RESUMO
The authors suggest that there are a number of shortcomings in DSM-II's classification system for psychophysiologic disorders, which lists this group of disorders as a distinct group of diseases different from other organic diseases. They propose a new, multiaxial method of classification in which the clinician could indicate the role of psychological factors in the initiation, exacerbation, or maintenance of any physical disorder. This method would make it possible for the first time in psychiatric nomenclature to indicate a clinical judgment of the importance of psychological factors in all physical disorders rather than focusing on a small group of illnesses traditionally regarded as psychosomatic or psychophysiologic.
Assuntos
Transtornos Psicofisiológicos/classificação , Humanos , Manuais como Assunto , Transtornos Psicofisiológicos/diagnóstico , Medicina Psicossomática/tendências , Terminologia como AssuntoAssuntos
Objetivos , Transtornos Mentais/reabilitação , Serviços de Saúde Mental , Motivação , Doença Crônica , HumanosRESUMO
This paper describes a continuing weekly therapy group for vascular surgery amputees. Group goals include (1) assisting amputees with feeling of helplessness, isolation, and depression; (2) facilitating staff awareness of psychosocial factors in each patients' rehabilitation; (3) integrating ward management with physiatric treatment; (4) mobilizing patient's coping skills; and (5) motivating patients to participate in rehabilitation of other amputees. Group meetings emphasize ventilative, mutual-support approaches, rarely including conventional psychotherapeutic techniques. Members exchange technical information concerning prostheses, operations and amputee life, as well as coping techniques in a general hospital social system. Patient choices as to what to discuss are described.
Assuntos
Amputados , Psicoterapia de Grupo , Reabilitação , Depressão/terapia , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Estados Unidos , United States Department of Veterans Affairs , Doenças Vasculares/cirurgiaRESUMO
The author collected completed questionnaires from 52 psychiatrists who had failed to pass the examinations of the American Board of Psychiatry and Neurology (ABPN) on their first try. He quotes from the responses of 6 of these psychiatrists, showing the profound emotional impact of their failure. He recommends that the ABPN explain its low pass rate, supply feedback on the exam results, provide the specific criteria by which competence is judged, allow candidates to take the written exam on a trial basis, and drop the oral exams if their reliability cannot be documented. He also recommends that the profession of psychiatry take responsibility for the certification procedure.
