"The other half of medicine" and St. Bartholomew's Hospital.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to A W Clare.
Explore the source record for details and available documents.
Marital disharmony is a widespread phenomenon but it is largely hidden. Research, however, suggests that of the people with marital problems more approach the general practitioner than any other professional. This preliminary study reports on the help-seeking patterns of a sample of 60 patients in primary care identified as having marital problems, and a comparison is made with patients with housing problems. Men, it appeared, are less likely than women to confide in friends or relatives concerning marital problems and are less likely to find it helpful when they do; similarly, men are less likely to discuss their marital difficulties with their family doctor. Women were more satisfied with their doctor's help, which was mainly emotional support rather than more intensive counselling or referral. The implications of these preliminary findings are discussed.
The development of a more sophisticated aetiological model of alcohol abuse and dependence has certain advantages when it comes to teaching medical students about the subject. The move away from a simplistic, unicausal model of disease coincides with more sophisticated notions of disease in medicine in general and alcoholism in particular can now be seen as a paradigm for many disorders. While the new model implicitly recognises the important role of non-medical professionals in the detection and management of alcohol-related problems, the protean manifestations of alcohol in general and specialised medical settings demands that tomorrow's doctors have an appropriately sophisticated model of the disorder and the abilities and skills necessary for its detection and management.
Explore the source record for details and available documents.
A number of fundamental methodological problems exist in the area of premenstrual symptomatology and psychiatric ill-health. In the study described these have all been taken into account. The study has been so designed as to make expressly clear the definition of premenstrual complaint being employed and material gathered by means of a retrospective questionnaire is checked by means of an interview administered to a sub-sample and the use of a menstrual diary (Sampson & Jenner, 1977; Dalton, 1978). The use of an interview also permits a careful check to be made of the accuracy displayed by women asked to estimate their particular position in the menstrual cycle at the time of completion of the questionnaire. The use of the premenstrual interview, together with a standardized, semi-structured psychiatric interview specifically designed for the population under study, and a standardized, semi-structured social maladjustment schedule, permits a detailed assessment of the inter-relationship between premenstrual, psychiatric and social variables. Finally, the use of a general practice sample of women attending their general practitioners for many and varied reasons, together with a sample of women drawn from attenders at a specialized premenstrual tension treatment clinic, permits a comparison to be made between the symptom profiles of women in a general practice population who have not overtly identified themselves to the treatment agencies as premenstrual sufferers with a group of women who have so identified themselves. In this way, a more accurate estimate of the numbers of women in general practice samples who manifest a degree of premenstrual complaint equivalent to that shown by special treatment clinic attenders can be achieved.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.