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Biomedical subjects

E M Kahn

Publications and source records attributed to E M Kahn.

25 records · Page 2Linked to original sources

Use and modifications in group psychotherapy with chronic schizophrenic outpatients.

The authors have presented a framework for group psychotherapy with chronic schizophrenic outpatients which is based on belief that these patients can engage in moderately intensive insight-oriented therapy. The functional deficits and the interpersonal needs of these patients have been identified, and a strategy of intervention has been developed to ameliorate these deficits and facilitate gratification of these needs. Modifications in traditional group approaches are necessary for these groups to be a success. These include alterations in: 1) the group contract, 2) role and tasks of the therapists, and 3) use of special techniques. The authors believe that use of these techniques, informed by genuine interest in and empathy for these patients, will lead to a successful group experience for all.

Chronic Disease↗

Carotid artery surgery without a temporary indwelling shunt. 1,917 consecutive procedures.

One thousand nine hundred seventeen consecutive carotid artery operations were performed in which the carotid artery was clamped for as long as necessary to accomplish a revascularization procedure. Those patients adversely affected by failure to use a shunt were identified. Results of a statistical analysis of stroke morbidity when compared with the literature show that the use of an intraoperative temporary shunt does not offer improved results in carotid artery surgery.

Adult↗

Akathisia: clinical phenomenology and relationship to tardive dyskinesia.

Akathisia and tardive dyskinesia (TD) are disorders of movement that are often associated with administration of antipsychotic medication. We surveyed 196 outpatients in a schizophrenia clinic, all receiving antipsychotic medication, for the presence of these disorders. Clinical global ratings of akathisia were reliable. Akathisia was found in 36% of patients, and TD in 23.5%. Akathisia was disproportionately common in patients receiving high-potency neuroleptics. The data affirmed recent revisions in the dose-equivalence formulas used with fluphenazine decanoate. Akathisia and TD did not seem to be interrelated. Because akathisia is common and often limits medication dose and contributes to noncompliance, psychiatrists must take this into account when prescribing antipsychotic medication.

Adult↗