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K Schneider-Braus

Publications and source records attributed to K Schneider-Braus.

5 recordsLinked to original sources
PubMed1988

Distress and attitudes in patients perceived as hypochondriacal by medical staff.

The aim of this study was to examine the characteristics of patients perceived by general physicians as hypochondriacal. The authors requested physicians at a general hospital to refer patients for a study of hypochondriasis. In order to measure depression, anxiety, and somatic symptoms, the authors administered several rating and self-rating scales, and to measure hypochondriacal attitudes they administered the Illness Attitude Scales (IAS) and the Illness Behavior Questionnaire (IBQ). The referred patients (N = 29) had more psychiatric disorders, were more depressed and more anxious, and had more severe somatic symptoms than matched medical patients who had not been referred. Self-rated hypochondriacal fears and beliefs did not differ significantly between the groups. Five of the referred patients (17%) whose initial diagnosis was hypochondriasis were subsequently found to have physical diseases that accounted for their symptoms. The implications of these findings for treatment are discussed.

Adult↗
PubMed1987

A practical guide to HMO psychiatry.

Based on two years' work in an inner-city psychiatric clinic serving 50,000 members of a health maintenance organization (HMO), the author presents ten guidelines for the many clinicians now attempting to maintain sound psychiatric practice within the limitations of an HMO. The guidelines suggest that HMO psychiatrists perform thorough intake evaluations that facilitate triage to specific treatments, negotiate treatment contracts with patients, focus on patient requests, enter a problem-solving partnership with patients, facilitate termination, use least costly treatments, use support groups, transform economic limitations into therapeutic tools, appeal individual cases requiring extensive treatment, and undertake research.

Combined Modality Therapy↗
PubMed1986

Use of alternate therapist during pregnancy leave.

Women therapists involved in the long-term treatment of severely disturbed patients can be faced with interruptions due to childbearing. In the following cases, use of an alternate therapist during pregnancy-related leaves of absence was helpful in bridging the therapeutic pause and allowed the patients to make significant gains.

Abortion, Induced↗
PubMed1986

Civil commitment to outpatient psychotherapy: a case study.

Commitment to outpatient psychiatric treatment evolved in the courts to protect patients' right to freedom from compulsory hospitalization. This ruling has been criticized by the psychiatric profession, who prioritize treatment rather than liberty. The following case demonstrates the use of commitment as a therapeutic tool in the psychotherapy of a woman with severe borderline pathology. Although the use of coercion in psychotherapy is controversial, its potential use and its ramifications on transference and countertransference issues are discussed.

Adult↗