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Biomedical subjects

S E Cleveland

Publications and source records attributed to S E Cleveland.

At least 19 recordsLinked to original sources

Family stress management following acute myocardial infarction: an educational and skills training intervention program.

Although the experience of acute myocardial infarction (AMI) is a family affair, little has been available to guide stress and distress reduction efforts focusing on all members of the family compared to the somewhat larger literature addressing stress management interventions with cardiac patients. This article provides a conceptual background for a specific behavioral therapy approach to family stress management in dealing with the sequelae of AMI for all family members with the goal of reducing morbidity for all family members as they cope with ongoing survivorship issues. The family intervention program is described and its pilot implementation discussed. Evaluation of the pilot suggests that an individually tailored focus for that subset of families at higher risk for elevated persistent distress may be the most cost-effective use of such a family intervention program.

Adaptation, Psychological↗

Jehovah's Witnesses and human tissue donation.

Because of their religious beliefs members of the Jehovah's Witnesses sect do not permit human tissue donation, not even such a routine and life-saving procedure as blood transfusion. A group of 30 adult Jehovah's Witnesses was compared with groups of donors and nondonors on a variety of personality measures. Donor status is associated with a well-integrated body image and acceptance of mortality, while nondonor status correlates with a less-well-integrated body image, concern about body integrity, and anxiety about death. However, while Jehovah's Witnesses vigorously oppose human tissue donation they appear to do so on strong religious grounds rather than because of personal anxiety and thus are dissimilar to non-donors at large.

Adult↗

Two contrasting alcoholism treatment programs: a comparison of outcomes.

Participants in two 60-day alcoholism treatment programs with contrasting treatment philosophies and rationale were followed-up 1 year after discharge from the hospital. Widely different results were obtained with distinctly different alcoholic veteran populations. Response to treatment was highly favorable for less symptomatic alcoholics when direct emphasis was place upon the alcoholism per se and complete abstinence. Less favorable responses were achieved with overt neurotic alcoholics when treatment was designed to resolve underlying personality disturbances. Self-reports of marked depression, anxiety, and prior treatment for alcoholism were three pretreatment variables found significantly related to unsuccessful drinking outcome. The implication of these findings is that treatment outcome is largely dependent upon both the characteristics of the population treated and the treatment approach.

Adult↗

Changes in human tissue donor attitudes: 1969-1974.

Surveys of various community groups reveals changes in attitudes regarding human tissue donation from 1969 to the present. An overall donor ratio of 67% in 1969 is compared to a donor volunteer ratio of 78% in 1974. Both prospective donors and nondonors rate various organ transplantation procedures more favorably now than in 1969, with nondonors showing a particularly striking rise in evaluation of such procedures. Even transplant operations such as liver or heart, now largely abandoned, are viewed more favorably today. Attitudes concerning giving or receiving of blood occupy a special place in donor regard since both donors and nondonors overwhelmingly favor blood transfusion and do not differ significantly in this respect.

Adult↗