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Biomedical subjects

D A Alexander

Publications and source records attributed to D A Alexander.

67 records · Page 4Linked to original sources

The psychiatric patient: a voice to be heard.

Patients' view of psychiatric care and its implications is a neglected area of inquiry, partly due to ideological factors as well as structural aspects of the National Health Service. It is acknowledged that patient satisfaction per se cannot be the major goal of the Health Services, but the path to improved welfare and treatment may be facilitated by patient satisfaction or at least by an awareness of patient opinion. Further exploration of this area is recommended.

Adolescent↗

Medical students talking to patients.

Observations were made of 108 pre-clinical medical students interviewing patients carefully selected by general practitioner tutors, under strict supervision in an audio-visual studio. Videotape replay allowed immediate feed-back to the student, and this was supplemented by direct comment from the patient. The consultations were also used for small group teaching (by CCTV). Although most students viewed the exercise as threatening, they appeared to find it a helpful experience. The method uncovered students with major defects in communicating at the personal level. Detailed analyses of the content of the interviews are being carried out, and will be the subject of a separate communication.

Behavioral Sciences↗

The challenge of preparation for a chemical, biological, radiological or nuclear terrorist attack.

Terrorism is not a new phenomenon, but, in the contemporary scene, it has established itself in a manner which commands the most serious attention of the authorities. Until relatively recently, the major threat has been through the medium of conventional weaponry and explosives. Their obvious convenience of use and accessibility guarantees that such methods will continue to represent a serious threat. However, over the last few years, terrorists have displayed an enthusiasm for higher levels of carnage, destruction and publicity. This trend leads inexorably to the conclusion that chemical, biological, radiological and nuclear (CBRN) methods will be pursued by terrorist organisations, particularly those which are well organised, are based on immutable ideological principles, and have significant financial backing. Whilst it is important that the authorities and the general public do not risk over-reacting to such a threat (otherwise, they will do the work of the terrorists for them), it would be equally ill-advised to seek comfort in denial. The reality of a CBRN event has to be accepted and, as a consequence, the authorities need to consider (and take seriously) how individuals and the community are likely to react thereto and to identify (and rehearse in a realistic climate) what steps would need to be taken to ameliorate the effects of such an event.

Biological Warfare↗