Biomedical subjects
E R Bumpass
Publications and source records attributed to E R Bumpass.
The effect of media involvement on transference.
The psychiatric literature contains contrasting opinions about the wisdom of public exposure by a therapist. This issue has become more relevant because of the recent acceptance of advertising and solicitation by professionals. Most of the current discussions focus on political and economic issues rather than the impact on the therapeutic process. This paper describes the effect of media exposure by the therapist on the transference of twenty-eight patients seen in his private practice.
A community-based program for juvenile firesetters.
In 1981 the Dallas Fire Department began a new program for juvenile firesetters. Based on an interview graphing technique that helps the juvenile firesetter to correlate triggering events with feelings leading to aggressive firesetting behavior, the program is staffed by fire department personnel who are trained by psychiatric faculty of the University of Texas Southwestern Medical School at Dallas. Comparisons with the city's previous program demonstrate the new program's effectiveness in preventing the recurrence of firesetting behavior as well as its cost-efficiency. Similar programs have been successfully adopted in Houston and Fort Worth.
Intervention with children who set fires.
A technique to interrupt firesetting behavior in children has been described. This technique sequentially correlates events, feelings, and behavior on a line graph. This is done in full view of the patient and his family. The most important function of this procedure is to help the patient become aware of the cause-effect relationship between feelings and behavior. The initial feeling is utilized as a signal that he is at risk to set a fire. This awareness lets him substitute an acceptable behavior. Twenty-nine patients have been treated thus far and only two have set subsequent fires. Follow-up periods varied from six months to eight years with an average duration of two-and-a-half years.
Emotional factors in oculogyric crisis.
Drug-induced oculogyric (OGC) is ordinarily discussed from a neuropharmacological point of view. It is usually controlled without difficulty by adjusting the dosage, changing the neuroleptic, or adding antiparkinson medications. When these traditional methods failed to control this symptom in the author's patient, it became clear other models must be considered. They included conversion and psychophysiological models. The psychophysiological model proved to be most useful. It was hypothesized that a tendency for OGC was drug-induced. When combined with an increased state of emotional arousal and/or a reduction in the ability of the neuromuscular system to compensate, the OGC would occur. The increased state of emotional arousal could result from either internal or external stress. Internal stresses occurred when there was diminished external stimuli to aid repression. Fatigue was the most obvious factor altering the ability of the neuromuscular system to compensate. The psychophysiological model provided a frame-work to formulate an effective treatment program to deal with the various contributing factors.
Gradually developing aphasia in children. A diagnostic problem.
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Voluntary unilateral convergent strabismus.
This syndrome has been reported as a medical rarity. However, 16 cases, including 2 families, add to knowledge of the occurrence, age of onset, emotional factors, and to possible genetic basis in the etiology.
Graphs to facilitate the formation of a therapeutic alliance.
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