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Biomedical subjects

H Grunebaum

Publications and source records attributed to H Grunebaum.

At least 19 recordsLinked to original sources
PubMed1992

Developing family planning services for female chronic mentally ill outpatients.

The family planning needs of chronic mentally ill women outpatients, many of whom do not use contraceptives and are at high risk for unwanted pregnancies, have been rarely addressed. Taking a thorough sexual history is the first step in assessing patients' need for family planning services. Patient education, including instruction about physiological processes and contraceptive methods and assertiveness training, is the most important service component. Offering family planning services in the mental health center has many advantages, including better communication between mental health care providers and family planning specialists about patients' special needs and enhanced opportunities for integrating family planning with other programs such as parenting classes, substance abuse treatment, and services for preventing sexually transmitted diseases.

Acquired Immunodeficiency Syndrome↗
PubMed1988

Building collaborative relationships with families of the mentally ill.

Studies of the expressed emotion construct have demonstrated that educational programs aimed at helping families deal with a mentally ill member can reduce patient relapse rates and improve family coping. The authors describe a clinical approach to family psychoeducation focused on building collaborative relationships with mental health professionals. The approach is based on the assumption that family education will benefit the patient, but any implication that the family is to blame for the patient's illness is studiously avoided. Five tasks that must be addressed in beginning work with families of the mentally ill are discussed. They are ensuring that the family has a chance to be heard, imparting information, helping the family deal with the feelings engendered by the patient's illness, identifying the family's coping patterns, and helping the family face the ethical and existential conflict between their own needs and those of the patient.

Adaptation, Psychological↗
PubMed1986

Harmful psychotherapy experience.

This paper reports on an interview study of 47 patients, all mental health professionals, who believed they had been harmed by psychotherapy or analysis. The harmful therapies were therapies characterized as distant, cold, unengaged, and lacking in "human quality," or therapies characterized by intense emotional and/or sexual involvement.

Adult↗
PubMed1979

Superkids: competent children of psychotic mothers.

In a follow-up study of children of psychotic mothers, the authors examined a subgroup of outstandingly talented, colorful, and competent "high-risk" children. These children and their mothers were given a variety of psychological tests and were interviewed individually. They were then compared with a control group of children whose mothers had no psychiatric illness. The 6 most socially and intellectually competent high-risk children were strikingly more competent, colorful, creative, and talented than the 6 highest functioning control children. They more often reported having a best friend and had extensive and positive contact with an extrafamilial adult. Another important variable in the prediction of high social competence among children at high risk is a warm relationship with the mother.

Adolescent↗
PubMed1978

Children of depressed and schizophrenic mothers.

A sample of psychotic mothers and their children who were five years or younger when first recruited for our study of high risk children was followed up five years later. The current sample, obtained from our previous work, consisted of 18 schizophrenic, 12 depressed and psychotic, and 22 well mothers and their six to 12 year old children. The mothers were equated for education and age, and the children for sex and age. Cognitive style tests and interviews measuring social adjustment and functioning were given to both the parents and the children.

Attention↗
PubMed1978

Relabeling and reframing reconsidered: the beneficial effects of a pathological label.

Traditional labeling theory usually contends that pathological labels contribute to pathology and benign labels help alleviate it. However, it is likely that the role of pathological labels as the cause of pathology has been overstated and overgeneralized. Family therapists have probably overused the practice of substituting a benign label for a pathological label--relabeling. In fact, there are many families in which a pathological label applied to one family member may have beneficial impact on the family system, including that member. Five such cases are presented, and labeling theory is reviewed. Definitions of the terms reframing and relabeling are suggested, and the differing implications of diagnosis and labeling theory are discussed.

Adolescent↗
PubMed1977

Children at risk: performance of three-year-olds and their mentally ill and well mothers on an interaction task.

Fifteen mothers previously hospitalized for mental illness (psychosis) and 15 well mothers were observed with their 3-year-old children. While mentally ill mothers expressed less positive affect than well mothers, there were no other respects in which the two groups of mothers and their children differed. There were differences in the pattern of intercorrelations among these interaction variables between the two groups, which appear to reflect differences in the degree of flexibility between mothers in the two groups.

Adult↗
PubMed1977

Whom to refer for group psychotherapy.

The authors believe that group psychotherapy is a useful modality in terms of both economic use of resources and manpower and effective treatment for many common problems. Three major indications for group therapy are inappropriate patterns of interpersonal relationships, the tendency to act immediately on feelings, and the potential or existence of a transference that impedes individual therapy. Patients in these categories who are also in crisis or have a neurotic problem for which the development of a transference neurosis is indicated may require individual therapy instead of or in addition to group therapy. The attitude of the referring physician is crucial; he/she must provide support during the transition and must believe that group therapy can substantially benefit the patient.

Adult↗
PubMed1977

Training versus treating the psychiatric resident.

The importance of the distinction between supervision and psychotherapy is examined, utilizing experience in several residency training programs and theoretical literature. The tendency to confound personal and professional issues in supervision is examined in the light of institutional pressures for control of psychotherapists in training.

Anxiety↗
PubMed1976

Children of psychotic mothers. An evaluation of 1-year-olds on a test of object permanence.

Fifteen 1-year-old infants at high risk for later psychopathologic behavior were tested on the Piaget Object Scale. Their performance was compared to that of a matched group of controls at low risk. Results indicate a trend in the high-risk group toward lowered object scale performance. Affective styles were found to vary between the groups. The high-risk infants, particularly those with low scores on the object scale, demonstrated more intense anxiety.

Anxiety↗
PubMed1976

Family planning during psychiatric hospitalization.

Ongoing experience with development of family planning programs in psychiatric hospitals suggests that models must be flexible to allow for varying structures and traditions of institutions and for special needs of specific patient populations. However some issues, particularly those related to patients' rights and to usefulness of particular contraceptives, are broadly applicable. Introduction of a family planning program for psychiatric patients is described.

Adolescent↗