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Biomedical subjects

L J Dickstein

Publications and source records attributed to L J Dickstein.

10 recordsLinked to original sources
PubMed1994

Redefining psychiatry: implications for educators and medical student education.

Psychiatric education must be reevaluated and changed in response to increasing knowledge in the field, ongoing health care reform, decreased inpatient stays, changing reimbursement and other faculty fiscal pressures, the generalist physician priority, and fewer students entering the field. The author offers recommendations for preclinical patient interviewing, supervision, and follow-up; revision of the behavioral sciences course; new lectures in clinical clerkship rotations; attention to faculty attitudes toward students; faculty teaching competence; the importance of role modeling and mentoring; and the need for electives to encourage students to select psychiatry. An improved relationship with other physician colleagues is a priority to decrease stigma toward psychiatry.

Curriculum↗
PubMed1991

Men's changing social roles in the 1990s: emerging issues in the psychiatric treatment of men.

In the last two decades, men's social roles have changed to incorporate the increasing time they spend with their families, their greater concern about adult children's leaving or returning home, and alternative sexual preferences and life-styles. One related development is the increased amounts of psychiatric distress reported by men in recent years. Mental health professionals should be familiar with these and other complex issues specific to men and with how such issues might manifest themselves in psychotherapy.

Double Bind Interaction↗
PubMed1990

Psychiatric impairment in medical students.

This retrospective study of 217 medical students (at one school over an eight-year period) who had sought psychiatric consultation and treatment was designed to verify earlier findings about medical students' psychiatric impairment and to investigate other, more recently highlighted issues. The authors hypothesized that (1) more of the women would be seen for psychiatric consultation; (2) overall, the problems and diagnoses of the students would differ according to gender and academic class; (3) the women would show more evidence of role strain; (4) the women would remain in treatment longer; and (5) for all students, the average length of treatment would be relatively brief. The results of this study indicate that more of the women requested psychiatric consultation; that differences along gender lines regarding chief complaints and psychiatric diagnoses were not significant; and that the women revealed more direct and subtle evidence of role strain but did not remain in treatment longer than the men. The date are discussed in terms of the development and implementation of educational programs that attempt to prevent some of the psychiatric impairments of physicians.

Achievement↗
PubMed1988

Spouse abuse and other domestic violence.

Concern about the different forms of domestic violence continues to escalate. Beginning with identification of child abuse in the 1960s; spouse abuse, primarily of women, in the 1970s; and, most recently, identification of the rising incidence of elder abuse and neglect, the medical community, state, local, and federal governmental agencies and the public continue to promote joint programs to identify, guide to treatment, and simultaneously develop prevention and early intervention programs. Emphasis initially on the use of legal systems to stop, the abuse must almost be mandatory, because numerous studies show that treatment is most successful when abusers are forced to admit to themselves and others that they have, in fact, committed crimes. For women victims, safe refuge, self-help, and advocacy-support groups were found to be effective, whereas children first need the same protection and a great deal of empathy and explanation. Psychiatrists' roles lie in the important area of early diagnosis and treatment, as most domestic abuse victims do not readily admit to this violence, primarily out of shame, guilt, and fear. Numerous studies demonstrate that following a protocol with every patient, in every setting and under every circumstance, psychiatrists must ask about domestic violence when they least suspect it and when other diagnoses are obvious. The multiple etiologies include general sociocultural pressures, such as poverty and crowding, stereotypic sex role socialization, alcohol and drug abuse, history of head injury, and personal childhood abuse. Psychiatric treatment modalities must occur within a framework of acknowledging that domestic violence victims suffer from post-traumatic stress disorder. Psychiatrists can serve as leaders in coordinating multi-pronged treatment options for the victims: advocacy groups; alcohol and drug detoxification; and individual, couple, and family therapy. Psychiatrists can also serve as consultants, leaders, and educators in prevention and early intervention programs to educate the public and all levels of professionals who work with victims: police and legal systems, social service workers, teachers, religious leaders, essentially all who touch the lives of people of all ages who are supposed to live together in domestic mutual respect and caring but do not.

Adolescent↗
PubMed1985

Anorexia nervosa and bulimia: a review of clinical issues.

As increasing numbers of teenage and young adult women of all economic and educational backgrounds seek treatment for eating disorders, primarily anorexia nervosa and bulimia, mental health professionals must become knowledgeable about diagnosis and treatment of these conditions. The author's review of the literature focuses on current and often controversial views about diagnosis, incidence, etiology, and treatment of anorexia nervosa and bulimia. Topics discussed include specific diagnostic criteria; biological, psychodynamic, and psychosocial underpinnings; and experimental pharmacologic and psychotherapeutic treatments. Two case studies illustrating general characteristics of anorexia nervosa and bulimia are presented.

Adolescent↗
PubMedDate not supplied

Female physicians in the 1980s: personal and family attitudes and values.

A lengthy questionnaire asking about family background (parents, grandparents, and siblings), training and career, marriage, children, and gender discrimination was completed by 283 female physicians from the Commonwealth of Kentucky. Demographic information gathered indicated that these physicians were similar to other female physicians in the United States. Information about values and attitudes of the physicians, their parents and husbands added depth to the demographic numbers. Differences between results for older (born before 1950) and younger physicians were rare. A high degree of gender discrimination pervaded the results. Results are discussed in terms of efforts to eliminate gender discrimination in the personal and professional lives of female physicians.

Adult↗