ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

The present research introduced standardized psychological measurement into the clinical assessment of the male transsexual. Thirty-one males with a presenting complaint of gender dysphoria were carefully screened as to their correspondence with current nosological conceptions of transsexualism, and administered the Derogatis Sexual Functioning Inventory (DSFI) as part of their clinical psychometric work-up. The DSFI is an omnibus self-report scale providing measurement in the primary domains of sexual information, sexual experiences, sexual drive, sexual attitudes, psychological symptoms, affects, gender role definition, and sexual fantasy. Transsexual profiles were contrasted with those of a comparison group of 57 normal heterosexual males.Results of the comparisons revealed the transsexuals to show a significant decrement in accurate sexual information, and a marked reduction in the variety of sexual experiences they have been involved in. They also revealed a reduction in drive levels; however, this was qualified by which indicator of drive was used. Significant elevations in psychological symptoms and dysphoric affect were also noted, particularly of a depressive nature. Gender role definitions were markedly polarized in the feminine direction for male transsexuals, and their fantasy endorsements revealed some of the classic transsexual themes. The ability to develop this quantified and standardized psychological profile is viewed as an important step in accurately assessing the nature of these complex individuals, and developing a more accurate understanding of their condition.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

The findings of this paper are based on a 3-year study at the Gender Identity Clinic of University Hospitals of Cleveland, involving 16 patients who were sexually revised (SR) from a total of 125 applicants. Three of these patients were provided second-stage surgeries which were begun elsewhere. The paper addresses some of the major problems of the SR patients' pre- and postsurgical experience. Specifically, a) evidence is provided to suggest the existence of a well definedpreoperative syndromewhich often affects the postoperative course of recovery which may lead to a clinical state of depression; b) the problems and process of the medical team in the treatment of the SR patient are discussed; and c) a modified version of Janis' counseling model for the high risk presurgical patient (to be employed with the preoperative SR patient) is introduced. These important but often neglected topics help us to understand some of the psychiatric management problems in the pre- and postoperative SR patient, while also pointing to some of the difficulties researchers have had in providing follow-up studies with this patient population.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

One hundred two cardiac surgery patients were tested with the Minnesota Multiphasic Personality Inventory (MMPI) preoperatively and 98 of these patients (two died, two were untestable) were tested both pre- and postoperatively with the Wechsler Adult Intelligence Scale, Bender-Gestalt, and the Wechsler Memory Scale. A large number of the patients obtained preoperative “neurotic”-type MMPI profiles. Postoperative deficits in intellectual ability were slight for the group as a whole, however, there was marked within-group variance. The MMPI was not found to be useful as a predictor of postoperative intellectual changes.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

A historical essay is presented relating concepts of epilepsy, hysteria, and “possession.‘’ The designation “hysteroepilepsy‘’ is placed into the context of combined phenomena in individual subject instances. An association of psychotic states resembling a schizophrenic disorder is indicated as occurring in certain epileptic patients, especially some complex partial seizures (i.e., temporal lobe-psychomotor type). Phenomena of possession may appear within any of these entities.Differential diagnosis now is aided greatly by utilization of monitoring with combined split screen television viewing and recording of the patient's behavior and the concomitant electroencephalogram. Treatment is directed both medically and toward alleviation of contributing and precipitating psychological and sociological factors.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Two cases of Capgras syndrome are reported in which platelet monoamine oxidase (MAO) activity is significantly less than that of 24 psychiatric controls and 39 nonpsychiatric controls. This is the first report of a consistent biochemical abnormality associated with the Capgras phenomenon. Additional evidence is discussed which suggests that psychiatric patients with Capgras syndrome may belong to a discrete group of behavioral disorders characterized by reduced platelet MAO activity.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Lawrence Kubie's hypothesis that dirt-anal parameters predict attitudes toward Negroes was evaluated. Four samples of males and four samples of females were studied. Multiple indices were used to tap attitudes toward Negroes; and a variety of measures were employed to tap the dirt-anality dimension. The results were significantly supportive of Kubie's formulation.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

A preliminary, uncontrolled study utilizing hemodialysis in the treatment of chronic schizophrenia reported a high success rate. Two patients are presented who had both schizophrenia and chronic renal failure and who underwent intensive, long term hemodialysis with no change in their schizophrenic symptomatology. This negative finding is consistent with other case reports. Retrospective or limited controlled studies based on previous research with false neurotransmitters, serum protein factors, or endorphins in schizophrenia are urged before further patients with normal kidney function are exposed to the risks of hemodialysis.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

A morbid fear of injections and injection paraphernalia can on occasion seriously compromise both the inpatient and outpatient treatment of medical illnesses. Two individuals with a severe needle phobia were treated using participant modeling. In both cases, this very rapid treatment resulted in a remission of symptoms, that in one case persisted at 1 year follow-up post-treatment.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

This study of race, rank, and psychiatric hospitalization was conducted to provide more information about the impact of social class factors on military inpatient treatment. A retrospective review of the charts of all commissioned officers admitted over a 16-month period along with control groups of airmen and sergeants matched for time of admission was undertaken at a large military training center. Groups were compared on sociodemographic variables (age, race, rank, sex, marital status, length of service, and education background) as well as clinical variables (referral source, chief complaint, diagnosis, length of stay, and outcome). The implications of briefer hospitalizations for the youngest group of patients (the airmen) are discussed. The over-representation of black enlisted soldiers as psychiatric patients and organizational means of rectifying this situation are discussed.

ISSN:0022-3018    

出版商:OVID    

年代:1978

数据来源: OVID