Word: psychiatrist
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Dates: during 1960-1969
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...York Psychiatrist Samuel Klagsbrun, 36, believes that the atmosphere in a death ward can be made at least reasonably tolerable. He tested his thesis in a 21-year demonstration project at Yale New Haven Hospital in Connecticut, where he was consulting psychiatrist in a small cancer-research unit filled with terminal cases. When he arrived, he found the morale of both staff and patients abysmal. The doctors and nurses considered the patients "walking dead"; the patients grumbled constantly about "uncaring" doctors, "unavailable" nurses, and experimental drugs that they thought were being used on them as if they were guinea pigs...
...Klagsbrun's recommendation: each patient should be handled in a straightforward manner, but one that he could most easily accept. Often the patient himself provided the clue as to how the question should be answered. When one told Klagsbrun, "Doc, I've never felt better," the psychiatrist knew that the man needed to delude himself about the true nature of his condition and could not cope with the truth. On the other hand, Klagsbrun felt that if the patient talked objectively about his pain, he was craving for honesty and could be told about the inevitability of death...
...specialty, Sternbach told a pain symposium last month at the City of Hope Medical Center in Duarte, Calif. Each investigator, he said, is "locked in" to thinking of pain in his own terms. Thus the psychologist views it as a basic, elementary sensation like sight or hearing. To the psychiatrist, it is an affect or emotion, like depression or anxiety; to the analyst, the product of an internal psychic conflict; to the neurologist or neurosurgeon, a pattern of neurophysiological activity. The biologist emphasizes its survival value. The existential philosopher, Frederik J. J. Buytendijk, regards pain as a potentially character-building...
...partially impaired or breaks down entirely, as in the case of autistic children and schizophrenic adults, knowledge of man's nonverbal language can be an extremely useful analytical tool. By reading such unconscious gestures as movements of the fingers and hand, the Birmingham scientists point out, the psychiatrist is in a position to discover important new clues to the patient's inner turmoil. Even when the patient seems to be able to communicate verbally, a doctor may get more valuable information on the progress of the therapy from the silent signals than from the spoken words...
...nice people at the University Health Services, third floor--"Just across the street, folks"--would be glad to examine it for him. Martin's parents thanked the Dean and took Martin across the street. There he was examined by a sweet old lady who was not a full psychiatrist but a psychiatric social worker or, as Martin put it, a shrink-trainee (which sounded to him like some kind of seafood dish, but he didn't pursue the comparison any further.) Anyway, she told Martin's parents and Martin that he masn't really in bad shape (mind...