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Biomedical subjects

D D Gold

Publications and source records attributed to D D Gold.

11 recordsLinked to original sources
PubMed1988

"Bicycle kickstand" phenomenon: prolonged erections associated with antipsychotic agents.

The purpose of this paper is to draw attention to the ability of some antipsychotic agents to produce sustained erection short of priapism. They appear to have this effect consistently over time in some individuals. The effect is rapidly reversible on discontinuation of the drug, and appears to be dose-dependent. In one of our patients, the "active metabolite" of that same drug could not duplicate the effect. Prevalence and mechanism require clarification. If even a small proportion of patients with the sustained erection phenomenon are found to progress to priapism, this would have profound ramifications. If this phenomenon could be confidently predicted or safely and readily implemented, the benefits for some patients with impotence or premature ejaculation might be considerable. Given all the potential adverse side effects of antipsychotics, it should be appreciated that the potential direct effects on male sexual function are not always adverse.

Adult↗
PubMed1987

Suicide attempt: one diagnosis, multiple disorders.

Patients who intentionally injure themselves are a varied group, ranging from those who are unthinkingly agitated to those who are calculatingly manipulative to those who are truly suicidal; these patients require very different forms of management. If a manipulator is able to exploit the hospital in trying to solve life's problems, he is likely to repeat such behavior when inevitable problems occur in the future. The truly suicidal patient, however, must be recognized and safeguarded while his underlying problems are treated. Suicidal behavior is the outcome of the dynamic interaction of the patient's personality, affective state, and social circumstances. The question commonly asked initially, "Will he try to hurt himself again?" addresses the wrong issue, as outcome is of little diagnostic relevance.

Female↗
PubMed1987

Common suicidal subtypes and their treatment.

Self-destructive behavior is the final pathway for a variety of underlying problems. Because there is such a wide range of diagnostic possibilities in patients who attempt suicide, more precise diagnosis is essential. The often-asked question "Will the patient attempt suicide again?" is insufficient. Rather, an understanding of why the person is unhappy facilitates identification of the suicidal subtype and the necessary therapeutic interventions.

Adult↗
PubMed1976

Psychologic factors associated with obesity.

Obesity, particularly of the juvenile-onset type, is often associated with anger and anxiety underlying a facade of joviality. There may be marked disturbances of body image. Regardless of whether psychologic factors are the cause or result of obesity, they must be considered if efforts at weight reduction are to be successful. Substitutes for the gratification of food must be provided.

Adolescent↗