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Biomedical subjects

T N Wise

Publications and source records attributed to T N Wise.

At least 19 recordsLinked to original sources
PubMed1992

Psychiatric affiliations between community hospitals and university programs. Transcending the difficulties.

The community-based general hospital is increasingly utilized as a clinical training site for psychiatric education. Are such affiliations taken for granted by university departments? Only by careful review of the governance structure and motivations for such affiliations can a successful program be developed. Such affiliations need not be "taken for granted." Ongoing flexibility and communication will foster mutual respect between the clinical faculty within the community hospital and the university department. A case example is provided to demonstrate such a process.

Consumer Behavior↗
PubMed1992

Psychiatrically hospitalized college students: a pilot study.

This pilot study presents data on an underreported group: college students who require psychiatric hospitalization. Although the study is too small to sustain broad generalizations, the authors found indications of significant correlations between students' hospitalization and the academic cycle, substance abuse, and distance from home. It is hoped that other institutions will undertake similar studies of this group of students to provide a broader body of data from which to draw inferences regarding prevention, intervention, and psychiatric hospitalization.

Adult↗
PubMed1992

Factor analysis of the Toronto Alexithymia Scale: elucidation of a polythetic construct.

The Toronto Alexithymia Scale (TAS) offers a reliable method to measure alexithymia, a personality construct describing individuals endorsing the inability to identify and report emotions, processing a minimal fantasy life, utilizing an analytic cognitive style, and tending to somatize. Utilizing four cohorts of both patients and controls, a three-factor solution emerged from a principal-components analysis utilizing a varimax rotation. The factors of inability to identify and report feelings, an analytic cognitive style, and paucity of fantasy life were independent and internally reliable. These data are reviewed in the context of previous research and offer three subscales for future investigations utilizing the Toronto Alexithymia Scale.

Adult↗
PubMed1992

The five-factor model of personality and sexual functioning in outpatient men and women.

454 adults seeking evaluation at a sexual behaviors consultation clinic were evaluated for the major dimensions of personality as measured by the NEO Personality Inventory and various aspects of sexual attitudes and experiences via the Derogatis Sexual Functioning Inventory. The results showed that elevated Neuroticism was correlated with dysphoric symptoms, negative body image and lowered satisfaction. More extraverted individuals reported increased drive, more sexual experience, positive body image, and more positive affects. Agreeableness was unrelated to sexual drive and satisfaction but was negatively related to symptomatology. Openness was positively associated with amount of Information, range of sexual experiences, liberal attitudes toward sex, sexual drive and fantasy and appears to broadly impact upon sexual functioning. The more conscientious subjects had lowered sexual drive, but fewer dysphoric symptoms and a better body image. Women showed a similar pattern of personality correlates with the exception that personality was unrelated to females' sexual experiences and sexual satisfaction. The present findings support and expand previous research and contribute to our understanding of how personality dispositions influence the experience and expression of sexual functioning in male and female clinical samples.

Adolescent↗
PubMed1991

Delusions of disfigurement in a woman with acne rosacea.

A 36-year-old woman with newly diagnosed acne rosacea is presented. Her skin changes were noticeable only under closest scrutiny, but she quit her job, became despondent about her acne, and developed suicidal ideation. The diagnosis and treatment of this patient allow a broader discussion of the somatically focused patient whose ideation reaches delusional intensity.

Adult↗
PubMed1991

Ego defensive styles and alexithymia: a discriminant validation study.

Fifty-six mildly depressed psychiatric outpatients were evaluated for alexithymia measured by the Toronto Alexithymia Scale. Each subject also completed a Defensive Style Questionnaire that assessed the maturity of their ego defenses. Alexithymia was strongly associated with immature ego defenses, but not with depression. The data suggests that alexithymia and such primitive defensive operations are separate phenomena. These findings empirically support earlier observations regarding the nature of alexithymia.

Adult↗
PubMed1991

A comparison of five-factor personality dimensions in males with sexual dysfunction and males with paraphilia.

We compared personality profiles of men with sexual dysfunction (n = 51) to those of age-matched men with a primary diagnosis of paraphilia (n = 51) employing the NEO Personality Inventory (NEO-PI), a measure of the five-factor model. Preliminary analyses in a large sample of patients in a sexual behaviors consultation unit supported the reliability and factorial validity of the NEO-PI for this population. Analysis of variance showed significant differences between the dysfunctional and the paraphilic groups on two of the five NEO-PI domains, Neuroticism (N) and Agreeableness (A). The group personality profile of the sexually dysfunctional men was comparable to the normative sample of the NEO-PI, except for a slight elevation in N. By contrast, men with paraphilia had a personality profile marked by high N, low A, and low Conscientiousness (C). Treatment implications of the average personality profile of the sexual dysfunction group and the distinctive personality profile of paraphilic men are discussed.

Adult↗
PubMed1991

Depression and fatigue in the primary care physician.

Fatigue is a symptom that is found in a variety of psychiatric disorders. The nature of a physician's life may foster such symptoms that can be either a reaction to work or a sign of an emotional disorder. This article summarizes various developmental stages that can lead to such problems. These difficulties may also be found in the physician's family and can be easily overlooked.

Adolescent↗
PubMed1979

Psychotherapy of an aging transvestite.

Proper categorization of individuals with gender dysphoria allows rational psychotherapy. The treatment of an aging transvestite who requested sexual reassignment is presented to demonstrate the clinical features of the disorder and the course of the illness. The initial task was to place the patient into the proper clinical category of individuals with gender dysphorias. The clinical details of this disorder include an episoidic course with individuals who have previously had clear masculine identities. In the past they have been labeled secondary or marginal transsexuals as well as fetishtic cross-dressers. The patient, who had a long-standing history of cross-dressing, reacted to specific life stresses by the symptomatic wish for sexual reassignment. The individual psychotherapy consisted of phases of symptomatic expression, emerging depression, interpersonal awareness, symptom resolution and disavowel of the wish for sexual reassignment. The genesis of this perversion appears to be identification with a phallic maternal figure. Discussion of the descriptive and dynamic literature is reported in relation to the reported case. Identification of important losses in this patient's recent life allowed proper diagnosis and appropriate ongoing therapy to prevent the patient from irreversible surgery for a condition that was a symptom not an ingrained belief of gender dysphoria.

Adult↗
PubMed1979

Simple screening technic to estimate postoperative narcotic use.

The General Health Questionnaire, a 30-item, self-response inventory, identified individuals who required significantly more pain medication after elective cholecystectomy. The questionnaire is well tolerated by surgical patients and is easy to score. It can identify those individuals prone to request excessive narcotic medication postoperatively.

Adult↗