Mihaljević-Peleš, Alma

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Prije 10 godina objavljena je knjiga „Psihopa-tologija“ profesora Dražena Begića. Ona je bila namijenjena, prije svega, studentima psiholo-gije i medicine. Ta se knjiga u međuvremenu našla na popisu obvezne ili dopunske litera-ture mnogih fakulteta i studija, a koristili su je stručnjaci različitih profila i usmjerenja u području mentalnog zdravlja. Svako sljedeće izdanje, koje je bilo dopunjavano i proširivano novim spoznajama, upotrebljavalo je sve više studenata različitih diplomskih i poslijediplom-skih studija. I tako je ta knjiga stekla pomalo kultni status među čitateljima psihijatrijske publicistike. Sada je pred nama četvrto, dopunjeno i ob-novljeno izdanje, koje se najviše razlikuje od originala. Dodana su nova poglavlja (o epide-miologiji u psihijatriji i psihopatologiji, o trans-kulturalnoj psihopatologiji). Neka su poglavlja znatno promijenjena (ona o povijesti psihopa-tologije, o klasifikaciji psihičkih poremećaja, o dijagnozi psihičkih poremećaja, o bolestima ovisnosti, o suicidalnosti). Uvršteni su novi en-titeti, npr. organski katatoni poremećaj, psihič-ki poremećaji uzrokovani sintetskim kationima i kanabinoidima, bihevioralne ovisnosti, pore-The book titled “Psychopathology” by Profes-sor Dražen Begić was published a decade ago. Above all, it was intended for students of psy-chology and medicine. In the meanwhile, the book has found its way onto the list of required or supplementary literature at various faculties and studies and has been used by experts of various profiles and specializations in the field of mental health. Each subsequent edition sup-plemented and expanded with new findings was used by more and more students of various graduate and postgraduate studies. The book has thus achieved a kind of cult status among readers of psychiatric literature. The book in front of us is the fourth, supple-mented and updated edition, which differs the most from the original. New chapters have been added on epidemiology in psychiatry and psychopathology as well as on transcul-tural psychopathology. Some chapters have been significantly changed, i.e., the chapters on the history of psychopathology, classifica-tion of mental disorders, diagnosis of mental disorders, addiction and on suicide. A num-ber of new entities has been included, such as organic catatonic disorder, mental disorders Dražen BegićPsihopatologija/ PsychopathologyČetvrto, dopunjeno i obnovljeno izdanje./ Fourth, supplemented and updated edition.Zagreb: Medicinska naklada 2021.(789 stranica, ISBN 78-953-368-007-1)./ (p. 789, ISBN 78-953-368-007-1).Soc. psihijat. | 49 (2021) | 249-252PRIKAZ KNJIGE / BOOK REVIEW250 mećaj s uvjerenjem o vlastitom neugodnom mirisu, ruminacijsko-regurgitacijski poremećaj, kompulzivni poremećaj seksualnog ponašanja i dr. Najznačajnija promjena odnosi se na uvođenje 11. revizije Međunarodne klasifikacije bolesti (MKB-11). Ta revizija, koja na potpuno novi način konceptualizira psihičke poremećaje i uvodi novi oblik njihovog šifriranja, bit će u službenoj upotrebi 2022. godine. No, do nje-zine potpune primjene bit će potrebno u pri-jelaznom razdoblju rabiti i postojeću MKB-10 klasifikaciju. Stoga su u knjizi „Psihopatolo-gija“ uključene obje klasifikacije i međusobno uspoređene (kada god je to moguće). Naime, neki se entiteti nalaze u obje klasifikacije i tu je usporedba laka i jednostavna. Neki entiteti se nalaze u obje klasifikacije, ali su različito nazvani i/ili se nalaze na različitim mjestima u klasifikacijskom sustavu, a neki su navedeni u jednoj klasifikaciji, a nema ih u drugoj. Tim je situacijama autor vješto postupio objasnivši zašto je tomu tako. I pokazao je ideju vodilju u razvoju klasifikacija, opisao razlike u kliničkoj slici i dijagnostici te uveo usporedbu s DSM su-stavom. Ova je knjiga metodički iznimno dobro prila-gođena studentima (stručna je, a istodobno jednostavna i jasna). Autor je tekst napisao slijedeći najsuvremenije znanstveno-stručne spoznaje, što je vidljivo iz samog rukopisa, ali iz iznimnog bogatog i suvremenog popisa lite-rature. „Psihopatologija“ će mnogim studen-tima koristiti u usvajanju znanja o psihičkim smetnjama, poremećajima i bolestima, a isto-dobno će i mnogim diplomiranim stručnjacima pomagačkih zanimanja biti nezaobilazan tekst u njihovu cjeloživotnom usavršavanju.Ovaj udžbenik je originalan i praktički se ne može usporediti s drugim domaćim djelima. U usporedbi s najvažnijim stranim knjigama, ovo djelo izdržava bilo kakvu kritičku anali-zu i usporedbu u sadržajnom i strukturnom smislu.caused by synthetic cations and cannabinoids, behavioural addictions, olfactory reference syn-drome, rumination and regurgitation disorder, compulsive sexual behaviour and more. The most significant change relates to the in-troduction of the 11th revision of the Interna-tional Classification of Diseases (ICD-11). The 11th revision provides a completely new con-cept for mental disorders and introduces a new coding structure, which will be officially used in 2022. Until its full implementation, the ex-isting ICD-10 classification will be used during the transition period. Therefore, the book Psy-chopathology comprises both classifications and cross-references between the two. To be specif-ic, certain entities are contained in both clas-sifications and in such cases the comparison is undemanding and simple. On the other hand, certain entities are listed in both classifications but under different names and/or headings in the classification system while some are listed in one classification and not in the other. The author of the book tackled the problem very skilfully by explaining the reasons. Also, he pointed to the guiding idea behind the develop-ment of the classifications, described the differ-ences in the clinical picture and diagnostics and introduced a comparison with the DSM system. In terms of methodology, Psychopathology is extremely well adapted to students. It is pro-fessional yet simple and concise. Professor Be-gić wrote Psychopathology incorporating state-of-the-art scientific findings, which is evident from the content as well from an extensive list of references. This book will be useful to many students in acquiring knowledge about mental disorders, symptoms and diseases. At the same time, it will be a very important resource for many graduate professionals in the course of their lifelong learning. Psychopathology is an original textbook that practically cannot be compared to any other book published by a domestic author. Com-pared to the most important foreign books, it 251withstands critical analysis or comparison in terms of its content and structure. The introductory part of the book, or the first ten chapters, introduces the basic concepts, paradigms and scientific research on psychopa-thology and psychiatric diagnostics and defines all relevant elements for determining a mental status and recognizing pathological phenomena in the mental examination of patients. The sec-ond part comprises twelve chapters dedicated to general psychopathology and provides a de-tailed and systematic explanation of psycholog-ical symptoms of all the changed mental func-tions. The third part of the book (special psy-chopathology) provides a description of various mental disorders. In this part of the book the author firmly adheres to the structure of chap-ters dealing with epidemiology, etiology, comor-bidity, clinical picture and differential diagnosis of individual mental disorders. The only miss-ing aspect is therapy. In the preface, Professor Begić explains why therapy was not included: “because it would be a textbook on psychiatry… and it would be too demanding to leave every-thing in the hands of a single author”. This part of the book is followed by the Dictionary of Psy-chopathology. This edition provides a consider-ably expanded, comprehensive and systematic dictionary that functions well independently.The book also comprises an index, a list of au-thors and abbreviations as well as a list of ref-erences. At the very end of the book the author gives test questions from the field of psychopa-thology with correct answers. Psychopathology is a book comprised of 789 pages, over 900 references, 35 chapters (and the same number of examples, i.e., descriptions of a mental disorder), 8 tables, and 19 pictures. The chapters dedicated to special psychopathol-ogy begin with a story or a description of a par-ticular disorder (given in the first-person form), which is then also the title of that chapter. Six-teen annexes provide interesting descriptions of particular phenomena, approaches, well-Uvodni dio, prvih 10 poglavlja, posvećen je os-novnim pojmovima, paradigmama i znanstve-nim istraživanjima psihopatologije i psihijatrij-ske dijagnostike, definira sve dijelove uzimanja psihičkog statusa te prepoznavanja patoloških fenomena u psihičkom pregledu bolesnika. U drugom dijelu, koji sadrži 12 poglavlja (opća psihopatologija), objašnjeni su psihički simp-tomi, detaljno i sustavno, svih promijenjenih psihičkih funkcija. U trećem dijelu (specijalna psihopatologija) opisani su psihički poremećaji. Ovdje se autor čvrsto drži strukture poglavlja: od epidemiologije, preko etiologije, komorbi-diteta, kliničke slike i diferencijalne dijagno-ze pojedinih psihičkih poremećaja. Nedostaje još samo terapija. Prof. Begić u predgovoru objašnjava zašto nema terapije („jer bi to bio udžbenik psihijatrije…a prezahtjevno bi bilo da ga piše jedan autor“). Zatim slijedi Rječnik psihopatologije. On je (sada znatno proširen) sveobuhvatan, sustavan, može se čitati kao sa-mostalno djelo.Knjiga sadrži kazalo pojmova, kazalo autora, popis kratica i literaturu. Na samom kraju su test pitanja iz područja psihopatologije s toč-nim odgovorima. Knjiga „Psihopatologija“ ima 789 stranica i pre-ko 900 referenci. Ima 35 poglavlja (i isto toliko primjera, odnosno opisa nekog psihičkog pore-mećaja), 8 tablica, 19 slika. S pričama o nekom poremećaju (s njegovim opisom u prvom licu) počinju istoimena poglavlja specijalne psiho-patologije. U prilozima (kojih ima 16) dani su zanimljivi opisi nekih fenomena, pristupa, po-znatih eksperimenata u psihologiji, iskustvo čovjeka koji je preživio samoubilački skok.Ova knjiga korespondira sa sadašnjim vreme-nom i novim izazovima koji su pred nama. Tako su obrađene teme „Utjecaj COVID-19 na psihičko zdravlje“, „U ordinaciji dr. Googla“, „Ekspati“.„Psihopatologija“ je jedan od rijetko duboko promišljenih, strukturiranih i potpuno urav-252 known experiments in psychology, and the ex-perience of a man who survived a suicide jump.This book corresponds to the present time and the new challenges that lie ahead. In the light of that the topics such as “The impact of COVID-19 on mental health”, “In the office of Doctor Google”, and “Expats” were tackled.Psychopathology represents one of the few deeply thought-out, structured and fully bal-anced teaching texts written in the Croatian language. Although this completely unique textbook had previous editions, its latest ver-sion containing supplements surpasses all of them. I would dare to say that Psychopathology is a major work of Croatian psychiatric and psy-chological literature. In the review of the first edition of Psychopa-thology, Professor Vlado Jukić wrote that this textbook would be read and quoted not for years, but for decades. He had a point.Alma Mihaljević-Peleš noteženih nastavnih tekstova s hrvatskog go-vornog područja. Premda postoje prethodna izdanja ovog sasvim jedinstvenog udžbenika, sadašnja dorada i dopuna ih nadmašuje. Usudi-la bih se reći da je ovo kapitalno djelo hrvatske psihijatrijske i psihologijske publicistike. Prof. Vlado Jukić je u recenziji prvog izdanja „Psihopatologije“ napisao da će se taj udžbenik čitati i citirati ne godinama, nego desetljećima. I bio je u pravu.Alma Mihaljević-Peleš

Dražen Begić; Psychopathology

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