Many tinnitus sufferers believe that their tinnitus has an organic basis and thus seek medical rather than psychological treatments. Tinnitus has been found to be associated with negative appraisal, dysfunctional attention shift, and heightened psychophysiological arousal, so cognitive-behavioral interventions and biofeedback are commonly…

Objective: Data are presented from a pilot research program initiated to develop, refine, and test the outcomes of problem-solving therapy that targets the needs of older adults with minor depression in home care settings. Method: A pilot randomized clinical trial compares the impact of problem-solving therapy for home care to treatment as usual…

According to the Medical Council of Malawi, one of the conditions for a licence to be granted to an individual who wants to practise medicine in Malawi is the practitioner's ability to speak and write English fluently. This means that the expatriate medical practitioner is not required by law to demonstrate fluency in Chichewa (the national…

Background: Post-stroke dysarthria rehabilitation should consider social participation for people with dysarthria, but before this approach can be adopted, an understanding of the psychosocial impact of dysarthria is required. Despite the prevalence of dysarthria as a result of stroke, there is a paucity of research into this communication…

An instructional program in patient education skills for primary care medical residencies is described, with six instructional modules included. The federally-funded program, developed by the University of Wisconsin, was designed to enable physicians to better communicate with their patients about health, disease, and treatment. The six modular…

The different practice styles of young internists and the relationship between training and practice were studied as part of the National Study of Internal Medicine Manpower, Phase III. The practices of four groups of physicians were compared: general internists with traditional residencies, general internists who received their residency training…

The "health literacy environment" of a healthcare facility represents the expectations, preferences, and skills of those providing health information and services. Some of these demands are in the form of physical aspects of the hospital or health center, such as signs and postings. At the same time, access to and navigation of health…

The New York University Medical Center faces program cuts and major changes in research, teaching and patient care due to declining patient profits and federal grants. Patients are spending less time in hospitals, reducing teaching potential. However, reduced services also cause more student involvement in patient care. Data on funding and revenue…

OBJECTIVE: Medication compliance is an orphan topic. Training in the understanding and management of noncompliance does not neatly fall within the domain of psychopharmacology, nor does it clearly fit into other core curricula areas, such as clinical interviewing or psychotherapy training. The objective of this article is to increase awareness…

This volume contains a compendium of the work of Rawley Silver. A founding member of the American Art Therapy Association, Silver is both an artist and a researcher; she is the originator of the Silver Drawing Test (SDT). In Part 1, nine studies in the area of "Hearing Impairments and Language Disorders" include three studies on art…

Some researchers have attempted to connect suicide to a general history of mental illness; others have searched for diagnosis-free suicide risk factors; and still others have argued that different risk profiles may emerge for different diagnoses. In addition to these issues, it appears that suicide completers and suicide attempters show somewhat…

The Functional Independence Measure (FIM) of S. Forer and others (1987) records the degree of disability of rehabilitation patients between "Total Dependence" and "Complete Independence." Using the FIM, ratings on a seven-point scale are made by therapists and other expert care-providers at the time of patient admission to…

The report compares a skin care education program with a standard rehabilitation program to determine whether the program improved the self care motivations of spinal cord injury (SCI) paraplegic and quadriplegic inpatients (N=42). Study findings suggest that the skin care educational program was successful in changing patients' thinking about…

The performance and verbal WAIS scores of brain injured patients were compared with that of control subjects. If was found that brain damage tends to impair nonverbal rather than verbal ability. (SE)

Two short forms of the MMPI and the full form were administered to a sample of psychiatric patients. Using multiple regression and correlation procedures, the results of the three forms were compared with one another. A number of similarities and differences among the scales of the three forms are discussed. (SE)