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July 23, 1982

Neuropsychiatric Features of Medical Disorders

Author Affiliations

Brigham and Women's Hospital Harvard Medical School Boston


by James W. Jefferson and John E. Marshall (Critical Issues in Psychiatry, Sherwyn M. Woods, ed), 383 pp, $29.50, New York, Plenum Medical Book Co, 1981.

JAMA. 1982;248(4):477. doi:10.1001/jama.1982.03330040065042

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Familiarity with the psychiatric manifestations of common medical disorders can improve the clinical skills of psychiatrists and internists, yet the material presented in this tightly organized book is largely neglected in standard medical and psychiatric texts. When the mind is seen as a sensitive barometer of both physical and emotional health, the artificial dichotomy between mind and body melts away. The authors of this book are trained in medicine and psychiatry, and their presentation reflects their knowledge of both fields.

The book begins with discussion of anxiety, depression, fatigue, and hallucinations as examples of nonspecific psychological symptoms that can be associated with numerous physical disorders. After describing the pathophysiology of these symptoms, the book follows the format of a traditional textbook of medicine, with separate sections on disorders of the various systems of the body. Each section includes an orientation to the pathophysiology of major disorders, followed by the psychiatric