Biomedical subjects
P D Boekelheide
Publications and source records attributed to P D Boekelheide.
Understanding teenage pregnancy: a focused family interview.
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Psychiatric training for the primary care obstetrician-gynecologist resident.
The author describes a model for the psychiatric training of obstetrics-gynecology house staff members who serve as primary care physicians for women. By integrating psychiatric skills with specialty training, the psychiatrist can enhance continuity of patient care for the resident during his transition to the role of primary care obstetrician-gynecologist.
Incest and the family physician.
This paper is a review of incest from epidemiologic, familial, and individual points of view. The incest taboo has characterized almost every culture and society throughout the ages. Respect for the incest barrier is a cultural demand made by society and is not a physiological or biological imperative. Overt incest occurs in a dysfunctional family through tension-reducing "acting out." The family physician is in a unique position to observe and understand the family dynamics which both help maintain defenses against the incestuous wishes as well as, in some families, contribute to the practice of incest. For 2,000 years physicians have taken the Hippocratic oath, with its explicit love relationship clause, as a reminder of their ethical responsibilities towards their patients. Examples of para-incestuous relationships between vulnerable individuals and authoritative helping figures are cited. A psychodynamic rationale is offered as to why sexual relationships between patients and their family physicians are not therapeutically beneficial. Clues for assessment and ten preventive measures are presented to enable physicians to monitor themselves and the families in their practice.
Termination and transfer of patients in family practice.
Once established, each physician-patient relationship faces termination. In this paper attention is given to various effects of that separation on both patient and family physician. Examples are given to show the importance of the management of termination in the ongoing care and health of the individual patient as well as for the emotional well-being of the family physician. This paper places its major focus upon the characteristics and coping behaviors of the patient and the physician. Suggestions are given to help reduce the transfer reaction and stress so that adjustment is more therapeutic.
Sexual adjustment in college women who experience incestuous relationships.
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Evaluation of suicide risk.
The family physician has the unique opportunity to evaluate suicidal ideas, behavior and risk by using his demographic and medical knowledge, applying interview skills and involving the family and friends in the initial assessment. Having made an intelligent and complete assessment of the suicide threat, he can then select the most appropriate management for his patient, constantly keeping in mind the need to reevaluate for suicide risk at frequent intervals.
The nurse-midwife in the college health sexuality setting.
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