Biomedical subjects
Publications and source records attributed to G Trudel.
The main goal of this paper is to describe the problems associated with the expression of sexuality of patients in a psychiatric setting. The problem is analyzed according to the normalization principle. The staff's attitude is considered to be a determining factor in this situation. The authors present the principal conclusions of their study and make some practical recommendations.
Hypoactive sexual desire disorders (HSD) are currently recognized as one of the most prevalent and difficult sexual disorders to operationally define, evaluate, and treat. At present, no instrument for the diagnostic assessment has yet prevailed. The present study compared two groups of 20 couples with and without desire problems in order to evaluate the diagnostic utility and discriminative power of the Sexual History Form (SHF), a 28-item questionnaire used to classify sexual dysfunctions following the Multiaxial Diagnostic System for Sexual Dysfunctions (MDSSD). Analysis of the SHF revealed couples with desire problems significantly differed on 15 diagnostic items. Eight of these questions corresponded to the 12 SHF items used by the MDSSD to establish desire-phase diagnoses, and six were most predictive of subjects with desire disorders. Although the current data suggest the SHF is a reliable instrument for the assessment of desire disorders, more studies are needed to further substantiate the diagnostic efficacy of this measure.
Several authors suggest that women should use pubococcygeal muscle exercises to increase their probability of experiencing orgasm during sexual activities. However, few experimental studies support the efficacy of these exercises. In the present study a comparison was made between the effects of pubococcygeal exercises (PC group) and a combination of sexual awareness, relaxation and breathing (SARB group) on situational orgasmic dysfunction in women. No significant changes occur in orgasmic responsivity in these two groups. Significant differences were obtained in questionnaires and these differences were always in the direction of better scores in the SARB group.
A survey of 2,858 persons in three institutions indicates an overall prevalence of 14.1% for SIB. Topography of SIB, number of forms in each subject, and intensity and frequency are related to the circumstances surrounding SIB, personnel reactions, age, sex, diagnosis and degree of retardation. Analyses of these relationships provide an SIB profile for the aggressive/severely-profoundly retarded. Direct observation of SIB in the wards indicates a low rate of antecedent and subsequent events. These findings are interpreted in relation to alternative explanatory hypotheses of SIB.
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Three treatments, thought-stopping, group discussion, and the wearing of a badge saying "I don't smoke", each combined with self-monitoring, were compared to one another and to self-monitoring alone for their ability to modify the smoking behavior of 60 volunteers. All procedures led to an important reduction of the smoking rate at the beginning of treatment, the reduction being significantly greater with thought-stopping. The latter remained the most successful treatment during the 6-month follow-up, although it did not differ significantly from self-monitoring alone.
In this paper, the author tried to determine the main factors which could improve the return of chronic psychiatric patients in society. First, the main studies on this subject showed that there is a high recidivism rate. Secondly, it seemed obvious that a medical approach by itself is not sufficient and that it is important to program in details the return of chronic psychiatric patients in society paying attention to the various psycho-social variables that can influence their behavior. In this way, it seemed that the most effective techniques are those taking up this problem very concretely and trying to prepare the patients to meet day to day problems. More specifically, the behavioral techniques and package treatment approaches seems to be the better ways of preparing chronic psychiatric patients to go back and live in the community.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.