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Neurosis: Understanding Common Mental Illness
Professor Peter Tyrer
Royal College of Psychiatrists / Softcover / Feb 2023
9781911623656 (ISBN-10: 1911623656)
Psychiatry
price: $37.95
152 pages
In Stock (Ships within one business day)

Common mental illnesses have been diagnosed separately in recent years, but what is seldom understood is that they are all linked together, often much more closely than other disorders. In particular, combined anxiety and depression linked to personality disturbance, generally known as neuroticism, is very common. In the absence of awareness of its importance, this frequently leads to wrong clinical decisions and poor outcomes for patients. This book focuses on the concept of neurosis, tracing its history as a concept, its abolition from the DSM, the purpose and importance of the Nottingham Study of Neurotic Disorder, the re-definition of neurosis as the general neurotic syndrome, and its recently updated evidence base. Written for psychiatrists, psychologists and researchers, this book shows how recognising these combined common disorders is absolutely necessary for mental health practice, and urges that it is time that we re-examine our treatment priorities.

• Explains why the concept of neurosis developed and why it was abolished in 1981 with the publication of DSM-III, enabling readers to understand the overlap between many common mental disorders and the concept's varied history
• Elaborates on the reasons why anxiety and depression have been diagnosed separately for many years and why this has prevented the combination from being formalised into diagnostic terminology, with ramifications for patient outcomes
• Describes the purpose of the Nottingham Study of Personality Disorder, why it was planned to be a long-term follow-up study, and the importance of its findings

Table of Contents

Foreword
Introduction
1. The general neurotic syndrome
2. DSM-III and the generation of new diagnoses
3. The hypotheses of the Nottingham Study of Neurotic Disorder
4. Interpretation of the results of the 1988 Lancet randomised trial
5. The medium term outcome of the general neurotic syndrome
6. The general neurotic syndrome at 12 years
7. The last phase: the general neurotic syndrome after thirty years
8. Is the notion of the general neurotic syndrome useful?
Index.

About the Author:

Peter Tyrer is Emeritus Professor of Community Psychiatry, Imperial College, London, and Consultant in Transformation Psychiatry, Lincolnshire Partnership NHS Foundation Trust, UK.

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