PubMed Health⌕ Search

Biomedical subjects

R R Grinker

Publications and source records attributed to R R Grinker.

At least 19 recordsLinked to original sources
PubMed1979

Diagnosis of borderlines: a discussion.

In a discussion of two reviews of the literature on borderline conditions by Liebowitz (1979) and Rieder (1979), the author briefly describes his own research on clinical aspects of the borderline syndrome. Each of the investigators involved in the study of borderline conditions seems to have his own theoretical position and diagnostic evaluation procedures. There seems to be a consensus, however, that the syndrome represents a basic developmental defect with relatively "stable instability" within four subcategories.

Affect↗
PubMed1978

Is modern-day schizophrenic outcome still negative?

To evaluate formulations about more positive outcome in modern-day schizophrenic patients, the authors assessed 132 young patients 2.7 years after hospital discharge. Despite modern treatment techniques, only 14%-17% of the 79 schizophrenic patients in the study group were functioning effectively without relapses; 50% had adjusted very poorly. The schizophrenic patients were functioning significantly more poorly than the nonschizophrenic patients in all areas (p less than .01), showing poor adjustment, high symptom levels, and high rehospitalization rates. The two major acute subgroups (schizo-affective and acute schizophrenic patients) were functioning better than those with paranoid and chronic schizophrenia. Overall, the authors conclude, diagnosis carries prognostic implications. Schizophrenic outcome is more favorable today than it was in Bleuler and Kraepelin's era, but it is still relatively negative.

Acute Disease↗
PubMed1978

The poor rich: the children of the super-rich.

Because they have little parental contact, many children of the very rich lack self-esteem and clear role models, resulting in shallow values and pathological narcissism. Low self-awareness and the absence of great suffering work against therapeutic progress, as do the efforts of the parents, who may feel threatened, and countertransference feelings of envy or anger by middle-class therapists. A supportive psychotherapeutic relationship is the most likely means of developing trust and self-discipline in these patients.

Female↗
PubMed1977

Anhedonia and schizophrenia.

The authors administered semi-structured interviews to 187 psychiatric inpatients to determine the role of anhedonia in schizophrenia. The interviews were taperecorded and then given blind ratings for anhedonia on a 7-point scale. Schizophrenic patients had significantly more anhedonia than nonschizophrenics, although many of the latter group had anhedonic tendencies. Most of the difference between the groups resulted from high anhedonia scores for chronic schizophrenics; less anhedonia was found in the acute schizophrenic patients. The data indicate that anhedonia is not necessary or unique to schizophrenia but is a prominent factor in chronic schizophrenia.

Acute Disease↗
PubMed1975

The future educational needs of psychiatrists.

The author states the psychiatry must work at defining its boundaries as a discipline before the question of how to educate future practitioners can be answered. The medical student is presented with a bewildering array of approaches to psychiatric treatment and is pressured to choose quickly. The author calls for collaboration among the various parts of psychiatry--social psychiatry, community psychiatry, research, biochemistry, etc.--with other university faculties such as the humanities and basic sciences. The goal of this collaboration would be to produce a mature professional capable of dealing with the whole person. He also calls for a greater emphasis on research to equip psychiatry with the necessary knowledge to establish its role in our ever-changing contemporary society.

Community Psychiatry↗