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Biomedical subjects

D B Klass

Publications and source records attributed to D B Klass.

5 recordsLinked to original sources
PubMed1978

Supervision and the professional development of the psychiatric resident.

The authors used a questionnaire survey to study the way psychiatric residents experience their psychotherapy supervisors at two points in their training. Results show that second-year residents were more critical in their evaluations of supervisors than first- or third-year residents and that there appeared to be a characteristic progression in the experience of residents from year to year. The authors believe that the resident's experience of supervision reflects a developmental process, which others have described and viewed as important in the formation of identity as a psychiatrist.

Attitude↗
PubMed1977

Ward treatment milieu and posthospital functioning.

Two units of seven and 14 state hospital wards were used in a study to explore possible relationships between some socio-cultural aspects of ward environments and outcome of treatment as assessed by time out of the hospital after discharge. Confounding variables such as pretreatment characteristics, length of hospitalization, and community of discharge make conclusions from many such studies tenuous. Methods were derived and are here described in detail that reduce the influence of some of these variables. Within unit 2 (14 wards), a vector of social structure that differentiated the wards and consisted of two highly correlated factors on the Ward Atmosphere Scale was found to be significantly associated with outcome. Those wards seen by both patients and staff as lower in the allowance of expression of anger and aggression and higher in order and organization (only staff's perception) had better outcomes. The wards of unit 1 were homogeneous both in outcome and in staff and patients' assessments of order and organization and freedom to express anger and aggression.

Adult↗
PubMed1976

Sartre's contribution to the understanding of narcissism.

As a means for presenting Sartre's insights into the narcissistic problems of the self, we have used his phenomenological system as articulated in Being and Nothingness (1943) to illuminate these issues in the personality of Roquentin, the hero of his novel Nausea (1938). Roquentin attempts to stabilize his fragmenting self and to avoid "nausea" by using three mechanisms which Sartre argues maintain the self from drowning in the objects of the self. These are "reflection," "temporality" (continuity through time), and "being-for-others" (how we experience another's view of ourselves). In Sartre's conception of being-for-others lies many clinically useful insights which can be used to explain both the structure and the instability of the transferences seen in the treatment of narcissistic personality disorders. Sartre demonstrates by implication that the patient must maintain (by using bad faith, i.e., disavowal) that the therapist is acting freely, or these transferences collapse. Thus, the patient must feel he is the unique and special "occasion," of any warmth, empathy, or compliments. A case example is included to illustrate these issues of freedom and bad faith.

Adult↗