Impediments to Psychological Care of the Chronic Renal Patient
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.
KeywordsChronic Renal Disease Psychological Service Renal Patient Psychological Care Renal Dialysis
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- 1.Strain, J. and Langer, S. The liaison teaching unit: a funding mechanism for psychological care of the chronic renal patient (in preparation).Google Scholar
- 7.Viederman, M. The search for meaning in renal transplantation. Psychology, 1974, 37, 283–290.Google Scholar
- 8.Viederman, M. Adaptive and maladaptive regression in hemodialysis. Psychology, 1974, 37, 68–77.Google Scholar
- 9.Viederman, M. Psychogenic factors in kidney transplant rejection: a case study. American Journal Psychology, 1972, 132, 957.Google Scholar
- 10.Abram, H. S. The “uncooperative” hemodialysis patient: a psychiatrist’s viewpoint and a patient’s commentary. In N. B. Levy (Ed.), Living or dying: adaptation to hemodialysis. Springfield, 111.: Charles C Thomas, 1974, pp. 50–61.Google Scholar
- 11.Levy, N.B. Sexual adjustment to maintenance hemodialysis and renal transplantation: national survey by questionnaire: preliminary report. In N. B. Levy (Ed.), Living or dying: adaptation to hemodialysis. Springfield, 111.: Charles C Thomas, 1974, pp. 127–140.Google Scholar
- 14.Caplan, G. Principles of preventive psychiatry. New York: Basic Books, 1961.Google Scholar
- 15.Strain, J. J. and Grossman, S. Psychological care of the medically ill: a primer in liaison psychiatry. New York: Appleton-Century-Crofts, 1975, pp. 1–10.Google Scholar
- 16.Mahler, M. S., Pine, F., and Bergman, A. The psychological birth of the human infant: symbiosis and individuation. New York: Basic Books, 1975.Google Scholar
- 17.Strain, J., and Hamerman, D. Ombudsman-medical-psychiatric teaching rounds (ombudsman rounds). Annals of Internal Medicine, 1977, 80, 550–555.Google Scholar