Biomedical subjects
R J Dougherty
Publications and source records attributed to R J Dougherty.
Remission of alcohol disorders.
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Carisoprodol should be a controlled substance.
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The role of buspirone in the management of alcohol withdrawal: a preliminary investigation.
One hundred eighteen patients, 77 men and 23 women ranging in age from 18 to 70 years of age, admitted to an inpatient facility in Central New York were administered buspirone HCl for treatment of the alcohol withdrawal syndrome. Although one patient had an unwitnessed seizure, none of the subjects required discontinuance of buspirone HCl because of symptoms of dizziness, nausea, headache, nervousness, or lightheadedness, typical side effects described by the manufacturer. All but one of the individuals given buspirone HCl for alcohol detoxification completed that phase of treatment within six days in a manner which effectively controlled their withdrawal symptoms. The findings were suggestive of an important role for buspirone HCl in the detoxification of the alcohol-dependent patient using a pharmacologic agent other than traditional medications such as benzodiazepines, phenobarbital, beta blockers, magnesium sulphate, or clonidine.
Inpatient cocaine abusers: an analysis of psychological and demographic variables.
One hundred cocaine abusers were evaluated with a full battery of psychological tests (Shipley Institute of Living Scale, MMPI, Millon Clinical Multiaxial Inventory, Rorschach, Beck Depression Inventory) by Norman J. Lesswing, Ph.D. These patients were treated in a 6-week program on a chemical dependency unit at the Benjamin Rush Center in Syracuse, New York, from 1984 to 1986. Information was gathered across a wide range of demographic and clinical variables (age, sex, marital status, race, education, family history, and cross addiction), and psychological features (MMPI profile types, intellectual functioning, personality disorders, depression ratings, and Rorschach variables). Results are presented through comprehensive description of the sample across these patient and psychometric characteristics with use of summary statistics. Support was not found for the notion that cocaine abusers are self-medicating affective disorders, but evidence for high frequency of personality disorders was revealed. Cross addiction and abuse of alcohol and other substances were very frequent.
Controversies regarding urine testing.
Urine drug testing has become an increasingly controversial issue in today's society. In this paper, several issues involved in urine drug testing are discussed. These include the limitations of the accuracy of urine testing, testing in schools, athletics, the military and industry, and the legalities of drug testing. Also discussed is background information about urine drug screening and key factors in obtaining specimens for testing. Conclusions about the role of urine drug testing in the battle against substance abuse are drawn.
Long-term mechanical ventilation in an acute care hospital: a positive approach.
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Status of cocaine abuse 1984.
Cocaine abuse today is truly a national epidemic that encompasses all ages, economic and ethnic groups. This article focuses on the physiological effects of cocaine and the destructive nature of the drug in terms of the abuser's powerlessness over highly addictive qualities. Cocaine abuse in our nation will continue to increase unless the federal government develops more stringent policies to drastically decrease the amount of cocaine imported into the United States from source countries.
Office management of chronic pain.
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Pseudo-speed. Look-alikes or pea-shooters.
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Arterial blood gas interpretations.
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Psychopathology in alcohol- and cocaine-dependent patients: a comparison of findings from psychological testing.
Literature on cocaine-dependent patients studied through psychological testing remains limited, while there is much on assessment of alcoholics. This study replicated previous evaluation of cocaine-dependent patients, now compared with a group of alcoholics. Seventy-eight male and 21 female cocaine dependents and 70 male and 24 female alcoholics, hospitalized in a dual diagnosis program, were administered the MMPI, Millon Clinical Multiaxial Inventory-II (MCMI-II), Rorschach, Beck Depression Inventory, and Shipley Institute of Living Scale, after a 2-week stabilization period. Test data were statistically analyzed and compared along with demographic information. Cocaine-addicted subjects were younger, more often single and Afro-American, of lower socioeconomic status, less educated, and had slightly lower intellectual functioning and lesser family occurrence of addiction than alcoholics. Patients dependent on cocaine showed statistically more distress and psychopathology. Both groups demonstrated a high occurrence of personality disorders, but with different patterns of diagnoses. Implications for further research and treatment are discussed.