M J Steinhart

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The therapeutic efficacy of amitriptyline in irritable bowel was studied in a cross-over double-blind trial, employing fourteen patients whose symptoms were rated as Class II or worse on an arbitrarily-defined interval scale and who had not benefited from previous trials of anticholinergics, anticholinergic-sedative combinations, and bulk-forming agents.(More)
Electroconvulsive therapy in recent years has received extensive coverage in the mass media, much of it negative. However, little can be found in either the professional literature or the popular press on the attitudes of professionals, patients, and the general public toward ECT. A questionnaire study of 587 individuals drawn from these three categories(More)
Delirium is a frequently encountered clinical syndrome which can pose serious problems for the physician and patient. Numerous etiological possibilities exist, and each case is usually associated with multiple causal factors. Although the pathophysiology is poorly understood, the clinical presentation is marked either by stupor and hypoarousal or agitation(More)
A heterogeneous sample completed a demographic survey, a measure of internal-external locus of control (I-E), the Hospital Stress Rating Scale (HSRS), and a state anxiety measure on the eve of major surgery. Three sets of variables (demographic, cognitive, and experiential) together significantly accounted for one-quarter of the variance in state anxiety.(More)
Conversion hysteria differs from hysteria in that it arises suddenly, rather than being a lifelong disorder. It is monosymptomatic rather than polysymptomatic, and is seen in men almost as frequently as in women. La belle indifférence, when present, is a useful clue to diagnosis. Other clues are ambiguity in reporting of the symptoms, medically inconsistent(More)
This case history shows the clinical features of a Ganser-like syndrome, in which two basic dilemmas readily present themselves to the clinician. First, careful neurologic, psychiatric, and psychosocial investigation is essential for differential diagnosis. And second, criteria must be established to distinguish a true Ganser syndrome from Ganser symptoms.(More)
Irritable bowel syndrome is a symptom complex that appears to have multiple causes. In those patients with diagnosable psychiatric illness, treating the psychiatric illness often leads to considerable improvement of the symptoms of irritable bowel syndrome. For almost all symptomatic patients, a caring, thoughtful physician can be very therapeutic by(More)
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