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Biomedical subjects

H Grunebaum

Publications and source records attributed to H Grunebaum.

At least 37 records · Page 2Linked to original sources
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↗
PubMed1976

Thoughts on love, sex, and commitment.

The effort is made to delineate some of the key issues involved in the interaction of love, sex, and commitment. Coupling is viewed from an ethological perspective that suggests that, in addition to the developmental contribution of the parent-child experience, peer-peer relating is a major determinant of adult hetrosexual relatedness. Couples are next considered as responding to social and economic forces that influence powerfully what types and duration of relationships have survival value. Finally, the nature of the inner experience of couples, their existential awareness of themselves and the other, and the meaning that they attribute to it is discussed. Being a member of a couple is participating in a story, sometimes a "love story," and whether or not it is seen as a good story depends on one's critical vantage point. Finally, the analysis of relationships is contrasted with the experience of a relationship as a gestalt, a whole; not as the sum of its parts.

Female↗
PubMed1975

Staff attitudes towar a family planning service in the mental hospital.

Staff attitudes toward an innovative family planning and gynecological service offered to patients in three psychiatric hospitals were assayed. Despite structural differences between hospitals, generally similar and favorable reports were obtained at all sites. However, comparison of verbal responses and actual utilization of the family planning service suggests that a theoretical position held by a minority as well as scattered personal biases militate against fullest cooperation with the program.

Attitude of Health Personnel↗
PubMed1975

Identification of women at risk for unwanted pregnancy.

Concern about increasing rates of unwanted pregnancy, particularly among adolescents, has led to consideration of steps necessary to develop effective intervention programs. In order to reach a young woman for counseling and contraceptive assistance before she places herself at risk for unintended pregnancy, it seems necessary to develop the capability for identifying high-risk individuals without reference to sexual history. The authors describe a preliminary attempt to predict contraceptively unprotected coitus from responses to projective test stimuli, noting that the problem is so urgent that even early and necessarily incomplete work in this area may have merit in stimulating further research in identification of women at risk for unwanted pregnancy.

Adolescent↗
PubMed1975

Ethical issues in family planning for hospitalized psychiatric patients.

The authors present guidelines based on their experience with a family planning program for patients in mental hospitals. They believe that informed consent for these patients should include an adequate knowledge base, the patients' competence to make decisions, and the absence of coercion. Among safeguards are the reversibility of contraceptive procedures, the separation of the family planning counselor from the treatment staff to avoid possible covert coercion, and careful choice of the stage of hospitalization at which counseling occurs. The authors examine the implications of a patient's refusal to use contraception, noting the impossibility of involuntary contraception and the ethical and legal problems regarding sterilization procedures.

Awareness↗