Biomedical subjects
J C Crombez
Publications and source records attributed to J C Crombez.
Psychological stress and psoriasis: experimental and prospective correlational studies.
Using a dismantled time-series design, 18 subjects with psoriasis symptoms on the scalp were randomly assigned to four groups and six dropped out: meditation (N = 5); meditation and imagery (N = 4); waiting list (N = 5); and no treatment control group (N = 4). Treatment lasted 12 weeks, with 4 weeks pre- and post-baseline periods. An assessment control group was also used during baseline periods (N = 4). The severity of psoriasis symptoms was reliably rated by dermatologists. A time-series multivariate regression analysis controlling for extraneous factors influencing psoriasis symptoms, revealed a significant difference between the mean psoriasis ratings of treatment and control groups after treatment (partial r = 0.30, p less than 0.01). No additional impact was associated with the use of the imagery technique (partial r = 0.06, p less than 0.05). Four subjects in the treatment groups, two in each condition, succeeded in clinically improving their psoriasis symptoms and none deteriorated. The practice of meditation may be clinically effective for some patients in reducing their psoriasis symptoms. For one of the control groups, the relation between psychological stress and psoriasis was examined prospectively over a period of 20 weeks using standardized measures. A time-series multivariate statistical method indicated an average positive correlation between the severity of psoriasis symptoms and psychological distress (partial r = 0.31, p less than 0.01) and the impact of adverse life events (partial r = 0.23, p less than 0.05); there were, however, important individual differences. Stress reduction techniques can thus be regarded as part of the treatment offered to some patients suffering from psoriasis.
Psoriasis and stress: a prospective study.
In previous works, stress has been found to be related to psoriasis but only retrospectively and/or by means of nonstandardized measures. In our study the relationship between psoriasis and stress was examined prospectively over a period of 20 weeks by means of standardized measures. A multivariate statistical method indicated a positive correlation between the severity of psoriasis symptoms and psychologic distress (partial r = 0.31; p less than 0.01) and the impact of adverse life events (partial r = 0.23; p less than 0.05). According to these results, stress reduction could be regarded as part of the treatment offered to some patients suffering from psoriasis.
[Burnout or professional exhaustion syndrome].
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[A teaching on how to behave in psychotherapy.].
In this text we have presented a certain pedagogic experiment that we have been carrying out for the last three years at the Malartic Hospital Centre in Abitibi and that we have applied to the Amos Hospital Centre with staff members of the psychiatric and obstetrics and gynaecology departments, and to the Notre Dame Hospital in Montreal. This experiment aims to provide the therapists with a training in psychotherapy, teaching them to use themselves as medium in the therapeutic relationship. To achieve this end, we use techniques which, while bearing similarities to those personalIy experienced by the therapists in therapy or learned in training, differ by the originality of their approach. We have thus attempted to show you a pedagogic experiment involving members of a hospital medical staff who, for the most part, had no specialized training and who were able to find in themselves a great inner intelligence and use it in their relations with their patients. For that it was necessary to teach them the means of identifying certain signals coming from themselves and to consider them as a certain kind of knowledge. We stress the fact that the originality of the method used has permitted the use of this type of pedagogy in an environment in which the therapists know one another and work together. We think that this kind of pedagogy should be included with traditional teaching in order that the therapist may draw upon both.
The "one day at a time" syndrome in post-transplant evolution: the regressive megalomanic model versus the progressive hypomanic model.
After kidney transplantation patients experience an initial period of euphoria which is usually followed by a phase of disillusionment and depression. At this point the "one day at a time syndrome" appears as an attitude of adaptation and defense. It is proposed that there are two dynamically and prognostically different varieties of this syndrome: A first type represents a regressive megalomanic defense whereby depressive anxiety concerning the rejection of the part-self represented by the graft is conscious but depressive anxiety concerning the eventual death of the whole self is omnipotently denied. This variety of the syndrome is related to a more negative prognosis both psychologically and somatically. The second type of the "one day at a time syndrome" is a progressive hypomanic defense whereby depressive anxiety concerning the rejection of the part-self represented by the graft is present and conscious but relative and does not preclude the conscious depressive anxiety concerning the eventual death of the whole self, which once acknowledged can gradually be mastered, permitting the pursuit of as pleasurable a life as possible. This variety of the syndrome is prognostically more favourable both physically and psychologically.
[The encounter: creditable or discredited?].
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[The change of controls and the control of exchange.].
Following a television program concerning the dangers of the lack of control on persons practicing psycho therapies, the author wrote to the program host* questioning certain implicit messages underlying the production. He finds it unfortunate that no psychotherapiste were included in the discussion .group* and that the 4 * accused** in the film had no opportunity to present their opinion* He then points out that some of the elements reproached in the film are also found among professionals i the publicity, the anxiety-provokirig effect of certain methods on observers and the lack of training necessary to be a psychotherapist. Reflecting on the meaning of the tendency towards smcli a dichotomy between "good diploma-holders** and **bad non-diploma-hoiders**>> he puts forward two responses. On the one hand that such a position tends to veil the limite, the risks of abuse9 the uncertainties* the conservatism and the partializing effect of professionalism. On the other hand, more profoundly, that it has a tendency to negate our vulnerability and our suffering as "snbjete">> Thus the program missed the "subject"->> having placed itself on the side of material goods and their protection>> all of which is reassuring but Utopian.
Psychological dimension and psychopathological potential of acquiring a kidney.
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[Studies on fantasy in patients with renal transplants].
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Psychological and psychopathological reactions in relation to chronic hemodialysis.
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The behavioural responses of renal transplant patients as seen through their fantasy life.
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