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Biomedical subjects

H R Ireton

Publications and source records attributed to H R Ireton.

7 recordsLinked to original sources
PubMed1988

Self-ratings of graduating family practice residents' psychological medicine abilities.

This study evaluated the psychological medicine abilities of graduating residents in the Department of Family Practice and Community Health at the University of Minnesota Health Sciences Center (n = 41). Residents were asked to complete the Psychological Medicine Inventory, a series of nine-point rating scales, which measure level of interest in the psychological aspects of patient care, degree of confidence in dealing with the psychological problems of patients, and various psychological abilities. Behavioral science faculty members familiar with the residents also rated 20 of the residents' overall level of interest and ability in psychological medicine. Residents rated themselves highest on doctor-patient relationships and on recognizing patients in distress, and lowest on psychological interviewing and the ability to be psychologically therapeutic. Item intercorrelations and factor analysis suggested that two main dimensions were being evaluated: clinical psychological abilities (including interviewing, diagnosis, consultation, treatment decisions, and treatment) and psychological sensitivity (including doctor-patient relationships, awareness of patient's reactions, and awareness of own feelings.) Residents' self-ratings correlated positively with faculty ratings.

Clinical Competence↗
PubMed1976

The Adlerian approach: a practical psychology for family practice.

A systematic approach to understanding the patient's personality and helping him cope with common life problems is found in Adlerian Psychology. It is uniquely appropriate to family practice because it stresses the interpersonal purposes of behavior and symptoms and the influence of family constellation on the development of the individual life-style. By obtaining a small amount of data about the patient's present life situation and his family of origin, the physician can gain a basis for understanding how the patient developed his unique way of acting and reacting to the physical and social stresses of life. Interpretation of two or three early recollections reveals what the patient expects of himself, others, and life. The insight thus gained is used as the basis for a holistic assessment of the problem; a directive, supportive, action-oriented plan for treatment; and an ongoing doctor-patient relationship of mutual respect.

Adolescent↗
PubMedDate not supplied

Personal stress inventory in the screening and evaluation of family practice patients.

This study of family practice center patients assessed the broad range of their stresses and concerns, their emotional status, and personal adjustment. Two hundred and fourteen patients completed the 69-item Personal Stress Inventory (PSI) questionnaire. PSI results were related to patients' medical diagnoses classified as 1) psychological symptoms, 2) possible psychosomatic problems, 3) physical illness, or 4) well-care. For the total group, PSI concerns about financial matters, energy level, and health of other family members were as great as personal health concerns. About 15% of these patients were seriously concerned about their marriages, sexual problems or personal habits (eating, drinking, smoking, rest, exercise). Moderately high levels of stress and anxiety were reported. Patients with psychological symptoms showed the highest levels of stress, anxiety, depression, anger, and confusion and the lowest levels of emotional support and coping skills. Psychosomatic patients reported more depression, anger, and confusion and less emotional support than their physically ill counterparts.

Adaptation, Psychological↗