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Biomedical subjects

F T Varghese

Publications and source records attributed to F T Varghese.

7 recordsLinked to original sources

The phenomenology of psychotherapy.

The psychotherapeutic implications of Husserl's method of inquiry are examined within the epistemological framework of Kuhn, Piaget, and Popper, which provides a model for both psychopathology and change in psychotherapy. Change results from the experience of the therapeutic relationship that contradicts prior psychopathological paradigms. The phenomenological approach enhances this process.

Consciousness

Electroconvulsive therapy in 1985--a review.

Electroconvulsive therapy (ECT) has recently been re-examined in randomized, double-blind controlled trials. Although a variable placebo influence has been demonstrated, the effectiveness of ECT in severe depression is now well established. ECT may also have a role in the treatment of resistant schizophrenia. A bilateral convulsion is essential for therapeutic efficiency. Unilateral electrode placement is as effective as bilateral placement and reduces subsequent memory impairment considerably. A reduction in the total electrical energy used to produce the convulsion (with unidirectional squared wave forms and brief pulses) lessens cognitive difficulties after ECT. Long-term memory is not impaired but selective impairment of verbal and non-verbal learning can occur in the short term. Psychopharmacological studies suggest that postsynaptic dopamine transmission may be enhanced by ECT.

Animals

The racially different psychiatrist--implications for psychotherapy.

The race of the therapist can play a significant role in the manifestation of transference and counter-transference phenomena in inter-racial psychotherapy. References to the race of therapist may be the first sign of a developing transference relationship. Failure to appreciate the impact of racial difference can impede therapeutic progress while sensitive confrontation may be a valuable tool in the recognition and communication of emotionally charged feelings in therapy. Dream material is influenced by the race of the therapist who may be less easy to disguise in dreams, and the therapist may avoid certain dream interpretations because of unacknowledged discomfort about race. These observations have implications for the supervisory process in training and for the general issue of the influence of the person of the therapist on the process of psychotherapy.

Adult