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Biomedical subjects

G J Sarwer-Foner

Publications and source records attributed to G J Sarwer-Foner.

At least 19 recordsLinked to original sources
PubMed1986

On the differences in the historical development of psychoanalysis in the United States and Canada.

Psychoanalysis developed differentially in Canada and the United States. In the United States it was geared to the model of having only physicians train in psychoanalysis, which was followed from the very beginning but in Canada the standard of the International Psycho-Analytic Association was used allowing the training of some lay analysts as well as physicians. In Canada, though very Freudian, a more integrated view of many different schools of psychoanalysis was taught as adjuncts to the Freudian view, this being based to a large degree on the British psychoanalytic model. The American Psychoanalytic suffered many splits on the issues on social factors and to some degree on political issues in the twenties and the thirties. This was avoided by the Canadian societies and institutes. The main similarities and differences in historical development are outlined and discussed.

Academies and Institutes↗
PubMed1985

ECT in an acutely psychotic pregnant woman with actively aggressive (homicidal) impulses.

The specific use of ECT to control homicidal impulses in a pregnant, acutely psychotic schizophrenic patient is described, with no adverse effects to the mother or the baby. Besides the relative safety of the procedure during pregnancy, the need for monitoring foetal effects is stressed. Although literature is abundant on various aspects of ECT (1-3) there has been little written on its use in pregnancy (4-6) for its value in treating severe depressive illness or certain types of schizophrenia; without adverse effect to the mother and the baby, and where there is a risk-benefit advantage to its use. Nineteen hundred and eighty-four marked 50 years in the history of the use of convulsive therapy (Metrazol) since its introduction into the realm of psychiatry by the Hungarian psychiatrist, Ladislas Meduna. Electro-convulsive therapy (ECT) has been the subject of much controversy among the lay public and some professionals alike in recent years, even though it is generally considered to be one of the most effective treatments available in psychiatry. The Canadian Psychiatric Association (7), the American Psychiatric Association (8), and the Royal College of Psychiatrists (U.K.) (9) have made their position clear on the issue. In a recent Canadian survey of the use of ECT, Smith concluded, "Some of the reported rates are below the predicted minimum levels" indicating that "certain patients have been deprived of the most effective treatment available" (10).

Acute Disease↗
PubMed1985

Medical school forensic psychiatry units in health care delivery facilities rather than criminal justice institutions: an alternative model.

We have presented a model for developing forensic psychiatric treatment and teaching services of a medical school Department of Psychiatry, but where these services are the basic comprehensive health care delivery system for the entire community. These offer consultative and treatment services for adult and family court clinic, psychiatric forensic services, of forensic psychiatry open bed and medium security-type bed, as well as day hospital and outpatient services. All of these are sited in the normal health care delivery system of the university teaching hospitals and its patient treatment, teaching, and research facilities. Consultative services are offered on request to the criminal justice system, but the basic health care delivery system is controlled administratively by the ordinary university teaching hospital authorities and exists as a one of a kind unit at the Royal Ottawa Hospital. The Royal Ottawa Hospital is a private nonprofit hospital, with its own Board of Trustees, and is affiliated with the medical school, as part of a major university network. We believe it important to present this model for an overall forensic psychiatric service, in contradistinction to the more commonly established forensic psychiatric facilities in state mental hospitals, in a special facility for the criminally insane, or in a criminal justice system institution such as a penitentiary. We believe that our model for forensic psychiatric facilities has great advantages for the patient. Here the patient is treated in a specialized facility (as all psychiatric patients with specialized problems should be); but one which is a specialized forensic facility, within the range of specialized psychiatric facilities that are needed by an urban community.(ABSTRACT TRUNCATED AT 250 WORDS)

Criminal Law↗
PubMed1982

Psychotherapeutic management of the severely anxious patient.

Anxiety is viewed as a psychophysiological reaction to an unmastered inner danger that threatens, the ego defenses. Severe anxiety is seen as part of an anxiety neurosis. The full-blown phenomenon, i.e., a panic state, cannot be sustained for any length of time by the individual. The panic will either be made to subside by mastering it or it will produce further damage to ego defenses and trigger more serious psychopathological symptoms in an attempt to at least partially deal with the conflicts. The author discusses the problems and offers psychotherapeutic techniques. The types of problems facing the individual in life-crisis situations form part of the discussion.

Adaptation, Psychological↗