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Biomedical subjects

J S Bergman

Publications and source records attributed to J S Bergman.

10 recordsLinked to original sources

Prescribing family criticism as a paradoxical intervention.

Two case studies are presented in which parental criticism of children was prescribed in two fused families, who in part were fused because of the mutual and intense criticism between the parents and children. In both cases, prescribing the criticism resulted in blocking the parental criticism, thus forcing the family members to interact in new and different ways. Blocking the criticism permitted the individuals and the family to evolve to the next developmental stages in the family life cycle. Discussion is detailed as to why the prescription of family criticism led to shifts in the family system.

Adult↗

Paradoxical interventions with people who insist on acting crazy.

This article describes the use of paradoxical interventions with patients who have had an impressive history of prior treatment failure. Six brief case studies are presented which illustrate different interventions such as: prescribing the symptom; restraining change; and using counterrituals. These interventions are explained on the basis of general systems theory.

Adult↗

The use of paradox in a community home for the chronically disturbed and retarded.

This paper describes the use of paradoxical interventions to change the resistant behaviors of community home residents who were formerly institutionalized in state hospitals and in state schools for the retarded for an average of 27 years. The paradoxical interventions were used following prior therapeutic failures using more traditional behavioral approaches. Seven brief case studies are presented describing the problem, the paradoxical intervention used, reactions to the intervention, follow-up information, and an explanation of the intervention. Some of the paradoxical interventions used include: prescribing the resistance, symptom, or system; reframing; restraining change; reversals; and rituals. Explanations of these interventions are given based upon general systems theory.

Adult↗

Court-ordered dietary standards: RDAs and mental retardation.

A review of dietary standards in the landmark case of Wyatt v. Hardin is presented. Whether the standards established are suitable for the intended population is argued through a review of the literature and a discussion of the meaning and purpose of the RDAs. The need for appropriate personnel and the wide-ranging implications for registered dietitians are discussed. Implementation of dietary standards supports the need for inclusion of registered dietitians in court-determined staffing patterns. Staffing ratios for registered dietitians are discussed. Specific areas for future study that should receive prompt attention from nutritionists are listed.

Alabama↗

Effectiveness of college students in an incentive community program for chronic hospitalized patients.

The study describes and assesses an incentive community program implemented by college students for all of the chronic hospitalized patients living in a locked ward. Behavioral ratings of ward behavior and discharge rates were significantly higher for the experimental than for matched control patients. Bed-wetting was eliminated in 70% of the bed-wetting patients. Students rated the incentive community program more effective in changing the behavior of patients than students' ratings of a case-aide program. No differences in patient behaviors were found between the incentive community and case-aide program.

Behavior Therapy↗