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Biomedical subjects

D Upper

Publications and source records attributed to D Upper.

7 recordsLinked to original sources

Behavioral medicine. Broadening the interface between medicine and behavioral science.

The work of psychotherapists who have a cognitive-behavioral orientation and are trained in time-limited, focused psychotherapy has proved to be beneficial in the setting of a comprehensive medical and health maintenance organization. Group interventions that deal with relaxation, social skills, depression, agoraphobia, smoking cessation, problem drinking, weight modification, and Type A behavior, to mention a few, are conducted on an ongoing basis, allowing staff to treat large numbers of people in a time-efficient and cost-effective way. These groups also help the staff to provide a coordinated set of therapeutic and training experiences for patients through their participation in appropriate group treatment during the course of their individual treatment.

Behavior Therapy↗

Addictive behaviors among hospitalized psychiatric patients.

A survey was conducted to assess the extent of alcohol abuse, drug abuse, obesity, and smoking among patients hospitalized on other than substance abuse treatment wards of a large psychiatric hospital. The results revealed extensive addictive behavior problems in the sample with nearly 90% of the patients having at least one of the problems. Prevalence rates for smoking and alcohol abuse substantially exceeded, and for obesity was equivalent to, the prevalence of these behaviors in the general population. Drug abuse was the least frequent problem and comparisons to the general population could not be made. Another major finding was that a relatively small proportion of patients was receiving any treatment for their addictive problems that was likely to be effective. For the most part, it seemed that patients receiving treatment were cases in which the addictive problem caused a serious immediate danger to the patient or others on the ward or seriously disrupted the ward routine.

Adult↗

Applying behavioral contracting to alcohol abuse in a spinal cord injured patient.

While there have been studies of the use of contingency contracting with several populations of alcohol abusers, the application of alcohol-related contracting to non-psychiatric environments and patients without primary alcohol diagnoses has not been illustrated. A behavioral contract, which included the use of a time out detoxification room, scheduled communication sessions, and a drinking checklist was employed to reduce the inappropriate drinking, verbal and physical abuse of a spinal cord injured patient during a 12-month intervention/follow-up period. The contract's features and methods for improving its effectiveness are discussed.

Alcoholism↗