E-Book Overview
This essential resource, written for social workers by a social worker, discusses the etiology, epidemiology, assessment, and intervention planning for common disorders. Austrian goes beyond a linear classification approach, instead emphasizing a broad bio-psychosocial ecosystems perspective, which takes into account each client's unique situation. In addition to including the most up-to-date information on new medications, biochemical data on disease causes, and diagnostic tests, the thoroughly updated second edition also gives an overview and critique of managed care as it relates to the treatment of mental disorders.
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Mental Disorders, Medications, and Clinical Social Work Second Edition This page intentionally left blank Mental Disorders, Medications, and Clinical Social Work Second Edition Sonia G. Austrian c o l u m b i a u n i v e r s i t y p r e s s n e w y o r k Columbia University Press Publishers Since 1893 New York, Chichester, West Sussex Copyright 䉷 2000 Columbia University Press All rights reserved Library of Congress Cataloging-in-Publication Data Austrian, Sonia G. Mental disorders, medications, and clinical social work / Sonia G. Austrian — 2nd ed. p. cm. Includes bibliographical references and index. ISBN 0–231–11296–3 (cloth : alk. paper) 1. Psychiatric social work 2. Psychology, Pathological. 3. Mental illness — Chemotherapy. 4. Psychotropic drugs. I. Title. HV689.A88 2000 362.2⬘0425—dc21 00–024069 Casebound editions of Columbia University Press books are printed on permanent and durable acid-free paper. Printed in the United States of America c 10 9 8 7 6 5 4 3 2 1 To the late Carol H. Meyer teacher, colleague, and friend with lasting appreciation This page intentionally left blank Contents Acknowledgments ix Preface xi 1 Introduction 1 2 Anxiety Disorders 11 3 Mood Disorders 33 4 Somatoform and Factitious Disorders 60 5 Dissociative Disorders 74 6 Schizophrenia 93 7 Substance-Related Disorders 116 8 Eating Disorders 151 9 Personality Disorders 175 10 Delirium, Dementia, and Amnestic and Other Cognitive Disorders 214 11 Psychological and Neuropsychological Assessment (John F. Clarkin, Eric Fertuck, Stephen W. Hurt, and Steven Mattis) 235 12 Psychotropic Medications (Sharon Hird) 272 viii Epilogue 291 Glossary 295 References and Additional Readings 303 Subject Index 343 Author Index 353 Contents Acknowledgments I am very grateful for the support and encouragement of many friends and of my family. There are several people whose very substantial contributions must be noted. Dr. William A. Frosch, professor and vice chairman, Department of Psychiatry, New York Presbyterian Hospital–Weill Medical College of Cornell University, was very kind and generous in reading most of the original manuscript and making invaluable suggestions. Dr. John Clarkin, director of psychology, Department of Psychiatry, New York Presbyterian Hospital–Weill Medical College of Cornell University, once again gave me his cheerful, enthusiastic support and contributed the chapter on psychological and neuropsychological assessment. This chapter is a shortened version of ‘‘Psychological and Neuropsychological Assessment’’ in R. E. Hales, S. C. Yudofsky, and J. A. Talbott, eds., Textbook of Psychiatry, 2d ed. (Washington, D.C.: American Psychiatric Press, 1994). His coauthor Dr. Eric Fertuck made an important contribution in updating the testing and placing its importance in the context of the managed care environment. Dr. Sharon Hird, clinical assistant professor of psychiatry, NYU Medical School, and di