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Journal articles on the topic "Medical screening - Botswana - Psychological aspects"
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Rosenthal, Susan L., Shari Knauer-Black, Mary Pat Stahl, Thomas J. Catalanotto, and Dennis L. Sprecher. "The Psychological Functioning of Children with Hypercholesterolemia and Their Families." Clinical Pediatrics 32, no. 3 (March 1993): 135–41. http://dx.doi.org/10.1177/000992289303200302.
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The medical aspects of hypercholesterolemia have been studied extensively, but little research has addressed the psychological aspects of screening and treatment of the disease. This study compared the functioning of 32 children, ages 8 to 11 years, and their respective families. Eighteen children had hypercholesterolemia, and 14 had normal cholesterol levels. Responses on several psychological measures showed no differences between the two groups. Thus, hypercholesterolemia appears not to cause major psychological difficulties for children and their families. Analysis showed that those families reporting good dietary choices were more cohesive, more organized, and less conflictual than families who reported fair-to-poor dietary choices. Thus, family functioning may be related to dietary practices. These findings suggest that concern about negative psychological consequences of cholesterol screening is unfounded. Also, families for whom dietary modifications are critical may benefit from family-centered treatment as well as dietary counseling.
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Bannikov, G. S., O. V. Vikhristyuk, and N. Y. Fedunina. "Applying the Technique for Screening the Risks of Suicidal Behavior in Adolescents and Young People." Психологическая наука и образование 23, no. 4 (2018): 91–101. http://dx.doi.org/10.17759/pse.2018230409.
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The article presents screening results for potential and actual risk factors of suicide behavior in adolescents. The sample consisted of more than 6,000 minors aged between 13 and 18.The study included two stages: testing (scales of hopelessness and loneliness, Bass-Purry Aggression Questionnaire, index of well-being, Personal Values Questionnaire, personality disorders questionnaire, FACES III) and individual counselling (diagnostic interviews) with adolescents at risk. The screening procedure allowed us to analyse potential and actual risk factors and to divide the subjects into 4 groups depending on the seriousness of their psychological condition and the required support: two groups of adolescents with actual crisis state and two groups with aggressive behaviour and character accentuation. The second stage of the study consisted of 225 individual diagnostic interviews. We discuss the characteristics of the group of the adolescents with a pronounced inclination towards self-harm who require prolonged psychological and, in some cases, medical assistance. In conclusion, we highlight some important aspects and key components of screening and strategies of preventing suicidal and self-harm behavior among adolescent population.
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Halawani, Motssim S. "Severe scoliosis in an adolescent, benefits of early detection: a case report." International Journal of Advances in Medicine 6, no. 3 (May 24, 2019): 940. http://dx.doi.org/10.18203/2349-3933.ijam20191477.
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Presentations of scoliosis to primary health care physicians are not rare. Challenges may arise when it comes to screening and who require treatment once diagnosed. Idiopathic scoliosis is a three-dimensional spine and trunk deformity that is considered the most common form of scoliosis in children. It commonly does not cause symptoms and may be overlooked. However, if there was progressive deformity and it remained untreated, it may cause serious complications. Apart from medical concerns, emotional and cosmetic worries due to visible deformity may lead to psychological and social effects. Despite advances in understanding scoliosis, there are still controversies when it comes to optimal screening and treatment of this condition. This case is about a thirteen years old female who presented with intermittent back symptoms and was found to have a severe form of idiopathic thoracolumbar scoliosis. Through this case, author will be discussing different aspects of scoliosis (prevalence, screening, diagnosis, and treatment options) with emphasis on psychological support and guidance to the physician on how to overcome this challenge.
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Kemstach, Valeria V., Lyudmila S. Korostovtseva, Anatoly N. Alekhin, Anastasiya V. Milovanova, Mikhail V. Bochkarev, and Yurii V. Sviryaev. "Studies of insomnia psychophysiological aspects and etiopathogenesis: Russian and foreign approaches." RUDN Journal of Psychology and Pedagogics 17, no. 2 (December 15, 2020): 288–309. http://dx.doi.org/10.22363/2313-1683-2020-17-2-288-309.
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The authors describe two approaches to the classification of insomnia - one was presented in earlier works, the other is currently accepted in the medical scientific community. The following three models of the etiopathogenesis of insomnia are considered: a 3-P model that identifies predisposing, precipitating, and perpetuating factors as the key ones in the development and chronicity of insomnia; a hyperarousal model that defines psychological and neurobiological hyperarousal as a factor contributing to the development of insomnia; and a sleep reactivity to stress model, according to which the pronounced premorbid sleep reactivity to stress increases the risk of developing insomnia. Hyperarousal and sleep reactivity to stress are supposed to be autonomous yet equally predisposing factors of insomnia which act reciprocally and can simultaneously contribute to the development of stress-induced insomnia. It is noteworthy that the clinical usefulness of the sleep reactivity to stress model can extend beyond the preliminary assessment of the risk of insomnia development and be used for screening patients in remission who may be at increased risk of recurrence in future and should receive supportive treatment to minimise this risk. At present, it remains unclear whether hyperarousal is the core of the disorder, its cause, risk factor, or epiphenomenon. Further investigations are required to clarify the psychological and biological basis of chronic insomnia and confirm its current theoretical and conceptual models.
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Downie, Jocelyn, and Françoise Baylis. "Transnational Trade in Human Eggs: Law, Policy, and (In)Action in Canada." Journal of Law, Medicine & Ethics 41, no. 1 (2013): 224–39. http://dx.doi.org/10.1111/jlme.12015.
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In Canada (as elsewhere) there is a growing demand for human eggs for reproductive purposes and currently demand exceeds supply. This is not surprising, as egg production and retrieval is onerous. It requires considerable time, effort, and energy and carries with it significant physical and psychological risks. In very general terms, one cycle of egg production and retrieval involves an estimated total of 56 hours for interviews, counseling, and medical procedures (i.e., screening, hormonal stimulation, and egg retrieval). The screening carries risks of unanticipated findings with severe consequences for insurability (which can be catastrophic). The daily hormone injections can be painful and uncomfortable, causing cramping, abdominal pain, nausea, vomiting, bloating, mood changes, and irritability.
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Rubagumya, F., L. Greenberg, A. Manirakiza, A. Kanyamuhunga, A. Manirakiza, C. Shyirambere, K. Chinyundo, and J. Slone. "Establishing a Childhood Cancer Survivorship Program in Rwanda." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 87s. http://dx.doi.org/10.1200/jgo.18.30400.
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Background: Over 80% of children diagnosed with cancer survive in high-income countries (HICs). While the survival rate remains poor in low- and middle-income countries (LMICs) such as Rwanda, a growing number of children with cancer are surviving to adulthood. These children and young adults will face an increased risk of secondary cancers and late complications from their curative treatment. Cancer centers in HICs have established Long Term Survivorship (LTS) programs to cater for childhood cancer survivors and to capture these complications and/or recurrences at an early stage. They also address the more complex psychological and social aspects of surviving cancer in childhood. Aims: To develop an LTS program in Rwanda, initial training will take place in Botswana where a pediatric hematology-oncology (PHO) program was established at the national referral hospital, Princess Marina Hospital (PMH), in 2007. This training program will allow successful methods and lessons learned from the development of an LTS program in Botswana to establish a similar program in Rwanda with ongoing bidirectional collaboration. Methods: The Texas Children's Cancer and Hematology Centers (TXCH) Global Hematology-Oncology Pediatric Excellence (HOPE) program in Botswana is the only provider of PHO care in the country, provided at PMH, through a partnership with the Botswana government. The program has over 130 childhood cancer survivors in active follow-up. A one-month bench-marking visit will be conducted. During this period, Dr. Rubagumya will spend time with the medical director of the program learning how the LTS program was established and current operations. He will spend time with clinicians during consultations to understand the scope of tests requested, frequently asked questions across all parties: clinicians, survivors and/or caretakers and use of technology to aid in the management of LTS patients. Focused interviews of clinicians, patients, caregiver and administration will be conducted to further understand the challenges of the pediatric cancer survivors and the development of an LTS program in an LMIC face. Results: After this month visit, critical areas of knowledge transfer will include: how to set up a childhood cancer survivorship programs; methods for sustainable operation of a childhood cancer LTS program, and how to help childhood cancer survivors navigate health care systems. A similar model will be established in Rwanda. Long-term mentorship with Botswana colleagues will help to build Rwanda's first LTS. Conclusion: Survivors involved in dedicated LTS follow-up care have better health outcomes. This indicates the need for life long survivorship care. There is a dearth of data on how to establish and operate a childhood cancer LTS program in LMIC settings. Lessons learned through this program will guide us on how to set up such program in Rwanda.
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Bausewein, Claudia. "Spezielle Palliativmedizin bei nicht-onkologischen Erkrankungen." DMW - Deutsche Medizinische Wochenschrift 143, no. 08 (April 2018): 566–73. http://dx.doi.org/10.1055/s-0043-115629.
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AbstractPalliative medicine has become an integral part of the German healthcare system in recent years. However, patients with non-malignant diseases have less access to palliative care than patients with oncological diseases. These patients comprise a heterogeneous group of chronic lung and heart diseases, neurological and geriatric diseases. Their symptom burden and their palliative care needs are similar to those of oncological patients, but earlier in the disease process. Physical aspects of the disease process are different from psychological, social and spiritual aspects. General medical and specialized palliative care should be offered depending on the complexity of patient’s needs. Screening tools are helpful in identifying patients who need palliative care early in the course of the disease. Advance planning should be an integral part of caring for these patients.
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Silva, Henrique Salmazo da, and Beatriz Aparecida Ozello Gutierrez. "Care complexity in hospitalized elderly according to cognitive performance." Revista Brasileira de Enfermagem 72, suppl 2 (2019): 134–39. http://dx.doi.org/10.1590/0034-7167-2018-0357.
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ABSTRACT Objective: to investigate possible differences in care complexity, functional performance and biopsychosocial and health system aspects among hospitalized elderly with or without cognitive decline. Method: quantitative, cross-sectional and analytical study in which was used the INTERMED method and cognitive and functional screening scales. We investigated 384 elderly patients admitted to a medical and surgical clinic of a University Hospital located in São Paulo/SP. Results: cognitive decline was present in 40.1% of the sample, most of them were longer-lived elderly individuals with less schooling and income, more dependent in activities of daily living and had greater vulnerability in different domains of INTERMED. After adjustments, the elderly with cognitive decline presented greater vulnerability in the psychological domain. Conclusion: the relationship between cognitive decline and psychological vulnerability highlights the need to adopt long-term care based on involvement of the family, health team and different services, thereby maximizing the quality of care.
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Wojtynska, R., A. Wlazlo, E. Trypka, A. Zimny, and D. Frydecka. "The Evaluation of the effectiveness of the program of the cognitive rehabilitation of patients with MCI and early dementia of Alzheimer's type." European Psychiatry 26, S2 (March 2011): 504. http://dx.doi.org/10.1016/s0924-9338(11)72211-8.
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IntroductionApplying programs of early cognitive intervention, concentrated on psychological influences, constitutes the important component of comprehensive medical influences nonpharmacological, influencing to the improvement in psychological functioning, in cognitive areas and qualities of life.AimsEvaluation of the effectiveness of the multimedia program of the cognitive rehabilitation (cognitive training, psychoeducation), directed at patients with MCI and with early stage in the AD.ObjectivesOutpatients, N = 75, average of the age: 68.6 (10.14 SD), above 45 years,; MMSE > 20, I group - MCI (N = 34): with the intervention (N = 18), without (N = 16), II group - AD (N = 29): with intervention, (N = 15), without (N = 14), III group - CG: patients without cognitive disorders (N = 12).MethodsRandomized, clinical trial. Diagnosis on the base: of clinical interview, of examining a mental state, physical, TK, MRI, of laboratory tests, screening neuropsychological (MMSE, CDT, Demtect, Fluencial). Patients participated in 6 week’s program of the cognitive rehabilitation (4 × during the week) and 18 household conditions. The evaluation of the cognitive functioning, mental state, of functioning in the everyday life, of approval of illness, of satisfaction from the life, qualities of life, caregiver burden were being before and after intervention.ResultsAn improvement in cognitive functioning was get in selected aspects: of cognitive functioning (linguistic functions, memory, attention, of visual-motor coordination), of mental state, qualities of life.ConclusionsNonpharmacological influences, spreading through cognitive training and psychoeducation, at patients with dementia or MCI constitute essential element correcting their functioning in the process psychological rehabilitation.
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Neher, Margit, Annette Nygårdh, Per Nilsen, Anders Broström, and Peter Johansson. "Implementing internet-delivered cognitive behavioural therapy for patients with cardiovascular disease and psychological distress: a scoping review." European Journal of Cardiovascular Nursing 18, no. 5 (February 22, 2019): 346–57. http://dx.doi.org/10.1177/1474515119833251.
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Background: Comorbid psychological distress (i.e. insomnia and depression) is experienced by 20–40% of patients with cardiovascular disease. This has a considerable impact on their health and quality of life, leading to frequent re-hospitalisations, higher healthcare costs and a shorter life expectancy. Internet-based cognitive behavioural therapy shows great potential for treating psychological distress in cardiovascular disease. Effective and feasible treatments can, however, only benefit patients if they are fully implemented in clinical care. Aim: This scoping review aimed to explore the literature for internet-based cognitive behavioural therapy in cardiovascular disease and for strategies to implement the intervention. Methods: We searched electronic databases, journals and internet sources to find original studies about internet-based cognitive behavioural therapy in cardiovascular disease, adhering to scoping methodology guidelines. After identifying 267 titles, we screened 40 abstracts and chose 11 full-text articles for full-text screening. The results sections in four articles were searched for outcomes that related to the effectiveness and implementation of internet-based cognitive behavioural therapy by directed qualitative content analysis using an implementation framework. Results: Three of the four articles fulfilling the inclusion criteria concerned internet-based cognitive behavioural therapy for treating mild to moderate depressive symptoms in cardiovascular disease, and none focused on insomnia. The studies showed evidence for the effectiveness of internet-based cognitive behavioural therapy, and/or described patient factors influencing clinical effectiveness. Our qualitative content analysis showed that many implementation aspects and stakeholder perspectives remain unexplored. Conclusions: Internet-based cognitive behavioural therapy promises to alleviate patient suffering in cardiovascular disease. There is, however, little research about internet-based cognitive behavioural therapy for cardiovascular disease, and about how this evidence-based intervention is implemented.
Dissertations / Theses on the topic "Medical screening - Botswana - Psychological aspects"
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July, Emma. "Awareness, attitudes and referral practices of health care providers to psychological services in Botswana." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/1166.
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The provision of psychological services is vital considering the complex nature of psychosocial issues facing people today. Nevertheless, the provision and utilization of psychological services has not been given due recognition in most African countries, including Botswana. Botswana is one of the countries faced by the challenges of the HIV/AIDS pandemic and other mental health problems, as well as poverty and unemployment. To date statistics on the magnitude of the HIV/AIDS epidemic in Botswana, published annually by the National AIDS Coordinating Agency (NACA) reflect an increased rate of mental illness and psychosocial problems. Considering the complex nature of issues that impact negatively on people in Botswana, there is a need for awareness and the provision of psychological services in the primary health care system. There is little research on the place of psychology and psychological services in Botswana. The availability of such information is crucial for the planning of effective community-based psychological services. The present study employed a quantitative research method to explore and describe awareness and attitudes towards psychological services and referral practices in relation to psychological problems, of health care providers in Botswana. The participants in the study were chosen, based on a non-probability, purposive sampling method. The sample consisted of ninety-six persons and constituted medical doctors, nurses, psychiatrists, psychiatric nurses and clinical social workers from governmental and non-governmental institutions from Gaborone and Francistown in Botswana. Data were analyzed by means of descriptive statistics in order to identify the mean, ranges and standard deviations. Frequency counts and percentages of the participants’ responses were computed. The results of the study revealed an awareness of available psychological services, positive attitudes towards psychology and psychological services and a reasonable percentage of referrals to psychological services. The results also revealed that available psychological services were limited and not easily accessible to patients. There was also an indication of a shortage of trained professionals to offer psychological services in health care centres, which resulted in psychological problems being referred to social workers.
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Lau, Yvonne, and n/a. "The enthusiasm for disease screening : an ethical critique with a sociological perspective." University of Otago. Dunedin School of Medicine, 2009. http://adt.otago.ac.nz./public/adt-NZDU20090121.085918.
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Screening is generally considered a useful strategy in the prevention of chronic diseases. The notion is that early detection through the use of certain screening tests can facilitate effective preventive measures to be undertaken which can then lead to improved prognosis from or ultimate avoidance of serious clinical diseases. The enthusiasm for screening in the United States is high and can be seen by the size of public demand for it. Rapid technological advances and knowledge expansion in the past decade have further facilitated the introduction of new tests and screening opportunities. In the mean time, the concept of screening has undergone subtle changes. Previous emphasis on clear and demonstrable population health benefits has been slowly replaced by an emphasis on individual responsibility for the surveillance of personal health risks. Disease screening is frequently advocated as part of a health promotion programme. As a clinician who has worked in breast cancer screening and who is wary of the complexities and problems associated with disease screening, my contention is that the enthusiasm for screening may not ultimately be conducive to health and well-being.
This thesis represents an effort to understand the popularity and enthusiasm for disease screening, how it has come about and, why it may not be conducive to health and well-being. The thesis begins with a description of the phenomenon to be followed by a detailed examination of the scientific principles behind disease screening. It then moves on to discover how the phenomenon might have come about by first considering the evolution of biomedicine over the centuries and then its present endeavour in the form of surveillance medicine as well as the latter�s relationship with today�s market economy. Using relevant case studies that involve, for example, cancer and prenatal genetic screening, this thesis explores different concerns relating to health and well-being, including such topics as the creation of health roles, the reconfiguration of human values and interpersonal relationships as well as medicalisation. A final chapter offers an account of health and well-being and sums up why the enthusiasm for screening may not be conducive to health and well-being.
The enthusiasm for screening compels people to assume health as a moral virtue. Screening is turned into a ritual that people consume to attain salvation. Since diseases may lead to death, diseases must be avoided though screening. Yet health is not just about the absence of disease. Health and well-being can only be realised by the individual within the context of the individual�s life as a whole. The institution of biomedicine has undeniable responsibility to ensure that screening will not be used to the detriment of individuals� health and well-being. Without condemning disease screening as a potentially useful tool in the prevention of disease, this thesis advocates prudence in its utilisation. People must not be compelled to attend screening through programmes of promotion (commercially related or not). Rather, autonomous decisions must be facilitated as far as possible through the provision of clear, accurate and factual information.
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Keenan, Lisa A. "Family Environment, Social Support, and Psychological Distress of Women Seeking BRCA1 and BRCA2 Genetic Mutation Testing." Thesis, University of North Texas, 2002. https://digital.library.unt.edu/ark:/67531/metadc3240/.
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Shared characteristics and predictors of psychological distress are beginning to be identified in research on women seeking genetic testing for BRCA1 and BRCA2 gene mutations. This study further explored patterns of psychological distress for 51 community women waiting to receive such genetic test results. There was no significant relationship between psychological distress and family cancer history, personal cancer history, social support networks, and family environment. Women in this sample tended to rely more on females and relatives for support than males and friends. Social support satisfaction was not related to gender or number of relatives providing support. Thirty-four of the 36 women classified on the family environment type were from Personal Growth-Oriented families. Comparisons with normal and distressed family means revealed increased cohesion and expressiveness with decreased conflict, indicative of supportive family environments. Limitations and implications are discussed.
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Motseotsile, Baitlhatswi Gaolatlhe. "Reasons for post-conception human immunodeficiency virus (HIV) testing among pregnant women in Gaborone, Botswana." Thesis, 2014. http://hdl.handle.net/10210/12314.
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M.Cur. (Midwifery and Neonatal Nursing Care)Free voluntary counselling and testing (VeT) for Human Immunodeficiency Virus (HIV) by the international community and many African states is the entry point into HIV and Acquired Immunodeficiency Syndrome (AIDS) prevention, care, treatment and support. It is therefore worrisome that despite the Botswana government' multiple HIV preventative strategies, of the 56% Batswana who tested for HIV in 2008, only 34% know their status (National AIDS Coordinating Agency, Central Statistics Office & Ministry of Health, 2009:4). Among those who were tested, women outnumbered men, but even these women only had their HIV-status tested when they were already pregnant or when one of their children was suspected to have contracted AIDS, an observation that Hamblin and Reid (1991:4) has made years ago. Ethical standards were followed to conduct a study, the purpose of which was to explore and describe the reasons why women in Gaborone only volunteered to go for vcr of HIV when they were already pregnant, instead ofdoing so before they conceived. An exploratory, descriptive, qualitative and contextual design was used. Participants who met the sampling criteria were interviewed and data was audio-taped before transcription and analysis. An independent coder was involved to confirm the themes and sub-themes before relevant literature was searched. Strategies of trustworthiness were adhered to in the study (Lincoln & Guba, 1985:289-331). Findings revealed that the most significant reason for participants not testing for HIV prior to pregnancy was fear of consequences of an HIV-positive result, such as stigma and discrimination against them by their partners, families and communities should they test HIV-positive, Another reason was the socio-cultural beliefs, norms and values expressed in different forms. However, once they fell pregnant, they had themselves tested because their fear of losing their babies to HIV overruled their fear ofbeing ostracised by anybody else. Based on the findings, guidelines were formulated to assist midwives and HIV and AIDS counsellors to facilitate uptake of vcr of HIV prior to pregnancy among childbearing women and men from as young as +-15 years. Conclusions were drawn and recommendations made concerning midwifery practice, education and possible further research on this topic on a larger scale.
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Watson, Susan Brooks. "Clinical utility and incremental validity of brief screening for traumatic event exposure in female university health service patients." Thesis, 2005. http://hdl.handle.net/10125/11895.
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Mode of access: World Wide Web.Thesis (Ph. D.)--University of Hawaii at Manoa, 2005.
Evidence suggests that routine screening of primary care patients for exposure to traumatic life events, and particularly assaultive trauma, may yield both clinical and cost benefits for healthcare systems (e.g., Green, Epstein, Krupnick, & Rowland, 1997; Lecrubier, 2004). However, although advocated by authorities, such screening has yet to be widely adopted. A sample of female university healthcare patients (N = 339) was assessed for exposure to trauma in order to examine several unaddressed issues that may diminish the clinical utility of screening for trauma in primary care patients. First, because the length of the traditional trauma history assessment makes it less acceptable for use in time-pressured primary care settings, the discriminative validity of a brief, self-administered screening question about exposure to trauma, the Structured Clinical Interview for DSM-IV (SCID) posttraumatic stress disorder (PTSD) module's screening question (First, Spitzer, Williams & Gibbon, 1997) was compared to a longer, inventory method of assessment, the Traumatic Life Events Questionnaire (TLEQ, Kubany et al., 2000). Second, because it is unclear whether patients who have experienced assaultive trauma will disclose these experiences when asked in a primary care setting, the relative predictive efficacy of informing respondents that their responses would, or would not be, disclosed to health center personnel was evaluated. Two versions of the brief screening question were assessed across two instructional sets regarding disclosure, to determine each condition's relative classification accuracy for identifying respondents who reported experiences of sexual or physical assault, and/or symptoms of PTSD. The brief screen identified more than three-quarters of the survivors of traumatic assault; and more importantly, identified almost all of the women who reported significant PTSD symptomatology: the inventory method identified only 2 additional women of the 47 who met criteria for PTSD. Although survivors of sexual assault were significantly less likely to disclose their history to their provider, no differences were found for those assault survivors who also reported symptoms of PTSD. Results suggest that a brief screening question about traumatic life events may be an acceptable option in settings where more time-consuming assessment procedures are not practical.
Includes bibliographical references (leaves 83-98).
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Cox, Susan M. ""It’s not a secret but-- " : predictive testing and patterns of communication about genetic information in families at risk for Huntington Disease." Thesis, 1999. http://hdl.handle.net/2429/9955.
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The increasing transparence of the human genome has profound implications for how we
understand health and illness and perceive our biological and social relatedness to others.
Presymptomatic testing for adult onset conditions, in particular, creates the novel situation in
which some individuals know in advance of impending illness while others learn that they have
escaped such a fate. How families at risk for one adult onset condition — Huntington Disease
(HD) — communicate about such information is the topic of this dissertation.
HD is often described as a 'genetic time bomb'. It is an autosomal dominant
neuropsychiatric disorder characterized by mid-life onset, involuntary movements, cognitive
impairment, and depression. There is no effective prevention or cure but with the advent of
predictive testing in 1987 it became possible for at risk individuals to learn if they had inherited
the mutation associated with HL\ Empirical studies on predictive testing for HD focus primarily
on the individual psychological impacts of the test; few studies consider how families
understand and attempt to manage genetic information in their everyday lives.
This dissertation begins to address these lacunae by examining the stories that test
candidates and their families tell about hereditary risk and predictive testing. These stories
derive from a prospectively designed study which includes 102 in-depth, at-home interviews
conducted in the pre and post-results period with 16 test candidates and 33 family members.
Focusing on three narrative 'moments', the dissertation explores how study participants storied
their experiences of: 1) learning about the family history of HD, 2) deciding to request the
predictive test and, 3) making sense of an informative result. Drawing upon a social
constructionist approach, the analysis emphasizes the processual nature of predictive testing as
well as the significance of interpersonal communication in producing and reproducing the social
realities in which genetic information acquires a particular salience. Given the recent
proliferation of genetic tests as well as the absence of an adequate popular discourse on
embodied risk, the research underscores lay actors' abilities to reframe existing clinical schema
in order to interpret and manage hereditary risk in an intersubjectively meaningful way.
Books on the topic "Medical screening - Botswana - Psychological aspects"
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Presurgical psychological screening: Understanding patients, improving outcomes. Washington, DC: American Psychological Association, 2013.
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Holmes, Cooper B. Screening for brain dysfunction in psychiatric patients. Springfield, Ill., U.S.A: C.C. Thomas, 1998.
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Nelkin, Dorothy. Dangerous diagnostics: The social power of biological information. New York: Basic Books, 1989.
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Nelkin, Dorothy. Dangerous diagnostics: The social power of biological information : with a new preface. Chicago: University of Chicago Press, 1994.
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Weymayr, Christian, and Klaus Koch. Mythos Krebsvorsorge. Schaden und Nutzen der Früherkennung. Eichborn, 2003.
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T, Croyle Robert, ed. Psychosocial effects of screening for disease prevention and detection. New York: Oxford University Press, 1995.
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Seymour, Sudman, and National Center for Health Statistics (U.S.), eds. Cognitive aspects of reporting cancer prevention examinations and tests. Hyattsville, Md: U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Health Statistics, 1994.
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(Editor), Suzanne M. Miller, Susan H. McDaniel (Editor), John S. Rolland (Editor), and Suzanne L. Feetham (Editor), eds. Individuals, Families, and the New Era of Genetics: Biopsychosocial Perspectives. W. W. Norton, 2006.
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1951-, Miller Suzanne M., ed. Individuals, families, and the new era of genetics: Biopsychosocial perspectives. New York: W.W. Norton, 2006.
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(Editor), Suzanne M. Miller, Susan H. McDaniel (Editor), John S. Rolland (Editor), and Suzanne L. Feetham (Editor), eds. Individuals, Families, and the New Era of Genetics: Biopsychosocial Perspectives. W. W. Norton, 2006.
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