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Results 301 - 350 of 592
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Caper R - - 1994
The author approaches the problem of defining what a clinical psychoanalytic fact is by proposing that there is such a thing as a 'psychoanalytic apparatus'--a working psychoanalysis--the proper functioning of which is revealed by the presence of certain emotional states. One of these is the presence of a sense of ...
Fineberg N A - - 1994
We studied the neuroendocrine responses produced by intravenous L-tryptophan (TRP) in 16 untreated patients with obsessive compulsive disorder (OCD) and 16 matched healthy controls. The increase in plasma growth hormone seen following TRP was significantly greater in the OCD patients, while TRP-induced prolactin release did not differ from controls. Taken ...
Tasca G A - - 1994
Patient selection or matching to group psychotherapy is usually done by therapists. An alternative is to allow patients to "sample" and then select from different group therapies. In the current study characteristics of patients (N = 20) who selected from two types of group psychotherapy in a day-treatment program were ...
Rabinowitz J - - 1994
Studied are changes in diagnosis in a random sample of 10% of all first admissions to psychiatric hospitals and psychiatric wards of general hospitals in Israel from 1983 to 1990 with follow-up evaluation to 1991. This included 4,570 hospitalizations of 2,220 patients. Data were extracted from the National Psychiatric Case ...
Broman JE - - 1994
In order to evaluate daytime arousal in patients with persistent insomnia, electrodermal activity (EDA) was measured in a habituation paradigm (21 tones, 80 dB, 1 s) in forty patients with persistent insomnia and in twenty normal subjects. Results showed that the patients had higher EDA than the controls implying a ...
Feldman M D - - 1994
Although patients with factitious disorders typically seek the "patient" role through illness portrayals, some instead portray themselves falsely as "victims." We discuss the cases of four women who claimed to have been victims of rape; the allegations ultimately were disproved. Factitious rape may be prompted by a search for nurturance; ...
Vieweg V - - 1994
We report our experience treating 14 elderly psychiatric patients with altered sodium states. Hypernatremia occurs more commonly among elderly psychiatric patients than among their younger counterparts, and elderly hypernatremic psychiatric patients suffer most commonly from dementia. Dilutional hyponatremia is less common and less severe among elderly schizophrenic patients compared with ...
Katz R C - - 1994
This study assessed anxiety reactions in 40 adults outpatients undergoing MRI. Ninety-five percent of the patients completed the procedure although 37% reported moderate to severe anxiety. It is concluded that (a) anxiety in patients undergoing MRI is a multifaceted phenomenon involving fear of enclosed places (claustrophobia), pain, the unknown, as ...
Cirina C L - - 1994
1. Anticipating surgery frequently produces anxiety. Preoperative surgical patients that are exposed to music experience less anxiety. 2. A patient's music preference can be noted during assessment for use throughout the perioperative experience. 3. The application of music as therapy to reduce fear and anxiety is highly relevant to the ...
Smith H F - - 1994
The literature is curiously silent about special challenges in the analysis of psychotherapists, including the interactive tensions that result when analysands talk about their own patients. When analysands talk about their patients, the analyst may be deflected away from a focus on the analysand's intrapsychic experience by transient identifications with ...
Robinson J - - 1994
The term "emotional availability" has evolved primarily in therapeutic contexts where it refers to the sensitive engagement of the therapist in the patient's narrative of life experiences and openness to the patient's emotional expressions (Emde 1980). In the therapeutic situation, emotional availability refers to the quality of the therapist in ...
Jørgensen P - - 1994
The formation of delusional beliefs is elucidated by the expressed experiences of 75 delusional patients. It is found that such beliefs may develop regardless of the presence (64%) or absence (20%) of anomalous experiences. Patients within the same diagnostic category remember it very differently. Many patients (71%) find a simple ...
Helmchen H - - 1994
For the ethical evaluation of psychiatric decisions the will of the patient--apart from his welfare, of course--has gained special importance in recent years. It is constitutionally protected in the form of self-determination. Accordingly the physician can only act with the patient's consent. The capacity of the individual to consent may ...
Noshpitz J D - - 1994
In sum, then, the psychotherapy of self-destructive adolescents involves an assessment of the degree to which the patient's behavior is dominated by a negative ideal. If that seems like a central mechanism, than the therapist must seek ways to bring this to awareness, to confront the patient with the presence ...
Azari N P - - 1993
A multiple regression/discriminant analysis of positron emission tomographic cerebral metabolic (rCMRglc) data in 10 obsessive-compulsive disorder (OCD) patients before and during pharmacotherapy was carried out to see if rCMRglc interdependencies distinguished OCD patients from controls. Before therapy, a discriminant function reflecting parietal, sensorimotor, and midbrain rCMRglc interdependencies correctly classified eight ...
Fiordelli E - - 1993
One hundred patients with cryptogenic epilepsy and normal intelligence and 100 age- and sex-matched controls were submitted to psychiatric interview using the Clinical Interview Schedule. Nineteen patients and 15 controls were identified as having psychiatric disorders. Anxiety and depression were the predominating diagnoses in both groups. Personality disorders were occasionally ...
Greene J A - - 1993
Some of the goals of our group psychotherapy sessions on the inpatient unit include (1) creation of an emotional climate of acceptance and warmth that helps patients learn to accept themselves and their feelings, (2) frequent intervention by the group facilitator/therapist to help facilitate social interaction for patients whose communication ...
Cramer D - - 1993
Ellis's rational-emotive theory postulates that since irrational statements augment emotional distress, replacing irrational with rational statements should lessen distress. This hypothesis was tested in the initial stages of psychotherapy by having 13 and 14 clinical out-patients respectively repeat for one minute either rational or irrational statements about their major presenting ...
De Blécourt A - - 1993
The development of the transference concept is described and studied from structural, genetic, dynamic and adaptive points of view. A sketch is given of the development of a transference neurosis during treatment, and of the difference between transference phenomena and transference neurosis. A number of examples from practice are given, ...
Bloch A L - - 1993
OBJECTIVE: The psychodynamic approach to understanding dysthymia has rarely been empirically tested. In this pilot study the Defense Mechanism Rating Scales were used to examine psychodynamic data from patients with dysthymia and patients with panic disorder in order to test the hypotheses that 1) dysthymic patients would be similar to ...
Drummond L M - - 1993
This study examined 49 in-patients with obsessive-compulsive disorder who were treated over three years. The patients had failed to respond to previous treatment. Treatment consisted of in-patient exposure, occasionally combined with other interventions individually tailored to the patient's specific difficulties. This resulted in significant clinical improvements and an average 40% ...
Taylor G J - - 1993
A case of spasmodic torticollis is described to demonstrate the clinical usefulness of a new theoretical model of somatic illness and disease. Based on a conception of the living organism as a self-regulating system, the model attributes somatic disorders to a variety of regulatory disturbances including deficits in affect regulation ...
Tan C H - - 1993
Nineteen acutely disturbed psychotic Asian patients were treated with a single intramuscular injection of 50 mg of zuclopenthixol acetate in Viscoleo. Patients were assessed clinically before and after treatment using the Brief Psychiatric Rating Scale (BPRS). Serum zuclopenthixol and the inactive geometric isomer trans(E)-clopenthixol were determined by high-performance liquid chromatography ...
Feldman M - - 1993
This paper describes the process of splitting that leads to the establishment of a set of 'versions' of the self and the object, and the relationship between them. The author suggests that the mechanism of reassurance is called into play when a particular anxiety-laden version becomes central, disturbing the patient's ...
Jeanneau M - - 1993
Thirty patients were subjected to a Structural Interview by means of which 10 of them received the diagnosis NPO (Neurotic Personality Organization), 10 BPO (Borderline Personality Organization) and 10 PPO (Psychotic Personality Organization). About 2500 words and groups of words were extracted from the patients' utterances for analysis. The word-frequencies ...
Hoffmann H - - 1993
The discussion about young adult chronic patients (YACPs) started in the literature in the early eighties. However, the insufficient operationalization of the YACP concept provoked some criticism. The aim of the present study was to examine whether there were operational differences between YACPs and older chronic patients, as well as ...
Kantrowitz J L - - 1993
Many impasses occur in treatment when the patient fears that analysis will repeat frightening or disappointing experiences. These stalemates result from the patient's conviction that the analyst has confirmed a preexisting belief that is central to the patient's primary conflict. Frequently, this belief involves an unacceptable or frightening self- or ...
Katerndahl D A - - 1992
The characteristics of those with phobic anxiety--anxiety with or without avoidance of specific fear-provoking situations--seen in family practice have not been previously described. However, patients with agoraphobia--extreme avoidance of fear-provoking situations--are frequently seen in the general health sector. In addition, panic attacks, which are spontaneous episodes of intense anxiety associated ...
Rusch K M - - 1992
This study is an attempt to delineate symptom clusters that may be considered most distinctive of patients diagnosed with borderline personality disorder (BPD). Medical records were examined to assess the extent to which each of the eight DSM-III-R BPD criteria was present in 89 psychiatric in-patients diagnosed with BPD. Structural ...
Cath D C - - 1992
A new phenomenon, found only in Gilles de la Tourette (GTS) patients, and which we have called 'mental play', is described. It was compared with the phenomenon of counting, which occurred in both GTS and obsessive-compulsive patients. In the GTS patients both mental play and counting were best characterised as ...
Nice D A - - 1992
The purpose of this study was to determine the intertester reliability of assessments of the presence of trigger points in the region of the lumbar spine of patients with low back pain (LBP). A total of six trigger points described by Travell and Simons were studied. The trigger point examination ...
Morris P - - 1992
A selective review of the literature describing treatment of refugee survivors of torture and trauma revealed that approaches to psychotherapy used in treating South American patients differed from those used in treating Indochinese patients. South American patients were receptive to psychodynamic psychotherapeutic approaches that focused on detailed recollection of past ...
Tobey L H - - 1992
We demonstrated the efficacy of using early memory (EM) data to distinguish postdictively criminally dangerous from nondangerous psychiatric patients. Dangerous patients (n = 30) had been adjudicated not criminally responsible (NCR) for felonies, whereas nondangerous psychiatric patients (n = 30) had no convictions for aggressive offenses. Groups were comparable in ...
Peltz M L - - 1992
As the analyst makes the correct interpretations of resistance in the opening phase of an analysis, the patient begins to feel understood, often for the first time. This feeling allays anxiety and depressive affects, and the patient comes to experience the analyst as a soother. These initial exchanges may lay ...
Raphling D L - - 1992
Interpretation is a product of compromise formation that requires optimal use of the analyst's aggression to be an effective analytic intervention. Aggressive aims useful for the interpretive act are problematic for analysts and have led both to clinical difficulties and to various theoretical reactions against considering interpretation essential for analytic ...
Kisely S R - - 1992
One hundred and eight consecutive patients admitted urgently for the first time with chest pain were interviewed to assess psychiatric symptoms prior to admission, at admission and three months later. Seventy-one patients had ischaemic heart disease, 19 had non-specific chest pain and 18 patients were excluded because of other organic ...
Fedoroff J P - - 1992
In a consecutive series of admissions to the Johns Hopkins Sexual Disorders Unit, 4 out of 20 patients appeared to have simulated paraphilic symptoms that further assessment indicated were either exaggerated or not present. The paper presents case histories of these 4 patients. A descriptive comparison is made between these ...
Fried D - - 1992
This study investigates the similarity between patients' relationships with their therapists and patients' relationships with others in their life. We examined the in-session narratives about the therapist and compared them with the patient's general relationship pattern as determined by a previously tested method, the Core Conflictual Relationship Theme (CCRT) method. ...
Hewlett W A - - 1992
The success of serotonergic reuptake inhibitors in the treatment of obsessive-compulsive disorder (OCD) has suggested that serotonergic neurotransmission may play a role in the pathogenisis of this disorder. Prolactin responses to a 60-mg oral dose of fenfluramine in 26 medication-free patients with a DSM-III-R diagnosis of OCD were compared with ...
Frayn D H - - 1992
Characteristics of patients accepted for both intensive psychotherapy and psychoanalysis were rated during their initial assessments. Twenty cases that terminated prematurely (most within the first month) were compared with twenty cases that continued in therapy. While neither specific diagnosis, type of insight therapy, nor gender of the patient or therapist ...
Svartberg M - - 1992
In this pilot study, therapist competence and patient-therapist complementarity measured by the Structural Analysis of Social Behavior system (SASB; Benjamin, 1974) were examined as to their interrelation and their unique, collective, and interactive contributions to patient change in 20 sessions of short-term anxiety-provoking psychotherapy (STAPP; Sifneos, 1979). Patients were 15 ...
Way B B - - 1992
The relationship between patient-staff ratio and the prevalence of patient incidents, such as assaults, fighting, suicides, falls, and abuse of patients by staff, was examined at an urban inpatient psychiatric center. Stepwise logistic regression was used to analyze 5,375 shifts in 14 high-incident wards representing five types of inpatient services; ...
Sramek J J - - 1992
OBJECTIVE: In this preliminary investigation, we sought to determine whether a standard benzodiazepine radioimmunoassay (RIA) could detect three benzodiazepines in human hair. DESIGN: Hair samples of 20-50 strands (minimum 10 mg) were cut from eight patients receiving diazepam, two patients receiving alprazolam, three patients receiving lorazepam, and two negative controls. ...
Kelly T A - - 1992
This study investigated (a) the nature and extent of perceived changes in patients' values (reported retrospectively), (b) the relationship between patients' assimilation of their therapists' values and outcome, and (c) the relationship between the similarity of patient-therapist values (posttherapy) and outcome. A great deal of perceived values change was reported ...
García Badaracco J E - - 1992
The author looks at the question of psychic change from the viewpoint of difficulties involved in this change, starting with a short historical overview. He discusses 'the difficult patient as a specialist in resisting change' and describes the clinical characteristics of such patients over and above their psychopathological diagnoses. Some ...
Friedman L - - 1992
What Richard Sterba described in his influential paper was not, as some have thought, a lasting alliance between patient and analyst but a momentary dissociative state, accompanying the analysis of transference resistance, in which the patient detaches himself from his strivings and views himself objectively before lapsing back into normal ...
Fischer N - - 1992
In an effort to examine psychic change and the factors promoting this therapeutic growth on the psychoanalytic situation, the analytic material from three sequential stressful periods in an analysis is compared. The patient, an 8-year-old child, was particularly vulnerable to conflicts surrounding separation and abandonment and there were three long ...
Vas Dias S - - 1992
The service of paediatric psychotherapy to a general paediatric outpatient clinic is described. Using techniques developed to suit paediatric patients a median of nine patients each clinic were treated. Referral symptoms resolved in a median time of four months after a median of seven sessions. This model for the management ...
Rosenfeld D - - 1992
My main objective in this article is to show the changes which take place in the inner world of a young patient after his father's suicide, and the identifications he goes through. I hope the clinical material presented succeeds in doing so. We can also see the solid primary identifications ...
Koran L M - - 1992
Of 17 adult patients with long-standing trichotillomania, 13 completed an 8- to 12-week open trial of fluoxetine, up to 80 mg per day. No patient had obsessive-compulsive disorder or major depression. We used the compulsions subscale of the Yale-Brown Obsessive-Compulsive Scale (YBOCS) to rate patients' hair-pulling behavior. The 13 completing ...
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