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Eight years has passed since the first edition of The Handbook of Psychiatry in Palliative Medicine was published. In that time, psychiatric (or psychosocial) palliative care has evolved; the net effect on palliative medicine has been transformative. Palliation that neglects psychosocial dimensions of patient and family experience, de facto, fails to meet contemporary standards of comprehensive palliative care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential, and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying beginning to take hold. The first comprehensive textbook of psychiatric palliative care, this new edition has been fully updated, reorganized and expanded to include eleven new chapters. Written by 67 internationally known psychiatry and palliative care experts, the book is truly an essential reference for all providers of palliative care including psychiatrists, psychologists, mental health counselors, oncologists, hsopice workers and social workers. Each chapter has been updated to address new therapeutic modalities and approaches as well as new research trends and opportunities for each topic. Edited by Harvey Max Chochinov , Canada Research Chair in Palliative Care and Professor of Psychiatry and Family Medicine, Division of Palliative Care, University of Manitoba, and William Breitbart , Professor of Psychiatry, Weill Medical College, Cornell University CONTENTS Part I-- Psychiatric and Psychosocial Palliative Care: Critical Milestones 1: Hospice: A Psychiatric Perspective 2: Integrating Psychiatry and Palliative Medicine: The Challenges and Opportunities Part II-- Psychiatric Complications of Terminal Illness 3: An Overview of Care and Management of the Patient at the End of Life 4: Diagnosis and Management of Depression in Palliative Care 5: Anxiety in Palliative Care 6: Delirium in the Terminally Ill 7: Suicide and Desire for Death in the Terminally Ill 8: Palliative Care for Persons with Serious Mental Illness 9: Palliative Care in Patients with Substance Abuse and Patients with Personality Part III-- Psychosocial Issues in Palliative Care 10: What Dying Patients Want 11: Communication with Terminally Ill Patients and Their Families 12: Interdisciplinary Teamwork in Palliative Care 13: Cultural Issues in Palliative Care 14: Understanding and Managing Bereavement in Palliative Care 15: Family Issues and Palliative Care 16: Burnout and Symptoms of Stress in Staff Working in Palliative Care Interdisciplinary Teamwork in Palliative Care Part IV-- Ethical, Existential and Spiritual Issues in Palliative Care 17: Ethical Issues in Palliative Care 18: Love, Forgiveness and Opportunities for Personal Growth at the End of Life 19: Dimensions of Suffering towards the End of Life 20: Dignity, Meaning and Demoralization: Emerging Paradigms in End-of-Life Care 21: Spiritual Care Issues in Palliative Care Part V-- Understanding and Managing Symptoms 22: Pain and Physical Symptom Management in the Terminally Ill: An Overview for Mental Health Professionals 23: Psychiatric Aspects of Pain Management in Patients with Advanced Cancer and AIDS 24: Eating Issues in Palliative Cancer Patients 25: Psychiatric Aspects of Fatigue in the Terminally Ill Part VI-- Psychotherapeutic Interventions in Palliative Care 26: Individual Psychotherapy for the Patient with Advanced Disease 27: Narrative Medicine and Palliative Care 28: Cognitive-Behavioral Approaches to Symptom Management in Palliative Care: Augmenting Somatic Interventions 29: Group Psychotherapy and the Terminally Ill 30: Family-Focused Grief Therapy Part VII-- Life Cycle Considerations in Palliative Care 31: Psychiatric Care of the Terminally Ill Child 32: Special Care Considerations for the Dying Child 33: Special Care Considerations for the Dying Elderly
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