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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 37 records · Page 2Linked to original sources
PubMed1978

Resistance in the behavioral treatment of sexual dysfunctions.

Although there has been a rapid burgeoning of interest in the treatment of sexual problems in recent years, particularly in treatments that include or rely heavily upon learning-based behavioral intervention strategies, little has been written about the patient "resistances" during this form of treatment. This report describes five categories of resistance: Type I resistance results from the patient not understanding what he is supposed to do, Type II resistance from a deficit in the patient's skills, Type III resistance from lack of motivation or expectation of success, Type IV resistance from anxiety or gulit elicited or mobilized by the treatment situation, and Type V resistance from positive reinforcement (secondary gain). Treatment strategies differ depending on the type of resistance.

Anxiety↗
PubMed1979

Active patient orientation and outcomes in hypertensive treatment: application of a socio-organizational perspective.

In the area of chronic ambulatory illness, it is well recognized that poor participation by patients in the treatment process greatly limits the potential benefits of effective medical technology. Patients' contributions to treatment outcomes might be enhanced if medical care was oriented to consider patients as active participants in the treatment process, rather than as passive-obedient recipients of care. A systematic attempt is needed to define and measure services along a specific dimension of "Active Patient Orientation" and to relate these measurements directly to treatment outcomes. Applying a socio-organizational perspective, the study reported here examined the link between an active patient orientation and treatment outcomes. Hypertensive patients were asked to characterize their care along the dimension of Active Patient Orientation (APO). Findings indicate that patients who are afforded a high degree of APO are significantly more likely to have their blood pressures under control and to exhibit more positive cognitive and behavioral responses to illness-management. Further, the data suggest that level of APO can be significantly increased through incremental changes in systems of routine clinic care.

Ambulatory Care↗
PubMed1978

The medical model and the responsible patient.

At Bryce Hospital patients whose illnesses are considered to have a biochemical basis, such as schizophrenia or manic-depressive illness, are assigned to a "responsible patient" class in which they are taught the rights and obligations of responsible patients: to know about the illness, to participate in treatment planning, and to follow treatment routines. The class is a segment of the instruction given in the hospital's Psychological Learning Center and is based on the medical model. The authors describe the class, the learning center, and the historical and theoretical antecedents of such an approach.

Alabama↗
PubMed1978

Diabetic day. Setting goals for a child-directed ambulatory program.

The techniques of management by objective have been used to coordinate and evaluate the activities of a non-traditional program for the medical care and education of children with juvenile diabetes mellitus. "Diabetic Day" is an ambulatory child-directed clinic program in which health professionals work together to improve the child's ability to cope with diabetes.

Adolescent↗
PubMed1978

The potential of grounded theory for health education research: linking theory and practice.

This paper offers a critique of present research methods used in the literature drawn upon by health education practitioners, students, and teachers. Weaknesses of deductive methods and of theory which is highly general are noted in terms of their implications for the advancement of health education theory and practice, and in terms of their consistency with traditional principles of practice. The grounded theory method--an inductive approach usually used with participant observation and interview data--is described, and the major arguments for its value are presented. In particular, the empirical generation of middle-range theory can provide a strong link between more general theory and situations faced by practitioners, and definitions of problems are not prematurely closed to reinterpretation from other perspectives. Several recommendations are given for changing the research orientation of health education.

Evaluation Studies as Topic↗