Addresses the need to approach understanding the individual patient's psychopathology from the vantage point of psychoanalytic object relations theory and family systems theory. The complementarity of these approaches is emphasized. The process of internalization and projection are bridging concepts. Marital relationships provide a unique research…

This paper investigates the usefulness of the Mini-Mult test with a large outpatient psychiatric clinic population. It also compares Mini-Mult with the Minnesota Multiphasic Personality Inventory (MMPI). The findings suggest that Mini-Mult is useful in clinical situations, particularly if time is short or paraprofessionals are to be used. (NG)

Distinguishes several important aspects of Rosenhan's pseudopatient study by which emotions are aroused, offers a Bayesian characterization of the diagnostic process observed by Rosenhan and his fellow pseudopatients, and suggests a direction in which research on these important issues might proceed. (Author/RK)

Wulff v. Singleton represents the first case in which a physician has been granted standing when his sole injury arose from the possibility that he might not be paid for performing abortions. It also represents the first time a physician, as opposed to his patient, has been held to be denied equal protection. The court's rationale is examined.…

This report takes advantage of a natural experiment to compare length of hospital stay and use of diagnostic services among internists' patients admitted to a university hospital or to a neighboring community hospital. Cost differences were largely due to greater use of diagnostic services at university hospitals. (LBH)

The performance of 30 schizophrenic patients on three tests designed to detect malingering of cognitive symptoms was studied using the Rey 15-Item Test (A. Rey, 1964), the Rey Dot Counting Test (A. Rey, 1941 ), and the Hiscock Forced Choice Method (L. Pankratz, 1983). No test score was significantly related to psychiatric impairment. (SLD)

Examined the sensitivity to change over time of the Amytrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40; C. Jenkinson and others, 1999). Findings for 764 individuals show that the ALSAQ-40 is a valid and responsive disease-specific health-related quality of life instrument for studies of patients with motor neuron diseases. (SLD)

The Kaufman Brief Intelligence Test (K-BIT) (A. S. Kaufman and N. L. Kaufman, 1990) was compared with short forms of the Wechsler Adult Intelligence Scale--Revised (WAIS-R) using results from 64 referrals to a neuropsychology service. Advantages of each test are noted and their use discussed. (SLD)

In a survey of 165 physicians and 166 patients, the majority felt that manual medicine (musculoskeletal manipulation) was safe, beneficial, and appropriate in primary care. Only 40% of physicians had relevant training; 56% were willing to pay to acquire appropriate continuing education credits. (Contains 23 references.) (SK)

This paper reviews the literature on consumer involvement in dental quality assessment, argues for inclusion of this information in quality assessment measures, outlines a conceptual model for measuring dental consumer quality assessment, and presents data relating to the development and validation of an instrument based on the conceptual model.…

The study developed a profile of dental implant patients from 38 private practices to document characteristics of endosseous implant recipients of the past 10 years. Data were then analyzed using multivariate techniques to examine the relationship between these characteristics and patient-reported outcomes. Patients tended to have high incomes and…

The study compared resident-patient encounters with 107 family practice residents over a 10-year period. Although the mean number of encounters were similar, 70.5 percent of the women residents' encounters were with female patients, compared with 63.1 percent of men residents' encounters. (Author/DB)

Examined attitudes of elderly acute-care hospital patients (N=264) concerning discharge planning. Respondents varied in their reactions to discharge planning and degree to which they exerted final control over decision. Perceived lack of control was associated with posthospital psychological distress for patients with high levels of internal locus…

An incentive scheme to reward positive health behaviors (adherence to antituberculosis drug regimens) was tested with 88 active and 117 preventive patients randomly assigned to intervention and control groups. Preventive patients who received incentives were significantly more likely to continue care and had higher adherence levels. Actives showed…

Psychiatric outpatients (N=211) reported evidence of unresolved grief. Incidence of unresolved grief was greatest among patients who had lost children and lowest among patients who had lost parents. Unresolved grief was associated with increased intensity of affective symptomatology; past histories of depression, suicide attempts, and alcohol…