Problem-Based Behavioral Science and Psychiatry »

Dr. Guerrero is Associate Professor of Psychiatry and Pediatrics, Vice-Chair for Education and Training in the Department of Psychiatry, Director of Medical Student Education in Psychiatry, and Director of the Child and Adolescent Psychiatry Division at the University of Hawaii John A. Burns School of Medicine. He has published in the areas of medical student education and problem-based learning, Asian and Pacific Islander mental health, and the interface between primary care and psychiatry.

Dr. Piasecki is Associate Professor of Psychiatry and Vice Chair for Education at University of Nevada School of Medicine where she works extensively with medical students and residents. She has published on the Physician-Patient relationship and a number of clinical topics.

Students of behavioral science, whether residents in psychiatry, graduate students in psychology or clinical social work, or third- and fourth-year medical students preparing for the USMLE Step 1 and 2 examinations, need to understand patients’ behavior, how to communicate effectively, and how to recognize and deal with psychiatric disorders. Problem-based learning involves the detailed, systematic study of real and fictitious patient cases. Although more than sixty medical schools incorporate problem-based learning in their curricula, there are no current textbooks to support and guide this aspect of courses in behavioral sciences, behavioral medicine, or psychiatry.

This book presents simulated patient cases in psychiatry and behavioral science, providing a real-world context for students and graduates in these areas. It introduces the topics described below through detailed case vignettes using a model of problem-based learning called progressive disclosure. Sample diagrams known as mechanistic case diagrams illustrate the neurobiological mechanisms underlying behavioral symptoms and show how behavioral and psychosocial factors impact on patient care.

Doody Review Services

Reviewer:William Miles, MD(Rush University Medical Center)
Description:This book discusses problem-based learning (PBL) methods and how to apply them when learning behavioral science and psychiatry.
Purpose:According to the editors, the purpose is to offer a problem-based learning approach for students studying psychiatry and the behavioral sciences. As PBL is becoming more common in many medical schools, this is certainly a worthy objective, and the authors/editors meet it.
Audience:The editors state that this book is written for medical students and other students studying psychiatry and behavioral science. I would include anyone interested in PBL methods, as they may find it interesting as a way to learn about this technique.
Features:The book begins with a chapter on how to use the book and a review of PBL methods. The remainder is composed of numerous chapters outlining an area of interest in behavioral science, such as childhood development, the doctor-patient relationship, mood disorders, psychotic disorders, and so on. Each chapter contains clinical vignettes that readers are to approach using the PBL techniques outlined in the first few chapters. Conclusions and learning issues are then presented about the vignettes, followed by review questions. Each chapter has an extensive bibliography. There are no illustrations, but numerous tables are scattered throughout. A comprehensive index ends the book.
Assessment:For students already familiar with PBL methods, or for those who wish to learn about this teaching approach, this is a good book. The rationale behind PBL is explained well, and it is quite interesting to read how this method is used in approaching psychiatric disorders. Although PBL remains somewhat controversial, students who find they learn better from this technique may want to give this book a try. I will find some of the vignettes helpful in using PBL for my own medical students.

Pt. I Introduction

1 How to Use This Book Anthony P. S. Guerrero Guerrero, Anthony P. S. Melissa Piasecki Piasecki, Melissa Nathanael W. Cardon Cardon, Nathanael W. 3

Pt. II Human Behavior

2 Childhood Development Maya Strange Strange, Maya Andrea Sorensen Sorensen, Andrea 17

3 Effects of Experience on Brain Development Jeffrey Raskin Raskin, Jeffrey Whitney Waldroup Waldroup, Whitney Nikhil Majumdar Majumdar, Nikhil Melissa Piasecki Piasecki, Melissa 31

4 Learning Principles of Human Behavior David O. Antonuccio Antonuccio, David O. Amber Hayes Hayes, Amber 49

5 Sexuality Throughout the Life Cycle Kevin Allen Mack Mack, Kevin Allen Anthony P. S. Guerrero Guerrero, Anthony P. S. 67

6 Adaptation and Coping in a Medical Setting Maria-Christina Stewart Stewart, Maria-Christina 77

7 Violence and Abuse Jeanelle J. Sugimoto Sugimoto, Jeanelle J. Anthony P. S. Guerrero Guerrero, Anthony P. S. 89

Pt. III Healthcare Principles

8 The Physician-Patient Relationship My Kha Kha, My Melissa Piasecki Piasecki, Melissa 107

9 Ethics and Professionalism Jacob Doris Doris, Jacob Marin Gillis Gillis, Marin 121

10 Adherence in Medicine Maxwell Takai Frank Frank, Maxwell Takai Eriko Takai Frank Frank, Eriko Takai 133

11 Stress and Health Michael K. Daines Daines, Michael K. Nikhil Majumdar Majumdar, Nikhil 141

12 Health Care 101 David C. Fiore Fiore, David C. Jason P. Crawford Crawford, Jason P. 151

13 Stigma and Medicine Barbara Kohlenberg Kohlenberg, Barbara Melanie Watkins Watkins, Melanie Lindsay Fletcher Fletcher, Lindsay 171

14 Culture, Ethnicity, and Medicine Anthony P. S. Guerrero Guerrero, Anthony P. S. 183

15 Quantitative Measures in Healthcare M. Anand SamtaniSamtani, M. Anand Earl S. Hishinuma Hishinuma, Earl S. Deborah A. Goebert Goebert, Deborah A. 193

16 Death, Dying, and End-of-Life Care Lori Murayama-Sung Murayama-Sung, Lori Iqbal Ahmed Ahmed, Iqbal 215

Pt. IV Behavioral Neuroscience and Clinical Psychiatry

17 Basic Principles of Evaluation: Interviewing, Mental Status Examination, Differential Diagnosis, and Treatment Planning Anthony P. S. Guerrero Guerrero, Anthony P. S. Daniel A. Alicata Alicata, Daniel A. Nathanael W. Cardon Cardon, Nathanael W. 231

18 Disorders of Childhood Erika Ryst Ryst, Erika Jeremy Matuszak Matuszak, Jeremy 253

19 Substance Use Disorders William F. Haning III Haning, William F., III Anthony P. S. Guerrero Guerrero, Anthony P. S. 269

20 Psychotic Disorders Steven J. Zuchowski Zuchowski, Steven J. Ryan Ley Ley, Ryan 289

21 Mood Disorders and Suicide Mireille Anawati Anawati, Mireille 309

22 Anxiety Disorders Mireille Anawati Anawati, Mireille 325

23 Somatoform Disorders Jonah Shull Shull, Jonah Catherine McCarthy McCarthy, Catherine 339

24 Personality Disorders Latha Pai Pai, Latha Melissa Piasecki Piasecki, Melissa M. Nathan Mason Mason, M. Nathan 353

25 Cognitive Disorders Russ S. Muramatsu Muramatsu, Russ S. Junji Takeshita Takeshita, Junji 367

26 Sleep Disorders Ole J. Thienhaus Thienhaus, Ole J. Nathanael W. Cardon Cardon, Nathanael W. 381

27 Eating Disorders Hy Gia Park Park, Hy Gia Cathy K. Bell Bell, Cathy K. 393

28 Sexual Disorders Crissa R. Draper Draper, Crissa R. Nikhil Majumdar Majumdar, Nikhil William T. O'Donohue O'Donohue, William T. Melissa Piasecki Piasecki, Melissa 409

29 Other Disorders Anthony P. S. Guerrero Guerrero, Anthony P. S. 423

Index 435