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Biomedical subjects

N Josefowitz

Publications and source records attributed to N Josefowitz.

8 recordsLinked to original sources
PubMed1990

Combining cognitive therapy and pharmacotherapy in treating depression on an in-patient basis.

The authors present a case of a 40-year-old female with a history of recurrent unipolar depression in which combined treatment with cognitive therapy and medication was associated with significant clinical improvement. Rather than providing a straightforward example of combined interventions for depressed inpatients, it is hoped that some of the complexities involved in such an endeavour will be highlighted. Specifically, issues concerning planned communication between relevant staff, orientation of ward staff to nonorganic treatments, choice of treatment targets, and potential strains in the collaborative relationship between the cognitive therapist and treating physician are explored.

Adult↗
PubMed1989

Women chiropractors: issues of career and family.

The present study is an examination of the characteristics of female chiropractors in Canada. Of particular interest were their practice patterns, their productivity, their political involvement in the profession and the methods they used for coping with the multiple responsibilities of career and family life. The study was conducted by mailing a questionnaire to all Canadian female chiropractors. The results indicate that the vast majority of respondents are relatively new practitioners, having graduated since 1976. A very high percentage have remained in active practice either full or part-time since graduation and are very satisfied with their choice of career. The majority live in Ontario or Quebec and are politically active as members of their national, provincial and local associations. Childbirth does not appear to have interfered significantly with their career. The majority of mothers returned to work within 3 months of childbirth. The respondents appear to cope with the responsibilities of career and family life, but, a disturbing proportion report feeling chronically drained.

Canada↗
PubMed1983

Recognizing and helping the suicidal patient in chiropractic practice.

The assessment of a patient's suicide risk is often difficult for the busy practitioner. The present article examined chiropractic interns' and doctors' ability to recognize suicide lethality factors in their patients. On a suicide lethality scale, chiropractic interns and doctors scored significantly lower than a sample of physicians and psychologists and did not score significantly differently than ministers and college students. There was no significant difference between the scores of chiropractic interns and doctors. The article discusses important factors in assessing patient's suicide risk, such as: current mood; suicide plan; and present life circumstances. Suggestions for helping the suicidal patient in co-operation with a psychiatrist or psychologist are presented.

Chiropractic↗
PubMed1983

Reliability of faculty assessments of student case histories: a problem in chiropractic education.

A competency based educational model necessitates reliable evaluation. This study examined faculty reliability in assessing students' case histories at one chiropractic college. Previous studies have found great variation in faculty assessment of clinical performance in medical residents. In this study, sixteen faculty members at the Canadian Memorial Chiropractic College evaluated three case histories by completing five rating scales on each one. The study found little faculty agreement in judging the case histories. Faculty evaluations ranged from extremely poor to extremely excellent for the same case history. In addition, the data indicate that the faculty's ratings were influenced by a halo effect. Evaluators made a general judgement, which influenced the ratings on the five scales. It is suggested that meetings of clinical instructors to standardize criteria of assessment may be beneficial.

Chiropractic↗
PubMed1982

A review of the Minnesota Multiphasic Personality Inventory (MMPI) with low back pain patients.

The article reviews the general construction of th Minnesota Multiphasic Personality Inventory (MMPI) scale and the clinical interpretations of the individual subscales. Issues related to the use of the MMPI with low back pain patients are examined. Particular emphasis is paid to the diagnosis of functional versus organic pain and prediction of successful treatment. Overall, the research indicates that patients with high Hypochondriasis (Hs) and Hysteria, (Hy) scores are more likely to emit pain behaviors, complain about their suffering and be concerned with their health. The literature suggests that a simple functional/organic dichotomy does not take into consideration the complexities of the pain experience. The MMPI has significant value in predicting successful response to medical treatment. Scores on the Hypochondriasis (Hs) and Hysteria (Hy) scales appears to be particularly useful. The article concludes with some suggestions for chiropractic research using the MMPI.

Back Pain↗