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Biomedical subjects

S Chauncey

Publications and source records attributed to S Chauncey.

6 recordsLinked to original sources

Standardized screening of elderly patients' needs for social work assessment in primary care: use of the SF-36.

Fewer hospitalizations and decreased lengths of stay in the hospital have resulted in an increased need for extensive support services and continuing care planning for elderly people in primary care. Early identification of elderly patients needing community and hospital nonmedical services is necessary so that timely appropriate services can be delivered. This study addresses the issue of whether a standardized health-related quality of life questionnaire, the SF-36, can be used independently as a screen predicting primary care elderly patients' needs for social work assessment. In addition, the question of what scales on the SF-36 a social worker would use to screen patients in need of assessment is explored.

Aged↗

Identifying helpful and unhelpful behaviours of loved ones: the PWA's perspective.

Twenty-five gay men with AIDS were interviewed about their social support networks and asked to describe specific interpersonal exchanges with network members which they perceived to be helpful and unhelpful. Content-analysis of responses revealed 12 main categories of helpful behaviours (providing encouragement, companionship, information, practical assistance, material aid, philosophical perspective, support for other network members, expressing concern, sharing feelings, acting as role model, allowing reciprocity, interacting naturally) and 11 categories of unhelpful behaviours (pessimism, physical avoidance, criticizing one's response to AIDS or medical treatment, making unreasonable demands, patronizing attitude, rude comments, insincerity, breaking confidentiality, acting judgmental or ashamed). The perceived helpfulness of particular behaviours varied depending on which network member performed them and the timing of the support attempt. Implications for increasing the effectiveness of support attempts by network members are discussed.

Acquired Immunodeficiency Syndrome↗

Emotional concerns and treatment of male partners of female sexual abuse survivors.

Many men are discovering that they are involved with women who were sexually abused as children. However, male partners of female sexual abuse survivors have thus far received little attention in the literature. As these men increasingly seek treatment with concerns of their own, social workers must become familiar with their emotional experiences and treatment needs. This article outlines the major concerns expressed by 20 male partners of sexual abuse survivors. These concerns included conflicts about expressing needs, frustration with various aspects of their relationships, guilt and shame at having feelings, questions about how to deal with relatives, and sexual issues. The author recommends a treatment approach that combines attention to both the individual's and the couple's concerns and uses insight and the safety of the therapeutic relationship to promote growth. The importance of further outreach to partners of women who were sexually abused as children and the need for increased attention to other partner populations are highlighted.

Adult↗

Psychosomatic aspects of liver transplantation.

Forty patients received orthotopic liver transplants at Massachusetts General Hospital between May 21, 1983 and July 21, 1987 (mean follow-up: 64 weeks, range: 2-186 weeks). Twenty-seven patients (68%) were living as of July 21. Among survivors, 15 (56%) returned to full activity; and 7 (26%) were partially rehabilitated. Five patients were rehospitalized or recently transplanted. Successful outcome occurred most often among those who came to transplant early in the course of illness. All adults experienced preoperative anxiety and 17 (50%) of adults had some degree of hepatic encephalopathy. Following operation, 8 adults (24%) were referred for treatment of depressive disorder typically associated with deterioration of hepatic status, infectious complication or recurrence of cancer. Medical noncompliance required psychiatric intervention in 3 cases. Other psychiatric events an increasingly successful intervention of major scope and affords meaningful survival to many patients whose liver disease allow less than a year of life. Psychiatric consultation is an essential support to the transplant program.

Adjustment Disorders↗

Diagnostic and prescriptive intervention in primary school education.

This study evaluates the effectiveness of a two-year educational intervention for low-income, minority children. The superior performance by the experimental group on achievement measures administered at the end of both kindergarten and first grade clearly indicates that academic success is facilitated by early educational intervention.

Achievement↗