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Biomedical subjects

B Bursten

Publications and source records attributed to B Bursten.

At least 19 recordsLinked to original sources
PubMed1986

Posthospital mandatory outpatient treatment.

Mandatory outpatient treatment invoked after the patient has improved in the hospital is a relatively new development. Tennessee instituted this policy by statute in 1981. While people placed under the constraints of that law showed a reduction in rate of readmission, comparison with control groups failed to support the conclusion that these results are due to the forced outpatient constraints. The author discusses some procedure and policy considerations that stem from these findings.

Aftercare↗
PubMed1986

Psychiatric injury in women's workplaces.

Sexual discrimination and sexual harassment have been receiving increasing attention. Women who are subject to this harassment often find themselves under severe psychiatric stress. Because there is an increased economic, as well as personal, need to work, women often find themselves trapped in a very stressful situation. The forensic psychiatrist working in this area must be aware of the various legal issues involved as well as of the different types of psychiatric consequences of sexual discrimination and harassment.

Female↗
PubMed1982

The psychiatrist-witness and legal guilt.

Psychiatrist-witnesses testifying in criminal cases are usually asked if the defendant's mental state at the time of the offense met the legal standards for mitigation or exculpation. These standards use a commonsense frame of reference resting on assumptions of free will and self-control, which may differ from the framework clinical psychiatrists usually employ in their work. An understanding of the process of "transduction" between different systems may help resolve problems created by these different frames of reference.

Dangerous Behavior↗
PubMed1981

Isolated violence to the loved one.

Five cases are presented wherein the violent person had had no substantial previous history of violence. Each of these people idealized the partner, were unable to accept the fact that the relationship was at an end and split off the anger. Frantic attempts to repair the relationship were made. Under various psychophysiological conditions, dyscontrol resulted in an outburst of violence toward the loved one.

Adult↗
PubMed1980

"Medical responsibility" in institutional settings.

The economics of institutional delivery of mental health care sometimes makes it impossible for psychiatrists to meet the demands of medical ethics. At times the psychiatrist's signature is used to imply a degree of medical responsibility that is not justified or a degree of supervision of less highly trained personnel that has not been given. The continuing variance between psychiatry's ethical precepts and its practice in some institutions creates an undesirable situation. The author examines several options and concludes that the ethics should be rewritten. Dr. Frederick J. Stoddard comments on the author's presentation.

Allied Health Personnel↗
PubMed1980

Ward polity and therapeutic outcome: II. Ratings of patient behavior.

In a study to determine the therapeutic value of ward policies of restriction and coercion, as in a step system of privileges, investigators compared the adjustments of patients in three ward settings: one with a formal step system, one in which the formal system had been abolished but a significant degree of restriction-coercion maintained, and one in which almost all activities and medications were optional. Patients' behaviors in seven areas were rated at admission, at discharge, and at one and six months after discharge. The patients on the ward with the formal step system showed better adjustment on 23 out of 35 ratings, although only one of the ratings was statistically significant. The slight therapeutic value of restriction-coercion suggested by these data contrasts with the results of an earlier, retrospective study. Cost-benefits involving economic, political, and therapeutic issues are raised.

Behavior↗
PubMed1979

Psychiatry and the rhetoric of models.

The term "medical model" has been increasingly used in discussions about the future course of psychiatry. The author examines various types of models and suggests that "medical model" is a rhetorical device which tends to obscure many important issues. He suggests that psychiatry avoid overrestricting its area of expertise.

Humans↗