The Psychiatry of Stroke

Treating stroke requires attention not only to patients' physical needs, but to their psychiatric needs as well. Unfortunately, there has been a considerable lack of literature that tackles this important facet of recovery. The Psychiatry of Stroke fills this void through a comprehensive examination that explores the mental and physical issues faced by stroke patients and offers up-to-date treatment options.

Autorentext

D. Peter Birkett, MD is Director of the Columbia/New York State Geriatric Psychiatry Fellowship Program and Attending Psychiatrist at Good Samiaritan Hosipital in Suffern, New York.

Zusammenfassung
Few, if any, environments are free of human intervention. Often this generates ecosystems which are rich in biodiversity, historical interest, recreational opportunity and scenic beauty just as worthy of conservation as the more natural ecosystems on which protection programmes have been almost exclusively focussed.These 'cultural landscapes', ranging from the farm and forest lands of Europe and Eastern North America, through to the pasture lands and savannas of the Middle East and Africa to the paddylands of the Pacific Rim, are usually the product of relatively low-level, sustainable exploitation of the environment over long periods of time. Many have survived for centuries, if not millennia, but now urban expansion, depopulation of rural areas and, most damagingly, the intensification of agricultural and sylvicultural practices, are everywhere leading to a loss of their cherished biodiversity and amenity. Whilst past changes have mostly added to the valued characteristics of these landscapes, modern farming and forestry are creating sterile monocultures on the better land whilst marginal lands are being abandoned.This book documents these changes, illustrates them through detailed case studies of a representative selection of threatened landscapes, analyses their underlying causes and explores ways by which they can continue to be maintained, or new landscapes created which maintain their desired characteristics.

Inhalt

Introduction Part 1: Background and Causation 2. Diagnosis of Stroke 3. Stroke Risk Factors 4. Strokes and Localization of Mental Function 5. The Neuropsychopharmacology of Stroke Part 2: Psychiatric Syndromes 6. Speaking and Understanding 7. Seeing and Believing 8. Hurting and Touching and Feeling 9. Sex 10. Apathy and Failure to Rehabilitate 11. Anger and Violence 12. Disinhibition 13. Paranoia and Delusions 14. Depression 15. Anxiety 16. Dementia Part 3: Outcome and Effects 17. The Process of Recovery 18. The Family 19. The Stroke Treatment Team 20. The Spectrum of Care 21. Legal Issues 22. Money 23. Ethics 24. Basic Anatomy of Stroke 25. Resources for Caregivers 26. Wilson, Roosevelt, Churchill, Hitler, and Stalin