Impediments to Psychological Care of the Chronic Renal Patient

  • James J. Strain


The end-stage renal patient is inevitably faced with multiple psychosocial problems evoked (or intensified) by his illness. Yet, by and large, he is deprived of the services which would enable him to cope with these difficulties. My purpose in this chapter, is (1) to discuss the nature of the variables that impeded the provision of psychological services to these chronically ill patients; (2) to describe in general terms the nature of their “psychological difficulties”; and, finally, (3) to propose a solution which would make adequate psychological care available to this population. The solution consists of a description of the psychosocial teaching program currently in operation at Montefiore Hospital and Medical Center, and of the mechanisms for funding which have made this teaching program a reality.


Chronic Renal Disease Psychological Service Renal Patient Psychological Care Renal Dialysis 
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Copyright information

© Springer Science+Business Media New York 1981

Authors and Affiliations

  • James J. Strain
    • 1
  1. 1.Mount Sinai Medical CenterCity University of New YorkNew YorkUSA

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