Search PubMed⌕ Search

Biomedical subjects

M Greenblatt

Publications and source records attributed to M Greenblatt.

At least 55 records · Page 3Linked to original sources
PubMed1985

After commissioner, what?

One hundred nine psychiatrists who had been commissioners of state departments of mental health answered a questionnaire about their experiences after being commissioners. Most of these former commissioners got jobs they wanted after leaving the post. Those who experienced "decompression" adjustment difficulties tended to be less satisfied with subsequent jobs and were willing to serve again as commissioner. An important factor in decompression was a sense of loss and depression over having to abandon important unfinished work. The authors speculate that the large-scale opportunities for challenge and mastery characteristic of the job of commissioner are rarely matched in subsequent jobs.

Adaptation, Psychological↗
PubMed1984

Life at the State summit: views and experiences of 18 psychiatric leaders.

In 1981 the American Psychiatric Association appointed an ad hoc committee to investigate the decline of psychiatrist leadership of public mental health programs. As part of the committee's research, the 18 psychiatrists who were then state commissioners or directors of mental health were surveyed on how they got their jobs and on their backgrounds, present responsibilities, support systems, and future plans. The results of the survey are discussed and presented in tabular format. The psychiatrists surveyed recommended that future commissioners have backgrounds similar to their own, which consisted of a great deal of previous on-the-job experience in mental health administration but little formal training or education in administration; none of the commissioners had obtained APA certification in administrative psychiatry. The commissioners felt they received the most support in their work from their subordinates; among the major groups listed as providing support, APA ranked lowest. The authors discuss the implications of the survey findings as well as issues surrounding the administration of public mental health programs by psychiatrists.

Administrative Personnel↗
PubMed1984

Some ingredients for mental health.

When the body is ailing the mind is soon impaired. Good health practices contribute to longer and better life. A balanced life of work-rest-play is necessary to human health. Psychosocial stresses at any period of life may impair morale and productivity and increase the likelihood of physical or mental disease. Bereavement, separation, divorce, loss of friendship, retirement, loss of self-esteem and symbolic losses contribute significantly to mental and physical ill health. Social and psychological support systems are vital to mental health maintenance. Mature persons evolve principles, values, moral and ethical tenets, philosophic and religious ideals and special codes of conduct to give meaning to their lives. The basic needs of survival and procreation must be integrated with moral precepts relating to interindividual behavior so as to give a person a feeling of self-worth, which is an indispensable element in mental health.

Female↗
PubMed1982

Social networks and mental health: on overview.

Research has shown that social networks can act as social support systems to promote mental health and buffer psychological stress. In this selective review the authors illuminate patterns and characteristics of social networks that maintain health and help prevent illness, explore the relationship between social networks and the course and outcome of treatment for mental illness, and describe clinical network interventions that have been used to facilitate inpatient care and maximize performance of ex-patients in the community. The authors also discuss the implications of research findings for mental health practice.

Community Mental Health Services↗
PubMed1980

Infiltrative cardiomyopathy with conduction disease and ventricular arrhythmia: electrophysiologic and pathologic correlations.

Two cases are described, one of cardiac sarcoidosis and another of primary cardiac amyloidosis, in which correlation was made between electrophysiologic and postmortem conduction system studies. In Case 1 the electrocardiogram revealed right bundle branch block with first degree and intermittent third degree atrioventricular (A-V) block and recurrent unifocal paroxysmal ventricular tachycardia. Electrophysiologic studies disclosed normal sinus rhythm with prolonged A-H (175 ms) and H-V (60 MS) intervals and extrastimulus induction of repetitive ventricular firing. Postmortem examination revealed a sarcoid aneurysm of the posterior left ventricle and granulomatous infiltration of the A-V node, His bundle and bundle branches. In case 2 the electrocardiogram revealed sinus bradycardia, a prolonged S-T interval and recurrent ventricular fibrillation. Electrophysiologic studies demonstrated a prolonged sinus nodal recovery time (6,080 ms) and H-V (85 ms) interval. Postmortem examination revealed marked amyloid infiltration of the sinoatrial node, atria, proximal bundle branches and left and right ventricular myocardium. There was thus excellent correlation between electrophysiologic and pathologic findings. These cases indicate the importance of making a clinical diagnosis of the disease that might in some cases allow specific therapeutic intervention in addition to antiarrhythmic therapy.

Adult↗
PubMed1980

Continuing certification and continuing education.

The authors review the guidelines of the American Board of Medical Specialties (ABMS) for recertification and the approaches of various medical specialty boards, including internal medicine, pathology, and family practice, toward implementing periodic recertification. At a time when psychiatry has an increasingly close alliance with the other medical specialties, it is important that this issue receive serious consideration. Close collaboration between APA and the ABPN on the recertification process assures that any procedures developed will be in keeping with psychiatrists' wishes and needs, while meeting the responsibility for public accountability.

Certification↗
PubMed1979

Special problems facing the psychiatrist-administrator.

Psychiatrists who become administrators often find themselves in an unfamiliar world of planning, budget and cost control, labor relations, and mental health law. They discover that the physical and mental demands of leadership are great, their role makes them highly visible, and their future is uncertain. Psychiatric administrators in general hospitals are in a unique position of competing for resources with medicine and surgery. In addition, the need for linkages to the community challenges the psychiatric administrator to deliver services to defined catchment areas, identify cases at risk, and establish halfway houses and similar facilities. While the author discusses primarily the stresses and problems of being a psychiatric administrator, he also says there are special satisfactions of the executive role.

Attitude↗
PubMed1978

The grieving spouse.

Loss of a spouse presents serious risks to the psychological and physical health and well-being of the survivor. This is particularly true for women. Physical disease, hospitalization, and mortality in widows all exceed expected rates. The author reviews the phases of mourning, the factors related to pathological grief, and the ways in which grief is resolved. He describes widow-to-widow care systems, which seem to have substantial merit. Pastoral counseling and in some cases psychiatric care and medication can be helpful, but time is the greatest healer of all.

Adaptation, Psychological↗