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Biomedical subjects

K Seeman

Publications and source records attributed to K Seeman.

11 recordsLinked to original sources

Correlations of self-directed violence in acute schizophrenics with clinical ratings and personality measures.

Schizophrenic patients admitted to an acute inpatient unit were evaluated with the Comprehensive Psychopathological Rating Scale (CPRS), items reflecting hostility from the same scale, the Eysenck Personality Questionnaire (EPQ), and the Socialization and Self-Control scales of the California Psychological Inventory (CPI). Incidents of violent and nonviolent suicidal behavior and suicidal ideation before admission, and assaultiveness against self subsequent to admission were recorded. It was determined that behavioral ratings of degree of schizophrenic symptoms on the CPRS are more highly likely than ratings of hostility to correlate with self-directed violence before and subsequent to admission. Personality measures that reflect violence toward others (Psychoticism on the EPQ and Socialization on the CPI) also correlate with violence toward self.

Acute Disease↗

Psychiatrists' judgments of dangerousness in patients on an acute care unit.

Statistical analyses suggest that psychiatrists emphasize hostility, agitation, previous assaultiveness, and suspiciousness as factors predictive of violence in psychiatric inpatients. When the actual correlates of violence in these patients are evaluated, a different picture of the assaultive inpatient emerges. Examination of differences between the cues emphasized by clinicians to make their predictions and the empirical correlates of violence suggests ways of improving the accuracy of clinical judgments of inpatients' dangerousness.

Attitude of Health Personnel↗

Psychotherapy in Sweden: historical background, current status, and future projections.

From medieval times, care of the emotionally disturbed in Sweden has shifted between moralistic and enlightened approaches. In this century through the 1960s, organic methods have predominated, with emphasis on description and precise diagnosis. Psychodynamic treatment has been only reluctantly accepted until the past decade, with child psychiatrists and psychologists at the forefront. Norway has typically been most progressive in the establishment of psychoanalytic and other psychodynamic movements in Scandinavia, with Sweden following and Denmark often lagging behind. In 1970, Norway became the first Scandinavian country to require training in psychotherapy for psychiatrists. Sweden remained more conservative for years, both in adherence to the organic model at one extreme, and in supporting one of the most orthodox psychoanalytic movements in the world, at the other. During the 1970s, however, it became increasingly more common for psychiatrists in Sweden to seek training in psychotherapy through a variety of organizations, established since the early 1930s and operating independently of each other. In 1978, a uniform state program in psychotherapy was developed with theoretical and practical requirements, and is scheduled in the near future to become obligatory for psychiatrists, psychologists, and various other mental health professionals. The paramedical personnel has become increasingly more involved in mental health care during the past decade. In delivery of care, the "sectorization" principle has become central, and is likely to set the tone for the future. With the entire country divided into local catchment areas, the direction will be toward psychodynamic approaches integrated with traditional organic models, open care, decentralization, planned prophylaxis, and full collaboration of all mental health professionals and social agencies.

Child Psychiatry↗

Fantasized companions and suicidal depressions: two case reports.

Two acutely suicidal adult patients with fantasized companions integral to the formation of suicide intent are presented. The phenomenon of the fantasized companion is reviewed, differentiated from true hallucinatory or psychotic phenomena, and related to other fantasy and dissociative states, such as daydreaming and multiple personalities. In this regard, the concept of hysterical psychosis is discussed. The functions served by the fantasized companions and their involvement in the successful treatment of the patients are described.

Adult↗

Family conflict, psychopathology, and dangerous behavior by schizophrenic inpatients.

Data supporting the hypothesis that history of severe discipline and parental conflict in childhood is related to current violence were obtained in a study of 100 schizophrenic inpatients. In addition to a relation between inpatient violence and degree of schizophrenic symptoms, inpatient assaults and other dangerousness measures were positively and significantly correlated with severity of parental discipline, especially involving the father, and with degree of family conflict, particularly fights between parents and others outside the home.

Conflict, Psychological↗

Drift and dangerousness: social class differences between acute schizophrenics and their parents in relation to measures of violence.

Socio-economic differences between schizophrenics on an acute in-patient unit and their parents were studied in relation to indices of dangerousness and of psychiatric status. It was found that, whenever thier class of origin, a large proportion of patients had dropped in occupational attainment, relative to that of their parents, but that patients tended to be higher in education than their parents. Patients who had committed an assaultive act prior to admission were lower in social status than their parents.

Adult↗

Psychopathology, feelings of confinement and helplessness in the dental chair, and relationship to the dentist in patients with disproportionate dental anxiety (DDA).

Nineteen individuals with inordinate fear of dental treatment are presented and discussed with respect to their psychopathology and those aspects of their fear involving feelings of confinement and helplessness in the dental chair, and a negative relationship with the dentist. This material is part of a comprehensive investigation previously reported by the authors into the components and factors contributing to this kind of fear, and the personality and emotional reactions of the individuals suffering from it. The data presented are based on single structured interviews of each patient. Analysis of the patient population suggests division into four major categories: those in whom fear of dental treatment was associated with feelings of inferiority in bodily appearance or function (the largest category); those in whom the fear was associated with neurotic disturbances in which disturbance in body image is not apparent; those in whom the fear was a reflection of a schizophrenic or schizoid process; and those in whom no overt psychopathology was found. The patients in the first category were those who tended most to be afraid of dental treatment due to feelings of confinement or helplessness in the dental chair, or due to a negative relationship with the dentist.

Adult↗