Psychocutaneous Medicine
http://www.100md.com
《新英格兰医药杂志》
(Psychocutaneous Medicine is the 25th volume in a series dedicated to basic and clinical dermatology. The senior editors, Alan R. Shalita and David A. Norris, developed the series in response to the explosion of new information and new forms of technology related to the art and science of dermatologic practice and fundamental cutaneous biology. John Y.M. Koo and Chai Sue Lee are well known in the field and have the expertise and know-how to produce a definitive textbook on psychodermatology. They have assembled an array of clinicians, educators, and researchers who contribute mightily to an "international, comprehensive, and practical" treatise on psychocutaneous medicine.
Koo and Lee have successfully defined the overlap of psychology, psychiatry, and dermatology, including detailed and up-to-date information concerning the biologic underpinnings and psychological effects of skin disorders. The book examines the role of associated psychopathology in the cause and pathophysiologic effects of skin disorders. Psychological factors that affect atopic dermatitis, psoriasis, acne, and vitiligo are addressed comprehensively. The chapters dedicated to the most recent observations and data regarding these and other dermatologic conditions are organized with respect to clinical presentation, assessment, treatment, and basic biologic mechanisms.
The authors of each of the 28 chapters maintain a focus by addressing specific content in depth. The book is especially practical, with initial segments that address skills that are required when physicians meet with patients and assessment techniques that are necessary for an effective approach to patients who have coexisting psychiatric and dermatologic conditions. The influence of stress and other emotional factors and the psychological effects of skin disorders are skillfully examined. Indeed, the book uniquely addresses some issues that are critical to the fields of dermatology and liaison psychiatry, such as quality of life, pediatric and geriatric patients, sexuality, and cutaneous surgery. Another feature, which is not unique but is essential, is the synthesis of information that pertains to frequently occurring psychiatric disorders — for example, anxiety, depression, psychosis, and somatization. Specific conditions such as trichotillomania, alopecia, obsessive–compulsive disorder, and self-mutilation — that is, neurotic excoriation and dermatitis artefacta — are addressed quite satisfactorily. The authors recommend treatments for these psychiatric conditions, including consideration of psychotherapy, the appropriate use of psychotropic drugs, and psychiatric referral.
The inclusion of statements from the study group with reference to the "International Consensus on Care of Psychodermatological Patients" is very interesting and adds to the authoritative content of this book. The tables and figures are timely, summarize key concepts, and provide practical information, thereby making possible quick access to pertinent topics.
Given the fact that in one third to more than three fourths of patients with dermatologic conditions there is a substantial psychogenic component of the disorder, it is well worth the price to have a reference book that is as comprehensive and readable as Psychocutaneous Medicine. Koo and Lee are to be commended for their efforts in covering the scope of psychocutaneous disorders in fewer than 500 pages. Moreover, this book serves as an invaluable resource for practitioners in the field of dermatology, consultation and liaison psychiatrists, and other health care professionals with an interest in psychodermatology.
David G. Folks, M.D.
University of Nebraska Medical Center
Omaha, NE 68198-5575
dgfolks@unmc.edu(Basic and Clinical Dermat)
Koo and Lee have successfully defined the overlap of psychology, psychiatry, and dermatology, including detailed and up-to-date information concerning the biologic underpinnings and psychological effects of skin disorders. The book examines the role of associated psychopathology in the cause and pathophysiologic effects of skin disorders. Psychological factors that affect atopic dermatitis, psoriasis, acne, and vitiligo are addressed comprehensively. The chapters dedicated to the most recent observations and data regarding these and other dermatologic conditions are organized with respect to clinical presentation, assessment, treatment, and basic biologic mechanisms.
The authors of each of the 28 chapters maintain a focus by addressing specific content in depth. The book is especially practical, with initial segments that address skills that are required when physicians meet with patients and assessment techniques that are necessary for an effective approach to patients who have coexisting psychiatric and dermatologic conditions. The influence of stress and other emotional factors and the psychological effects of skin disorders are skillfully examined. Indeed, the book uniquely addresses some issues that are critical to the fields of dermatology and liaison psychiatry, such as quality of life, pediatric and geriatric patients, sexuality, and cutaneous surgery. Another feature, which is not unique but is essential, is the synthesis of information that pertains to frequently occurring psychiatric disorders — for example, anxiety, depression, psychosis, and somatization. Specific conditions such as trichotillomania, alopecia, obsessive–compulsive disorder, and self-mutilation — that is, neurotic excoriation and dermatitis artefacta — are addressed quite satisfactorily. The authors recommend treatments for these psychiatric conditions, including consideration of psychotherapy, the appropriate use of psychotropic drugs, and psychiatric referral.
The inclusion of statements from the study group with reference to the "International Consensus on Care of Psychodermatological Patients" is very interesting and adds to the authoritative content of this book. The tables and figures are timely, summarize key concepts, and provide practical information, thereby making possible quick access to pertinent topics.
Given the fact that in one third to more than three fourths of patients with dermatologic conditions there is a substantial psychogenic component of the disorder, it is well worth the price to have a reference book that is as comprehensive and readable as Psychocutaneous Medicine. Koo and Lee are to be commended for their efforts in covering the scope of psychocutaneous disorders in fewer than 500 pages. Moreover, this book serves as an invaluable resource for practitioners in the field of dermatology, consultation and liaison psychiatrists, and other health care professionals with an interest in psychodermatology.
David G. Folks, M.D.
University of Nebraska Medical Center
Omaha, NE 68198-5575
dgfolks@unmc.edu(Basic and Clinical Dermat)