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Biomedical subjects

H Grunebaum

Publications and source records attributed to H Grunebaum.

At least 19 recordsLinked to original sources

Thinking about romantic/erotic love.

The implications for therapy of the salient characteristics of romantic/erotic love are discussed. 1. We do not have control over our feelings of romantic/erotic love. 2. These feelings occur relatively infrequently during most people's lives. 3. Being with a partner whom one loves is valued and regarded as a good; it sometimes conflicts with other values and goods. There are no clear criteria for resolving this conflict. 4. Love is regarded as one essential basis for marriage. 5. In addition to romantic/erotic love, other qualities and capacities are important in sustaining a long-term relationship such as a marriage.

Adult↗

Developing family planning services for female chronic mentally ill outpatients.

The family planning needs of chronic mentally ill women outpatients, many of whom do not use contraceptives and are at high risk for unwanted pregnancies, have been rarely addressed. Taking a thorough sexual history is the first step in assessing patients' need for family planning services. Patient education, including instruction about physiological processes and contraceptive methods and assertiveness training, is the most important service component. Offering family planning services in the mental health center has many advantages, including better communication between mental health care providers and family planning specialists about patients' special needs and enhanced opportunities for integrating family planning with other programs such as parenting classes, substance abuse treatment, and services for preventing sexually transmitted diseases.

Acquired Immunodeficiency Syndrome↗

Building collaborative relationships with families of the mentally ill.

Studies of the expressed emotion construct have demonstrated that educational programs aimed at helping families deal with a mentally ill member can reduce patient relapse rates and improve family coping. The authors describe a clinical approach to family psychoeducation focused on building collaborative relationships with mental health professionals. The approach is based on the assumption that family education will benefit the patient, but any implication that the family is to blame for the patient's illness is studiously avoided. Five tasks that must be addressed in beginning work with families of the mentally ill are discussed. They are ensuring that the family has a chance to be heard, imparting information, helping the family deal with the feelings engendered by the patient's illness, identifying the family's coping patterns, and helping the family face the ethical and existential conflict between their own needs and those of the patient.

Adaptation, Psychological↗

Harmful psychotherapy experience.

This paper reports on an interview study of 47 patients, all mental health professionals, who believed they had been harmed by psychotherapy or analysis. The harmful therapies were therapies characterized as distant, cold, unengaged, and lacking in "human quality," or therapies characterized by intense emotional and/or sexual involvement.

Adult↗

A study of therapists' choice of a therapist.

Twenty-three psychotherapists discussed the criteria that they used when seeking a therapist for themselves. Most of the subjects had had more than one experience with psychotherapy. They sought a therapist who had a reputation for competence, whom they would not encounter frequently outside of therapy sessions, whom they experienced as warm and caring, and who talked rather than remaining silent during the sessions. The significance of these findings for conducting psychotherapy is discussed.

Adult↗

Superkids: competent children of psychotic mothers.

In a follow-up study of children of psychotic mothers, the authors examined a subgroup of outstandingly talented, colorful, and competent "high-risk" children. These children and their mothers were given a variety of psychological tests and were interviewed individually. They were then compared with a control group of children whose mothers had no psychiatric illness. The 6 most socially and intellectually competent high-risk children were strikingly more competent, colorful, creative, and talented than the 6 highest functioning control children. They more often reported having a best friend and had extensive and positive contact with an extrafamilial adult. Another important variable in the prediction of high social competence among children at high risk is a warm relationship with the mother.

Adolescent↗

Children of depressed and schizophrenic mothers.

A sample of psychotic mothers and their children who were five years or younger when first recruited for our study of high risk children was followed up five years later. The current sample, obtained from our previous work, consisted of 18 schizophrenic, 12 depressed and psychotic, and 22 well mothers and their six to 12 year old children. The mothers were equated for education and age, and the children for sex and age. Cognitive style tests and interviews measuring social adjustment and functioning were given to both the parents and the children.

Attention↗

Relabeling and reframing reconsidered: the beneficial effects of a pathological label.

Traditional labeling theory usually contends that pathological labels contribute to pathology and benign labels help alleviate it. However, it is likely that the role of pathological labels as the cause of pathology has been overstated and overgeneralized. Family therapists have probably overused the practice of substituting a benign label for a pathological label--relabeling. In fact, there are many families in which a pathological label applied to one family member may have beneficial impact on the family system, including that member. Five such cases are presented, and labeling theory is reviewed. Definitions of the terms reframing and relabeling are suggested, and the differing implications of diagnosis and labeling theory are discussed.

Adolescent↗