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Biomedical subjects

A W Still

Publications and source records attributed to A W Still.

15 recordsLinked to original sources
PubMed1986

Role ambiguity in general practice: the care of patients dying at home.

Semi-structured interviews were given to 22 GPs to investigate their perceptions and strategies when dealing with dying patients. There seemed no clear division in practice between policies of telling and not telling patients about their illness. Most patients find out eventually, but GPs differ in the extent to which they aim for open discussions of the matter. Over half perceived care of the dying as a demanding but satisfying fulfillment of their professional skills, but nearly a quarter found it difficult and with few compensating rewards. We conclude that while there is a well established ideal type corresponding to the curative role, there is another which is still in the process of development. This type generates a role for doctors which parallels the patient's dying role, as distinct from the sick role.

Attitude of Health Personnel↗
PubMed1984

Communication between general practitioners and patients dying at home.

Semi-structured interviews were carried out with four general practitioners and some of their terminally ill patients in order to investigate how doctors solve the problem of communication with these patients about the outcome of the illness. Three of the doctors preferred not to give explicit information, or to talk about the outcome, even when they knew that the patient realised that he or she was dying. Within this constraint they developed different ways of coping with the problem of how to talk to the patient. We interpret this behaviour as an attempt to remain within the framework of rules and expectations provided by the traditional roles of doctor and patient, a framework that would be threatened by the doctor's acknowledgement of helplessness. The fourth doctor did tell his patients, and treated the problem as one of counselling patients to help them cope with their predicament. His role of healer was thus extended to include terminally ill patients.

Adaptation, Psychological↗
PubMed1979

Changes in the probability of stuttering following a stutter: a test of some recent models.

To test the models of stuttering proposed by Still and Sherrard (1976), six stutterers (two adults and four children between 12 and 14 years old) read 33 or more passages of prose of approximately 200 words, in sessions of 16 or 17 passages. Predictions tested concerned changes in stuttering probability as words elapse following the last stutter. Such changes may be confounded with sequential dependencies among word classes, together with correlations between word classes and stuttering. To allow for this, a multiple regression was carried out on six independent variables--initial phoneme, grammatical class, length of word, position in sentence, session, and familiarity of passage. From this analysis, predicted changes in stuttering probability were generated, and compared with observed probabilities. There was a significant decrease in the difference between observed and expected probabilities over the first 30 words following a stutter. Also, two subjects (the adults) showed an initial increase in rate of stuttering. These results support a combination of the anxiety and feedback models of Still and Sherrard.

Adolescent↗
PubMed1979

An analysis of individual differences in words stuttered.

Six stutterers (two adults and four children between 12 and 14 years old) read 33 or more passages of prose of approximately 200 words, in sessions of 16 or 17 passages. Words were classified by initial phoneme, grammatical class, length, and position in sentence, and proportions of stutters were examined as a function of these variables. The extensive data allowed a detailed analysis of individual differences, with the following results. Five subjects showed the usual higher rate of stuttering on consonants, though there were differences in which consonants were stuttered most, and one subject showed more stuttering on vowels. A markedly higher rate was found on initial words of sentences in two subjects, and these two subjects were also exceptional in stuttering more on content than function words, and in showing a type of stutter characterized by blocks rather than repetitions. Possible explanations for this pattern are discussed. Contrary to Taylor (1966) there were significant correlations between stuttering and grammatical class even when initial phoneme and word in sentence were held constant. There were no significant changes within sessions. Two subjects showed a significant decrease between sessions, one showed an increase; these changes were due to familiarity with the experimental situation, rather than with passages per se.

Adolescent↗
PubMed1975

Location by odour and turn selection as two stages in the spontaneous alternation of rats.

Rats were given two free unrewarded trials per day in different T-mazes, oriented at 90 degrees to each other, and wiped with either Cajuput or Anise, which produced distinctive odours. The rate of spontaneous alternation was 82.8 per cent when the same odour was present on both trials, 62.5 per cent when the odour was changed between trials. This result was taken to support the hypothesis that alternation is a two-stage process, involving location then turn selection, and that odour is one of the stimuli used by the rat in locating itself.

Animals↗