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Biomedical subjects

M S Rapp

Publications and source records attributed to M S Rapp.

At least 55 records · Page 3Linked to original sources
PubMed1982

Agoraphobia.

The authors focus on the nature of agoraphobia and on treatments for it. A variety of myths about agoraphobia are examined such as those concerning the patient's childhood, sexual development, and marital history, and the conclusion is that none of these helps in understanding the nature of the condition. The recent notion that agoraphobia is merely a form of endogenous depression is refuted. Of the four traditional languages of psychiatry, the medical and behavioural models are currently more in vogue than the genetic or psychoanalytic, but there are limitations in all models. It is shown why the behavioural therapies for agoraphobia may not be as universally helpful as implied by the recent research literature. The apparent success of both pharmacotherapy and behaviour therapy leaves models of agoraphobia which are at variance with each other, and the authors suggest possible lines of research which might resolve the contradiction.

Agoraphobia↗
PubMed1981

Polypsychopharmacy revisited.

In this paper, polypsychopharmacy is defined, noting variations of definition in the medical literature. We show that the high incidence rates are bot dependent only on the physician's behaviour. Much of the medical literature is hostile to the use in psychiatry of two-drug combinations, and this hostility is based on three assumptions about drug use. We find little evidence to support these assumptions. Attempts to reduce the incidence of polypsychopharmacy may be simply irrelevant. We list several two-drug combinations which are of value in psychiatry, and then return to two questions: 1) Why is there so little research into two-drug combinations, considering their high incidence of use? 2) Why does this high incidence persist in the absence of good supportive evidence of its value? We offer tentative responses to these questions, and conclude that since multiple drug use is as likely to be of value in psychiatry as in any other branch of medicine, research into specific drug-combinations is overdue.

Attitude of Health Personnel↗
PubMed1979

Re-examination of the clinical mental status examination.

The traditional "mental status examination", as taught in medical school, is critically reviewed. The disparity between what is practised and what is preached, is outlined. Specific tests alleged to give information about mental function are discussed, and their clinical utility is found to be debatable. It is concluded that the reliability and validity of the mental status examination would be well worth testing. Alternatively, more use should be made of standardized tests which are now in the hands of clinical psychologists.

Diagnosis, Differential↗
PubMed1978

Code of ethics.

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Canada↗
PubMed1977

The bleeding limit.

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Attitude of Health Personnel↗
PubMed1977

A high prevalence of affective disorder discovered in a "schizophrenia clinic".

Fifty outpatients in a "schizophrenia clinic" were examined, and sixteen were found to be suffering from periodic affective disorders. Nine of these were given lithium carbonate, and eight responded well. Case histories illustrate three separate reasons for incorrect diagnosis. Examination of extensive old clinical notes of five of these patients suggests that the problems of diagnosis which have been described in the literature in the past, continue to represent obstacles to correct diagnosis. Suggestions for improvement are offered.

Adult↗