Author: Jamieson Webster
Publisher: Columbia University Press
ISBN: 0231545312
Category : Literary Criticism
Languages : en
Pages : 306
Book Description
Conversion disorder—a psychiatric term that names the enigmatic transformation of psychic energy into bodily manifestations—offers a way to rethink the present. With so many people suffering from unexplained bodily symptoms; with so many seeking recourse to pharmacological treatments or bodily modification; with young men and women seemingly willing to direct violence toward anybody, including themselves—a radical disordering in culture insists on the level of the body. Part memoir, part clinical case, part theoretical investigation, this book searches for the body. Is it a psychopathological entity; a crossroads for the cultural, political, and biological in the form of care; or the foundation of psychoanalytic work on the question of sexuality? Jamieson Webster traces conversion’s shifting meanings—in religious, economic, and even chemical processes—revisiting the work of thinkers as diverse as Benjamin, Foucault, Agamben, and Lacan. She provides an intimate account of her own conversion from patient to psychoanalyst, as well as her continuing struggle to apprehend the complexities of the patient’s body. When listening to dreams, symptoms, worries, or sexual impasses, the body becomes a defining trope that belies a vulnerable and urgent wish for transformation. Conversion Disorder names what is singular about the entanglement of the fractured body and the social world in order to imagine what kind of cure is possible.
Conversion Disorder
Author: Jamieson Webster
Publisher: Columbia University Press
ISBN: 0231545312
Category : Literary Criticism
Languages : en
Pages : 306
Book Description
Conversion disorder—a psychiatric term that names the enigmatic transformation of psychic energy into bodily manifestations—offers a way to rethink the present. With so many people suffering from unexplained bodily symptoms; with so many seeking recourse to pharmacological treatments or bodily modification; with young men and women seemingly willing to direct violence toward anybody, including themselves—a radical disordering in culture insists on the level of the body. Part memoir, part clinical case, part theoretical investigation, this book searches for the body. Is it a psychopathological entity; a crossroads for the cultural, political, and biological in the form of care; or the foundation of psychoanalytic work on the question of sexuality? Jamieson Webster traces conversion’s shifting meanings—in religious, economic, and even chemical processes—revisiting the work of thinkers as diverse as Benjamin, Foucault, Agamben, and Lacan. She provides an intimate account of her own conversion from patient to psychoanalyst, as well as her continuing struggle to apprehend the complexities of the patient’s body. When listening to dreams, symptoms, worries, or sexual impasses, the body becomes a defining trope that belies a vulnerable and urgent wish for transformation. Conversion Disorder names what is singular about the entanglement of the fractured body and the social world in order to imagine what kind of cure is possible.
Publisher: Columbia University Press
ISBN: 0231545312
Category : Literary Criticism
Languages : en
Pages : 306
Book Description
Conversion disorder—a psychiatric term that names the enigmatic transformation of psychic energy into bodily manifestations—offers a way to rethink the present. With so many people suffering from unexplained bodily symptoms; with so many seeking recourse to pharmacological treatments or bodily modification; with young men and women seemingly willing to direct violence toward anybody, including themselves—a radical disordering in culture insists on the level of the body. Part memoir, part clinical case, part theoretical investigation, this book searches for the body. Is it a psychopathological entity; a crossroads for the cultural, political, and biological in the form of care; or the foundation of psychoanalytic work on the question of sexuality? Jamieson Webster traces conversion’s shifting meanings—in religious, economic, and even chemical processes—revisiting the work of thinkers as diverse as Benjamin, Foucault, Agamben, and Lacan. She provides an intimate account of her own conversion from patient to psychoanalyst, as well as her continuing struggle to apprehend the complexities of the patient’s body. When listening to dreams, symptoms, worries, or sexual impasses, the body becomes a defining trope that belies a vulnerable and urgent wish for transformation. Conversion Disorder names what is singular about the entanglement of the fractured body and the social world in order to imagine what kind of cure is possible.
Aminoff's Neurology and General Medicine
Author: Michael J. Aminoff
Publisher: Elsevier
ISBN: 0124077382
Category : Medical
Languages : en
Pages : 1393
Book Description
Aminoff's Neurology and General Medicine is the standard and classic reference providing comprehensive coverage of the relationship between neurologic practice and general medicine. As neurologists are asked to consult on general medical conditions, this reference provides an authoritative tool linking general medical conditions to specific neurologic issues and disorders. This is also a valuable tool for the general practitioner seeking to understand the neurologic aspects of their medical practice. Completely revised with new chapters covering metastatic disease, bladder disease, psychogenic disorders, dementia, and pre-operative and post-operative care of patients with neurologic disorders, this new edition will again be the go-to reference for both neurologists and general practitioners. - The standard authoritative reference detailing the relationship between neurology and general medicine - 100% revised and updated with several new chapters - Well illustrated, with most illustrations in full color
Publisher: Elsevier
ISBN: 0124077382
Category : Medical
Languages : en
Pages : 1393
Book Description
Aminoff's Neurology and General Medicine is the standard and classic reference providing comprehensive coverage of the relationship between neurologic practice and general medicine. As neurologists are asked to consult on general medical conditions, this reference provides an authoritative tool linking general medical conditions to specific neurologic issues and disorders. This is also a valuable tool for the general practitioner seeking to understand the neurologic aspects of their medical practice. Completely revised with new chapters covering metastatic disease, bladder disease, psychogenic disorders, dementia, and pre-operative and post-operative care of patients with neurologic disorders, this new edition will again be the go-to reference for both neurologists and general practitioners. - The standard authoritative reference detailing the relationship between neurology and general medicine - 100% revised and updated with several new chapters - Well illustrated, with most illustrations in full color
Functional Neurologic Disorders
Author:
Publisher: Academic Press
ISBN: 0128018496
Category : Medical
Languages : en
Pages : 684
Book Description
Functional Neurologic Disorders, the latest volume in the Handbook of Clinical Neurology series, summarizes state-of-the-art research findings and clinical practice on this class of disorders at the interface between neurology and psychiatry. This 51-chapter volume offers an historical introduction, chapters on epidemiology and pathophysiolology, a large section on the clinical features of different type of functional neurologic symptoms and disorders (including functional movement disorders, non-epileptic seizures, dizziness, vision, hearing, speech and cognitive symptoms), and then concluding with approaches to therapy. This group of internationally acclaimed experts in neurology, psychiatry, and neuroscience represent a broad spectrum of areas of expertise, chosen for their ability to write clearly and concisely with an eye toward a clinical audience. This HCN volume sets a new landmark standard for a comprehensive, multi-authored work dealing with functional neurologic disorders (also described as psychogenic, dissociative or conversion disorders). - Offers a comprehensive interdisciplinary approach for the care of patients with functional disorders seen in neurologic practice, leading to more efficient prevention, management, and treatment - Provides a synthesis of research efforts incorporating clinical, brain imaging and neurophysiological studies - Fills an existing gap between traditional neurology and traditional psychiatry - Contents include coverage of history, epidemiology, clinical presentations, and therapy - Edited work with chapters authored by leaders in the field, the broadest, most expert coverage available
Publisher: Academic Press
ISBN: 0128018496
Category : Medical
Languages : en
Pages : 684
Book Description
Functional Neurologic Disorders, the latest volume in the Handbook of Clinical Neurology series, summarizes state-of-the-art research findings and clinical practice on this class of disorders at the interface between neurology and psychiatry. This 51-chapter volume offers an historical introduction, chapters on epidemiology and pathophysiolology, a large section on the clinical features of different type of functional neurologic symptoms and disorders (including functional movement disorders, non-epileptic seizures, dizziness, vision, hearing, speech and cognitive symptoms), and then concluding with approaches to therapy. This group of internationally acclaimed experts in neurology, psychiatry, and neuroscience represent a broad spectrum of areas of expertise, chosen for their ability to write clearly and concisely with an eye toward a clinical audience. This HCN volume sets a new landmark standard for a comprehensive, multi-authored work dealing with functional neurologic disorders (also described as psychogenic, dissociative or conversion disorders). - Offers a comprehensive interdisciplinary approach for the care of patients with functional disorders seen in neurologic practice, leading to more efficient prevention, management, and treatment - Provides a synthesis of research efforts incorporating clinical, brain imaging and neurophysiological studies - Fills an existing gap between traditional neurology and traditional psychiatry - Contents include coverage of history, epidemiology, clinical presentations, and therapy - Edited work with chapters authored by leaders in the field, the broadest, most expert coverage available
Abnormal Illness Behaviour
Author: Issy Pilowsky
Publisher: John Wiley & Sons
ISBN: 9780471965732
Category : Health & Fitness
Languages : en
Pages : 290
Book Description
Pilowsky presents a general introduction to the early recognition and management of abnormal illness behaviour, and suggests ways to identify such behaviour, offer appropriate psychological care and provide specialist psychiatric help.
Publisher: John Wiley & Sons
ISBN: 9780471965732
Category : Health & Fitness
Languages : en
Pages : 290
Book Description
Pilowsky presents a general introduction to the early recognition and management of abnormal illness behaviour, and suggests ways to identify such behaviour, offer appropriate psychological care and provide specialist psychiatric help.
Psychogenic Movement Disorders
Author: Mark Hallett
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781796279
Category : Medical
Languages : en
Pages : 388
Book Description
This groundbreaking volume is the first text devoted to psychogenic movement disorders. Co-published by Lippincott Williams & Wilkins and the American Academy of Neurology, the book contains the highlights of an international, multidisciplinary conference on these disorders and features contributions from leading neurologists, psychiatrists, psychologists, physiatrists, and basic scientists. Major sections discuss the phenomenology of psychogenic movement disorders from both the neurologist's and the psychiatrist's viewpoint. Subsequent sections examine recent findings on pathophysiology and describe current diagnostic techniques and therapies. Also included are abstracts of 16 seminal free communications presented at the conference.
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781796279
Category : Medical
Languages : en
Pages : 388
Book Description
This groundbreaking volume is the first text devoted to psychogenic movement disorders. Co-published by Lippincott Williams & Wilkins and the American Academy of Neurology, the book contains the highlights of an international, multidisciplinary conference on these disorders and features contributions from leading neurologists, psychiatrists, psychologists, physiatrists, and basic scientists. Major sections discuss the phenomenology of psychogenic movement disorders from both the neurologist's and the psychiatrist's viewpoint. Subsequent sections examine recent findings on pathophysiology and describe current diagnostic techniques and therapies. Also included are abstracts of 16 seminal free communications presented at the conference.
The Life and Death of Psychoanalysis
Author: Jamieson Webster
Publisher: Routledge
ISBN: 0429921306
Category : Psychology
Languages : en
Pages : 210
Book Description
From its peculiar birth in Freud’s self-analysis to its current state of deep crisis, psychoanalysis has always been a practice that questions its own existence. Like the patients that risk themselves in this act - it is somehow upon this threatened ground that the very life of psychoanalysis depends. Perhaps psychoanalysis must always remain in a precarious, indeed ghostly, position at the limit of life and death?
Publisher: Routledge
ISBN: 0429921306
Category : Psychology
Languages : en
Pages : 210
Book Description
From its peculiar birth in Freud’s self-analysis to its current state of deep crisis, psychoanalysis has always been a practice that questions its own existence. Like the patients that risk themselves in this act - it is somehow upon this threatened ground that the very life of psychoanalysis depends. Perhaps psychoanalysis must always remain in a precarious, indeed ghostly, position at the limit of life and death?
Life Events and Illness
Author: George William Brown
Publisher: Guilford Press
ISBN: 9780898627237
Category : Psychology
Languages : en
Pages : 530
Book Description
The role of factors outside the province of the physical and biological sciences in the onset of illness has long been a source of speculation. While early efforts in psychosomatic medicine focused on the relationship between mental states and illness, the effects of personal status and social circumstances on physical health are only now receiving the attention they merit. By integrating current theory, methodology, and research, this ground-breaking volume advances the study of life events and disease to a new stage. George Brown and Tirril Harris are ideal editors for such an undertaking. George Brown has long been known for his path-breaking work on intensive clinical assessment and designing measures that capture the real complexity of social situations, assigned meanings, and personal response to crisis. He brought to light the importance of ``expressed emotion,' the differential role of life events in schizophrenia and depression, and most recently, produced a seminal work on the social etiology of depression with Tirril Harris. As David Mechanic notes in his Foreword, the defining characteristics of these efforts, which are also reflected in this volume are a ``sensitivity to clinical material and capitalizing on serendipity; self-consciousness about methods and methodological advances; and focus on theory with careful efforts to specify intervening processes and the links between macro events and personal meanings.' Along with their collaborators, these eminent editors bring together an impressive range of theoretical thought and empirical study organized around the Life Events and Difficulties Schedule (LEDS). Their examination of the origins of life events and difficulties and the notion of ``conveyor belts' to continuing adversity capture the immutable uncertainties of life and help to link concerns with life events and disease to larger issues of human development. The authors' innovative approach to establishing the relationship between ``attitudes' and psychiatric and physical disorders fully utilizes the wealth of data elicited by the LEDS, and demonstrates how the comprehensiveness of this data matches the sophistication and complexity of the theoretical ideas it serves. Addressing fundamental questions on the whether the specific nature of life events and vulnerability factors differ in different disorders, the authors conclude by providing a perspective on psychodynamic etiology which emphasizes the specificity of crucial links. It integrates social, psychological, and biological factors around the notion that specific types of cognitive-affective experience are linked to specific types of illness. While significantly advancing our understanding of how individuals define and deal with adversity, LIFE EVENTS AND ILLNESS also fosters a greater appreciation of the methodological tools available for examining these processes. For all clinicians, researchers, and students in the behavioral sciences, this timely work not only provides a comprehensive review of the literature and a critical examination of current research models but also points the way for future investigations.
Publisher: Guilford Press
ISBN: 9780898627237
Category : Psychology
Languages : en
Pages : 530
Book Description
The role of factors outside the province of the physical and biological sciences in the onset of illness has long been a source of speculation. While early efforts in psychosomatic medicine focused on the relationship between mental states and illness, the effects of personal status and social circumstances on physical health are only now receiving the attention they merit. By integrating current theory, methodology, and research, this ground-breaking volume advances the study of life events and disease to a new stage. George Brown and Tirril Harris are ideal editors for such an undertaking. George Brown has long been known for his path-breaking work on intensive clinical assessment and designing measures that capture the real complexity of social situations, assigned meanings, and personal response to crisis. He brought to light the importance of ``expressed emotion,' the differential role of life events in schizophrenia and depression, and most recently, produced a seminal work on the social etiology of depression with Tirril Harris. As David Mechanic notes in his Foreword, the defining characteristics of these efforts, which are also reflected in this volume are a ``sensitivity to clinical material and capitalizing on serendipity; self-consciousness about methods and methodological advances; and focus on theory with careful efforts to specify intervening processes and the links between macro events and personal meanings.' Along with their collaborators, these eminent editors bring together an impressive range of theoretical thought and empirical study organized around the Life Events and Difficulties Schedule (LEDS). Their examination of the origins of life events and difficulties and the notion of ``conveyor belts' to continuing adversity capture the immutable uncertainties of life and help to link concerns with life events and disease to larger issues of human development. The authors' innovative approach to establishing the relationship between ``attitudes' and psychiatric and physical disorders fully utilizes the wealth of data elicited by the LEDS, and demonstrates how the comprehensiveness of this data matches the sophistication and complexity of the theoretical ideas it serves. Addressing fundamental questions on the whether the specific nature of life events and vulnerability factors differ in different disorders, the authors conclude by providing a perspective on psychodynamic etiology which emphasizes the specificity of crucial links. It integrates social, psychological, and biological factors around the notion that specific types of cognitive-affective experience are linked to specific types of illness. While significantly advancing our understanding of how individuals define and deal with adversity, LIFE EVENTS AND ILLNESS also fosters a greater appreciation of the methodological tools available for examining these processes. For all clinicians, researchers, and students in the behavioral sciences, this timely work not only provides a comprehensive review of the literature and a critical examination of current research models but also points the way for future investigations.
International Perspectives in Values-Based Mental Health Practice
Author: Drozdstoy Stoyanov
Publisher: Springer Nature
ISBN: 3030478521
Category : Medical
Languages : en
Pages : 415
Book Description
This open access book offers essential information on values-based practice (VBP): the clinical skills involved, teamwork and person-centered care, links between values and evidence, and the importance of partnerships in shared decision-making. Different cultures have different values; for example, partnership in decision-making looks very different, from the highly individualized perspective of European and North American cultures to the collective and family-oriented perspectives common in South East Asia. In turn, African cultures offer yet another perspective, one that falls between these two extremes (called batho pele). The book will benefit everyone concerned with the practical challenges of delivering mental health services. Accordingly, all contributions are developed on the basis of case vignettes, and cover a range of situations in which values underlie tensions or uncertainties regarding how to proceed in clinical practice. Examples include the patient’s autonomy and best interest, the physician’s commitment to establishing high standards of clinical governance, clinical versus community best interest, institutional versus clinical interests, patients insisting on medically unsound but legal treatments etc. Thus far, VBP publications have mainly dealt with clinical scenarios involving individual values (of clinicians and patients). Our objective with this book is to develop a model of VBP that is culturally much broader in scope. As such, it offers a vital resource for mental health stakeholders in an increasingly inter-connected world. It also offers opportunities for cross-learning in values-based practice between cultures with very different clinical care traditions.
Publisher: Springer Nature
ISBN: 3030478521
Category : Medical
Languages : en
Pages : 415
Book Description
This open access book offers essential information on values-based practice (VBP): the clinical skills involved, teamwork and person-centered care, links between values and evidence, and the importance of partnerships in shared decision-making. Different cultures have different values; for example, partnership in decision-making looks very different, from the highly individualized perspective of European and North American cultures to the collective and family-oriented perspectives common in South East Asia. In turn, African cultures offer yet another perspective, one that falls between these two extremes (called batho pele). The book will benefit everyone concerned with the practical challenges of delivering mental health services. Accordingly, all contributions are developed on the basis of case vignettes, and cover a range of situations in which values underlie tensions or uncertainties regarding how to proceed in clinical practice. Examples include the patient’s autonomy and best interest, the physician’s commitment to establishing high standards of clinical governance, clinical versus community best interest, institutional versus clinical interests, patients insisting on medically unsound but legal treatments etc. Thus far, VBP publications have mainly dealt with clinical scenarios involving individual values (of clinicians and patients). Our objective with this book is to develop a model of VBP that is culturally much broader in scope. As such, it offers a vital resource for mental health stakeholders in an increasingly inter-connected world. It also offers opportunities for cross-learning in values-based practice between cultures with very different clinical care traditions.
Somatic Presentations of Mental Disorders
Author: Joel E. Dimsdale
Publisher: American Psychiatric Pub
ISBN: 0890426562
Category : Medical
Languages : en
Pages : 208
Book Description
Sometimes described as "the nemesis of the primary care physician," somatoform disorders are frustrating, expensive to treat, and under-investigated. Somatic Presentations of Mental Disorders provides a fascinating and practical review of the epidemiology, diagnosis, and treatment of this ill-defined category of disease. Somatic Presentations of Mental Disorders summarizes the proceedings of a unique international conference that convened experts from across disciplines to review perspectives on somatoform disorders. The broad range of experience and specialization results in a compendium that addresses both theoretical and practical issues presented in somatoform disorders. For the researcher, the book offers a thorough and critical overview of the research landscape, surveying and synthesizing the available literature from around the world on all aspects of the disorder. Acknowledging the unique challenges presented in studying such a heterogeneous collection of disorders, the authors identify specific gaps in the research literature. Somatic Presentations of Mental Disorders also addresses controversial issues of nosology in advance of the publication of DSM-V. Despite its utility for researchers, the book primarily serves as an invaluable reference and resource for the practitioner. Organized with the clinician in mind, Somatic Presentations of Mental Disorders surveys the latest data on phenomenology; etiology and clinical course; and treatment options. Unlike other literature on this difficult topic, the authors thoroughly explore the entire range of this category of disorders, including conversion disorder, chronic pain and fatigue, and the multitude of presentations of medically unexplained symptoms. Aimed at both primary care and mental health practitioners, the book addresses crucial issues for effective diagnosis and treatment, including: Comorbidity and association with anxiety and depressive disorders Unique insights into cultural factors affecting the presentation and treatment of somatic disorders around the globe The prevalence of misdiagnosis, and contemporary diagnostic tools and techniques to help avoid a missed organic diagnosis The complicated interrelationship of somatoform disorders and substance abuse The efficacy of various treatment modalities, including pharmacology and cognitive behavioral therapy Collaboration between primary care and mental health providers to maximize treatment outcomes Comprehensive, thoughtful, and up-to-date, Somatic Presentations of Mental Disorders is a must-have both for researchers in the field and for clinicians with somatizing patients.
Publisher: American Psychiatric Pub
ISBN: 0890426562
Category : Medical
Languages : en
Pages : 208
Book Description
Sometimes described as "the nemesis of the primary care physician," somatoform disorders are frustrating, expensive to treat, and under-investigated. Somatic Presentations of Mental Disorders provides a fascinating and practical review of the epidemiology, diagnosis, and treatment of this ill-defined category of disease. Somatic Presentations of Mental Disorders summarizes the proceedings of a unique international conference that convened experts from across disciplines to review perspectives on somatoform disorders. The broad range of experience and specialization results in a compendium that addresses both theoretical and practical issues presented in somatoform disorders. For the researcher, the book offers a thorough and critical overview of the research landscape, surveying and synthesizing the available literature from around the world on all aspects of the disorder. Acknowledging the unique challenges presented in studying such a heterogeneous collection of disorders, the authors identify specific gaps in the research literature. Somatic Presentations of Mental Disorders also addresses controversial issues of nosology in advance of the publication of DSM-V. Despite its utility for researchers, the book primarily serves as an invaluable reference and resource for the practitioner. Organized with the clinician in mind, Somatic Presentations of Mental Disorders surveys the latest data on phenomenology; etiology and clinical course; and treatment options. Unlike other literature on this difficult topic, the authors thoroughly explore the entire range of this category of disorders, including conversion disorder, chronic pain and fatigue, and the multitude of presentations of medically unexplained symptoms. Aimed at both primary care and mental health practitioners, the book addresses crucial issues for effective diagnosis and treatment, including: Comorbidity and association with anxiety and depressive disorders Unique insights into cultural factors affecting the presentation and treatment of somatic disorders around the globe The prevalence of misdiagnosis, and contemporary diagnostic tools and techniques to help avoid a missed organic diagnosis The complicated interrelationship of somatoform disorders and substance abuse The efficacy of various treatment modalities, including pharmacology and cognitive behavioral therapy Collaboration between primary care and mental health providers to maximize treatment outcomes Comprehensive, thoughtful, and up-to-date, Somatic Presentations of Mental Disorders is a must-have both for researchers in the field and for clinicians with somatizing patients.
Hysteria: The Rise of an Enigma
Author: J. Bogousslavsky
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318026476
Category : Medical
Languages : en
Pages : 222
Book Description
Hysteria is probably the condition which best illustrates the tight connection between neurology and psychiatry. While it has been known since antiquity, its renewed studies during the 19th century were mainly due to the work of Jean-Martin Charcot and his school in Paris. This publication focuses on these early developments, in which immediate followers of Charcot, including Babinski, Freud, Janet, Richer, and Gilles de la Tourette were involved. Hysteria is commonly considered as a condition that often leads to spectacular manifestations (e.g. convulsions, palsies), although both structural and functional imaging data confirm the absence of consistent and reproducible structural lesions. While numerous hypotheses have tried to explain the occurrence of this striking phenomenon, the precise nosology and pathophysiology of hysteria remain elusive. This volume offers an enthralling and informative read for neurologists, psychiatrists, and psychologists, as well as for general physicians, historians, and everyone interested in the developments of one of the most intriguing conditions in medicine.
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318026476
Category : Medical
Languages : en
Pages : 222
Book Description
Hysteria is probably the condition which best illustrates the tight connection between neurology and psychiatry. While it has been known since antiquity, its renewed studies during the 19th century were mainly due to the work of Jean-Martin Charcot and his school in Paris. This publication focuses on these early developments, in which immediate followers of Charcot, including Babinski, Freud, Janet, Richer, and Gilles de la Tourette were involved. Hysteria is commonly considered as a condition that often leads to spectacular manifestations (e.g. convulsions, palsies), although both structural and functional imaging data confirm the absence of consistent and reproducible structural lesions. While numerous hypotheses have tried to explain the occurrence of this striking phenomenon, the precise nosology and pathophysiology of hysteria remain elusive. This volume offers an enthralling and informative read for neurologists, psychiatrists, and psychologists, as well as for general physicians, historians, and everyone interested in the developments of one of the most intriguing conditions in medicine.