PubMed Health⌕ Search

Biomedical subjects

B S Liese

Publications and source records attributed to B S Liese.

At least 19 recordsLinked to original sources
PubMed1997

Back to basics: fundamental cognitive therapy skills for keeping drug-dependent individuals in treatment.

Cognitive therapists who treat drug-dependent patients are likely to lose at least 50 percent of their patients to dropout. This chapter has presented a cognitive model for conceptualizing missed sessions and dropout, along with strategies for reducing the likelihood of missed sessions and dropout. The following should serve to highlight these strategies. 1. Therapists are encouraged to offer warm, empathetic, collaborative relationships in which drug-dependent patients can feel accepted, understood, and validated. 2. Therapists are encouraged to develop comprehensive, accurate case conceptualizations, with attention paid to the potential for missed sessions and dropout. Case conceptualizations should ultimately guide cognitive and behavioral techniques. 3. Therapists are encouraged to structure sessions and elicit feedback regarding their patient's thoughts and beliefs about therapy and the therapist. This feedback is facilitated by such questions as, "What do you like most about therapy?" "What do you like least?" "What has changed in your life as a result of therapy?" "How do you view our relationship?" 4. Therapists are encouraged to socialize patients in a timely, appropriate manner. 5. Similar to the process of socialization, therapists are encouraged to use cognitive and behavioral techniques in a timely, appropriate manner. It is unrealistic to think that the problems of missed sessions and dropout from drug treatment will ever be fully resolved. Nonetheless, the authors believe that the conceptual models and fundamental strategies presented in this chapter represent a significant step in addressing these problems.

Cognitive Behavioral Therapy↗
PubMed1995

Prenatal predictors of cesarean section due to labor arrest.

Cesarean section due to labor arrest occurs because the fetus is too large for the maternal outlet tract. If these women could be identified prior to labor, patient management could be optimized for both the clinician and the woman. A case-control study was designed to identify predictors of Cesarean section due to labor arrest. A five year retrospective review identified 32 cases and 329 controls with complete data for the prenatal maternal variables. Both cases and controls were considered for the stepwise logistic regression model. The prenatal variables predicting Cesarean section due to labor arrest are parity, history of past macrosomia, maternal age, term fundal height and maternal height. This model can be considered a pilot model that can be tested in a large international/inter-ethnic population.

Adolescent↗
PubMed1994

Psychologic principles of substance abuse: a brief overview.

In this paper, a brief overview of the psychology of addictions was presented. It was emphasized that physicians should initiate treatment by first diagnosing their addicted patients with "substance dependence." This paper also emphasized the significance of relapse and relapse prevention, and a model of motivation and behavior change was presented. CT was described as a useful approach for understanding the psychology of addictions. And finally, the treatment of addictions was briefly discussed.

Cognitive Behavioral Therapy↗
PubMed1993

Cognitive therapy of substance abuse: theoretical rationale.

In this chapter, the authors assert that drug-related beliefs are an important factor in drug abuse and its treatment. Three types of acute drug-related beliefs have been described that contribute to urges, cravings, and ultimate use of drugs: anticipatory beliefs, relief-oriented beliefs, and permissive beliefs, and various ways have been described to assess more general, long-term beliefs pertinent to drug use. The role of the cognitive therapist is to assess, examine, and test these beliefs with the patient in order to ultimately develop more adaptive beliefs. The active application of skills and homework that tap into the patient's adaptive beliefs helps the patient to become and remain drug-free.

Adaptation, Psychological↗
PubMed1993

The KUFP five-visit quit-smoking program.

This article has presented an overview of the Quit-Smoking Program developed and modified at the KUMC Department of Family Practice. Originally, this clinic was designed as a group treatment program, facilitated by a psychologist and physician. Recently, however, the program has been modified for office-based primary care physicians. Because smoking is such a deadly habit, it is hoped that physicians will take a more active role in smoking cessation efforts with their patients who are currently smokers.

Academic Medical Centers↗
PubMed1991

Clinical significance of hyperkeratosis on otherwise normal Papanicolaou smears.

BACKGROUND: Although hyperkeratosis is a common cytological finding on Papanicolaou smear, its clinical significance is unclear. METHODS: A profile of patients with hyperkeratosis was constructed by comparing them to an age-matched control population having normal Papanicolaou smears. The clinical significance of hyperkeratosis was evaluated and appropriate follow-up studies were recommended. RESULTS: Of 2198 Papanicolaou smears done in the University of Kansas Family Practice Department between October 1, 1988, and October 31, 1989, there were 184 diagnoses of hyperkeratosis from smears on which no other pathological findings were noted. Charts of 183 of these patients with hyperkeratosis were reviewed and compared with an age-matched control population having normal Papanicolaou smears. Patients with hyperkeratosis had a statistically higher incidence of infections with Gardnerella vaginalis, but a lower incidence of infections with Chlamydia trachomatis. Diaphragm use was more prevalent in the group with hyperkeratosis. The incidence of inflammation on Papanicolaou smear was similar between the two groups. Of the patients with hyperkeratosis, colposcopic examination had been performed on 48% (88 of 183), of which 28% (25 of 88) had evidence of human papillomavirus or dysplasia. CONCLUSIONS: Review of the data obtained suggests that follow-up colposcopy, including endocervical curettage, be performed on all patients with hyperkeratosis in order to screen for accompanying pathological conditions that may necessitate treatment.

Adult↗
PubMed1989

Obstetrical practices of members of the Kansas Academy of Family Physicians.

Data reported from this survey of the members of the Kansas Academy of Family Physicians indicate that members performing obstetrics are paying significantly higher professional liability premiums than members not providing such services. This difference, as well as the overall escalating costs of professional liability insurance, can be expected to result in loss of family physician-provided obstetrical services. As family physicians are providing the only readily available obstetrical services in a substantial number of rural areas, it seems likely that rural areas will experience a significant loss of access to obstetrical care. Although delivery fees have risen, they have not risen at the same rate as premiums. A net loss of family physicians providing obstetrical services has been noted during the period of 1985-88, and such losses appear to be an accelerating future trend.

Academies and Institutes↗
PubMed1985

Alcoholics who drink mouthwash: the spectrum of nonbeverage alcohol use.

Nonbeverage alcohol (NBA), or substitutes for traditional forms of beverage alcohol, includes such substances as mouthwash, aftershave lotion and alcohol-based fuels. Literature pertaining to the prevalence, clinical significance and toxicity of this practice is reviewed, using illustrative cases from a series of 48 NBA consumers. It was found that 10-15% of alcoholics hospitalized in detoxication units have consumed NBA; half of these patients are regular consumers. Addiction to NBA itself may occur. Its use is primarily related to easy accessibility, rather than social or monetary factors. Polydrug misuse and antisocial personality disorder are more frequent in NBA users, but use is not pathognomic of end-stage alcoholism. The 48 NBA users reported surprisingly few toxic symptoms from acute ingestion, perhaps because tolerance to some substances in NBA may occur. Isopropyl alcohol was the exception, reproducibly causing symptoms suggestive of severe gastritis.

1-Propanol↗
PubMedDate not supplied

Group cognitive-behavioral therapy for women with PTSD and substance use disorder.

This paper describes a model of group cognitive-behavioral therapy (CBT) for women with posttraumatic stress disorder (PTSD) and substance use disorder (SUD). The need for specialized treatment derives from the high incidence of these comorbid disorders among women as well as from their particular clinical presentation and treatment needs. The treatment educates patients about the two disorders, promotes self-control skills to manage overwhelming affects, teaches functional behaviors that may have deteriorated as a result of the disorders, and provides relapse prevention training. The program draws on educational principles to make it accessible for this population: visual aids, education for the patient role, teaching for generalization, emphasis on structured treatment, testing of acquired knowledge of CBT, affectively engaging themes and materials, and memory enhancement devices.

Cognitive Behavioral Therapy↗
PubMedDate not supplied

Dual-doctor marriages: career development.

BACKGROUND: Career development of married doctor couples has not previously been studied. This research evaluated the career development of physicians in dual-doctor marriages to determine whether one spouse's career development took priority over that of the other. METHODS: We studied 21 dual-doctor marriages in England that had been referred to us by other married physician couples. A same-sex interviewer interviewed each partner of each couple alone in a one-hour interview that included closed- and open-ended questions. RESULTS: More than half of the female physicians selected a specialty based on its anticipated effect on their spouses and on childbearing considerations. Only 5% of male physicians considered these factors in selecting a specialty. In contrast to wives, husbands generally worked longer hours, took more call, earned more money, and pursued their professional training in an uninterrupted fashion, never working part time and only rarely changing job location because of the wife's job. CONCLUSIONS: In dual-doctor marriages in Britain, there is a tendency for the husband's career development to take priority over the wife's. Husbands more frequently choose a specialty without considering domestic factors.

Adult↗