Collaborative Efforts in Liaison Psychiatry

  • James J. Strain

Abstract

There is compelling evidence that psychological, social, and cultural—as well as biological—factors are involved to varying degrees in the initiation, course, and outcome of pathophysiological processes. Lipowski (1975) for example, has proposed an ecological viewpoint which states that “the study of every disease must include the person, his body, and his human and nonhuman environments as essential components of the total system” (p. 6). Reiser’s (1975) biopsychosocial field theory of disease emphasizes the interaction and interrelationship of all systems—physical, mental, psychological, environmental, and so on. Finally, Engel (1977) has vigorously urged the adoption of a biomedicopsychosocial model of disease that would be applicable to psychological as well as physiological dysfunction and would recognize that complex interactions between the individual and his or her total environment are major determinants of health and disease. For example, such life stresses as bereavement, crowding, and so on are now considered to play a critical role in the onset and exacerbation of certain forms of physiological dysfunction. It follows, then, that psychological care is coordinate with medical care. In fact, 50 to 70 of all medical patients seen by primary-care physicians present with a primary psychological problem or manifest psychological dysfunction secondary to their physical illness (Lipowski, 1967).

Keywords

Fatigue Depression Leukemia Dementia Schizophrenia 

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References

  1. Caplan, G. Principles of preventive psychiatry. New York: Basic Books, 1961.Google Scholar
  2. Diagnostic and statistical manual of psychiatric disorders (3rd ed.). Washington, D.C., American Psychiatric Association, 1980.Google Scholar
  3. Engel, G. L. Delirium. In A. M. Freedman & H. Kaplan (Eds.), The comprehensive textbook of psychiatry. Baltimore: Williams & Wilkins, 1967.Google Scholar
  4. Engel, G. L. The need for a new medical model: A challenge for biomedicine. Science, 1977, 196, 129.PubMedCrossRefGoogle Scholar
  5. Engel, G. L. The status of consultation/liaison psychiatry. Paper presented at the American Psychosomatic Society Annual Meeting, New York, March 1980.Google Scholar
  6. Folstein, M. F. Personal communication, 1981.Google Scholar
  7. Folstein, M. F., Folstein, S. E., & McHugh, P. R. “Mini-mental-state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychological Research, 1975, 12, 189–198.CrossRefGoogle Scholar
  8. Friedman, M. & Rosenman, R. H. Association of specific overt behavior patterns with blood and cardiovascular findings. Journal of the American Medical Association, 1950, 169, 1286–1296.Google Scholar
  9. Gadlin, W. The contract in the liaison setting. Personal communication, 1981.Google Scholar
  10. Gise, L., Strain, J., Taintor, Z., & Endicott, J. Revision of the computerized consultation form. (In press.)Google Scholar
  11. Greenhill, M. H. The Development of liaison programs. In G. Usdin (Ed.), Psychiatric medicine. New York: Brunner/Mazel, 1977.Google Scholar
  12. Guy, W. Clinical Global Impressions. ECDEU assessment manual for psychopharmacology. (Rev. ed.). Washington, D.C., U.S. Department of Health, Education, and Welfare, 1976. (a)Google Scholar
  13. Guy, W. Dosage Record and Treatment Emergent Symptom Scale. ECDEU assessment manual for psychopharmacology. (Rev. ed.) Washington, D.C., U.S. Department of Health, Education, and Welfare, 1976. (b)Google Scholar
  14. Jacobs, J., Bernhard, R., Delgado, A., &: Strain, J. J. Screening for organic mental syndromes in the medically ill. Annals of Internal Medicine, 1977, 86, 40.PubMedGoogle Scholar
  15. Jenkins, C. D. Psychological and social precursors of coronary disease. New England Journal of Medicine, 1971, 284, 244–255.PubMedCrossRefGoogle Scholar
  16. Jenkins, C. D., Rosenman, R. H,, & Zyzanski, S. J. Prediction of clinical coronary heart disease by a test for the coronary-prone behavior pattern. New England Journal of Medicine, 1974, 290, 1271–1275.PubMedCrossRefGoogle Scholar
  17. Jenkins, C. D., Zyzanski, S. J., & Rosenman, R. H. Coronary-prone behavior: One pattern or several ? Psychosomatic Medicine, 1978, 40, 25.PubMedGoogle Scholar
  18. Kaufman, D., Wineberger, M., Strain, J., & Jacobs, J. The Cognitive Capacity Screening Examination: A reappraisal. General Hospital Psychiatry, 1979, 7 (3), 247–255.CrossRefGoogle Scholar
  19. Klein, D. F. Endogenomorphic depression. A conceptual and terminological revision. Archives of General Psychiatry, 1974, 31, 447.Google Scholar
  20. Leeman, C. P. Diagnostic errors in emergency room medicine: Physical illness in patients labelled “psychiatric” and vice versa. Journal of Psychiatric Medicine, 1975, 6, 533.CrossRefGoogle Scholar
  21. Levin, H. S. Clinical neuropsychological testing. I: Description of test background. Personal communication, 1981.Google Scholar
  22. Levitin, S. J. & Kornfeld, D. Clinical and cost benefits of liaison psychiatry. American Journal of Psychiatry, 1981, 138, 790–794.Google Scholar
  23. Lipowski, Z. J. Review of consultation psychiatry and psychosomatic medicine. II. Clinical aspects. Psychosomatic Medicine, 1967, 29 (3), 201–224.Google Scholar
  24. Lipowski, Z. J. Physcial illness, the patient and his environment: Psychosocial foundations of med-icine. In M. Reiser (Ed.), American handbook of psychiatry, (Vol. 4 ). New York: Basic Books, 1975.Google Scholar
  25. Matarazzo, J. D. Behavioral health and behavioral medicine: Frontiers for a new health psychology. American Psychologist, 1980, 55, 807–817.CrossRefGoogle Scholar
  26. Mattis, S. The mental status examination for organic mental syndrome in the elderly patient. In L. Bellak & T. B. Karasu (Eds.), The concise handbook of geriatric psychiatry. New York: Grune & Stratton, 1979.Google Scholar
  27. Mattis, S. Personal communication, 1981.Google Scholar
  28. Minuchin, S. Families and family therapy. Cambridge: Harvard University Press, 1974.Google Scholar
  29. Raskin, A., Schukterbrandt, J. G., &: Reatig, H. Differential response to chlorpromazine, Imipramine and placebo. Archives of General Psychiatry, 1970, 23, 164–173.PubMedGoogle Scholar
  30. Reiser, M. F. Changing theoretical concepts in psychosomatic medicine. In M. Reiser (Ed.), American Handbook of Psychiatry (Vol. 4 ). New York: Basic Books, 1975.Google Scholar
  31. Rifkin, A., Strain, J., & Endicott, J. Personal communication, 1980.Google Scholar
  32. Schwab, J. J., Bialow, M., Brown, J., & Holzer, C. E. Diagnosing depression in medical inpatients. Annals of Internal Medicine, 1967, 67, 695.PubMedGoogle Scholar
  33. Schwartz, F. Personal communication, 1981.Google Scholar
  34. Shemo, J. P. D., Withersty, D., Sprodlin, W. W., & Waldman, R. H. Psychiatry as an internal medicine subspecialty: An educational model. Journal of Medical Education, 1980, 55, 354–361.PubMedGoogle Scholar
  35. Spitzer, R., & Endicott, J. Schedule the affective disorders and schizophrenia-change version(3rd ed.). New York State Department of Mental Hygiene, New York State Psychiatric Institute, Biometrics Research, 1978.Google Scholar
  36. Spitzer, R., Endicott, J., & Robins, E. Research diagnostic criteria. Archives of General Psychiatry, 1978, 35, 773–782.Google Scholar
  37. Strain, J. The application of psychological concepts in the hospital-inpatient setting. Psychological interventions in medical practice. New York: Appleton Century Crofts, 1978.Google Scholar
  38. Strain, J. J. & Grossman, S. Psychological care of the medically ill: A primer in liaison psychiatry. New York: Appleton Century Crofts, 1975.Google Scholar
  39. Strain, J. J., &: Hamerman, D. Ombudsman (medical-psychiatric) rounds. An approach to meeting patient-staff needs. Annals of Internal Medicine, 1978, 88, 550.PubMedGoogle Scholar
  40. Strain, J. J., & Spikes, J. Teaching models of liaison psychiatry. Paper presented at the American Psychiatric Association Annual Meeting, Toronto, May 1977.Google Scholar
  41. Taintor, Z., Gise, L., Spikes, J., & Strain, J. Recording psychiatric consultations. General Hospital Psychiatry, 1979, 1, 122.Google Scholar
  42. Talland, G. A. Deranged memory: A psychonomic study of the amnesic syndrome. New York: Academic Press, 1965.Google Scholar
  43. Wells, C. E. Chronic brain disease: An overview. American Journal of Psychiatry, 1978, 1, 135.Google Scholar

Copyright information

© Plenum Press, New York 1982

Authors and Affiliations

  • James J. Strain
    • 1
  1. 1.Mount Sinai School of MedicineNew YorkUSA

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