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A Qualitative Study Of Mindfulness Based Cognitive Therapy For Chronic Fatigue Syndrome
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Book Synopsis Mindfulness-Based Cancer Recovery by : Linda Carlson
Download or read book Mindfulness-Based Cancer Recovery written by Linda Carlson and published by New Harbinger Publications. This book was released on 2011-02-03 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Mind-Body Approach to Healing If you have received a cancer diagnosis, you know that the hundreds of questions and concerns you have about what's to come can be as stressful as the cancer treatment itself. But research shows that if you mentally prepare yourself to handle cancer treatment by getting stress and anxiety under control, you can improve your quality of life and become an active participant in your own recovery. Created by leading psychologists specializing in oncology, the Mindfulness-Based Cancer Recovery program is based on mindfulness-based stress reduction (MBSR), a therapeutic combination of mindfulness meditation and gentle yoga now offered to cancer survivors and their loved ones in hundreds of medical centers, hospitals, and clinics worldwide. Let this book be your guide as you let go of fear and focus on getting well. With this eight-week program, you'll learn to: • Use proven MBSR skills during your treatment and recovery • Boost your immune function through meditation and healing yoga • Calm feelings of fear, uncertainty, and lack of control • Mindfully manage difficult symptoms and side effects • Discover your own capacity for healing and thriving after adversity
Book Synopsis Mindfulness-Based Therapy for Managing Fatigue by : Fiona McKechnie
Download or read book Mindfulness-Based Therapy for Managing Fatigue written by Fiona McKechnie and published by Jessica Kingsley Publishers. This book was released on 2023-09-21 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on an 8-week Mindfulness-based Cognitive Therapy programme, this guide addresses the increasing need for adapted mindfulness in the management of ME/CFS, fibromyalgia, Long Covid, and other chronic fatigue conditions. Using current understanding and theoretical approaches to Long Covid and ME/ CFS, this book allows practitioners to understand how they can adapt their teaching to accommodate patients with specific needs and challenges, including adaptations for brain fog, approaches to rest, movement, daily activity and accompanying difficult thoughts and emotions. Contributions from people who manage ME, fibromyalgia and chronic fatigue through mindfulness are included alongside practical guidance and detailed week-by-week session plans whether that's in-person or online. Filled with helpful diagrams and illustrations, practitioners can use this guide to greatly widen the scope of who they can reach and gently empower clients living with often isolating conditions on how to apply this approach in the long-term to their everyday lives.
Book Synopsis Mindfulness-Based Cognitive Therapy by : Rebecca Crane
Download or read book Mindfulness-Based Cognitive Therapy written by Rebecca Crane and published by Routledge. This book was released on 2017-09-19 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of Mindfulness-Based Cognitive Therapy: Distinctive Features (MBCT) provides a concise, straightforward overview of MBCT, fully updated to include recent developments. The training process underpinning MBCT is based on mindfulness meditation practice and invites a new orientation towards internal experience as it arises - one that is characterised by acceptance and compassion. The approach supports a recognition that even though difficulty is an intrinsic part of life, it is possible to work with it in new ways. The book provides a basis for understanding the key theoretical and practical features of MBCT and retains its accessible and easy-to-use format that made the first edition so popular, with 30 distinctive features that characterise the approach. Mindfulness-Based Cognitive Therapy: Distinctive Features will be essential reading for professionals and trainees in the field. It is an appealing read for both experienced practitioners and newcomers with an interest in MBCT.
Book Synopsis Mindfulness-Based Cognitive Therapy for Depression, Second Edition by : Zindel Segal
Download or read book Mindfulness-Based Cognitive Therapy for Depression, Second Edition written by Zindel Segal and published by Guilford Publications. This book was released on 2018-06-04 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: This acclaimed work, now in a new edition, has introduced tens of thousands of clinicians to mindfulness-based cognitive therapy (MBCT) for depression, an 8-week program with proven effectiveness. Step by step, the authors explain the "whys" and "how-tos" of conducting mindfulness practices and cognitive interventions that have been shown to bolster recovery from depression and prevent relapse. Clinicians are also guided to practice mindfulness themselves, an essential prerequisite to teaching others. Forty-five reproducible handouts are included. Purchasers get access to a companion website featuring downloadable audio recordings of the guided mindfulness practices (meditations and mindful movement), plus all of the reproducibles, ready to download and print in a convenient 8 1/2" x 11" size. A separate website for use by clients features the audio recordings only. New to This Edition *Incorporates a decade's worth of developments in MBCT clinical practice and training. *Chapters on additional treatment components: the pre-course interview and optional full-day retreat. *Chapters on self-compassion, the inquiry process, and the three-minute breathing space. *Findings from multiple studies of MBCT's effectiveness and underlying mechanisms. Includes studies of adaptations for treating psychological and physical health problems other than depression. *Audio files of the guided mindfulness practices, narrated by the authors, on two separate Web pages--one for professionals, together with the reproducibles, and one just for clients. See also the authors' related titles for clients: The Mindful Way through Depression demonstrates these proven strategies in a self-help format, with in-depth stories and examples. The Mindful Way Workbook gives clients additional, explicit support for building their mindfulness practice, following the sequence of the MBCT program. Plus, for professionals: Mindfulness-Based Cognitive Therapy with People at Risk of Suicide extends and refines MBCT for clients with suicidal depression.
Book Synopsis Myalgic Encephalomyelitis / Chronic Fatigue Syndrome by :
Download or read book Myalgic Encephalomyelitis / Chronic Fatigue Syndrome written by and published by CRC Press. This book was released on 2003-02-06 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: An important medical milestone for anyone connected with ME/CFS! Myalgic Encephalomyelitis / Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols includes a clinical definition (clinical diagnostic criteria) for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). The clinical case definition was developed by an expert medical consensus panel of treating physicians, teaching faculty and world leaders in the research of ME/CFS. An expert subcommittee of Health Canada established the Terms of Reference for the consensus panel. The definition more adequately reflects the complexity of symptoms of a given patient’s pathogenesis and should establish ME/CFS as a distinct medical entity and help distinguish it from overlapping medical conditions in the absence of a definitive laboratory test. “The clinical definition will enable clinicians to make an early diagnosis which may assist in lessening the impact of ME/CFS in some patients,” said Dr. Bruce M. Carruthers, lead author of the definition. “It will reduce the expensive problem of patients being sent to many specialists before being diagnosed and will allow patients to receive appropriate treatments in a timely fashion.” The panel's clinical case definition determines that more of the prominent symptoms are compulsory and symptoms that share a common region of pathogenesis are grouped together for clarity. In addition to severe prolonged fatigue, the definition includes the hallmark symptoms of post-exertional malaise and/or fatigue, sleep dysfunction, pain, two or more of the given neurological/cognitive manifestations, and at least one of the given symptoms from two of the categories of autonomic, neuroendocrine, and immune manifestations. Diagnostic exclusions and common co-morbid entities are also given. The special issue of the Journal of Chronic Fatigue Syndrome also includes a discussion of prominent symptoms, clinical practice diagnostic and treatment guidelines based on the best available research evidence, and an overview of available research on ME/CFS. The expert panel of 11 physicians—who have diagnosed and/or treated more than 20,000 ME/CFS patients between them—has developed a clinical case definition that provides a flexible conceptual framework based on the characteristic patterns of symptom clusters, which reflect specific areas of pathogenesis. The expert subcommittee of Health Canada selected the expert consensus panel. Authors include: Dr. Bruce M. Carruthers, lead author of the consensus document; co-author of the draft of the original version of the ME/CFS clinical definition, diagnostic and treatment protocols document; internal medicine, Galiano, British Columbia. Dr. Anil Kumar Jain, co-author of the draft the original version of the ME/CFS consensus document, affiliate of Ottawa Hospital, Ontario. Dr. Kenny L. De Meirleir, Professor Physiology and Medicine, Vrije Universiteit Brussel, Brussels, Belgium; ME/CFS researcher and clinician; organizer of the World Congress on Chronic Fatigue Syndrome and Related Disorders; a board member of the American Association for Chronic Fatigue Syndrome; and co-editor of Chronic Fatigue Syndrome: Critical Reviews and Clinical Advances (Haworth) Dr. Daniel L. Peterson, affiliate of the Sierra Internal Medicine Associates in Incline Village, Nevada; ME/CFS researcher and clinician; a board member of the American Association for Chronic Fatigue Syndrome; and member of the International Chronic Fatigue Syndrome Study Group Dr. Nancy G. Klimas, Clinical Professor of Medicine in Microbiology/Immunology/Allergy and Psychology, University of Miami School of Medicine; ME/CFS researcher and clinician; a board member of the American Association for Chronic Fatigue Syndrome; and member of the federal CFS Coordinating Committee Dr. A. Martin Lerner, staff physician at William Beaumont Hospital in Royal Oak, Michigan; Clinical professor and former chief of the Division of Infectious Diseases at Wayne State University's School of Medicine; and ME/CFS researcher and clinician Dr. Alison C. Bested, haematological pathologist; former head of the Division of Haematology and Immunology at the Toronto East General and Orthopaedic Hospital; affiliate of the Environmental Health Clinic and Sunnybrook & Women's College Health Sciences Centre, Toronto, Ontario; ME/CFS researcher and clinician Dr. Pierre Flor-Henry, Clinical Professor of Psychiatry, University of Alberta; Clinical Director of General Psychiatry and Director of the Clinical Diagnostic and Research Centre, both based at Alberta Hospital in Edmonton, Alberta, Canada; ME/CFS brain researcher Dr. Pradip Joshi, internal medicine, Clinical Associate Professor of Medicine at Memorial University of Newfoundland in St. John's, Canada Dr. A. C. Peter Powles, Professor Emeritus, Faculty of Health Science, McMasters University, Hamilton; Professor, Faculty of Medicine, University of Toronto; Chief of Medicine and Sleep Disorders Consultant, St. Joseph's Health Centre, Toronto; Sleep Disorder Consultant at the Sleep Disorder Clinic at St. Joseph's Healthcare, Hamilton, and Central West Sleep Affiliation, Paris, Ontario Dr. Jeffrey A. Sherkey, family medicine, affiliate of the University Health Network, Toronto, Ontario; and diagnosed with chronic fatigue syndrome nearly 10 years ago Marjorie I. van de Sande, Consensus Coordinator; and Director of Education for the National ME/FM Action Network, Canada Myalgic Encephalomyelitis / Chronic Fatigue Syndrome: Clinical Working Case Definition, Diagnostic and Treatment Protocols also addresses diagnostic exclusions and common co-morbid entities. This groundbreaking book is must reading for anyone connected with the disease—personally or professionally.
Book Synopsis Assessing Mindfulness and Acceptance Processes in Clients by : Ruth Baer
Download or read book Assessing Mindfulness and Acceptance Processes in Clients written by Ruth Baer and published by New Harbinger Publications. This book was released on 2010-05-01 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: How does mindfulness work? Thousands of therapists utilize mindfulness-based treatments and have witnessed firsthand the effectiveness of these approaches on clients suffering from anxiety, depression, and other common mental health issues. But for many clinicians, the psychological processes and brain functions that explain these changes remain a mystery, and effective methodologies for measuring each client's progress are elusive. In Assessing Mindfulness and Acceptance Processes in Clients, Ruth Baer presents a collection of articles by some of the most respected mindfulness researchers and therapists practicing today. Each contribution assesses the variables that represent potential processes of change, such as mindfulness, acceptance, self-compassion, spirituality, and focus on values, and determines the importance of each of these processes to enhanced psychological functioning and quality of life. Clinicians learn to accurately measure each process in individual clients, an invaluable skill for any practicing therapist. A seminal contribution to the existing professional literature on mindfulness-based treatments, this book is also an essential resource for any mental health professional seeking to illuminate the processes at work behind any mindfulness and acceptance-based therapy. The Mindfulness and Acceptance Practica Series As mindfulness and acceptance-based therapies gain momentum in the field of mental health, it is increasingly important for professionals to understand the full range of their applications. To keep up with the growing demand for authoritative resources on these treatments, The Mindfulness and Acceptance Practica Series was created. These edited books cover a range of evidence-based treatments, such as acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), compassion-focused therapy (CFT), dialectical behavioral therapy (DBT), and mindfulness-based stress reduction (MBSR) therapy. Incorporating new research in the field of psychology, these books are powerful tools for mental health clinicians, researchers, advanced students, and anyone interested in the growth of mindfulness and acceptance strategies.
Book Synopsis “Tired all the Time” by : Marie Thomas
Download or read book “Tired all the Time” written by Marie Thomas and published by Springer. This book was released on 2018-08-07 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the history, effects, diagnosis and treatment of chronic fatigue as well its significant links to other illnesses. Fatigue is a difficult symptom to accurately assess and quantify due to its subjective nature. Marie Thomas discusses the uncertainties and difficulties in its diagnosis as well as the broader effects of fatigue on quality of life. Fatigue is an increasingly reported problem in primary care, and one that is associated with other chronic conditions as a secondary symptom. Using several case studies, this book describes how in many cases, a patient’s primary condition can be managed; however General Practitioners are left unable to address the fatigue experienced, especially in older adults. Chapters consider the interventions that exist to manage fatigue – especially in the case of Chronic Fatigue Syndrome (CFS) – before highlighting the lack of strategies in primary care for dealing with the problem. In the final chapter Thomas discusses potential interventions and gives recommendations for future research regarding fatigue. This book will be of interest to academics and practitioners in healthcare and psychology, as well as to patient groups and those who care for individuals with fatigue.
Author : Publisher :Oxford University Press ISBN 13 :0192674064 Total Pages :353 pages Book Rating :4.1/5 (926 download)
Download or read book written by and published by Oxford University Press. This book was released on with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Cognitive Behaviour Therapy by : Frank Wills
Download or read book Cognitive Behaviour Therapy written by Frank Wills and published by SAGE. This book was released on 2012-10-04 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: ′A delightful volume, with unique style and content. This new edition amply lives up to the authors′ aim of demonstrating a mode of CBT practice that incorporates many exciting developments whilst retaining the reassuring strength of the original parsimonious model.′ Ann Hackmann, Oxford Mindfulness Centre, University of Oxford ′One of the very best introductions to CBT, now enhanced with excellent coverage of new developments.′ Professor Neil Frude, Consultant Clinical Psychologist ′My first choice recommendation for trainee therapists. This outstanding and easy-to-read introduction just got better.′ Peter Simpson, Senior Lecturer in Mental Health, University of Glamorgan In their established guide to contemporary CBT theory and practice, the authors show how therapeutic change takes place across a network of cognitive, emotional and behavioural functioning. They explain the central concepts of CBT and illustrate - with numerous case examples - how these can effectively be put into practice at each stage of the therapeutic process. They also explain how the essence of cutting edge ′third wave′ can be integrated into everyday clinical practice. With two new chapters on mindfulness and increasing access to CBT, a wider coverage of client issues, extra case studies and learning resources, and a discussion of recent developments, this book continues to be the ideal companion for those working - or training to work - in the psychological therapies and mental health. Frank Wills is an independent Cognitive Psychotherapist in Bristol and tutor at the University of Wales Newport. Diana Sanders, Counselling Psychologist and BABCP Accredited Cognitive Psychotherapist in Independent Practice, Oxford.
Book Synopsis Handbook of Psychosocial Interventions for Chronic Pain by : Andrea Kohn Maikovich-Fong
Download or read book Handbook of Psychosocial Interventions for Chronic Pain written by Andrea Kohn Maikovich-Fong and published by Routledge. This book was released on 2019-05-13 with total page 646 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Psychosocial Interventions for Chronic Pain provides a cutting-edge and comprehensive review of interventions for chronic pain grounded in biopsychosocial frameworks. Each chapter gives readers the opportunity to solidify their knowledge of major approaches to chronic pain in an accessible format. Reflecting national efforts to reduce prescriptions for pain medications and increase access to interdisciplinary treatment approaches, the book also considers a wide range of person-level variables such as age, cultural factors, and comorbid mental health conditions. In this book, mental health and allied health professionals will find the tools they need to understand the real-world delivery of chronic pain treatments in a wide variety of settings.
Book Synopsis The Neuroscience of Depression by : Colin R Martin
Download or read book The Neuroscience of Depression written by Colin R Martin and published by Academic Press. This book was released on 2021-03-05 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Neuroscience of Depression: Features, Diagnosis and Treatment, is a comprehensive reference to the diagnosis and treatment of depression. This book provides readers with the mechanisms of depression reflecting on the interplay between depression and the biological and psychosocial processes. A detailed introduction to various episodes of depression, from PTSD to post-partum depression is provided, followed by a thorough discussion on biomarkers in depression and how to diagnose depression including the Hamilton Depression Rating scale. This book also includes three full sections on treatment options for depression, including pharmacological, behavioral and other novel regimes. The Neuroscience of Depression: Features, Diagnosis and Treatment is the only resource for researchers and practitioners studying, diagnosis and treating of depression. - Covers a pharmacological and behavioral treatment options - Features sections on diagnosis and biomarkers of depression - Discusses depression in children, teens and adults - Contains information on comorbidity of physical and mental conditions - Includes more than 250 illustrations and tables
Book Synopsis Motivational Perspectives on Chronic Pain by : Paul Karoly
Download or read book Motivational Perspectives on Chronic Pain written by Paul Karoly and published by Oxford University Press. This book was released on 2018-08-07 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: Motivational Perspectives on Chronic Pain is one of the first volumes to present a cohesive account of the adaptation to chronic pain from a motivational perspective. Contributing authors from diverse areas of pain research offer comprehensive summaries of the concepts, findings, and applied methodologies that converge on the role of goals and goal-related cognitive processes, self-regulatory support mechanisms, contextual forces, and emotionality as they influence (and are influenced by) the experience of chronic pain. This volume provides readers with an up-to-date compendium of cutting-edge research and interventions that collectively illustrate the utility of viewing chronic pain neither as a "disease" nor an imposed lifestyle, but as the emergent and potentially flexible product of a complex transactional system that is bounded by both sociocultural factors and by biogenetic and neural moderating forces. Within its pages, chapters capture the vibrancy of current theory, research, and practice while pointing toward unexplored new directions. Among the important topics addressed by this distinguished group of authors include: the nature and relevance of control systems, the role of neural mechanisms on pain processing, the influence positive and negative emotion regulation play on pain management, the impact of learning and conditioning, and the often neglected influence of interpersonal processes on adjustment to chronic pain.
Book Synopsis Mindfulness-Based Cognitive Therapy by : Stuart J. Eisendrath
Download or read book Mindfulness-Based Cognitive Therapy written by Stuart J. Eisendrath and published by Springer. This book was released on 2016-06-01 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book brings together a cutting-edge selection of the most current applications of mindfulness-based cognitive therapy (MBCT), giving clinicians as well as researchers a concise guide to current and future directions. Each chapter begins with in illustrative case study to give readers an example of how MBCT would be used in the clinical setting, followed by an overview of the condition, the theoretical rationale for using MBCT, modifications of MBCT for that disorder, evidence for MBCT use. Chapters also discuss practical considerations of MBCT, including patient selection, home practice, group size, format, and facilitator training. Written by some of the world’s leading physicians using MBCT, Mindfulness-Based Cognitive Therapy: Innovative Applications is of great value to psychiatrists, psychologists, social workers, and therapists.
Book Synopsis Mindfulness-Based Cognitive Therapy for Bipolar Disorder by : Thilo Deckersbach
Download or read book Mindfulness-Based Cognitive Therapy for Bipolar Disorder written by Thilo Deckersbach and published by Guilford Publications. This book was released on 2014-07-07 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Grounded in current knowledge about bipolar disorder and its treatment, this book presents an empirically supported therapy program with step-by-step guidelines for implementation. Mindfulness-based cognitive therapy (MBCT) for bipolar disorder is specifically designed for clients who have experienced many mood episodes and who struggle with chronic, pervasive depressive and residual manic symptoms. The authors provide everything needed to conduct the 12 weekly group sessions, which are supplemented by regular individual sessions. Reproducible tools include 29 client handouts and an Instructor Checklist. Purchasers get access to a companion website featuring downloadable audio recordings of the guided mindfulness practices (meditations and mindful movement), plus the reproducible materials, ready to download and print in a convenient 8 1/2" x 11" size. A separate website for use by clients features the audio recordings only.
Book Synopsis Mindfulness-Based Interventions for Older Adults by : Carla Martins
Download or read book Mindfulness-Based Interventions for Older Adults written by Carla Martins and published by Jessica Kingsley Publishers. This book was released on 2014-07-21 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on extensive clinical research, this book sheds new light onto how Mindfulness Based Stress Reduction (MBSR) can be used with older adults as an effective complementary intervention, identifying specific ways in which MBSR programmes can be adapted and fine-tuned to meet the needs of this group. Presenting robust new evidence to support the efficacy of MBSR as a holistic therapeutic approach, the author draws interesting and original conclusions about its positive impact on older people's psychological and spiritual wellbeing, physical health, neuropsychological performance, attitudes towards death and dying and overall quality of life. The lived experiences of older adults taking part in an MBSR programme provide rich first-hand insights into the therapeutic process, and the author draws valuable conclusions about ethical considerations and the responsibilities and personal transformation of the MBSR facilitator. Professionals involved in delivering mindfulness-based interventions to older adults, including psychologists, counsellors, spiritual directors and physicians, will find this to be essential reading. It will also be of interest to students, academics and researchers wishing to keep abreast of the latest research and developments in the MBSR field.
Book Synopsis Mindfulness and Acceptance in Behavioral Medicine by : Lance McCracken
Download or read book Mindfulness and Acceptance in Behavioral Medicine written by Lance McCracken and published by New Harbinger Publications. This book was released on 2011-04-03 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinicians and researchers working in the field of behavioral medicine are in a unique position to help patients access a range of mindfulness and acceptance-based treatment methods for preventing disease, managing symptoms, and promoting overall health. Evidence-based mindfulness approaches such as acceptance and commitment therapy (ACT) can form a critical component of treatment, helping patients become active partners in improving or maintaining their health and daily functioning. An essential resource every psychologist, psychiatrist, primary care physician, health care provider, and health educator should own, Mindfulness and Acceptance in Behavioral Medicinepresents a series of chapters that feature the latest findings on the efficacy of ACT and other mindfulness therapies for specific conditions and populations and guidance for introducing these therapies to patients. The book also includes information on integrating ACT with other therapeutic approaches and offers mindfulness and self-care principles health care professionals can use themselves to avoid burnout and improve patient outcomes. Chronic pain Epilepsy Obesity Diabetes Smoking cessation Insomnia Cancer Terminal illness The Mindfulness and Acceptance Practica Series As mindfulness and acceptance-based therapies gain momentum in the field of mental health, it is increasingly important for professionals to understand the full range of their applications. To keep up with the growing demand for authoritative resources on these treatments, The Mindfulness and Acceptance Practica Series was created. These edited books cover a range of evidence-based treatments, such as acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), compassion-focused therapy (CFT), dialectical behavioral therapy (DBT), and mindfulness-based stress reduction (MBSR) therapy. Incorporating new research in the field of psychology, these books are powerful tools for mental health clinicians, researchers, advanced students, and anyone interested in the growth of mindfulness and acceptance strategies.
Download or read book Index Medicus written by and published by . This book was released on 2004 with total page 2432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.