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Biomedical subjects

C I Cohen

Publications and source records attributed to C I Cohen.

14 recordsLinked to original sources
PubMed1979

Health-seeking behavior and social networks of the aged living in single-room occupancy hotels.

The elderly who reside in single-room occupancy (SRO) hotels often have been depicted as "isolates," lacking the interest or ability to engage primary or secondary support systems. This characterization has not enhanced understanding of how the SRO aged are able to survive in the community. With the use of network analysis techniques, this study demonstrates the inaccuracy of the assertion that these old persons lack significant social support. The data pointed to differences in network size, complexity, intensity, connectedness, and directionality in relation to varying degrees of physical and psychiatric health.

Aged↗
PubMed1978

Schizophrenia and social networks: ex-patients in the inner city.

A high level of social contacts has been recognized as one of the main predictors of outcome in schizophrenia. However, a variety of issues concerning the sociability of schizophrenics still need to be clarified. Focusing on ex-mental patients residing in a large Manhattan hotel, an analysis is made of the relationship between several social network variables, psychopathology, and rehospitalization. The findings indicate that: (1) Schizophrenics have significantly fewer linkages than nonpsychotics, but even the most impaired schizophrenics are not totally isolated. (2) Within the schizophrenic spectrum there are differences with respect to network size, complexity, directionality, and interconnectedness. (3) Rehospitalization is dependent upon two factors, degree of psychopathology and hotel network size.

Adult↗
PubMed1978

Re-establishing a dialectic of madness.

Historical evidence indicates that until the seventeenth century, a dialectical conception of madness existed; it combined the elements of loss of reason and idiocy with prophecy and clairvoyance. The onset of the Age of Reason marked the end of man's communication with madness and the accompanying dissolution of the dialectic--madness became solely a symbol of opprobrium and the insane were herded off into houses of confinement. Because mad people are returning to the streets again, it is important that we begin to explore the potential benefits that can be derived from re-establishing our communications with madness, i.e. reconstituting the dialectic. An examination of the formerly valued aspects of madness can serve as a useful point of departure.

History, 15th Century↗
PubMed1978

Prospects for change in public mental institutions.

Because of the incompatibility of variables (viz. actors, milieu concept, institution, society) with each other as well as the potential areas of strain contained within each variable, it is improbable that state mental institutions can adapt a patient-centered (therapeutic) milieu. Evidence is presented in order to substantiate this hypothesis.

Attitude of Health Personnel↗
PubMed1977

The use of a mid-Manhattan hotel as a support system.

The mass media have focused recently on the failure of psychiatric institutions to provide adequate follow-up for its patients released into the inner city. Many expatients deteriorate and become part of the "revolving door": single-room occupancy--city hospitals--state hospital. This paper attempts to demonstrate the feasibility of utilizing existing community resources (for example, a large midtown Manhattan hotel and local service agencies) to cope with this problem. A description of the multiagency organized hotel programs as well as objective and subjective data is provided in order to substantiate our contention that this approach offers a viable alternative to long-term hospitalization.

Adult↗
PubMed1976

Nocturnal neurosis of the elderly: failure of agencies to cope with the problem.

About half of the elderly seen in medical consultations in several midtown Manhattan facilities have "nocturnal neurosis." This syndrome is characterized by a mixed neurosis with a pronounced nocturnal increase in the severity of symptoms, occurring in recently isolated persons. Apparently, failure of the neighborhood social network to function during the evening hours largely accounts for the problem. Few Centers provide nighttime activities. A proliferation of evening programs might significantly reduce the prevalence of nocturnal neurosis in the elderly.

Aged↗
PubMed1976

A storefront clinic on the bowery.

Analysis of the patient population of a small storefront clinic on the Bowery of New York City has revealed the emergence of a new category of Bowery residents consisting of young, generally White, schizophrenic men with little history of alcoholism.

Adolescent↗
PubMed1975

Prevalence of hypertension among the elderly in an urban community.

The results of a hypertension screening project conducted in senior citizen agencies in Manhattan are presented. The prevalence of hypertension among elderly females tended to conform to the data of the Nation Health Surgery of 1960-62, but the prevalence among elderly males was much higher than in the National Survey. The prevalence of hypertension varied inversely with the educational level. Various implications for future medical evaluations of the elderly are discussed, based on the clinical and social data obtained.

Aged↗