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Biomedical subjects

K R Jamison

Publications and source records attributed to K R Jamison.

28 records · Page 2Linked to original sources

Suicide prevention in depressed women.

This paper focuses on risk factors and clinical states associated with suicide in depressed women and the necessity for thorough clinical evaluation of family and personal histories of suicidal, impulsive, and violent behaviors. Treatment issues addressed include the importance and content of detailed communication to patients and their families, medication noncompliance, the risks associated with the recovery and other high-risk periods, and problems associated with the adjunctive use of alcohol and other drugs.

Depressive Disorder↗

Lithium clinics: theory and practice.

The authors surveyed 19 university-affiliated lithium clinics to examine their clinical practices and standards of care. Most commonly the clinics obtained lithium levels every two months and checked serum creatinine, urinalysis values, and thyroid function yearly. Psychotherapy was used in 18 of the clinics: 45 percent of the unipolar patients and 36 percent of the bipolar patients were receiving individual or group therapy. A variety of mental health personnel staffed the clinics, but in the majority of them physicians were used as the primary staff members for medication visits. The authors compare the characteristics of present-day clinics with those of the early lithium clinics of the late 1960s and early 1970s.

Academic Medical Centers↗

Clouds and silver linings: positive experiences associated with primary affective disorders.

Clinical psychiatry has focused almost entirely on the psychopathology of the affective disorders. The authors studied responses of 61 patients (35 bipolar. 26 unipolar) to questions about perceived short- and long-term benefits (increased sensitivity, sexuality, productivity, creativity, and social outgoingness) they attributed to their affective illness. Bipolar patients strongly indicated positive experiences associated with manic-depressive illness; few unipolar patients perceived their disorder in such a way. Significant sex differences emerged in the attributions made by bipolar patients.

Achievement↗

Psychosocial aspects of mastectomy: I. the women's perspective.

The authors administered a questionnaire to 41 women who had had mastectomies to investigate aspects of the procedure itself, pre- and postmastectomy adjustment, effects on sexual relationships, and the influence of age. Although most women reported good overall adjustment, there were strong indications of psychological suffering (suicidal ideation, increased use of alcohol and tranquilizers, etc.). Psychological intervention may be called for in many cases, and age, support systems, and premorbid functioning may be indicators of the amount and type of intervention needed. Counseling is particularly important before surgery, since this was viewed as the period of maximum stress by most women. Further research with larger, more random samples and postsurgical control groups is indicated to determine more precisely the factors related to adjustment to mastectomy.

Adaptation, Psychological↗

Psychosocial aspects of mastectomy: II. the man's perspective.

In order to assess factors related to men's adjustment to mastectomy and its aftermath the authors administered a questionnaire to 31 men whose wives or partners had had mastectomies. Most men reported a good overall adjustment, but a subgroup remained distressed and reported adverse effects on their relationships with wives or lovers. The data indicate that the nodal points in the process are the involvement of partners in the decision-making process, the frequency of hospital visits, resumption of the sexual relationship, and the man looking at his partner's body after surgery. These findings have implications for counseling couples who face this emotionally stressful procedure.

Adaptation, Psychological↗