Demoralization in medical practice.

The Psychiatric Consultation Service at Massachusetts General Hospital (MGH) sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. Such consultations require the integration of medical and psychiatric knowledge. During their twice-weekly rounds, Drs. Stern and Maytal, as well as other medical staff and members of the Consultation Service, discuss the diagnosis and management of conditions confronted. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.

[1]  T. Trauer,et al.  A Comparison of Psychosocial and Physical Functioning in Patients with Motor Neurone Disease and Metastatic Cancer , 2005, Journal of palliative care.

[2]  J. Griffith,et al.  Brief psychotherapy at the bedside: countering demoralization from medical illness. , 2005, Psychosomatics.

[3]  D. Kissane.  The contribution of demoralization to end of life decisionmaking. , 2004, The Hastings Center report.

[4]  W. Pirl.  Evidence report on the occurrence, assessment, and treatment of depression in cancer patients. , 2004, Journal of the National Cancer Institute. Monographs.

[5]  H. Prigerson,et al.  The other side of the slippery slope. , 2004, The Hastings Center report.

[6]  J. Hallenbeck.  Palliative Care Perspectives , 2003 .

[7]  D. Kissane,et al.  Demoralization: Its Phenomenology and Importance , 2002, The Australian and New Zealand journal of psychiatry.

[8]  W. Breitbart,et al.  Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. , 2000, JAMA.

[9]  A. Mackinnon,et al.  Dimensions of psychopathology in the medically ill. A latent trait analysis. , 2000, Psychosomatics.

[10]  P. R. Slavney.  Diagnosing demoralization in consultation psychiatry. , 1999, Psychosomatics.

[11]  H. Chochinov,et al.  Desire for death in the terminally ill. , 1995, The American journal of psychiatry.

[12]  J. M. Figueiredo.  Depression and demoralization: phenomenologic differences and research perspectives. , 1993 .

[13]  J. Frank,et al.  Psychotherapy: the restoration of morale. , 1974, The American journal of psychiatry.

[14]  R. Shader.  Demoralization revisited. , 2005, Journal of clinical psychopharmacology.

[15]  J. de Figueiredo.  Depression and demoralization: phenomenologic differences and research perspectives. , 1993, Comprehensive psychiatry.