Troublesome Disguises: Managing Challenging Disorders in Psychiatry

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.

Table of Contents:
Contributors vii Preface xi Part I: Challenging psychiatric conditions 1 Shared pathologies 3 German E. Berrios and Ivana S. Marková 2 Paraphrenia 16 Richard Atkinson, David Jolley, and Alistair Burns 3 Brief reactive psychoses 27 Jüergen Zielasek and Wolfgang Gaebel 4 Cycloid psychoses 44 Andrea Schmitt, Berend Malchow, Peter Falkai, and Alkomiet Hasan 5 Borderline personality disorder 57 John M. Oldham 6 Recurrent self-harm 67 Rohan Borschmann and Paul Moran 7 Finding the truth in the lies: A practical guide to the assessment of malingering 85 Holly Tabernik and Michael J. Vitacco 8 Recurrent brief depression: “This too shall pass”? 100 David S. Baldwin and Julia M. Sinclair 9 Conversion disorders 114 Santosh K. Chaturvedi and Soumya Parameshwaran 10 ADHD controversies: more or less diagnosis? 129 Florence Levy 11 Post-traumatic stress disorder: Biological dysfunction or social construction? 140 Richard A. Bryant 12 Bipolar disorder: A troubled diagnosis 153 Gin S. Malhi and Michael Berk Part II:  Rare psychotic disorders 13 Misidentification delusions 169 Michael H. Connors, Robyn Langdon, and Max Coltheart 14 Delirium 186 Sean P. Heffernan, Esther Oh, Constantine Lyketsos, and Karin Neufeld 15 Paraphilias and culture 199 Oyedeji Ayonrinde and Dinesh Bhugra 16 Pseudodementia: History, mystery and positivity 218 Alistair Burns and David Jolley 17 Culture-bound syndromes 231 Oyedeji Ayonrinde and Dinesh Bhugra 18 Delusional infestations 252 Julio Torales 19 Baffling clinical encounters: Navigating a pain and psychiatric quichua syndrome 262 Sioui Maldonado-Bouchard, Lise Bouchard, and Mario Incayawar Index 273

About the Author :
Dinesh Bhugra, Professor of Mental Health and Cultural Diversity, Institute of Psychiatry, King’s College London, UK Gin S. Malhi, Professor of Psychiatry, Sydney Medical School, The University of Sydney and Head of Department, Royal North Shore Hospital, Sydney, Australia