Abstract:
:Of the physicians who took the American Board of Psychiatry and Neurology (ABPN) Examination, Part II, in 1995, 41% failed. The Accreditation Council for Graduate Medical Education (ACGME) requires that residency psychiatry programs conduct an organized evaluation of residents' clinical skills at least twice during the 4 years of training. At the University of Oklahoma Health Science Center-Tulsa, the residents attend formal didactic instruction on conducting a psychiatric interview. Having gained this didactic foundation, they then participate in actual patient interviews. First- and 3rd-year residents are mock examiners, paired with an experienced board-certified psychiatrist. Second- and 4th-year residents examine an actual patient. A survey evaluating this curriculum was rated as very good to excellent by the participants.
journal_name
Bull Menninger Clinjournal_title
Bulletin of the Menninger Clinicauthors
Warnock JK,Nelson DAkeywords:
subject
Has Abstractpub_date
1999-01-01 00:00:00pages
111-7issue
1eissn
0025-9284issn
1943-2828journal_volume
63pub_type
杂志文章abstract::Self-mutilative behavior is common among patients with multiple personality and other dissociative disorders. Nursing staff members face particular challenges in managing these patients because one act of self-mutilation can disrupt the entire inpatient milieu. The authors present an approach to nursing care that focu...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1993-07-01 00:00:00
abstract::The author traces some of the literature related to such concepts as the development of the therapeutic alliance and collaboration in the inpatient and residential psychiatric treatment of disturbed adolescents. The more recently developed concept of "mentalization" is discussed, especially with its relevance to the p...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.67.2.150.23442
更新日期:2003-04-01 00:00:00
abstract::Dualistic thinking continues to pervade psychoanalytic views of psychopathology. The author points out the shortcomings of this perspective as represented in Mark Swoiskin's article, "Psychoanalysis and Medication: Is Real Integration Possible?" She contends instead that the latest scientific evidence does not support...
journal_title:Bulletin of the Menninger Clinic
pub_type: 评论,杂志文章
doi:10.1521/bumc.65.2.160.19397
更新日期:2001-04-01 00:00:00
abstract::Obsessive-compulsive disorder (OCD) is a common and disabling disorder. The most effective psychological treatment for OCD is currently exposure with response prevention (ERP). Although ERP is an effective therapy, recovery rates are relatively modest, so there is room for improvement. Metacognitive therapy (MCT) for ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2018.82.4.375
更新日期:2018-10-01 00:00:00
abstract::A psychoanalytically oriented combined treatment is considered beneficial for severely disturbed borderline patients, especially during an acute crisis. The proposed treatment comprises hospitalization and specialized psychotherapeutic inpatient treatment, individual psychoanalytic psychotherapy, and psychiatric manag...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.68.4.337.56640
更新日期:2004-10-01 00:00:00
abstract::Some patients defend against all affective experiencing, which limits their ability to process feelings verbally. When they establish such defenses to cope with early traumatic experiences, they may need to repeat the affective tone of these experiences within the transference. Using case material, the author explore ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2013.77.2.161
更新日期:2013-04-01 00:00:00
abstract::Significant social and economic pressures on academic medicine to become more cost conscious and scientifically accountable have led to new tensions in psychiatric residency training. Failure to distinguish between changes in practice derived from scientific advances and those derived from other sources has major impl...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract::The author elaborates on her earlier findings and discussion on parallel processes in supervision and psychotherapy (Doehrman, 1976) by focusing on the supervision of more "troublesome" patients, in particular adolescents and those with borderline disorders. She also focuses more intensively on trouble spots in superv...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::The relation between attachment and personality features is an important field to explore in adolescent borderline personality disorder (BPD), and previous research has shown that personality features may be conceptualized within latent internalizing and externalizing dimensions. This cross-sectional study used a stru...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2016.80.3.213
更新日期:2016-07-01 00:00:00
abstract::Literature on the assessment of suicide risk in individuals with schizophrenia is summarized, including the risk factors shared in common with the general population, illness-specific risk factors, and times of heightened risk in the course of the illness. Because depression emerges as a significant risk factor, it is...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.68.3.231.40405
更新日期:2004-07-01 00:00:00
abstract::The transition into the male Oedipus complex is complicated by the fact that there is no "change of object" as in female development. For the boy, the mother is both the object of preoedipal attachment to an omnipotent internal object and of oedipal desire for an external whole object. The psychological-interpersonal ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::Via a national survey and in-depth interviews, the author investigated training psychoanalysts' views on religion and spirituality and the impact of such views on their treatment practices. The training analysts surveyed described being appreciative of a patient's religious or spiritual worldview when it allowed for f...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.67.4.347.26984
更新日期:2003-10-01 00:00:00
abstract::In therapy, suicidal borderline patients often use the therapist as a "selfobject," an object that regulates the patient's narcissistic equilibrium. To demonstrate this concept, the author presents the case history of a young woman who created a "selfobject transference" by means of attacks on the therapist similar to...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract::Two hundred sixty-four adolescents were surveyed in order to study the kinds and frequencies of self-comforting strategies they use. Fifty prompts with space to identify additional ones were provided. Significant differences were reported as determined by two-tailed t-tests. Gender was discriminating in both choice an...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.66.3.259.23369
更新日期:2002-07-01 00:00:00
abstract::Four new antipsychotic medications--clozapine, risperidone, olanzapine, and quetiapine--have been introduced in the United States during the past decade. These new medications now account for the majority of antipsychotic prescriptions. The author reviews specific issues related to the use of traditional antipsychotic...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract::In the literature on siblings of schizophrenic individuals, recurrent experiential themes include guilt feelings, a fear of madness in oneself, and a wish to escape the turbulence that surrounds the schizophrenic person. In psychotherapy conducted by the author with three siblings of schizophrenic individuals, the sib...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::The psychological impact that has emerged following the terrorist attacks on September 11, 2001, raises unique and challenging treatment considerations for the psychoanalyst. The shared trauma of these horrifying events affected many individuals on many levels. This essay considers how analysts will need to demonstrat...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.68.1.1.27728
更新日期:2004-01-01 00:00:00
abstract::In recent years, the dichotomy between psychotherapy and pharmacotherapy vis-à-vis the treatment of mood disorders has begun to be resolved as the benefits of integrating the two modalities are increasingly recognized. This new understanding has expanded the scope of successful treatment, but it has also complicated t...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract::The authors discuss the countertransference reactions that arise in staff who work in a hospital outpatient clinic with children with HIV and AIDS. Countertransference feelings such as guilt, anger, and helplessness can be easily aroused when working with a young, impoverished, dying population. Factors that precipita...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::Obsessive-compulsive (OC) symptoms have been associated with trauma exposure. Although no studies have specified relations between type of trauma and OC symptom presentations, this information may inform personalized care for this complex population. Thus, this study used profile analysis via multidimensional scaling ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc_2020_84_04
更新日期:2020-01-01 00:00:00
abstract::Functional magnetic resonance imaging (fMRI) is widely used to study brain circuitry in healthy controls and in psychiatry. A major problem of fMRI studies is motion, which affects the quality of images, is a major source of noise, and can confound data if, for example, the experimental groups move differently. Despit...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2016.80.4.348
更新日期:2016-10-01 00:00:00
abstract::Asking patients to interpret proverbs is a traditional method of assessing abstract thinking ability. Familiarity with a proverb increases the likelihood of interpreting it correctly. Differences in proverb familiarity among patients could lead clinicians to incorrectly conclude that a patient is thinking concretely, ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::The author hypothesizes that erotomania, or de Clérambault's syndrome, occurs in two forms: the clinically accepted delusional erotomania, in which patients believe that another person is in love with them; and borderline erotomania, in which no delusion is present, yet an extreme disorder of attachment is apparent in...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract::The concept of borderline personality disorder (BPD) remains problematic despite psychiatrists' general familiarity with its DSM diagnostic criteria. The diagnosis of BPD is frequently based simply on the DSM checklist of traits and symptoms without knowledge of their origins or significance. Misdiagnosis is common, a...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:10.1521/bumc.2015.79.3.203
更新日期:2015-07-01 00:00:00
abstract::Although psychoanalysis and psychodynamic psychotherapy have flourished theoretically and in practice for an increasingly widespread population of patients, the mental health professions have in recent decades experienced a hegemony of managed care, a preoccupation with pharmacological approaches at the expense of psy...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2013.77.1.23
更新日期:2013-01-01 00:00:00
abstract::Commercial films on videotape may be helpful in teaching medical students, residents, and other mental health trainees about various topics in psychiatry. Recommendations are made on the use of specific films, scenes, and characters to illustrate the DSM-IV diagnostic criteria for borderline personality disorder (BPD)...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::Crying is attachment behavior triggered in infancy by separation and throughout life by loss. Adult crying, as reported and demonstrated in psychotherapy, reflects the quality of early attachment experiences as well as current adult bonds. Specific instances, as well as overall patterns, of crying and inhibited crying...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:2000-10-01 00:00:00
abstract::Individuals with obsessive-compulsive-disorder (OCD) may have difficulties in using feedback from rewarding and punishing experiences to optimally guide future decisions. The current aim was to examine how adults with OCD use associative learning feedback to direct attention toward learned stimuli when the action-outc...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2019.83.2.128
更新日期:2019-04-01 00:00:00
abstract::To examine the effects of the patient-level mechanisms of change postulated by cognitive-behavioral theory and psychodynamic theory, thirty-three patients in eclectic therapy completed questionnaires at two time points. Decreases in automatic thoughts and immature defenses were each associated with lower symptoms, and...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2005.69.3.206
更新日期:2005-07-01 00:00:00
abstract::It is not uncommon for patients with obsessive-compulsive disorder (OCD) to present with symptoms that suggest possible risk. This can include apparent risk, which reflects the content of obsessional fears, and genuine risk arising as the unintended consequence of compulsive behaviors. In both situations, risk can cau...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc_2019_83_06
更新日期:2020-01-01 00:00:00