The Experts below are selected from a list of 15423 Experts worldwide ranked by ideXlab platform

Michael C Fitzpatrick - One of the best experts on this subject based on the ideXlab platform.

  • the Psychologic Assessment and psychosocial recovery of the patient with an amputation
    Clinical Orthopaedics and Related Research, 1999
    Co-Authors: Michael C Fitzpatrick
    Abstract:

    The purpose of this paper is to introduce the surgical clinician to the importance of psychosocial issues in those patients undergoing amputation. Although fundamental, obtaining a good recovery for the patient means far more than providing a technically superb surgical outcome. This paper reviews the necessity of a thorough preoperative Assessment in those psychosocial areas most likely to impact how the patient perceives, reacts to, and, ultimately, accepts the recommendation for amputation. Patients who undergo amputations as a result of chronic illness, of trauma, or of cancer have common concerns and special vulnerabilities that the astute surgeon should recognize. After reading this paper, the clinician should know how to assess patients in many dimensions, how to formulate a comprehensive treatment plan for psychosocial recovery, to be familiar with and to appreciate expected emotional responses in their patients, and to look for and recognize complications and stress points that require interventions either from the clinician or via a consultation. The referring surgeon should be familiar with the aims of psychotherapeutic treatment modalities and be comfortable in asking the goals and progress being made by their patients. They should have continuing input and receive timely updates.

  • the Psychologic Assessment and psychosocial recovery of the patient with an amputation amputation and new prosthetic devices
    Clinical Orthopaedics and Related Research, 1999
    Co-Authors: Michael C Fitzpatrick
    Abstract:

    The purpose of this paper is to introduce the surgical clinician to the importance of psychosocial issues in those patients undergoing amputation. Although fundamental, obtaining a good recovery for the patient means far more than providing a technically superb surgical outcome. This paper reviews the necessity of a thorough preoperative Assessment in those psychosocial areas most likely to impact how the patient perceives, reacts to, and, ultimately, accepts the recommendation for amputation. Patients who undergo amputations as a result of chronic illness, of trauma, or of cancer have common concerns and special vulnerabilities that the astute surgeon should recognize. After reading this paper, the clinician should know how to assess patients in many dimensions, how to formulate a comprehensive treatment plan for psychosocial recovery, to be familiar with and to appreciate expected emotional responses in their patients, and to look for and recognize complications and stress points that require interventions either from the clinician or via a consultation. The referring surgeon should be familiar with the aims of psychotherapeutic treatment modalities and be comfortable in asking the goals and progress being made by their patients. They should have continuing input and receive timely updates.

Paul E Obrien - One of the best experts on this subject based on the ideXlab platform.

  • selecting the optimal patient for lap band placement
    American Journal of Surgery, 2002
    Co-Authors: John Dixon, Paul E Obrien
    Abstract:

    Optimal patient selection for laparoscopic adjustable gastric banding with the LAP-BAND (INAMED Health, Santa Barbara, CA) enables maximization of results for patients most suited to the procedure and avoidance of unsatisfactory outcomes for inappropriate candidates. We have investigated potential predictors of outcomes in our patients to look for associations with weight loss. We have also reviewed published data for additional predictors. This analysis has revealed a number of conditions associated with a significantly lower percent excess weight loss (%EWL) than experienced in the overall group. These include increasing age, increasing body mass index (BMI), hyperinsulinemia, insulin resistance, type 2 diabetes, and polycystic ovary syndrome. There was also less weight loss if the SF-36 quality-of-life measure showed a poor physical activity score, high pain score, or poor general health score. However, in all these conditions, the effect was small in comparison with the benefits achieved by these patients, and was judged insufficient to preclude this approach to treatment of their obesity. A number of conditions were found to have no relation to weight loss after LAP-BAND placement. These included sex, presence of mental illness, most comorbidities except those linked to insulin resistance, previous bariatric surgery, and sweet-eating behavior. The value of Psychologic Assessment to predict outcomes could not be established. The superobese (BMI >50) achieved a lower %EWL at 1 year after LAP-BAND placement compared with those with BMI <50, but there were no differences at the 2-, 3-, and 4-year follow-ups.

Richard J Loewenstein - One of the best experts on this subject based on the ideXlab platform.

  • Psychological Assessment of Patients with Dissociative Identity Disorder
    2015
    Co-Authors: Judith G. Armstrong, Richard J Loewenstein
    Abstract:

    This article discusses how Psychologic Assessment can assist in the diag-nosis of dissociative identity disorder (DID) and in planning treatment for patients who are dissociative. A battery of tests that can assess the extent of dissociation is outlined, the research on dissociation on various psycho-logic tests is reviewed, and new Rorschach data on severely dissociative pa-tients that can be useful in planning treatment is presented. Diagnosing DID is a complex process and requires assessors to have knowledge of the Assessment and treatment literature on posttraumatic stress disorder (PTSD), dissociative disorders, and personality disorders. The literature provides excellent reviews of Assessment of posttraumatic states [1–4]. In addition to the complexity of assessing PTSD itself, assess-ment of DID requires the patient to reveal what is often a private, hidden world to a powerful stranger [5]. These challenges may be further com-pounded because many of the measures, particularly the projective tests, can open up emotional wounds and stir potentially painful memories, trig-gering dissociation and switching among dissociated states during the test-ing itself [5,6]. Clinicians must develop a collaborative relationship with patients who have DID before beginning the Assessment to make the expe-rience therapeutic rather than retraumatizing. A collaborative relationshi

  • Psychological Assessment of patients with dissociative identity disorder
    Psychiatric Clinics of North America, 2006
    Co-Authors: Bethany L Brand, Judith Armstrong, Richard J Loewenstein
    Abstract:

    This article discusses how Psychologic Assessment can assist in the diagnosis of dissociative identity disorder (DID) and in planning treatment for patients who are dissociative. A battery of tests that can assess the extent of dissociation is outlined, the research on dissociation on various Psychologic tests is reviewed, and new Rorschach data on severely dissociative patients that can be useful in planning treatment is presented. Diagnosing DID is a complex process and requires assessors to have knowledge of the Assessment and treatment literature on posttraumatic stress disorder (PTSD), dissociative disorders, and personality disorders. The literature provides excellent reviews of Assessment of posttraumatic states [1–4]. In addition to the complexity of assessing PTSD itself, Assessment of DID requires the patient to reveal what is often a private, hidden world to a powerful stranger [5]. These challenges may be further compounded because many of the measures, particularly the projective tests, can open up emotional wounds and stir potentially painful memories, triggering dissociation and switching among dissociated states during the testing itself [5,6]. Clinicians must develop a collaborative relationship with patients who have DID before beginning the Assessment to make the experience therapeutic rather than retraumatizing. A collaborative relationship will also help yield meaningful, rather than defended, test results.

John Dixon - One of the best experts on this subject based on the ideXlab platform.

  • Selecting the optimal patient for LAP-BAND placement.
    American Journal of Surgery, 2002
    Co-Authors: John Dixon, Paul E. O'brien
    Abstract:

    Optimal patient selection for laparoscopic adjustable gastric banding with the LAP-BAND (INAMED Health, Santa Barbara, CA) enables maximization of results for patients most suited to the procedure and avoidance of unsatisfactory outcomes for inappropriate candidates. We have investigated potential predictors of outcomes in our patients to look for associations with weight loss. We have also reviewed published data for additional predictors. This analysis has revealed a number of conditions associated with a significantly lower percent excess weight loss (%EWL) than experienced in the overall group. These include increasing age, increasing body mass index (BMI), hyperinsulinemia, insulin resistance, type 2 diabetes, and polycystic ovary syndrome. There was also less weight loss if the SF-36 quality-of-life measure showed a poor physical activity score, high pain score, or poor general health score. However, in all these conditions, the effect was small in comparison with the benefits achieved by these patients, and was judged insufficient to preclude this approach to treatment of their obesity. A number of conditions were found to have no relation to weight loss after LAP-BAND placement. These included sex, presence of mental illness, most comorbidities except those linked to insulin resistance, previous bariatric surgery, and sweet-eating behavior. The value of Psychologic Assessment to predict outcomes could not be established. The superobese (BMI >50) achieved a lower %EWL at 1 year after LAP-BAND placement compared with those with BMI

  • selecting the optimal patient for lap band placement
    American Journal of Surgery, 2002
    Co-Authors: John Dixon, Paul E Obrien
    Abstract:

    Optimal patient selection for laparoscopic adjustable gastric banding with the LAP-BAND (INAMED Health, Santa Barbara, CA) enables maximization of results for patients most suited to the procedure and avoidance of unsatisfactory outcomes for inappropriate candidates. We have investigated potential predictors of outcomes in our patients to look for associations with weight loss. We have also reviewed published data for additional predictors. This analysis has revealed a number of conditions associated with a significantly lower percent excess weight loss (%EWL) than experienced in the overall group. These include increasing age, increasing body mass index (BMI), hyperinsulinemia, insulin resistance, type 2 diabetes, and polycystic ovary syndrome. There was also less weight loss if the SF-36 quality-of-life measure showed a poor physical activity score, high pain score, or poor general health score. However, in all these conditions, the effect was small in comparison with the benefits achieved by these patients, and was judged insufficient to preclude this approach to treatment of their obesity. A number of conditions were found to have no relation to weight loss after LAP-BAND placement. These included sex, presence of mental illness, most comorbidities except those linked to insulin resistance, previous bariatric surgery, and sweet-eating behavior. The value of Psychologic Assessment to predict outcomes could not be established. The superobese (BMI >50) achieved a lower %EWL at 1 year after LAP-BAND placement compared with those with BMI <50, but there were no differences at the 2-, 3-, and 4-year follow-ups.

William K. Baker - One of the best experts on this subject based on the ideXlab platform.

  • Psychologic evaluation in the management of chronic pain and disability
    Current Pain and Headache Reports, 1997
    Co-Authors: Ronald J. Kulich, William K. Baker
    Abstract:

    This article attempts to provide a practical template for the Psychologic Assessment of chronic pain and disability. Topics discussed include differential diagnosis, goals of psychosocial Assessment, Psychologic constructs, personality issues, pain-drawing ratings, and multidimensional Assessment instruments. Other factors affecting Psychologic Assessment, such as litigation, perception of disability, pain behavior, and cultural factors are also discussed.