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Biomedical subjects

P Chodoff

Publications and source records attributed to P Chodoff.

At least 37 records · Page 2Linked to original sources
PubMed1981

Use of ECT with treatment-resistant depressed patients at the National Institute of Mental Health.

The authors review the use of ECT with nine seriously depressed patients at the National Institute of Mental Health over the past 8 years. Despite the patients' poor prior response to a variety of pharmacological treatments, only one patient failed to show a complete response to ECT. With most patients, improvement was quite rapid and dramatic, and all of the ECT responders were free of depression for at least 1 year after treatment. These results are consistent with previous studies; they deserve reemphasis now in light of recent controversies over ECT, including legislative and judicial attempts to restrict its use.

Adult↗
PubMed1978

Psychiatry and the fiscal third party.

Third-party payment has profound effects on such areas of psychiatry as confidentiality; diagnosis; the therapeutic relationship; psychiatry's identification with the rest of medicine and the role of nonphysician mental health professionals; psychiatric education; and the availability, type, location, and quality control of treatment. As third-party payment becomes increasingly frequent, psychiatrists will have to come to terms with its good and bad effects in hospitals and community mental health centers as well as in private practice.

Attitude of Health Personnel↗
PubMed1977

Psychiatric peer review: the Washington, D.C., experience, 1972-1975.

The authors describe the method by which claims review for psychiatric practice is carried out by an APA district branch peer review committee in the Washington, D.C., metropolitan area and analyze the claims reviews handled by the committee from 1972 through 1975. On the basis of their findings they conclude that peer review of psychiatric treatment can be carried out in a medical framework, that it can have some effect in diminishing costs incurred by improper utilization or by abuses, and that it can improve the quality of psychiatric practice.

Ambulatory Care↗
PubMed1977

A measure of interpersonal dependency.

Interpersonal dependency refers to a complex of thoughts, beliefs, feelings, and behaviors revolving around needs to associate closely with valued other people. Its conceptual sources include the psychoanalytic theory of object relations, social learning theories of dependency, and the ethological theory of attachment. A review of existing self-report inventories revealed none that adequately assessed interpersonal dependency. A new 48-item self-report inventory which assesses interpersonal dependency in adults was developed using a sample of 220 normals and 180 psychiatric patients. It was cross-validated on two additional samples. Three components of interpersonal dependency emerged: emotional reliance on another person, lack of social self-confidence, and assertion of autonomy. The relationship of these components with normals and patients was discussed, as well as with the concepts of attachment and dependency.

Adult↗
PubMed1977

Massive weight loss following jejunoileal bypass. I. Effects on pulmonary function.

Twelve morbidly obese patients had jejunoileal bypass surgery and serial detailed pulmonary function studies done over a one year period. Before operation they showed evidence of a decreased ventilation: perfusion ratio producing a "shuntlike effect" (Pao2 = 73, Paco2 = 37, pH = 7.44) while breathing room air (FIo2 = 0.209). They also had measurements consistent with pure restrictive lung disease. There was a highly significant improvement in the arterial oxygenation over the entire one year period and a significant loss of chest wall mass over the first 6 month period. The improved oxygenation most likely was due to a return of lung volumes toward normal and an improvement in the efficiency of the respiratory muscles.

Adolescent↗
PubMed1976

The case for involuntary hospitalization of the mentally ill.

The author examines three points of view on the question of society's right to involuntarily hospitalize a mentally ill individual. The "abolitionists" oppose involuntary hospitalization entirely; the medical model psychiatrists support the need for commitment under certain circumstances and so do the civil liberties lawyers, but by different standards. The author believes that with the current overreliance on the dangerousness standard, we are witnessing a pendular swing in which the rights of the mentally ill to be treated and protected are being set aside in the rush to give them their freedom. He favors a return to the use of medical criteria by psychiatrists, albeit with constructive legal safeguards.

Adult↗