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At least 919 records · Page 51Linked to original sources
PubMed1982

As others see us: general practitioners' perceptions of psychological problems and the relevance of clinical psychology.

Structured interviews were carried out with 30 randomly selected general practitioners, to discover how they perceived and handled psychological problems in their patients. In addition, the doctors' perceptions and expectations of their professionals who might assist in the management of such problems were examined. Much of the previously published work was confirmed by the present investigation, but some new information was also uncovered. Thus, although almost all the GPs were sympathetic towards the wish of some clinical psychologists to work at the primary health care level, almost half the doctors would not want a psychologist within their practice, even if finance and accommodation were not problematic. Clinical psychologists were viewed, primarily, as therapists and, as such, were mostly expected to provide a regular part-time service to the practice. Only a minority of GPs wished to acquire skills from clinical psychology, but a large majority were in favour of direct referrals. The results of this study are discussed in terms of their implications for clinical psychology services.

Allied Health Personnel↗
PubMed1985

Sharing psychological skills in the general practice setting.

Three broad areas of work are described in this paper. The first is concerned with the nature of psychological processes within the general practice consultation and the indications these provide for skill sharing. In the second section there is an account of courses designed to develop skills in the recognition of psychological aspects of illness and in the detection of psychological problems. The third section outlines various courses for developing and improving the consulting and counselling skills of general practitioners. In addition to describing a range of skills developed by ourselves and others, two general themes emerge from this paper. The first concerns the appropriateness of the general practice setting for the sharing of psychological skills and the extent to which the psychologist may be able to complement the skills of the general practitioner. The second theme concerns the importance of helping general practitioners to identify their own learning needs as an essential first step in deciding how to structure courses to meet these needs.

Disease↗
PubMed1966

Investigations of a mirror-image transfer effect in pigeons.

In two separate experiments, pigeons trained binocularly to peck a key on which an oblique line (e.g., 60 degrees counter-clockwise rotation from horizontal) was projected yielded bi-modal angularity generalization gradients in extinction, with peaks of responding at both the training stimulus and its mirror image (in this case 120 degrees ). This mirror-image transfer effect may be analogous to an "octave effect" in auditory generalization, but Mello's finding of a mirror-image reversal transfer effect following monocular training in pigeons suggests an alternative interpretation.

Animals↗
PubMed2003

The provision of clinical psychology services within a general hospital: an analysis and interpretation of referral rates.

A semi-structured interview was administered to fifteen hospital based medical and surgical consultants. This aimed to assess the level of knowledge and understanding regarding the activities of clinical psychologists and to evaluate the perception of need for the clinical psychology service within a general hospital in Central Scotland. Differences between high/regular and occasional/non-referring departments were examined. Results indicated that high/regular referring departments displayed a greater level of knowledge and understanding of clinical psychology practice than occasional/non-referring departments. The occasional/non-referring departments demonstrated more cautious attitudes regarding psychological input to the care of patients than high/regular referring departments. This study suggests that lower referral rates were more likely to be a result of generally low levels of awareness and understanding of psychological issues rather than mistrust of psychological methods. This highlights the need for education about the role of clinical psychology in general hospitals and improved communication between the psychology service and other departments in the hospital.

Health Knowledge, Attitudes, Practice↗
PubMed1994

Similarity and discrimination: a selective review and a connectionist model.

The 1st part of this article evaluates the extent to which 2 elemental theories of conditioning, stimulus sampling theory and the Rescorla-Wagner (1972) theory, are able to account for the influence of similarity on discrimination learning. A number of findings are reviewed that are inconsistent with predictions derived from these theories, either in their present form or in various modified forms. The 2nd part of the article is concerned with developing an alternative, configural account for discrimination learning. In contrast to previous configural theories, the present version is set within the framework of a connectionist network.

Animals↗
PubMed1988

[Comparative repercussions of general and spinal anesthesia on the psychological functions of the aged subject].

Although worsening cerebral function in the elderly is often said to be due to anaesthesia, it still remains to be proved that anesthesia acts on an elderly patient's psychological make-up. This study aimed to compare the psychological effects of general or spinal anaesthesia on 35 patients more than 70-yr old under repair of a subcapital femoral fracture, after having excluded 63 patients. They were randomly divided into two groups, the first receiving a spinal anaesthetic with 1.5 mg.kg-1 prilocaine (RA; n = 19), and the others a general anaesthetic with 5 mg.kg-1 thiopentone, dextromoramide, nitrous oxide and enflurane (GA; n = 16). None of the patients wer given a premedication. They underwent a battery of six psychological tests before and 36 h after surgery, all carried out by the same physician. Six patients in GA group and three in RA group developed a transient fall in mean blood pressure just after anaesthetic induction (not significant). There were no significant differences between the two groups in age, sex distribution, ASA class and performance in the tests, both before and after surgery. Individual psychological scores did not differ either. In the RA group, the postoperative tests were even better carried out than before surgery (p less than 0.05). It could therefore be concluded that anaesthesia alone has little impact on the psychological status of elderly patients.

Aged↗
PubMed2004

General practice, primary care, and health service psychology: concepts, competencies, and the Combined-Integrated model.

The profession of psychology is being impacted profoundly by broader changes within the national system of health care, as mental and behavioral health services are being recognized as essential components of a comprehensive, preventive, and cost-efficient primary care system. To fully define and embrace this role, the discipline of professional psychology must develop a shared disciplinary identity of health service psychology and a generalized competency-based model for doctoral education and training. This very framework has been adopted by Combined-Integrated (C-I) doctoral programs in professional psychology, which train across the practice areas (clinical, counseling, and school psychology) to provide a general and integrative foundation for their students. Because C-I programs produce general practitioners who are competent to function within a variety of health service settings, this innovative training approach has great potential to educate and train psychologists for a changing health care marketplace.

Adult↗
PubMed2005

The impact of receiving genetic test results on general and cancer-specific psychologic distress among members of an African-American kindred with a BRCA1 mutation.

BACKGROUND: Numerous studies have examined short-term and long-term psychologic responses to genetic testing for breast/ovarian carcinoma susceptibility in clinic samples and among families who participated in genetic linkage studies. However, to the authors' knowledge, the vast majority of studies focused on non-Latino whites and women. In this prospective study, the authors investigated the psychologic impact of receiving carrier-specific BRCA1 test results as part of a genetic education/counseling intervention in female and male members of an African-American kindred with a BRCA1 mutation. METHODS: Eighty-five of 101 participating kindred members (84%) underwent genetic counseling/education and testing according to an established protocol. Participants completed in-person or telephone-administered, computer-assisted interviews. At baseline and after the receipt of test results (1 mo, 4 mos, and 12 mos), general psychologic distress (i.e., anxiety and depression) and cancer-specific distress were measured. Statistical analyses were performed using linear mixed-model approaches for longitudinal data. RESULTS: The hypothesis that mutation carriers, particularly women who had no personal history of breast carcinoma, were expected to report greater distress than noncarriers was not supported. After controlling for socioeconomic status and personal history of breast/ovarian carcinoma, noncarriers reported significant declines in the distress measures (depressive symptoms, anxiety and cancer-related worries), whereas distress was not altered markedly in carriers after genetic risk notification. CONCLUSIONS: The current findings suggested that individuals receiving BRCA1 test results who learn that they are not carriers of a deleterious mutation may experience psychologic benefits. Furthermore, those who learned that they were mutation carriers did not appear to have adverse, clinically meaningful psychologic outcomes.

Adaptation, Psychological↗