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Biomedical subjects

M Glasser

Publications and source records attributed to M Glasser.

At least 55 records · Page 3Linked to original sources
PubMed1986

Identification and its vicissitudes as observed in the perversions.

This paper aims to contribute to the clarification of the different meanings of the concept of identification and the different processes involved in the making of an identification, by considering the perversions as disorders of internalization. The different forms of internalization are regarded as lying along a continuum of which identification is at one extreme and involves the incorporation of (part of) the object-representation into the self-representation. The pervert is shown to be unable to carry out the process of identification because he is fixated at an early developmental phase which I refer to as the 'core complex': instead of identification he has to make use of 'stimulation' in which the subject unconsciously models himself on (parts of) the object. The crucial role the body plays in these dynamics is considered. Exploration of these issues highlights how, in order for identification to take place, the issues of the core complex need to be adequately resolved in the course of normal development.

Aggression↗
PubMed1985

Patients' views of the medical education setting.

The results of a survey of 1,334 patients at three community health centers operated by the University of Illinois College of Medicine at Rockford are presented and discussed. The research was designed to begin to obtain a better understanding of the patient's views on the quality of care and medical students in the medical education setting. Patients in the study reported being attracted to the educational site for the same reasons they would go to a private physician, that is, location, advice of a friend, or dissatisfaction with their previous doctor. They also reported satisfaction with care in general and with the specific components of care at the health centers. However, the patients expressed different views of the medical student's role, and there were differences in the patients' preferences for a student or a faculty physician depending on their medical problem or condition. These views of the student's role and the patients' preferences of physicians were found to be related significantly to the patient's age, the patient's perception of his primary source of medical care, the patient's evaluation of the effect of medical schools on health care, and the patient's level of satisfaction with the care received.

Adolescent↗
PubMed1985

The impact of psychotherapists and primary physicians on suicide and other violent deaths in a rural area.

A northeastern Connecticut area comprising 60,000 people from six small towns and a city of 14,000 was studied as to their suicidal and other violent death rates over a 20-year period (1960-1979). Since there was a 458% increase in the number of practicing psychotherapists and an 82% increase in primary physicians during this period of time, correlations were made to determine whether or not this increase in health professionals diminished the violent death rates. There was no evidence that the increased number of health professionals had an impact on the suicide rate or other violent death rates (p = n.s.). Possible reasons for this are discussed and suggestions made for better utilization of health care workers in preventing suicide and other violent deaths.

Accidents, Traffic↗
PubMed1984

Mania in the elderly.

Forty-two patients 60 years old and older who fulfilled DSM-III criteria for mania were retrospectively identified. Symptom profiles and treatment response were similar to those of younger patients. No evidence was obtained to support physical illness as a common precipitant of late-life mania.

Aged↗
PubMed1984

Pancreatic fibrosis in chronic alcoholics and nonalcoholics without clinical pancreatitis.

A postmortem study was undertaken to determine the prevalence and nature of pancreatic injury in chronic alcoholics with no clinical pancreatitis. The material for this postmortem study was obtained from 101 entire pancreata. From five sites in each of the pancreata, sections were obtained and evaluated by two pathologists who used a 0-3 numerical grading of fibrosis. Forty-seven percent of the alcoholics had diffuse fibrosis of all five segments, in contrast to only 29% of the nonalcoholics. No fibrosis was present in 32% of the alcoholics and 56% of the nonalcoholics (p less than 0.05). The nonalcoholics tended to show an increase with age in the proportion of cases having fibrosis. The data suggest that there is ongoing pancreatic damage in chronic alcoholics before the onset of clinical pancreatitis.

Age Factors↗
PubMed1983

Drug-induced reversal of early diabetic microangiopathy.

We performed three oral glucose-tolerance tests and three muscle biopsies over a period of approximately three years in 41 asymptomatic patients with chemical diabetes. At base line, 13 (32 per cent) had an increased capillary basement-membrane width in muscle. Twenty-three patients received glipizide, a new oral hypoglycemic compound, and 18 received placebo. In the patients receiving placebo the mean width of the muscle capillary basement membrane increased from 135.9 +/- 9.0 nm (S.E.M.) to 169.3 +/- 9.5 nm (P = 0.01), but in those receiving glipizide the value decreased to a level no different from that in subjects without diabetes: from 152.9 +/- 2.9 to 127.5 +/- 5.1 nm (P = 0.01). These findings suggest that microangiopathy, as indicated by an increased capillary basement-membrane width in muscle, may be present in a considerable number of patients with asymptomatic diabetes and that the changes can be reversed by early drug treatment.

Adult↗
PubMed1983

The role of a medical education center in location decisions of practicing physicians.

The role of a medical education center in the decisions of physicians on where to practice was examined for all physicians locating in Rockford, Illinois, during 1978-1980. Questions were asked concerning faculty status, factors influencing practice location decisions, and perceived advantages of association with a medical education center. The results indicated that a majority of the 57 responding physicians did take the center into account when deciding to locate in Rockford; however, location in a mid-sized city and an opportunity for joint practice proved to be more influential factors than the possibility of a faculty appointment. Thus, while seldom the prime factor, the possibility of a faculty appointment. Thus, while seldom the prime factor, the medical education center was an important secondary factor and perhaps provided the margin of influence necessary to decide to locate in Rockford for those physicians inclined toward a smaller community.

Academic Medical Centers↗
PubMed1982

Career choices from medical school to practice: findings from a regional clinical education site.

Most studies of career choices are not longitudinal, or they maximally deal with only short periods of the career development process. The study on which this article is based examined changes in specialty preferences at three points: sophomore year of medical school, residency, and practice. Aggregate specialty preferences at each point, rats of preference consistency between each, and general patterns of career shifts were examined. The results indicated a fairly high (70 percent) rate of consistency in career choices designated as primary care and nonprimary care specialties over this time span. Although medical education programs probably do not in a strict sense lead to career choices, this high consistency rate may indicate that such programs can serve significantly to strengthen existing preferences throughout the medical career.

Career Choice↗
PubMed1981

Contraceptives and the conceptus. II. Sex of the fetus and neonate after oral contraceptive use.

The sex distribution of 1421 induced abortuses and 2986 newborn infants was correlated with maternal contraceptive histories. Sex of abortuses was determined by chromosome and sex chromatin analyses. No statistically significant differences (P Greater Than 10) were found between the sex ratios either of the fetuses or of the infants of women who used hormonal (oral) contraceptives as compared to those of noncontraceptive controls nor between the induced and newborn series. Also, no correlation was found between sex of the conceptus and total duration of oral contraceptive use, or interval between termination of contraceptive use and conception. Therefore, if the use of low dose oral hormonal contraceptives has an effect on the sex of subsequent offspring, it is likely to be small since the 95% confidence interval for the sex ratios for the oral contraceptive groups divided by the sex ratios of the noncontraceptive group (odds ratio) are 0.80 to 1.22 for induced abortions, and 0.82 to 1.10 for newborns. These conclusions are not in agreement with some earlier reports, generally of small samples, but they are consistent with the results of Rothman and Liess (1976) from a sample of 6109 infants born to oral contraceptive users.

Abortion, Induced↗
PubMed1980

Relationship of small and large coronary artery disease to myocardial ischemia.

To determine the relative roles of narrowing of the small intramyocardial arteries and of the large extramural coronary arteries in the development of ischemic myocardial lesions, hearts were obtained at the autopsies of 105 adults for morphologic study. Subendocardial ischemic lesions frequently were associated with narrowing of the small arteries even in the absence of major coronary artery stenosis. However, transmural ischemic lesions occurred almost always with large coronary artery disease, either alone or in combination with narrowing of the small arteries. A logistic function was fitted to the data to predict the risk of developing myocardial ischemia. The probability of ischemic heart disease was shown to rise with increasing heart weight, narrowing of the small intramyocardial arteries, major coronary artery disease, and combined small and large artery stenosis.

Adult↗
PubMed1979

Holistic medicine.

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Economics, Medical↗