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Biomedical subjects

F Kline

Publications and source records attributed to F Kline.

12 recordsLinked to original sources
PubMed1980

The misunderstood Spanish-speaking patient.

The authors examined the reactions of Spanish-speaking patients and of therapists to initial therapy interviews conducted with or without an interpreter. Twenty-one patients who used an interpreter, 40 bilingual patients, and the 16 psychiatric residents who conducted the interviews completed questionnaires aimed at evaluating therapy and communication effectiveness. A number of patient and therapist perceptions were significantly different. Patients interviewed with interpreters felt understood and helped and wanted to return, whereas the therapists responded that patients seen with interpreters felt less understood and less helped and did not want to return. The authors recommend more bilingual/bicultural therapists and an effort to help present therapists realize how valuable their efforts with patients who need an interpreter are.

Ambulatory Care↗
PubMed1980

The relationship between length of hospital stay and rapid-readmission rates.

The average length of stay for patients on the psychiatric service of a large VA hospital in California was nine days in mid-1977. Such brief hospitalizations often led to insufficient discharge planning and rapid readmissions, within one month of discharge. VA policy changed in July 1977, and longer lengths of hospital stay were initiated. The experiences with brief and longer-term hospitalization enabled the authors to study the rapid-readmission rates for each length of stay. Their data showed that an increase in length of stay from nine to 26 days was associated with a 55 per cent reduction in the rate of rapid readmission. They admit that it is too early to conclude that the longer patient stay was responsible for the decrease, and feel that additional longitudinal study is necessary.

California↗
PubMed1979

Patients' requests of an outpatient clinic.

Three-hundred-twenty-five consecutive predominantly lower-class new patients at a psychiatric outpatient clinic rated the importance they attached to each of 14 categories of treatment needs or requests. Psychiatric residents subsequently rated the importance of each request for each patient at the conclusion of their initial assessment interview. Requests reflecting needs for intrapsychic therapy, clarification, and control of feelings were considered very important by approximately two thirds of the patients; needs for institutionalized contact, advice, and community triage by one half; and other requests for medication, reality contact, succorance, ventilation, confession, social intervention, administrative requests by a minority (one fourth to one third). Residents significantly underestimated the importance their patients attached to 10 of 14 requests. Factor analyses confirmed several systematic sources of disparity between patient and therapist perception of lower-class patient needs.

Factor Analysis, Statistical↗
PubMed1978

Biochemical studies of a human low-activity galactose-1-phosphate uridyl transferase variant.

A low activity galactose-1-phosphate uridyl transferase (transferase) variant in a newborn infant has been demonstrated by biochemical studies in erythrocytes and cultured skin fibroblasts. The newborn infant was a galactosaemic suspect identified in a neonatal metabolic screening programme. On breast feeding, he did well without clinical symptoms of galactosaemia during the first 15 days of life. However, substantial amounts of erythrocyte galactose-1-phosphate and urinary galactitol corresponding to the levels in untreated galactosaemic patients, along with mild amino aciduria, were found. The transferase activity, as measured by a sensitive micro kinetic radioisotopic method, was about 7--10% of the normal. On starch gel electrophoresis, the enzyme from the haemolysate had similar mobility as the normal in Tris--glycine buffer, pH 8.8 and phosphate buffer, pH 7.0, but had a slower mobility than that of the normal in the histidine buffer, pH 7.8. The mobility difference was much clearer in a semipurified enzyme preparation. The transferase enzyme in the haemolysate appeared to be more heat labile.

Cells, Cultured↗
PubMed1977

Which patients respond to a mental health consumer survey.

Characteristics of patients at the Los Angeles County - University of Southern California Medical Center, Adult Psychiatric Outpatient Clinic who responded to a Los Angeles County voluntary "Client Satisfaction Survey" were compared with those who did not. Three significant differences consistently emerged. If an individual was a member of a minority group (black of Spanish surname), had less than a high school education, and was taking antispsychotic medication, his chance of returning a questionnaire to a waiting-room collection box was 79% as compared to the 30% chance of returning if he had none of these three characteristics. Younger patients had "Anglos" more often used the U.S. mail than the collection box to return the questionnaires. It is important that both methods be used to minimize bias. Most of the many patient-characteristics studied did not influence return rate. These findings are discussed in relation to the return method, ethnicity, medication, chronic mental illness, diminished freedom, and consumer voice in voluntary questionnaires.

Adult↗
PubMed1976

Countertransference: a neglected subject in clinical supervision.

As an acknowledged aspect of psychotherapy, countertransference would be an anticipated subject for discussion in clinical supervision. However, the authors' review of videotapes of 24 supervisors working with second-year residents revealed that 12 made no comments on the subject, 8 approached the subject directly, and 4 approached it indirectly. The authors discuss the reasons for this avoidance of countertransference issues and note that discussion of countertransference does not necessarily change supervision into therapy.

Countertransference↗
PubMed1976

Who gets supervised? An extension of patient selection inequity.

A study of 89 individual psychotherapy patients followed by 17 residents in a teaching clinic demonstrated that those presented for supervision significantly differed from the others in being younger, better educated, and better liked by residents and in having higher incomes and longer term treatment. The authors discuss the implications of these findings in relation to the inequity in service time and teaching emphasis that this selection allows.

Aftercare↗
PubMed1976

Teaching dynamic psychotherapy by observation.

Experience with a seminar demonstrating psychotherapy, interviews with 12 of the treated patients, and a survey of 23 residents have shown the value of this teaching method and its effect on the participants. Generally the patients felt helped and residents were enthusiastic. The teaching format has many valuable features--most important being the inclusion of a faculty-observer.

Attitude of Health Personnel↗