The Psychiatric Interview for Differential Diagnosis
There is a broadening international consensus that the level of psychiatric clinical knowledge and skills has declined alarmingly, to the point of threatening psychiatry’s survival as an academic medical discipline. This is a consequence of the complete e
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Lennart Jansson Julie Nordgaard
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The Psychiatric Interview for Differential Diagnosis
Lennart Jansson • Julie Nordgaard
The Psychiatric Interview for Differential Diagnosis
Lennart Jansson Mental Health Center Hvidovre University Hospital of Copenhagen Broenby Denmark
Julie Nordgaard Early Psychosis Intervention Center Region Zealand & Institute for Clinical Medicine University of Copenhagen Broenby Denmark
ISBN 978-3-319-33247-5 ISBN 978-3-319-33249-9 DOI 10.1007/978-3-319-33249-9
(eBook)
Library of Congress Control Number: 2016944150 © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland
Foreword
This book fills a substantial gap in contemporary psychiatry and is written by two researchers and clinicians who have in-depth knowledge and scholarship in psychopathology. Psychiatry is currently in a state of profound crisis, from time to time acknowledged in major journals (Andreasen 2007; Kleinman 2012). This crisis contains several independent components, first the diagnostic manuals have bred ever new categories and this proliferation has resulted in approximately 400 categories in the DSM and ICD systems. We have no etiological knowledge of the vast majority of these categories and we do not know much about their treatment. It is even doubtful if they all should be the matter of psychiatry (Ghaemi 2012). As it has been demonstrated by a Danish epidemiological study (Munk-Jorgensen et al. 2010), clinicians would be happy with approximately 20 categories. Choosing the most relevant diagnosis (differential diagnosis) between 400 categories is, of course, a matter for a computer and not for a human being. The second component of the crisis is an increasing gap between a brilliant progress in basic neuroscience and its complete lack of consequences for clinical
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