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  Canadian Family PhysicianLe Médecin de famille canadien  Vol 55:  MARCH • MARS 2009

What to do when your therapist isn’t there

A 24/7 guide to coping with life on your own

AUTHOR Nina Danielson

PUBLISHER Hatherleigh Press, 5-22 46th Ave, Suite 200, Long Island City, NY 11101, USA

TELEPHONE 800 733-3000

WEBSITE www.hatherleighpress.com PUBLISHED 2006/224 pp/$19.95

OVERALL RATING  Good STRENGTHS  Well written for  a lay audience; helps readers  gain insight into personal  issues of a psychological  nature 

WEAKNESSES  Oversimplifi- cation of Freudian concepts; 

overemphasis on early  development phenomenon  to explain psychological  issues in later life

AUDIENCE  General public,  family and general practi- tioners, health care workers  involved in psychotherapy

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hat To Do When Your Therapist Isn’t There  is  written  by  an  experienced  therapist  who  has  been  counseling patients for more than 40  years.  Danielson  relates  her  tremen- dous inventory of insights into human  psychology and the self in a very clear  and readable manner, although some- times with crass language. 

The  first  chapters  provide  a  very  simplified  description  of  basic  Freudian  concepts.  For  example,  the  id, ego, and superego are like a pea- nut  butter  sandwich,  in  which  the  peanut  butter  is  the  ego  holding  the 

id and superego bread slices together. 

Even  for  an  amateur,  this  might  be  difficult  to  swallow!  Nevertheless,  Danielson’s  writing  is  effective  and  will be helpful for someone trying to  gain  a  better  understanding  of  psy- chological troubles.

Chapters  are  well  organized  and  cover  many  common  psychiatric  con- ditions,  including  depression,  anxiety,  grief,  posttraumatic  stress  disorder,  and  certain  personality  traits.  Each  chapter  provides  a  concise  summary,  important  warning  signs,  and  coping  strategies.

Although  this  book  will  help  read- ers  understand  psychiatric  disorders,  it  does  not  come  close  to  replacing  interaction with a therapist. However,  some  of  the  coping  strategies  might  help  the  overall  healing  process.  It  is  important  to  note  Danielson’s  reliance  on  childhood  experiences  to  explain  personal  psychological  issues later in life. The abundance of  work in the field of psychology since  Freud’s  concepts  were  developed  suggest  that  there  are  perhaps  other  psychoanalytical  models  that  could  be  more  applicable.  Nonetheless,  Danielson’s book is a good refresher  for  family  and  general  practitioners,  and  lay  persons  with  an  interest  in  human psychology.

—Pierre Geoffroy MD CM MSc FCFP Dr Geoffroy is a family physician in Aurora, Ont.

A primer on

musculoskeletal examination

AUTHOR Evelyn Sutton

PUBLISHER Novont Health Publishing Ltd, Halifax, NS B3H 4M8

TELEPHONE 902 423-4344 PUBLISHED 2004/80 pp/$29.95

OVERALL RATING  Very good STRENGTHS  Concise, brief,  clear; helpful photographs; 

systematic approach to mus- culoskeletal examination WEAKNESSES  None

AUDIENCE  Students, residents,  and clinicians in nonortho- pedic, nonmusculoskeletal  disciplines

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t  a  mere  80  pages,  this  book  can  easily  be  devoured  dur- ing  the  commercial  breaks  of  your  favourite  medical  television  show—but  it  probably  won’t  help  you  solve  any  of  the  more  obscure  medical  mysteries  dramatized  on  these  programs.  This  modest  lit- tle book, endorsed by the Canadian  Rheumatology  Association,  is  exactly  what  it  claims  to  be—a  primer.  But  what  it  sets  out  to  do,  it does well. 

Book Reviews

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Vol 55:  MARCH • MARS 2009  Canadian Family PhysicianLe Médecin de famille canadien 

291

The  chapters  are  short  (4  to  8  pages),  are  packed  with  good  photographs,  and  follow  a  clear  and  sys- tematic  approach  to  the  examination  of  each  joint: 

inspection,  palpation,  range-of-motion  testing,  and  special  joint-specific  tests.  Each  chapter  concludes  with  specific  clinical  vignettes  to  help  consolidate  learning and demonstrate practical application.

The  appendices  contain  good  photographs  of  com- mon articular problems, normal active range-of-motion  measurements for each joint, a glossary, and a brief list  of suggested reading for more in-depth information on  the subject.

One  particularly  nice  feature  of  the  book  is  that  the  rationale  behind  each  of  the  joint-specific  tests  is  explained  in  a  clear  and  logical  fashion  so  the  reader  can  actually  understand  (instead  of  simply  memoriz- ing) each of the maneuvers. This is a simple but appre- ciated  touch  that  is  surprisingly  absent  in  many  other  texts on the subject. 

For  the  student  or  clinician  looking  for  a  quick  refresher  on  the  basics  of  the  musculoskeletal  exami- nation,  this  book’s  brevity  and  clarity  are  its  strongest  points.  Those  in  specialized  musculoskeletal  disci- plines  will  want  to  look  elsewhere  for  more  compre- hensive texts.

—Christopher Watt MD DipSpMed CIME Dr Watt is a physician in Vancouver, BC.

Allergic diseases

Diagnosis and treatment

EDITORS Phil Lieberman, John A. Anderson

PUBLISHER Humana Press, 999 Riverview Dr, Suite 208, Totowa, NJ 07512, USA

TELEPHONE 800 777-4643 FAX 973 256-8341

WEBSITE www.humanapress.com PUBLISHED 2007/484 pp/$99.00 US

OVERALL RATING  Excellent

STRENGTHS  Well written; well organized; 

important clinical points or pearls presented  in highlighted boxes

WEAKNESSES  Written within the context of the  United States; therefore, only US epidemiologic  data are included

AUDIENCE  All physicians and health care  providers who care for patients with allergies  (particularly in primary care and emergency  room settings)

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his book describes  numerous  allergic  manifestations  (eg,  anaphylaxis,  asthma,  rhinitis,  conjunctivi- tis, sinusitis, urticaria,  and  contact  derma- titis),  and  provides  a  thorough  discussion  on  diagnostic  tests  for  environmental,  insect-sting, and food  allergies.  Chapters  in  the  book  cover  a  variety of topics, such  as  pharmacologic  agents  used  for  the  treatment  of  aller-

gies,  including  allergen  immunotherapy,  children  with  recurrent  respiratory  tract  infections,  and  controversies  in allergy and allergy-like diseases. 

Allergic Diseases is a very clinically oriented book. The  pathophysiology  of  each  entity  is  explained  in  terms  of  up-to-date  immunologic  mechanisms,  which  are  com- plete but easily understandable, such that the rationale  for treatments of these diseases can be appreciated. All 

Book Reviews

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