Advertisement

Psychological Disturbances in Adults with Chronic Physical Illness

  • Pamela Taylor
Chapter

Abstract

A growing population of chronically sick people is the inevitable result of the largely successful management of acute illness without the ability to produce a complete cure. There is no doubt that chronic physical illness is a major cause of psychiatric disorder, which in turn may prevent maximum possible physical recovery. Wishnie et al. (1971) found that 38 per cent of their patients, who had survived a myocardial infarction 6 months to a year previously, remained handicapped and had not returned to work for psychological rather than somatic reasons. Linder and Curtis (1974) point out that in haemodialysis patients, psychological and social problems are leading causes of morbidity. For successful management of these problems it is not sufficient merely to acknowledge a general relationship between somatic disorders and complicating psychological disturbances. The specific relationship between the type of disease, the individual patient and his environment must be considered.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abram, H. S. (1969). The psychology of terminal illness as portrayed in Solzhenitsyn’s ‘The Cancer Ward’. Archs int. Med., 124, 758–760CrossRefGoogle Scholar
  2. Abram, H. S. (1971). The psychology of physical illness as portrayed in Thomas Mann’s ‘The Magic Mountain’. Archs int. Med., 128, 466–468CrossRefGoogle Scholar
  3. Abram, H. S. (1972). The psychology of chronic illness. J. chron. Dis., 25, 659–664CrossRefGoogle Scholar
  4. Alexander, L. (1976). The double-bind theory and haemodialysis. Archs. gen. Psych., 33, 1353–1356CrossRefGoogle Scholar
  5. Baldwin, M. V. (1952). A clinico-experimental investigation in to the psychologic aspects of multiple sclerosis. J. nerv. ment. Dis., 115, 299–342Google Scholar
  6. Battle, C. U. (1975) Chronic Physical Disease—Behavioural Aspects in Paediatric Clinics of N. America, Vol. 22, No. 3, 525–531Google Scholar
  7. Br. Med. J. Editorial (1976). Dialysis Dementia. Br. med. J., 2, 1213–14CrossRefGoogle Scholar
  8. Butterfield, W. J. H. (1968). Priorities in Medicine The Nuffield Provincial Hospitals TrustGoogle Scholar
  9. Chodoff, P. (1962). Understanding and management of the chronically ill patient. I & II American Practitioner, 13(2), 136–144 and (3), 165–170Google Scholar
  10. Calland, C. H. (1972). Iatrogenic problems in end-stage renal failure. New Engl. J. Med., 287 (7), 334–6CrossRefGoogle Scholar
  11. Engel, G. L. (1962). Psychological Development in Health and Disease, Saunders, PhiladelphiaGoogle Scholar
  12. Haber, L. D. (1971). Disabling effects of chronic disease and impairment. J. chron. Dis., 24, 469–487CrossRefGoogle Scholar
  13. Hohman, G. W. (1966). Some effects of spinal cord lesions on experienced emotional feelings. Psychophysiology, 3 (2), 143–156CrossRefGoogle Scholar
  14. Jambor, K. L. (1969). Cognitive functioning in multiple sclerosis. Br. J. Psychiat., 115, 765–775CrossRefGoogle Scholar
  15. Kaplan, H. S. (1974). The Effects of Illness on Sexuality. The New Sex Therapy, Brunner/Mazel, New YorkGoogle Scholar
  16. Kaplan De-Nour, A. and Czaczkes, J. W. (1968). Emotional problems and reactions of the medical team in a chronic haemodialysis unit. Lancet, ii, 987–91Google Scholar
  17. Kemph, J. P., Berman, E. A. and Coppolillo, H. P. (1969). Kidney transplant and shifts in family dynamics. Am. J. Psychiat., 125, 1485–1498CrossRefGoogle Scholar
  18. Kornfield, D. S. (1971). Psychiatric problems of an intensive care unit. Med. Clin. N. Am., 55 (5), 1353–1363Google Scholar
  19. Linder, A. and Curtis, K. (1974). Morbidity and mortality associated with long term haemodialysis. Hospital Practice, Nov., 143–150Google Scholar
  20. Lipowski, Z. J. (1967). Review of consultation psychiatry and psychosomatic medicine. I. General principles. Psychosom Med., 29 (2), 153–171CrossRefGoogle Scholar
  21. Lipowski, Z. J. (1975). Psychiatry of somatic diseases: epidemiology, pathogenesis and classification. Comprehensive Psychiatry, 16 (2), 105–124CrossRefGoogle Scholar
  22. Lishman, W. A. (1973). The psychiatric sequalae of head injury: a review. Psycho!. Med., 3, 304–318CrossRefGoogle Scholar
  23. McKegney, F. P. (1968). Emotional and interpersonal aspects of rehabilitation. Rehabilitation and Medicine (ed. Licht, S.) pp. 229–251, Elizabeth Licht, New HavenGoogle Scholar
  24. McKegney, F. P. (1975). The teaching of psychosomatic medicine: consultation and liaison psychiatry. American Handbook of Psychiatry, 2nd ed., Vol. 4, 905–922, Basic Books, New YorkGoogle Scholar
  25. Miller, H. (1961). Accident neurosis, Br. med. J., 1, 919–925 and 992–998CrossRefGoogle Scholar
  26. Nagel, R., Gangola, R. and Picton Robinson, I. (1971). Factors influencing return to work after myocardial infarction. Lancet, ii, 454–456Google Scholar
  27. Office of Population Censuses and Surveys. Studies on Medical and Population Subjects No 22. A Glossary of Mental Disorders H.M.S.O. 50, LondonGoogle Scholar
  28. Papper, S. (1974). A ‘program’ for the chronically ill. J. chron. Dis., 27, 175–176CrossRefGoogle Scholar
  29. Plumb, M. M. et al. (1974). Depressive symptoms in patients with advanced cancer: a controlled assessment. Paper presented at the Annual Meeting of the Psychosomatic Society, Philadelphia, March 29–31Google Scholar
  30. Schwab, J. J., McGinnis, N. H. and Harmeling, J. D. (1967a). Anxiety in medical patients. Psychosomatic Medicine: Proceedings of the 1st International Congress of the Academy of Psychosom. Med., 229–231Google Scholar
  31. Schwab, J. J., Bialow, M., Brown, J. M. and Holzer, C. E. (1967b). Diagnosing depression in medical inpatients. Ann. int. Med., 67 (4), 695–707CrossRefGoogle Scholar
  32. Shea, E. J., Bogdan, D. F., Freeman, R. G. and Schriner, G. F. (1965). Haemodialysis for chronic renal failure: IV. Psychological considerations. Ann. int. Med., 62, 558–563CrossRefGoogle Scholar
  33. Stewart, M. A., Drake, F. and Winokur, G. (1965). Depression among medically ill patients. Dis. Nerv. Syst., 26, 479Google Scholar
  34. Streltzer, J., Finkelstein, F., Feigenbaum, H., Kitsen, J. and Cohn, G. (1976). The spouse’s role in home hemodialysis. Archs gen. Psychiat., 33, 55–58CrossRefGoogle Scholar
  35. Surridge, D. (1969). An investigation into some psychiatric aspects of multiple sclerosis. Br. J. Psychiat., 115, 749–764CrossRefGoogle Scholar
  36. Twaddle, A. D. (1972). The concepts of the sick role and illness behaviour. Adv. psychosom. Med., 8, 162–179, Karger, BaselCrossRefGoogle Scholar
  37. Verwoerdt, A. (1972). Psychopathological responses to the stress of physical illness. Adv. psychosom. Med., 8, 119–141, Karger, BaselCrossRefGoogle Scholar
  38. Vitosky, H. M., Hamburg, D. A., Goss, M. A. and Libovits, B. Z. (1961). Coping behaviour under extreme stress: observations of patients with severe poliomyelitis. Archs gen. psych., 5, 423–448CrossRefGoogle Scholar
  39. Wadsworth, M. E. J., Butterfield, W. J. H. and Blaney, R. (1971). Health and Sickness, the Choice of Treatment, Perception of Illness and Use of Services in an Urban Community, Tavistock Publications, LondonGoogle Scholar
  40. Weed, L. L. (1969). Medical Records, Medical Education and Patient Care, Press of Case Western Reserve University, ClevelandGoogle Scholar
  41. Wishnie, H. A., Hachett, T. P. and Cassem, N. H. (1971). Psychological hazards of convalescence following myocardial infarction. J. Am. Med., 215: 1292–1296Google Scholar
  42. Wood, P. H. N. (1973). The scope of the problem. Ch. I from The Total Management of the Arthritic Patient (ed. Ehrlich, G. E.) Lipincott Company, New YorkGoogle Scholar
  43. Zborowski, M. (1952). Cultural components in response to pain. J. Sol. Issues, 8, 16–30CrossRefGoogle Scholar

Copyright information

© Raghu N. Gaind and Barbara L. Hudson 1978

Authors and Affiliations

  • Pamela Taylor

There are no affiliations available

Personalised recommendations