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Biomedical subjects

A Beigel

Publications and source records attributed to A Beigel.

28 records · Page 2Linked to original sources

Long-term psychological effects of rape in 35 rape victims.

Thirty-five rape victims who had been assaulted from 2 to 46 years earlier were interviewed to determine the long-term effects of sexual assault. Victims were compared to 110 nonabused matched control subjects on their scores on the State-Trait Anxiety Inventory, the Beck Depression Inventory, and the modified Fear Survey Interview. An analysis was also conducted to determine which of the factors characterizing the rape situation had an influence on the victims' scores. Rape victims were found to be significantly more depressed, generally anxious, and fearful than control subjects. Only one rape situation variable, the survivor having been a prior victim of sexual assault, was found to be related to a higher degree of depression and anxiety.

Adaptation, Psychological

Psychiatric education at the crossroads: issues and future directions.

Psychiatric education is currently facing many critical issues. Their resolution will determine the future availability of psychiatrists and is dependent on the development of new strategies that will require a reorientation in several aspects of current psychiatric education. This may be necessary if the vitality of psychiatry as a specialized branch of medicine is to be maintained and the relevance of psychiatric training and practice to service needs and research objectives is to be increased.

Curriculum

Toward increased psychiatric presence in community mental health centers.

The presence of psychiatrists in community mental health centers has diminished in recent years, especially in centers that are non-hospital-based and that are located in rural or disadvantaged urban settings. The decrease in psychiatric leadership in the centers is particularly notable. Factors contributing to the trend include lower salaries than in the private sector, a decrease in the number of patients with severe mental disorders coming to the centers, and the impact of a decrease in specialized training programs in community psychiatry. The authors suggest several incentives to increase psychiatric presence in the centers, including developing staffing standards as a condition of funding, giving psychiatrists time to do research and evaluation and to teach, and increasing the medical involvement of centers through links with general hospitals, private psychiatric hospitals, and medical schools.

Community Mental Health Centers

Practical issues in developing and operating a halfway house program.

During its six years of operation, the halfway house program of the Southern Arizona Mental Health Center has developed a well-defined set of program goals, referral procedures, staffing patterns, and procedures for operating the houses, many of which are described here. The program serves 25 residents in four adjacent houses. It is operated as a therapeutic community with a broad range of structured activities and treatment modalities and an emphasis on solving reality problems. The staff of director, therapist-counselors, residential (or nighttime) counselors, and volunteer counselors is supplemented by the services of consultants, the mental health center, and community agencies.

Adolescent

The psychiatric resident as an ex-officio community board member.

The authors describe a program in which third-year psychiatric residents participate as ex-officio members on the boards of community service agencies. Experience as board members gives residents a broad understanding of issues related to the delivery of community mental health services and encourages them to continue community involvment after their training is completed.

Attitude of Health Personnel

The psychiatrist-administrator: odd man out?

The development of community psychiatry as a recognized subspecialty of psychiatry and the concomitant growth of community mental health programs have once again brought into focus the role of the psychiatrist-administrator in the practice of public psychiatry. This paper explores the principal conflicts that the psychiatrist-administrator faces in his multiple roles as a physician, psychiatrist, administrator, community services planner, and clinician. Unless he can work toward a resolution of the conflicts and problems that arise, he is in danger of becoming the "odd man out"--the psychiatrist-adminstrator who does not have complete acceptance from any of the groups to which he belongs and within which he is trying to define his combined and complex role.

Administrative Personnel