POSTGRADUATE PSYCHIATRY: Clinical and Scientific Foundations This page intentionally left blank POSTGRADUATE PSYCHIATRY: Clinical and Scientific Foundations Second edition Edited by Louis Appleby MD FRCP FRCPsych Professor of Psychiatry, School of Psychiatry and Behavioural Sciences, University of Manchester, Withington Hospital, UK David M. Forshaw MB ChB MRCPsych DHMSA DPMSA Consultant in Forensic and Addiction Psychiatry, Forensic Addictive Behaviour Unit, Broadmoor Hospital, Crowthorne, UK Tim Amos MA(Oxon) MSc MB BS MRCPsych DPMSA Clinical Research Fellow, School of Psychiatry and Behavioural Sciences, University of Manchester, Withington Hospital, UK Helen Barker MB ChB MRCPsych Specialist Registrar in Psychotherapy, Manchester Royal Infirmary, Manchester, UK A member of the Hodder Headline Group LONDON Co-published in the United States of America by Oxford University Press Inc., New York First published in Great Britain in 1990 Second edition published in 2001 by Arnold, a member of the Hodder Headline Group, 338 Euston Road, London NW1 3BH http://www.arnoldpublishers.com Co-published in the USA by Oxford University Press Inc., 198 Madison Avenue, New York, NY10016 Oxford is a registered trademark of Oxford University Press © 2001 Arnold All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronically or mechanically, including photocopying, recording or any information storage or retrieval system, without either prior permission in writing from the publisher or a licence permitting restricted copying. In the United Kingdom such licences are issued by the Copyright Licensing Agency: 90 Tottenham Court Road, London W1P OLP. Whilst the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. In particular (but without limiting the generality of the preceding disclaimer) every effort has been made to check drug dosages; however, it is still possible that errors have been missed. Furthermore, dosage schedules are constantly being revised and new side-effects recognized. For these reasons the reader is strongly urged to consult the drug companies' printed instructions before administering any of the drugs recommended in this book. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress ISBN 0 340 76377 9 1 2 3 4 5 6 7 8 9 10 Typeset by AccComputing, Castle Cary, Somerset Printed and bound in Malta by Gutenberg Press Ltd What do you think about this book? Or any other Arnold title? Please send your comments to
[email protected] Contents List of contributors Foreword Preface to the first edition Preface to the second edition Part One 1 Psychopathology Helen Barker and Elspeth Guthrie 2 Clinical assessment Elizabeth