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Biomedical subjects

D J Carek

Publications and source records attributed to D J Carek.

At least 19 recordsLinked to original sources
PubMed1990

Affect in psychodynamic psychotherapy.

The effectiveness of psychotherapy, in a generic sense, is no longer in doubt. There is also greater acceptance of the proposition that common elements in all approaches play a major role in therapeutic change. Accordingly, there is something to be said for teasing out some commonly accepted ingredients that effect change and for studying the nature of their involvement in psychodynamic psychotherapy whether it be long-term, short-term, crisis intervention, or whatever other type of therapy. With that in mind, it is proposed that affect and its vicissitudes lend themselves well to such investigation.

Adolescent↗
PubMed1989

Three cases of panic disorder with agoraphobia in children.

The authors report three cases of panic disorder with agoraphobia in children, with characteristic panic attacks, separation anxiety, and fear and avoidance of crowds and public places. The panic and agoraphobic symptoms responded to medications effective with agoraphobic adults, i.e., imipramine and alprazolam.

Adolescent↗
PubMed1987

Locus of control and achievement in child psychiatric inpatients.

The relationship between the Nowicki-Strickland Locus of Control Scale for Children (Nowicki & Strickland, 1973) and academic achievement was examined in a sample of 66 child psychiatric inpatients. Previous studies had suggested that this measure correlated with achievement in normal samples (Nowicki & Strickland, 1973) but not in populations of male juvenile offenders (Little & Kendall, 1978). The product-moment correlation between the Nowicki-Strickland Scale and the Peabody Individual Achievement Test was significant. However, when the effect of IQ was controlled for in a partial correlation, there was no significant correlation. Discussion focuses on the relationship between these results and other findings in the area of locus of control, intelligence, and achievement.

Achievement↗
PubMed1987

The efficacy of empathy in diagnosis and treatment.

An integrated, "holistic" approach to the sick patient is an ideal that remains elusive under the best of circumstances but especially if the importance of affective empathic interactions is not emphasized. Although models of psychosomatic and/or psychobiological approaches abound, and in spite of additional courses in medical school pertinent to psychological issues, the cognitive may prevail while the affective is left to languish. The problem may well be that the cognitive elements of humanism, which make for an educated practitioner, are easier to address and therefore attract the greater attention, while the affective learning, which makes for a humane and compassionate practitioner, is so much more difficult to encompass in a curriculum. The practicing physician, however, is likely to find that without greater nurturance of the capacity for empathy, psychosocial or psychosomatic conceptualizations are likely to have little impact on clinical care of patients.

Empathy↗
PubMed1984

Atypical somatoform disorder following infection in children--a depressive equivalent?

Thirteen cases are reported wherein, following an upper respiratory infection or gastroenteritis, children developed a syndrome involving predominantly somatic complaints and objective signs of dysphoria. The syndrome picture was strikingly protracted compared to the convalescence period that would be expected following transient infectious illnesses. Psychiatric consultation was requested primarily because of extensive nonconclusive medical evaluation by the primary care physician. Most of the children showed a striking inability to recognize or acknowledge dysphoria. A multifactorial etiologic hypothesis that considers possible complementary roles of emotional, cognitive, and biological factors is offered to explain the development of this highly dysfunctional syndrome.

Adolescent↗