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The Naked Lady Who Stood on Her Head will appeal to lay readers who like to solve puzzles, as well as to seasoned clinicians who will be challenged by its wide array of intricate cases. Psychiatrist Gary Small and his screenwriter spouse Gigi Vorgan have done it again. The authors portray themselves as down-to-earth people who, like everyone else, must cope with the vicissitudes of life. While Vorgan is not medically trained, she comes across as a sharp and witty writer with whom Small can recount his cases, all the while carefully preserving patient privacy. The authors describe case studies in sufficient clinical detail to satisfy the medical practitioner, yet not so much as to overwhelm the lay reader. I found myself puzzling over these clinical dilemmas and thinking through each case from presentation to diagnosis to intervention. He offers her a glass of juice as an act of human kindness. It is a surprise when this gesture results in a resolution of her symptoms and a diagnosis. In this and other vignettes, Small discusses cognitive, behavioral, and emotional manifestations of diabetes, Alzheimer disease, polydipsia with hyponatremia, and other medically driven illnesses. He also relates his work with patients who have psychiatric disorders without any confounding medical issues, such as a couple burdened by sociopathy, a wealthy agorophobic, and a woman with emotional longings as a result of early parental loss.
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