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Biomedical subjects

C J Rabiner

Publications and source records attributed to C J Rabiner.

36 records · Page 2Linked to original sources
PubMed1976

Analogy tests and psychopathology at follow-up after open heart surgery.

A study of 100 coronary bypass and cardiac valvular surgery patients investigated whether preoperative brain damage, as measured by the Conceptual Level Analogy Test (CLAT), is a major risk factor for postoperative psychiatric symptoms and mortality. Three cognitive psychological tests, including the CLAT, and psychatric interviews were given preoperatively, postoperatively, and at 18-month follow-up. Surgical outcome was specified as: Catastrophic Outcome (death or severe stroke), Psychiatric Complications, or Good Outcome (survival with no psychiatric complications). Inhospital outcome related significantly to analogy test scores, as did both surgical procedure and diagnosis of rheumatic heart disease. However, long-term outcome was unrelated to medical diagnosis and only weakly related to surgical procedure, but highly significantly related to preoperative analogy scores. The CLAT was a more consistent predictor of both short- and long-term outcome than any of the other ten variables considered (medical and surgical variables, inhospital outcome, demographic measures, other psychological tests).

Brain↗
PubMed1976

Psychotherapists' passivity--a major training problem.

A major problem encountered in the early psychotherapy training of psychiatric residents, psychologists, and social workers is the tendency for the student to take an inappropriately passive and silent role. Rather than actively engage patients in a therapeutic alliance, beginning students have the tendency to remain withdrawn and inarticulate. This often reaches extreme proportions and may later significantly block treatment progress. Clinical vignettes are presented to show the range and variety of hyperpassive behavior in psychotherapy training and the potential crippling and destructive effects on the treatment process. This is not to imply that there is no danger in excess activity on the part of the therapist. Indeed, not all silence need be destructive. However, detachment, withdrawal, and excess silence--attitudes often fostered by our training programs--can be markedly destructive to both patients and treatment. Psychodynamic factors causing this situation are reviewed. A variety of methods and strategies are recommended for dealing with it. If the supervisor remains alert, the problem can be significantly resolved before it interferes with treatment. In this way, the student will be helped to overcome one of the major ealry hurdles of training.

Adult↗
PubMed1975

Psychiatric complications following coronary bypass surgery.

Previous studies of psychiatric complications following open heart surgery have included few if any patients who had coronary bypass surgery. This experiment reports the relative incidence of psychiatric complications in a sample of 97 open heart surgery patients of whom 51 patients (53 per cent) had coronary bypass surgery. The results suggest that the incidence of psychiatric symptoms following coronary bypass surgery is significantly lower (16 per cent) than that following cardiac valvular surgery (41 per cent). Several possible reasons for this large discrepancy in incidence of psychiatric complications are considered.

Age Factors↗
PubMedDate not supplied

Psychiatric treatment of chronic somitizing patients: a pilot study.

Somatization is a very common condition although these patients are usually seen by general medical practitioners rather than mental health professionals. In a pilot demonstration study, chronic somatizers were significantly improved in a group psychotherapy treatment modality. The somatization was ameliorated and their functioning was significantly improved. Our findings strongly suggest that these patients should be clearly conceptualized as psychiatric and would respond well to traditional psychiatric treatment modalities.

Chronic Disease↗