Biomedical subjects
Publications and source records attributed to G Stricker.
Jacob, Krahn, & Leonard (1991) present a study that raises a number of ethical issues. The methodology creates a conflict between the avoidance of endangerment and informed consent. The weight ordinarily given to properly received informed consent is reduced by the presence of mildly coercive experimental conditions. Furthermore, the failure of the authors to address these issues in the published report is an additional source of concern.
The psychosocial sequelae of craniofacial disfigurement may have as great an impact on the patient as the strictly physical aspects of the problem. Very little systematic work has been focused directly on these effects. The following broad recommendations would constitute initial research steps in this field: Development of satisfactory measures of physical attractiveness and their use in studies to explore the role of craniofacial features in over-all physical attractiveness. The establishment of valid metrics for assessing the severity of craniofacial anomalies through the use of both physiologic and behavioral measures, thus constructing a broader definition of what constitutes a craniofacial handicap. Studies of the relationships among physiologic and behavioral variables using recently developed statistical techniques and computer methods to determine the psychosocial consequences of craniofacial disfigurement. Studies of the process through which persons with various types of malocclusion decide to seek and complete treatment. The studies would include the patients' demographic characteristics, self-perceptions, perceptions of them by others, and the complex patient-clinician interactions during the treatment programs.
Explore the source record for details and available documents.
A contract between APA and OCHAMPUS has committed APA to developing a national peer review capability for the review of out-patient psychological services. This paper describes the review criteria which apply to personality assessment and psychological testing.
Bruhn (1978) has offered some comments about criteria for CHAMPUS reimbursement. These criteria are CHAMPUS-specific and subject to modification for other health plans. Deviations are subject to peer review and may be approved for reimbursement. Expert opinion is widely solicited to justify the criteria.
Explore the source record for details and available documents.
A self-administered questionnaire exploring attitudes to gynecologic examination and gynecologists was completed by 409 female patients. Contrary to public statements of some consumer groups, overall results revealed predominantly favorable attitudes to both examination and gynecologists. However, a number of specific criticisms were found. Subjects reported problems with component parts of the gynecologic examination. The traditional lithotomy position and breast examination were the most difficult aspects of the examination emotionally. Speculum insertion was the most uncomfortable part physically. Of the respondents, 10.8 per cent never had had a rectal examination. Many subjects were dissatisfied with gynecologists' understanding of women's psychological and sexual problems. The importance of physicians becoming better informed about female psychology and sexuality, and adapting to women's changing needs is discussed.
Four hundred and nine female patients of both male and female physicians completed a self-administered questionnaire exploring their attitudes and practices regarding gynecologists and gynecological examinations. Responses to the question "Would you prefer a woman gynecologist?" divided the sample into three groups: those responding "yes" (33.9 percent); those responding "no" (19.3 percent); and those responding "no difference" (36.2 percent). Results revealed that patients who preferred female gynecologists were most likely to find gynecological examinations difficult and to be critical of gynecololgists' understanding of women's psychological and sexual problems. A subsample of patients in psychotherapy was especially apt to prefer female gynecologists. The "no difference" group had the most positive attitudes towards gynecological examinations and gynecologists. Demographic differences were insignificant. The importance of judging a gynecologist's competence without sexual bias, of re-evaluating stereotypes of women physicians, and of increasing the proportion of women in gynecology is stressed.
Explore the source record for details and available documents.