摘要:

This paper represents a comparative study of the attitudes of psychiatrists, people under the regular care of psychiatrists, and those who have never had any experience with psychotherapy toward confidentiality in the doctor-patient relationship. The role played by knowledge of and attitudes toward confidentiality in the seeking of health care is also assessed. The samples consisted of 192 psychiatrists, 76 patients, and 76 nonpatients of psychiatrists. The findings and their implications are discussed.

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

A state model for categorizing psychopathology within psychotic disorders is used to describe change during the course of treatment in a single case. A preliminary assessment of the reliability of this model suggests that with further refinement it may be usefully applied to both ward behavior and psychotherapy material. The psychotherapeutic and research implications of the model are also discussed.

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

The literature dealing with the cult devotee has been primarily descriptive, offering phenomenological reports of psychological characteristics and symptomatology but few reports of specific assessment and psychotherapeutic procedures for management of this unique patient population. The present paper offers a brief review of previous literature and describes specific assessment and interventive procedures which have been successfully applied to an outpatient clinic population of 65 cult devotees. Diagnostic impressions based on psychological testing are reported. Discussion focuses on the contribution of diagnostic and clinical findings to the conceptualization of cultic religiosity as a regressive phenomenon.

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

While it is known that some individuals with anorexia nervosa are characterized by compulsive overeating (bulimia), only recently have workers suggested that bulimia may be associated with distinctive personality and etiological processes. This investigation sought to evaluate the validity of distinguishing anorectics with bulimia from anorectics who maintain a continuous pattern of fasting (restricters) by examining a) the personality characteristics of the parents and b) the nature and prevalence of psychiatric morbidity in first- and second-degree relatives of 35 bulimic and 35 restricter anorectics. Based on empirical data indicating that bulimics are significantly more labile, impulsive, and susceptible to mood disturbance than their restricter counterparts, it was hypothesized that personality trait disturbances in parents and higher familial prevalence of affective and impulse disorders would distinguish this group. This was confirmed. Multivariate analyses of variance revealed fathers of bulimics scored higher than fathers of restricters on Minnesota Multiphasic Personality Inventory scales measuring impulsivity, low tolerance for frustration, dissatisfaction with familial relations, and excitability, whereas mothers of bulimics scored higher than mothers of restricters on depression, hostility, and dissatisfaction with familial relations. A multiple regression analysis showed that maternal depression and paternal impulse disturbance and depression were predictive of greater severity of bulimia in the subjects. Analysis of psychiatric interview data indicated that affective disorder was significantly more prevalent in first- and second-degree relatives of bulimics, and that the prevalence exceeded the expected rate of illness in the general population; similarly, rates of familial alcoholism and drug use disorders were significantly higher in the bulimic group. Results are discussed in terms of biological and psychological processes underlining the pathogenesis of the bulimia symptom pattern in the anorexia nervosa syndrome.

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

This paper summarizes the findings of a pilot study which found a relationship between the post-traumatic symptoms of a) psychic numbing, b) intrusive recollections of traumatic events, and c) hypervigilance and lateralization of electrodermal response (EDR) measurements in six victims of psychological trauma. Hypnotically induced imagery of past traumatic events was often associated with left-sided EDR increases, psychic numbing with left-sided EDR decreases or bilateral EDR unresponsiveness, and revivifications of hypervigilant states with right-sided EDR lateralization. In several cases control of the experience of fear was associated with left-sided or bilaterally decreased EDRThese pilot study findings support previously stated hypotheses: a) EDR obtained from an extremity reflects contralateral cerebral hemisphere functioning; b) left hemisphere functioning is associated with hypervigilance; and c) right hemisphere functioning is associated with emotions and imagery.In addition, the pilot study findings suggest additional hypotheses: a) Post-traumatic symptoms are associated with poorly controlled or integrated cerebral hemisphere functioning; b) psychic numbing and intrusive images, flashbacks, and nightmares are associated with abnormal activation, suppression, or integration of right hemisphere functioning in relationship to the left; c) aggressive behavior, hypervigilance, and character pathology are associated with abnormal activation, suppression, or integration of functioning of the left hemisphere function in relationship to the right; and d) “splitting” as a psychological defense in Vietnam veterans with Borderline Personality Disorders is associated with physiologically impaired interhemispheric integration.

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

Lithium carbonate therapy was useful in the treatment of five patients with organic brain syndrome of diverse etiologies. In each case some characteristics of affective instability were present. The usage of lithium carbonate for psychiatric syndromes other than primary affective illnesses is reviewed.

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

Drug-induced oculogyric crisis (OGC) is ordinarily discussed from a neuropharmacological point of view. It is usually controlled without difficulty by adjusting the dosage, changing the neuroleptic, or adding antiparkinson medications. When these traditional methods failed to control this symptom in the authors' patient, it became clear other models must be considered. They included conversion and psychophysiological models. The psychophysiological model proved to be most useful. It was hypothesized that a tendency for OGC was drug-induced. When combined with an increased state of emotional arousal and/or a reduction in the ability of the neuromuscular system to compensate, the OGC would occur. The increased state of emotional arousal could result from either internal or external stress. Internal stresses occurred when there was diminished external stimuli to aid repression. Fatigue was the most obvious factor altering the ability of the neuromuscular system to compensate. The psychophysiological model provided a frame-work to formulate an effective treatment program to deal with the various contributing factors.

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

The authors report a case of factitious cyanosis in a psychiatric inpatient. To their knowledge, this is the first report of factitious cyanosis in the medical literature. They discuss the relationship of isolated factitious signs and symptoms to Munchausen syndrome and other psychiatric diagnoses. They explore the underlying dynamic of displaced anger in this patient. They suggest that avoiding confrontation with these patients may lead to a better therapeutic outcome and caution physicians to be alert to the possibility of factitious etiology when presented with confusing symptom clusters.

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0022-3018    

出版商:OVID    

年代:1982

数据来源: OVID