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Biomedical subjects

M S Stern

Publications and source records attributed to M S Stern.

34 records · Page 2Linked to original sources
PubMed1980

The clinical work of the psychiatrist in a community mental health center.

The difficulties community mental health centers have in recruiting and retaining psychiatrists may be related to the type of clinical work psychiatrists perform in the centers. The authors conducted a study examining how and by whom a sample of 87 clients in one mental health center were treated. The findings showed that the psychiatrists tended to treat older, poorly educated, and more severely disturbed patients. Their patients were more likely to receive drug therapy and less likely to receive individual psychotherapy than were the patients of other staff members. The authors conclude that most psychiatrists find the centers to be unattractive work settings because the work differs from what they were trained to expect, to value, and to perform.

Community Mental Health Centers↗
PubMed1977

Social class in the mental health center.

To test whether the preference for middle and upper class clients, found in psychotherapeutic clinics during the 1950s and early 1960s, exists in mental health centers, the relationships between social class and various aspects of psychiatric treatment are investigated in forty mental health centers which vary in several organizational dimensions. In general, clients are given treatment with little or no regard to social class. The variables that account for the different patterns of treatment in the two types of psychiatric treatment organizations are (1) the composition of the staffs; (2) the types and amount of individual psychotherapy given; and (3) the primary organizational goal.

Adult↗
PubMed1977

Factors in the utilization of mental health centers and state hospitals.

Several studies have found a relationship between the distance that must be traveled to receive a mental health service and the rate of utilization of the service. In the study of admission rates to mental health centers and state hospitals reported here, the author examined the relationship of admission rates to distance and to three other factors: urban-rural differences, the complexity of the community referral network, and the availability of outpatient services. The study showed that rates of admission to the centers tended to be higher as the counties became more urban, but that use of center services was not related to distance. However, a strong relationship was found between distance and rates of admission to the state hospitals.

Geography↗
PubMed1977

Mitral valve prolapse and conduction defects in Ehlers-Danlos syndrome.

A case of type 3 Ehlers-Danlos syndrome with associated mitral valve prolapse, right bundle-branch block, and left anterior fascicular block was studied, including His bundle electrocardiography and echocardiography. Mitral valve prolapse and HV prolongation were reported. The present study suggests that the basic underlying collagen defect in this syndrome is responsible for these findings, and that the association may be more widespread in the syndrome than currently acknowledged. The possibility also is considered that the connective tissue abnormalities of Ehlers-Danlos syndrome involving the heart may be the cause of some cases of idiopathic conduction system disease or valvular insufficiency.

Arrhythmias, Cardiac↗