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Biomedical subjects

I Pilowsky

Publications and source records attributed to I Pilowsky.

27 records · Page 2Linked to original sources
PubMed1976

Illness behaviour syndromes associated with intractable pain.

One hundred patients, referred for the management of intractable pain, completed a 52-item Illness Behaviour Questionnaire (IBQ). Responses were scored on 7 scales: general hypochondriasis, disease conviction, psychological versus somatic perception of illness, affective inhibition, affective disturbance, denial, and irritability. IBQ scale profiles were subjected to numerical analysis and 6 taxonomic clusters were identified. Patients in groups 1-3 were characterized by a relatively non-neurotic, reality-oriented attitude to illness, as indicated by low scores on the first three scales. Patients in groups 4-6 manifested greater evidence of 'abnormal illness behaviour', and presented syndromes resembling 'hysteria', 'conversion reaction', and 'hypothchondriasis' respectively.

Adult↗
PubMed1976

Assessment of insight change in medical student doing psychiatry.

The development of 'insight' in medical students is considered a fundamental component of psychiatric undergraduate education. The use of an insight test at the beginning and end of a 6 week teaching programme in clinical psychiatry showed a significant increase in insight as measured by this test. There was also a significant correlation between the final insight score and the results of a traditional oral examination.

Australia↗
PubMed1976

The psychiatrist and the pain clinic.

The author discusses the difficulties inherent in the role of the psychiatrist in a pain clinic as well as some of the recurring problems that he has seen in this setting. He states that the psychiatrist brings to the understanding of pain a multidimensional approach, which is hard for nonpsychiatrist clinicians to accept, and valuable psychophysical methods for evaluating and quantifying pain. He discusses aspects of the interplay between intrapsychic and interpersonal factors in the pain experience, particularly the relationship between pain and guilt, and illustrates these aspects with case reports.

Adult↗
PubMed1976

Is illness behavior related to chronicity in patients with intractable pain?

One hundred patients, referred for the management of intractable pain, completed a 52-item Illness Behaviour Questionnaire (IBQ). Responses were scored on 7 scales: general hypochondriasis, disease conviction, psychological versus somatic perception of illness, affective inhibition, affective disturbance, denial and irritability. IBQ scale profiles were used to study the relationship between chronicity of pain and pattern of illness behaviour reported. Except in the case of one scale, no significant correlation emerged. This overall lack of association between chronicity and illness behaviour remained even when the patient sample was restricted to those 20 patients having substantial organic pathology associated with their pain. These findings suggest that degree of chronicity is unlikely to play a major role in determining the illness behaviour manifested by patients with intractable pain.

Chronic Disease↗
PubMed1975

Hostility and depressive illness.

This study employs a method of classification based on "information measure" taxonomy to investigate an aspect of hostility in nonendogenously depressed, endogenously depressed and nondepressed patients. Results show that there are no statistically significant differences between the three groups as such, but that a patient's self-rating of anger is substantially related to his position on the endogenous-nonendogenous depression dimension. The greater the anger score, the more likely the patient is to present a depressive syndrome of a nonendogenous type. These observations provide support for previous findings in this area and prompt certain tentative theoretical speculations.

Adjustment Disorders↗