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Canadian Consultation-Liaison Psychiatry/Psychosomatic Medicine: A Discipline Still Waiting for Official Recognition and Patient Care Accessibility

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Global Psychosomatic Medicine and Consultation-Liaison Psychiatry

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Abstract

As a consultation-liaison psychiatrist working in a Canadian university hospital for over 30 years, I have observed that most medical and surgical specialists appreciate the collaboration of C-L psychiatrists in the evaluation and treatment of their patients. Then, why is psychosomatic medicine/consultation-psychiatry not yet recognized as specialty by the Canadian credentialing bodies? Why is access to specialized care in psychosomatic medicine and C-L psychiatry primarily limited to some major cities?

The goal of this chapter is to present an overview of the evolution of psychosomatic medicine (PM)/consultation-liaison psychiatry (C-L) in Canada during the twentieth century and the first years of the twenty-first century. Since it is an overview, it will be impossible to include all the important contributors to the advancement of C-L psychiatry as a discipline across Canada.

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References

  • Abbass, A. (2005). Somatization diagnosing it sooner through emotion-focused interviewing. Journal of Family Practice, 54(3), 215–224.

    Google Scholar 

  • Asmundson, G. J. G. (2001). Health anxiety: clinical and research perspectives on hypochondriasis and related conditions. New York: Wiley Series in Clinical Psychology.

    Google Scholar 

  • Bakal, D. (1983). The psychobiology of chronic headache. New York: Springer.

    Google Scholar 

  • Bouchard, S., & Verrier, P. (2005). Anxiety disorders and comorbidities. Vancouver: Anxiety Disorders Association of Canada.

    Google Scholar 

  • Fleming, J. A. E., & Gagnon, F. (2009). Consultation-liaison psychiatry (psychosomatic medicine). In G. Hnatko, E. Persad, & J. Leverette (Eds.), Approaches to postgraduate education. In Psychiatry in Canada. Canadian Psychiatric Association, Ottawa.

    Google Scholar 

  • Frasure-Smith, N., & Lesperance, F. (2003). Depression and other psychological risks following myocardial infarction. Archives of General Psychiatry, 60, 627–636.

    Article  Google Scholar 

  • Furer, P., Walker, P., Stein, J. H., & Murray, B. (2007). Treating health anxiety and fear of death. A practitioner’s guide. New York: Springer.

    Google Scholar 

  • Gagnon, F. (2009). Basic clinical training. In G. Hnatko, E. Persad, & J. Leverette (Eds.), Approaches to postgraduate education. In Psychiatry in Canada. Canadian Psychiatric Association, Ottawa.

    Google Scholar 

  • Gilbert, E., Savard, J., Gagnon, P., Savard, M. H., Ivers, H., & Foldes-Busque, G. (2018). To be or not to be positive: Development of a tool to assess the relationship of negative, positive, and realistic thinking with psychological distress in breast cancer. Journal of Health Psychology, 23(5), 731–742.

    Article  Google Scholar 

  • Goldbloom, D. S., & Davine, J. (2011). Psychiatry in primary care: A concise Canadian pocket guide. Toronto: Centre for Addiction and Mental Health.

    Google Scholar 

  • Kirmayer, L. J., & Robbins, J. M. (1991). Three forms of somatization in primary care: Prevalence, co-occurrence, and sociodemographic characteristics. The Journal of Nervous and Mental Disease, 179(11), 647–655.

    Article  CAS  Google Scholar 

  • Lipowski, Z. J. (1967a). Review of consultation psychiatry and psychosomatic medicine. I. General principles. Psychosomatic Medicine, 29(2), 153–171.

    Article  CAS  Google Scholar 

  • Lipowski, Z. J. (1967b). Review of consultation psychiatry and psychosomatic medicine. II. Clinical aspects. Psychosomatic Medicine, 29(3), 201–224.

    Article  CAS  Google Scholar 

  • Lipowski, Z. J. (1968). Review of consultation psychiatry and psychosomatic medicine. III. Theoretical issues. Psychosomatic Medicine, 30(4), 395–422.

    Article  CAS  Google Scholar 

  • Lipowski, Z. J. (1984). What does the word “psychosomatic” really mean? A historical and semantic inquiry. Psychosomatic Medicine, 46(2), 153–171.

    Article  CAS  Google Scholar 

  • Lipowski, Z. J. (1985). Psychosomatic medicine and liaison psychiatry: Selected paper. New York: Plenum.

    Book  Google Scholar 

  • Lipowski, Z. J. (1986a). Psychosomatic medicine: Past and present part I. Historical background. The Canadian Journal of Psychiatry, 31(1), 2–7.

    Article  CAS  Google Scholar 

  • Lipowski, Z. J. (1986b). Psychosomatic medicine: Past and present part II. Current state. The Canadian Journal of Psychiatry, 31(1), 8–13.

    Article  CAS  Google Scholar 

  • Lipowski, Z. J. (1986c). Psychosomatic medicine: Past and present part III. Current research. The Canadian Journal of Psychiatry, 31(1), 14–21.

    Article  CAS  Google Scholar 

  • Marin, M. F., Pilgrim, K., & Lupien, S. J. (2010). Modulatory effects of stress on reactivated emotional memories. Psychoneuroendocrinology, 35, 1388–1396. [Epub ahead of print].

    Article  Google Scholar 

  • Munro, A., & Mok, H. (1995). An overview of treatment in paranoia/delusional disorder. Canadian Journal of Psychiatry, 1, 616–622.

    Article  Google Scholar 

  • Murphy, H. B. M. (1983). In Memoriam: Whitkower, Eric (1899–1983). Transcultural Psychiatric Research Review, 20(2), 81–86.

    Article  Google Scholar 

  • Rodin, G. (2018). From evidence to implementation: The global challenge for psychosocial oncology. Psycho-Oncology, 27, 2310–2316.

    Article  Google Scholar 

  • Savard, J., Savard, M.-H., & Ancoli-Israel, S. (2017). Chapter 130: Sleep and fatigue in cancer patients. In M. Kryger, T. Roth, & W. C. Dement (Eds.), Principles and practice of sleep medicine (6th ed., pp. o1286–o1293). Philadelphia: Elsevier.

    Chapter  Google Scholar 

  • Stewart, D. E., Vigod, S. N., MacMillan, H. L., Han, A., Rondon, M. B., MacGregor, J. C. D., & Riazantseva, E. (2017). Current reports on perinatal intimate partner violence. Current Psychiatry Reports, 19(5), 26.

    Article  Google Scholar 

  • Streltzer, J. (2016). The International College of Psychosomatic Medicine, a personal history. BioPsychoSocial Medicine, 10, 25.

    Article  Google Scholar 

  • Swenson, J. R., Abbey, S., & Stewart, D. E. (1993). Consultation-liaison psychiatry as a subspecialty: AA Canadian survey. General Hospital Psychiatry, 15(6), 386–391.

    Article  CAS  Google Scholar 

  • Tait, G. R., Bates, J., LaDonna, K. A., Strachan, P. H., McDougall, A., & Lingard, L. (2015). Adaptive practices in heart failure care teams: Implications for patient-centered care in the context of complexity. Journal of Multidisciplinary Healthcare, 8, 365–376.

    PubMed  PubMed Central  Google Scholar 

  • Taylor, G., Bagby, R. M., & Parker, J. D. A. (2003). The 20-Item Toronto Alexithymia Scale: IV. Reliability and factorial validity in different languages and cultures. Journal of Psychosomatic Research, 55, 277–283.

    Article  Google Scholar 

  • Whitkower, E. D., & Warnes, H. (Eds.) (1977). Psychosomatic medicine: Its clinical applications. Joanna Cotler Books; Second Printing Edition (May 5), Ottawa.

    Google Scholar 

  • Zhou, C., Rajaratnam, T., Abbey, S., Hawa, R., Sheehan, K., & Sockalingam, S. (2018). Measuring quality of care in consultation liaison psychiatry: Outcomes from two Canadian hospitals. General Hospital Psychiatry, 54, 54–56.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Psychiatry and Neurosciences, Université Laval, Quebec City, QC, Canada

    Fabien Gagnon

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  1. Fabien Gagnon
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Correspondence to Fabien Gagnon .

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Editors and Affiliations

  1. Department of Psychiatry University of California San Francisco, CA, USA, Psychiatric Consultation-Liaison Service and Psychosomatic Medicine Program, UCSF Fresno, USA

    Hoyle Leigh

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Gagnon, F. (2019). Canadian Consultation-Liaison Psychiatry/Psychosomatic Medicine: A Discipline Still Waiting for Official Recognition and Patient Care Accessibility. In: Leigh, H. (eds) Global Psychosomatic Medicine and Consultation-Liaison Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-030-12584-4_24

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  • DOI: https://doi.org/10.1007/978-3-030-12584-4_24

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  • Online ISBN: 978-3-030-12584-4

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