Psychotropic drugs: a biopsychosocial approach.

Abstract:

:A biopsychosocial theory and approach to drug-seeking behavior suggests new questions for the family physician to ask his patient when psychotropic drugs are being considered. The theory and rational guidelines for prescribing allow the physician to make more appropriate decisions when faced with difficult situations. Pharmacotherapy can then be directed toward alleviating anxiety that inhibits the patient's existing coping skills or toward activating the depressed/apathetic patient to use his existing skills. With this approach, social, psychologic and biologic coping devices can be simultaneously mobilized.

journal_name

Am Fam Physician

authors

Winstead DK,Blackwell B,Lawson TR

subject

Has Abstract

pub_date

1979-01-01 00:00:00

pages

109-14

issue

1

eissn

0002-838X

issn

1532-0650

journal_volume

19

pub_type

杂志文章
  • Clinical applications of genetic testing: implications for the family physician.

    abstract::Genetic testing may be applied in a variety of clinical situations, including preconception counseling, prenatal diagnosis and postnatal determination of genetic predisposition to disease. The family physician needs to become familiar with the full range of genetic testing possibilities in all phases of the human life...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Whittaker L

    更新日期:1996-05-01 00:00:00

  • Preventing stroke in atrial fibrillation.

    abstract::Atrial fibrillation, a common cardiac arrhythmia, is now recognized as a powerful risk factor for stroke. Previously, atrial fibrillation was thought to predispose persons to stroke only in the presence of rheumatic heart disease with mitral stenosis. The significant impact of nonvalvular atrial fibrillation on stroke...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Wolf PA,Singer DE

    更新日期:1997-12-01 00:00:00

  • How to help your patients stop smoking.

    abstract::Family physicians can effectively help their patients stop smoking by using brief intervention and simple office organizational procedures. Intervention involves asking all patients about smoking, advising smokers to stop, assisting with self-help materials, establishing a date for quitting, possibly prescribing nicot...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Husten CG,Manley MW

    更新日期:1990-10-01 00:00:00

  • Subclinical hypothyroidism: deciding when to treat.

    abstract::While screening patients for thyroid disease, physicians often find increased thyrotropin-stimulating hormone (TSH) levels in patients whose free thyroxine (T4) levels are not below normal. This state, termed "subclinical hypothyroidism," is most commonly an early stage of hypothyroidism. Although the condition may re...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Adlin V

    更新日期:1998-02-15 00:00:00

  • Office spirometry.

    abstract::The practicality of the office spirometer as an effective, inexpensive diagnostic device is well established. It can be used in a matter of seconds by minimally trained office personnel. Two basic parameters can be quickly and accurately measured: forced vital capacity (FVC), a test of volume indicative of restrictive...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Good JT Jr,Petty TL

    更新日期:1980-04-01 00:00:00

  • Ambulatory devices for chronic gait disorders in the elderly.

    abstract::Gait disorders in the elderly are common and in most cases cannot be treated medically or surgically. Therefore, treatment often relies on ambulatory devices such as canes, crutches, and walkers. Before selecting a device, the patient should be evaluated to define whether one or both upper extremities are required to ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Van Hook FW,Demonbreun D,Weiss BD

    更新日期:2003-04-15 00:00:00

  • Treating gonorrhea.

    abstract::The records of 1,381 patients with gonorrhea were examined by the Massachusetts Department of Public Health to determine the efficacy of their treatment schedules. Urethritis, cervicitis and pharyngitis were treated with 4.8 million u. of aqueous procaine penicillin G intramuscularly, without probenecid. Cure rates we...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Fiumara NJ

    更新日期:1981-05-01 00:00:00

  • Unstable angina and non-ST-segment elevation myocardial infarction: part II. Coronary revascularization, hospital discharge, and post-hospital care.

    abstract::In the guideline developed by the American College of Cardiology and the American Heart Association, the management of suspected unstable angina and non-ST-segment elevation myocardial infarction (UA/NSTEMI) has four components: initial evaluation and management; hospital care; coronary revascularization; and hospital...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Wiviott SD,Braunwald E

    更新日期:2004-08-01 00:00:00

  • Endometrial Biopsy: Tips and Pitfalls.

    abstract::Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in postmenopausal women. Pregnancy is the onl...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Williams PM,Gaddey HL

    更新日期:2020-05-01 00:00:00

  • Serotonin syndrome.

    abstract::Serotonin syndrome is a potentially life-threatening complication of psychopharmacologic drug therapy. The syndrome is produced most often by the concurrent use of two or more drugs that increase brainstem serotonin activity and is often unrecognized because of the varied and nonspecific nature of its symptomatology. ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Mills KC

    更新日期:1995-10-01 00:00:00

  • Management of genital herpes.

    abstract::Genital herpes affects over 30 million persons in the United States. Genital herpes has three distinct presenting syndromes, depending on the patient's immune status with regard to the herpes simplex virus. Current diagnostic strategy relies on clinical findings and the selective use of viral culture. Acyclovir is the...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Clark JL,Tatum NO,Noble SL

    更新日期:1995-01-01 00:00:00

  • Health Literacy in Primary Care Practice.

    abstract::Health literacy includes a set of skills needed to make appropriate health decisions and successfully navigate the health care system. These skills include reading, writing, numeracy, communication, and, increasingly, the use of electronic technology. National data indicate that more than one-third of U.S. adults have...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Hersh L,Salzman B,Snyderman D

    更新日期:2015-07-15 00:00:00

  • Diagnosis and treatment of abdominal aortic aneurysms.

    abstract::Abdominal aortic aneurysms occur in 5 to 7 percent of people over age 60 in the United States. An aneurysm is defined as a permanent localized dilatation of an artery, with an increase in diameter of greater than 1.5 times its normal diameter. Abdominal aortic aneurysms may be manifested by catastrophic rupture, signs...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Santilli JD,Santilli SM

    更新日期:1997-09-15 00:00:00

  • Nocturnal asthma and sudden death.

    abstract::Asthmatics may develop a considerable increase in airways obstruction during the night or early hours of the morning. In most patients, this causes only mild symptoms. In others, the effects may be severe, resulting in sudden death. Greater awareness of the potential severity of nocturnal asthma, together with actual ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Spiro SG

    更新日期:1976-12-01 00:00:00

  • "What's wrong with my baby?".

    abstract::The birth of a child with any developmental disability is an occasion of marked trauma to parents. Early, honest and frank counseling is imperative, and the family physician can play a unique role in this counseling process. When the physician is not knowledgeable in a paretcular case, he or she should seek expert hel...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Thain WS,Casto G,Peterson A

    更新日期:1977-05-01 00:00:00

  • Management of corneal foreign bodies.

    abstract::Optimal management of corneal foreign-body injuries includes an accurate history, thorough examination of both eyes, atraumatic removal of the foreign body, elimination of the rust ring, appropriate antibiotic prophylaxis and protective patching. Pitfalls to be avoided include using topical steroids, which may promote...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Newell SW

    更新日期:1985-02-01 00:00:00

  • Differentiating wide complex tachycardias.

    abstract::Wide complex tachycardias are cardiac rhythm disorders with three or more consecutive beats, rates exceeding 100 beats per minute and a QRS duration of 120 msec (0.12 second) or greater. The width of the QRS complex should be verified in a number of leads, since the QRS complex often appears mistakenly narrower (i.e.,...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Janeira LF

    更新日期:1996-10-01 00:00:00

  • The emotional aftermath of adoption.

    abstract::Adopted children are emotionally vulnerable. Adoptive parents must cope with more complex problems than biologic parents. The family physician can provide valuable counseling. Preadoption counseling focuses on motivation and ambivalence. After adoption, however, serious, sometimes predictable, issues arise, such as: h...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Nadelson CC

    更新日期:1976-09-01 00:00:00

  • Primary dysmenorrhea: current concepts.

    abstract::Primary dysmenorrhea is menstrual pain that is not associated with pelvis pathology. It usually begins with the onset of ovulatory cycles, characteristically appearing in the year after menarche and increasing with time. The pain is associated with increased myometrial activity. Oral contraceptives and prostaglandin s...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Jay MS,Taylor W

    更新日期:1981-11-01 00:00:00

  • Panax ginseng.

    abstract::The herbal remedies referred to as "ginseng" are derived from the roots of several plants. One of the most commonly used and researched of the ginsengs is Panax ginseng, also called Asian or Korean ginseng. The main active components of Panax ginseng are ginsenosides, which have been shown to have a variety of benefic...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Kiefer D,Pantuso T

    更新日期:2003-10-15 00:00:00

  • Acute knee effusions: a systematic approach to diagnosis.

    abstract::Knee effusions may be the result of trauma, overuse or systemic disease. An understanding of knee pathoanatomy is an invaluable part of making the correct diagnosis and formulating a treatment plan. Taking a thorough medical history is the key component of the evaluation. The most common traumatic causes of knee effus...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Johnson MW

    更新日期:2000-04-15 00:00:00

  • Acute management of atrial fibrillation: Part I. Rate and rhythm control.

    abstract::Atrial fibrillation is the arrhythmia most commonly encountered in family practice. Serious complications can include congestive heart failure, myocardial infarction, and thromboembolism. Initial treatment is directed at controlling the ventricular rate, most often with a calcium channel blocker, a beta blocker, or di...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: King DE,Dickerson LM,Sack JL

    更新日期:2002-07-15 00:00:00

  • Community screening for Tay-Sachs disease.

    abstract::Tay-Sachs disease is a fatal genetic disease affecting Jewish infants of eastern European ancestry. While the disease may go unrecognized until nearly one year of age, death occurs by age three or four. Community screening programs have been organized to detect carriers of this autosomal recessive trait. Prenatal diag...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Jackson LG,Nimoityn P,Faust HS,Glazerman LR

    更新日期:1976-04-01 00:00:00

  • Carvedilol: the new role of beta blockers in congestive heart failure.

    abstract::The prognosis remains poor for patients with congestive heart failure (CHF), despite reduced mortality rates resulting from the addition of angiotensin converting enzyme inhibitors to traditional treatment regimens. Because much of the myocardial damage that occurs in patients with CHF may be related to sympathetic ac...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Vanderhoff BT,Ruppel HM,Amsterdam PB

    更新日期:1998-11-01 00:00:00

  • Vaginal birth after cesarean delivery.

    abstract::The safety of vaginal birth after cesarean (VBAC) delivery has been documented. Fetal and neonatal morbidity is not increased, and the mortality rate is less than one in 2,000 deliveries. Maternal morbidity and mortality rates for VBAC delivery are significantly lower than those for repeat cesarean section. Family phy...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Haq CL

    更新日期:1988-06-01 00:00:00

  • Congestive heart failure.

    abstract::Causes of congestive heart failure include hypertension, coronary artery disease, alcohol abuse and valvular heart disease. Two-dimensional echocardiography with Doppler examination is excellent for identifying valvular heart disease. While noninvasive screening for coronary artery disease may seem cost-effective, the...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Vine DL

    更新日期:1990-09-01 00:00:00

  • Suggestion therapy and clinical hypnosis.

    abstract::The family physician is in a unique position to care for the total needs of the patient. Suggestion therapy and clinical hypnosis are helpful in managing the psychologic aspects of disease in all age groups beyond five years, and are well within the purview of family physicians. Learning these techniques can enhance t...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Phelps LA

    更新日期:1981-06-01 00:00:00

  • Issues in newborn screening for phenylketonuria.

    abstract::The blood sample for phenylketonuria (PKU) screening should be obtained at least 12 hours after the infant's birth. Newborn screening for PKU has largely eliminated mental retardation caused by this disease. If the first phenylalanine test demonstrates positive results, a repeat test should be performed. Treatment to ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Koch RK

    更新日期:1999-10-01 00:00:00

  • Primary immunodeficiencies.

    abstract::Primary immunodeficiencies include a variety of disorders that render patients more susceptible to infections. If left untreated, these infections may be fatal. The disorders constitute a spectrum of more than 80 innate defects in the body's immune system. Primary immunodeficiencies generally are considered to be rela...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Cooper MA,Pommering TL,Korányi K

    更新日期:2003-11-15 00:00:00

  • Management of heart failure.

    abstract::Heart failure is associated with high rates of morbidity and mortality. Because heart failure is difficult to diagnose accurately on the basis of the history and physical examination alone, It is vital that clinical evaluation such as echocardiography be used to confirm the diagnosis. In addition, it is important to i...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Mair FS

    更新日期:1996-07-01 00:00:00