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Biomedical subjects

H S Abram

Publications and source records attributed to H S Abram.

At least 19 recordsLinked to original sources
PubMed1977

Psychologic response to coronary artery bypass.

This study reports the psychologic findings in 30 patients undergoing this operation. Approximately one third developed postcardiotomy delirium, an occurrence consistent with that after other forms of open-heart surgery. Acceptance of the operation as opposed to preoperative anxiety, depression or denial, adequate comprehension of the proposed procedure, and a stable postoperative environment seem associated with less postcardiotomy delirium. Preventive preoperative therapeutic suggestions based on these findings are given.

Adult↗
PubMed1976

Jejunoileal bypass procedures in morbid obesity: preoperative psychological findings.

Seventy patients who averaged 155% overweight and requested jejunoileal bypass surgery as a treatment intervention for morbid obesity were studied preoperatively for prominent psychological characteristics. By use of standard personality tests and a structured psychiatric interview, it was found that 89% were judged to be psychologically favorable risks for the operation. Most frequently the diagnostic opinion was of a mild personality disorder.

Adult↗
PubMed1976

Psychological adaptation to jejunoileal bypass for morbid obesity.

Psychological adaptation to jejunoileal bypass procedures in 34 morbidly obese patients was evaluated preoperatively and followed postoperatively for an average of 23 months. Preoperative emotional disturbances were mainly those of mild personality disorders with passive-aggressive, passive-dependent, and emotionally immature traits. Following discharge from the hospital, nine patients (or 24 per cent) developed psychiatric difficulties, characterized by either increased neurotic symptoms and interpersonal problems, or the emergence of psychosis. Male patients and those with the greatest weight loss were statistically more likely to have psychiatric complications. The remaining patients expressed satisfaction with the operation, noted relief from the burden of dieting, experienced less excitement associated with eating, and felt more self-confident and hopeful.

Adaptation, Psychological↗
PubMed1975

Voodoo in the general hospital. A case of hexing and regional enteritis.

We have observed the case of a hexed patient that emphasizes the interplay between modern medical practice and the influence of a supernatural voodoo subculture. Psychosocial stresses involved in the patient's illness (regional enteritis) added to the complexity of the clinical problem. The presence of ambivalence in the patient and her mother concerning their systems of belief, and their unwillingness to accept totally the treatment modalities of either modern medicine or voodoo, probably prevented the patient's predicted death.

Adult↗
PubMed1975

Sexual functioning in patients with chronic renal failure.

There is little information on the sexual activity of patients with end-stage renal failure in spite of its being mentioned as a common side effect of kidney disease and chronic hemodialysis. In this report 32 married, male dialysis patients, 19 of whom had also received renal homografts, were interviewed and a detailed sexual history obtained. Twenty per cent of this population had no decrease in sexual functioning after the onset of kidney disease or the institution of dialysis, 45 per cent had reduced sexual potency after the onset of kidney disease, and another 35 per cent after beginning dialysis. Forty per cent of those patients receiving a kidney transplant had a subsequent increase in sexual potency.

Adult↗
PubMed1975

Psychiatry and medical progress: therapeutic considerations.

Advances in medical technology have spurred interest in psychosocial adaptation to newer procedures, such as cardiac operations, chronic hemodialysis and renal renal transplantation. In spite of this interest, investigators have paid little attention to psychotherapeutic measures involved in the care of patients undergoing these procedures. This presentation reviews the available work in this area and brings together common themes related to the preparation and psychological treatment of these patients. These themes center around the importance of a continuous relationship with the patient which begins in the preoperative and pretreatment phase, the value of exploring in a nonthreatening fashion conflicts and fears aroused by the procedure, the need to counteract the non-human and impersonal aspects associated with medical progress, and the role of psychiatrist as the mediator between the patient and those involved in his care.

Adaptation, Psychological↗