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Biomedical subjects

C I Cohen

Publications and source records attributed to C I Cohen.

84 records · Page 5Linked to original sources

Re-establishing a dialectic of madness.

Historical evidence indicates that until the seventeenth century, a dialectical conception of madness existed; it combined the elements of loss of reason and idiocy with prophecy and clairvoyance. The onset of the Age of Reason marked the end of man's communication with madness and the accompanying dissolution of the dialectic--madness became solely a symbol of opprobrium and the insane were herded off into houses of confinement. Because mad people are returning to the streets again, it is important that we begin to explore the potential benefits that can be derived from re-establishing our communications with madness, i.e. reconstituting the dialectic. An examination of the formerly valued aspects of madness can serve as a useful point of departure.

History, 15th Century↗

Prospects for change in public mental institutions.

Because of the incompatibility of variables (viz. actors, milieu concept, institution, society) with each other as well as the potential areas of strain contained within each variable, it is improbable that state mental institutions can adapt a patient-centered (therapeutic) milieu. Evidence is presented in order to substantiate this hypothesis.

Attitude of Health Personnel↗

The use of a mid-Manhattan hotel as a support system.

The mass media have focused recently on the failure of psychiatric institutions to provide adequate follow-up for its patients released into the inner city. Many expatients deteriorate and become part of the "revolving door": single-room occupancy--city hospitals--state hospital. This paper attempts to demonstrate the feasibility of utilizing existing community resources (for example, a large midtown Manhattan hotel and local service agencies) to cope with this problem. A description of the multiagency organized hotel programs as well as objective and subjective data is provided in order to substantiate our contention that this approach offers a viable alternative to long-term hospitalization.

Adult↗

Nocturnal neurosis of the elderly: failure of agencies to cope with the problem.

About half of the elderly seen in medical consultations in several midtown Manhattan facilities have "nocturnal neurosis." This syndrome is characterized by a mixed neurosis with a pronounced nocturnal increase in the severity of symptoms, occurring in recently isolated persons. Apparently, failure of the neighborhood social network to function during the evening hours largely accounts for the problem. Few Centers provide nighttime activities. A proliferation of evening programs might significantly reduce the prevalence of nocturnal neurosis in the elderly.

Aged↗

A storefront clinic on the bowery.

Analysis of the patient population of a small storefront clinic on the Bowery of New York City has revealed the emergence of a new category of Bowery residents consisting of young, generally White, schizophrenic men with little history of alcoholism.

Adolescent↗

Prevalence of hypertension among the elderly in an urban community.

The results of a hypertension screening project conducted in senior citizen agencies in Manhattan are presented. The prevalence of hypertension among elderly females tended to conform to the data of the Nation Health Surgery of 1960-62, but the prevalence among elderly males was much higher than in the National Survey. The prevalence of hypertension varied inversely with the educational level. Various implications for future medical evaluations of the elderly are discussed, based on the clinical and social data obtained.

Aged↗

Social networks and mortality in an inner-city elderly population.

The authors address some of the methodological problems found in earlier investigations of the relationship between social networks and mortality. Of particular concern was the use of rudimentary measures of social interaction in previous work. Utilizing nineteen social network variables, the authors examined 155 elderly residents of midtown Manhattan single-room occupancy hotels. On three-year follow-up, twenty-eight persons had died. Discriminant function analysis indicated that ten of nineteen network variables were relatively strong discriminators between survivors and non-survivors (i.e., standardized coefficient of .20 or greater). The network variables cut across all categories of social interaction, thereby revealing why, despite the few network variables used in previous studies, nearly all had been significant.

Aged↗