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PubMedDate not supplied

Association between screening family medical history in general medical care and lower burden of cancer worry among women with a close family history of breast cancer.

PURPOSE: Soliciting family medical history (FMH) is the initial step in the process of screening for heritable cancer risk in medical care. We investigate whether recent solicitation of FMH in general medical care is associated with cancer worry among a sample of women having a first-degree relative with a breast cancer diagnosis. METHODS: Surveys were mailed to women registered with the Cancer Genetics Network having a first-degree relative with a breast cancer diagnosis and a regular source of medical care. The independent measure consisted of two items for solicitation of FMH based on validated measures of clinical interactions with one's physician; the dependent measure was a novel measure of cancer worry based on validated patient-centered measure of distress; and the secondary measures were 6-point scales for perceived likelihood of developing breast cancer and perceived severity of breast cancer as a health outcome. RESULTS: A total of 353 women responded and met eligibility criteria (76.4% minimum response rate). One fifth reported no cancer worry during the past 4 weeks. After adjustment for age, education, pedigree features, and clustering within families, recent FMH solicitation was associated with lower odds of cancer worry (odds ratio = 0.58; 95% confidence interval = 0.51-0.70). FMH solicitation was associated with lower perceptions of the severity of developing breast cancer but not with the perception of cancer likelihood. CONCLUSIONS: Our data do not support the hypothesis that FMH solicitation in general medical practice causes cancer worry. In fact, we observed a protective association possibly explained by influences on perceptions of breast cancer severity. Prospective research among less select populations is necessary.

Adult↗
PubMed1997

Contributions to the history of psychology: CIX. Note on an oral history of C. Kermit Phelps: an 89-year-old African American clinical psychologist.

During late 1996 and early 1997, the authors conducted four structured interviews with C. Kermit Phelps, an 89-year-old black psychologist who spent his professional career at the Veterans Administration Hospital in Kansas City, Missouri. Interview topics cover Dr. Phelps' personal and professional history, the evolution of clinical psychology, and issues surrounding minorities in the profession of psychology. This brief article provides an overview of some findings as a comprehensive account of the interviews will require considerable time to prepare.

Black or African American↗
PubMed1995

Nineteenth-century narrative case histories: an inquiry into stylistics and history.

This study of Canadian nineteenth-century obstetrical and gynaecological case histories enters the current debate about narrative prose and its postulated relation to humanitarianism from a particular point of view. It uses literary analysis to generate new types of evidence to shed light on the development of this medical specialty, and so demonstrates how close textual analysis can be of use to medical historians. The finding that narrative structure played a central role in the development of statistical thinking about disease grants it a highly ambivalent role in relation to humanitarianism. It supports the conclusion that the literary form has no content of its own; narrative appears as a powerful vehicle for creating consensus, but this insight cannot commit one to a view about the subject of the consensus or its social implications.

Canada↗
PubMed2001

Reflections on the use of interviews in the history of science: who will write the history of science?

Interviews are an excellent source of information for historians of science. They should be done by historians who understand science in detail and, if possible, better than the scientists they interview. In the case of applied industrial or governmental sciences, historians must have detailed knowledge of economic or historic sources. Again they should know more in these areas than those they interview. If, on the contrary, the interviewers are not scientists at heart who know science, the history they write will become at best literature but at worst pseudoscientific abracadabra.

Biological Science Disciplines↗
PubMed1989

[Medical history without purpose? On the medical history aspects of Théophile de Bordeau (1764)].

Théophile de Bordeu (1722-1776) published in 1764 a large Medical History. He used it for a discussion of the pros and contras of smallpox inoculation by giving the hypothetical opinions of ancient physicians who could not have known that new method. As he was at that time unjustifiedly involved in a theft-scandal, he used his book also for ridiculising his enemies among his colleagues.

France↗