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Biomedical subjects

G J Waterhouse

Publications and source records attributed to G J Waterhouse.

5 recordsLinked to original sources
PubMed1997

Perspectives of treatment efficacy with the substance dependent physician: a national survey.

A national survey was conducted to assess the judgments of two sets of respondents (administrators of state physician health programs and highly experienced clinicians) about the effectiveness of treatment programs for chemically dependent physicians. Administrators consistently estimated higher rates of patient success (and less relapse) than their practitioner counterparts. Clinicians also identified factors (patient, therapist, group composition, context) they believed to be the most robust predictors of outcome with chemically impaired doctors. Implications of the findings for the conceptualization and design of prospective treatment outcome studies are addressed.

Adolescent↗
PubMed1996

Confidentiality dilemmas in group psychotherapy with substance-dependent physicians.

OBJECTIVE: The purposes of this article are 1) to review federal and state laws relevant to confidentiality in group therapy with impaired physicians and 2) to provide empirical data concerning the actual confidentiality practices and experiences of group therapists treating chemically impaired physicians. METHOD: In the clinical research phase, 25 state medical societies identified 45 rehabilitation centers as those to which the societies preferentially referred chemically impaired physicians. Fifty-one group leaders from 33 of these rehabilitation centers completed the survey questionnaire employed in this project. RESULTS: Because of the risk of potentially irreversible social and professional injury, physician patients were exceedingly concerned about breaches of confidentiality. Co-members' infractions most often involved the violator sharing with close friends and family members the name and abuse history of a fellow physician. In contrast, transgressors rarely leaked information about a co-member's drug-related illegal behaviour. CONCLUSIONS: Chemically impaired physicians would feel safer in sharing secrets in group therapy if more jurisdictions adopted legislation making co-members liable for violating confidentiality. Currently the pertinent body of law is confusing and inconsistent and provides little protection to impaired physicians who enter group therapy. The authors propose ideas for model legislation.

Confidentiality↗
PubMed1980

A proposed neurophysiological basis of alexithymia.

The possibility that alexithymia respresents a symptom of subtle brain dysfunction is discussed. Several lines of research have shown that emotional thought, behavior and, in particular, the use of affect-laden speech are influenced by impaired function of the right hemisphere or a disconnection between the two hemispheres. A patient with agenesis of the corpus callosum is presented demonstrating severe alexithymia.

Adult↗
PubMed1975

Effects of dorsomedial thalamic lesions on spatial discrimination reversal in the rat.

Eight rats with lesions of the dorsomedial thalamus and 10 rats with sham operations were compared on acquisition and subsequent reversals of a spatial discrimination. The rats with thalamic damage showed greater perseveration to the incorrect choices (p less than 0.002) and made fewer reversals (p less than 0.05) and more errors (p less than 0.02) during the 100 reversal trials following initial acquisition than did the sham-operated animals. The two groups did not differ on the original acquisition.

Animals↗