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Biomedical subjects

J B Kuriansky

Publications and source records attributed to J B Kuriansky.

9 recordsLinked to original sources
PubMed1982

The treatment of anorgasmia: long-term effectiveness of a short-term behavioral group therapy.

A long-term follow-up of 19 women who participated in short-term group therapy for anorgasmia using masturbation and assertiveness training showed that the majority of women maintained treatment gains and progressed further in orgasm response and other aspects of sexual functioning, including assertiveness and liberalness of sexual attitudes. However, several women regressed, and four additional women who dropped out of treatment also improved dramatically in orgasm response, suggesting that other patient characteristics and factors affect apparent treatment outcome. Independent evaluations, standardized assessment scales, long-term, in-person follow-ups and multidimensional assessment are useful in evaluating treatment effectiveness.

Adolescent↗
PubMed1981

Clinical and research implications of the evaluation of women's group therapy for anorgasmia: a review.

This paper reviews some important clinical and research implications of studies which have evaluated the effectiveness of short-term behavioral group therapy for anorgasmia. Though formal research data on curative factors is very sparse, the experience of sharing within a group, and the focus on arousal seem consistent with treatment outcome; however, the emphasis on assertiveness and the woman-only approach may have countertherapeutic as well as therapeutic effects. A potentially important intervening variable is the woman's level of ego development. The use of certain assessment scales and criteria for success of treatment are critiqued, and recommendations made for further study.

Arousal↗
PubMed1977

Trends in the frequency of schizophrenia by different diagnostic criteria.

The authors report results of rediagnoses of 128 cases from two decades (1932-1941 and 1947-1956) by clinicians using the Research Diagnostic Criteria as guidelines and compare these results to rediagnoses by clinicians in a previous study using more general guidelines. Although hospital records indicated an increased frequency of schizophrenia over the two decades, the rediagnosticians found no change or a decrease. Severity of symptoms did not change during the two decades, but patients in the second decade showed more borderline symptoms, leading to more diagnostic disagreement. The authors conclude that changes in diagnostic criteria and pateints' conditions influence admission trends for schizophrenia.

Delusions↗
PubMed1976

The assessment of self-care capacity in geriatric psychiatric patients by objective and subjective methods.

A simple performance test was developed and used to evaluate a sample of psychiatric geriatric patients on their capacity for self-care. Evaluations were made by asking the patient to demonstrate certain essential activities of daily living. The objective test, compared with patients' subjective reports, was found to be a more valid measuring instrument of functional impairment and more useful as a diagnostic and prognostic tool Test scores correlated with independent clinical assessments of mental status and physical conditions, as well as with short-term outcome of hospitalization. The scale is easy and quick to administer and has many applications for the treatment and management planning of patients.

Activities of Daily Living↗
PubMed1976

A preliminary classification of human functional sexual disorders.

A preliminary classification is presented for functional human sexual disorders. This system is based on objective behavior and reports of distress. Five categories of sexual disorders are proposed, including the behavioral, psychological and informational components of sexual functioning in the individual and the couple.

Female↗
PubMed1976

Guidelines for evaluating sex therapy.

Clinical advances in the treatment of human sexual dysfunctions must be documented by objective and scientific assessments of changes in patients as a result of the therapy. The principle guidelines for evaluating such changes include (1) the use of standard methods of interviewing patients and recording information obtained, both before and after treatment, (2) careful specification of treatment technique(s) used, standardized when applied to any group of patients, (3) assessment of patients' psychosocial as well as sexual functioning, (4) clearly defined criteria for diagnosis and outcome, (5) use of control or comparison groups, and (6) methodical in-person follow-up contacts. The procedures can be applied by clinicians in their individual practice as well as by independent evaluation programs. These guidelines, presented in this paper, provide a framework for reliable investigations to determine which treatments work best for which patients with which sexual dysfunctions.

Evaluation Studies as Topic↗
PubMed1976

Pathways to the hospital for the geriatric psychiatric patient in New York and London.

This communication examines the pathways of geriatric psychiatric patients in New York and London from the time of onset of a psychiatric episode to hospitalization. Informants of 50 patients in each city were interviewed with a semi-structured interview covering the events and the patient's activities prior to hospitalization. The results show that the time from the onset of the episode to hospitalization is significantly shorter in London than it is in New York. The major portion of this difference is accounted for by the longer time spent London the doctor is significantly more involved in New York between episode onset and initial medical contact. In the decision to hospitalize. In New York the main reason for hospitalization is harmful behavior, while in London it is psychiatric symptoms.

Aged↗