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Biomedical subjects

R C Friedman

Publications and source records attributed to R C Friedman.

At least 37 records · Page 2Linked to original sources
PubMed1991

Contemporary psychoanalysis and homosexuality.

In this paper, I contrast older, traditional, psychoanalytic ideas about homosexuality, with those put forth at a panel on homosexuality at the American Psychoanalytic Association in 1983 (and subsequently). I focus particularly on relationships between cross-gender behavior during childhood and adulthood homosexuality; sexual orientation and personality functioning; determinants and intrapsychic consequences of homophobia, countertransference issues in working psychoanalytically with gay and bisexual patients; the sexual orientation of the analyst (i.e. should gay patients be treated only by gay analysts?). Changing psychoanalytic ideas about sexual orientation reflect the increasingly widespread recognition by psychoanalysts of the necessity to integrate psychoanalytic theory with advances in neurobiology, particularly neuroendocrinology.

Female↗
PubMed1991

The depressed masochistic patient: diagnostic and management considerations--a contemporary psychoanalytic perspective.

This article considers the relationship between depression and characterological masochism from a contemporary psychoanalytic perspective. Nosology is discussed historically from Krafft-Ebing to the DSM-III-R category, self-defeating personality disorder. Masochistic character traits are conceptualized as attempts to cope with depressed helpless and hostile feelings that have become part of the core self-concept. Psychotherapeutic strategy for treatment of masochistic patients at different levels of characterological integration is discussed. Many questions about self-defeating personality disorder remain open at present. The need for psychoanalytically informed clinical research on characterological masochism and particularly the relationship between masochism and depression is stressed.

Adult↗
PubMed1985

Manometrically guided colon insufflation during double-contrast barium enemas.

The double-contrast enema's potential for high accuracy depends in part on consistently good inflation of the colon. However, optimal inflation is often not obtained because of deflation during filming, underinflation because of fear of perforating the colon, or patient discomfort. To help meet the dual requirements of ensuring consistently good bowel inflation while avoiding over-inflation, we have designed a modified insufflator which incorporates a manometer and allows accurate readings of intraluminal large-bowel pressures during or following insufflation. In more than 3000 examinations using this method we have experienced no complications.

Barium Sulfate↗
PubMed1985

Follow-up five years after attempted suicide at age 7.

Of 101 adolescents and young adults admitted to a depression inpatient unit, and independently evaluated by researchers and clinicians, only one had ever made a prepubertal suicide attempt. Despite progressively severe primary affective disorder that ultimately led to hospitalization at age 12 1/2, the patient never again attempted to kill himself. In this report we discuss D.'s developmental history, family and individual psychodynamics, psychopathology and treatment. Since the patient had been evaluated by mental health professionals repeatedly from age 5, we had access to a well-documented longitudinal view of his life. His motivation to attempt suicide involved interactions between individual and family dynamics. In addition, however, the occurrence by coincidence of meaningful stress at a phase-specific time of vulnerability was of clinical significance. In our opinion, stressful events which actually occurred and were not the products of fantasy enhanced the likelihood that D.'s only suicide attempt occurred at the point of his life when it did.

Child↗
PubMed1984

Affective and character pathology of suicidal adolescent and young adult inpatients.

Psychiatric diagnoses and severity of suicide attempts were compared between adolescents (14-19 years) and young adults (20-35 years) with depressed mood hospitalized following a suicide attempt. The depressive disorders manifested by the two age groups, determined by semi-structured interview, were basically the same. The degree of lethality and frequency of suicide attempts were approximately equal in the two groups. Adolescents in this investigation who manifested the same behaviors as older patients were diagnosable by the same criteria.

Adolescent↗
PubMed1983

Primary and secondary affective disorders in adolescents and young adults.

The concepts of primary and secondary affective disorders have become widely accepted by researchers of adult psychiatric disorders. They are based on the chronological development of certain specified major affective disorders in relation to diagnosable, nonaffective psychiatric disorders. Despite potential etiological implications, little data are currently available on the primary-secondary classification applied to cases with early onset adolescent and young adulthood affective disorders. This study reports on the application and clinical implications of the primary-secondary classification in a sample of 65 adolescent and young adult inpatients who meet Research Diagnostic Criteria (RDC) for an index episode of Major Depressive Disorder.

Adolescent↗
PubMed1983

History of suicidal behavior in depressed borderline inpatients.

The DSM-III definition of borderline personality disorder emphasizes affective symptoms. The authors hypothesized that depressed patients with borderline personality disorder would be more likely to be suicidal than those without this diagnosis. Of 53 inpatients treated for depression, 46 manifested personality disorders; borderline personality disorder was the most prevalent axis II diagnosis. That borderline patients had more complicated courses than the other depressed patients was evidenced by their histories of suicidal behavior. Most patients diagnosed as having borderline personality disorder continued to fulfill criteria for this diagnosis even when suicide attempts were excluded as a diagnostic criterion.

Adolescent↗
PubMed1982

Sexual histories and premenstrual affective syndrome in psychiatric inpatients.

Of 45 female inpatients with schizophrenia, depression, borderline personality, or depression and borderline personality, 28 met criteria for probable or definite premenstrual affective syndrome. Of these 28, 16 had abnormal sexual histories, compared with only 1 of the 17 women who did not have premenstrual affective syndrome. Of the 12 patients with both depression and borderline personality disorder, 9 had both premenstrual affective syndrome and abnormal sexual histories. The 6 patients who had been raped all met the criteria for premenstrual affective syndrome. The authors suggest that premenstrual affective syndrome may signify unresolved sexual conflicts in subgroups of psychiatric patients.

Adolescent↗
PubMed1980

Fathers, sons, and sexual orientation: replication of a Bieber hypothesis.

This retrospective study compares memories of the father-son relationship between lifelong socially well-adjusted, non-patient homosexual and heterosexual men. No homosexual subject reported the presence of a reasonably intact, positive relationship with his father or father surrogate during preadolescent years, whereas 12 of the 17 heterosexual men did. Previous investigators have hypothesized that a constructive, supportive father-son relationship precludes the development of homosexual orientation. This hypothesis stemmed from investigation of men who in general suffered from significant global psychopathology. The data in the present investigation supports the notion that a meaningful association, which is not attributable to confounding psychopathology, exists between quality of father-son relationship during early life and male sexual orientation.

Adult↗