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Biomedical subjects

G Chrzanowski

Publications and source records attributed to G Chrzanowski.

13 recordsLinked to original sources
PubMed2000

[Single use insulin injector evaluated by patients (questionnaire study)].

The aim of the study was the analysis of perception of the disposable pen injector HumaJect by diabetic patients. Selected features of the insulin delivery systems were evaluated, and on that basis, the comparison between HumaJect and other insulin injectors was made. Research material was collected in questionnaires filled out by doctors after interviewing patients who were using HumaJect for at least one month. 1802 diabetic individuals aged 9 to 88 participated in the study. HumaJect was ranked "very good" (which is the highest possible rank) by 71% of patients. Among specific features, the highest ranks were assigned to "Ease of dose setting", "Dosing range" and "Disposable form". Most of patients assigned higher ranks to HumaJect than to other insulin delivery systems. 89% of patients indicated desire to continue treatment with this injector.

Adolescent↗
PubMed1991

The interface between psychoanalytic theory and the practice of psychoanalysis.

In my opinion there is invariably an element of contamination in tandem with elucidation. The complex interface between the theoretical and practical sides of the analytic process requires a kind of "double bookkeeping." This results from our need to put our theoretical game plan or strategy on hold when the patient has the floor. This holding pattern prevails when we respond to the patient within the clinical interactional field. Once we take the lead for an exploration, or interpretation, our attention is focused on the impact of our question or comment on the patient. In turn, we need to respond to the patient's data without pigeonholing. As practicing analysts, we function as professionals without wearing a particular persona akin to the masks of antiquity. We are who we are and we operate in an ambience of resonance with the patient. Self-monitoring is a basic requirement for our work. None of us is free of foibles and peculiarities that the patient notices sooner or later. A degree of pluralism does not prevent us from using a theoretical frame of reference to enable us to have a flexible strategy geared to the individual patient. As noted earlier, in the quest for knowledge our assumptions regarding reality are constantly challenged. In that respect, psychoanalytic and scientific theories are more alike than different when we use them as bases for knowledge; they make it harder to tolerate those occasions when we somehow come to know what works without knowing factually why it works the way it does.(ABSTRACT TRUNCATED AT 250 WORDS)

Attention↗
PubMed1981

The genesis and nature of self-esteem.

Self-esteem is defined as a positive image of oneself based on a fair appraisal of one's assets and liabilities. It represents a longitudinal as well as a transactional, cognitive phenomenon that is considered to be a key target area for all forms of psychotherapy. The construct of self-esteem is preferred to the model of the "conflict-free sphere" of Ego psychology since in the author's opinion it provides a broader observational platform and a potentially more reliable source for clinically valid data. Clinical illustrations of the vicissitudes of self-esteem are offered. The primary purpose of this article is to encourage the systematic exploration of self-esteem as a means of better understanding a vital ingredient of human behavior without making it the exclusive focus in psychotherapeutic activities.

Adult↗
PubMed1980

Problem patients or troublemakers? Dynamic and therapeutic considerations.

The article addresses itself to patients who are of above-average difficulty to deal with and who set up a variety of therapeutic obstructions. The scale of disruptive and counterproductive actions on the part of certain patients is extremely broad and represents a psychopathology per se rather than a specific psychiatric diagnosis. A grouping of ten categories covering clinical manifestations seen in problem patients is offered. Dynamic factors pertaining to the described symptoms are discussed. Brief reference is made to Sullivan's construct of malevolent transformation and Freud's tenet of the negative therapeutic reaction. Several case illustrations are offered indicative of a variety of problem-patient situations in the process of psychotherapy. Finally, a few general considerations about working with particularly difficult patients are added. Special reference is made to various ways of setting limits as well as to the particular role of countertransference in the broadest sense of the term.

Affect↗