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Biomedical subjects

J L Stinnett

Publications and source records attributed to J L Stinnett.

9 recordsLinked to original sources

The functional somatic symptom.

The functional somatic symptom is a disorder that is prevalent in diverse patient populations. It is a heterogeneous disorder composed of a number of separate but often overlapping psychiatric disorders. The consultation-liaison psychiatrist is often consulted by his or her physician colleagues for help in the diagnosis and treatment of this difficult group of patients. This requires an understanding of the different dynamic formulations available to explain these disorders and a treatment strategy that emphasizes a collaborative approach to the long-term management of these patients.

Conversion Disorder

Psychological and social aspects of the surgical treatment of obesity.

New surgical procedures have revolutionized the treatment of morbid obesity (more than 100% overweight), a condition associated with serious medical complications and for which conservative treatment has been largely ineffective. These procedures, which are surprisingly safe, produce large weight losses and marked improvement in hypertension, diabetes, and other disorders influenced by obesity. Striking changes also occur in vocational and psychosocial functioning, including marital and sexual relations, in eating behavior, in food preferences, and in body image. The emotional state of patients during weight loss following surgery is far superior to that during attempts at weight reduction by other methods. The surgical procedures appear to produce a major biological change, perhaps lowering a body weight set point.

Adaptation, Psychological

Outpatient detoxification of the alcoholic.

This paper presents data concerning the safety and effectiveness of outpatient treatment of the patient with the alcohol withdrawal syndrome. One hundred and sixteen patients were studied: 50% were successfully treated, 20% dropped out of treatment, and 30% of patients required hospitalization. There were no serious medical complications. Advantages and disadvantages of outpatient treatment for the alcohol withdrawal syndrome are discussed. It is concluded that outpatient treatment of the alcohol withdrawal syndrome is effective for certain alcoholics.

Alcohol Drinking

Amine precursors and depression.

The amino acid precursors, levodopa and L-tryptophan, were given to a group of hospitalized depressed patients in a double-blind placebo controlled study. Relatively large doses were not associated with sufficient clinical improvement to allow the patients to leave the hospital. Previous studies using the precursor-load strategy have produced conflicting findings on the use of these compounds for depressed patients.

Adult

A Quantitative Inventory of Alcohol Disorders (QIAD): a severity scale for alcohol abuse.

The Quantitative Inventory of Alcohol Disorders (QIAD) was developed to meet the need in the field of alcoholism treatment for an accurate, easily administered diagnostic tool which can measure the severity of alcoholism. This inventory is designed to be administered both on initial contact and as a follow-up after a given period of treatment. In addition to clearly differentiating alcoholic from nonalcoholic populations, the QIAD also proved to be both reliable and valid in comparison to other currently used severity (DBI) and diagnostic (MAST, DRC, NCA) scales.

Adolescent