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At least 127 records · Page 7Linked to original sources
PubMedDate not supplied

Procedural distress in children with cancer: self-report, behavioral observations, and physiological parameters.

OBJECTIVES: To examine the relationship among different indicators of pain and distress, including self-report, behavioral observations, and physiological parameters, in children with cancer undergoing invasive procedures. METHODS: Forty-eight children between the ages of 3.1 and 17.7 years were evaluated while undergoing lumbar punctures. Self-report measures assessed anxiety, pain, self-efficacy, expectations of coping strategies, and coping self-efficacy. Parents reported on their own and their child's levels of anxiety, and physicians estimated their own level of stress and technical difficulty in completing the procedure. Behavioral observations were made prior to, during, and after the procedure. Physiological parameters included heart rate, cardiac vagal tone, and salivary cortisol. At the discretion of attending physicians, 32 children received deep sedation, 9 received light sedation, and 7 received cognitive-behavioral strategies with topical anesthetic as interventions to manage procedural distress. RESULTS: There was a high degree of consistency within self-report, behavioral, and physiological parameters, but correlations between measures in different modalities were low. There were floor effects for most behavioral and self-report measures of distress. Cortisol showed marked changes preprocedure to postprocedure, demonstrating high levels of physiological response despite lack of apparent or perceived discomfort. Heart rate was significantly lower in the group using cognitive-behavioral techniques, especially at the point of needle insertion. DISCUSSION: Self-report measures, behavioral indicators, and physiological changes are not interchangeable outcomes. Treatment strategies were effective for minimizing subjective and behavioral distress, but not necessarily for physiological reactions. Future research should focus on individual differences in these responses, and treatment outcome studies aimed at reducing distress must be clear about the specific goals of intervention.

Adaptation, Psychological↗
PubMed1993

The effects of written autobiographical recollection induction procedures on mood.

This study assessed the effects of group induction procedures that are practical in their administration (written format) and also individualized. Fifty-four females and 36 males were assigned randomly to one of three conditions. Conditions One and Two consisted of subjects being asked to think of the two saddest or two happiest events of their lives, respectively. Condition Three consisted of a control condition in which subjects were asked to read a geography article. The procedure produced marked decreases in depression (p < .001) and anxiety (p = .001) as mood states in Condition One (happy events) and marked increases in depression (p < .001) and anxiety (p < .001) in Condition Two (sad events). These procedures are particularly suitable for mood induction in a group setting.

Adolescent↗
PubMed1995

[Not Available].

The aim of this paper is to demonstrate the importance of autobiographies of dispensing chemists for the history of science. The analysis of the autobiographies of E. W. Martius, D. H. Hoppe, F. T. Kützing and other pharmacists of the 18th and 19th centuries, shows that these books give much information about the history of medicine, chemistry or botany. The memoirs of pharmacists, published in the later 19th and 20th centuries, for example by Th. Fontaine or by H. Sudermann, are especially interesting origins for the history of pharmacy.

Autobiographies as Topic↗
PubMed2002

Social phobia and the recall of autobiographical memories.

Although cognitive theories of anxiety suggest that anxious individuals are characterized by the biased tendency to recall negative experiences with perceived threat, few empirical studies have confirmed this notion. To investigate personal memories associated with threatening experiences, individuals with socio phobia (n=16) and nonanxious individuals (n=17) completed an autobiographical memory-cueing procedure. Participants were presented with 15 social threat words and 15 neutral words, and they recorded the first specific memory that came to mind. Autobiographical memories were coded for specificity and affective tone. There were no group differences in the extent to which participants retrieved specific memories. A greater number of memories cued by social threat words were characterized by negative affect in the social phobia group than in the nonanxious group. However, examination of the means suggests that this effect was small and most likely not of practical significance. It is suggested that memory biases toward threat are not a prominent part of cognitive symptoms that characterize individuals with social phobia.

Affect↗
PubMedDate not supplied

From inside prison.

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Adolescent↗
PubMed2001

Hippocampal complex and retrieval of recent and very remote autobiographical memories: evidence from functional magnetic resonance imaging in neurologically intact people.

It has been argued that the role of the hippocampus in memory is time-limited: during a period of memory consolidation, other brain regions such as the neocortex are said to acquire the ability to support memory retention and retrieval on their own. An alternative view is that retention and retrieval of memory for autobiographical episodes depend on the hippocampal complex, regardless of the age of the memory. We examined the participation of the hippocampal complex in a functional magnetic resonance imaging (fMRI) study in which participants were asked to recollect autobiographical events that occurred either within the last 4 years or more than 20 years ago. We found equivalent levels of hippocampal activation in both conditions in all participants (N = 10). In addition, activation in neocortical regions did not differ as a function of the age of the memory, even though most of the recent memories recalled were less than 2 years old and the remote memories more than 35 years old. The results support the notion that the hippocampal complex participates in retention and recovery of even very old autobiographical memories, and place boundary conditions on theories of memory consolidation.

Autobiographies as Topic↗
PubMed2004

One form of self-analysis.

Beginning with Freud, psychoanalysts have discovered media through which they may achieve a self-analytic experience (for example, by use of dreams, fantasies, reveries, memories, and even visual images). Each of these media is a kind of "fiction" created by the analyst that provides an imaginative space where he or she may gain access to unconscious life. The author demonstrates how a generative self-analytic experience may be accomplished through the medium of psychoanalytic writing: a fictional autobiographical form of writing through which a self-analytic experience is created that has much in common with the analytic experience created by the analyst and analysand.

Autobiographies as Topic↗
PubMed2003

The use of autobiography in psychotherapy.

First-person narratives may have advantages as adjuncts in psychotherapy. They provide an inside view of mental disorders expressed in the person's own words, emphasize issues that the person deems important, are interesting to read with strong story lines, are less didactic than self-help books, and offer identification with a protagonist. Recent trends in published autobiographies are described. There has been an increase in the number of published autobiographies describing mood disorder relative to schizophrenia, of psychotherapists going public with personal experiences of mental disorder, and of books expressing a positive view of treatment. The article includes case vignettes and a practitioner-recommended list of autobiographies on addictive disorders, death and grieving, and mood disorders.

Adult↗
PubMed2004

Epiphany in autobiography: the quantum changes of Dostoevsky and Tolstoy.

The quantum changes of Dostoevsky and Tolstoy are clarified by the partly overlapping concept of a literary epiphany. The qualities of an epiphany-intensity, resonance, and mystery-are much like the vividness and surprise of a quantum change (which also is felt to be beneficent and permanent). Epiphanic intensity and mystery reinforce the quantum attributes of love and lasting transformation in Dostoevsky's sudden memory of the motherlike tenderness of the peasant Marey. Tolstoy underlines the quantum effects of the embracing light seen in A Confession, but this epiphany is more abstract and attenuated than Dostoevsky's Diary episode. Tolstoy's earlier memoir shows how the shock of identity questioning introduces a complicating factor: the trauma of remorse. Clinical implications of the two authors' quantum-change accounts are discussed.

Autobiographies as Topic↗
PubMed2006

Clinician to frontline soldier: a look at the roles and challenges of army clinical psychologists in Iraq.

Psychologists have a long and respected history of service during wartime that dates back to World War I. From the early days of scientific personnel selection, clinical psychologists have made a number of wartime contributions. Today, Army clinical psychologists serving in Iraq are providing behavioral health services as both clinicians and prevention specialists in order to meet the psychological and emotional needs of service members abroad. They are also performing as Army officers and soldiers contributing to the success of military operations as a whole. The authors, two clinical psychologists and Army officers currently deployed to Iraq, provide a small glimpse into the clinical and personal opportunities and challenges faced by wartime Army clinical psychologists.

Autobiographies as Topic↗
PubMed1997

Attachment and emotion in autobiographical memory development.

The relation of attachment status to autobiographical memory was assessed in 3.5- to 4.5-year-olds. Of specific interest was the relation between attachment status and the emotional content of parent-child memory conversations. Forty-six mother-child dyads discussed four events designed to elicit positive and negative emotional themes. Both attachment status and gender moderated the emotional content of this memory talk. Mother-daughter dyads with insecurely attached girls engaged in relatively more negative memory talk than mother-daughter dyads with securely attached girls. However, the dyads of secure girls elaborated more often on both positive and negative emotional themes than did the dyads of insecure girls who primarily elaborated on positive themes. The relations between attachment status and emotion talk for mother-son dyads were inconsistent. Findings were discussed in terms of the role of attachment in the social construction of autobiographical memories.

Affect↗
PubMed1987

High point.

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Autobiographies as Topic↗
PubMedDate not supplied

The development of pediatric neurosurgery in Paris. How to create something out of nothing: reflexions on the methodology.

Up to 1960, children in need of neurosurgical treatment in France were treated either in neurosurgical departments where anesthetists, nurses and neurosurgeons had no specialized training in pediatrics or in departments of pediatric surgery in which the specific aspect of neurosurgery was ignored. Clearly a mutation was needed before any progress could be made: the development of pediatric neurosurgery services. This essay tells the story of the creation of the first pediatric neurosurgery service in France, of the difficulties encountered and of the strategies applied to overcome them. It also recalls the discussions about what size such a service should be and whether it should be located in a general hospital or in a pediatric hospital. During the second half of the twentieth century, progress in neurosurgery, and more specifically in pediatric neurosurgery, has been tremendous. The contribution of the pediatric neurosurgery service at Les Enfants Malades in Paris is briefly summarized.

Autobiographies as Topic↗