Cambridge University Press

978-1-904-67132-9 — Fish's Clinical Psychopathology

3rd Edition
Frontmatter
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Fish’s Clinical
Psychopathology
Signs and symptoms
in psychiatry

Third edition
Patricia Casey and Brendan Kelly

Gaskell

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Cambridge University Press
978-1-904-67132-9 — Fish's Clinical Psychopathology
3rd Edition
Frontmatter
More Information

This edition © The Royal College of Psychiatrists 2007.

Reprinted 2008, with amendments.
Reprinted 2009, 2011, 2013, 2014, 2016.
Previous editions © John Wright & Sons Ltd.

Gaskell is an imprint of the Royal College of Psychiatrists,

17 Belgrave Square, London SW1X 8PG
http://www.rcpsych.ac.uk

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form
or by any electronic, mechanical, or other means, now known or hereafter invented, including
photocopying and recording, or in any information storage or retrieval system, without permission
in writing from the publishers.
British Library Cataloguing-in-Publication Data.
A catalogue record for this book is available from the British Library.
ISBN-10 1 904671 32 2
ISBN-13 978 1 904671 32 9

Distributed in North America by Publishers Storage and Shipping Comany.

The views presented in this book do not necessarily relect those of the Royal College of
Psychiatrists, and the publishers are not responsible for any error of omission or fact.

The Royal College of Psychiatrists is a charity registered in England and Wales (228636)
and in Scotland (SC038369).

Printed by Bell & Bain Limited, Glasgow, UK.

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978-1-904-67132-9 — Fish's Clinical Psychopathology
3rd Edition
Frontmatter
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Contents

The authors iv
Preface v

1 Classiication of psychiatric disorders 1

2 Disorders of perception 14

3 Disorders of thought and speech 32

4 Disorders of memory 55

5 Disorders of emotion 65

6 Disorders of the experience of self 75

7 Disorders of consciousness 81

8 Motor disorders 87

9 Personality disorders 106

Appendix I: Psychiatric syndromes 121

Appendix II: Defences and distortions 126
Index 132

iii

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978-1-904-67132-9 — Fish's Clinical Psychopathology
3rd Edition
Frontmatter
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The authors

Patricia Casey is Professor of Psychiatry at University College Dublin and

Consultant Psychiatrist at Mater Misericordiae University Hospital, School
of Medicine and Medical Science, Eccles Street, Dublin 7, Ireland

Brendan Kelly is Consultant Psychiatrist and Senior Lecturer in Psychiatry,

Department of Adult Psychiatry, University College Dublin, Mater
Misericordiae University Hospital, Dublin, Ireland

iv

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978-1-904-67132-9 — Fish's Clinical Psychopathology
3rd Edition
Frontmatter
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Preface

Psychopathology is the science and study of psychological and psychiatric

symptoms. Clinical psychopathology locates this study in the clinical context
in which psychiatrists make diagnostic assessments and deliver mental
health services. A clear understanding of clinical psychopathology lies at the
heart of effective and appropriate delivery of such services.
In 1967, Frank Fish produced a 128-page volume on psychopathology,
entitled Clinical Psychopathology: Signs and Symptoms in Psychiatry (Fish,
1967). Despite its brevity or more likely, because of its brevity, Fish’s
Clinical Psychopathology soon became an essential text for medical students,
psychiatric trainees and all healthcare workers involved in the delivery of
mental health services. A revised edition, edited by Max Hamilton, appeared
in 1974 (Hamilton, 1974) and was reprinted as a second edition in 1985
(Hamilton, 1985).
In recent years, Fish’s Clinical Psychopathology has been out of print and
essentially impossible to locate. The purpose of this third edition is to
introduce this classic text to a new generation of psychiatrists and trainees,
and to reacquaint existing aicionados with the elegant insights and enduring
values of Fish’s original work.
Revising Fish’s Clinical Psychopathology has been both a humbling and
exciting experience. While striving at all times to retain the spirit of Fish’s
original work, we have revised the language in various areas so as to
take account of changes in linguistic conventions. We have also updated
references and included new material relating to personality disorder,
cognitive distortion, defence mechanisms, memory and unusual psychiatric
syndromes.
Notwithstanding these revisions, we trust that this text remains true to
the spirit of Fish’s original Clinical Psychopathology, the volume that shaped
the clinical education and practice of a generation of psychiatrists. We
hope that this edition proves similarly useful to contemporary readers. If
it succeeds, all credit lies with the original insights of Frank Fish; if it does
not, the fault lies with us.
Patricia Casey
Brendan Kelly

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978-1-904-67132-9 — Fish's Clinical Psychopathology
3rd Edition
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FISH’S CLINICAL PSYCHOPATHOLOGY

References
Fish, F. (1967) Clinical Psychopatholgy: Signs and Symptoms in Psychiatry. Bristol: John Wright
& Sons.
Hamilton, M. (ed.) (1974) Fish’s Clinical Psychopathology: Signs and Symptoms in Psychiatry
(revised edn). Bristol: John Wright & Sons.
Hamilton, M. (ed.) (1985) Fish’s Clinical Psychopathology: Signs and Symptoms in Psychiatry
(2nd edn). Bristol: John Wright & Sons.

vi

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