Abstract:
:As clinical ethicists increasingly populate hospital settings, a definition of their roles and responsibilities vis à vis those of consultation-liaison (C-L) psychiatrists remains a matter of both interest and uncertainty. Both fields share certain evolutionary and ideological features, yet until very recently, psychiatry has ignored medical ethics, leaving the field to other medical specialties. This estrangement can be explained by psychiatry's traditional suspicion and devaluation of moral philosophy and its more recent wish to be identified more with biomedicine than with the "softer" social sciences and humanities. C-L psychiatry has both a lot to offer and a lot to learn from clinical ethics.
journal_name
Psychosomaticsjournal_title
Psychosomaticsauthors
Youngner SJdoi
10.1016/S0033-3182(97)71437-3subject
Has Abstractpub_date
1997-07-01 00:00:00pages
309-12issue
4eissn
0033-3182issn
1545-7206pii
S0033-3182(97)71437-3journal_volume
38pub_type
杂志文章相关文献
PSYCHOSOMATICS文献大全abstract:OBJECTIVE:This study examines the use of substance abuse and mental health services among older adults with substance use disorders. METHODS:Participants were members of Humana Cares, a subsidiary of Humana, Inc., a care management program for chronically ill Medicare Advantage members, between 2008 and 2010. All adul...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2013.05.008
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Pediatric catatonia is believed to be a rare condition, but challenges in recognition and variability in presentation may lead to underdiagnosis. Early identification and effective treatment of pediatric catatonia is critical given the significant morbidity and mortality associated with the condition. Given ...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/j.psym.2018.05.012
更新日期:2018-11-01 00:00:00
abstract::The results of an experimental training program in sexologic interviewing for a multidisciplinary arthritis patient care team are reported. The program included didactic instruction, observation and practice of interviewing skills, a seminar, and a case presentation. Trainees had gained more knowledge than control sub...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(90)72193-7
更新日期:1990-04-01 00:00:00
abstract:BACKGROUND:Somatoform disorders (SDs) are a heterogeneous group of psychiatric syndromes characterized by common symptoms, which may mimic a physical condition but they are not explained by a medical condition. Although the biologic nature of this disorder has been widely accepted, the neuroanatomical correlates charac...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2018.07.005
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Individuals with co-existing serious mental illness and non-psychiatric medical illness are at high risk of acute care utilization. Mining of electronic health record data can help identify and categorize predictors of psychiatric hospital readmission in this population. OBJECTIVE:This study aimed to identi...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2019.05.002
更新日期:2019-01-01 00:00:00
abstract::Various studies suggest that selective serotonin reuptake inhibitors (SSRIs) may be useful in treating pathologic skin-picking. The authors investigated the effectiveness of fluoxetine in treating this behavior. Fifteen subjects with clinically significant skin-picking were recruited by newspaper advertisement. They r...
journal_title:Psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1176/appi.psy.42.4.314
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Falls and delirium in general-hospital inpatients are related to increases in morbidity, mortality, and healthcare costs. Patients fall despite safeguards and programs to reduce falling. OBJECTIVE:The authors sought to determine the prevalence of diagnosed and undiagnosed delirium in patients who fell durin...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.50.3.218
更新日期:2009-05-01 00:00:00
abstract::Somatizing patients present a history of vague, unexplained medical symptoms. This study compared somatizing patients with pulmonary control subjects by using the Diagnostic Interview Schedule (DIS-III-R), the Illness Attitude Scales (IAS), and the Minnesota Multiphasic Personality Inventory (MMPI-2). The groups diffe...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(96)71545-1
更新日期:1996-07-01 00:00:00
abstract::Depressive disorders are far more serious than most people realize, and depressive disorders are disabling affected persons progressively earlier in life. Heavy utilization of medical services, extensive disability and morbidity, and high suicide risk exact a staggering economic toll in the United States annually. Dep...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(95)71698-X
更新日期:1995-03-01 00:00:00
abstract::The temporolimbic structures of the brain that subserve emotional representation are highly epileptogenic and play an important role in the modulation of hormonal secretion and mediation of hormonal feedback. Estrogen is highly epileptogenic and exerts energizing and antidepressant effects. Excessive estrogen influenc...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(99)71254-5
更新日期:1999-03-01 00:00:00
abstract::This article characterizes the academic, administrative, clinical service, and fiscal characteristics of departments of psychiatry in traditional children's hospitals to determine the characteristics of fiscally successful programs. A survey of chairs of psychiatry from short-term general children's hospitals was cond...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.41.2.128
更新日期:2000-03-01 00:00:00
abstract:BACKGROUND:The prevalence of diabetes in Canada is increasing. Multiple factors have been identified in the development of disability in diabetic patients, but the interaction of those risk factors is not clear. OBJECTIVE:The purpose of this paper was to assess the association between diabetes severity, health behavio...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2010.11.020
更新日期:2011-03-01 00:00:00
abstract::Depression and anxiety disorders are common clinical problems in organ transplant recipients, but there is a paucity of clinical data to inform the selection of psychopharmacologic treatment. The authors retrospectively compared 13 depressed organ transplant recipients treated with fluoxetine with 13 nondepressed matc...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(96)71594-3
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:Of the 34 million adult Americans (17%) using mind-body medicine therapies, 8 million (24%) have anxiety/depression. The evidence for using mind-body therapies to address varying depressive symptoms in populations with and without other chronic comorbidities is reviewed. METHODS:Systematic literature searche...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/j.psym.2012.04.006
更新日期:2012-09-01 00:00:00
abstract::Psychotropic drugs are frequently used in both psychiatric and general medical practice. Familiarity with common side effects and their management may assist psychiatrists in the selection of agents to suit individual patient needs. The authors describe the morphologic features and pathologic basis of cutaneous reacti...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/S0033-3182(97)71418-X
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND:Although required by the Accreditation Council for Graduate Medical Education, training of general psychiatry residents in Psychosomatic Medicine (PM) varies significantly between programs. In 1996, the Academy of Psychosomatic Medicine (APM) developed guidelines for residency training in PM. Since then, the...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2013.07.005
更新日期:2013-11-01 00:00:00
abstract::The authors investigated long-term outcome and treatment strategy of corticosteroid-induced psychotic and mood disorders as defined by DSM-IV. Review of medical records of 2,069 referral patients revealed 18 applicable patients. Their clinical characteristics, longitudinal courses, and treatments were studied. The aut...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.42.6.461
更新日期:2001-11-01 00:00:00
abstract::The relationship between life satisfaction and alexithymia was studied in a sample of 229 patients as a part of a naturalistic follow-up study of depression in Finnish primary health care. The measures were the abbreviated Life Satisfaction Scale and the 20-item Toronto Alexithymia Scale. Depression was assessed by te...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.48.6.523
更新日期:2007-11-01 00:00:00
abstract::Fifty-seven of 100 women with recurrent abortion completed questionnaires designed to assess demographic and reproductive variables, depression, anxiety, social desirability, self-esteem, locus of control, and marital adjustment. The results indicated that 32% of the women could be classified as depressed. The subject...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(97)71428-2
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND:Physical activity is strongly associated with lower risk of recurrent cardiac events in patients who experience an acute coronary syndrome (ACS), yet most patients do not meet recommended levels of physical activity. Psychological well-being is associated with higher levels of physical activity, but midlife ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2020.06.002
更新日期:2020-06-12 00:00:00
abstract:BACKGROUND:In patients with Parkinson disease (PD), motor symptoms coexist with several nonmotor neuropsychiatric symptoms. Various anxiety subtypes (generalized anxiety disorder, panic disorder, and social anxiety disorder [SAD]) are more prevalent in patients with PD than in the general population. OBJECTIVE:We esti...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2020.03.006
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Although anesthetics have been used for more than a century, their mechanisms of action remain poorly understood. Given that a number of intraoperative and postoperative neuropsychiatric syndromes have been linked to the use of anesthetics, practitioners should familiarize themselves with these conditions. ...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/j.psym.2013.06.020
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Previous research in the area of medical decision-making capacity has demonstrated relatively poor agreement between experienced evaluators in "gray area" cases. We performed a survey to determine the level of agreement about gray area decision-making capacity case scenarios within and between individuals of...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/j.psym.2016.04.002
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Depression in patients with diabetes is associated with poorer adherence and worse health outcomes, however treating depression may help improve these outcomes. OBJECTIVE:The present systematic review identified published papers to evaluate treatments for depression in patients with diabetes. RESULTS:Seven...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/j.psym.2010.11.007
更新日期:2011-01-01 00:00:00
abstract::Much of the psychiatric literature advocates vigorous confrontation of patients with factitious physical disorder. Believing that such a strategy often drives the patient to a new physician, the author developed alternatives to confrontation. These strategies include use of inexact interpretations of psychological def...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(89)72243-X
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:Depression and anxiety are common in heart failure, but the prevalence, incidence, and relationship of these conditions to health service use and mortality remains uncertain. OBJECTIVE:The authors sought to delineate these parameters and identify patient factors predicting hospitalizations for heart failure...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.50.6.592
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Bell's mania (mania with delirium) is an acute neurobehavioral syndrome of unknown etiology that is characterized by the rapid onset of grandiosity, psychomotor excitement, emotional lability, psychosis, and sleep disruption consistent with mania, coupled with alterations in sensorium, and disorientation cha...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.50.3.285
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:First-episode secondary mania in human immunodeficiency virus (HIV) infection has been described among samples of predominantly Caucasian, HIV-positive male patients in developed countries. OBJECTIVE:The goal of this study was to compare the demographic and clinical characteristics of HIV-positive patients ...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1176/appi.psy.49.6.530
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:The implementation of emergency codes has become standard practice in hospitals to provide system-wide preparedness for the early detection and prevention of crises. Psychiatric emergencies in medical/surgical locations, however, are not typically regarded as distinct entities from general security threats. ...
journal_title:Psychosomatics
pub_type: 杂志文章,评审
doi:10.1016/j.psym.2019.03.006
更新日期:2019-01-01 00:00:00
abstract::Medical records were reviewed for 94 consecutive inpatients diagnosed with nonepileptic seizures. A 122-item follow-up questionnaire was returned by 71 patients (76%). The majority of the subjects reported fewer seizures (73%), their general health as "very good" (20%) or "good" (37), and "improved" quality of life (5...
journal_title:Psychosomatics
pub_type: 杂志文章
doi:10.1016/S0033-3182(97)71398-7
更新日期:1997-11-01 00:00:00