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Biomedical subjects

T D Stewart

Publications and source records attributed to T D Stewart.

At least 37 records · Page 2Linked to original sources

Hysterical conversion reactions: some patient characteristics and treatment team reactions.

Paralysis due to an hysterical conversion reaction may require an active rehabilitation program to prevent complications such as contractures and adhesions. The delivery of this care can create an emotional burden on the rehabilitation staff due to their awareness of the psychiatric etiology of this condition. Good patient care may be undermined by the thought that the patient is malingering. This paper explores features of hysteria--its relation to emotional stress, absence of organic pathology and symbolism--and contrasts it to malingering. The impact of this condition on the treatment staff is explored with two case studies. An understanding of hysteria could make the delivery of proper care to these troubled patients less stressful.

Adolescent↗

Pioneer contributions of Harris Hawthorne Wilder, Ph.D., to forensic sciences.

In his youth Harris Hawthorne Wilder developed interests in both zoology and human anatomy. Following graduate study in Germany (1886-1891), he was appointed professor of zoology at Smith College but retained his dual interests throughout his career. As a result, he was instrumental in introducing to American audiences two new European developments in human identification; dermatoglyphics and face reconstruction on skulls. The details of his contributions in these two areas, summarized here, establish him as an important pioneer in American forensic sciences.

Dermatoglyphics↗

Responses of the human skeleton to changes in the quality of life.

Americans have been getting taller for more than a century, and within this century their life expectancy has risen markedly. Descendants of some of the immigrants who arrived from Europe early in this century have heads with shapes that differ from those of relatives back in the Old World. Before they were born head shape was assumed to be one of mankind's most stable features. These examples of population change reflect the fact that in America the quality of life has improved more rapidly and widely than elsewhere. Forensic anthropologists have been adjusting their identification techniques to compensate for these population changes. Among other things, they have used data collected in connection with the military programs to repatriate the American dead of World War II and the Korean War.

Adolescent↗

J. Lawrence Angel.

Explore the source record for details and available documents.

Anthropology, Physical↗

Coping behaviour and the moratorium following spinal cord injury.

Coping with severe traumatic injury involves three interwoven processes--denial, depression and restitution. Denial and depression are seen as adaptive processes in the appropriate context. A moratorium during the coping process is described; its duration and implications for patient care are discussed.

Adaptation, Psychological↗

Psychotherapy and physical therapy common grounds.

Psychotherapy and physical therapy involve charged emotional relationships with many common features. Understanding of these common elements can help physical therapists to work with their patients, to utilize the healing aspects of the relationship, and to reduce the tensions within the relationships that can interfere with job satisfaction. The importance of separation and its management are emphasized.

Acting Out↗

Spinal cord injury: a role for the psychiatrist.

The initial psychiatric evaluation of individuals with spinal cord injuries should focus on the patients' coping strategies; this information is an essential part of the treatment and rehabilitation plan. Psychiatrists can also work effectively with staff members in groups designed to ease the strain of working with severely disabled patients. Such patients may have psychiatric illnesses that are not secondary to the injury; careful selection of antidepressant or antipsychotic medication is essential. The author points out that the psychiatrist has much to offer in the treatment of individuals with spinal cord and other severely disabling injuries.

Adaptation, Psychological↗

Penile prosthesis: psychologic factors.

A thirty-one-year-old paraplegic male requested a penile prosthesis. Psychiatric evaluations were done of both the patient and his wife. Within seventy-two hours of his arriving home with the prosthesis installed, his wife left their house to seek a divorce. The implications of this event for selecting patients for such devices are explored. Reservations are expressed about a prosthesis being inserted for patients married after the onset of impotence.

Adult↗

Cranial dysraphism mistaken for trephination.

Attention is called to a disputed diagnosis of trephination reported for a perforated skull of a prehistoric New England Indian. The perforation, surrounded by a saucer-like depression, is located exactly in the midline just in front of bregma. The finding of a similar lesion in a prehistoric Indian skull from the North Coast of Peru--where, as in New England, good evidence of the practice of trephination is lacking--provides support for a more reasonable diagnosis for both cases: congenital cranial dysraphism, specifically encephalocele. Information about dysraphic states from modern clinical experience is summarized.

Anthropology, Physical↗