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Biomedical subjects

E M Pattison

Publications and source records attributed to E M Pattison.

At least 37 records · Page 2Linked to original sources

Ten years of change in alcoholism treatment and delivery systems.

The author reviews the major advances in concepts and methods that have been made in the treatment of alcoholism over the past decade but finds little change in the everyday operation of treatment programs. He examines the ideological differences between professionals and paraprofessionals in the field, the changes in treatment goals that have been made, the different types of alcoholic patients and their different needs and responses to treatment, the uses and misuses of drug therapies, the relatively unexamined values of psychotherapy, the recently successful behavioral therapies, and treatment delivery systems and their evaluation.

Alcohol Deterrents↗

Nonabstinent drinking goals in the treatment of alcoholism. A clinical typology.

Traditional views in the field of alcoholism have been that alcoholics must achieve and maintain abstinence from alcohol in order to be rehabilitated. In turn, abstinence has been used as the sole or primary criterion of successful treatment. However, abstinence is not necessarily correlated with improvement in other areas of overall adjustment, such as emotional, interpersonal, vocational, and physical health. The recent advent of nonabstinent alcoholism treatment programs, in addition to other clinical data, suggests the need for more specific definitions of nonabstinence, attenuated drinking, controlled drinking, and normal thinking.

Alcohol Drinking↗

Teaching mental health administration to psychiatric residents.

Methods for teaching mental health administration within the framework of the regular psychiatric residency are described. The basic principles of social systems analysis and social systems management are the framework for both the field experience and the didactic curriculum. Emphasis is placed on student participation in the teaching process. The student engages in multiple exercises within the actual working processes of mental health administration. In essence, we attempt to teach mental health administration by providing learning experiences where the student performs the tasks and engages in the conceptual work that form the basis for social systems management.

California↗

The fatal myth of death in the family.

The author hypothesizes that the observed pathogenic effects on a child of the death of a parent are the result of the family's culture-bound inability to integrate death as a natural part of the process of living. The family tries to deal with death by the avoidance mechanisms of myth and family mystification; it is this process which is pathogenic rather than the experience with death itself. To illustrate his thesis he presents the case history of a man who was fatally affected by the family myth and mystification process.

Adult↗

A code of ethics for a community mental health program.

The Orange County Department of Mental Health developed a code of ethics to give its variety of employees a single set of standards for patient care and professional behavior in a community mental health program. The need for the code grew from problems of role definition and interdisciplinary collaboration that repeatedly arose during the program's development. General principles for the code were extracted from various professional codes, from issues arising in the day-to-day workings of the program, and from existing laws. The code, presented here, defines principles related to confidentiality, professional conduct, quality of service, moral and legal standards, clients' rights, and therapist-client relationships.

California↗

A psychosocial kinship model for family therapy.

Family therapy has traditionally centered on the nuclear family and thus has been typically oriented toward urban white middle-class families. A variety of modifications in therapeutic technique has evolved for work with the many modern families whose structure consists of a functional psychosocial family kinship. The authors have developed a formal theoretical framework and model for family therapy that encompasses the total psychosocial network, i.e., the extended kinships of the nuclear family and the functional kin such as friends, neighbors, and associates.

Family↗

Outpatient alcohol detoxification: initial findings on 564 patients.

The authors report on a large-scale outpatient alcohol detoxification program, presenting a clinical rationale for outpatient detoxification, describing the program method, and giving initial evaluation data on the first 564 patients. Only 47 percent of the patients required detoxification, and only 19 percent of these required inpatient care. The majority of the patients successfully completed outpatient detoxification; half of these continued in the related rehabilitation program. There were no fatalities. The authors believe the results support the utility of outpatient detoxification as a cost-effective alternative to inpatient detoxification for the majority of acute alcoholics.

Acute Disease↗