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Suicide-Related Discussions With Depressed Primary Care Patients In The Usa: Gender And Quality Gaps. A Mixed Methods Analysis, Steven D. Vannoy, Lynne S. Robins
Suicide-Related Discussions With Depressed Primary Care Patients In The Usa: Gender And Quality Gaps. A Mixed Methods Analysis, Steven D. Vannoy, Lynne S. Robins
Steven D Vannoy
Objective: To characterise suicide-risk discussions in depressed primary-care patients. Design: Secondary analysis of recordings and self reports by physicians and patients. Descriptive statistics of depression and suicide-related discussion, with qualitative extraction of disclosure, enquiry and physician response. Setting: 12 primary-care clinics between July 2003 and March 2005. Participants: 48 primary-care physicians and 1776 adult patients. Measures: Presence of depression or suicide-related discussions during the encounter; patient and physician demographics; depression symptom severity and suicide ideation as measured by the Patient Health Questionnaire (PHQ9); physician’s decision-making style as measured by the Medical Outcomes Study Participatory Decision-Making Scale; support for autonomy as …
Professional Perspectives On Sexual Sadism, Julia E. Mclawsen, Rebecca L. Jackson, Steven D. Vannoy, Gregg J. Gagliardi, Mario J. Scalora
Professional Perspectives On Sexual Sadism, Julia E. Mclawsen, Rebecca L. Jackson, Steven D. Vannoy, Gregg J. Gagliardi, Mario J. Scalora
Steven D Vannoy
Significant controversy surrounds the diagnosis of sexual sadism. Research suggests that many characteristics attributed to sexual sadists fail to differentiate sexual offenders with and without this diagnosis. Furthermore, when there are differences between sadists and nonsadists, “sadistic” features are frequently associated with nonsadists. Finally, diagnosticians appear to use idiosyncratic methods to diagnose sexual sadism. These findings raise concerns about the reliability and validity of a diagnosis of sexual sadism, particularly with respect to how professionals conceptualize this diagnosis. This study examines how professionals understand the relative importance of behaviors associated with sadistic versus nonsadistic sexual offending. Professionals rated behaviors according …