PubMed Health⌕ Search

Biomedical subjects

T Nadelson

Publications and source records attributed to T Nadelson.

26 records · Page 2Linked to original sources
PubMed1977

The successful professional woman: on being married to one.

Feminity and professionalism traditionally have been regarded as incompatible. From their own experience and that of colleagues and patients, the authors argue that female personhood is enriched by professional committment. In consequence, the woman with a career becomes a more stimulating spouse and parent. Problems of role differentiation and of time allocation stress the dual-career marriage, but coping with those stresses enhances personal growth and leads to a more rewarding marital relationship. The authors consider themselves the most fortunate of men.

Achievement↗
PubMed1977

Borderline rage and the therapist's reponse.

Borderline patients often engender feelings ranging from apathy to rage in therapists. The author views the borderline patient's rage as defensive against fear of total negation resulting from projective identification with hostile part objects. The therapist's withdrawal or anger parallels the patient's projection of affect. Countertransference offers the potential for understanding a patient's terror, but therapists may become fixed in identifications that distort their understanding. Clarity often comes slowly as the therapist directs attention to his/her own affective state in order to understand the patient's vulnerability.

Affect↗
PubMed1976

The psychiatrist in the surgical intensive care unit. I. Postoperative delirium.

Delirium has been defined as a condition of cerebral insufficiency consisting of impairment of cognitive processes, with a characteristic slowing of the electroencephalographic pattern. Present also is a global "clouding" of consciousness, resulting from a potentially reversible impairment of ability to maintain attention. In these states there is usually a simultaneous diminution of the ability to think, perceive, and remember. Although drowsiness may be a part of this state, patients can be awake and yet delirious, with diminished consciousness of their surroundings. Postoperative delirium is seen more often in patients over 50 years of age, in those who are "vigilant" or overalert, and in those undergoing more complex surgery. Adverse influences in the postoperative period are certain drugs and the psychological stresses engendered by the ICU environment. Appropriate management obtains from attention to the impact of the strange enviornment on the patient.

Anesthesia↗
PubMed1976

The psychiatrist in the surgical intensive care unit. II. A consideration of staff roles.

The stresses present within the Surgical Intensive Care Unit (SICU) affect both patients and staff. The liaison psychiatrist attached to the unit helps in identifying and neutralizing tension displaced from its source. Death, although commonplace on the unit, often engenders strong feelings in the staff. Pulmonary patients, especially those who must be weaned from the respirator, also increase the psychological strain on the staff beyond the necessary effort involved in physical caretaking. Aside from emotional difficulty presented by working with very sick patients, there exists group pressures resulting from hierachy within the staff. Here, particularly, the psychiatrist can promote understanding and reduce polarization.

Attitude to Death↗
PubMed1976

Victim, victimizer: interaction in the psychotherapy of borderline patients.

Borderline and narcissistic patients suffuse relationships with intense pregenital aggression to which the therapist, despite his level of training or self-understanding, is not totally immune. Aggression is considered an energetic expression of the narcissistic defense against vulnerability. The therapist is subject to a continuing siege of projections and projective identifications. Vigilance against repetitive sadomasochistic interactions is a necessary and often wearying extension of therapeutic concern. Most necessary, too, is the willingness to make second efforts at understanding the patient's vulnerability. Such understanding comes from attentiveness to countertransference feelings.

Adult↗