric Consultation with Chemically Dependent Patients

   • Stephen R. Griffith

   Pages 53-75

7. The Dementia Syndrome in Consultation Psychiatry

   • Robert Hanowell

   Pages 77-118

8. Psychotherapy Solutions in the Medical Setting

   • Stuart J. Eisendrath

   Pages 119-125

9. Physical Factors Affecting Psychiatric Condition: A Proposal for A Future DSM

   • Hoyle Leigh

   Pages 127-132

10. Training in Medical Psychiatry

    • Scott Ahles

    Pages 133-160

11. Consultation-Liaison in Child Psychiatry: Continuity and Change in the Past Decade

    • David A. Fox

    Pages 161-174

12. Consultation-Liaison 1980-90 — The Hawaii Experience

    • Jon Streltzer

    Pages 175-180

13. Consultation — Liaison Funding: Issues for Service and Training

    • James J. Strain, George Fulop, Jeffrey S. Hammer

    Pages 181-195

14. Computerization and Consultation-Liaison Psychiatry in the 1990’s

    • Seth M. Powsner

    Pages 197-202

15. A Computerized Database System for Psychiatric and Consultation Records

    • Hoyle Leigh

    Pages 203-208

16. Databasing in CLP Psychiatry

    • Jeffrey S. Hammer, James J. Strain

    Pages 209-227

17. Back Matter

    Pages 229-239

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The essential role of the psychiatrist as consultant and educator of primary care physicians is increasing in importance as the American health care system faces fundamental restructuring. In a recent workshop during the annual meeting of the American Psychiatric Association, a number of prominent consultation-liaison psychiatrists reviewed major developments in consultation-liaison psychiatry during the past decade and looked toward the future. This book is based on these presentations, but it is not simply a proceedings book. A number of additional experts have contributed important chapters, and all the chapters based on the presentations are expanded and updated. Thus, this book reviews the current state of consultation-liaison psychiatry and anticipates future challenges. It also informs the reader about the state-of-the-art knowledge and skills in consultation-liaison psychiatry as of 1994. This book should be a valuable up-to-date overview/refresher for both consultation­ liaison psychiatrists and general psychiatrists who wish to update and formulate his/her consultant role. It should be especially valuable for psychiatric residents for whom the role as consultant to primary physicians assumes increasing importance, and for primary physicians and medical students who are interested in learning about commonly encountered complex biopsychosocial problems of their patients and integrating these dimensions in patient care. I am grateful to Mary Safford and Eileen Bermingham of Plenum for their help with the preparation and production of this book. I am also thankful to Anita Shaw for her secretarial help. Hoyle Leigh, M. D.

• Syndrom
• dementia
• learning
• pain
• psychiatry
• psychotherapy
• syndromes

• University of California, San Francisco, Fresno, USA

  Hoyle Leigh

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