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摘要
摘要
A methodical study on the inter-related deceptions of our minds and bodies. Psychiatrist Dubovsky draws on the latest research findings and his own clinical cases to illustrate how the mind deceives the mind, how the body deceives the mind, and how the mind deceives the body. He suggests that the results of these deceptions range from everyday anxieties, hypochondria, and somatization, to feelings of helplessness, depression, heart disease, immune system problems, cancer, and even suicide or sudden death. Annotation c. by Book News, Inc., Portland, Or.
評論 (3)
《出版社週刊》(Publisher's Weekly)評論
In the psychosomatic theory espoused by Dubovsky in this often provocative report, all illness-medical and psychiatric-is the product of mind-body interactions. Major depression, in his view, occurs when a malfunction of cellular biology or genetic programming alters the brain's structure, deceiving the mind into negativism and creating a pathological feedback loop that can permanently distort character. Conversely, he cites research supporting a psychological dimension to heart disease, asthma, ulcers, colitis and other ailments. Separation, loss, anxiety, hopelessness and lack of social support, he emphasizes, leave one especially vulnerable to the immunosuppressive effects of stress, opening the door to infections, cancer, even AIDS. Dubovsky, a University of Colorado professor of psychiatry and medicine, finds that electroconvulsive therapy is generally effective and safe. This mostly balanced and cautious survey includes a consumer's guide to pharmacological and psychological treatments for depression, as well as sensible suggestions for reducing long-term risks for heart disease and cancer. (Mar.) (c) Copyright PWxyz, LLC. All rights reserved
Kirkus 評論
An ambitious and confoundingly uneven exploration of psychobiological interdependence. Dubovsky (Psychiatry and Medicine/Univ. of Colorado Medical School) is onto something--but not the rhetorically loaded ``deceptions'' of the title, into which frame the text is force-fit at some cost to clarity and credibility. The business of the book is examining mind-body connections and their implications for health and health care by explaining psychodynamic and biochemical actions and interactions and exposing prevailing misconceptions and their ramifications. It opens with padded conventional wisdom asserting the overlap of mental and physical processes, then usefully introduces the phenomena of somatization and psychosomatic illness as physiological expressions of emotional pain. In the gray area of depression, all ambiguities are veiled by a confident schematic rendering of the intimate correlation between mind and body systems at the level of the synapse: If maladaptive emotional behavior becomes automatic after repeated episodes of stress (a process known as ``kindling''), healthy brain circuits atrophy. That elucidation of brain biochemistry, like the descriptions of the workings of the cardiovascular and immunological systems in the later section on heart disease and cancer, presupposes a degree of scientific literacy discontinuous with the popular tenor and thrust of the psychological models and the casual assimilation of supportive research; the result is at once overtechnical and oversimplifying. Dubovsky writes sentiently, however, about psychosocial resources for medical patients, and saliently about how the managed-care industry both reflects and perpetuates the traditional mind-body dichotomy. At his judicious best--respecting the multiplicity of psychobiological events and responses, or cautioning against the very cognitive leaps he seems subtly prone to make--he does contribute to the substance and dimension of a fascinating discussion. For the shelf well-stocked with other perspectives.
《圖書館雜誌》(Library Journal )書評
A professor of psychiatry and medicine at the University of Colorado School of Medicine, Dubovsky first deals with the mind-body split in historical and philosophical perspective, then focuses on "deceptions," which he categorizes under somatization, depression, and physical illness. Not all readers will want to know so much about neurotransmitters, but the attractive presentation goes beyond the simplistic discussions found in the general literature. Thanks to his knowledge and humane perspective, Dubovsky provides a comprehensive study of body-mind interaction without slighting either side, and his book exposes weaknesses in popularizations that tout one over the other. Readers wanting consumer guidance on psychological and pharmacological treatment for depression will find two excellent chapters; psychiatrists and other physicians will find a valuable synthesis of knowledge; and librarians will find a state-of-the-art reference. Highly recommended for all libraries.E. James Lieberman, George Washington Univ. Sch. of Medicine, Washington, D.C. (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.