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Full-Text Articles in Medicine and Health Sciences
Changing Concepts Of Deviance, Douglas D. Bond
Changing Concepts Of Deviance, Douglas D. Bond
MCV/Q, Medical College of Virginia Quarterly
As I look at the list of distinguished Stoneburner Lecturers, I see I am honored by being the first psychiatrist. This is a tribute to the Department of Psychiatry. In thinking about this paper, I at first considered giving a kind of history of psychiatry. What seemed to me more interesting, however, was an examination of our whole perspective on deviance, in general, and what we call “illness”—an example of a certain kind of deviance, or, perhaps more accurately, a certain way of looking at deviance.
Perspectives In The Behavioral Sciences, Douglas D. Bond
Perspectives In The Behavioral Sciences, Douglas D. Bond
MCV/Q, Medical College of Virginia Quarterly
It is clear at this moment that we have two major thrusts. The first is the unlocking of the biological secrets surrounding the potential for development and the fixing of learned material in the biological matrix. The second is the careful examination of the culture that will be learned. Here, not only every social scientist but every citizen need be concerned. The present emphasis upon the importance of culture can hardly be exaggerated unless it crowds out our interest in the biological. Man remains an enigma; reason, a personal control of prejudice, and a continuing spirit of disciplined inquiry are …
Whom, Why And How To Refer, Zigmond M. Lebensohn
Whom, Why And How To Refer, Zigmond M. Lebensohn
MCV/Q, Medical College of Virginia Quarterly
When a medical practitioner decides that the time has come to refer his patient to a specialist, certain psychological problems arise which may, at times, interfere with the smooth accomplishment of the referral. These problems can and do occur daily in medical practice, and it often makes little difference whether the specialist is a thoracic surgeon, a neurosurgeon or a psychiatrist. Referrals create certain anxieties and fears in the mind of the patient. Some of these anxieties are common to all referrals. The patient asks himself, "What's going on? What does the doctor think I really have? How serious is …
Family Tension And Psychophysiological Illness, Milton Rosenbaum
Family Tension And Psychophysiological Illness, Milton Rosenbaum
MCV/Q, Medical College of Virginia Quarterly
The title of this talk, "Family Tension and Psychophysiological Illness," in itself implies that physiological changes may result from psychological forces connected with interpersonal as well as intrapersonal factors. This I firmly believe. For the most part, people do not become ill solely as the result of physiological changes. Illness usually occurs within the context of difficulties in interpersonal relations which, in the majority of instances, means the family. This does not mean that, once the patient becomes ill, he cannot be treated individually, or that, once the illness starts, the intrapsychic conflicts unleashed by it will not run their …
Social And Community Psychiatry And Its Effect On The Family, William W. Jepson
Social And Community Psychiatry And Its Effect On The Family, William W. Jepson
MCV/Q, Medical College of Virginia Quarterly
Without further detailing the methodology, I would like to emphasize one point, i.e., a psychiatric crisis need no longer be considered the point of departure for a family member, but rather can be regarded as an entrée for helping the entire family to cope with interpersonal conflicts. With the kind of help offered in a mental health center, families as total units can often attain a better adjustment than before, and the illness stemming from interpersonal difficulty will not rest entirely on the scapegoat member. In summary, I should like to emphasize that modern psychiatry is beginning to see the …
Community Resources: The Role Of Other Professionals, Luther Christman
Community Resources: The Role Of Other Professionals, Luther Christman
MCV/Q, Medical College of Virginia Quarterly
In this short paper an attempt has been made to sketch briefly some of the social forces affecting collaboration. A model of shared power has been suggested as a means of most effectively mobilizing the professional mental health manpower and of stimulating the growth of expertness. It is only one alternative among many. The behavioral scientists constantly are studying the best ways to harness human effort for the social good. The application of their findings to the problem of interdisciplinary collaboration may be a valuable means of improving patient care.
Psychiatry In Medical Practice, George Kriegman
Psychiatry In Medical Practice, George Kriegman
MCV/Q, Medical College of Virginia Quarterly
The Twenty-Second Annual Stoneburner Lecture Series was designed to share with our medical colleagues some of the psychological knowledge applicable to their own medical interests which the field of psychiatry has accumulated.
Psychiatric Issues In Therapeutic Abortion, Henry D. Lederer
Psychiatric Issues In Therapeutic Abortion, Henry D. Lederer
MCV/Q, Medical College of Virginia Quarterly
For the purpose of this discussion I should like to focus your attention on the psychiatric involvement, questions, dilemmas, and opinions concerning therapeutic abortion. Under most of the existing statutes, therapeutic abortion is only permitted to preserve the life of the mother. Therefore, within the context of strict interpretation, the sole psychiatric indication is a high probability of suicide by the pregnant patient.
Recognition And Management Of Psychiatric Emergencies, John A. Ewing
Recognition And Management Of Psychiatric Emergencies, John A. Ewing
MCV/Q, Medical College of Virginia Quarterly
Emergencies are simply unforeseen occurrences which present themselves to physicians in a variety of ways. Indeed, a physician is not the first person on hand for most emergencies but may merely be called upon for appropriate intervention. Any of us can be presented with an emergency, psychiatric or otherwise, at any moment. However, each of us has his own particular probability of sampling psychiatric emergencies, depending upon who he is and what he does. In actual fact, psychiatric emergencies more often confront people other than psychiatrists, for example, the policeman, the social worker, and the general practitioner (Ewing, 1965). As …
Physical Illness: The Family And The Physician, Marc H. Hollender
Physical Illness: The Family And The Physician, Marc H. Hollender
MCV/Q, Medical College of Virginia Quarterly
When confronted by the specific stress of a close relative's illness, the family members' reactions may be schematically divided into three stages: 1) disorganization; 2) reintegration; and 3) adjustment. Either disorganization can be intensified or adjustment can be fostered, depending on the physician's understanding of the feelings the family members experience and his willingness and ability to be helpful. The family members' responses, in turn, will influence the patient's reaction to illness or his recovery and rehabilitation. Accordingly, good medical practice requires that the physician include the family in his total treatment plan whenever possible.
The Older Population And The Aged Patient, Ewald W. Busse
The Older Population And The Aged Patient, Ewald W. Busse
MCV/Q, Medical College of Virginia Quarterly
Modern medical practice requires that the physician and other members of the health team have full appreciation of the impact of disease and disability upon identifiable groups of patients and recognize how nonmedical factors affect treatment and prognosis. It is important for the physician to have some idea of the patient's socioeconomic status and the actual and potential number of patients with not only a common diagnosis, but also similarities in their living conditions. With such knowledge, the physician can be much more realistic and efficient in his therapeutic efforts. Persons 65 years of age and over are commonly referred …
The Physician's Role In The Assessment Of Normal Behavior, Melvin Sabshin
The Physician's Role In The Assessment Of Normal Behavior, Melvin Sabshin
MCV/Q, Medical College of Virginia Quarterly
I am pleased to have this opportunity to talk to you about the physician's role in the assessment of normal behavior. One source of my appreciation relates to the fact that this topic is rarely discussed explicitly in symposia organized by psychiatrists for non-psychiatrist physicians. A major reason for underemphasis of this subject is that psychiatrists are quite divided in their perspectives and opinions regarding normal behavior. Not surprisingly, we psychiatrists are much more comfortable when talking to non-psychiatrists about the nuances of maladaptation or of emotional illness.
Anxiety, Defense And Cognition: A Theoretical Basis For Practical Handling Of The Surgical Patient, Stanley L. Block
Anxiety, Defense And Cognition: A Theoretical Basis For Practical Handling Of The Surgical Patient, Stanley L. Block
MCV/Q, Medical College of Virginia Quarterly
Both the anxiety-defense model and the cognitive model provide a scientific basis for practical handling of the surgical patient. Emerging from both models is a humanistic approach to the patient based on understanding and a nonjudgmental attitude as well as on a knowledge of where the patient is psychologically and a willingness to meet him on his ground. The rewards in terms of a reduction of anxiety, depression, and human suffering can be enormous.
Sexual Counseling In Medical Practice, George Kriegman
Sexual Counseling In Medical Practice, George Kriegman
MCV/Q, Medical College of Virginia Quarterly
In summary, sexual relationships involve two factors: lustful gratification and emotional and physical closeness. Lustful gratification involves sexual identity which is determined by: 1) biological sex; 2) gender identity; 3) child-parent relationships; 4) cultural value systems; and 5) sexological knowledge. Sexual problems are due to ignorance of the sexual facts of life and/or to contamination of the sexual area by other needs, wishes, or fears. A detailed understanding of the presenting complaints and the sexual history of the patient will enable the physician to make a differential diagnosis. The physician can then clarify the problem and assist the patient in …
What Referring Physicians Can Expect From The Psychiatrist, David R. Hawkins
What Referring Physicians Can Expect From The Psychiatrist, David R. Hawkins
MCV/Q, Medical College of Virginia Quarterly
I hope that I have persuaded you that the psychiatrist can be a very useful colleague to non-psychiatric physicians. He can be most useful if the referring physician works at developing a mutual learning relationship with him and keeping all lines of communication open.
Present-Day Psychiatry, Henry D. Lederer
Present-Day Psychiatry, Henry D. Lederer
MCV/Q, Medical College of Virginia Quarterly
As part of the excitement and challenge of our times, psychiatry shares with the rest of human activity a soul-searching, candid questioning of principles and practices and a responsibility for developing new perspectives and patterns of action. During these times when there seems to be a strong swing toward conformity and stereotypy in our society, there is also an intense counteraction—especially in those under 30—of questioning all tradition, respecting no sacred cows. These phenomena lead to heated debates, voices raised in anger, and hot letters to editors; but, through all of the dust raised, I believe we can see encouraging …
A Psychiatrist Listens To Dental Complaints, Henry D. Lederer
A Psychiatrist Listens To Dental Complaints, Henry D. Lederer
MCV/Q, Medical College of Virginia Quarterly
When your chairman invited me to meet with you to discuss some issues connecting psychiatry and dentistry, my immediate response was both intense and almost reflexive. I experienced an immediate strong uneasiness and desire to avoid facing you. This reaction impressed me as being neither rational nor appropriate, since my more sensible side could see good reasons for an exchange of views between dentists and psychiatrists. Therefore, as is the custom of most of us working in psychiatry, I tried to examine my own reaction, and in doing so came upon thoughts and feelings which indicated that I do not …
A Systematic Approach To The Evaluation And Treatment Of Marital Problems, George Kriegman
A Systematic Approach To The Evaluation And Treatment Of Marital Problems, George Kriegman
MCV/Q, Medical College of Virginia Quarterly
The collaboration of two persons of the opposite sex is a part of the natural sequence of human development and involves the integration of psychodynamic factors and group dynamics. Marriage can be classified into three general types: harmonious, adjusted, and disharmonious. The disharmonious group is classified according to the predominant security operations of the spouse into seven categories. The group dynamics are presented in terms of role functions following Spiegel's (1957) classification of role discrepancies and role resolution, emphasizing the concepts of complementarity and equilibration. The diagnostic evaluation of the personality structure is outlined in terms of the operative level …
The Healing Of Persons, Paul Tournier
The Healing Of Persons, Paul Tournier
MCV/Q, Medical College of Virginia Quarterly
Text of a talk delivered, in French, by Paul Tournier, at the Medical College of Virginia, April 27, 1965. Translation by Miss Beryl Eeman.