PubMed HealthSearch

SEARCH · PubMed Health

Results for “Problem Solving”

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.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

Intuition and problem solving.

General practitioners use the hypothetico-deductive method of scientific reasoning to solve problems. In the first few minutes of their consultations physicians form initial hypotheses about their patients' problems. This process has childlike, imaginative qualities based on intuition. It is often outside consciousness and probably based on pattern recognition. It has been neglected from study and analysis because of these ;mystical' qualities. Yet it is the key to fast and efficient problem solving. If the process could be understood, its efficiency would be improved. This paper is an attempt to explore the nature of general practitioners' intuition.

Diagnostic Techniques and Procedures

Effects of varying irrelevant information on adult age differences in problem solving.

Sixty young (M = 20.6), middle-aged (M = 52.4), and elderly (M = 72.6) men and women solved problems which required them to match one of two stimulus arrays to a standard. On each problem one dimension (color, form, number, or position) was relevant to correct matching, and three dimensions, which were either variable or constant, were irrelevant to solution. Age and the number of variable irrelevant dimensions were the best predictors of reaction time and error scores. Young were significantly faster than middle-aged and the middle-aged were faster than the elderly. The elderly made most errors, but the young and middle-aged were not significantly different from each other. Reaction times and errors increased as the number of variable irrelevant dimensions increased. For the elderly there was a disproportionate increase in both reaction times and errors as levels of irrelevancy increased. No reliable differences were found with regard to gender. The results were discussed in terms of an age-related decline in the ability to ignore irrelevant information.

Adult

Three approaches to problem solving in medicine and some problems they create.

Three general approaches to problem solving in medicine are examined: Basic Science Problem Solving, Clinical Medicine Problem Solving, and Human Values Problem Solving. These three approaches employ different--indeed contradictory--search strategies. Not infrequently, students of medicine become versed in one or another problem solving approach only to flounder when they try to apply it inappropriately. Recognition of this problem may help to solve it.

Medicine

Problem-solving.

Explore the source record for details and available documents.

Problem Solving

Problem solving revisited.

In this paper the increasing problems and need for novel solutions in today's world are discussed. A framework consisting of the combination of the problem-solving process and the creative thinking process is considered. Inherent in each process is a predominant mode of thought: reasoning or vertical thinking in the problem-solving process, and imagination or lateral thinking in the creative thinking process. These processes directed in a complementary manner are suggested as a means of solving problems creatively in situations which call for unique and novel solutions.

Humans

Therapeutic problem solving: a systematic approach.

A systematic approach to therapeutic problem solving is discussed. Therapeutic problem solving includes defining the problem, assessing possible solutions to the problem and choosing the best solution (therapy). The thought processes specific to drug therapy include: (1) choice of agent, (2) evaluation of benefit versus risk ratios, and (3) determination of dosage. Once treatment has been initiated, the problem-solving process shifts to reassessing the patient, monitoring and readjusting therapy, and anticipating new problems related to therapy. An algorithm is provided to demonstrate a thought sequence for solving therapeutic problems. To assure that no important consideration has been neglected, it is useful to develop a pattern of thought that may be applied to each therapeutic situation.

Drug Administration Schedule

View box exercises for teaching problem solving in radiology.

An organized radiologic problem-solving system is presented for developing improved view box exercises for students and residents. It is based on six components: (1) problem sensing, (2) problem hypothesizing, (3) problem searching and definition, (4) problem identification, (5) resolution, and (6) verification. Since all examinations by the practicing radiologist involve these components, worthwhile simulated clinical management games should also incorporate them. A simulated radiologic exercise should be a valid measurement of the resident's ability to manage a wide range of clinical situations and techniques and should improve problem-solving strategies. Use of simulated clinical cases eliminates risk to patients during the educational process.

Audiovisual Aids

The effects of EMG feedback training during problem solving: a case study.

The present case study investigated the effects of competing task demands on biofeedback training to reduce frontalis muscle tension. Baseline levels of frontalis muscle tension were recorded for relaxation and problem solving. The subject was trained to decrease muscle tension with biofeedback for the problem-solving task alone. The results indicated that EMG training during problem-solving was successfully accomplished. Frontalis muscle tension during relaxation baseline did not change as a result of reductions in muscle tension during problem-solving feedback training. This suggests that the decrease of muscle tension cannot be attributed to reductions in overall muscle tension levels. Instead, training was specific to the problem-solving feedback phases. Additionally, it was found that accuracy in problem-solving did not decline as a result of simultaneous feedback training. Thus EMG biofeedback training can be accomplished and exercised without disruption of ongoing mental activity.

Adult

Superior colliculus lesions and environmental experience: nonvisual effects on problem solving and locomotor activity.

Bilateral lesions of the superior colliculus were produced in rats reared in either a restricted or complex environment. Problem solving ability in a Hebb-Williams closed field and activity in an open field were subsequently observed in conditions of either bright or dim illumination. Animals with superior colliculus lesions were deficient in problem solving ability and were hyperactive in the open field. Complex environment exposure during development increased problem solving ability and initial ambulation scores in all groups. Extent of pretectal damage and behavioral measures were significantly related for animals reared in the complex, but not in the restricted environment. There were no interactions with illumination level, suggesting that the deficits resulting from collicular lesions are not dependent upon the availability of visual cues.

Animals

Cardiac valve replacement. Problems solved and unsolved.

In this review the present state of cardiac valve replacement is summarized on the basis of the literature and personal experience in approximately 1500 cases, using various prosthetic models. Durability, hemodynamic performance at rest and during exercise, and thromboembolic risk are considered in particular and our choice of the various valve models is discussed on these grounds. The long-term durability has been significantly improved and has possibly been solved in the more advanced mechanical valves, while this question is still open in the present biological prostheses. Hemodynamic performance is considered less than optimal in all conventional mechanical prostheses and in the xenografts. Pressure gradients are abnormal in all mechanical as well as in stented biological prostheses, the latter being less likely to solve the problem of a narrow aortic root. The significantly lower incidence of thromboembolism and total valve thrombosis and the absence of anticoagulation accidents in patients with bioprostheses has tipped the balance for the present in favor of the latter, particularly in mitral valve replacement and certainly in all those patients in whom anticoagulation in impossible, unlikely, or undesirable.

Aortic Valve

Tape test as a simple new method for the study of compounds increasing the problem-solving ability of the rat.

A simple new method, the "tape test" has been developed for studying the enhancement of learning by drugs in "learning-dull" rats. A piece of adhesive tape is pressed on the left front pad of the rats. The time of tape removal by the animal, i.e., the problem-solving time is measured. In our experiments the selected learning-dull rats were used which were unable to remove the tape within 60 s observed on 3 consecutive days. The problem-solving ability of the rats was studied on 4 consecutive days, by posttrial administration. The problem-solving ability was found to be increased after treatment with different drugs such as para-chlorphenylalanine (PCPA), pemolin, orotic acid, vitamin B12. The stimulatory effect of vitamin B12 could be inhibited by vincristine.

Animals

Teaching clinical problem solving in preclinical occlusion courses.

The teaching of the basic principles and concepts of occlusion can be enhanced. Preclinical occlusion courses are made relevant to the clinical experience by introducing clinically related problem-solving exercises. These exercises develop a student's clinical problem-solving skill and create an excitement for active learning in the preclinical laboratory. Examples of these exercises are presented.

Clinical Competence

Interpersonal problem solving: a theoretical perspective and methodology for the evaluation of residency education and its' relationship to health care processes and outcomes.

The study conceptualizes and implements an interaction model of interpersonal problem solving in the clinical milieu. This method of representing the interpersonal problem solving process and its relation to patient adherence is shown as an important tool for the evaluation of residency programs.

Evaluation Studies as Topic

Negative capability as a factor of problem-solving within the psychotherapeutic process.

It is proposed that negative capability, that is, the capacity for tolerating uncertainty, doubt and not-knowing, is a factor that contributes to a problem-solving approach utilizable in some aspects of the psychotherapeutic process. Negative capability can be demonstrated both in therapists and patients. An analysis of the functions of negative capability within the psychotherapeutic process shows five stages in its utilization. These are the activation of therapist's negative capability; which is followed by observations about the patient's response to his perception of the therapist's negative capability; then the therapist's clarification of the patient's problem contained within the patient's response; followed by a working-through by the patient and therapist of the problems which are demonstrated and clarified; and lastly, a transfer to or enhancement of the patient's use of negative capability as a continuing behavioural mode. Some theoretical bases for the concept of negative capability and its application as a factor of problem-solving within the psychotherapeutic process, are proposed. Clinical excerpts from psychotherapeutic work are given to exemplify the stages as defined above.

Adaptation, Psychological

Jealousy: systematic, problem-solving therapy with couples.

Literature on the treatment of marital jealousy has focused on individual and interpersonal awareness/insight and the use of communication-negotiation skills. This paper proposes an alternative viewpoint applying the problem-solving approaches of Erikson, Haley, Watzlawick, Weakland, and Fisch to the alteration of jealous systems. Through a detailed case study, the author describes the concept of the therapeutic triangle and the use of paradox and symptom transfer as potential contributions in the treatment of jealousy. Finally, the author discusses briefly a possible factor leading to the success of the systematic, problem-solving modality: serious playfulness.

Cognition

Problem-solving skills, locus of control, and the contraceptive effectiveness of young women.

It was proposed that the lack of insight into the risk-taking behavior of many sexually active women who do not want to get pregnant may reflect the lack of an adequate framework from which to investigate the problem. The purpose of this study was to examine the relationships between contraceptive effectiveness and several cognitive factors. The sample consisted of 155 single women, 15.3-25.7 years of age, from a Planned Parenthood clinic and an abortion clinic. Contraceptive effectiveness, operationally defined as the number of unplanned pregnancies in a woman's history, was significantly and negatively related to means-ends problem-solving ability and a belief in internal control and significantly and positively related to a belief in chance control. It was suggested that these results support the utility of a cognitive, problem-solving approach to the study of contraceptive behavior.

Abortion, Induced

Heart-rate correlates of childhood activities: play, exploration, problem-solving and day-dreaming.

Heart-rate was monitored while children were engaged in different activities. The first study examined the hypothesis that the behavioural distinction between exploration and play would be supported by the psychophysiological measure. Two-year-olds showed suppression of heart rate variability (HRV) during exploration, and even more during solution of a puzzle, suggesting that the task demands these two activities were greater than those during play. The second study demonstrated a relationship between HRV during daydreaming and during problem solving in 9-year-old children which was similar to that obtained between play and problem solving in younger children. The correlative use of HRV thus strengthened functional interpretations of behaviour.

Child