1/8. The healthy patient: empowering women in their encounters with the health care system.Many women's expectancies when they assume the role of patient include the experiences of regression, helplessness, passivity and fear. This paper describes techniques for interrupting this negative set and for facilitating the development of a self-efficacious state in which the woman experiences herself as an active and informed participant in her encounters with medical personnel.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
2/8. Psychological responses of rescue workers: fire fighters and trauma.The psychological responses of two groups of fire fighters were examined following the performance of rescue work. Four types of responses were reported: identification with the victims, feelings of helplessness and guilt, fear of the unknown, and physiological reactions. Stress was found to be mediated by availability of social support, type of leadership, level of training, and use of rituals. Implications of these findings for preventive intervention measures are discussed.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
3/8. Musician's cramp: a case report and literature review.Musician's focal dystonia is a motor dysfunction that appears in artists after years of repetitive and fine movements during performance. This is the condition most feared by musicians because it leads to difficulties in controlling movements, which can interrupt or terminate their careers. It is characterized by the onset of involuntary muscle contractions and movements; its distinguishing feature is that it only occurs during a specific and well-defined action. It is rarely diagnosed because those who experience it do not seek medical attention for fear or shame, but also because many physicians do not consider the disease in the differential diagnosis of motor dysfunction. We describe the case of a guitarist who presented to our outpatient clinic after many years of experiencing musician's focal dystonia. He reported a long list of misdiagnoses and a variety of unsuccessful treatments.Musician's focal dystonia is an under-diagnosed condition. Treatment benefit is limited despite recent innovative approaches. Rheumatologist should be aware of this condition.- - - - - - - - - - ranking = 2keywords = fear (Clic here for more details about this article) |
4/8. hiv and occupational health.Although the occupational risks of hiv transmission in health care are minimal and levels of knowledge among health professionals are high, hiv-related anxiety is pervasive among workers in health care services. occupational health and safety law is often used to justify unnecessarily rigorous precautions or discrimination. It is the psychological and cultural impact of hiv rather than its medical dimension that causes these concerns. Resolution of hiv-related anxiety and conflict requires that issues beyond infection control are addressed. Irrational fear, anxiety and prejudice are not less common among health professionals than in the community generally; they require attention in hiv-related educational programs.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
5/8. A distinct pattern of personality disturbance following exposure to mixtures of organic solvents.To assess systematically the pattern of psychologic distress in chemically exposed workers complaining of personality changes, we administered the minnesota Multiphasic personality inventory to 22 men with a history of exposure to mixtures of organic solvents. Results indicated clinically significant profile elevations in more than 90% of the exposed workers. Moreover, a consistent response profile was noted, indicating a high rate of somatic disturbances, anxiety, depression, social isolation, and fear of losing control. In addition, those workers with the longest exposure duration had the highest elevations on the scale measuring disturbances of thinking, social alienation, poor concentration, and anxiety. Comparisons between these subjects and a group of former prisoners of war with posttraumatic stress disorder revealed strikingly similar clinical profiles. We present a case history that illustrates the nature of this psychologic disturbance.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
6/8. A case of phobic anxiety related to the inability to smell cyanide.This report describes a case of phobic anxiety relating to cyanide in a process operator who is unable to smell hydrogen cyanide. This case demonstrates that hazardous substances in the workplace can provoke this mental disorder in individuals who are unable to detect by special senses whether or not a specific hazard is present. The clinical management of such individuals is complicated since they must be able to perceive the feared object or substance in order to overcome their anxiety.- - - - - - - - - - ranking = 1keywords = fear (Clic here for more details about this article) |
7/8. needlestick injuries: the shock and reality.It has been a typically busy Saturday night in the emergency department. Then, near midnight, a trauma casualty was admitted and an incident occurred that would occupy Suzanne Smith's thoughts for months to come. When starting an intravenous line on this patient, Suzanne spiked herself with a needle. Later the patient was taken to the intensive care unit and placed on a ventilator. Suzanne was overcome with fear that she might have contracted AIDS. Her fears intensified when she learned that the patient, Mr. Norman, was a heroin addict.- - - - - - - - - - ranking = 2keywords = fear (Clic here for more details about this article) |
8/8. Provocation of the electromagnetic distress syndrome.BACKGROUND: Many patients in sweden are today distressed by fears of "electric fields." This phenomenon was almost unknown to occupational health clinics 10 years ago. CASE history AND EXAMINATION: A 35-year-old male plumber complained of fatigue, headache, lack of concentration, numbness and paresthesia in his arms, and a greasy feeling in his palms, where he observed tiny shiny spots. These symptoms made him unable to work. It all started after a period of high strain at the work. He feared negative influences, mainly from electric fields. Signs indicating nerve entrapment in the upper extremities were found in a clinical examination. PROVOCATION STUDY: The patient was blindly provocated in a whole-body electromagnetic coil at 34 or 100 microT randomly mixed with sham exposures. After being blinded against irrelevant external cues, he was not able to detect the existence of or any symptoms at either field intensity. He was informed about the results and was later able to return to his previous work. CONCLUSIONS: No sensitivity to electromagnetic fields could be objectively verified for this patient, who was suspected to suffer from a thoracic outlet syndrome.- - - - - - - - - - ranking = 2keywords = fear (Clic here for more details about this article) |