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Biomedical subjects

C C Nadelson

Publications and source records attributed to C C Nadelson.

At least 37 records · Page 2Linked to original sources

Factors influencing first-year medical students' perceptions of stress.

This preliminary report from an ongoing longitudinal study of students at both Tufts and Harvard medical schools examined the relationship between premedical school demographic and stress variables and the numbers and types of stresses reported by students in open-ended interviews conducted during their first year of medical school. Analyses showed that the general categories of "medical school stresses" and "social stresses related to medical school" accounted for about two-thirds of the total number of stresses mentioned. The overall distributions of stresses across general categories were remarkably similar in all student groups studied, although significant differences were found between students from different background groups on a number of the specific types of stress. No significant differences were found between groups as to those reporting a high total number of stresses. There did appear to be differences in the degree to which students felt affected by the stresses they reported, suggesting the need for additional data on the meanings of different stresses for different students and the ways in which they cope with them.

Adult↗

The psychology of women.

This paper reviews some of the major theoretical perspectives and recent data pertaining to the psychology of women. In the first section, the author presents classical psychoanalytic theory and reviews the reconsiderations and critiques which were important factors from the early history of psychoanalysis, and continue today. The second section considers whether there are sex differences in psychopathology and, after concluding that there is evidence for this conclusion in some areas, the author presents the various arguments which have been constructed to explain these observations. The final section discusses implications for psychotherapeutic interventions with women. The questions of whether there are benefits or problems in choosing male versus female therapists, and the special aspects of treating women in a current socio-cultural context are elucidated.

Female↗

A follow-up study of rape victims.

Of 130 women initially seen in a general hospital emergency room after being raped, the authors were able to interview 41 of the women 1-21/2 years after the rape. Half of the women continued to fear being alone and three-quarters reported still being suspicious of others. Many also felt restricted in their daily lives and had self-reported episodes of depression and sexual problems, which they attributed to the rape; none had a history of mental or emotional disturbance. The authors recommend that short-term, issue-oriented therapy be made available for all rape victims, as well as resources for the treatment of long-term symptoms.

Adaptation, Psychological↗

To marry or not to marry: a choice.

The authors discuss the reasons for decisions to remain single or to marry, particularly for women today. They consider aspects of the life experience of single women and provide a developmental context for women's choices. The authors discuss the impact of marriage on women's lives and point out that marriage increases stress for women. The changing role of women in society and increased reproductive control have given women greater choice about the direction of their lives, including more freedom to make deliberate decisions about marriage.

Adult↗

Women in academic psychiatry: politics and progress.

The progress of women in academic psychiatry depends in part on the social and institutionalized administrative patterns expressed through faculty attitudes, hiring practices, and other conditions of the field as they are currently structured. As the numbers of women increase, their specialness will decrease, and accommodations to particular needs and variations may become accepted as part of the system. This success in modifying the system will be self-perpetuating, proportional, and appropriate, leading to more participation of women in academic psychiatry.

Career Mobility↗

Mental health of medical school applicants: the role of the admissions committee.

This study was of the role of admissions committees as it relates to the mental health of applicants. Two-part questionnaires were sent to 115 medical schools. The first part explored the composition of the committee. In most schools the dean selected the members, attempting to obtain equal representation from clinical and basic science departments; most of the schools had one or more psychiatrists on the committee. The second part focused on the policy for applicants with former mental health problems. Over one-third of the committees asked about previous or present mental illness or therapy. Ninety percent of the schools had no policy or guidelines for using such information; instead, most relied on psychiatric interview or outside reports in making admissions decisions. The impact of federal legislation regarding the handicapped on admissions procedures is discussed. Since more students with previous or current psychiatric problems may be admitted, schools must be prepared to respond to their needs as fully as they now respond to other medical problems.

Educational Measurement↗

Fantasy and reality in patients reports of incest.

This paper explores some of the complex difficulties facing clinicians trying to assess whether a patient's report of incest is fantasy or reality. The role of sexualized family interactions, the age of the child, the nature of the act, and the quality of the reports are discussed as relevant variables. Cases are used to illustrate various points. In conclusion, we provide 8 questions the clinician should review before making any judgments about a report of incest being reality, especially when legal procedures are involved.

Adolescent↗

Marriage and midlife: the impact of social change.

This paper considers the impact of social change on marriage in the midlife period. Issues which ordinarily require adaptation in midlife e.g., awareness of the finiteness of time, the limits of options and the necessity to reassess goals and deal with losses are affected by societal changes. These changes include increased numbers of dual career families and a decreased birth rate. Marital partners must integrate these changes into their lives. The process of adaptation may be stressful and result in symptoms such as depression, anxiety, somatic complaints of sexual problems. Illustrative clinical examples and treatment approaches are provided.

Adaptation, Psychological↗

Success or failure: psychotherapeutic considerations for women in conflict.

The authors describe conflicts experienced by women who request therapeutic intervention because of symptoms of depression, anxiety, marital discord, difficulty in asserting themselves, or inability to complete work that would lead to advancement. They discuss the developmentally based difficulties experienced by women in making career choices, advancing their careers, and facing midlife issues. The therapist who deals with such patients must be aware of reality-based factors and of his or her own values and attitudes as they influence choice of therapeutic approach.

Achievement↗