Biomedical subjects
Publications and source records attributed to A Childs-Clarke.
1. Change invariably occurs following a crisis, which enables a new paradigm to be adopted. 2. Religious faith may be one possible paradigm that may be of benefit to patients. 3. Nurses have a responsibility to explore this untapped potential with their patients. 4. A patient with severe phobic anxiety who made a sustained positive response to becoming a Christian is described.
A cohort of 83 British addicts from one clinic was followed-up after 11 years; Home Office records and medical notes were personally searched to trace current status. Twenty-nine were still using drugs, 37 were not known to be using drugs, and 17 had died. The group still using drugs had become markedly more stable on parameters of drug use, criminality, and social stability over the follow-up period.
Involving the spouse as a co-therapist made no significant difference to the outcome of treatment in a controlled study of 19 married patients suffering from agoraphobia who were engaged in short-term home-based behavioural treatment. Improvement continued to 6-month follow-up. The marriages of those with some marital difficulties at the start tended to improve, whether or not the spouse was involved. Poor initial marital adjustment was not related to the degree of improvement in agoraphobic symptoms.
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Sleep onset insomnia is a common complaint in patients and in the population as a whole. With the increasing reluctance to prescribe hypnotics as a solution there is a need for alternatives to drugs. In this paper the outcome of 15 outpatients with insomnia treated with stimulus control techniques is reported. The potential for nurses using these procedures is discussed.
Anxiety symptoms are commonly reported both in patients and in the general population. There is also increasing concern being expressed over the widespread use of prescribed anxiolytics. This has encouraged the development of psychological interventions for both specific and generalised anxiety. In this paper, 29 patients, most of whom suffered from generalised or free-floating anxiety, were treated in small groups as part of a staff training programme. Their treatment was standardised, and consisted of progressive muscular relaxation, cognitive therapy and an educational input as to the nature of anxiety. Two measures, the Spielberger Trait Scale and an individualised problem rating scale were completed before and after the group and at three months follow-up. All but one of the results was statistically significant. The implications of these results are discussed.
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Eating disorders, bulimia in particular, are increasingly being encountered in clinical practice. Nurses are ideally placed to identify and respond to these problems. The development of the nursing care of bulimia within a cognitive behavioural model is described.
Statutory services increasingly concentrating on serious mental illness may be seen as neglectful of people with personality disorders. Psychological therapies are available to help such patients and their principles can be used by mental health nurses. Some of these strategies, derived from the theory and practice of cognitive behavioural therapy, are described here.