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Contributors xix
Part I Psychiatric and Psychosocial Palliative Care: Critical Milestones
1 Hospice and Palliative Care: A Psychiatric Perspective John L. Shuster Irene J. Higginson 3
2 Integrating Psychiatry and Palliative Medicine: The Challenges and Opportunities J. Andrew Billings Susan D. Block 13
Part II Psychiatric Complications of Terminal Illness
3 An Overview of Care and Management of the Patient at the End of Life Edwin H. Cassem, S.J. 23
4 Diagnosis and Management of Depression in Palliative Care Keith G. Wilson, Ph.D., C.Psych Mark Lander Harvey Max Chochinov, O.M 39
5 Anxiety in Palliative Care Andrew J. Roth Mary Jane Massie 69
6 Delirium in the Terminally Ill William Breitbart Peter G. Lawlor Miriam Friedlander 81
7 Suicide and Desire for Hastened Death in the Terminally Ill Megan Olden Hayley Pessin Wendy G. Lichtenthal William Breitbart 101
8 Palliative Care for Patients with Serious Mental Illness Mary Ellen Foti 113
9 Palliative Care for Patients with Substance Abuse and Patients with Personality Disorders Tatiana D. Starr Lauren J. Rogak David J. Casper Kenneth L. Kirsh Steven D. Passik 122
Part III Psychosocial Issues in Palliative Care
10 What Dying People Want David R. Kuhl 141
11 Communication with Terminally Ill Patients and Their Families Peter Maguire Joseph S. Weiner 157
12 Interdisciplinary Teamwork in Palliative Care: Compassionate Expertise for Serious Complex Illness Matthew J. Loscalzo Charles F. von Gunten 172
13 Cultural Diversity and Palliative Care Leslie J. Blackhall 186
14 Understanding and Managing Bereavement in Palliative Care Sidney Zisook Scott A. Irwin M. Katherine Shear 202
15 Family Issuesand Palliative Care David K. Wellisch David W. Kissane 220
16 Burnout and Symptoms of Stress in Staff Working in Palliative Care Mary L.S. Vachon, R.N. Monika Muller 236
Part IV Ethical, Existential, and Spiritual Issues in Palliative Care
17 Ethical Issues in Palliative Care Edmund D. Pellegrino Daniel P. Sulmasy 267
18 Personal Growth and Human Development in Life-Threatening Conditions Ira Byock 281
19 The Treatment of Suffering in Patients with Advanced Cancer Nathan I. Cherny 300
20 Dignity, Meaning, and Demoralization: Emerging Paradigms in End-of-Life Care David W. Kissane Christina Treece William Breitbart Nancy A. McKeen, R.N. Harvey Max Chochinov, O.M 324
21 Spiritual Issues in Palliative Care Christina M. Puchalski 341
Part V Understanding and Managing Symptoms
22 Physical Symptom Management in the Terminally Ill Russell K. Portenoy Badi El Osta Eduardo Bruera 355
23 Psychiatric Aspects of Pain Management in Patients with Advanced Cancer and AIDS William Breitbart Steven D. Passik David J. Casper Tatiana D. Starr Lauren J. Rogak 384
24 Eating Issues in Palliative Cancer Patients Susan E. McClement, R.N. 417
25 Psychiatric Aspects of Fatigue at the End of Life Susan E. Abbey 427
Part VI Psychotherapeutic Interventions in Palliative Care
26 Individual Psychotherapy for the Patient with Advanced Disease Gary Rodin 443
27 Narrative Medicine: Writing through Bereavement Robert A. Neimeyer James W. Pennebaker Jessica G. van Dyke 454
28 Cognitive-Behavioral Approaches to Symptom Management in Palliative Care: Augmenting Somatic Interventions Dennis C. Turk Caryn S. Feldman 470
29 Group Psychotherapy and the Terminally Ill David Spiegel Molyn Leszcz 490
30 Family-Focused Grief Therapy Sidney Bloch David W. Kissane 504
Part VII Life Cycle Considerations in Palliative Care
31 Psychiatric Care of the Terminally Ill Child Margaret L. Stuber Brenda Bursch 519
32 The Child and Adolescent in Palliative Care Barbara M. Sourkes Joanne Wolfe 531
33 Special Care Considerations for the Seriously Ill Older Adult Lynn B. O'Neill Diane E. Meier R. Sean Morrison 544
Index 553
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