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Biomedical subjects

H Spohn

Publications and source records attributed to H Spohn.

23 records · Page 2Linked to original sources
PubMed1986

An anatomy of countertransference: staff reactions to difficult psychiatric hospital patients.

Countertransference among hospital staff was investigated as part of ongoing research on difficult-to-treat psychiatric hospital patients. Staff's ratings of their emotional reactions to 127 patients on long-term units were analyzed by factor analysis, and the resulting factors were correlated by discipline with patient problem behaviors. Among the conclusions were that different forms of psychopathology elicit characteristic patterns of emotional reaction from staff; that some dimensions of psychopathology, particularly suicidal-depressed behavior and violence-agitation, elicit different emotional reactions among different disciplines, thus laying the groundwork for division among staff; and that the more difficult the process of hospital treatment, the more likely staff will experience a variety of emotions.

Adolescent↗
PubMed1985

Patterns of staff perception of difficult patients in a long-term psychiatric hospital.

In a study to determine which psychiatric patients are perceived by staff as most difficult to treat, clinical staff from several disciplines rated problem behaviors of 127 long-term inpatients in a private psychiatric hospital; staff also rated overall treatment difficulty, progress, and prognosis. No single patient characteristic determined staff's perception of patients as difficult to treat. Instead, four clusters of patient characteristics contributed to this perception; in decreasing order of influence, they are withdrawn psychoticism, severe character pathology, suicidal-depressed behavior, and violence-agitation. The study also showed that the patients who are considered particularly difficult are perceived as improving less and as having a poor prognosis.

Adolescent↗
PubMed1980

The effects of antipsychotic medication on the linguistic ability of schizophrenics.

Twenty-two chronic schizophrenic patients were tested on medication, and then again in a drug-free period, and matched with a group of patients that remained on medication. The subjects' speech, in response to interview questions and Thematic Apperception Test cards, was then analyzed through a series of linguistic measures in an effort to assess the effects of neuroleptic medication on the communication ability of schizophrenics. Results indicated that the medicated patients were more verbally communicative and showed an increase in the complexity and coherence of their speech and a decrease in pathological utterances. The findings suggest that drug treatment can enhance such patients' capacity to utilize verbally oriented psychotherapy.

Adult↗