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Biomedical subjects

N E Zinberg

Publications and source records attributed to N E Zinberg.

At least 19 recordsLinked to original sources
PubMed1988

Supervision and privacy in psychotherapy training.

Supervision is an essential element of training in psychotherapy, and the issue of privacy in relation to the supervisory process is an important one. The authors examine the attitude toward privacy implicit in each of the two major models of supervision, the so-called didactic and countertransference models. They consider the ways in which supervision, particularly the countertransference model, and the use of audiovisual devices intrude on the privacy of the therapist and the therapy. Finally, they consider how the institutional and professional structures within which supervision takes place deal with the issue of privacy.

Attitude of Health Personnel↗
PubMed1987

Elements of the private therapeutic interview.

A previous paper explored the differences between a psychiatric interview that is entirely private and one observed by way of a mechanical device. The attempt to explore such differences raises questions about what are the special elements in the private interview that rely heavily on privacy. This paper focuses on 1) the specific rhythms that are worked out within each patient-therapist dyad; 2) the quality of the concentration of one individual on another; 3) the capacity for undoing, or taking back, previously stated positions; and 4) the difference between the intimacy developed through privacy in everyday social situations and that achieved in the therapeutic relationship.

Humans↗
PubMed1985

The private versus the public psychiatric interview.

As videotaping, one-way screens, and other audiovisual aids are used more frequently for teaching and research purposes in psychiatry, it becomes increasingly important to define how the fact of observation changes the traditionally private psychiatric interview. The author defines the difference between the public and private interview, reviews the pertinent literature, and describes personal experiences with a variety of observational situations. He focuses on how observation affects the concentration of the therapist, how it changes the social uniqueness of the therapy situation, and how, with the addition of a potential audience, the one-to-one situation may become more like a group situation, in which different psychological mechanisms may be employed.

Attitude of Health Personnel↗
PubMed1982

Difficulties in the integration of psychological and medical practices.

The authors, who support in principle the important goal of integrated psychological and physical care, discuss five sources of difficulty in the practical application of such integration: 1) differences in values and, consequently, in systems of practice, 2) training influences, 3) differences in dealing with emotions, 4) conflicting patient expectations, and 5) limitations on the degree of intimacy tolerable in professional relationships. They suggest that practitioners and educators take these difficulties into account without abandoning a holistic perspective.

Attitude of Health Personnel↗
PubMed1980

Antiemetics in patients receiving chemotherapy for cancer: a randomized comparison of delta-9-tetrahydrocannabinol and prochlorperazine.

Delta-9-tetrahydrocannabinol (THC) is an effective antiemetic as compared with placebos in patients receiving chemotherapy for cancer. In this study we compared THC with prochlorperazine (compazine) in a randomized, double-blind, crossover trial with patients who had failed to benefit from standard antiemetic therapy. Regardless of the emetic activity of the chemotherapeutic agents, there were more complete responses to THC courses (in 36 of 79 courses) than to prochlorperazine (in 16 of 78 courses). Of 25 patients who were treated with both drugs and who expressed a preference, 20 preferred THC (P = 0.005). Among patients under 20 years of age there was a higher proportion of complete responses to THC courses (15 of 20) than among older patients (21 of 59 courses; P = 0.004). Increased food intake occurred more frequently with THC (P = 0.008) and was associated with the presence of a "high." Of 36 THC courses resulting in complete antiemetic responses, 32 were associated with a high. We conclude that THC is an effective antiemetic in many patients who receive chemotherapy for cancer and for whom other antiemetics are ineffective. (N Engl J Med 302:135--138, 1980).

Adolescent↗
PubMed1980

Formerly-addicted-now-controlled opiate users.

Preliminary data are reported on 10 former heroin addicts who have maintained long-term occasional patterns of heroin use. Emphasis is placed on the degree of their past addiction and present control. The implication of the existence of such users for etiological theories, treatment, and further research are discussed.

Adult↗
PubMed1976

The natural history of "chipping".

The authors present five case histories illustrating controlled use of opiates ("chipping"). Long-term chippers tend to develop consistent social use patterns that permit and also limit use. The authors conclude that controlled use of opiates is possible and that large numbers of people are involved in such use, although they are hard to locate and identify. Controlled users are differentiated from compulsive users more by their development and maintenance of social drug use rituals than by such variables as availability of the drug and personality and family background of the user.

Adult↗
PubMed1975

Antiemetic effect of delta-9-tetrahydrocannabinol in patients receiving cancer chemotherapy.

Anecdotal accounts suggested that smoking marihuana decreases the nausea and vomiting associated with cancer chemotherapeutic agents. Oral delta-9-tetrahydrocannabinol was compared with placebo in a controlled, randomized, "double-blind" experiment. All patients were receiving chemotherapeutic drugs known to cause nausea and vomiting of central origin. Each patient was to serve as his own control to determine whether tetrahydrocannabinol had an antiemetic effect. Twenty-two patients entered the study, 20 of whom were evaluable. For all patients an antiemetic effect was observed in 14 of 20 tetrahydrocannabinol courses and in none of 22 placebo courses. For patients completing the study, response occurred in 12 of 15 courses of tetrahydrocannabinol and in none of 14 courses of placebo (P less than 0.001). No patient vomited while experiencing a subjective "high". Oral tetrahydrocannabinol has antiemetic properties and is significantly better than a placebo in reducting vomiting caused by chemotherapeutic agents.

Administration, Oral↗
PubMed1975

Social sanctions and rituals as a basis for drug abuse prevention.

This paper will report on preliminary findings of an on-going study of "controlled" use of marihuana, psychedelics, and opiates which point to the possibility of minimizing the social costs of illicit drug use via social control. This study, sponsored by The Drug Abuse Council, Inc., a non-profit private foundation, shows that despite the lack of larger cultural support for controlled illicit drug use and other obstacles, users are able to develop and maintain moderate, long-term, nonabusive, i.e., controlled, drug-using patterns. We will show that these patterns are primarily supported by the development of social drug-using situations in which sanctions and rituals permit use while condemning abuse. In the discussion, we will compare the management of controlled use in our sample to the larger culture's handling of alcohol.

Adolescent↗