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Biomedical subjects

J Y Gosselin

Publications and source records attributed to J Y Gosselin.

At least 19 recordsLinked to original sources
PubMed1993

Effects of treatment and alternative care on length of stay on a general hospital psychiatric unit--results of an audit.

Quality controls are becoming an important part of our health care system. A medical audit is one way of evaluating quality of care, and this paper describes the results of an audit conducted to investigate the reasons for a prolonged stay on a psychiatric inpatient unit. The results showed a decrease in the mean length of stay over a five year period, although the figure remained substantially above provincial norms. A review of the hospital charts of a random sample of one in six patients whose hospital stay exceeded 30 days was carried out. It revealed that in 50.0% of cases the reasons were "medically acceptable," in 10.3% the reasons were "medically unacceptable" and in 39.7% the reasons were "social and administrative" and beyond the control of the treating psychiatrist. The implication of these results are discussed.

Adult↗
PubMed1988

Case report of hepatotoxicity associated with maprotiline.

A patient with unipolar affective disorder developed elevations in her liver enzymes shortly after initiation of therapy with maprotiline. The enzyme levels rapidly returned to normal after cessation of the drug with no residual liver disease.

Anthracenes↗
PubMed1983

Schizophrenia: a neurophysiological evaluation of abnormal information processing.

Evoked potential indices of an early and late stage of attentional processing were recorded from schizophrenic and normal subjects during dichotic listening tasks. Despite slow and inaccurate detections, the schizophrenic subjects were able to focus selectively to different ears but only at a fast stimulation rate, showing integrity of the early selective stage. They showed an abnormal late stage, indicating inefficiency in processing information from detected targets. Marked deficits at a slow stimulation rate and during divided attention suggest that the schizophrenic attention disorder is one of control and maintenance of a selective processing strategy rather than of general slowness or absence of selectivity.

Attention↗
PubMed1978

Death and dying.

Explore the source record for details and available documents.

Attitude to Death↗
PubMed1977

[Psychopharmacology and psychotherapy: a dynamic therapeutic parallelism to be integrated].

In a brief expose, the author wants to integrate the psychoanalytic data towards a better clinical use of psychopharmacology. Starting from a triadic situation "patient-physician-medication", he proposes a dynamic rather than a static attitude in the patient's approach, aiming at an eventual diadic relation "patient-physician" and, if at all possible, a relative or total independance of the patient. After alluding at the role of the physician, of the patient and of the medication, in such a process, the author refers to intra and extra psychic influence in disease. The concepts of "team approach" and "milieu therapy" are related to the key-role of the psychiatrist and to the availability of competent and well-motivated paramedical professionals in sufficient numbers. The notions of transference, countertransference and control as well as the symbolic of the symptoms are briefly outlined. The author concludes that the complementary elements of psychoanalysis and psychopharmacology will benefit the patient if the clinician knows how to integrate them along with the changing and dynamic process of the illness.

Humans↗