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Biomedical subjects

M D Mather

Publications and source records attributed to M D Mather.

3 recordsLinked to original sources

Preoperation anxiety: a qualitative analysis.

Twenty-eight patients were investigated psychologically before surgery. The purposes of the study were (1) to discover the nature of preoperative anxiety, and (2) to compare direct questioning with an indirect method. The merits and shortcomings of the two types of assessment emerged. The findings suggest that, in addition to worries about the operation and the anaesthetic, there was concern about leaving the home and family, which was accentuated by lack of communication and contact with hospital staff, including the surgical team. Pain was found to have a variety of implications including loneliness. These and other findings are discussed in relation to psychological theories.

Anesthesia↗

Unilateral and bilateral ECT: a study of memory disturbance and relief from depression.

Fifty-one endogenous and reactive female depressives were given a course of either unilateral non-dominant, unilateral dominant, or bilateral ECT. Visual and verbal memory tests and confusion ratings were administered at frequent intervals during the treatment course. Pre-and post-treatment assessments of depression were made. Comparisons of the therapeutic effect of six and of eight ECTs were studied separately. One month after the last ECT the patients were again assessed on the memory and the depression tests. The results of the memory tests indicate that unilateral non-dominant ECT produced least memory disturbance (particularly of a verbal kind) and also less immediate confusion within 40 minutes of each ECT. This observation applies more to the reactive than the endogenous group. Comparisons of the depression tests reveal that unilateral non-dominant ECT is as effective in relieving depression as bilateral ECT, though progress may be less rapid. The observation holds true only for the reactive depressives. Endogenous depressives benefit more from bilateral ECT. Caution is advised against the administration of unilateral dominant ECT, since this group does not respond to treatment as well as the other two groups. Degree of improvement as a whole does not appear to be related to the degree of confusion experienced. The implications of these findings are discussed.

Adjustment Disorders↗