Westchester Community Foundation

Lower gastrointestinal bleeding (LGIB) is an important worldwide cause of morbidity and mortality in the elderly. The incidence of LGIB increases with age and corresponds to the increased incidence of specific gastrointestinal diseases that have worldwide regional variation, co-morbid diseases and polypharmacy. The evaluation and treatment of patients is adjusted to the rate and severity of hemorrhage and the clinical status of the patient and may be complicated by the presence of visual, auditory and cognitive impairment due to age and co-morbid disease. Bleeding may be chronic and mild or severe and life threatening, requiring endoscopic, radiologic or surgical intervention. Colonoscopy provides the best method for evaluation and treatment of patients with LGIB. There will be a successful outcome of LGIB in the majority of elderly patients with appropriate evaluation and management.

Is the Medical Model Appropriate for Psychoanalysis?Miltiades L. ZaphiropoulosMiltiades L. Zaphiropoulos28 Yale Road, Hartsdale, New York 10530.Search for more papers by this authorPublished Online:July 2017https://doi.org/10.1521/jaap.1.1982.10.1.129PDFPDF PLUS ShareShare onFacebookTwitterLinkedInRedditEmail ToolsAdd to favoritesDownload CitationsTrack Citations AboutReferencesBrown B. S. and Ochberg F. M. (1969), The medical muddle, Int. J, Psych., 9. Google ScholarBusse E. W. (1972), The presidential address: There are decisions to be made, Am. J. Psychiatry, 129, 1–9. Google ScholarChodoff P. (1977), The question of lay analysis revisited, J. Am. Acad. Psychoanal., 5, 431–445. Google ScholarCrowley R. M. (1968), Presidential address: The medical model in psychoanalysis, in Science and Psychoanalysis, Vol. XII, Grune and Stratton, New York, pp. 1–11. Google ScholarDyrud J. (1980), Rememberance of things past and present, Contemp. Psychoanal., 16, 335, 340–342. Google ScholarEngel G. L. (1980a), Need seen for a new medical model, as reported by Dorothy Trainor, Psychiatr. News, February. Google ScholarEngel G. L. (1980b), The clinical application of the biopsychosocial model, Am. J. Psychiatry, 137. Google ScholarFreud S. (1925), An Autobiographical Study, Standard Edition, Vol. XX, The Hogarth Press, London, 1959, p. 70. Google ScholarLudwig A. M. (1975), The psychiatrist as physician, JAMA, 234, 603–604. Google ScholarPattison E. M. (1977), Analysis said in danger in twilight of scientific age, as reported in Psychiatr. News, November 17. Google ScholarRedlich F. (1974), Psychoanalysis and the medical model, J. Am. Acad. Psychoanal., 2. Google ScholarSchimel J. L. (1979), Presidential address: The context of the psychoanalytical enterprise, J. Am. Acad. Psychoanal, 7. Google ScholarSchwartz R. A. (1974), Psychiatry's drift away from medicine, Am. J. Psychiatry, 131, 129–133. Google ScholarStainbrook E. (1974), Psychoanalysis, the sciences of behavior and some aspects of the sociology of science, J. Am. Acad. Psychoanal., 2. Google ScholarWhittington H. G. (1971), Whittington probes role of psychiatry in “medical model,” as reported in Psychiatr. News, July 7, p. 7. Google ScholarYamamoto J. (1980), Presidential address: Medicine, psychiatry, and psychoanalysis – Roots III of progressive psychoanalysis, J. Am. Acad. Psychoanal, 8, 165–184. Google ScholarZaphiropoulos M. L. (1975), Report of the Speaker-Elect, Am. J. Psychiatry, 132, 118–119. Google Scholar Previous article Next article FiguresReferencesRelatedDetails Volume 10Issue 1Jan 1982 Information© 1982 by John Wiley & Sons, Inc.PDF download