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Biomedical subjects

J F Clarkin

Publications and source records attributed to J F Clarkin.

66 records · Page 4Linked to original sources
PubMed1983

Primary and secondary affective disorders in adolescents and young adults.

The concepts of primary and secondary affective disorders have become widely accepted by researchers of adult psychiatric disorders. They are based on the chronological development of certain specified major affective disorders in relation to diagnosable, nonaffective psychiatric disorders. Despite potential etiological implications, little data are currently available on the primary-secondary classification applied to cases with early onset adolescent and young adulthood affective disorders. This study reports on the application and clinical implications of the primary-secondary classification in a sample of 65 adolescent and young adult inpatients who meet Research Diagnostic Criteria (RDC) for an index episode of Major Depressive Disorder.

Adolescent↗
PubMed1983

History of suicidal behavior in depressed borderline inpatients.

The DSM-III definition of borderline personality disorder emphasizes affective symptoms. The authors hypothesized that depressed patients with borderline personality disorder would be more likely to be suicidal than those without this diagnosis. Of 53 inpatients treated for depression, 46 manifested personality disorders; borderline personality disorder was the most prevalent axis II diagnosis. That borderline patients had more complicated courses than the other depressed patients was evidenced by their histories of suicidal behavior. Most patients diagnosed as having borderline personality disorder continued to fulfill criteria for this diagnosis even when suicide attempts were excluded as a diagnostic criterion.

Adolescent↗
PubMed1982

Selection criteria for the brief psychotherapies.

Selection criteria are outlined for five forms of brief psychotherapy--crisis intervention, psychodynamic, problem-solving, marital/family, and behavior. Indications, patient enabling factors, and contraindications are suggested for each. This is organized along a three-step decision tree intended to guide, in turn, the selection of (1) crisis intervention, (2) brief vs. long-term therapy, (3) one particular type of brief psychotherapy from among the various models. The value and limitations of a differential therapeutic approach are discussed.

Adult↗
PubMed1982

Recent developments in family therapy: a review.

Since its beginning some 25 years ago, family therapy has become a widely used madality. The field is developing its own theoretical foundations, training institutions, and body of outcome research; the authors review some of the changes, especially those of the last two or three years. One major development is the growing differentiation of family therapy models and techniques; related are increasing attempts to delineate selection criteria and to provide empirical data for special matches of problems and treatments. The field has moved from its early preoccupation with schizophrenia to concern with new target populations, such as families disrupted by divorce. Family therapy is also being used more often in the treatment of hospitalized patients and of substance abusers. The outcome research is growing in extent and sophistication; the positive results indicate a continuing prominent role for this modality.

Adult↗
PubMed1981

No treatment as the prescription of choice.

As part of each evaluation, the clinician must decide whether or not a psychiatric treatment is indicated. It is unfortunate that there is little available research to aid in this decision, and it has not received much attention in the clinical literature. In actual practice, therapists tend to recommend treatment almost automatically and without a careful consideration of its necessity or possible harmful effects. The research methodology and problems is defining those patients who are better off without psychiatric treatment is discussed. This group is categorized into negative responders and nonresponders and spontaneous improvers. A set of preliminary criteria for no treatment and clinical examples are provided.

Adult↗
PubMed1980

Selection criteria for outpatient group psychotherapy.

A tentative set of selection criteria for referral to outpatient group psychotherapy is outlined. The criteria do not distinguish between different schools of therapy but are organized around indications for referral to heterogeneous and homogeneous groups. Noting that the most common and difficult differential therapeutic decision is choosing between heterogeneous group treatment an individual therapy, or selecting some combination of both, the authors also discuss factors to be considered in making that determination.

Group Structure↗
PubMedDate not supplied

A randomized clinical trial of inpatient family intervention. IV. Followup results for subjects with schizophrenia.

This is the last of a series of four papers, here focussing on schizophrenia, which report followup data up to 18 months from a randomized clinical trial of a psychoeducational family intervention (IFI), which was added to medication and limited to the inpatient phase of treatment, after which post-hospital care was not controlled. Our data suggested that patients with poor prehospital functioning (i.e., the chronic patients) may benefit from inpatient family intervention, but this therapeutic effect appears to be limited to females and does not appear until 18 months postadmission. Families of patients with schizophrenia also show benefit from having received IFI, the effect is seen earlier than with the patients, and is associated with achieving the goals of IFI. The results in the IFI group could not be accounted for by improved post-hospital medication compliance, but they may be related to this group's greater tendency to obtain further family treatment after discharge.

Adult↗