Showing papers in "General Hospital Psychiatry in 1982"

TL;DR: It is concluded that this form of meditation can be used as the basis for an effective behavioral program in self-regulation for chronic pain patients and key features of the program structure, and the limitations of the present uncontrolled study are discussed.

TL;DR: Research with animal model systems demonstrates a causal relation between stress and disease susceptibility and Subtle changes in experimental design have yielded significant differences in results that have increased understanding of intermediary mechanisms.

TL;DR: There is now considerable evidence that certain types of experimental and naturally-occurring stress are associated with alterations of human cellular immune function, and these observed changes generally are immunosuppressive.

TL;DR: The IBQ scores of the depressed patients showed significantly higher levels of general hypochondriasis, disease conviction, dysphoria, and irritability than the nondepressed patients, even when differences were adjusted for age, sex, marital status, and social class.

TL;DR: Surprisingly, few studies support much of the conventional clinical wisdom about antihypertensive agents affecting sexual performance and evidence also exists for the ability of propranolol to inhibit erectile functioning.

TL;DR: This review surveys the literature over the last 10 years that describes and evaluates C-L activities as they impact upon clinical medicine and medical education and suggests the very recent shift from descriptive studies to more outcome-oriented research, particularly regarding patient outcomes should be the direction of the future.

TL;DR: Data from family interviews and home visits are used to illustrate how family efforts to cope with the needs of their spinal cord injured member have caused them to place inappropriate emphasis on short-term stability of family life, sacrificing, in the process, long-term growth.

TL;DR: An epidemiologic study of 308 consultations revealed substantial differences in referral rates related to the demographic, clinical, and programmatic characteristics of patients and services.

TL;DR: By reducing fear and helplessness, physiological changes related to such dysphoric states may be minimized and "immunization" against helplessness can forestall depression.

TL;DR: Four principal meanings of support are distinguished--comfort, strengthening, maintenance, and advocacy--offering a basis for individualized care of patients in a variety of clinical contexts.

TL;DR: It is shown that psychological and emotional impairment among physicians represents a serious, widespread, and difficult problem and that most of the conditions afflicting physicians are treatable and reversible.

TL;DR: The role of psychiatric liaison nurses was first conceptualized in the early sixties and evolved from a perceived need to address the psychosocial problems experienced by patients who were hospitalized for treatment of physical illness.

TL;DR: To assess the psychiatric knowledge of medical housestaff, the authors devised an oral examination based on two simulated clinical encounters and administered it to 26 medical residents to develop a needs-based liaison psychiatry curriculum and to evaluate the effectiveness of that curriculum.

TL;DR: There is noSupport for increased loss experience in cancer patients and mild support for increased emotional inhibition and hopelessness in these individuals, and traditional psychiatric assessment approaches are not seen as providing solid evidence for a depression/cancer relationship due to reliability and design issues.

TL;DR: An alternative to the DSM III Axes based on the Patient Evaluation Grid (PEG), a system comprised of four axes, including Biological Dimension, Personal Dimension, Environmental Dimension, and Assessment of Interaction Among Dimensions is proposed.

TL;DR: The process and development of the two discussion groups recruited and conducted for dialysis patients and their families are described, and recommendations are given for conducting multiple-family groups as an adjunct to the biologic treatment of severe long-term illness.

TL;DR: The physician-patient relationship as a triadic rather than dyadic relationship introduces unique transference and counter-transference considerations which must be an acknowledged part of evaluation and treatment.

TL;DR: The presence of preaccident psychopathology, family or marital dysfunction, previous psychiatric history, and a stressful life event were all positively associated with the occurrence of an adverse postoperative emotional reaction.

TL;DR: Seventeen common beliefs which operate as specific resistances were uncovered and awareness of these beliefs may help liaison psychiatrists and other mental health professionals in primary care settings to increase physician use of the biopsychosocial approach.

TL;DR: In this review, historical trends in the use of environment in treatment of mental illness are integrated with social science and empirical research studies of milieu to suggest an opportunity for renewed collaboration between social scientists and hospital psychiatrists.

TL;DR: After their experience with consultation-liaison psychiatry, the test group members showed a significant positive change in the importance they placed upon psychiatric consultations, case presentations and the role of psychiatrists in the development of their attitudes toward the psychological care of cancer patients.

TL;DR: Clinical vignettes and available statistics from program evaluation studies provide the basis to examine aspects of transfer such as patient care, systems implications, teaching in the medical setting, and further research.

TL;DR: The consultation-liaison psychiatrist is in the ideal position to bring about a rapprochement between psychiatry and neurology, and it is paramount that the psychiatrist understand and be conversant in the neurologist's language.

TL;DR: An appreciation of psychological factors can ensure patients' motivation to participate in the rehabilitative efforts after surgery, and thus enhance optimal results from the surgery.

TL;DR: Explanations of emotional and behavioral response to illness seen by consultation--liaison psychiatrists include crisis theory, stress theory, classical Freudian theory, grief, and alexithymia, and recent developments in self psychology are useful.

TL;DR: The author attempts to evaluate the Diagnostic and Statistical Manual, which purports to provide an atheoretical and descriptive diagnostic model on its own ground, as well as from a psychodynamic and ego-psychological point of view.