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Biomedical subjects

H P Martin

Publications and source records attributed to H P Martin.

At least 19 recordsLinked to original sources

The coming-out process for homosexuals.

Coming out is a core developmental process for homosexual persons that spans many years. It usually begins in childhood with feelings of being different and progresses through various stages, including acknowledgment of homosexuality, disclosure to others, acceptance of a homosexual identity, experimentation and exploration, and intimacy. Ideally, the process ends in consolidation, a stage in which homosexuals no longer view themselves primarily in terms of sexual orientation. The author describes the various stages of the coming-out process and discusses the clinical implications for therapy with homosexual patients.

Adaptation, Psychological

Types of institutional transference.

Institutional transference is a common clinical phenomenon. The patients in whom it was originally described represent but one subset of this entity. The author describes four types of patients who manifest institutional transference and demonstrates how and why it develops. He notes that institutional transference does not preclude transference and emotional attachment to an individual clinician, and emphasizes that understanding which type of institutional transference appears in a patient aids the diagnosis and treatment of that patient.

Female

Intervention with infants at risk for abuse or neglect.

The need for direct services to infants at risk for abuse or neglect is addressed, with an emphasis on the advantages to the child of the integration of various modalities of treatment. The expertise of professionals who work with infants and young children in therapeutic and stimulation programs is required. Their experience also underscores the need for direct intervention in the parent-child interaction process. The developmental line of mastery and competence is reviewed with highlights of how this may be derailed in the at-risk infant. Finally, two suggestions are developed: that empathy might be taught to parents through an educational mode and that surrogate parenting, part-time, might be implemented routinely with mistreated children, at-risk infants, and perhaps for all infants.

Child

The developmental status of children undergoing the Kasai procedure for biliary atresia.

Children with biliary atresia who have undergone the Kasai procedure suffer prolonged illness and recurrent hospitalizations, both of which may interfere with normal growth and development. The developmental status of 20 children with this disorder is described. The mean cognitive developmental quotient of the entire group of children was within the normal range. The mean motor developmental quotient was within the borderline normal range. The developmental test results suggested an interesting pattern of development including normal cognitive and motor development until the age of 6 to 8 months, followed by a decreasing rate of development between ages 8 and 24 months with the potential for improved developmental outcome at the age of school entry. The overall developmental status of these children was better than might be expected considering the numerous high-risk medical/surgical and social/emotional stresses that these children must face. The effort required in the care of children with this disorder certainly seems warranted by their subsequent developmental outcome.

Bile Ducts

Children of battered women.

Twenty children of physically abused women who were temporarily living in shelters were studied. These children, from 2 1/2 to 8 years of age showed significantly poorer cognitive, verbal, motor and quantitative abilities than would be expected in a normal population. They also demonstrated evidence of personality problems, with a concerning penchant for hostile-aggressive behavior. Hearing problems and articulation deficits were common. The children studied were from middle to lower-middle class families. The problems showed in this study group are felt to be an underestimate of the true prevalence of developmental and psychological problems in children of abused women. It is suggested that children are at a point of crisis just as admittedly few services available to abused women, there are even fewer services being provided to the children in such families. This is compounded by the relative unavailability of most recently assaulted women to attend to the emotional and developmental needs of their children. The need for health, developmental, and personality screening for children of abused women is highlighted, as well as the need for crisis intervention programs for such children. Groundwork has been laid through this research for more detailed clinical research to aid children of women who are physically abused. A greater appreciation of the problems encountered will facilitate appropriate interventions to optimize the growth and development of these children.

Adult