Routine medical examinations: a problem audited is a problem solved.

Staff had difficulty in gaining the co-operation of adolescents for routine medical examinations in an in-patient unit. This was largely resolved by giving more explanation to the adolescent and, in cases of difficulty, calling a meeting of other patients and staff.     

History of family suicide behaviors and negative problem solving in multiple suicide attempters.

This study examined the relationship between family history of suicide, negative problem solving orientation and suicide attempt status (multiple suicide attempters versus single suicide attempters). Suicide attempters with a family history of suicide were more likely to have multiple suicide attempts when compared to suicide attempters who did not have a family history of suicide. This relationship was consistent with a model in which the relationship between family history and suicide attempt status is mediated by negative problem solving. Results of this study are discussed as they pertain to the theory and treatment of suicide attempters.     

Not a medical problem?

Summary An intensive study of female low attenders with significant psychosocial difficulties is described. Among the reasons for low reliance upon the help of their general practitioners are unsatisfactory past experiences of seeking help; a belief that health conditions with a pronounced psychosocial component are not amenable to medical intervention; and the availability of professional medical or social advisors in the immediate social network. The implications for the provision of primary care are discussed.     

Noncompliance and dropouts as a problem of longitudinal studies in child psychology

Summary At two points in time a cohort of Mannheim children born in 1970 participated (at the ages of 8 and 13) in a broadly designed epidemiological survey in child psychiatry. The rate of dropouts from t1 to t2 was 18.1%, a figure which did not, however, result in a misrepresentation of the true prevalence of psychiatric disorders. Overall there was no significant difference between those who cooperated and those who dropped out. A closer look at the dropouts, however, leads to the conclusion that it is necessary to distinguish between neutral dropouts who are simply inaccessible, and passive and active refusers. Active refusal of cooperation occurred both on the part of the parents as well as the children. The so called neutral dropout was mainly found in a mobile upper social class. A problem group (fortunately very small) consists of the passive refusers who failed to keep several appointments without explicitly cancelling. Active parent and child refusers did not appear equivalent as the child refusers were mainly girls who were above average achievers while the parent refusers were mainly parents of boys who were below average achievers. That is why special precautions should be taken for a scheduled t₃-survey.     

The threatened staff: A psychoanalytic contribution to medical psychology

Hospital staff working with severely damaged physically handicapped patients are subject to more frequent and more intense personal distress than is a staff treating less seriously ill patients. Patients suffering from massive life-threatening, life-altering disease processes affect those who care for them in two ways: 1) by the sheer burden of their special emotional and physical demands; 2) through the conscious and unconscious fantasies stirred in the minds of staff members, by the stimulation of such damaging lesions.Evidence is presented from the data of staff member's everyday patient complaints. by organizing such complaints into three differing groups of staff-patient transactions, a previously unrecognized source of anxiety becomes evident: narcissistic vulnerability. This essentially normal, universally present, personality constellation (narcissistic vulnerability) is the area of staff member's psyche most threatened with disruptive overstimulation through work with this papient group.Implications of this hypothesis for the psychiatric consult's roles in staff education and patient service are explored.     

选修心理学的本科医学生人格特征与家庭环境的关系

目的 了解选修心理学的本科医学生人格特征和家庭环境特征及其相关性.方法 于2017年6月通过横断面调查法,以67名选修心理学课程的本科医学生为研究对象,采用明尼苏达多相人格测试(MMPI)和家庭环境量表中文版(FES-CV)进行调查.将MMPI各因子原始分与FES-CV各因子评分进行Pearson相关分析.结果 选修心...     

The use of social stories in a psychology service for children with learning disabilities: a case study of a sleep problem

This paper overviews the phenomena of social stories in conveying social messages to children with autistic spectrum disorder and learning disabilities. The use of social stories in a clinical psychology service for children with predominantly severe learning disabilities is discussed. A case study is presented describing the use of a social story as part of a conventional behavioural intervention on a boy presenting problems surrounding sleep behaviours.     

Training police as specialists in family crisis intervention: A community psychology action program

Training police in family crisis intervention is intended to demonstrate innovative crime prevention and mental health techniques, utilizing selected police officers. There is evidence that police are currently engaged in a variety of quasi-mental health roles with little or no relevant training and that this lack of training, often personally dangerous, represents an opportunity lost to society for preventing crime and for relieving manpower shortages in mental health. Successful completion of the project, which is organized in three stages (Preparatory, Operational, and Evaluative) over a two-year period, may permit the development of a curriculum for use by other police family crisis units. This project is supported in part by Office of Law Enforcement Assistance, United States Department of Justice, Training Grant 157 and in part by the N.Y.C. Police Dept. and the City College.