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Biomedical subjects

A Billowitz

Publications and source records attributed to A Billowitz.

7 recordsLinked to original sources
PubMed1989

Effect of liaison psychiatry on attitudes toward psychiatry, rate of consultation, and psychosocial documentation.

Prior literature suggested that psychiatric liaison on medical wards would produce a more positive attitude towards psychiatry, more psychosocial chart documentation, and a higher consultation request rate. Over 3 years, liaison was conducted on two medical wards, and its effect was contrasted with two control (consultation only) medical wards. Liaison activities were more favorably received by consultees than consultation alone and increased the consultation request rate, but produced no change in psychosocial documentation. Additional effectiveness of liaison activities might be achieved through direct, focused interventions, and through active involvement of senior medical faculty.

Attitude of Health Personnel↗
PubMed1988

Reverse liaison rounds with a burn unit case.

A liaison rounds is presented, one attended by all members of a consultation-liaison (C-L) team along with the medical director of a burn unit. This structure is designated as a "reverse liaison rounds," as it is the opposite of the conventional liaison meeting, which consists of one C-L consultant and the total nonpsychiatric team. The content centered on a self-inflicted burn case in which countertransference issues involved a nonpsychiatrist. The unconventional format of the reverse liaison rounds provided all parties with new knowledge, perspectives, and insights into the interactions between the C-L consultant and the burn unit team.

Adult↗
PubMed1984

Transsexualism and physical deformity.

This is the first published case study of a transsexual male with a rare orthopedic condition whose transsexualism was directly related to his severe orthopedic disability. In 1976, the patient, a 28-year-old single Caucasian male with a college education, was diagnosed as having progressive pseudorheumatoid arthrotropy of children (a very rare orthopedic disorder which also affected his sister). At this writing, he is 4 feet 9 inches tall and has multiple skeletal deformities, including twisted and gnarled joints; he wears braces on both legs, has had total hip replacements, is barrel chested, and has had many surgical procedures over his lifetime. The patient's presenting problems, his medical and social-psychological history, psychological testing results, and summaries of his 7-year supportive-expressive psychotherapy are presented. The patient endured a painful childhood in which children stared at him and ridiculed him for being a "funny little man." His sister, who had the same condition, was spared this teasing and humiliation. He came to believe that as a girl/woman he would be more socially acceptable (like his sister). Since age 11 he has cross-dressed and entertained hopes of becoming female. Psychological testing suggested that he viewed sexual transformation as leading away from a life of deformity and pain to an imagined state of perfection in which his primary narcissistic injury would be repaired. It is suggested that the patient's "transsexualism" evolved slowly as an adaptation to his profound physical deformity and his perceived status as a crippled and handicapped male.(ABSTRACT TRUNCATED AT 250 WORDS)

Abnormalities, Multiple↗
PubMed1980

Liaison psychiatry on a burn unit.

Psychiatric liaison activities and intervention on a burn unit are described. The authors review the psychiatrist's interventions with regard to unhealthy staff denial; educating staff about psychiatric issues; facilitating improved staff-patient communication; and helping nurses manage patients' inappropriate sexual behavior.

Adult↗
PubMedDate not supplied

Are psychiatric consultants' recommendations followed?

The extent of adherence to psychiatric consultants' recommendations was calculated through a review of charts. All charts of patients seen in Psychiatric consultation from May 1976 to April 1977 were reviewed and a total of 273 charts contained scoreable consultant recommendations. Recommendations were scored as either actively followed, passively followed or not followed. Results are reported for the extent of adherence 1) between different types of recommendations (medications, disposition, etc.), 2) between medical, surgical and obstetrical-gynecological services and 3) between consultants, two psychiatrists and one psychologist. The results suggest that recommendations more likely to be followed are those easily performed by a consultee and leading to direct, tangible results. Adherence to consultants' recommendations is discussed in the context of resistance to psychiatric consultation.

Hospital Departments↗
PubMedDate not supplied

The identification of psychiatric morbidity by internists and subsequent selection for psychiatric referral.

Past literature raises the question as to the degree of identification of psychiatric morbidity among medical inpatients. A psychosocial information scale was used to rate charts of seventeen inpatients who later received a psychiatric consultation and seventeen who did not during the index admission. More psychosocial items were generally present in the charts with those patients receiving later psychiatric consultation overall and specifically in the areas of psychiatric chief complaint, history of behavior change and past psychiatric history. It was concluded that many patients with psychiatric morbidity on medical wards were not so identified and this was a prime reason for their non-referral, although several of the sub-groups of such patients could benefit from psychiatric treatment. Non-psychiatrists were urged to adopt a more holistic approach to medicine with emphasis on continuity of care to insure comprehensive diagnosis and management.

Humans↗