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Biomedical subjects

C Brems

Publications and source records attributed to C Brems.

28 records · Page 2Linked to original sources
PubMed1992

Appropriateness of the Draw-A-Person test with Alaskan Native populations.

The appropriateness of the Draw-A-Person test with Alaskan Native populations was assessed by matching 33 White subjects to 33 Alaskan Native subjects, asking them to perform the DAP, and rating their performance according to eight criteria chosen for their clinical relevancy. Results indicated that neither level of commitment to Native culture nor ethnicity per se affected drawing ratings. It is hypothesized that the DAP is a useful clinical tool appropriate for use with Alaskan Native populations.

Acculturation↗
PubMed1991

Depression and personality disorder: differential diagnosis with the MMPI.

This study assessed the effectiveness of the MMPI in differentiating four clinically relevant types of depression. MMPI profiles of 53 subjects with major depression and personality disorder, 44 subjects with other depression and personality disorder, 27 subjects with major depression without personality disorder, and 20 subjects with other depression without personality disorder were compared via MANOVA, high-point pair analysis, and discriminant analysis. The instrument was found somewhat effective in differentiating the groups at a statistically significant level, but the differences were too subtle to be considered clinically useful. Thus, while the MMPI has some usefulness in the differential diagnosis of depression, it is best used in conjunction with other test data and relevant historical data.

Adjustment Disorders↗
PubMed1991

Subtle-obvious scales of the MMPI: indicators of profile validity in a psychiatric population.

This study explored the usefulness of the Minnesota Multiphasic Personality Inventory (MMPI) Subtle-Obvious scales as profile validity indicators with a inpatient psychiatric population. Some 292 MMPI profiles were utilized and divided into overreporters, underreporters, and standard reporters, based on their Subtle-Obvious scale scores. Reporting style was shown to be unrelated to actual patient pathology because of the lack of relationship between reporting style and diagnostic categorization according to the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) Axis I and II. Comparisons of MMPI profiles of the three groups revealed that overreporters endorsed more pathology on the MMPI clinical scales than did either underreporters or standard reporters. The same pattern of response style was demonstrated by subjects on another objective measure, the Beck Depression Inventory, whereas on a projective measure, the Rorschach Inkblot Test, there were no differences between groups. These findings suggest that clinicians may want to utilize the Subtle-Obvious scales to gain information about MMPI profile validity. Specifically, profiles of patients identified as overreporters should be interpreted with caution so as to not overstate their level of pathology.

Adjustment Disorders↗
PubMed1990

Defense mechanisms in clients and non-clients as mediated by gender and sex-role.

This study examined defense mechanism utilization patterns of psychotherapy clients vs. individuals without mental health history, by administering the Defense Mechanism Inventory to 104 subjects. Concurrently, the mediating influence of gender and sex-role on defense mechanism utilization was assessed. Results indicated that gender and sex-role were significant in mediating the use of Turning against Self defenses and Turning against Other defenses, respectively. More importantly, however, psychotherapy clients differed from non-clients in their increased use of Projection and their decreased use of Principalization. Use of Projection was mediated further by a gender by sex-role interaction, which complicates the interpretation of the presence of Projection in an individual for the clinician.

Adolescent↗
PubMed1990

Further exploration of the Egocentricity Index in an inpatient psychiatric population.

Using the Rorschach protocols from 129 adult psychiatric inpatients, the Egocentricity Index as calculated in the Exner Comprehensive System was investigated relative to MMPI standard and special scales, Beck Depression Inventory, and other Rorschach variables. Results indicate that rather than being a measure of self-focus and self-centeredness, the Index might be related to introversion and introspection. Additionally, the Index may have differential implications about mental health for males vs. females.

Adolescent↗
PubMed1990

The developmental record: reliability and validity in a clinical population.

Currently, the Developmental Record is widely used with developmentally disabled adults, at least in the midwestern and southwestern region of the United States. Since it inception in 1974, there have been no subsequent reliability and validity studies confirming its clinical usefulness. For the present study a total of 1,069 Developmental Record protocols were obtained from archival files of a large midwestern facility for mentally retarded persons. Analyses revealed high internal reliabilities, but questionable validity. Specifically, the subscale structure of the instrument was not confirmed by the factor analysis.

Disability Evaluation↗
PubMed1989

Projective identification as a self-psychological change agent in the psychotherapy of a child.

The psychotherapy of a 10-year-old boy is used to demonstrate the usefulness of idealizing and mirroring transferences to help patients move from a state of lack of selfhood and self-differentiation to the development of self-structures that provide strength and self-esteem. Projective identification is presented as a therapeutic technique that can be used to facilitate this process by aiding the internalization of mirroring and idealization functions.

Affect↗
PubMed1988

Gender-bound definitions of mental health.

Fifteen male and 15 female American therapists-in-training (clinical and counseling psychology graduate students) were asked to take the Minnesota Multiphasic Personality Inventory (MMPI) under each of two instructional sets. In one set, they were instructed to respond to the items as a healthy male would respond, and in the other, as a healthy female would respond. The MMPI profiles obtained from male and female subjects were not significantly different, indicating that these male and female therapists-in-training did not differ in their perceptions of healthy men and women. When the data for male and female subjects were combined, however, healthy women were perceived differently than healthy men on several scales, although the MMPI profiles obtained under both instructional sets were well within normal limits.

Adult↗
PubMedDate not supplied

Southcentral Foundation--Dena A Coy: a model program for the treatment of pregnant substance-abusing women.

This article discusses the societal implications of substance abuse by pregnant women and women of child-bearing age and reviews their treatment needs as documented in the literature. It then provides a treatment model for pregnant women, using the Southcentral Foundation-Dena A Coy Residential Treatment Program as a model program. It outlines a number of components that are critical to successful substance abuse treatment of these women; specifically, medical interventions, social service provision, educational/vocational services, psychoeducational programs, psychotherapy, substance abuse interventions, and family preservation and involvement. These components are superimposed on a therapeutic community model that stresses gender and cultural relevance, as well as supportive structure and direction.

Aftercare↗