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Psych VivasConsultation-liaison psychiatry — abnormal illness behaviour

Psych Vivas · Consultation-liaison psychiatry — abnormal illness behaviour

Abnormal illness behaviour and the sick role — structured clinical viva

Fellowship viva on AIB theory, nosology translation, ethics of labelling, CHAMP/Henningsen care, and refusal of punitive detention-as-disposal.

clinical1 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
You are the C-L registrar. A medical team says a 52-year-old with multi-system symptoms and normal work-ups has ‘abnormal illness behaviour — please section them or take them to psych.’ Defend definitions (Parsons, Mechanic, Pilowsky), classification axes, DSM mapping, assessment including IBQ concept and risk, differential from FND/factitious/malingering, and a non-dualistic management plan including when detention is and is not appropriate.

Interpretation

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The stem traps candidates into punitive psychiatry (“section the somatiser”). Examiners reward precise AIB theory, DSM mapping, risk assessment, refusal of detention-as-disposal for inconvenience, and a collaborative C-L plan.[1][3][5]

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship library.

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References8ShowHide
  1. [1]Pilowsky I Abnormal illness behaviour Br J Med Psychol, 1969.PMID 5378602
  2. [2]Pilowsky I A general classification of abnormal illness behaviours Br J Med Psychol, 1978.PMID 646959
  3. [3]Pilowsky I Abnormal illness behaviour: a 25th anniversary review Aust N Z J Psychiatry, 1994.PMID 7794200
  4. [4]Kirmayer LJ, Looper KJ Abnormal illness behaviour: physiological, psychological and social dimensions of coping with distress Curr Opin Psychiatry, 2006.PMID 16612180
  5. [5]Henningsen P, Zipfel S, Herzog W Management of functional somatic syndromes Lancet, 2007.PMID 17368156
  6. [6]Tyrer P, Cooper S, Salkovskis P, et al. Clinical and cost-effectiveness of cognitive behaviour therapy for health anxiety in medical patients Lancet, 2014.PMID 24139977
  7. [7]Bass C, Halligan P Factitious disorders and malingering: challenges for clinical assessment and management Lancet, 2014.PMID 24612861
  8. [8]Dimsdale JE, Creed F, Escobar J, et al. Somatic symptom disorder: an important change in DSM J Psychosom Res, 2013.PMID 23972410
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