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Biomedical subjects

H B Roback

Publications and source records attributed to H B Roback.

At least 37 records · Page 2Linked to original sources

Insight and hospital adjustment.

The relationship between insight and adjustment in schizophrenics was examined. Subjects who scored higher on a paper-and-pencil insight test were rated by hospital staff as better adjusted behaviourally but described themselves as more psychologically distressed than presumably less insightful subjects. Results were discussed in relation to the notion that insight in schizophrenics may intensify subjective distress while conducing to behavioural adaptation.

Adaptation, Psychological↗

Genital exhibitionism in women.

Historically, genital exhibitionism has usually been regarded as an exclusively male phenomenon. The authors present a case study of a female exhibitionist which is at variance with that contention. They offer a formulation of the psychodymanics of female exhibitionism, focusing on its pregenital, attention-seeking purpose. The findings from this case justify a critical reexamination of the traditional definitions of exhibitionism.

Adult↗

Self-concept and psychological adjustment differences between self-identified male transsexuals and male homosexuals.

Self-concept and adjustment data from anatomical males seeking sexual reassignment surgery were compared with that from a male homosexual group. Findings indicated that the homosexual group had a better self-image and was better adjusted than the sex change group. Other findings are presented that reinforce the view that the norm violations in homosexuality and transsexualism do not necessarily imply serious character damage.

Adaptation, Psychological↗

Sex-role related countertransference in psychotherapy.

Data from one psychological and one psychiatric agency were collected to determine if psychotherapists' treatment decisions about opposite-sex persons might be influenced by sex-role prescriptions for dealing with sexual impulses. Accordingly, male therapists were hypothesized to prolong and female therapists to avoid treatment situations likely to arouse their sexual curiosities. The results at both facilities provide some support for these notions and, if generalizable, establish sex-role primed countertransference as a factor in patient selection and termination.

Counseling↗

Life stress and psychiatric clinic referral.

A "life stress" scale is applied to the antecedent events motivating 179 patients to seek outpatient psychiatric help. Intake evaluation reports of patients who kept their appointments at the Adult Psychiatric Outpatient Clinic of Vanderbilt University Hospital over a three-month period were reviewed. Almost half of the consecutive new patients indicated that a marriage-related or family-related problem had led them to seek an appointment at the clinic. "Life stress" scales, particularly those developed by Holmes and Rahe and by Paykel, invariably rank undesirable marital and family life events as having high stressful impact. Previous studies have examined life events antecedent to various medical and psychiatric illness, but not the events motivating a patient to seek psychiatric help.

Counseling↗

Transsexualism in two male triplets.

The authors present clinical and case material on two male triplets with aberrant gender identity. Their findings coincide with those of the few family studies reported in which there were two or more transsexual members; they also reveal patterns generally in keeping with the psychological determinants of transsexualism suggested by Stoller.

Adult↗

Sex bias in psychotherapy: a failure to confirm.

The authors examined the questions of sex-related countertransference and bias in psychotherapy by asking 65 male and 57 female experienced group therapists for clinical reactions to case materials of a bogus outpatient who was designated either male or female. They found that varying the patient's gender produced only small differences in the therapists' responses, and conclude that sex-related countertransference problems may not be as prevalent as had been previously thought.

Countertransference↗

Self-disclosure in group therapy with schizophrenics.

Self-disclosure was investigated as a process variable in group psychotherapy with chronic schizophrenic patients. Consistent with previous data obtained from nonpsychotic populations, greater perceived therapist interpersonal facillitativeness was associated with higher levels of patient self-disclosure. In contrast to earlier findings, however, patients who were more self-revealing made less therapeutic progress than their counterparts who divulged less personal material. This failure to replicate was tentatively attributed to the limited ability of psychotic persons to integrate social feedback. The results underscore the delicacy of the psychotherapeutic undertaking with schizophrenics.

Adult↗