Resolving intractable medical problems through psychological intervention: A clinical report.

Presents the case study of a 27-yr-old female admitted to a national asthma center for a complex of respiratory problems that had defied medical intervention. Hypnotic techniques and insight-oriented psychotherapy resulted in hospital release with only the asthma problem remaining after 4 mo. Psychotherapy continued for 5 more months. Hypnotic technique allowed S to recover control and reverse the chain of intractable events in the course of her illness. (8 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of medical referral on outpatient psychological services.

Demonstrates a positive relation between the formal recognition of psychologists for outpatient mental health services under the Civilian Health and Medical Program of the Uniformed Service (CHAMPUS), Hawaii Medical Service Association, and Medicaid programs and the extent of services that they provide. Utilization data for 1983 outpatient mental health services by Hawaii residents show that the imposition of a medical referral condition under the Hawaii Medicaid program curtailed the use of psychological services relative to psychiatric services and restrained patients' freedom of choice. (6 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Changes in sibling behavior following family intervention.

Reports changes in the behavior of the 55 siblings of 27 treated predelinquents. Siblings were 3 yrs old or older. The parents of the referred predelinquents had been trained in social learning techniques of child management. Prior analyses of home observation data showed significantly reduced rates of deviant behaviors for the identified problem children. These reductions were maintained over a 12-mo follow-up. The child management procedures taught to the parents were presumably applied to siblings as well as to the identified problem child. Analyses were conducted for the data from the siblings. The baseline data show no significant differences between siblings and identified problem children. At termination of treatment, there were significant reductions in rates of deviant behavior for the siblings. Follow-up results show the effects were maintained over 6 mo. Some clinical implications of home intervention programs for socially aggressive boys and their siblings are discussed. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

高校研究生常见心理问题及干预对策

心理素质是当前研究生培养过程中极为重要的内容,受环境和自身因素的影响,研究生容易在人际交往、学业适应、自我认知、自我发展、恋爱情感等方面出现各种心理问题,正确审视这些问题,采取必要的干预对策,是促进研究生心理健康发展不可缺少的工作。     

Insight into reduced use of medical services after psychotherapy.

31 patients who had received a brief evaluation at the mental health department of a health maintenance organization either were placed on a 4-mo waiting list or received insight-oriented, time-limited psychotherapy. An 18-mo follow-up telephone interview was used to examine whether Ss showed insight into the link between their illness behavior and psychological factors. Examination of medical utilization before and after the mental health intervention showed that the acquisition of insight was unrelated to changes in utilization. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quality assurance in psychological services.

The Canadian Council on Hospital Accreditation (1985) has insisted that a hospital-wide quality assurance program is essential for accreditation, and hospital departments are in various stages of quality assurance program development. The present authors review the rationale and issues (e.g., professional autonomy, malpractice, health care costs, consumerism) that forced the development of quality assurance and some generally accepted definitions of key concepts. The current status of the Children's Hospital of Eastern Ontario Psychology Department's program of quality assurance is described, with special reference to structure, process, and outcome criteria. Implications that quality assurance programs have for the professional practice of psychology and functioning within the public hospital setting are discussed. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Current practices and problems in the use of college students for psychological research.

A survey of 60 leading Universities was made to determine present practices and policies regarding the use of college students as subjects in psychological research. The methodological implications arising from differences in procedures used for recruiting subjects and arranging their experimental appointments were noted. The study also examined procedures employed by investigators to protect the physical and psychological safety of the participating students. Current procedures were found to vary considerably and it was recommended that they be reexamined from both the methodological and ethical aspects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Bartering for psychological services.

The negative economic impact from managed health care has led some clients to request and, consequently, their psychologists to explore unique financial arrangements, such as bartering. Bartering is not precluded by ethics or law, but in this article, the author opposes bartering by exploring the ethical and legal considerations involved and the dual relationships that occur. Clinical considerations and the potential for exploitation in the relationship are examined, and caveats about bartering are offered. For the psychologist who accepts bartering, guidelines for keeping a bartering arrangement are provided. Even if carefully monitored for clinical contradictions or exploitation, bartering imposes a high risk of allegations of misconduct (e.g., impropriety or a conflict of interest) and should be avoided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Insurance coverage of psychological services.

Disputes M. L. Meltzer's (1975) contention that psychologists enter private practice because of the money they can make from insurance reimbursements. It is proposed that psychologists' motivations for entering private practice are a reaction to restrictions on the freedom to practice and innovate in psychiatrically or medically dominated institutions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The use of consultants in the provision of psychological services to the university community.

Attempted to justify the provision of psychological services within the university community by consultation. In this context, 4 main issues are discussed. The recommendations of the Kirk Committee concerning the provision of consulting services to the university community are summarized. 5 views of the consultant task and consultant role models are presented. 2 role models for the university consultant, emphasizing the consultant as a facilitator of social integration and/or the consultant as a facilitator of appropriate action toward distressed individuals are recommended. (French summary) (22 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Manifest and latent functions of psychological services.

Analyzes social functions of psychological services and raises fundamental policy issues based on the following conclusions: (a) The manifest functions of human services—to identify, correct, and prevent failures of psychological adaptation—are largely unrelated to, and often incompatible with, their latent functions—the provision of caring and social control. (b) Both types of functions emerged in reaction to forces in the technological society served. (c) Though psychological services are useful to society, they cannot, in principle, effectively implement their manifest functions. (d) Providers of psychological services may find new, more constructive directions in supporting decentralized social, economic, and technological innovations that promote alternatives to a centralized, megatechnological society. (41 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Organizational problems in emergency medical care and reorganization of emergency services in hospitals

Entropic properties of the neural signal space, the neurodynamic basis of Weber's and Steven's law. Acta Physiol. Pol., 1977, 28 (2): 113--116. Taking into account the number of neural units, number of their efferent synapses and the average impulse frequency as well as the notion of neural momentum the dependence of neural entropy on neural tonus was examined. Based on the above model the neurodynamic basis of the Weber's and Steven's law was considered.     

Casebook for providers of psychological services.

Three cases illuminate quality assurance problems and pertinent principles and policies for managing them in the areas of clinical, industrial/organizational, and school psychology. The 1st involves a psychologist who routinely required clients to complete the Minnesota Multiphasic Personality Inventory (MMPI) at home and had the tests scored and interpreted by a computerized service. In the 2nd, psychologists decided to discontinue the use of an unvalidated computer interpretation of the MMPI in screening for a business. In the 3rd, a school psychologist violated ethical and professional principles by selling his own unvalidated computerized test scoring and interpretation service. In each case, applicable policies, specialty guidelines, and ethical principles and their interpretation are discussed, together with the educative ramifications. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Casebook for providers of psychological services.

Presents 5 cases concerning professional quality assurance problems in the specialty areas of clinical, counseling, industrial/organizational, and school psychology. Each case includes a statement of the problem and a discussion of applicable policies, interpretation of policy principles in light of the major questions posed by the case, and educative ramifications. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Casebook for providers of psychological services.

Presents cases to provide clarification of the General Guidelines for Providers of Psychological Services, which were approved by the American Psychological Association Council of Representatives in February 1987. Three cases illustrate application of the guidelines to professional psychological situations and cover issues focusing on statement of the problem, applicable policies, interpretation of policy principles, and educative ramifications. Clinical, counseling, industrial-oganizational, and school psychology cases are appended. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Standards for providers of psychological services.

Presents an American Psychological Association Task Force report on some basic principles and the content of standards for psychological services. Implications of standards for the development of service contracts between provider and consumer, for legislative and regulatory actions, training for professional and support personnel, organizational structures, and accreditation procedures are examined. Definitions of the major terms used in the standards (e.g., "provider" and "psychological services") are presented, and standards related to programs, environment, and accountability are set forth, along with interpretations of each section. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Some problems of the moral and psychological training of medical service personnel

The authors' experience with 45 papillosphincterotomies, performed for diseases of bile passages and chronic pancreatitis, is reported. The details of the operative technic, employed by the authors, are described. The technic of papillosphincterotomy on a conus-shape sound by means of a "laser scalpel" proved to be the most perfect one. Careful observation of the surgical technic made it possible to gain favourable results--only 1 of 45 operated patients died. Papillosphincterotomy is largely advocated in stenoses and concretions in the large duodenal papilla, strictures of choledocho-duodenoanastomoses, care should be taken not to overwiden indications to the operation concerned.     

Comparison of medical and psychological tests.

Comments on the G. J. Meyer et al (see record 2001-00159-003) summary of evidence and issues associated with psychological assessment. H. N. Garb et al conclude that Meyer et al did not establish that psychological test validity is comparable to medical test validity. By focusing on meta-analyses, they ignored results for most medical tests and psychological test scores. Furthermore, although it may appear that they routinely summarized results from meta-analyses, in some cases they actually calculated their own effect sizes. For at least some studies, their effect sizes appear to be misleading, making their review of the literature difficult to interpret. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Casebook for providers of psychological services.

Presents 4 cases, focusing on quality assurance problems that came to the attention of the Committee on Professional Standards of the American Psychological Association directly or through other governance bodies. The clinical case involves access to information about a court worker, a patient of the practitioner's partner, who was thwarting the gains made by the practitioner's patient. The counseling case involves a request for a gay or lesbian counselor. The industrial/organizational case involves evaluation of a candidate for a position described by a personnel director, but not independently analyzed, and a refusal to provide a copy of the subsequent report to the candidate. The school case involves a request made of a psychologist to be an ombudsperson for a school administration, while ethically being required to serve the student. (7 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)