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Biomedical subjects

S Seligman

Publications and source records attributed to S Seligman.

9 recordsLinked to original sources
PubMed1997

Juvenile rheumatoid arthritis: benefits from massage therapy.

Studied children with mild to moderate juvenile rheumatoid arthritis who were massaged by their parents 15 minutes a day for 30 days (and a control group engaged in relaxation therapy). The children's anxiety and stress hormone (cortisol) levels were immediately decreased by the massage, and over the 30-day period their pain decreased on self-reports, parent reports, and their physician's assessment of pain (both the incidence and severity) and pain-limiting activities.

Adolescent↗
PubMed1996

Predictors of survival in HIV-infected tuberculosis patients.

OBJECTIVE: To ascertain predictors of survival in HIV-infected tuberculosis (TB) patients. DESIGN: Retrospective cohort study. SETTING: New York City public hospital. PATIENTS: Fifty-four consecutive HIV-seropositive patients with newly diagnosed TB and no other AIDS-defining illnesses. MAIN OUTCOME MEASURES: CD4+ T-lymphocyte counts, completion of anti-TB therapy, repeat hospitalizations with TB, and survival. RESULTS: Forty-five (84%) of the 54 patients died a median of 15 months after TB diagnosis (range, 1-80 months), five (9%) were alive after a median of 81 months (range, 75-84 months), and four (7%) were lost to follow-up after a median of 42 months (range, 30-66 months). In univariate analyses, disseminated TB, intrathoracic adenopathy, oral candidiasis and CD4 count depletion were each associated with decreased survival. In a multivariate analysis, CD4 count depletion was the only independent predictor of decreased survival. Repeat hospitalization with TB occurred in 10 out of 15 patients who did not complete anti-TB therapy compared with one out of 21 patients who completed anti-TB therapy (P < 0.001). CONCLUSION: The clinical presentation of TB and CD4 count at TB diagnosis are each predictive of survival in HIV-seropositive TB patients. The CD4 count is the only independent predictor of survival.

Adult↗
PubMed1994

Applying psychoanalysis in an unconventional context. Adapting infant-parent psychotherapy to a changing population.

The model of psychoanalytically oriented infant-parent psychotherapy originally proposed by Selma Fraiberg and her colleagues has evolved in the nearly two decades since its inception. This paper provides an overview of current developments in the model's core intervention techniques, with special reference to modifications that have emerged in response to recent efforts to intervene with an exceptionally psychosocially disadvantaged population. A conceptual framework for the intervention is offered, emphasizing the special therapeutic opportunities offered during the couple's transition to parenthood. Finally, the concept of "bureaucratic transference" will be briefly elaborated as it has emerged in efforts to apply psychoanalysis in work with social agencies on behalf of infants and their families.

Adult↗
PubMed1993

The dynamic functions of the act of reading.

This study of 68 avid fiction readers demonstrated that for those who love fiction, deeply personal meanings pervade the act of becoming absorbed in a work and shape the ways that they can use fiction in their lives as a whole. Each respondent had a unique, largely unconscious relationship to the act of reading, a relationship that expressed themes and addressed functions related to self-organisation, real and fantasized relatedness, affect regulation, and the repetition or working through of conflict. To the extent that these inner determinants of the reading experience became rigid and unyielding, readers derived less newness, richness, and depth, though not necessarily less benefit, from engagement in fiction. Greater flexibility allowed reading to take place in what Winnicott called potential space. It enabled readers to involve themselves in fiction without sacrificing either the work's uniqueness or their own inner life, so permitting them to create new experience.

Affect↗
PubMed1975

Issues involved in the treatment of an adolescent group.

At first we had a lot of information about what to expect from an adolescent group. But we quickly found an enormous gap between our information and the actual experience and gut feelings. It is important to anticipate many overwhelming feelings! It is also crucial for therapists to be open and honest with themselves and each other about their counter-transferences. Second, we discovered that it is not hopeless! However, it is essential to provide structure via firm, consistent limits and goals. Adolescents need to feel protected by therapists who can manage the group's turbulence. Third, creative techniques frequently provide ways of dealing with feelings. Four, a treatment group cannot survive with too many acters-out; one or two may add spice and give permission to others to recognize and express feelings. Also, despite the often chaotic atmosphere, serious treatment takes place. It has been helpful to have Mrs. Friedman as our supervisor. At critical points, when we were overwhelmed, she helped with her objectivity and support, offering a clearer vision of actual treatment issues when feelings were high. At times when we felt depleted, Mrs. Friedman's support replenished us and we were able to return to the group with enthusiasm. In conclusion, it has been fun working as co-therapists. We have found that the sharing and mutual confrontation contributed significantly to our professional growth.

Acting Out↗