Physical Illness and Psychiatric Disorder

  • Z. J. Lipowski


Physical illness constitutes one of the major determinants of psychiatric morbidity. It may causerecurrence, exacerbation, orinception de novo of nearly every recognized psychiatric (mental) disorder (see reference 1 and Chapter 10, this volume). For example, myocardial infarction may trigger recurrence of a depressive disorder in one patient, markedly aggravate an anxiety disorder in another, or precipitate delirium in one who has never experienced it before. In all of these instances one may speak of psychiatric complications of the physical illness.


Psychiatric Disorder Depressive Disorder Body Image Sleep Deprivation Physical Illness 
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  1. 1.
    Lipowski ZJ: Psychiatry of somatic diseases: Epidemiology, pathogenesis, classification.Compr Psychiatry16: 105–124, 1975.PubMedCrossRefGoogle Scholar
  2. 2.
    Eilenberg MD: Psychiatric illness and pernicious anemia: A clinical re-evaluation.J Ment Sci106: 1539–1543, 1960.Google Scholar
  3. 3.
    Susser M:Causal Thinking in the Health Sciences. New York, Oxford University Press, 1973.Google Scholar
  4. 4.
    Murphy E, Brown GW: Life events, psychiatric disturbance and physical illness.Br J Psychiatry136: 326–338, 1980.PubMedCrossRefGoogle Scholar
  5. 5.
    Lloyd GG, Cawley RH: Psychiatric morbidity in men one week after first acute myocardial infarction.Br Med J2: 1453–1454, 1978.PubMedCrossRefGoogle Scholar
  6. 6.
    Lipowski ZJ: Organic brain syndromes: New classification, concepts and prospects.Can J Psychiatry29: 198–204, 1984.PubMedGoogle Scholar
  7. 7.
    Lazarus RS, Folkman S:Stress, Appraisal, and Coping. New York, Springer Publishing Co., 1984.Google Scholar
  8. 8.
    Hilgard ER, Atkinson RL, Atkinson RC:Introduction to Psychology, ed 7. New York, Harcourt Brace Jovanovich, 1979.Google Scholar
  9. 9.
    Verwoerdt A: Psychopathological responses to the stress of physical illness, in Lipowski ZJ (ed):Psychosocial Aspects of Physical Illness. Basel, Karger, 1972, pp 119–141.Google Scholar
  10. 10.
    Wylie RC:The Self Concept. Lincoln, University of Nebraska Press, 1961.Google Scholar
  11. 11.
    Beck AT:Depression. New York, Harper & Row, 1967.Google Scholar
  12. 12.
    Bibring E: The mechanism of depression, in Greenacre P (ed):Affective Disorders. New York, International Universities Press, 1953.Google Scholar
  13. 13.
    Fenichel O:The Psychoanalytic Theory of Neurosis. New York, WW Norton & Co., 1945.Google Scholar
  14. 14.
    Gill MM (ed):The Collected Papers of David Rapaport. New York, Basic Books, 1967.Google Scholar
  15. 15.
    Jacobson E: Contribution to the metapsychology of cyclothymic depression, in Greenacre P (ed):Affective Disorders. New York, International Universities Press, 1953.Google Scholar
  16. 16.
    Mendelson M:Psychoanalytic Concepts of Depression. Springfield, III, Charles C Thomas, 1960.Google Scholar
  17. 17.
    Critchley M: Disorders of corporeal awareness, in Wapner S, Witkin HA (eds):The Body Percept. New York, Random House, 1965.Google Scholar
  18. 18.
    Fisher S:Body Experience in Fantasy and Behavior. New York, Appleton-Century-Crofts, 1970.Google Scholar
  19. 19.
    Fisher S, Cleveland SE:Body Image and Personality. Princeton, NJ, Van Nostrand Co., 1958.Google Scholar
  20. 20.
    Lipowski ZJ: The importance of body experience for psychiatry.Compr Psychiatry18: 473–479, 1977.PubMedCrossRefGoogle Scholar
  21. 21.
    Schilder P:The Image and Appearance of the Human Body. New York, International Universities Press, 1950.Google Scholar
  22. 22.
    Shontz FC:Perceptual and Cognitive Aspects of Body Experience. New York, Academic Press, 1969.Google Scholar
  23. 23.
    Cone J, Hueston JT: Psychological aspects of hand injury.Med J Aust1: 104–108, 1974PubMedGoogle Scholar
  24. 24.
    Macgregor FC:Transformation and Identity. The Face and Plastic Surgery. New York, Quadrangle, 1974.Google Scholar
  25. 25.
    Solnit AJ, Priel B: Psychological reactions to facial and hand burns in young men.Psychoanal Stud Child30: 549–566, 1975.PubMedGoogle Scholar
  26. 26.
    Steiner H, Clark WR: Psychiatric complications of burned adults: A classification.J Trauma17: 134–143, 1977.PubMedCrossRefGoogle Scholar
  27. 27.
    Derogatis LR: Breast and gynecologic cancers.Front Radiat Ther Oncol14: 1–11, 1980.Google Scholar
  28. 28.
    Orbach CE, Tallent N: Modification of perceived body and of body concepts.Arch Gen Psychiatry12: 126–135, 1965.PubMedGoogle Scholar
  29. 29.
    Earle EM: The psychological effects of mutilating surgery in children and adolescents.Psychoanal Stud Child34: 527–546, 1979.PubMedGoogle Scholar
  30. 30.
    Porter J, Nordlund JJ, Beuf AH, Lerner AB: Psychological reaction to chronic skin disorders. A study of patients with vitiligo.Gen Hosp Psychiatry1: 73–77, 1979.PubMedCrossRefGoogle Scholar
  31. 31.
    Book HE: Sexual implications of the nose.Compr Psychiatry12: 450–455, 1971.PubMedCrossRefGoogle Scholar
  32. 32.
    Shontz FC: Physical disability and personality: Theory and reCent research.Psychol Aspects Disabil17: 51–69, 1970.Google Scholar
  33. 33.
    Castelnuovo-Tedesco P: Organ transplant, body image, psychosis.Psychoanal Quart42: 349–363, 1973.Google Scholar
  34. 34.
    Kales JD, Kales A: Nocturnal psychophysiological correlates of somatic conditions and sleep disorders, in Lipowski ZJ, Lipsitt DR, Whybrow PC (eds):Psychosomatic Medicine. Current Trends and Clinical Applications. New York, Oxford University Press, 1977, pp 335–354.Google Scholar
  35. 35.
    Solomon F, White CC, Parron DL, Mendelson WB: Sleeping pills, insomnia and medical practice.N Engl J Med300: 803–808, 1979.PubMedCrossRefGoogle Scholar
  36. 36.
    Johns MW: Factor analysis of subjectively reported sleep habits, and the nature of insomnia.Psycho Med5: 83–88, 1975.CrossRefGoogle Scholar
  37. 37.
    Grumet GW: Severe insomnia in psychiatric inpatients.Dis Nerv Syst29: 256–258, 1968.PubMedGoogle Scholar
  38. 38.
    Johns MW, Egan P, Gay TJA, Masterton JP: Sleep habits and symptoms in male medical and surgical patients.Br Med J2: 509–512, 1970.PubMedCrossRefGoogle Scholar
  39. 39.
    Broughton R, Baron R: Sleep patterns in the intensive care unit and on the ward after acute myocardial infarction.Electroenceph Clin Neurophysiol45: 348–360, 1978.PubMedCrossRefGoogle Scholar
  40. 40.
    Guilleminault C, Lugaresi E (eds):Sleep/Wake Disorders: Natural History, Epidemiology, and Long- Term Evolution. New York, Raven Press, 1983.Google Scholar
  41. 41.
    Grant I, Heaton RK, McSweeney AJ, et al: Neuropsychologic findings in hypoxemic chronic obstructive pulmonary disease.Arch Intern Med142: 1470–1476, 1982.PubMedCrossRefGoogle Scholar
  42. 42.
    Kinsman RA, Yaroush RA, Fernandez F, et al: Symptoms and experiences in chronic bronchitis and emphysema.Chest83: 755–761, 1983.PubMedCrossRefGoogle Scholar
  43. 43.
    Beszterczey A, Lipowski ZJ: Insomnia in cancer patients.Can Med Assoc J116: 355, 1977.PubMedGoogle Scholar
  44. 44.
    Lipowski ZJ:Delirium. Acute Brain Failure in Man. Springfield, III, Charles C Thomas, 1980.Google Scholar
  45. 45.
    Helton MC, Gordon SH, Nunnery SL: The correlation between sleep deprivation and the intensive care unit syndrome.Heart Lung9: 464–468, 1980.PubMedGoogle Scholar
  46. 46.
    Johnson LC: The effect of total, partial, and stage sleep deprivation on EEG patterns and performance, in Bureh N, Altschuler HL (eds):Behavior and Brain Electrical Activity. New York, Plenum Publishing Co., 1974, pp 1–30.Google Scholar
  47. 47.
    Cartwright RD, Monroe LJ, Palmer C: Individual differences in response to REM deprivation.Arch Gen Psychiatry16: 297–303, 1967.PubMedGoogle Scholar
  48. 48.
    Gove WR: Sleep deprivation: A cause of psychotic disorganization.Am J Sociology75: 782–799, 1970.CrossRefGoogle Scholar
  49. 49.
    Stoughton RB: The heartbreak of psoriasis.JAMA229: 334, 1974.PubMedCrossRefGoogle Scholar
  50. 50.
    Goffman E:Stigma: Notes on the Management of Spoiled Identity. Englewood Cliffs, NJ, Prentice- Hall, 1963.Google Scholar
  51. 51.
    Kleck R: Physical stigma and nonverbal cues emitted in face-to-face interaction.Hum Relations21: 19–28, 1968.CrossRefGoogle Scholar
  52. 52.
    Noonan JR, Barry JR, Davis HC: Personality determinants in attitudes toward visible disability.J Personality38: 1–15, 1970.PubMedCrossRefGoogle Scholar
  53. 53.
    Ablon J: Stigmatized health conditions.Soc Sci Med15: 5–9, 1981.Google Scholar

Copyright information

© Plenum Publishing Corporation 1985

Authors and Affiliations

  • Z. J. Lipowski
    • 1
  1. 1.Clarke Institute of PsychiatryTorontoCanada

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