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Biomedical subjects

D Gruenewald

Publications and source records attributed to D Gruenewald.

18 recordsLinked to original sources

The impact of clinical information systems research on the future of advanced practice nursing.

Expert systems are "intelligent" computer programs designed to mimic the decision making of a human expert. This article describes two formal evaluations of one of the first nursing expert systems. Initial results were positive, however, subsequent analysis identified significant limitations in the ability of the expert system to mimic the consultation process of advanced practice nurses (APNs). Because few newly developed systems are being subjected to a clinical trial or to the scrutiny reported here, developing systems may prove to be cost inefficient over time. APNs must be actively involved in the design, development, and evaluation of all nursing expert systems.

Expert Systems↗

Multiple personality and splitting phenomena: a reconceptualization.

Multiple personality and splitting phenomena described in the psychoanalytic literature are placed in juxtaposition. A reconceptualization of multiple personality is attempted. It is assumed that the splitting of multiple personality is qualitatively similar to the splitting in narcissistic character disorders and that the genetic antecedents of multiple personality can be traced to the narcissistic phase. Some of the literature pertaining to multiple personality is reviewed, followed by selected psychoanalytic sources referring to developmental issues and pathology in narcissistic character disorders. Material from three cases is briefly presented to illustrate the various levels of multiple personality and to show its continuity with narcissistic disorders.

Adolescent↗