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Biomedical subjects

W W Menninger

Publications and source records attributed to W W Menninger.

At least 19 recordsLinked to original sources
PubMed1996

Practitioner, heal thyself: coping with stress in clinical practice.

These are stressful times for clinical practitioners, who can benefit from increasing their understanding of stress response syndromes and from an enhanced appreciation of the constellation of stressors confronted in daily practice. The author reviews these stressors, as well as the signs and symptoms of the stress response syndrome, and suggests strategies for coping with personal and professional challenges.

Adaptation, Psychological↗
PubMed1995

Challenges to providing integrated treatment of anxiety disorders.

Although anxiety disorders are among the most common psychiatric conditions, a number of factors in the current health care scene pose challenges to providing effective, integrated treatment. The author describes nine specific challenges, including lack of recognition of the disorder by both patients and physicians. Other challenges include lack of gender-based research, comorbidity issues, differing etiological and ideological perspectives, the burgeoning of pharmacological treatments, and the tendency to adopt an "either/or," pharmacological versus psychotherapeutic approach to treatment. The author concludes that the overarching challenge is to disseminate the increasing knowledge of these disorders so that practitioners can provide the most effective, integrated treatment.

Anti-Anxiety Agents↗
PubMed1994

The future of psychiatry and implications for recruitment.

Psychiatry faces challenges involving the recruitment of new psychiatrists. After providing a historical perspective on the development of psychiatry as a medical specialty, the author highlights current issues affecting recruitment. He concludes by emphasizing the unique character of psychiatry as a key factor in attracting new psychiatrists.

Health Care Costs↗
PubMed1994

Psychotherapy and integrated treatment of social phobia and comorbid conditions.

Various treatment interventions for social phobia and its comorbid conditions have been developed in the past decade, including psychodynamic, cognitive-behavioral, and psychopharmacological approaches. Because social phobia has only fairly recently been recognized, no one form of treatment has been identified as superior to another. The difficulty in recognizing social phobia and identifying its frequent comorbidity with other psychiatric disorders poses particular treatment challenges. In this light, the author suggests eight operating principles that should be implemented to facilitate an effective, integrated approach to the treatment of patients with social phobia and comorbid conditions.

Clinical Protocols↗
PubMed1993

Management of the aggressive and dangerous patient.

Violence is the ultimate maladaptive coping behavior manifested by a small but significant number of psychiatric patients. The management of the aggressive and dangerous patient depends on recognition of predisposing developmental experiences, cognitive and behavioral factors, and situational circumstances that potentiate a violent outburst. The author presents management guidelines, which stem from an understanding of the paranoid process, respect for the limited coping skills of the individual, and appropriate use of verbal, physical, and chemical interventions.

Aggression↗
PubMed1992

Integrated treatment of panic disorder and social phobia.

The integrated treatment of disabling anxiety disorders such as panic disorder and social phobia draws on an understanding of psychodynamic theory, cognitive-behavioral theory, and psychopharmacology. Regardless of the treatment employed, clinicians are encouraged to focus on interrelated factors affecting the course of the illness and its treatment, including differential diagnosis, etiology, patient education, symptomatic relief, underlying causes, and therapist anxiety. The author delineates eight key principles that foster the optimal choice or combination of treatment methods, and gives a case example to illustrate how these principles apply.

Adult↗
PubMed1991

Patient suicide and its impact on the psychotherapist.

Patient suicide is a source of considerable anxiety for psychotherapists. It is experienced by a substantial number of therapists, and has a significant emotional impact when it occurs. A survey of 105 therapists forms the basis for the author's report on the frequency of patient suicide and its impact on therapists, according to the phases of their reaction. Methods of coping with patient suicide, particularly group support and training that anticipate such an experience, are described. Of particular note are some survey respondents' comments on lessons they have learned from a patient's suicide.

Adaptation, Psychological↗
PubMed1990

Anxiety in the psychotherapist.

The universality of anxiety-producing situations for professionals who conduct psychotherapy is evident from a survey of 88 practicing psychotherapists whose responses are summarized by the author. The therapist's anxieties are viewed in terms of threatened loss of control, loss of relationship, injury to or loss of competence, and guilt feelings or loss of self-esteem.

Adaptation, Psychological↗
PubMed1989

The impact of litigation and court decisions on clinical practice.

Malpractice litigation has dramatically increased in recent years, posing a major challenge to psychiatrists and other clinicians. The author reviews the current legal situation and major court decisions, and then addresses five categories of litigation specifically affecting psychiatry: (1) patients' acts of violence; (2) patient suicides; (3) patient injuries that result from negligent treatment; (4) faulty initiation, process, or termination of treatment; and (5) liability arising from employer, supervisory, or consultative relationships. He concludes that a sensitive and effective relationship between treaters and patients remains the best safeguard against malpractice litigation.

Humans↗
PubMed1984

Dealing with staff reactions to perceived lack of progress by chronic mental patients.

Staff who work with chronic mental patients are often frustrated by the patients' seeming failure to improve. However, a review of problem cases at a public mental hospital helped staff to realize that several patients had made incremental progress over a period of years. Two such cases are presented. Staff reactions to so-called problem patients are discussed, and ways that staff can handle their reactions to slow patient progress and thus improve patient care are suggested.

Adolescent↗