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Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosag ...

Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association. Diagnostic criteria and other DSM-5® material included in this book are reprinted from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Association, 2013. Copyright © 2013 American Psychiatric Association. Used with permission. DSM-5® diagnostic criteria sets published in this book have been abridged to omit diagnostic codes and coding notes. Readers should consult DSM-5® for coding information. Copyright © 2014 American Psychiatric Publishing ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 18 17 16 15 14 5 4 3 2 1 Sixth Edition Typeset in Adobe’s Palatino and Frutiger LT Std American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Bulk discounts of 20% are available on purchases of 25–99 copies of this or any other APP title; please contact APP Customer Service at [email protected] or 800-368-5777. To purchase 100 or more copies of the same title, e-mail [email protected] for a price quote. Library of Congress Cataloging-in-Publication Data Black, Donald W., 1956– author. Introductory textbook of psychiatry / Donald W. Black, Nancy C. Andreasen.— Sixth edition. p. ; cm. ISBN 978-1-58562-469-0 (hardcover : alk. paper)—ISBN 978-1-58562-470-6 (pbk. : alk. paper) I. Andreasen, Nancy C., author. II. Title. [DNLM: 1. Mental Disorders. 2. Psychiatry—methods. WM 100] RC454.4 616.89--dc23 2013050017 British Library Cataloguing in Publication Data A CIP record is available from the British Library. CONTENTS About the Authors . . . . . . . . . . . . . . . . . . . . ix Disclosures of Competing Interests . . . . . . . x Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Introduction . . . . . . . . . . . . . . . . . . . . . . . . .xv PART I Background 1 Diagnosis and Classification . . . . . . . . . . . . . 3 2 Interviewing and Assessment. . . . . . . . . . . 17 3 The Neurobiology and Genetics of Mental Illness . . . . . . . . . . . . . . . . . . . . . 57 PART II Psychiatric Disorders 4 Neurodevelopmental (Child) Disorders . . .85 5 Schizophrenia Spectrum and Other Psychotic Disorders . . . . . . . . . . . . .125 6 Mood Disorders . . . . . . . . . . . . . . . . . . . . .155 7 Anxiety Disorders . . . . . . . . . . . . . . . . . . . .191 8 Obsessive-Compulsive and Related Disorders . . . . . . . . . . . . . . . . . . . .219 9 Trauma- and Stressor-Related Disorders. . . .239 10 Somatic Symptom Disorders and Dissociative Disorders. . . . . . . . . . . . . . . . .263 11 Feeding and Eating Disorders . . . . . . . . . .293 12 Sleep-Wake Disorders . . . . . . . . . . . . . . . .313 13 Sexual Dysfunction, Gender Dysphoria, and Paraphilias. . . . . . . . . . . . . . . . . . . . . .343 14 Disruptive, Impulse-Control, and Conduct Disorders. . . . . . . . . . . . . . . . . . . 375 15 Substance-Related and Addictive Disorders. . . . . . . . . . . . . . . . . . 391 16 Neurocognitive Disorders. . . . . . . . . . . . . 433 17 Personality Disorders . . . . . . . . . . . . . . . . 461 PART III Special Topics 18 Psychiatric Emergencies . . . . . . . . . . . . . . 491 19 Legal Issues . . . . . . . . . . . . . . . . . . . . . . . . 507 20 Behavioral, Cognitive, and Psychodynamic Treatments . . . . . . . . . . . 519 21 Psychopharmacology and Electroconvulsive Therapy . . . . . . . . . . . . 541 Bibliography . . . . . . . . . . . . . . . . . . . . . . . 591 Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . 623 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 657 This page intentionally left blank About the Authors Donald W. Black, M.D., is Professor of Psychiatry at the University of Iowa Roy J. and Lucille A. Carver College of Medicine in Iowa City, Iowa. He is a graduate of Stanford University, where he received his undergraduate degree, and the University of Utah School of Medicine. He received his psychiatric training at the University of Iowa, where he now serves as Director of Residency Training and Vice Chair for Education in the Department of Psychiatry. Dr. Black is an authority on personality disorders and impulsive behavior. He has written several books, including Bad Boys, Bad Men—Confronting Antisocial Personality Disorder (Sociopathy) and DSM-5 Guidebook (with Jon E. Grant). He is a Distinguished Fellow of the American Psychiatric Association and Past President of the American Academy of Clinical Psychiatrists. Nancy C. Andreasen, M.D., Ph.D., is the Andrew Woods Chair of Psychiatry at the University of Iowa Roy J. and Lucille A. Carver College of Medicine. She received a Ph.D. in English Literature from the University of Nebraska, and later, a medical degree from the University of Iowa, where she also trained in psychiatry. She is one of the world’s leading authorities on schizophrenia and was a pioneer in the application of neuroimaging techniques to the study of major mental illnesses. She is the author of numerous books including The Creating Brain: The Neuroscience of Genius, The Broken Brain: The Biological Revolution in Psychiatry, and Brave New Brain: Conquering Mental Illness in the Era of the Genome. Dr. Andreasen received the National Medal of Science in 2000, America’s highest award for scientific achievement. She is a member of the American Academy of Arts and Sciences and the Institute of Medicine of the National Academy of Science. She served as Editor-in-Chief of the American Journal of Psychiatry for 13 years. ix x Introductory Textbook of Psychiatry Disclosures of Competing Interests The authors of this book have indicated a financial interest in or other affiliation with a commercial supporter, a manufacturer of a commercial product, a provider of a commercial service, a nongovernmental organization, and/or a government agency, as listed below: Nancy C. Andreasen, M.D., Ph.D. Research Support: AstraZeneca, Genentech, Johnson & Johnson Donal