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Biomedical subjects

J Monday

Publications and source records attributed to J Monday.

6 recordsLinked to original sources

[Chronic respiratory insufficiency. Psychosomatic considerations].

Chronic respiratory failure defined in terms of limitation of activity rather than airflow obstruction is classified under five subgroups which take account of this consideration. Those aspects which are more specifically psychological and social such as: anxiety, withdrawal from society, the lack of emotions and depression are touched upon (and literature is reviewed on this subject). These are briefly discussed with the aim of both understanding and being aware of the difficulties to achieve the most complete approach possible towards the patient and his problems. One compares whether inhalation therapy is more efficient than psychotherapy and touches on anxiolytic therapy, hypnosis, antidepressants and neuroleptics (with a diminution in drug therapy of the order of 50 to 80% compared to the usual dosage). The relation of the therapist and his teaching role for the patient and his close family are presented as being extremely useful.

Chronic Disease

[The physician and disability certificates: preconceived attitudes and behaviors].

Five attitudes and predicted behaviors characterize the physicians' responses (strategies) to invalidity certificates. These are: 1- scientific objectivation; 2- complicity (meaning: always completing the certificates without objective preoccupations of any kind); 3- socio political (meaning: influenced by the physician's ideas concerning ways the society should consider the non-working people: permissive or repressive); 4- negotiation (implicating a psychobiosocial approach to the patient and the problem); 5- indifference (never completing certificates, referring this role to someone else). Our recent survey (September 1986) including 92 physicians of a General Hospital (Cité de la Santé) in Laval demonstrates a preponderant attitude, the "socio political" one (A3). But, it has no relation to the preponderant predicted behavior which is the negotiation (C4), characterizing a psychobiosocial approach to the patient and the problem. This behavior has been chosen in a statistically significant way. Nevertheless, there is a relation between the attitude A1: scientific objectivation and the corresponding predicted behavior C1: scientific objectivation. Notions of rationability, professionalism and sociable desirability are evoked as explanations of these results.

Attitude of Health Personnel

Dream process in asthmatic subjects with nocturnal attacks.

Polygraphic sleep recordings were made and dream reports collected over 3 consecutive nights for 12 asthmatic subjects with nocturnal attacks and 12 matched normal control subjects. The asthmatic group 1) had more episodes of a vivid impression of dreaming without recollection of dream content ("white dreams") after awakening spontaneously in the morning (nights 1 and 2) and after awakening immediately following REM sleep (night 3), 2) used shorter sentences in dream narrations, and 3) had no dream recall when awakened during nocturnal asthma attacks. The authors suggest that conflictual material emerging during REM or other sleep stages may contribute to the occurrence of nocturnal attacks but is repressed on awakening.

Affective Symptoms