Edited by:
Allan Tasman
Professor and Chair,
Department of Psychiatry and Behavioral Sciences,
University of Louisville School of Medicine,
Louisville, KY, USA
Jerald Kay
Professor and Chair,
Department of Psychiatry,
Wright State University Boonshoft School of Medicine,
Dayton, OH, USA
Jeffrey A. Lieberman
Lawrence Kolb Professor and Chairman,
Department of Psychiatry,
College of Physicians and Surgeons
Columbia University;
Director, New York State Psychiatric Institute;
Psychiatrist in Chief, Columbia University Medical Center,
New York – Presbyterian Hospital,
New York, NY, USA
Michael B. First
Professor of Clinical Psychiatry,
Department of Psychiatry,
College of Physicians and Surgeons,
Columbia University,
New York, NY, USA
Mario Maj
Professor and Chair,
Department of Psychiatry,
University of Naples,
Naples, Italy
Volume 1
List of Contributors xxxi
Preface to this Edition xxxix
Preface to the First Edition xli
Preface to the Second Edition xliii
Section I Approaches to the Patient 1
Section Editor: Robert J. Ursano
Chapter 1 Listening to the Patient 3
Paul C. Mohl
Listening: The Key Skill in Psychiatry 3
The Primary Tools: Words, Analogies,
Metaphors, Similes, and Symbols 4
How Does One Hear Words in This
Way? 5
Listening as More Than Hearing 5
Common Blocks to Effective Listening 6
Crucial Attitudes That Enable
Effective Listening 8
Theoretical Perspectives on Listening 10
Using Oneself in Listening 11
To Be Found: The Psychological Product
of Being Heard 12
Listening to Oneself to Listen Better 13
Listening in Special Clinical Situations 15
Growing and Maturing as a Listener 16
Chapter 2 Physician–Patient Relationship 20
Amy M. Ursano, Stephen M. Sonnenberg,
Robert J. Ursano
The Placebo Effect 20
Roles and Motivations 21
Modern Medicine and the Physician–
Patient Relationship 21
Contents
Attachment Theory and the Physician–
Patient Relationship 22
Formation of the Physician–Patient
Relationship 22
Research on the Physician–Patient
Relationship 26
Special Issues in the Physician–Patient
Relationship 28
The Physician–Patient Relationship in
Specifi c Populations of Patients 29
Conclusion 31
Chapter 3 The Psychiatric Interview: Settings and
Techniques 33
Edward K. Silberman, Kenneth Certa, Abigail Kay
Goals of the Psychiatric Interview 33
The Psychiatric Database 37
Conduct of the Interview 41
Special Problems in Interviewing 47
Chapter 4 The Cultural Context of Clinical
Assessment 54
Laurence J. Kirmayer, Cécile Rousseau, G. Eric Jarvis,
Jaswant Guzder
Introduction: The Cultural Matrix of
Psychiatry 54
What is Culture? 54
Culture and Gender 56
The Cultural Formulation 57
Cultural Competence 60
Conclusion: The Limits of Culture 64
Chapter 5 Professional Ethics and Boundaries 67
Richard S. Epstein, Ahmed Okasha
Introduction 67
Ethical Behavior and Its Relationship to the
Professional Attitude 67
Allan Tasman
Professor and Chair,
Department of Psychiatry and Behavioral Sciences,
University of Louisville School of Medicine,
Louisville, KY, USA
Jerald Kay
Professor and Chair,
Department of Psychiatry,
Wright State University Boonshoft School of Medicine,
Dayton, OH, USA
Jeffrey A. Lieberman
Lawrence Kolb Professor and Chairman,
Department of Psychiatry,
College of Physicians and Surgeons
Columbia University;
Director, New York State Psychiatric Institute;
Psychiatrist in Chief, Columbia University Medical Center,
New York – Presbyterian Hospital,
New York, NY, USA
Michael B. First
Professor of Clinical Psychiatry,
Department of Psychiatry,
College of Physicians and Surgeons,
Columbia University,
New York, NY, USA
Mario Maj
Professor and Chair,
Department of Psychiatry,
University of Naples,
Naples, Italy
Volume 1
List of Contributors xxxi
Preface to this Edition xxxix
Preface to the First Edition xli
Preface to the Second Edition xliii
Section I Approaches to the Patient 1
Section Editor: Robert J. Ursano
Chapter 1 Listening to the Patient 3
Paul C. Mohl
Listening: The Key Skill in Psychiatry 3
The Primary Tools: Words, Analogies,
Metaphors, Similes, and Symbols 4
How Does One Hear Words in This
Way? 5
Listening as More Than Hearing 5
Common Blocks to Effective Listening 6
Crucial Attitudes That Enable
Effective Listening 8
Theoretical Perspectives on Listening 10
Using Oneself in Listening 11
To Be Found: The Psychological Product
of Being Heard 12
Listening to Oneself to Listen Better 13
Listening in Special Clinical Situations 15
Growing and Maturing as a Listener 16
Chapter 2 Physician–Patient Relationship 20
Amy M. Ursano, Stephen M. Sonnenberg,
Robert J. Ursano
The Placebo Effect 20
Roles and Motivations 21
Modern Medicine and the Physician–
Patient Relationship 21
Contents
Attachment Theory and the Physician–
Patient Relationship 22
Formation of the Physician–Patient
Relationship 22
Research on the Physician–Patient
Relationship 26
Special Issues in the Physician–Patient
Relationship 28
The Physician–Patient Relationship in
Specifi c Populations of Patients 29
Conclusion 31
Chapter 3 The Psychiatric Interview: Settings and
Techniques 33
Edward K. Silberman, Kenneth Certa, Abigail Kay
Goals of the Psychiatric Interview 33
The Psychiatric Database 37
Conduct of the Interview 41
Special Problems in Interviewing 47
Chapter 4 The Cultural Context of Clinical
Assessment 54
Laurence J. Kirmayer, Cécile Rousseau, G. Eric Jarvis,
Jaswant Guzder
Introduction: The Cultural Matrix of
Psychiatry 54
What is Culture? 54
Culture and Gender 56
The Cultural Formulation 57
Cultural Competence 60
Conclusion: The Limits of Culture 64
Chapter 5 Professional Ethics and Boundaries 67
Richard S. Epstein, Ahmed Okasha
Introduction 67
Ethical Behavior and Its Relationship to the
Professional Attitude 67