Critical reflections on a coding scheme.

We began by reviewing our method for studying the patient's experience of the relationship with the analyst. Among the highlights of the method is the coding of allusions to the transference in associations that are not manifestly about the transference. We went on to describe a modification in our point of view that has occurred since the coding scheme was published in 1982.

Oral vs repository corticosteroid therapy in acute asthma.

Acutely ill asthmatic patients treated in the usual fashion in an emergency room setting and discharged within six hours were studied to determine whether therapy with a single injection of a repository corticosteroid (methylprednisolone sodium acetate) could be as effective as a tapering course of oral corticosteroids in decreasing asthma symptomatology and relapse within seven days. Seventeen patients (18 episodes of asthma) formed the study population. Eight episodes occurred in patients who received depot methylprednisolone (group 1) and ten episodes in patients who received oral corticosteroid treatment (group 2).

Cerebrospinal fluid norepinephrine levels in essential hypertension: effects of drug treatment and withdrawal.

Measurements of cerebrospinal fluid (CSF) catecholamines (CA) were made in an attempt to estimate the activity of central CA neurons in essential hypertension (EHT). CSF norepinephrine (NE), epinephrine (EPI), and dopamine (DA) levels were measured in 12 normotensive (age 36 +/- 3 years; SBP = 116 +/- 4 and DBP = 79 +/- 4 mm Hg) and in 12 EHT (age 41 +/- 2 years; CSF NE levels were twofold higher in EHT (240 +/- 23 pg/ml) than in normotensive subjects (127 +/- 28 pg/ml). Very low EPI and DA levels were observed in both groups of patients.

Symptomatic coronary disease for 20 or more years: clinical aspects, angiographic findings, and therapeutic implications.

Clinical, angiographic, and therapeutic aspect of coronary artery disease of long duration (exceeding 20 years) is reviewed in 50 patients (study group) and compared to a control group of 100 consecutive patients with coronary artery disease of shorter duration. All were referred because of symptomatic coronary artery disease. The study group had a greater incidence of clinically evident extracardiac vascular disease (28% vs 4%) (p less than 0.

The effect of coronary inflow pressure on coronary vascular resistance in the isolated dog heart.

The shape of the coronary arterial pressure-flow relationship results from the interaction of a number of poorly understood physiological factors. Experiments in which coronary inflow and outflow pressures were coupled so that driving pressure was held constant showed that changes in inflow or outflow pressures altered coronary blood flow: coronary vascular resistance varied inversely with changes inflow pressure below 50 mm Hg and with changes in outflow pressure below 80 mm Hg. The magnitude of the influence of inflow pressure on resistance also depended on the fixed level of outflow pressure, the influence being large when the outflow pressure was low, and small when it was high.

Functional and anatomic correlates of markedly abnormal stress tests.

The functional state and coronary anatomy of 120 patients evaluated primarily because of a markedly positive ischemic exercise stress test (greater than 2 mm ST depression) is presented. Twenty-seven patients were asymptomatic (group A), 36 patients (group B) had type I angina (Canadian classification) and 57 patients (group C) had angina with only minor limitations (type II angina). All patients underwent exercise stress testing (Bruce protocol) within 2 months of cardiac catheterization.

Left bundle branch block: a predictor of poor left ventricular function in coronary artery disease.

Clinical, coronary arteriographic, and hemodynamic studies were performed in 55 patients with left bundle branch block (LBBB) and coronary artery disease and were compared with 110 patients consecutively matched for age and sex with ischemic heart disease but without LBBB. No significant differences were found in duration of symptoms or frequency of prior myocardial infarction, hypertension, or diabetes mellitus; however, the LBBB patients had a significantly (p less than 0.001) higher frequency of congestive heart failure (38.

Atrial transport function in coronary artery disease: relation to left ventricular function.

The atrial contribution to ventricular stroke volume was evaluated in 50 patients with coronary artery disease and found to be related to left ventricular function. All patients underwent complete hemodynamic and angiographic studies. Angiographic volume studies were utilized to determine atrial contribution to the stroke volume, end-systolic volume and ejection fraction.

Familial Occurrence of Juvenile Periodontitis With Varied Treatment of One of the Siblings With Five-Year Follow-up: Case Reports.

A 13-year-old female with varying degrees of vertical bone loss at the mesial surfaces of three first molars was treated by plaque control instruction, root planing and curettage of all sites and autologous tooth transplant into an extraction site, an autogenous iliac marrow graft at the second site, and passive eruption and osteoplasty at the third site. Two siblings had evidence of juvenile periodontitis and the mother had isolated bone defects involving some molars. Radiographic records were obtained of one of the male siblings at age 9 years and 10 months and 7 years and 10 months later, as well as of the mother.

Familial occurrence of juvenile periodontitis with varied treatment of one of the siblings with five-year follow-up. Case report.

A 13-year-old female with varying degrees of vertical bone loss at the mesial surfaces of three first molars was treated by plaque control instruction, root planing and curettage of all sites and autologous tooth transplant into an extraction site, an autogenous iliac marrow graft at the second site, and passive eruption and osteoplasty at the third site. Two siblings had evidence of juvenile periodontitis and the mother had isolated bone defects involving some molars. Radiographic records were obtained of one of the male siblings at age 9 years and 10 months and 7 years and 10 months later, as well as of the mother.

Left atrial size and left ventricular function in coronary artery disease: an echocardiographic-angiographic correlative study.

M-mode echocardiography was used to determine left atrial size in 100 patients with coronary artery disease undergoing cardiac catheterization. Patients were divided in two groups on the basis of left atrial diameter (greater than or equal to 40 mm in 40 patients and less than 40 mm in 60). Patients with larger left atria had a higher frequency of electrocardiographic evidence of left atrial abnormality (p less than 0.

A method for studying the analysis of aspects of the patient's experience of the relationship in psychoanalysis and psychotherapy.

We have described a coding scheme for obtaining an objective account of the analysis of resisted aspects of the patient's experience of the relationship with the therapist in single, audio-recorded sessions of psychoanalysis and psychotherapy. The focus is on what is often regarded as an important first step in the analysis of transference: the identification and exploration of the preconscious points of attachment of transference ideas in the here-and-now. Related to the scheme is the view that there is generally a plausible basis in the here-and-now for the patient's ideas about the therapist.

Arteriography of coronary disease at clinical onset.

The coronary arteriographic anatomic findings in 491 male patients clinically symptomatic for less than six months are described. Single and multiple vessel disease was noted, respectively, in 40 and 60 percent with 6.5 percent also manifesting left main coronary disease.