PubMed Health⌕ Search

Biomedical subjects

S D Lande

Publications and source records attributed to S D Lande.

5 recordsLinked to original sources
PubMed2001

The future of pain management in managed care.

Pain management has made great strides in clinical practice and education, and in research documenting its effectiveness on pain relief, functional improvement, and cost. The profile of pain in managed care settings has recently been raised, notably because of the trend toward replacing inexpensive generic drugs with new and expensive drugs for pain treatment. Managed care organizations have greater motivation to focus on pain care because of recent regulatory initiatives, new accreditation standards, and legal precedents. In order for pain programs to improve the quality of pain care in MCOs, they must balance the complex needs of patients with pain with the financial constraints of the managed care setting.

Analgesics↗
PubMed1985

Differentiation between classically conditioned and cognitively based neurotic fears: two pilot studies.

The ability of clinical trainees to learn to distinguish between classically conditioned and cognitively based neurotic fears was examined in two small-scale studies. The first study showed that they readily learned to make the distinction on the basis of transcripts of key excerpts of actual patient sessions, and that ability to do so increased with training. The second study showed a high degree of inter-rater reliability among assessor ratings of fear type on the basis of independent interviews of phobic patients.

Clinical Competence↗
PubMed1981

An interresponse time analysis of variable-ratio punishment.

An interresponse time analysis was used to study the effects of variable-ratio punishment schedules on the temporal pattern of reinforced responding. Twelve pigeons responded on a baseline variable-interval schedule of food reinforcement. A variable-ratio ten schedule of electric shock punishment was then introduced. The shock intensity was systematically increased to the highest intensity at which responding could be maintained. At this intensity, the mean variable-ratio value was increased and then decreased. Variable-ratio punishment resulted in an increased relative frequency of very short unreinforced interresponse times (response bursting). Increased response bursting accounted for instances of response rate facilitation. In addition, shock was followed by interresponse times of decreasing mean length over the first several responses after shock.

Journal Article↗