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Biomedical subjects

G Roskin

Publications and source records attributed to G Roskin.

9 recordsLinked to original sources
PubMed1988

Differences in attitudes toward patients among medical specialties.

In a prior study a questionnaire was developed which reliably measured a variety of physicians' attitudes toward patients. In the present study we have used this questionnaire to compare the attitudes of physicians specializing in Internal Medicine, Surgery, Pediatrics and Psychiatry with one another and with a group of medical students. One way analyses of variance yielded highly significant differences (p less than .001) among these groups on the "Nurturant-Empathic" attitudinal dimension, as well as on the "Psychodynamic" and "Moral Weakness" Etiology Scales. Significance and ramifications of these findings are discussed in terms of the impact of these attitudes on treatment approach, clinical decision-making, and quality and comprehensiveness of patient care. Further, these findings suggest that a variety of education and training approaches could be advantageously utilized to integrate and upgrade the care of patients by the different medical specialties.

Attitude of Health Personnel↗
PubMed1977

Three types of paranoid processes.

In classical descriptive psychiatry the term 'paranoid' is often used ambiguously -- referring to a variety of clinical processes which should be more clearly differentiated. Specifically, in this paper, we have differentiated three distinct sets of clinical phenomena all usually lumped together as 'paranoid': 1. Paranoid from a Sense of Guilt, 2. Paranoid from a sense of Low Self-Esteem, and 3. Paranoid from a Sense of Persecution. These three processes are distinct descriptively, dynamically and genetically. Further, this differentiation is most significant pragmatically as the treatment is different for each type.

Central Nervous System Stimulants↗
PubMed1976

Psychotherapists' passivity--a major training problem.

A major problem encountered in the early psychotherapy training of psychiatric residents, psychologists, and social workers is the tendency for the student to take an inappropriately passive and silent role. Rather than actively engage patients in a therapeutic alliance, beginning students have the tendency to remain withdrawn and inarticulate. This often reaches extreme proportions and may later significantly block treatment progress. Clinical vignettes are presented to show the range and variety of hyperpassive behavior in psychotherapy training and the potential crippling and destructive effects on the treatment process. This is not to imply that there is no danger in excess activity on the part of the therapist. Indeed, not all silence need be destructive. However, detachment, withdrawal, and excess silence--attitudes often fostered by our training programs--can be markedly destructive to both patients and treatment. Psychodynamic factors causing this situation are reviewed. A variety of methods and strategies are recommended for dealing with it. If the supervisor remains alert, the problem can be significantly resolved before it interferes with treatment. In this way, the student will be helped to overcome one of the major ealry hurdles of training.

Adult↗
PubMedDate not supplied

Psychiatric treatment of chronic somitizing patients: a pilot study.

Somatization is a very common condition although these patients are usually seen by general medical practitioners rather than mental health professionals. In a pilot demonstration study, chronic somatizers were significantly improved in a group psychotherapy treatment modality. The somatization was ameliorated and their functioning was significantly improved. Our findings strongly suggest that these patients should be clearly conceptualized as psychiatric and would respond well to traditional psychiatric treatment modalities.

Chronic Disease↗