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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 ...
Miller T R - - 1991
This article summarizes experience using the five-factor model of personality, operationalized by the NEO Personality Inventory (NEO-PI), to facilitate psychotherapy treatment with 119 private-practice, outpatient, psychotherapy patients and their family members over a period of 2 years. Trait theories such as the five-factor model implicitly challenge the premises of much ...
Lewis J M - - 1991
The author outlines a basic model for teaching psychotherapeutic skills that includes five modules relating to (1) the dynamics of exploration, designed to encourage the patient's affective expression; (2) relationship structure, considering patterns of patient-therapist interaction along a closeness/separateness continuum; (3) affect, empathy, and distance regulation, emphasizing the crucial significance ...
Billig N - - 1991
Deliberate deception by a patient in psychotherapy is a deviation from a fundamental requirement of the patient-therapist relationship. When deceptions are discovered or admitted, it is crucial to analyze them for their value in understanding conflicts, transference relationships, and current stresses. These issues are illustrated with a case involving an ...
Adams N H - - 1991
In 1979 a Guardianship Board assumed responsibility in South Australia for the welfare of those mentally ill or handicapped people unable to look after their own health or safety, or to manage their own affairs. This study examines the attitudes to guardianship and involuntary treatment of 79 patients referred to ...
Rich J A - - 1991
STUDY OBJECTIVES: Cocaine abuse is a serious social problem that precipitates a significant number of emergency hospital encounters. To determine the nature of cocaine-related symptoms, we studied patients with cocaine use presenting to all adult services of an urban emergency department. DESIGN: Review of consecutive cases, with analysis of clinical ...
Markar H R - - 1991
Seventy-six patients were interviewed within a week of admission following a parasuicide episode. Axis II diagnosis on DSM-III was made for schizotypal, borderline, histrionic, and antisocial personality disorder. In addition patients completed a self-rating questionnaire, the Schizotypy Questionnaire of Claridge & Broks (1984), which assesses schizotypal and borderline personality traits. ...
Gordon R E - - 1991
New findings are reported on the validity and reliability of an equation designed to predict the functional level of psychiatric patients. The equation employs measures of aggravating stress, biomedical impairment, coping skills, directive power, and environmental supports to predict level of functioning. A study of 95 subjects (38 patients and ...
Fruensgaard K - - 1991
During the period from 1979 to 1985, 22 patients with the primary forms of neurotic excoriations (NE) accepted referral to the author. Twenty of them completed a psychotherapy program which was eclectic in form and allowed for individual weighting of its single elements. At the follow-up, on average after 5 ...
Beutler L E - - 1991
Group cognitive therapy (CT), focused expressive psychotherapy (FEP; a form of group experiential psychotherapy), and supportive, self-directed therapy (S/SD) were compared among 63 patients with major depressive disorder (MDD). Variation among patients' coping styles (externalization) and defensiveness (resistance potential) was used in a prospective test of hypothesized differential treatment-patient interactions. ...
Garg A - - 1991
A laboratory study was conducted in an effort to reduce back stress for nursing personnel while performing the patient handling tasks of transferring the patient from bed to wheelchair and wheelchair to bed. These patient handling tasks were studied using five manual techniques and three hoist-assisted techniques. The manual techniques ...
Thornicroft G - - 1991
An in-patient behavioural psychotherapy unit is described that emphasises self-treatment, teaching relatives to become cotherapists while resident in the unit, routine collection of outcome data, minimising use of medication, and absence of night nurses. Patients are referred from all over the UK, mostly with chronic disabling OCD. Treatment includes self-exposure ...
Magni G - - 1991
Fifty patients with UC and 50 matched controls with urolithiasis were interviewed with the SADS (lifetime version) and completed the SCL-90. According to information given during the SADS, there was a history of psychiatric disturbance in 11 UC patients (22%) and 8 controls (16%). At the time of the interview ...
Childs-Clarke A - - 1991
1. Change invariably occurs following a crisis, which enables a new paradigm to be adopted. 2. Religious faith may be one possible paradigm that may be of benefit to patients. 3. Nurses have a responsibility to explore this untapped potential with their patients. 4. A patient with severe phobic anxiety ...
Korzekwa M - - 1991
The relationship between borderline personality disorders (BPD) and major depressive disorder (MDD) continues to be controversial. A reliable biological marker for depressed BPD patients would not only support the diagnosis but could also help in predicting treatment outcome. A large sample of psychiatric patients was screened and data on the ...
Gray P - - 1991
The author explores another major anxiety-relieving resistance, namely, the re-externalized and transferred fantasy of authority figures offering affectionate approval, with implicit permission for openness and disclosure. The conditions the patient experiences as safe for exposure of conflictual material are based on fantasy, not on a realistic sense of permission from ...
Stern T A - - 1991
The authors report the results of a preliminary prospective study involving 110 patients who were involuntarily committed from the emergency room. The study was designed to clarify the process of how psychiatric residents evaluate homicidal patients. Eighteen patients (16%) were committed for homicidal ideation, of whom 89% were psychotic. Surprisingly, ...
De Leo D - - 1991
The suicide attitude in a group of 34 postmastectomy patients was much more marked than in two control groups consisting of 103 medical patients and in 40 healthy subjects, respectively. In a limited sample comprising 23 subjects obtained by excluding the extreme percentile values, certain psychosocial variables (irritability, psychoticism, number ...
Lane R C - - 1991
In this paper, we have described a type of resistance that has attracted increasing psychoanalytic attention in recent years. Patients exposed to intense negativity during early life may develop an addiction to negative experience as adolescents and adults, and this may constitute a central organizing feature of their personality. In ...
Alvarez W A - - 1991
The prevalence of bestiality (both actual sexual contacts and sexual fantasy) was investigated in an experimental group (psychiatric in-patients) and two control populations (medical in-patients and psychiatric staff). Psychiatric patients were found to have a statistically significant higher prevalence rate (55%) of bestiality than the control groups (10% and 15% ...
Gabbard G O - - 1991
Transference hate presents a major obstacle to effective analytic work with borderline patients. In a subgroup of these patients, the analyst is hated relentlessly in a manner that seems unresponsive to interpretation. The persistent projective identification of hated aspects of the patient's internal world may erode the analyst's ability to ...
Selzer M A - - 1990
When something in common can be found to establish relatedness; when therapists can trust that the patients will eventually be able to contain their destructiveness and that on some level they struggle with their pathology, then patients begin to identify with their therapists and with those aspects within themselves. This ...
Brockington I F - - 1990
Eighty-eight in-patients admitted to a psychiatric mother-and-baby unit and 80 randomly selected recently delivered women in the general population were interviewed using the LEDS. Only five of 33 patients (15%) with puerperal psychosis had provoking agents, which is less than the figure for women in the community (36%). Provoking agents ...
Nakashima K - - 1990
We treated 2 patients with obsessive-compulsive disorders for years using messages, and their symptoms had improved. We provided the messages that utterly disproved the core reason of their fears, and suggested the patients to repeat, listen or read these messages whenever the obsessive thinking occurred. We supposed that the therapeutic ...
Garvey M - - 1990
Levels of N-acetyl-beta-glucosaminidase (NAG) were examined in 575 patients with various psychiatric diagnoses and 38 non-ill controls. Ten percent of affectively disordered patients and 19% of chemically dependent patients had abnormal NAG levels, whereas none of the 38 controls did (P less than 0.05 and P less than 0.003 respectively). ...
Levine S W - - 1990
Changes in the therapeutic relationship over time were explored using the Therapy Session Report for 30 patients and six therapists at an out-patient clinic. 11 patients dropped out after the third session, while the continuing group consisted of 19 patients for whom sessions ranged from 5 to 33. Significant differences ...
Omer H - - 1990
A therapeutic intervention has impact if it reaches the patient's mind and remains available for times of need. Impact is the overcoming of attention, neglect and forgetfulness. Therapists enhance impact by: (a) building up patients' positive attention; (b) creating unusual and discrepant events; (c) strengthening the therapeutic message or the ...
Maxim P E - - 1990
The process of patient change during short-term dynamic therapy was followed in eight patients by repeatedly measuring their appraisal and coping with significant people and issues in their lives. Patients' ratings of their appraisal and their coping with each of these variables were compared to a line of optimal functioning, ...
Talley P F - - 1990
Patient-therapist matching was investigated using recent theoretical and methodological developments to overcome some of the limitations that have hindered similar past efforts. Two hypotheses were tested: (a) Therapeutic outcome is affected by the interaction between patients' and therapists' self-concepts, and (b) increasing anticomplementarity between therapist self-concept and therapists' perceptions of ...
Emsley R A RA MRC Unit for the Neurochemistry of Mental Diseases, Tygerberg Hospital, Parowvallei, - - 1990
To investigate the occurrence of an inappropriate antidiuretic state in a long-term psychiatric inpatient population, 690 patients underwent serum sodium determination. Forty-four patients (6.4%) had levels less than 133 mmol/l. Fifteen of these patients could be investigated further and the biochemical findings in all were consistent with an inappropriate antidiuretic ...
Negley E N - - 1990
Statistical data on patients assaulting other patients are almost non-existent. Collection and analysis of data concerning patient assaults is necessary before effective interventions can be developed. Assaultive behavior can be effected by extrinsic factors such as organizational and environmental structure. Environmental manipulation can change the behaviors of confused, disoriented patients.
Chanfreau D - - 1990
A large mental hospital closed in November 1986. Twenty-eight female patients formed the first group to be transferred to a second psychiatric hospital. Patients in the receiving hospital were identified as controls. Both transfer and control groups were studied before the move and at six- and 12-month follow-ups. No differences ...
BrykczyƄska C - - 1990
The patient's perception of his therapist seems to be one of the major components of the therapeutic relationship. The different psychotherapeutic setting seem to influence the dynamics of the therapeutic relationship along with some other therapist and patient variables. Two groups of patients treated in the Department of Neurotic Disorders ...
Schneider W - - 1990
In a questionnaire study on 865 patients suffering from different psychosomatic and somatopsychic disorders their therapy expectations were analyzed. The complete scale of the test holds 47 items (Cronbach's alpha = 0.91) grouped into for subscales: subjective experience of the disease (subscale 1, ii items, alpha = 0.76), lay concept ...
Larsen F W - - 1990
A register investigation was carried out as of December 31, 1980, with the aim of giving a broad description of a child psychiatric clientele 30 years after admission to hospital. The material consists of 322 patients--189 boys (59%) and 133 girls (41%)--who were admitted during the period 1949-1951 to the ...
Mario Gomberoff J - - 1990
In this paper we examine the relationship of the autistic object concept to narcissism, and we attempt to delimit its chronological location. Then we refer to transferential and countertransferential relationships that appear when the autistic object arises within the analysis of nonpsychotic patients. We also discuss some clinical phenomena described ...
Schachter J - - 1990
This is a report of a followup study to determine whether attending a panel discussion group on post-termination patient-analyst contact influenced the analytic audience's attitude on that subject. A questionnaire about post-termination contact was given to 21 analysts who did not attend the discussion group and to 45 analysts before ...
Gray P - - 1990
The nature of therapeutic action varies not only with each patient's psychological predilection for utilizing opportunities for change, but also with the manner in which the analyst or therapist presents opportunity for change. Ideally, the therapist bases the latter on personally identifiable theoretical concepts and aims. This inquiry focuses on ...
Soldz S - - 1990
The relation of patient verbal activity to pretherapy symptom status and outcome was examined for ninety patients in time-limited group psychotherapy. For each half-hour segment the most verbally active member, or main actor (MA), was identified. Verbal activity was measured by counting the number of times each patient was MA ...
Shugar G - - 1990
Continuous observation is a procedure used in most psychiatric inpatient units to manage acute and escalating risk in patients. Yet, it is virtually unstudied and unreported. The present study, conducted in a psychiatric teaching hospital, compared 102 inpatients who required continuous observation with 102 control subjects. Continuous observation was provided ...
Frederickson K - - 1989
The purpose of this study was to examine and document the transmission of anxiety between the family of the patient with cardiac disease and the nurse and between the family and the patient in the coronary care unit (CCU). A nonrandomized sample of 23 patients with an acute myocardial infarction ...
Cotterill J A - - 1989
Many patients with emotional, psychological and frank psychiatric problems present in disguise to the dermatologist. It is important that the dermatologist recognizes such patients and institutes appropriate therapy. A liaison clinic is particularly helpful in the management of more difficult patients, such as those with delusional disease or profound depression.
Himle J - - 1989
Clinical research on the purely obsessional patient is considerably less developed than that for compulsive ritualizers or obsessive compulsives with mixed features. A single case investigation of exposure therapy in the treatment of obsessive ruminations is presented. Treatment involved exposing the patient to a variety of stimuli related to obsessional ...
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