Abstract:
:Mrs. A. B., a 61-year-old woman who presented with carcinoma of the breast in 1964, was readmitted to the hospital in 1974 in respiratory distress ensuing from chronic lung disease and metastatic illness. An active member of Alcoholics Anonymous for the past sixteen years, she had a living pattern in which she felt in control of herself, and from which she derived an important sense of self-esteem. Although in the hospital she requested that no extraordinary measures be taken to prolong her life, when she went into respiratory failure the house staff on duty intubated her and placed her in the Intensive Care Unit. Even though her physical condition rapidly improved, the patient told her own physician that she wanted to be extubated and off Intensive Care, despite her knowledge of a probable short survival. When her request was agreed to, contrary to expectations, she continued to improve. A lawyer, interested in problems of dying and euthanasia, interviewed her, and subsequently Psychosocial Rounds were held. The general conclusions at the Rounds were that she would die an appropriate death, and that euthanasia would not be possible under current circumstances. The staff at the Conference decided to accept at face value her request that she be allowed to die without heroic measures and with dignity.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Abramson Rdoi
10.2190/CQ8C-HFAN-D31T-XBWLsubject
Has Abstractpub_date
1975-01-01 00:00:00pages
431-54issue
3eissn
0091-2174issn
1541-3527journal_volume
6pub_type
杂志文章abstract::There is rising evidence of patients' use of alternative and complementary medicine. The percentage of the U.S. population who used at least one dietary supplement increased from 42% in 1988-1994 to 53% in 2003-2006. We present a case of an Asian female in her 40s, with no previous psychiatric illness, who presented t...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417696733
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:To assess: a) the prevalence and determinants of self-reported emotional distress in the Israeli population; b) the rate of self-reported discussion of emotional distress with family physicians; and c) the association between such discussions and patient satisfaction with care. METHOD: DESIGN:Retrospective...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.37.3.i
更新日期:2007-01-01 00:00:00
abstract::A prospective study of accident/error rates was carried out on thirty-one nursing students. Recent life changes and stresses, social support available to cope with this stress, depression, illness rate, and coping skills were measured at baseline. Five weeks later students recorded accidents suffered and errors made o...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/b4hh-cy6p-2nkx-54l3
更新日期:1981-01-01 00:00:00
abstract:OBJECTIVE:The study was to examine the changes in attitudes towards psychiatry and mental illness among Chinese medical students during their psychiatry clerkship training. METHODS:The Attitudes Towards Mental Illness (AMI) and the Attitudes Towards Psychiatry-30 (ATP-30) questionnaires were administered to 325 fourth...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.47.3.e
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:The aim of this article is to review and discuss the efficacy of the Cognitive-Behavioral Therapy (CBT), in the prevention of postnatal depression (PD) in pregnant women at risk. METHOD:PubMed, Medline, PsychInfo, Embase, and the Cochrane Library databases were searched from February 1991 to February 2011. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.43.3.b
更新日期:2012-01-01 00:00:00
abstract::Electroconvulsive therapy (ECT) is well recognized as an effective treatment for depression. However, it is not often used among the elderly due to increased co-morbid medical problems and fear of complications. We present here the case of an 88-year-old man with a history of depression and co-morbid medical illness. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/KPUK-NGKJ-R2PV-NAV6
更新日期:2002-01-01 00:00:00
abstract::This study examines the use of a behavior modification program as an adjunct to the medical treatment of essential hypertension. The subjects, outpatients with medically treated, but uncontrolled, essential hypertension, were exposed to group interaction (including such processes as peer reinforcement, peer competitio...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/tr5l-q04u-gc1q-jb0b
更新日期:1977-01-01 00:00:00
abstract::We present a case of a 16-year-old Caucasian female with a history of major depressive disorder and post-traumatic stress disorder who was admitted to an inpatient adolescent psychiatric unit with symptoms of conversion disorder, including non-epileptic seizures, an inability to speak or walk, and not eating on her ow...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217415612720
更新日期:2015-01-01 00:00:00
abstract::A patient whose clinical presentation met criteria for schizophreniform disorder was ultimately found to have neurosarcoidosis, and the psychiatric symptoms responded to steroid treatment. The ongoing search for organic etiology was prompted by the presence of cognitive decline, perseveration and rare bizarre automati...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/4AHB-AH4N-URK2-T22J
更新日期:1992-01-01 00:00:00
abstract::Separation and loss issues arise frequently in pediatric hospital settings. Three forms of psychiatry/psychology liaison are presented which demonstrate: 1. case-centered collaboration to address child and family concerns about death; 2. team-centered activities which link family and staff roles in the course of termi...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/lg8l-3quw-289r-gyy6
更新日期:1981-01-01 00:00:00
abstract:OBJECTIVE:Although generalized social anxiety disorder (gSAD) is more prevalent in women, the role of female reproductive hormones in gSAD has never been investigated. Therefore, our aim was to make a first inventory of the influence of female reproductive hormones on gSAD symptoms. METHOD:Female patients with gSAD wh...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.3.e
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To compare the risk of sexual arousal difficulties between two groups of depressed female patients in remission who were treated with either escitalopram or fluoxetine. Associated factors were also examined. METHODS:This was a cross-sectional study involving 112 female patients attending the psychiatric clin...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.43.4.h
更新日期:2012-01-01 00:00:00
abstract::Acute confusional state (delirium) appears as one of the common neuropsychiatric manifestations of systemic lupus erythematosus (SLE). It has been suggested that neuropsychiatric SLE (NP-SLE) could promote the occurrence of drug-induced extrapyramidal symptoms (EPS). Atypical antipsychotics have been thought to be use...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/P2T8-Y12E-ANKM-8MWF
更新日期:2003-01-01 00:00:00
abstract::This article presents several case studies which illustrate the way in which a terminal patient's attention may be diverted from the primary disease process, cancer, to secondary somatic symptomatology such as pain and nausea. This phenomenon has important consequences for the patient, family, physician, and the patie...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/ap4y-x1u9-ftdh-w7dc
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between adherence to antidepressant medications and HbA1c levels among patients with diabetes in a managed care setting. METHOD:The analysis included measures of HbA1c levels before, during, and after initial antidepressant use among 568 patients with diabetes enrolled in the Harv...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/KKGW-Y42P-BAAB-JDJ0
更新日期:2004-01-01 00:00:00
abstract:AIMS:A modified version of the Mental Adjustment to Cancer Scale (The Mental Adjustment to HIV Scale--MAHIVS) was used to evaluate patterns of psychological adjustment in response to HIV infection. METHODS:A sample of 164 HIV positive homosexual/bisexual men were recruited across three Australian centers (79 asymptoma...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/FK4E-B9VJ-K4UG-0H0R
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:The article seeks to provide an international perspective on the facilitating role of health services research in the treatment of psychiatric disorders in primary care. It builds on Goldberg and Huxley's model describing pathways to mental care for the psychiatrically ill in the community. METHOD:Seventy st...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/YLPG-RV5E-MCPW-FKTM
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:The rate of smoking is known to be high in patients with schizophrenia. The purpose of this study was to quantitatively examine the relationship between smoking and family history of smoking in patients with schizophrenia. METHODS:The sample consisted of 172 patients (mean age: 54 years, 55% male) hospitali...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.2.h
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:As evidence of a biologic determinant of schizophrenia has been elaborated, an interest in the relationship between schizophrenia and autoimmune disorders has become increasingly more developed over the last decade. Pedigree analysis has shown that schizophrenia, like autoimmune disorders, is likely a herita...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/V8JB-5M7Q-L5XU-XR2A
更新日期:2004-01-01 00:00:00
abstract::Fifty years of scholarship by behavioral science faculty shaped the training and practice of family physicians. One can trace behavioral science influence from the philosophical underpinnings of family medicine (whole-person, patient-centered, biopsychosocial care), to the translation of psychotherapy skills into tool...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420950530
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:The authors sought to evaluate psychiatric comorbidity, subjective quality of life, and impact of psychopathology on quality of life measures in a clinical sample of patients attending a center for the diagnosis and treatment of obesity compared to a matched sample of non-obese subjects. METHODS:Two hundred ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.1.e
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To investigate the impact of psychiatric illness, aggression, and other covarying variables on the compliance and coping potential of cancer patients treated in liaison-consultation psychiatry. METHODS:The study involves 270 cancer patients who were admitted to the oncology ward for diagnosis and treatment. ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/73UU-R7AY-P0LE-QQ5L
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES AND METHODS:Perimenstrual psychosis is an uncommon disorder, not included under the accepted classifications of functional psychoses. Our aim was to describe two Israeli female adolescents who fit this diagnosis. RESULTS:Both youngsters developed an acute psychosis a few days before menstruation, which subs...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6E0C-52XC-GGWQ-DPU4
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. The purpose of this study was to conduct systematic ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.38.3.b
更新日期:2008-01-01 00:00:00
abstract::Tardive dyskinesia (TD) is a consequence of chronic neuroleptic therapy. It is an irregular stereotyped movement disorder that is usually choreic in appearance, and is subject to temporary volitional control. Dystonia, akathisia, and tics are uncommon variants of the classic tardive syndrome. Characteristic clinical f...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/ce34-rxqr-9cc6-c3ay
更新日期:1989-01-01 00:00:00
abstract::An historical narrative tracing the inception, evolution, structure, educational focus, integration with international Balint movements and challenges to future growth of the American Balint Society (ABS) is enlivened and deepened by twelve Balint autobiographies that follow it. The ABS in choosing to create its histo...
journal_title:International journal of psychiatry in medicine
pub_type: 历史文章,杂志文章
doi:10.1177/0091217420919000
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:This study sought to determine whether patients on psychiatric medication evaluated by inpatient consultation psychiatrists followed up with psychiatric aftercare and continued psychiatric medication 8 weeks post-discharge. Barriers to care and their effect on aftercare follow-up were assessed. METHOD:This w...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.44.1.a
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was determine the rate of depression in people with diabetes in an Iranian population. METHOD:A hospital-based prospective study with a comparison group was conducted in Firozgar Teaching Hospital in Tehran, Iran. The condition of depression and relationship to diabetes was asses...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/FP64-82V3-1741-842V
更新日期:2007-01-01 00:00:00
abstract::The prescription of medications for a patient with kidney failure requires special consideration since the kidneys are major organs of excretion and regulator the body's fluid environment. Physicians need to have a working knowledge of the pharmacokinetics of the medications they intend to prescribe. Protein binding o...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/T5TH-9UJY-A3MW-M1PR
更新日期:1990-01-01 00:00:00
abstract::This article aims to promote awareness among primary care providers and support electroconvulsive therapy as a generally well-tolerated, effective therapeutic modality to treat specific psychiatric conditions in appropriately selected patients. There seem to be several potential barriers to treatment with electroconvu...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.1177/0091217416651255
更新日期:2016-04-01 00:00:00