PubMed Health⌕ Search

Biomedical subjects

M T Hannah

Publications and source records attributed to M T Hannah.

6 recordsLinked to original sources
PubMed1993

An empirical typology of seriously and persistently mentally ill patients using symptom and social functioning factors.

This study generated an empirical, statistically based typology that used both symptom data and social functioning dimensions to define subtypes of seriously mentally ill patients. The intent of using social functioning information was to explore the degree to which it improves clinicians' understanding of and treatment planning for diverse subgroups of patients. Social functioning dimensions and symptom data collected on a group of SPMI (seriously and persistently mentally ill) patients were factor analyzed and then submitted to a cluster analysis that yielded five meaningful patient subtypes. Demonstrations of the usefulness of this classification included significant subgroup differences on clinically important external variables, including needs for specific types of treatment and service consumption. For comparison purposes, the failure of the DSM-III diagnostic classification to distinguish patients on the clinically relevant criteria also was demonstrated.

Activities of Daily Living↗
PubMed1991

Client-treatment interaction in the study of differential change processes.

Research that combines correlational and experimental approaches in a search for aptitude-treatment interactions (ATI) is both inescapable and of potential benefit to the field. A number of epistemological and methodological issues regarding ATI research are discussed, ranging from the meaning of interaction to questions regarding the number of aptitudes and their types and the nature of interacting treatments. Despite the less than encouraging record of ATI research, it should not be abandoned, rather its purposes should be expanded. Instead of focusing on the pragmatic but hard-to-achieve goal of finding an optimal match between individual clients and specific therapies. ATI research should serve heuristic purposes. Theoretically derived and empirically tested interactions can clarify the change processes and mechanisms that make therapies differentially effective. Exploration of another type of interaction is recommended also: aptitude-outcome interaction (AOI), in which ostensibly identical therapies yield different outcomes through different mechanisms for different clients. The emphasis of AOI research is also more heuristic than pragmatic.

Aptitude↗
PubMed1990

The seriously mentally ill: another perspective on treatment resistance.

There is a subpopulation of the seriously mentally ill who remain acute care recidivists, rarely becoming engaged in follow-up treatment. It has been argued that these individuals are system, rather than treatment resisters. The perceptions they have of their problems are often in conflict with staff evaluations, or with what the system has to offer. In the present study, patients who dropped out of residential care against staff's advice were compared to patients who remained in treatment. The results suggest that the greater the difference between the perceptions a patient and therapist have concerning the patient's problem, the greater the likelihood of the patient dropping out of treatment.

Adult↗
PubMed1989

Measuring effective functioning in the elderly: an application of Erikson's theory.

This study seeks to assess effective functioning within Erikson's epigenetic theory of development, in a sample of 143 Elderhostel participants who were administered the Inventory of Psychosocial Balance (IPB) and the California Psychological Inventory (CPI) Self-Realization (Sr) scale. A correlational analysis indicated no major systematic sex differences, but significant intercorrelations between the IPB scales and the Self-Realization scale. Multiple regression analyses indicated that in men, Trust is the most important variable, with Generativity and Intimacy yielding negative weights, whereas for women, Identity is the major component, with Industry, Autonomy, Generativity, and Trust yielding negative weights. The results support the utility of the IPB as a vehicle to study psychosocial development in the elderly.

Aged↗
PubMed1988

The homeless mentally ill in Tucson: implications of early findings.

Homeless persons who received emergency psychiatric screening in a public general hospital exhibited patterns of gross geographic mobility. They did not uniformly avail themselves of community services, such as soup kitchens, and there were marked sex differences within the sample.

Adult↗