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Biomedical subjects

D A Berkowitz

Publications and source records attributed to D A Berkowitz.

16 recordsLinked to original sources
PubMed1999

Reversing the negative cycle: interpreting the mutual influence of adaptive, self-protective measures in the couple.

The author discusses factors that shape the subjective meanings each member of the couple gives to marital interactions and the intersubjective disjunctions between the partners that can result. These include adaptive, self-protective mechanisms, the wish for mastery, guilt, and defense against grieving. Through illuminating these factors, psychoanalytic couple therapy can enhance empathic awareness of how each partner's attitudes, actions, and once adaptive defenses can actualize the other's transference expectations and evoke his or her painful and traumatic childhood relationships and experiences.

Adaptation, Psychological↗
PubMed1995

The role of materiel management in effective equipment planning.

Capital equipment acquisition commonly occurs in hospitals as part of the routine annual budgeting process, one with which materiels executives are familiar. However, when faced with a major construction or renovation project, there are special issues related to capital equipment acquisition that materiels executives must consider. The major phases in project management include: predesign, schematic design, design development, construction document preparation, bidding, construction, occupancy, and postoccupancy phases. As such projects don't occur as frequently, the details of these processes and the role of the materiels executive is described here. This includes a discussion of project-related equipment planning and project-related capital acquisition.

Capital Expenditures↗
PubMed1993

Balancing clinical priorities in an era of diminishing resources.

By learning to ask both manufacturers and clinicians why a technology is needed, how it compares to the existing technology, and whether it will eliminate the need for the existing technology and by demanding specific answers, much more rational decisions can be made, which will be in the best interests of the community the hospital serves. Materiel managers can play a key role in fostering this process. In addition, by helping department managers develop long-range multiyear plans, materiel managers can help hospitals better manage their existing assets and make better long-term purchasing decisions.

Capital Expenditures↗
PubMed1992

Maximizing purchase decision factors other than price.

Assessing and acquiring technology does not have to be chaotic, driven solely by price, clinical preference, and emotion. With the tools available, it can be distilled to a process of organized common sense, which results in maximum flexibility for the user and allows materiel managers to procure the best, most cost-effective equipment for the hospital.

Academies and Institutes↗
PubMed1977

On the reclaiming of denied affects in family therapy.

A central developmental task of the family is to help its members develop the capacity to cope with the grief attendant on separation and loss. In order to work through such feelings, each member must first be able to acknowledge the affect as present, internal, and belonging to the self. Depending on the degree of intrapsychic differentiation, and the dread of abandonment, family members may seek to avoid awareness of such feelings within themselves. The disclaimed emotions remain powerful unconscious motivators of behavior, exerting their influence despite their denial. Some typical clinical illustrations of this are provided. Excerpts from conjoint family therapy are then presented to illustrate the therapeutic interventions made in assisting a family to acknowledge denied grief over the separation of one of its members along with unspoken tender feelings within the family. This paper affirms the continued relevance of a psychodynamic, interpretative approach for families struggling with unresolved grief.

Adult↗
PubMedDate not supplied

Technology decision making. A constructive approach to planning and acquisition will require a paradigm shift.

Technology should be viewed as an integrating rather than a divisive element in hospital planning. In the past, technology decision-making responsibility has often been diffused throughout hospitals, but providers are beginning to take a more considered and coherent approach. The process of making decisions about technology has four key elements: assessment, planning, acquisition, and management. The most important aspect of the assessment phase is the formation of a technology advisory committee to review and evaluate requests for new and emerging technology; review capital budget requests for new and replacement technology; and set mission-based and strategic priorities for new, emerging, and replacement technologies. Technology planning allows hospitals to set long-term goals for technology acquisition. The process involves an audit of existing technologies, evaluation of other hospitals' technologies, and review of technology trends. A well-defined technology plan will, in turn, facilitate the acquisition and management process, allowing hospitals greater flexibility in negotiating costs and budgeting for training, spare parts, service, upgrades, and support. By pooling resources with other providers in their region, hospitals can further enhance the effectiveness of their use and acquisition of technology. Collaboration allows providers to share the risks of technologically volatile and intensive services and avoid costly duplication of equipment and facilities.

Capital Expenditures↗