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.
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.
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