RESUMEN
Time-limited (12 sessions) group psychotherapy was provided for 14 patients with a variety of serious medical illnesses. All patients were referred for psychiatric assistance and most had minimal or no psychiatric disorder. Patients not terminally ill, in continuous pain, or cognitively impaired, but otherwise unselected, were offered treatment. Emphasis was placed on validation of feelings, interpersonal understanding, and problem solving. Increased sense of well being was noted in all patients by self-report; this was contrasted by findings on the Millon Behavioral Health Inventory indicating generally sustained somatic concern. A moderate reduction in the number of visits to other clinics was noted during the treatment period. Although outcome data are incomplete, this appears to be a useful and cost-effective treatment for mixed groups of emotionally distressed medical patients.
Asunto(s)
Síntomas Afectivos/terapia , Enfermedad Crónica/psicología , Psicoterapia de Grupo/métodos , Adulto , Síntomas Afectivos/etiología , Instituciones de Atención Ambulatoria/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Tiempo , Resultado del TratamientoRESUMEN
Among 118 young Hispanic (101 Puerto Rican) psychiatric inpatients, somatic complaints, violence, suicidal tendency, hallucinations, sudden onset of symptoms, and dissociative behavior each occurred in 46% or more of patients. There was no difference in clinical presentation between island Puerto Rican patients and Puerto Rican patients raised on the mainland. There was no relationship between these behaviors and any specific psychiatric disorder. Although there is a suggestion that more of these behaviors may occur among Puerto Rican Hispanics, further study with larger control groups is needed.
Asunto(s)
Hispánicos o Latinos , Trastornos Mentales/diagnóstico , Adolescente , Adulto , Femenino , Humanos , Incidencia , Masculino , Trastornos Mentales/epidemiología , Trastornos Mentales/etnología , Puerto Rico/etnología , Factores Socioeconómicos , Síndrome , Estados Unidos/epidemiologíaRESUMEN
Nephropathy, eosinophilia and fever were observed in an 18-year-old man being treated for staphylococcal septicemia. Parenteral challenge with suspected sensitizing agents confirmed methicillin as the likely offender. Review of the literature relating to methicillin-induced nephropathy suggests a hypersensitivity origin for this disorder, but immunologic and ultrastructural investigation to date has failed to elucidate pathogenesis.