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Biomedical subjects

W Goodrich

Publications and source records attributed to W Goodrich.

14 recordsLinked to original sources

Predicting hospital adjustment by adolescent inpatients.

Data about 145 adolescent inpatients were used to examine the relationship between past patterns of aggressive behavior and behavior during the initial period of psychiatric hospitalization. During their first month in the hospital, adolescents with a history of externally directed aggression were more likely to present management problems, compared with adolescents without this history. Adolescents with a history of internally directed aggression were more likely to be self-destructive. However, no association was found between adolescents' preadmission patterns of aggression and the likelihood that they would experience depressive symptoms in the hospital. Associations were found between adolescents' patterns of aggression and diagnoses. The authors suggest strategies to enhance treatment of adolescents with various patterns of aggression during the initial phase of hospitalization.

Adaptation, Psychological↗

Grandparent deaths and severe maternal reaction in the etiology of adolescent psychopathology.

Relationships between the extent of psychopathology and the occurrence of 21 major life events during five developmental periods (prebirth, infancy, childhood, latency, and adolescence) were examined with multiple regression and X2 analyses for 114 hospitalized male and female adolescents. Psychopathology was assessed with the Global Assessment Scale (GAS) at admission to long-term residential treatment in a private psychiatric hospital. Data on deaths, physical illnesses, psychological disturbances, and socioenvironmental events experienced by patients before admission were gleaned from interviews and institutional records. Life events and GAS were scored independently. Only deaths and socioenvironmental events were significantly associated with psychopathology. Specifically, deaths of grandparents during infancy corresponded to lower functioning at admission. Additional analyses showed that severe reactions of patients' mothers to grandparent deaths had been more common among those adolescents who were most disturbed at the time they were admitted to the hospital. These findings were largely serendipitous, however, and need replication.

Adolescent↗

Psychosis, aggression, and self-destructive behavior in hospitalized adolescents.

The authors studied the history of aggressive and self-destructive behaviors in psychotic and nonpsychotic hospitalized adolescents (N = 137). A multidimensional measure of self- and other-directed aggression was retrospectively applied to each patient's social and developmental history. Nonsignificant gender and diagnostic differences were obtained on ratings of violence and suicide. Broader definitions of internal and external aggression yielded nonsignificant diagnostic differences, but gender differences were observed on both internal and external aggression measures. Females displayed greater internal aggression, and males reported higher external aggression scores. These results, compared to those of other investigators, suggest the importance of social and cultural variables in understanding adolescent psychosis and aggression.

Adolescent↗

Long-term psychoanalytic hospital treatment of adolescents.

Approximately 0.5 per cent of adolescents require long-term hospital treatment to remedy their severe personality disorder or psychosis. This article describes the treatment processes that are used in psychoanalytic hospitals to restore more normal personality functioning. The concepts that guide these treatment processes are the resolution of early developmental conflicts, working through the transference to the institution, providing positive support, containment, and re-education.

Adolescent↗