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Biomedical subjects

J B Ashcroft

Publications and source records attributed to J B Ashcroft.

3 recordsLinked to original sources

Factors related to sexual functioning in male patients undergoing hemodialysis and with kidney transplants.

The sexual functioning of 13 male patients undergoing renal dialysis and 13 male patients who had received kidney transplants was compared. Standardized interviews were used to assess the frequency of intercourse before illness, during dialysis, and after transplantation and to assess sexual difficulties experienced during these periods. In addition, plethysmographic recordings of erection levels were obtained for three dialysis and three transplant patients at eight separate time periods corresponding to particular points in the dialysis cycle. Assessments of depression and anxiety (IDA scale) and renal functioning (Marital Patterns Test) were also carried out. Dialysis patients were less able to gain and maintain erections than transplant patients and intercourse was less frequent for couples where the husband was on dialysis. Dialysis patients were more depressed than transplant patients, although transplant patients showed greater levels of anxiety. More marital difficulties were experienced by patients on dialysis than patients who had received transplants. The implications of these findings for the treatment of sexual problems in these patients are discussed.

Adult↗

Functional analysis in applied psychology.

Various clinical problems in recent years have been described under the general heading of 'functional analyses'. The present paper considers the background to the notion of a functional analysis and some of the differences between functional analysis and more traditional approaches. The processes involved in producing such analyses of the origin and maintenance of clinical problems are outlined, using a clinical case as an illustration. It is suggested that, amongst the features highlighted by such analyses, feedback loops will often be apparent, and that these may provide particularly valuable targets for intervention. Moreover it appears that the use of such analyses transcends, at least to some extent, the type of problem or client (in being applicable to institutional or individual problems) and in particular that the use of functional analyses transcends theoretical biases of the clinician. In this respect it provides a potential common ground for workers of different orientations.

Adult↗