a short textbook of psychiatry

COVID-19: Who's at higher risk of serious symptoms? If the heart muscle contraction is intact, the condition is known as respiratory arrest. This was alleged to have occurred among Algonquian Indian cultures. 3, 14 March 2021 | Current Addiction Reports, Vol. Most of the non-genetic studies did not reliably exclude the potential effects of previous antidepressant use and were based on relatively small numbers of participants. Here you'll find the best how-to videos around, from delicious, easy-to-follow recipes to beauty and fashion tips. In pareidolia a vague or random stimulus is mistakenly perceived as recognizable. Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; 2006;3:e240. A Schneiderian term by origin. Stress interventions and hypertension in Black women. Prolonged apnea refers to a patient who has stopped breathing for a long period of time. Mood is indirectly related to serotonin, norepinephrine and dopamine levels in humans: a meta-analysis of monoamine depletion studies. Leonard KE, Rothbard JC. Compare derailment. Article 9780198713005 Hardcover 09 June 2020 Oxford Textbook. The list below includes several options. Google Scholar. Sacks JJ, Gonzales KR, Bouchery EE, Tomedi LE, Brewer RD. The rates increased to 72.2% for synthetic opioids and were The serotonin theory of depression: a systematic umbrella review of the evidence. Post-traumatic stress disorder (PTSD) is a mental health condition triggered by a terrifying event, causing flashbacks, nightmares and severe anxiety. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Women's Health. Dementia praecox refers to a chronic, deteriorating psychotic disorder characterized by rapid cognitive disintegration, usually beginning in the late teens or early adulthood. This can be produced spontaneously or precipitated by questioning. This is an alternate term for delusional perception. Opioid-related suicides have doubled in the last 15 years. Thought blocking, also referred to as thought withdrawal, refers to an abrupt stop in the middle of a train of thought; the individual might or might not be unable to continue the idea. 2008;13:279313. information highlighted below and resubmit the form. Oxford University Press is a department of the University of Oxford. Very Short Introductions; View All. 2004;29:17909. In some instances, an impending respiratory arrest could be predetermined by signs the patient is showing, such as the increased work of breathing. Excessive alcohol use led to more than 140,000 deaths and 3.6 million years of potential life lost (YPLL) each year in the United States from 2015 2019, shortening the lives of those who died by an average of 26 years.1 Further, excessive drinking was responsible for 1 in 5 deaths among adults aged 20-49 years.2 The economic costs of excessive alcohol consumption in 2010 were estimated at $249 billion, or $2.05 a drink.3, In the United States, a standard drink contains 0.6 ounces (14.0 grams or 1.2 tablespoons) of pure alcohol. Individual subscriptions and access to Questia are no longer available. Without intervention, both may lead to decreased oxygen in the blood (hypoxemia), elevated carbon dioxide level in the blood (hypercapnia), inadequate oxygen perfusion to tissue (hypoxia), and may be fatal. Taking certain prescription or over-the-counter medications that can interact with alcohol. Headaches: Treatment depends on your diagnosis and symptoms. Google Scholar. Eur Neuropsychopharmacol. Mental health problems, including depression and anxiety. 9, 17 May 2022 | The American Journal of Drug and Alcohol Abuse, Vol. The individual may attempt to walk, bumping into objects and injuring himself. Knight's move thinking is a complete loosening of associations where there is no logical link between one idea and the next. : Role of alcohol in late-life suicide. Two meta-analyses of overlapping studies examining the 5-HT1A receptor (largest n=561), and three meta-analyses of overlapping studies examining SERT binding (largest n=1845) showed weak and inconsistent evidence of reduced binding in some areas, which would be consistent with increased synaptic availability of serotonin in people with depression, if this was the original, causal abnormaly. It can be caused by hallucinogenic drugs such as LSD and mescalin, epileptic auras, and sometimes migraines. Browse our listings to find jobs in Germany for expats, including jobs for English speakers or those in your native language. [31], Symptoms can include intense "hysteria" (including screaming and uncontrolled wild behavior), depression, coprophagia, and insensitivity to extreme cold. The word psychopathy is a joining of the Greek words psyche () "soul" and pathos () "suffering, feeling". The drug works well and does not cause cardiovascular depression. [citation needed], A tracheal tube is inserted into the trachea through the mouth or nose. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. They are likely to have trouble learning in school. There is a problem with The present umbrella review was reported in accordance with the 2009 PRISMA statement [22]. If material is not included in the articles Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. How do antidepressants work? Online Resources . The Work Group on Psychiatric Evaluation and the Systematic Review Group reported the following conflicts of interest during development and approval of these guidelines, from May 2011 to December 2014: Dr. Silverman is employed as a professor at Virginia Commonwealth University. "floating on air"). 1998-2022 Mayo Foundation for Medical Education and Research (MFMER). J Stud Alcohol Suppl 1999;13:139146. The empty string is the special case where the sequence has length zero, so there are no symbols in the string. To ensure an adequate seal when using the bag valve mask to ventilate, specific hand positioning is typically used. Tryptophan depletion using dietary means or chemicals, such as parachlorophenylalanine (PCPA), is thought to reduce serotonin levels. Current smokers are at the highest risk of suicidal ideation, plans, and attempts, followed by past smokers, with nonsmokers carrying the lowest risk. Particular kinds of reduplicative hallucination include autoscopy, heautoscopy and out-of-body experiences. Nautiyal KM, Hen R. Serotonin receptors in depression: from A to B. F1000Res. Etymology. Pilkington PD, Reavley NJ, Jorm AF. One study presented effects in people with and without a family history of depression, and no differences were apparent in either group [52]. The pressure control ventilation is specifically a pressure-cycled form of assist-control ventilators. [16] Dereistic thinking: An old descriptive term used to refer to thinking not in accordance with the facts of reality and experience and following illogical, idiosyncratic reasoning. Geddes JR, Andreasen NC, Goodwin GM. We did not synthesise results of individual meta-analyses because they included overlapping studies. Torpor in psychopathology is usually taken to mean profound inactivity not caused by reduction in consciousness. [13] It is a type of extrapyramidal symptom, distinct from tardive dyskinesia as it spares the tongue and involves vertical movements only.[35]. Angiotensin-converting enzyme (ACE) inhibitors. Formally, a string is a finite, ordered sequence of characters such as letters, digits or spaces. 14, No. Driving, planning to drive, or participating in other activities requiring skill, coordination, and alertness. It is slightly different from gegenhalten, in which the individual resists movement but does not perform the opposite movement. At that point, the laryngeal mask airway should be removed immediately to eliminate the gag response and buy time to start at new alternative intubation technique. An oropharyngeal airway may cause gagging and vomiting. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Thank you for visiting nature.com. Vegetarian diet: Can it help me control my diabetes? CAS Zhou Z, Zhen J, Karpowich NK, Law CJ, Reith MEA, Wang D-N. Antidepressant specificity of serotonin transporter suggested by three LeuT-SSRI structures. In 2015, a survey conducted by the Substance Abuse and Mental Health Services Administration showed that 9.8 million people 18 years old seriously considered suicide in the past 12 months, with 1.4 million making nonfatal suicide attempts (12). Zimmermann M, Papa A. Causal explanations of depression and treatment credibility in adults with untreated depression: Examining attribution theory. Advertising revenue supports our not-for-profit mission. This review suggests that the huge research effort based on the serotonin hypothesis has not produced convincing evidence of a biochemical basis to depression. Anton syndrome is caused by damaging the occipital lobes bilaterally or from disrupting the pathway from the primary visual cortex into the visual association cortex. [19] Goal of naloxone therapy is to restore respiratory drive in the individual, however mechanical ventilation may still be necessary during initial resuscitation. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. There was no specific funding for this review. A sternal rub is sometimes used to further assess for responsiveness. We will update you on new newsroom updates. Blood Pressure Monitors at Mayo Clinic Store, Book: Mayo Clinic 5 Steps to Controlling High Blood Pressure. Browse our listings to find jobs in Germany for expats, including jobs for English speakers or those in your native language. Very Short Introductions; View All. Google Scholar. Thank you for taking the time to confirm your preferences. Resources for Researchers. J Neurosci. Most people who drink excessively are not alcoholics or alcohol dependent.5, The Dietary Guidelines for Americans recommendsthat adults of legal drinking age can choose not to drink, or to drink in moderation by limiting intake to 2 drinks or less in a day for men or 1 drink or less in a day for women, on days when alcohol is consumed.4 The Guidelinesalso do not recommend that individuals who do not drink alcohol start drinking for any reason and that if adults of legal drinking age choose to drink alcoholic beverages, drinking less is better for health than drinking more.4. 374, 30 June 2022 | Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry, Vol. At that point, a nasogastric tube should be inserted to take the accumulated air out. Here you'll find the best how-to videos around, from delicious, easy-to-follow recipes to beauty and fashion tips. Achromatopsia is different from the more common forms of color vision deficiency (also called color blindness), in which people can perceive color but have difficulty distinguishing between certain colors, such as red and green.[2]. Welcome to books on Oxford Academic. Books from Oxford Scholarship Online, Oxford Handbooks Online, Oxford Medicine Online, Oxford Clinical Psychology, and Very Short Introductions, as well as the AMA Manual of Style, have all migrated to Oxford Academic.. Read more about books migrating to Oxford Academic.. You can now search across all these OUP People who should not use noninvasive positive pressure ventilation include obtunded patients or ones with secretions. Checking a pulse after encountering an unresponsive patient is no longer recommended for non-medically trained personnel. Blood pressure: Does it have a daily pattern? In order to cover the different areas and to manage the large volume of research that has been conducted on the serotonin system, we conducted an umbrella review. The sensation may be caused by a type of convulsion known as a "partial seizure" which occurs in parts of the temporal lobe or other areas of the brain - the individual typically remains conscious throughout. Healy D. Serotonin and depression. Systematic reviews, meta-analyses and large data-set analyses in the following areas were identified: serotonin and serotonin metabolite, 5-HIAA, concentrations in body fluids; serotonin 5-HT1A receptor binding; serotonin transporter (SERT) levels measured by imaging or at post-mortem; tryptophan depletion studies; SERT gene associations and SERT gene-environment interactions. The condition may range from The Heimlich maneuver consists of manual thrusts to the upper abdomen until the airway is clear. Bosker FJ, Tanke MAC, Jongsma ME, Cremers TIFH, Jagtman E, Pietersen CY, et al. The time depends on pulse rate, pulmonary function, RBC count, and other metabolic factors. Relapse prevention initially evolved as a calculated response to the longer-term treatment failures of other therapies. It is seen in frontal lobe disorders usually along with moria. We will update you on new newsroom updates. You fill in the order form with your basic requirements for a paper: your academic level, paper type and format, the number I. Aphemia is the alternate term for mutism. Recovering from alcoholism or are unable to control the amount they drink. This page was last edited on 15 September 2022, at 21:54. Bleys D, Luyten P, Soenens B, Claes S. Gene-environment interactions between stress and 5-HTTLPR in depression: A meta-analytic update. This term refers to uncontrollable repetition of a particular response, such as a word, phrase, or gesture, despite the absence or cessation of the original stimulus. If untreated, one may lead to the other. Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. The term derives from the title of the 1944 film Gaslight, though the term did not gain popular currency in English until the mid-2010s.. Automatisms are sequences of activity that occur without conscious control. Learn about NIMH priority areas for research and funding that have the potential to improve mental health care over the short, medium, and long term. J Clin Psychiatry 1996;57(5):207212. J Clin Psychiatry 1996;57(5):207212. As with all research synthesis, the findings of this umbrella review are dependent on the quality of the included studies, and susceptible to their limitations. Subscribe to the DSM Select individual subscription and add additional books and CME that Appearing most prevalently in winter, it is considered to be a form of a culture-specific disorder. Oquendo MA, Currier D, Liu S, et al. The majority (11/17) of systematic reviews and meta-analyses satisfied less than 50% of criteria. [18] In cases of overdose leading to respiratory arrest, the recommended treatment according to the 2015 American Heart Association guidelines is to administer intramuscular or intranasal naloxone at an initial dose of 0.04-0.4mg. Dosing may be repeated up to 2mg if initial dose is ineffective. Common methods such as the categorisation of continuous measures and application of linear models to non-linear data may have led to over-estimation or under-estimation of effects [69, 70], including the interaction between stress and the SERT gene. The serotonin transporter in depression: Meta-analysis of in vivo and post mortem findings and implications for understanding and treating depression. Fasciculations may result in muscle pain on awakening. The pressure is not a fixed number but it varies with resistance and capacitance of the respiratory system. [citation needed]. Oxford Textbook of Palliative Medicine Online: Oxford Textbook of Public Health Online: Oxford Textbook of Trauma and Orthopaedics Online: Oxford Textbook of Endocrinology & Diabetes Online: Oxford Textbook of Heart Failure Online: Oxford Textbook of Interventional Cardiology Online: Oxford Textbook of Suicidology and Suicide Prevention Online Many general practitioners also subscribe to this view [17] and popular websites commonly cite the theory [18]. Children with intellectual disability may take longer to learn to speak, walk, and take care of their personal needs such as dressing or eating. That means the impact could spread far beyond the agencys payday lending rule. During emergency cricothyrotomy, the patient lies on his back with neck extended and shoulders backward. In children, these limitations will cause a child to learn and develop more slowly than a typical child. Abreaction is a process of vividly reliving repressed memories and emotions related to a past event. Any given volume will correspond to a specific pressure on the pressure-volume curve and vice versa in any case. These vision problems develop in the first few months of life. The American Psychiatric Association (APA) has updated its Privacy Policy and Terms of Use, including with new information specifically addressed to individuals in the European Economic Area. Folie communique, or subtype C of folie deux, occurs when a normal person has a contagion of their ideas after resisting them for a long time. J Cereb Blood Flow Metab. Microsofts Activision Blizzard deal is key to the companys mobile gaming efforts. Mania is often mirrored as a minor image of depression. In bilevel positive airway pressure, both expiratory positive airway pressure and inspiratory positive airway pressure are set by the physician. Behav Res Ther. Research shows that men with comorbid depression and alcohol use have the highest long-term suicide risk (16.2%) (5). Traumatic bonding occurs as the result of ongoing cycles of abuse in which the intermittent reinforcement of reward and punishment creates powerful emotional bonds that are resistant to change. MAH reports being co-founder of a companyin April 2022, aiming to help people safely stop antidepressants in Canada. Google Scholar. [14] The cervical spine should be stabilized, if possible, by using either manual stabilization of the head and neck by a provider or applying a C-collar. You fill in the order form with your basic requirements for a paper: your academic level, paper type and format, the number Accessed March 2, 2021. High blood pressure, heart disease, stroke, liver disease, and digestive problems. Vorbeigehen (giving approximate answers) was the original term used by Ganser but Vorbeireden (talking past the point) is the term generally in use (Goldin 1955). A potential problem the laryngeal mask airway poses is that over inflation will make the mask more rigid and less able to adapt to the patient's anatomy, compressing the tongue and causing tongue edema. Data from studies involving volunteers mostly showed no effect, including a meta-analysis of parallel group studies [50]. In conscious adults, the practitioner will stand behind the patient with arms around the patient's midsection. It assists patients who can spontaneously breathe. Neuropsychopharmacology. Ongoing suicide risk assessment allows for an integrated treatment plan that enables the clinician to continuously address acute and modifiable suicide risk factors, such as preparatory behavior or acute psychosis, while identifying protective factors, which include spirituality, an intact marriage, and child-rearing responsibilities. Collectively, substance use disorders confer a risk of suicide that is 1014 times greater than that of the general population; deaths related to substance use are highest among persons with alcohol use disorders followed by persons who abuse opiates. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 2006. www.prozac.com/how_prozac/how_it_works.jsp?reqNavId=2.2. A single copy of these materials may be reprinted for noncommercial personal use only. The larynx is held in one hand by the practitioner while the other hand is holding a blade to incise the skin through the subcutaneous tissue and into the midline of the cricothyroid membrane to access the trachea. Pain 2016; 157:10791084 Crossref,Google Scholar, 17. The phrase "running amok" describes the behavior of an individual who is very agitated and may be at danger of causing harm to themselves or others. However, clinically the term verbigeration never achieved popularity and as such has virtually disappeared from psychiatric terminology. Curr Psychiatry Rev. [12] This is a type of formal thought disorder that can be seen in schizophrenia. Confabulation is the confusion of imagination with memory, or the confusion of true memories with false memories. [14] If a neck or spinal injury is suspected, the provider should avoid performing this maneuver as further nervous system damage may occur. Should antidepressants be used for major depressive disorder? The results of each study were scored 1 or 0 according to whether they fulfilled each criteria, and based on these ratings an overall judgement was made about the certainty of evidence across studies in each of the six areas of research examined. However, the two recent large,high-quality studies did not find an interaction between the SERT gene and stress in depression (Border et al [32] and Culverhouse et al.) GlaxoSmithKline. Dereistic means: away from reality, undirected fantasy thinking. "Brain fag" was once a common term for mental exhaustion. A rare cause of mutism is akinetic mutism which results due to a lesion around the third ventricle of the brain. Learning and memory problems, including dementia and poor school performance. 48, No. [16] If a foreign body can be detected, the practitioner may remove it with a finger sweep of the oropharynx and suction. It is usually associated with women. 2007;12:33159. For example, a crisis plan for a person who abuses opioids should include education and naloxone, particularly for those with a high risk of reattempting suicide via opioid overdose. PubMed PubMed Central Moncrieff, J., Cooper, R.E., Stockmann, T. et al. All extracted data is presented in Table1. If you are a Mayo Clinic patient, this could Findings from a National Cross-sectional Survey, Today I Can Look in the Mirror and Like Myself: Effects of a Trauma-Informed Mindful Recovery Program on Self-Compassion, National Trends in Suicide Thoughts and Behavior among US Adults with Opioid Use Disorder from 2015 to 2020, Spiritual Readiness in the U.S. Military: A Neglected Component of Warrior Readiness, Using Mindfulness-Based Cognitive Therapy to Prevent Suicide Among High SuicideRisk Patients Who Also Misuse Opioids: a Preliminary Probe of Feasibility and Effectiveness, Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years, The Role of Suffering in Relation to Suicide in Persons Experiencing Co-occurring Substance Use Disorders and Mental Health Conditions: A Brief Perspective, Sexual orientation differences in childhood sexual abuse, suicide attempts, and DSM-5 alcohol, tobacco, other drug use, and mental health disorders in the US, Suicide mortality among psychiatric patients in Northeast Italy: a 10-year cohort study, Alcohol Consumption and Suicidal Behavior: Current Research Evidence and Potential for Prevention, Suicide and Autism: A Lifespan Perspective, SexSpecific Risk Profiles for Suicide Among Persons with Substance Use Disorders in Denmark, Risk of suicide among tramadol users in comparison to users of other substances, The Impacts of COVID-19 on Mental Health, Substance Use, and Overdose Concerns of People Who Use Drugs in Rural Communities, Elevated risk of substance use disorder and suicidal ideation among Black and Hispanic lesbian, gay, and bisexual adults, Impulsivity Scale-12 and its utilization in alcohol use disorder, Individuals with untreated psychiatric disorders and suicide in the COVID-19 era, Suicide Risk and Addiction: The Impact of Alcohol and Opioid Use Disorders, Suicidal Behavior and Club Drugs in Young Adults, Suicide Prevention Strategies to Protect Young Women atRisk, Effect of alcohol on the central nervous system to develop neurological disorder: pathophysiological and lifestyle modulation can be potential therapeutic options for alcohol-induced neurotoxication, Suicidal ideation among Bangladeshi university students early during the COVID-19 pandemic: Prevalence estimates and correlates, Predicting suicidal behavior and self-harm after general hospitalization of adults with serious mental illness, Understanding suicidal behavior and its prevention among youth and young adults in Mexico, Prevention of suicide and reduction of self-harm among people with substance use disorder: A systematic review and meta-analysis of randomised controlled trials, Risk factors for completed suicide among people who use drugs: A scoping review protocol, Suicidal Ideation Among Adults Re-engaging in HIV Care in Argentina, Religious attendance and/or internalized spiritual teachings against suicide, Presence of a child in the home and/or childrearing responsibilities, Trusting relationship with a counselor, physician, or other service provider, Psychosis with delusions of poverty or doom. However, patients can be given sedating and paralytic drugs to minimize discomfort and help out with intubation. In cho de la pense, meaning "thought echo" in French, thoughts seem to be spoken aloud just after being produced. [3], Akathisia refers to a subjective feeling of restlessness in the lower limbs that is related to abnormal activity in the extrapyramidal system in the brain, often due to antipsychotic medication. Hyposchemazia is characterized by the reduced awareness of one's body image and aschemazia by the absence of it. Coppen A. Lidocaine can be given in 1.5mg/kg IV a few minutes before sedation and paralysis. Biochemical and behavioral effects of long-term citalopram administration and discontinuation in rats: role of serotonin synthesis. Neuropsychopharmacology. 2016;26:397410. 63, No. information submitted for this request. After determining the scene is safe, approach the patient and attempt to converse with him or her. Although some earlier meta-analyses of case-control studies showed a statistically significant association between the 5-HTTLPR and depression in some ethnic groups [57, 58], two recent large, high quality studies did not find an association between the SERT gene polymorphism and depression [27, 32]. It generally involves psychological factors, and symptoms may worsen in the context of situational conflict.[1]. Authors of papers were contacted for clarification when data was missing or unclear. John R. Geddes, Nancy C. Andreasen, and Guy M. Goodwin . : Psychiatric diagnoses and suicide: revisiting the evidence. 2020;25:32138. 57, No. This condition is seen in hebephrenic schizophrenia. This occurs in catatonic schizophrenia, and a person with this condition can have his limbs placed in fixed positions as if the person were in fact made from wax. Since these research syntheses were conducted more than 10 years ago, we searched for a systematic sample of ten recently published studies (Table2). Brener N, Hassan S, Barrios L, et al. Subscribe to the DSM Select individual subscription and add additional books and CME that [22] The rate of manual ventilation should not exceed 12 times per minute, or one ventilation every 5 seconds as to avoid hyperventilation. Neuro-linguistic programming (NLP) is a pseudoscientific approach to communication, personal development and psychotherapy, that first appeared in Richard Bandler and John Grinder's 1975 book The Structure of Magic I.NLP claims that there is a connection between neurological processes (neuro-), language (linguistic) and acquired behavioral patterns (programming), and In older populations, suicide is closely linked first with psychiatric illness and subsequently with substance use disorders, particularly alcohol use disorder. 2019;9:204512531987234. Excessive drinking includes binge drinking, heavy drinking, and any drinking by pregnant women or people younger than age 21. Roberts LW, ed. This term is also used interchangeably with autistic thinking though they are not exact synonyms: dereistic emphasizes disconnection from reality and autistic emphasizes preoccupation with inner experience. The serotonin hypothesis of depression is still influential. 2013;13:112. Noninvasive positive pressure ventilation should not be administered to people who are hemodynamically unstable, gastric emptying impaired, bowel obstructed or pregnant. Science 2003;301:3869. Mutism can be dissociative (hysterical) in which an individual (commonly a child or adolescent) stops speaking at once without involvement of any neurological or physical contributing factor; or it can be elective (selective) in which a child does not speak at all in certain situations (such as in school) but speaks well in other conditions (like at home or at play). Automatic behavior is not usually recalled afterwards. 4, 5 July 2022 | Journal of Dual Diagnosis, Vol. Oxford Textbook of Palliative Medicine Online: Oxford Textbook of Public Health Online: Oxford Textbook of Trauma and Orthopaedics Online: Oxford Textbook of Endocrinology & Diabetes Online: Oxford Textbook of Heart Failure Online: Oxford Textbook of Interventional Cardiology Online: Oxford Textbook of Suicidology and Suicide Prevention Online In: The American Psychiatric Association Publishing Textbook of Psychiatry. [dubious discuss] Alternate term used for derailment of thought (a morbid form of loosening of association or asyndesis). 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