This revised and updated edition incorporates new developments that have emerged since the publication of the second edition in 1985.

Consultation-liaison psychiatry is an important interface between psychiatry and the rest of medicine as well as psychology, social work, nursing, and other behavioral science disciplines. This book is a practical, up-to-date handbook providing a biopsychosocial, integrative perspective and drawing the expertise of two renowned psychiatrists in the field. It is organized in five major sections addressing the fundamentals of the field as well as including an assessment of where the field is today. Chapters also address specific pathologies and populations.

ST MEDICINE IN A CHANGING UNIVERSE AT THE THRESHOLD OF THE 21 CENTURY Hoyle Leigh, M. D. I Professor ofPsychiatry San Francisco, University ofCalifornia, and Fresno VAMedical Center INTRODUCTION During my lifetime, the universe has changed beyond recognition. The universe into 111 which I was born, in the first halfofthe 20 century, was still infinite, permanent, orderly, and tranquil --- a universe that worked like a masterfully constructed clock. Matter and energy followed Newton's lawsofconservation. Shortly after my birth, Hiroshima proved, with a big bang, that matter was no longer...

Consultation-liaison psychiatry is an important interface between psychiatry and the rest of medicine as well as psychology, social work, nursing, and other behavioral science disciplines. This book is a practical, up-to-date handbook providing a biopsychosocial, integrative perspective and drawing the expertise of two renowned psychiatrists in the field. It is organized in five major sections addressing the fundamentals of the field as well as including an assessment of where the field is today. Chapters also address specific pathologies and populations.

What produces mental illness: genes, environment, both, neither? The answer can be found in memes--replicable units of information linking genes and environment in the memory and in culture--whose effects on individual brain development can be benign or toxic. This book reconceptualizes mental disorders as products of stressful gene-meme interactions and introduces a biopsychosocial template for meme-based diagnosis and treatment. A range of therapeutic modalities, both broad-spectrum (meditation) and specific(cognitive-behavioral), for countering negative memes and their replication are...

A review of the current state of the art and future challenges in consultation-liaison psychiatry, based on expanded and updated versions of presentations at a May 1992 workshop during the annual meeting of the American Psychiatric Association in Washington, D.C., with additional contributed chapter

What produces mental illness: genes, environment, both, neither? The answer can be found in memes--replicable units of information linking genes and environment in the memory and in culture--whose effects on individual brain development can be benign or toxic. This book reconceptualizes mental disorders as products of stressful gene-meme interactions and introduces a biopsychosocial template for meme-based diagnosis and treatment. A range of therapeutic modalities, both broad-spectrum (meditation) and specific(cognitive-behavioral), for countering negative memes and their replication are...

The essential role of the psychiatrist as consultant and educator of primary care physicians is increasing in importance as the American health care system faces fundamental restructuring. In a recent workshop during the annual meeting of the American Psychiatric Association, a number of prominent consultation-liaison psychiatrists reviewed major developments in consultation-liaison psychiatry during the past decade and looked toward the future. This book is based on these presentations, but it is not simply a proceedings book. A number of additional experts have contributed important...

ST MEDICINE IN A CHANGING UNIVERSE AT THE THRESHOLD OF THE 21 CENTURY Hoyle Leigh, M. D. I Professor ofPsychiatry San Francisco, University ofCalifornia, and Fresno VAMedical Center INTRODUCTION During my lifetime, the universe has changed beyond recognition. The universe into 111 which I was born, in the first halfofthe 20 century, was still infinite, permanent, orderly, and tranquil --- a universe that worked like a masterfully constructed clock. Matter and energy followed Newton's lawsofconservation. Shortly after my birth, Hiroshima proved, with a big bang, that matter was no longer...

The old-fashioned doctor, whose departure from the modem medical scene is so greatly lamented, was amply aware of each patient's personality, family, work, and way of life. Today, we often blame a doctor's absence of that awareness on moral or ethical deficiency either in medical education or in the character of people who become physicians. An alternative explanation, however, is that doctors are just as moral, ethical, and concerned as ever before, but that a vast amount of additional new information has won the competition for attention. The data available to the old-fashioned doctor were...