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Biomedical subjects

H Bluestone

Publications and source records attributed to H Bluestone.

25 records · Page 2Linked to original sources

Mental illness in minority women.

Explored whether psychiatric diagnostic differences exist between male and female, black, white and Hispanic-American patients seen in the Department of Psychiatry/Community Mental Health Center of a major hospital in the South Bronx, New York. Admission data on almost 2,000 patients furnished demographic and diagnostic characteristics of the patients. Sex and ethnic differences were found. Suggestions are offered as to why various subpopulations are perceived differently.

Depressive Disorder↗

Ethnicity and psychiatric diagnosis.

Examined diagnostic differences between black, white, and Hispanic-American patients (N = 1968) seen in psychiatric outpatient clinics of a large hospital in the South Bronx. Distribution of diagnoses also was compared statistically in relation to the diagnostician's ethnicity. Results indicated statistical differences between the patient's ethnicity and psychiatric diagnosis, as well as interactions between the therapists' ethnicity and these variables. Implications of the findings were discussed, and suggestions were offered for future research.

Adult↗

A study of criminal defendants referred for multiple psychiatric examinations regarding their competency to stand trial.

One of the mainstays of forensic psychiatry has been the determination of a defendant's competency to stand trial. Competency to stand trial is based on the U.S. Supreme Court ruling that a defendant must have sufficient ability to understand court proceedings. Regardless of whether or not the defendant was mentally ill at the time a crime was committed or when the charged, the court can try someone only if that person has the capacity to understand proceedings in order to defend himself. When there is any question as to the competency of the defendant, he is referred for psychiatric evaluation of competency. Very little research has been undertaken in the past to examine this clinically interesting group of subjects. A study was conducted to explore the characteristics of 137 defendants who had been charged and referred for evaluation at least twice to the Court Clinic of the Bronx-Lebanon Hospital Center Department of Psychiatry. It was expected that these would reflect the consequence of deinstitutionalization in New York State. Data were collected for each evaluation with regard to demographic characteristics, criminal history, and psychiatric history. Results are presented and discussed in light of the issue of deinstitutionalization. Note is made of the fact that only very small percentage of these patients have received outpatient psychiatric care. Suggestions for future research are offered.

Crime↗

Cultural influences and alcoholism: a study of Puerto Ricans.

Some reports in the literature suggest a correlation between acceptance of traditional Latin American family values and alcoholism in Hispanic males. To examine the effects of traditional values on alcoholism, the authors surveyed 151 lower-class Puerto Rican alcoholics (126 males and 25 females), using a scale to measure Hispanic-American family values. The scores of these patients were compared with those of 116 lower-class Puerto Rican nonalcoholics (45 males and 71 females). A path model was constructed with alcoholism as the dependent variable, the Traditional Scale scores as an intervening variable, and demographic variables which may also influence alcoholism (such as sex, age, years of residence in the United States, education, and English ability) as independent variables. Overall, the findings show that traditionalism is a significant predictor of alcoholism, both directly and as an intervening variable in the relation between sex and alcoholism, and education and alcoholism. However, sex and years of residence in the United States were both stronger direct predictors of alcoholism than was traditionalism. These results support the hypothesis that the manifestations of alcoholism in lower-class Puerto Ricans are influenced by cultural attitudes.

Adolescent↗