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Biomedical subjects

S B Lippmann

Publications and source records attributed to S B Lippmann.

48 records · Page 3Linked to original sources
PubMed1987

Use of antipsychotic drugs in depression. Problems and opportunities.

Antipsychotic drugs have an important place in pharmacologic treatment of depression. Major depression with psychotic features responds poorly to treatment if an antipsychotic is not used in addition to an antidepressant; however, an antipsychotic confers no additional benefit in nonpsychotic depression. Antipsychotic drugs do have significant short- and long-term side effects, including pseudoparkinsonism, dystonia, akathisia, and tardive dyskinesia. The possibility of a good therapeutic response with minimal side effects can be increased if psychotic depression is diagnosed accurately and the antipsychotic is prescribed according to established clinical guidelines.

Antidepressive Agents, Tricyclic↗
PubMed1987

Stresses on physicians treating AIDS.

Psychologic issues for physicians treating AIDS include feelings of helplessness, discomfort with alternative lifestyles, fear of contagion and grief. Physician reactions may include unnecessarily heroic medical interventions, avoidance of the patients' families, injudicious use of narcotics, unwillingness to involve patients' homosexual partners in treatment decisions, anger at hospital personnel and colleagues, refusal to supervise medical students on AIDS cases, despondency and even resignation from employment.

AIDS-Related Complex↗
PubMed1987

Psychologic implications of AIDS.

Eleven patients with AIDS were seen by a psychiatric consultation service over a four-year period. Psychologic issues identified in these patients included changes in body image, feelings of helplessness and isolation, sexual concerns and the grief process. Management should be aimed toward maintaining a nonjudgmental stance, providing liaison with other caregivers and securing appropriate information and grief counseling for patients, with provision for the patient's loved ones.

Acquired Immunodeficiency Syndrome↗
PubMed1986

Consultative psychiatry in both private and public general hospitals.

Most psychiatric patients obtain care in the nonpsychiatric units of general hospitals. Two groups of 100 psychiatric consultation patients in a private hospital setting and in a public hospital were compared. Significant differences were found. Patients in the public hospital were medically, psychiatrically, and socioeconomically more disabled. In the private setting, psychiatric consultants were usually seen as members of a treatment team. The public facility expected consultants to function as psychiatric triage officers. However, both patient groups had a similar frequency of psychiatric illness and had an equal need for psychiatric services.

Adjustment Disorders↗
PubMed1984

Psychiatric aspects of complex partial seizures: case report.

A patient is described who had a personal and family history of rage attacks, mood disturbance, and epileptiform EEGs. The patient achieved a return to emotional stability with the introduction of anticonvulsant drug therapy. Symptoms relapsed and then remitted as anticonvulsants were stopped and then reinstituted.

Adult↗
PubMedDate not supplied

Patients who refuse heart transplantation.

Some terminally ill patients refuse proposed heart transplantation. Forty patients were offered this surgery; six (15%) declined. Candidates refusing surgery were likely to have a psychiatric diagnosis and heart disease longer than 1 year. Factors thought to influence the decision to refuse surgery included (1) depression, (2) ambivalence about surgery or survival, (3) previous negative experiences with surgery, (4) acceptance of the inevitability of death, (5) concerns about postoperative quality of life, (6) organic brain syndrome, and (7) denial of the severity of heart disease. Patient refusal of a heart transplant is often disconcerting for members of the transplant team.

Adult↗
PubMedDate not supplied

Psychopathology in heart transplant candidates.

Psychodiagnostic data are reported on 69 heart transplant candidates. Twenty-seven patients actually received a transplantation. A high prevalence of anxiety and depression appeared related to their desperate cardiac status. Distressful symptoms did not predict postoperative psychiatric complications. Reduced coping skills as reflected by diagnoses of personality disorders or organic mental impairment were associated with many behavioral problems capable of jeopardizing survival. Psychiatric input is necessary for, and was helpful in, the management of these patients.

Adolescent↗