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PubMed1979

An explication of 'wind illness' in northern Thailand.

'Wind illness' is a very common complaint among the Northern Thai, yet is rarely recognized by Thai physicians trained in biomedicine. Persons most susceptible to 'wind illness' are adult women who have ever borne a child. Consequently, data were obtained from 415 everparous women, 43% of whom reported ever having had 'wind illness' and 57%. never having had it. In addition, 20 individuals who had ever had the syndrome were followed for case study, and 13 indigenous healers who traditionally treat clients suffering 'wind illness' were interviewed. Their perceptions of the etiology, symptomatology and treatment of 'wind illness' are reported in Part I. Part II is an attempt to define 'wind illness' in terms of biomedicine and as a consequence of fertility. Part III synthesized the emic and etic accounts with explanations for the perdurance of 'wind illness' despite the advances of biomedicine and the recent fertility decline in Northern Thailand.

Adult↗
PubMed1979

Marital status, health, and use of health services. An old relationship revisited.

Historical data indicate that married persons live longer on the average than unmarried persons and that they generally make less use of health care services. These facts are increasingly important in view of the growing proportion of "singles" in the US population. The complex cause-and-effect relationship between marriage and better health has long been recognized, but there is now some indication that the relationship is less strong than before. Despite lack of precise knowledge on many aspects of this issue, two facts are clear: perceptions of health, illness, and "need" for health care are constantly changing and as the family's role in health has declined, there has been a concurrent rise in the "need" for, and cost of, the external health care system. The future of these trends depends, in part, on the future of the American family.

Adolescent↗
PubMed1978

Life events: perceptions and frequencies.

Life changes have been associated with illness onset. The Social Readjustment Rating Scale (SRRS) records numerical perceptions of the meaning of life events while the Schedule of Recent Experience (SRE) records the frequency of occurrence of life events. Data on these two instruments from 19 studies done in this laboratory have been surveyed and analyzed. They reveal significant variability among groups in their perceptions of life events as well as in their reports of the frequency of occurrence. Variables indicated to be of significance in either or both of these parameters were age, marital status, sex, socioeconomic status, ethnicity, level of education, culture, and experiencing of an event. These variables impose caution on investigations that relate life changes to illness.

Age Factors↗
PubMed1975

The Tecumseh study of respiratory illness. VIII. Acute infection in chronic respiratory disease and comparison groups.

Individuals with chronic lung disease and their families were selected from the Tecumsch community along with similarly selected families as comparison groups and studied for 1-year periods. Occurence of acute respiratory illness was ascertained weekly by telephone and calculated as an annual rate. Persons with chronic bronchitis not only experienced more acute lower respiratory illness than healthy comparison subjects, but total illness rates were somewhat higher as well. Infection rates were determined from blood samples taken 3 times from each participant during the surveillance year. Antibody tests were performed for respiratory syncytial virus, para-influenza virus types 1, 2, and 3, influenza types A and B, coronavirus OC43, Mycoplasma pneumoniae, and Haemophilus influenzae. Differences in serologic infection rates among the subgroups of the population were similar to those seen in the clinical data, with more frequent infection among those with bronchitis than among the comparison subjects. This finding indicates that some degree of increased susceptibility to actual infection existed among those individuals with bronchitis. Influence of smoking on illness and infection rates was also examined. Infections were, in general, more frequent in smokers than in nonsmokers, but illness rates were reversed, suggesting that perception of disease differed in the 2 groups. Rates of illness and infection of other adults in the families of the index individuals with bronchitis were not influenced by the higher rates seen in the index individuals; however, it was of interest that children of persons with bronchitis did have somewhat higher rates of infection than children of comparison subjects.

Acute Disease↗
PubMedDate not supplied

Nurse perceptions of patient characteristics.

To determine whether nurse perceptions of patients are influenced by a patient's socioeconomic class, 78 nurse subjects observed slides and read about a patient and then rated him on a seven-point scale. Nurses were randomly given one of eight written descriptions in which the patient was identified as middle or lower class., with a more or a less serious and a more or a less socially acceptable illness. Results were subjected to 2 X 2 X 2 analysis of variance. Nurses were found to stereotype lower-class patients as dependent, passive, unintelligent, noncomprehending, ummotivated, lazy, forgetful, inaccurate, careless, uninformed, unsuccessful, and unreliable. Patients with less-acceptable illnesses were rated more negatively than those with more-acceptable illnesses and were perceived as sensitive, rigid, bored, and resistant to learning about their illness. Since nurses admitted they would feel embarrassed and would conceal having these less-acceptable illnesses themselves, these negative perceptions of patients may be projections of the nurses' feelings.

Alcoholism↗
PubMed1979

Changes in patient perceptions toward a family practice: a case study.

This paper presents the results of an evaluation of a family practice that focuses on changes in patient perceptions over five years. The evaluation includes an analysis of patient attitudes as well as behavior. Patient attitudes are measured by means of a personal interview and behavior is analyzed by creation of a Family Utilization Index. Significant changes are noted in the areas of both reported and actual utilization, with fewer changes in the areas relating to patients' perceptions of health and illness or in attitudes toward either the model of family practice of the specific site of obtaining care. This is not a definitive model for evaluation of family practice, but it is one of the few empirical studies available and suggests the need for more documentation of the effectiveness of family practice as a model for delivering primary care services.

Adolescent↗
PubMed1977

The future of the mental hospital: developing a unified system of care.

The authors emphasize that the future of state mental hospitals should be considered only in the context of a unified system of care and treatment of the mentally ill. They discuss changing perceptions of mental hospitals as resources for mental health care, describe trends that must be considered in developing a unified system of services, and make recommendations about treatment plans, staffing, funding, organization and governance, and legal codes and standards of the components of a unified system.

Adult↗
PubMed1978

The clinical utility of the hand-held tachistoscope.

A hand-held tachistoscope for use at the bedside was constructed and used to examine 40 normal controls and 170 psychiatric and neurological patients. This instrument quickly provided an index (perception time) which distinguished between idiopathic psychiatric illness and delirium, and between cortical and subcortical neuropathology. Slow perception time was seen in patients with delirium or cortical neuropathology.

Adolescent↗
PubMed1975

Psychological aspects of family practice.

The double diagnosis is a tool which can be used to develop an expanding ecologic perception of the patient and his illness. Intrafamily relationships can be related to the development of recurrent physical illness among family members, and an increased understanding of the relevance of such data can clarify the epidemiology of many clinical syndromes, thus allowing the formulation of a more comprehensive plan of medical management.

Adult↗
PubMed1977

Aspects of outcome in a therapeutic community setting. How patients are seen by themselves and others.

How patients are seen by themselves and others close to them may influence the process of re-integration in the community after discharge. In a study in a psychiatric admission unit employing a therapeutic community approach, patients who sought little or no contact with the unit after discharge saw themselves, and were seen by others, as less "pleasant" but less "ill" than those who continued more regular contact. Perceptions were measured with the semantic differential technique. Patients' social class and household position were found to have a marked effect on the level of contact and on its association with how patients were seen. Diagnosis did not appear to influence hospital contact.

Adult↗
PubMed1975

Consultation with the filipino boarding home: an after-care facility in Hawaii.

This report describes a unique Hawaiian after-care facility the Filipino operated boarding home, and the approaches useful in consultation with the operators. The majority of the boarding homes for psychiatric patients are operated by recent Filipino immigrants. This fact is explained by their current social position and also by cultural values--such as aiding others and an extended family system--which are present in the Philippines. In consultation with seventeen such boarding home operators, cultural beliefs and values played a great part in their approach to patients. These approaches created special problems and assets in their management of patients from other ethnic groups such as Japanese, Caucasian and Hawaiian. A problem-oriented approach to consultation proved useful initially and set the stage for other forms of intervention. This included allowing the operator to ventilate her feelings about the patient; bridging the communication gap between operators and patients; dissipating the operators' stereotypic perception of patients; and educating the operators about mental illness. Our impressions and indirect evidence indicated that Filipino boarding home operators perform a useful service and, with consultation sensitive to their values, can become even more effective.

Aftercare↗
PubMed1979

Aspects of differential role perception of Israeli medical school students.

Attitudes of first year Israeli Medical School students are investigated using the Semantic Differential technique to differentiate their perceptions of the roles of doctor, patient and the mentally ill. Students also selected from among thirty-four behavioural traits those roles considered most characteristic of doctor and/or patient. A high degree of certainty and of role stereotyping is found of doctor image. This may be associated with past experiences as child-patient, with idealizations and identifications and with future aspirations. There is less consensus with the role of patient but there are clear attitudinal boundaries among students between roles. The doctor is perceived as an idealized, if authoritarian, person meeting with a rather negatively but more flexibly perceived person of the patient. Behavioural traits selected by the students are consonant with this finding. The results are discussed in the context of identification patterns and the educational process.

Adult↗
PubMed1976

Scales for measuring general health perceptions.

This article reports on the construction and testing of eight health perception scales from 32 items on a standardized survey instrument designed for self-administration, the Health Perceptions Questionnaire (Form II). The scales measure perceptions of prior health, current health, health outlook, resistance/susceptibility to illness, health worry/concern, sickness orientation, rejection of sick role, and attitude toward going to the doctor. Field testing revealed that the scales are valid, reliable, and stable over time for diverse populations. It is recommended that the scales be used in studies requiring general health measures. Suggestions for future research are offered.

Attitude to Health↗
PubMed1978

Veterans Administration hospital staff attitudes toward alcoholism.

Attitudes toward alcoholism among psychiatrists, psychologists, social workers, registered nurses, licensed practical nurses, and nursing assistants (464 subjects) were surveyed. A nine-factor questionnaire was utilized (emotional difficulties, character defect, social status, illness conception, harmless indulgence and addiction liability). All groups were homogeneous in their perceptions about emotional difficulties contributing to alcoholism, alcoholics not coming from the lower socioeconomic strata of society, and the belief that alcoholics did recover and could be helped by treatment. Age, sex, and special training in the treatment of alcoholism did not have any significant influence on attitudes. All groups believed that periodic excessive drinkers could be alcoholics. None of the groups believed that the alcoholic had a character defect. Psychologists disbelieved the concepts of illness and addiction liability. All groups disagreed with harmless indulgence. Nursing assistants tended to see the alcoholic as a harmless heavy drinker. Working on a special alcoholism treatment unit did not alter the perceptions of psychiatrists, psychologists and nursing assistants. Social workers and registered nurses showed only a minor trend toward a positive attitude change, while the trend went in the opposite direction for licensed practical nurses.

Adult↗
PubMedDate not supplied

[An objective method for forming diagnostic sub-groups of ulcer patients].

79 ulcer patients were arranged in 6 seb-groups by means of a Q-analysis. Relevant items of their self-images in the Giessen-Test selected through factor analysis were the basis of this sub-grouping. Description of the sub-groups was based on factor analysis of 5 dimensions and discriminance analysis of 3 dimensions obtained in the self-perceptions and self-images. The patient's view of his illness, his social status and his physical ailments were also included as dimensions of the 6 sub-groups. A clinically obtained typology of the characteristics of these sub-groups was checked and verified.

Conflict, Psychological↗
PubMed1979

Surfaces with steep variations in depth pose difficulties for orientationally tuned disparity filters.

Surfaces possessing steep variations in depth present severe difficulties for orientationally tuned filter models of stereopsis. These difficulties are discussed in connection with a random-dot stereogram depicting a surface with steep horizontal corrugations. As expected on theoretical grounds, we find that a vertical +/- 45 degrees orientationally filtered version of this stereogram cannot be fused. Moreover, it is demonstrated that a horizontal +/- 45 degrees filtered version can be fused only with difficulty and its stereo percept is poor compared to that of the unfiltered original. It is concluded that orientated filters seem ill-designed to mediate the extraction of disparity cues, at least in the cases under consideration.

Depth Perception↗
PubMed1978

Medical and social work student perceptions of deviant conditions: descriptive label, cause and help source.

The focus of this paper is on medical and social work student perceptions of the descriptive label, cause and treatment source for seven conditions; mental illness, mental subnormality, alcoholism, drug addiction, homosexuality, unmarried pregnancy and venereal disease. Responses to questionnaire items were examined to ascertain whether there were differentials by career choice (medicine and social work) and by class year (first and final year). The students indicated that the seven deviancies should be described as sick or handicapping conditions, that causes are social and psychological, and that treatment should be given by private and social sources. When reference to medical aspects of the conditions is made, the students select psychiatric rather than general medical options. Both medical and social work students tended to choose neutral, rather than negative and stigmatizing terms of reference for the conditions. While students in the different school years made similar response overall, multiple responses were much more frequent among those preparing for social work rather than medical careers and among students in their final year of schooling.

Attitude of Health Personnel↗