The Fifth Edition of The American Psychiatric Publishing Textbook of Psychiatry has undergone the most comprehensive and significant change in its 20-year history. Although it remains a one-volume, clinically oriented textbook of psychiatry that has been crafted for use primarily by practicing psychiatrists and advanced psychiatry residents who may be studying for their board examinations, the Textbook also remains a standard educational reference for physicians in other specialties, such as family practice, internal medicine, and neurology. This year we added our good friend and distinguished colleague, Glen O. Gabbard, M.D., as a co-editor. Dr. Gabbard is a prolific author of professional and trade books and has written and edited two major textbooks that have greatly influenced the field of psychiatry: Psychodynamic Psychiatry in Clinical Practice and Gabbard's Treatments of Psychiatric Disorders, both now in their fourth editions. Dr. Gabbard will also be publishing a new, comprehensive textbook in 2008 on psychotherapies. His addition as an editor has provided a useful clinical and scientific balance to Dr. Yudofsky's expertise in neuropsychiatry and Dr. Hales' interests in clinical psychiatry.

We are grateful to Alan Schatzberg, M.D., senior editor of The American Psychiatric Publishing Textbook of Psychopharmacology, for writing such a scholarly and inspirational Foreword for this edition. His research experience in the field of psychopharmacology is truly exceptional.

With the burgeoning psychiatric knowledge gained during the last 20 years, the size of the Textbook has grown from 1,344 pages and 38 chapters in 1988 to 1,672 pages and 44 chapters in this edition. A total of 8 new chapters were added for the Fifth Edition. Following Glen Gabbard's recommendations, we added chapters on supportive psychotherapy, combining psychotherapy and pharmacotherapy, and treatment of gay, lesbian, bisexual, and transgender patients. New chapters were added in the field of neuroscience: cellular and molecular biology (which is also included in the Fifth Edition of The American Psychiatric Publishing Textbook of Neuropsychiatry and Behavioral Neurosciences) and neuroanatomy for the psychiatrist. We also added a new chapter on human sexuality and changed the orientation of the violence chapter to assessment of dangerousness. Because of the development of new nonpharmacological somatic treatments in psychiatry, a chapter was added to address this topic.

This edition includes 66 new contributors, with the total number of contributors increasing from 88 to 104. Fifteen of the chapters have completely new authors. In summary, 23 of the 44 chapters either address new topics or have new authors, making the Fifth Edition the most completely revised edition yet.

We have maintained close contact with many of the professionals who purchased the previous editions of the Textbook and have benefited from their comments and suggestions. Work on the Fifth Edition began in earnest in late 2005. This edition represents the culmination of a nearly 3-year effort to provide the most useful and up-to-date clinical information in the field. In addition to new authors and chapters, all previous chapters have been extensively updated to include the latest references and research findings. Included with this edition is access to an electronic version of the book, along with a PowerPoint presentation of all tables, figures, and key clinical points for every chapter. An important feature of The American Psychiatric Publishing Textbook of Psychiatry since its inception has been the combination of senior and junior authors for selected chapters. For instance, Chapter 10, “Schizophrenia and Other Psychotic Disorders,” is authored by two bright and energetic assistant professors, Michael Minzenberg, M.D., and Jong Yoon, M.D., and a senior professor, Cameron Carter, M.D. Similarly, Chapter 12, “Anxiety Disorders,” features Professor and Chair Eric Hollander, M.D., together with Associate Professor Daphne Simeon, M.D. We have found that the addition of more junior authors has infused the chapters with new research insights and fresh perspectives on the subject matter. The senior authors have been able to temper these new ideas with their considerable wisdom and vast research and clinical experience. We believe that these collaborations enrich the appeal of the chapters to readers at all levels of educational and clinical experience. We also believe that these collaborations have enriched the diversity and quality of material presented in the Textbook.

All chapters were reviewed by a member of our editorial board and by the editors. The editorial board represents a wide range of clinical and research interests and includes senior psychiatrists, an early-career psychiatrist, and a senior psychiatry resident. We wanted our textbook to be relevant to our more junior colleagues and feel that Drs. Florence Kim (an assistant professor) and Julie Young (a third-year psychiatry resident) have helped us a great deal to achieve this goal.

For this edition we also included an international editorial advisory board. This group of distinguished psychiatrists represents some of the preeminent academicians and researchers from around the world. Their main task will be to review carefully the Fifth Edition and to recommend chapters and portions of chapters for inclusion in an essentials version of the book to be published in 2010. It is hoped that the essentials version will gain wide acceptance by our colleagues in other countries.

An enhancement to this edition is a companion Web site at that offers online access to the full text of the Textbook and a downloadable PowerPoint presentation containing all tables, figures, and key clinical points for every chapter. Also available is an interactive study guide—available both in print and at the companion Web site—including more than 300 questions and annotated answers corresponding to textbook chapters. The online version offers 20 AMA PRA Category 1 CreditsTM and has been approved by the American Board of Psychiatry and Neurology as part of a comprehensive lifelong learning program, which is mandated by the American Board of Medical Specialties as a necessary component of maintenance of certification.

We hope that you will enjoy reading the Fifth Edition of the Textbook of Psychiatry as much as we enjoyed crafting and editing the volume. Please contact one of us if you have suggestions on how the Sixth Edition could be made even better (or use the online survey).

Robert E. Hales, M.D., M.B.A.
Sacramento, California

Stuart C. Yudofsky, M.D.
Houston, Texas

Glen O. Gabbard, M.D.
Houston, Texas

About the Cover Image

The cover image is a watercolor representation of a microscopic section of the human hippocampus, whose principal function is the acquisition of new factual knowledge. Since that is the purpose of this textbook as well, the editors felt that this was a fitting image for the Fifth Edition.

The artist, Peter Shahrokh, Ph.D., M.B.A., has graduate degrees in English literature and business and currently works in the University of California, Davis Office of Architects and Engineers commissioning new buildings for the campus.