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Individual stress and its relationship to termination of nurse training.

During interviews with 23 learners (student and pupil nurses) who left training as a response to stress, the following points were explored; knowledge of nursing before commencing training; reasons for wanting to nurse; situations which produced stress; the way in which individual stress responses were expressed; and methods for coping with stress. Clinical experiences had produced the most distress, related predominantly to negative attitudes of other nurses. Behavioural and physiological signs of stress were observed as well as psychological reactions such as worry. People had few adaptive coping strategies and received little support in their time of need. The majority expressed a desire to try nursing again.

Adaptation, Psychological↗

Long-term outcomes of genetic counseling in women at increased risk of developing hereditary breast cancer.

This multicenter study evaluated the impact of genetic counseling in 218 women at risk of developing hereditary breast cancer. Women were assessed prior to counseling and 12-month post-counseling using self-administered, mailed questionnaires. Compared to baseline, breast cancer genetics knowledge was increased significantly at follow-up, and greater increases in knowledge were associated with educational level. Breast cancer anxiety decreased significantly from baseline to follow-up, and these decreases were associated with improvements in perceived risk. A significant decrease in clinical breast examination was observed at the 12-month follow-up. Findings suggest that women with a family history of breast cancer benefit from attending familial cancer clinics as it leads to increases in breast cancer genetics knowledge and decreases in breast cancer anxiety. The lowered rates of clinical breast examination indicate that the content of genetic counseling may need to be reviewed to ensure that women receive and take away the right message.

Adaptation, Psychological↗

Cross-cultural considerations in community psychiatry.

With the advent of community psychiatry it has become imperative to reconsider the role and meaning of such basic concepts as ego development, oedipal conflicts, object relations, etc. So much of life in the ghetto has been reduced merely to the struggle for survival. This is even more dramatically evident in dealing with the emotional and behavioral problems encountered among the children. Psychological intervention in any dimension must recognize and adapt or redefine these concepts within the context of the particular cultural and social environment. This varies widely when dominated by violence, disruption, and chaotic life experiences. Cases are cited to demonstrate the problems facing the practitioner who must attempt to treat a host of multi-faceted problem areas.

Adaptation, Psychological↗

[Psychosomatic follow-up of chronic transplanted kidney patients].

It is described the follow-up of 48 patients on which kidney transplantation was performed at the Instituto de Investigaciones Médicas de la Universidad de Buenos Aires. This work was carried out with a psychosomatic outlook, which considers the patient as a whole. There were periodically sessions applying a psychotherapeutical and pharmacological treatment to the recipient, donor and/or family group, according to needs. Special importance is given to the psychotherapeutical performance to the physician. What has been observed in these 48 patients is compared to a previous sample group of 80 patients. What has been observed in these 48 patients is compared to a previous sample group of 80 patients. In this first group, it could be noticed that to get on with their treatment these patients needed a good tolerance to frustrations, combined with a supporting family group. It is also necessary the establishment to a close dependent relationship with some relative, and/or physician and or institution which takes care of very regressive anxieties. The main problem here, is the handling of aggression caused by the combination of the patients's psychological background and the characteristics of the treatment. The patients that showed low tolerance to frustrations, extreme dependence and psychopathic handling of aggression, combined with the absence of a supporting family group, presented, as in the preceding sample, suicidal behaviour (2 cases). Some of the observations made in the previous work, were confirmed and the psychiatric pathology found in the second group is noticeably inferior. They are described in the comparative table. The authors conclude that the positive changes are due to the fact that in these patients, a more precise pattern of selections from the immunological point of view was applied. This diminished complications and side-effects and therefore psychological trauma also diminished, contributing to a better adaptation.

Adaptation, Psychological↗

Defense mechanisms in psychology today. Further processes for adaptation.

Although the concept of the defense mechanism was rejected from academic psychology for a number of years, recent empirical studies show renewed interest in defenses. Cognitive psychologists have confirmed the existence of unconscious psychological processes, a requisite for defenses. Developmental, personality, and social psychologists have all found evidence for defense mechanisms that explicate psychological functioning. The relevance of this new information for clinical practice is discussed.

Cognitive Science↗