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Psychiatric Consultation

Concepts and Controversies

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Psychosomatic Medicine and Liaison Psychiatry
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Abstract

Consultation is one of the main professional activities of psychiatrists. Nearly 70% of the respondents to a 1970 nationwide survey of American psychiatrists stated that they engaged in it.1 Consultation accounted for about 10% of their working time and was practiced in 18 different settings. Consultation was not explicitly defined in the survey, but it was distinguished from direct patient contact. Thus, by implication, the authors of the survey and the respondents considered consultation to be an indirect service, one not involving contact with patients. This view of psychiatric consultation is not shared by all of its practitioners. There is no general agreement on what the term implies. Such ambiguity leads to misunderstandings. Clarification is worth attempting if we are to talk intelligibly about the role of the psychiatrist as a consultant. I will focus my discussion on current concepts and controversies in this important area of psychiatry.

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References

  1. Arnhoff FN, Kumbar AH: The Nation’s Psychiatrists-1970 Survey . Washington, DC, American psychiatric Association, 1973.

    Google Scholar 

  2. Lipowski ZJ:Consultation-liaison psychiatry:An overview. Am J Psychiatry 131:623–630, 1974.

    PubMed  CAS  Google Scholar 

  3. Lipowski ZJ:Consultation-liaison psychiatry:Past, present, and future, in Pasnau RO (ed): Consultation-Liaison Psychiatry . New York, Grune & Stratton, 1975, pp 1–28.

    Google Scholar 

  4. Mannino FV, MacLennan BW, Shore MF: The Practice of Mental Health Consultation . Adelphi, Md, National Institute of Mental Health, 1975.

    Google Scholar 

  5. Caplan G: The Theory and Practice of Mental Health Consultation . New York, Basic Books, 1970.

    Google Scholar 

  6. Jahoda M: Current Concepts of Positive Mental Health . New York, Basic Books, 1958.

    Book  Google Scholar 

  7. Favazza AR:A sociodynamic model of consultation. Int J Soc Psychiatry 19:129–135, 1973.

    Article  PubMed  CAS  Google Scholar 

  8. Coleman JV, Patrick DL:Integrating mental health services into primary medical care. Med Care 14:654–661, 1976.

    Article  PubMed  CAS  Google Scholar 

  9. Gardner EA:Emotional disorders in medical practice. Ann Intern Med 73:651–653, 1970.

    PubMed  CAS  Google Scholar 

  10. Lipowski ZJ:Psychiatry of somatic diseases:Epidemiology, pathogenesis, classification. Compr Psychiatry 16:105 – 124, 1975.

    Article  PubMed  CAS  Google Scholar 

  11. Locke BZ, Gardner EA:Psychiatric disorders among the patients of general practitioners and internists. Public Health Rep 84:167–173, 1969.

    PubMed  CAS  Google Scholar 

  12. Shepherd M: the extent of mental disorder. Can Psychiatr Assoc J 21:401–409, 1976.

    PubMed  CAS  Google Scholar 

  13. Spaulding WB:The psychosomatic approach in the practice of medicine. Int J Psychiatry Med 6:169–181, 1975.

    Article  PubMed  CAS  Google Scholar 

  14. Bellin SS, Locke BZ, New M:The neighborhood health center as a mental health diagnostic service. Public health Rep 91:446–451, 1976.

    PubMed  CAS  Google Scholar 

  15. Lipowski ZJ:Review of consultation psychiatry and psychosomatic medicine:II. Clinical aspects. Psy- chosom Med 29:201–224, 1967.

    PubMed  CAS  Google Scholar 

  16. Moffic HS, Paykel ES:Depression in medical inpatients. Br J Psychiatry 126:346–353, 1975.

    Article  PubMed  CAS  Google Scholar 

  17. Shevitz SA, Silberfarb PM, Lipowski ZJ:Psychiatric consultations in a general hospital:A report on 1000 referrals. Dis Nerv Syst 37:295–300, 1976.

    PubMed  CAS  Google Scholar 

  18. Harrington RL:Systems approach to mental health care in an HMO. Presented at the 102nd annual meeting of the American Public Health Association, New Orleans, La, Oct 20–24, 1974.

    Google Scholar 

  19. Mechanic D:Social psychologic factors affecting the presentation of bodily complaints. N Engl J Med 286:1132–1139, 1972.

    Article  PubMed  CAS  Google Scholar 

  20. Burnell GM:Determining health needs in an HMO. Presented at the 102nd annual meeting of the American Public Health Association, New Orleans, La, Oct 20 – 24, 1974.

    Google Scholar 

  21. Billings EG:Value of psychiatry to the general hospital. Hospitals 15:140–144, 1941.

    Google Scholar 

  22. Goldberg ID, Krantz G, Locke BZ:Effect of short-term outpatient psychiatric therapy benefit on the utilization of medical services in a prepaid group practice medical program. Med Care 8:419–428, 1970.

    Article  PubMed  CAS  Google Scholar 

  23. Nason F, Delbanco TL:Soft services:A major, cost-effective component of primary medical care. Soc Work Health Care 1:297–308, 1976.

    Article  PubMed  CAS  Google Scholar 

  24. Reichsman F:Teaching psychosomatic medicine to medical students, residents and postgraduate fellows. Int J Psychiatry Med 6:307–316, 1975.

    Article  PubMed  CAS  Google Scholar 

  25. Schubert DSP, McKegney FP:Psychiatric consultation education—1976. Arch Gen Psychiatry 33:1271–1273, 1976.

    PubMed  CAS  Google Scholar 

  26. Goldberg RL, Haas MR, Eaton JS, et al:Psychiatry and the primary care physician. JAMA 236:944–945, 1976.

    Article  PubMed  CAS  Google Scholar 

  27. Lipowski ZJ:Physical illness, the patient and his environment:psychosocial foundations of medicine, in Reiser MF (ed): American Handbook of Psychiatry , ed 2, Arieti S (ed-in-chief). New York, Basic Books, 1975, vol 4, pp 3–42.

    Google Scholar 

  28. Lipowski ZJ:Psychosomatic medicine in the seventies; An overview. Am J Psychiatry 134:233–244, 1977.

    PubMed  CAS  Google Scholar 

  29. Lipowski ZJ, Lipsitt DR, Whybrow PC (eds): Psychosomatic Medicine:Current Trends and Clinical Applications . New York, Oxford University Press, 1977.

    Google Scholar 

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© 1985 Plenum Publishing Corporation

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Lipowski, Z.J. (1985). Psychiatric Consultation. In: Psychosomatic Medicine and Liaison Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2509-3_22

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  • DOI: https://doi.org/10.1007/978-1-4613-2509-3_22

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9517-4

  • Online ISBN: 978-1-4613-2509-3

  • eBook Packages: Springer Book Archive

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