Psychogenic Movement Disorders and Other Conversion Disorders (Cambridge Medicine (Hardcover))

Cambridge University Press, 12/1/2011
EAN 9781107007345, ISBN10: 1107007348

Hardcover, 336 pages, 24.6 x 19 x 2.3 cm
Language: English
Originally published in English

Conversion is very common but often misdiagnosed; even when diagnosed, treatment is difficult. It is critical for physicians to have the necessary knowledge to manage these patients in the most effective way. This volume gives all of the available, up-to-date information on when to think about conversion in movement disorders, how to make a diagnosis, how to use the laboratory to support a clinical diagnosis and how to develop a therapeutic plan. Written by experts in neurology, psychiatry, psychology, neuroimaging, neurophysiology and genetics, this book covers psychogenic movement disorders and other conversion disorders from all of the most relevant clinical angles. An accompanying CD-ROM with a video library featuring over 100 real-life examples of movement disorders will aid diagnosis. Neurologists and psychiatrists, as well as others interested in brain pathophysiology at the boundary of neurology and psychiatry, will find this a useful aid to both clinical practice and research.

Preface
Part I. Clinical Issues
1. Introduction to the psychiatry of conversion disorders
2. Phenomenology of psychogenic movement disorders
3. Psychogenic parkinsonism
4. Epidemiology and clinical impact of psychogenic movement disorders
5. The Scottish neurological symptoms study
diagnosis and prognosis in 1144 new neurology outpatients with symptoms unexplained by disease
6. Predisposition and issues of mixed etiology in psychogenic movement disorders
7. Psychogenic movement disorders in children
8. Childhood disorders
another perspective
9. Clinical features and treatment outcome of conversion disorders in children and adolescents
10. Somatoform disorders and psychogenic movement disorders
11. Psychogenic non-epileptic seizures
12. Hypochondriasis and its relationship to somatization
13. Movement disorders in complex regional pain syndrome – the pain field perspective
14. Psychogenic dystonia in psychogenic complex regional pain syndrome
15. Latah and related syndromes
16. Trauma and dissociation
clinical manifestations epidemiology, pathogenesis and treatment
17. Psychogenic movement disorders
illness in search of disease?
18. Possible genetic approaches to conversion
Part II. Physiology
19. Functional brain imaging of psychogenic paralysis during conversion and hypnosis
20. Action control in conversion paralysis
evidence from motor imagery
21. Imaging in psychogenic movement disorders
22. Imaging
hysterical, hypnotically suggested and malingered limb paralysis
23. Functional imaging of psychogenic and feigned weakness
24. An fMRI study of recall of causal life-events in conversion disorder
preliminary evidence of increased orbito-frontal and parietal activation
25. Cortisol, trauma and threat vigilance in patients with psychogenic non-epileptic seizures
26. Components of voluntary action
27. Action selection in psychogenic movement disorders
28. Insights from physiology
tremor and myoclonus
29. Physiology of psychogenic dystonia
30. Evoked potentials in the assessment of patients with suspected psychogenic sensory symptoms
31. Characterizing and assessing the spectrum of volition in psychogenic movement disorders
Part III. Assessment
32. Rating scales for psychogenic movement disorders
33. Quality of life in psychogenic movement disorders
the cause not the effect
34. Psychiatric testing
35. Diagnostic considerations for the assessment of malingering within the context of psychogenic movement disorders
Part IV. Treatment
36. Prognosis in patients with psychogenic movement disorders
37. Presenting the diagnosis
38. Patterns of practice [MDS Questionnaire report]
39. Psychotherapy for psychogenic movement disorders
40. Pharmacotherapy
41. Suggestion
42. Treating psychogenic movement disorders with suggestion
43. In-patient therapy
trying to transcend pathological dissociation, dependence and disability
44. Appendix
psychogenic movement disorders, video legends
Index.