Troublesome Disguises

Troublesome Disguises examines psychiatric conditions which are not necessarily uncommon, rare or exotic but are challenging for the clinician who may struggle to reach a diagnosis and to set up management strategies.However, with familiarity, these conditions can and should be recognised. This new edition is an exercise in consciousness-raising as well as a warning to beware of diagnostic systems which, despite their many virtues, may become too influential and may perpetuate errors which are to the detriment of patients.For the clinician struggling to understand and treat patients who fail to fit the usual diagnostic categories, Troublesome Disguises provides wise instruction in the virtue of entertaining doubts, as well as practical advice for the assessment and management of atypical cases.

Troublesome Disguises examines psychiatric conditions which are not necessarily uncommon, rare or exotic but are challenging for the clinician who may struggle to reach a diagnosis and to set up management strategies.However, with familiarity, these conditions can and should be recognised. This new edition is an exercise in consciousness-raising as well as a warning to beware of diagnostic systems which, despite their many virtues, may become too influential and may perpetuate errors which are to the detriment of patients.For the clinician struggling to understand and treat patients who fail to fit the usual diagnostic categories, Troublesome Disguises provides wise instruction in the virtue of entertaining doubts, as well as practical advice for the assessment and management of atypical cases.

Contributors viiPreface xiPart I: Challenging psychiatric conditions1 Shared pathologies 3German E. Berrios and Ivana S. Marková2 Paraphrenia 16Richard Atkinson, David Jolley, and Alistair Burns3 Brief reactive psychoses 27Jüergen Zielasek and Wolfgang Gaebel4 Cycloid psychoses 44Andrea Schmitt, Berend Malchow, Peter Falkai, and Alkomiet Hasan5 Borderline personality disorder 57John M. Oldham6 Recurrent self-harm 67Rohan Borschmann and Paul Moran7 Finding the truth in the lies: A practical guide to the assessment of malingering 85Holly Tabernik and Michael J. Vitacco8 Recurrent brief depression: "This too shall pass"? 100David S. Baldwin and Julia M. Sinclair9 Conversion disorders 114Santosh K. Chaturvedi and Soumya Parameshwaran10 ADHD controversies: more or less diagnosis? 129Florence Levy11 Post-traumatic stress disorder: Biological dysfunction or social construction? 140Richard A. Bryant12 Bipolar disorder: A troubled diagnosis 153Gin S. Malhi and Michael BerkPart II: Rare psychotic disorders13 Misidentification delusions 169Michael H. Connors, Robyn Langdon, and Max Coltheart14 Delirium 186Sean P. Heffernan, Esther Oh, Constantine Lyketsos, and Karin Neufeld15 Paraphilias and culture 199Oyedeji Ayonrinde and Dinesh Bhugra16 Pseudodementia: History, mystery and positivity 218Alistair Burns and David Jolley17 Culture-bound syndromes 231Oyedeji Ayonrinde and Dinesh Bhugra18 Delusional infestations 252Julio Torales19 Baffling clinical encounters: Navigating a pain and psychiatric quichua syndrome 262Sioui Maldonado-Bouchard, Lise Bouchard, and Mario IncayawarIndex 273