Basic Notes in Psychiatry

BASIC NOTES IN PSYCHIATRY Dr Michael I Levi MB, BS(Lond.), MRCPsych Part I Registrar to the Professorial Unit of Psychiatry, The London Hospital, Whitechapel, London, UK with a Foreword by Dr A Margo, FRCPsych Consultant Psychiatrist, Goodmayes Hospital, IIford, Essex, UK Springer-Science+Business Media, B.V. Previous books by the same author Levi, M.l. (1987) MCQs for the MRCPsych Part I (Lancaster: MTP Press) Levi, M.I. (1988) MCQs for the MRCPsych Part II (Lancaster: Kluwer Academic Publishers) Levi, M.I. (1988) SAQs for the MRCPsych Part II (Lancaster: Kluwer Academic Publishers) Distributors for the United States and Canada: Kluwer Academic Publishers, PO Box 358, Accord Station, Hingham, MA 02018-0358, USA for all other countries: Kluwer Academic Publishers Group, Distribution Center, PO Box 322, 3300 AH Dordrecht, The Netherlands ISBN 978-94-010-9121-3 ISBN 978-94-010-9119-0 (eBook) DOI 10.1007/978-94-010-9119-0 Copyright i':l Springer Science+ Business Media Dordrecht 1989 Originally published b}' Kluwer Academic Publishers1989 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from the publishers, Kluwer Academic Publishers BV, PO Box 17, 3300 AA Dordrecht, The Netherlands. Published in the United Kingdom by Kluwer Academic Publishers, PO Box 55, Lancaster, UK. Kluwer Academic Publishers BV incorporates the publishing programmes of D. Reidel, Martinus Nijhoff, Dr W. Junk and MTP Press. 11 Contents Foreword IV Introduction v Acknowledgements Vl 1. The history, mental state examination and formulation 1 2. The symptoms and signs of mental illness 6 3. Personality disorders 11 4. Neuroses 15 5. Paranoid states 30 6. Mfective disorders 35 7. Schizophrenia 48 8. Organic disorders 60 9. Eating disorders 70 10. Alcohol/ drug dependence 75 11. Psychiatric emergencies 86 lll Foreword The novice in psychiatry requires a skeletal framework which he can clothe progressively with more detail and sophisticated understanding. Without structure the naive in the subject must fail to orientate through to a clearer conceptualization of key and relevant issues in psychiatry today. To allow for the acquisition of basic concepts, review and revision, any provisional framework should of necessity be concise and unpretentious. In this book Dr. Michael Levi has succeeded in creating a good starting point for the retention of new knowledge, which can then be built on through diverse reading and clinical experience. A. Margo, FRCPsych Consultant Psychiatrist IV Introduction The purpose of writing this book is to provide a concise summary of general adult psychiatry in the form of notes. I have based these notes on what is generally regarded to be the most easily readable and evenly written textbook1 for the MRCPsych examination. The book is intended to have wide readership - particularly among junior hospital psychiatrists, general practitioners and medical students. In addition, the book will also be useful to psychiatric nurses, psychiatric social workers and clinical psychologists. Reference 1. Gelder, M., Gath, D. and Mayou, R (1988). Oxford Textbook of Psychiatry (Oxford: Oxford Medical Publications) v Acknowledgements I wish to thank Dr A. Margo for writing the Foreword to this book. Thanks once again to Dr J.M. Brewis of Kluwer Academic Publishers for giving me the opportunity of publishing my fourth book. A special thank you must yet again go to Mr S. Ogrodzinski of Duphar Labora tories Limited who helped me to secure the publication of my material. Many thanks to Dr H.N. Ball for his advice on the first chapter regard ing formulation. Finally, thank you again to my parents for their support. V1 .

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