Biomedical subjects
E Teitelman
Publications and source records attributed to E Teitelman.
Level of psychological functioning as a predictor of psychiatric rehabilitation outcome.
Traditional psychological measures, diagnostic levels, and biographical and demographic data have all failed as reliable predictors of the outcome for clients in psychiatric rehabilitation programs. An instrument called the Client Adjustment Rating Scales is an attempt to develop a reliable indicator; it consists of nine subscales on which client's attitudes and behaviors in such psychosocial areas as motivation, self-concept, and family functioning can be rated by clinicians. Analysis of the ratings of 89 clients from Horizon House, a community-based psychiatric rehabilitation program in Philadelphia, shows that those who successfully complete rehabilitation programs have higher (more positive) scores on the scales, while program dropouts have lower scores. The authors conclude that after further testing the CARS may be used both as a reliable predictor of client outcome and as a tool for planning rehabilitation programs.
The treatment of female borderlines.
Failure to complete needed operations in the separation-individuation process during early childhood development is increasingly suspected of being a major source of borderline pathology. Building on Mahler's descriptions of this process as an interpersonal operation between child and mother, we have directly intervened in the patient-mother relationship in a small group of adult female borderlines. All patients displayed rapid and apparently complete clearing of borderline symptoms following limited conjoint therapy. Although neuroses remained, the criteria for a borderline diagnosis were no longer met. Treatment results with six women who had pretreatment and posttreatment psychological testing are reported. Testing confirmed clinical impressions of significant shifts in psychological defenses as well as perceptions of self and others. Fundamentals of this approach are discussed briefly, and observations regarding possible borderline pathology, mother-daughter interactions, family dynamics, and therapeutic philosophy are made. This approach appears not only to be effective but offers promise of simplifying both the role of the therapist and the therapy itself.
Letter: psychiatry's state.
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