Editorial: The sometimes science of suicidology.
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Biomedical subjects
Publications and source records attributed to J C Shershow.
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Regression as a potentially adaptive psychological response is used as a conceptual model to understand a variety of behaviors seen in beginning psychiatric residents on an inpatient service. The behaviors, discussed and illustrated with brief examples, are (1) competition and identification, (2) sexuality, (3) aggression, (4) depression and despair, (5) dependency, and (6) fusion with patients. Factors on an inpatient service that foster regressive behavior in new residents are discussed, and some of the potential resolutions of the behavoirs are proposed. Regression is seen as an adaptive experience for most residents; with appropriate supervisory intervention, it can foster cognitive development.
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The ventilatory response to carbon dioxide (CO2 response) was determined in 18 patients admitted to an inpatient service with endogenous depressive illness. Admission mean CO2 response value for the group was below the mean value for a control group. At the time of hospital discharge marked clinical improvement had occurred in depressive symptomatology; mean CO2 response had increased slightly and was no longer significantly below the control value. CO2 response deserves further investigation as a possible physiologic characteristic of certain depressed patients.