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Biomedical subjects

R W Mullaly

Publications and source records attributed to R W Mullaly.

5 recordsLinked to original sources

Lithium therapy for cocaine-induced psychosis: a clinical perspective.

The incidence of cocaine-induced psychosis has increased with the rise in popularity of cocaine as the recreational drug of choice. Neuroleptic agents have been used to control the hallucinations, paranoia, and hyperactivity of the acute psychotic episodes. Lithium has been suggested as an alternative therapeutic agent for cocaine abusers. This study reports the results of successful lithium therapy for three cases of cocaine-induced psychosis. Future directions for clinical use and research are recommended.

Adult↗

Medical education and the dying patient.

Several recent cases illustrate the medical-ethical-legal consequences associated with lack of awareness in caring for and treating the dying patient. We question whether solutions advanced by others are feasible or desirable for use in medical education, and suggest looking to the familiar principles of clinical medicine. These principles can be used to acquaint students and residents with the clinical model of medicine so they can learn the differences between the rights and duties of those occupying the "sick" and "dying" roles. Once these differences have been understood, then the rules for moving patients from one role to another can be gradually acquired in the course of medical practice. The task now is to resuscitate these traditional abilities in the context of our times.

Alabama↗

The medical model and the responsible patient.

At Bryce Hospital patients whose illnesses are considered to have a biochemical basis, such as schizophrenia or manic-depressive illness, are assigned to a "responsible patient" class in which they are taught the rights and obligations of responsible patients: to know about the illness, to participate in treatment planning, and to follow treatment routines. The class is a segment of the instruction given in the hospital's Psychological Learning Center and is based on the medical model. The authors describe the class, the learning center, and the historical and theoretical antecedents of such an approach.

Alabama↗