Studied how student attitudes toward different types of patients and the medical profession change during clinical rotations. Responses of 88 third-year medical students show that students became less idealistic toward the elderly and people with chronic pain and less idealistic toward the profession. (SLD)

Objective: To assess the potential efficacy, tolerability, and safety of citalopram in the treatment of functional pediatric recurrent abdominal pain and comorbid internalizing disorders. Method: Twenty-five clinically referred children and adolescents with recurrent abdominal pain aged 7 to 18 years, inclusive, participated in a 12-week,…

Today's educators live in fear of the draconian consequences of failing to make adequate yearly progress under the No Child Left Behind Act. In this article, the author offers sage advice on how to "comply" with the law and not get hurt. In this analysis, the author also offers guidance to his public school colleagues who, yearning to…

The authors investigated the medical use, illicit use, and diversion of 4 distinct classes of abusable prescription medication (sleeping medication, sedative or anxiety medication, stimulant medication, and pain medication) in a random sample of undergraduate students. In spring 2003, 9,161 undergraduate students attending a large, public,…

Recurrent pediatric headaches are increasingly understood to be a function of both respondent and operant processes. In particular, the environment is thought to elicit internal autonomic instability and to evoke external maladaptive pain behavior. While medical interventions often provide an appropriate first line treatment, behavioral…

Purpose: The purpose of this study was to investigate pain management among 42 hospice and 65 non-hospice residents in two proprietary nursing homes. Design and Methods: In this prospective, anthropological, quantitative, and qualitative study, we used participant observation, event analysis, and chart review to obtain data. The Medication…

Objective: Posttraumatic stress disorder symptoms are a focus of much research with older children, but little research has been conducted with young children, who account for about 50% of all pediatric burn injuries. This is a 3-year study of 12- to 48-month-old acutely burned children to assess acute traumatic stress outcomes. The aims were to…

Explores psychometric properties of the Cultural Adaptation Pain Scale designed to assess subjective pain, social distance, and discouragement that may be related to cultural adaptation. Subjects were 192 college students (53% female, 75% non-Hispanic White). Discusses implications for multicultural counseling. (SNR)

Twenty 5-year-olds and 20 8-year-olds were asked to tell 6 stories about health and illness. Analysis of stories did not support a stage theory of developmental changes in children's understanding of illness. Results suggest that young children share many ideas about illness with older children. (CB)

Offers a narrative based on a real event, in the form of a "docustory," describing that moment when teaching worked--when, in an instructional setting, communication was "perfect,""best," or "excellent." Describes a university course that involves performance and oral history, in which students perform stories of their own or others' loss or…

Responds to case study, presented in previous article, of young adult male with chronic back pain who has been unable to work. Identifies areas needing further inquiry, including client's living arrangement and family relationships, perception of vocational success, aptitude and achievement test scores and any possible learning disabilities, and…

Responds to case study, presented in previous article, of young adult male with chronic back pain who has been unable to work. Sees counselor's role as determining how to establish rapport with client, create situation conducive to his adjustment to circumstances, and mobilize energy for change. Identifies areas where additional information is…

Exercise can help decrease pain and improve function in people with rheumatoid arthritis or osteoarthritis. Physicians must provide individualized, realistic, enjoyable exercise programs that help affected joints, build fitness, and maximize patient compliance. Physicians must also provide appropriate follow-up care, adjusting the exercise program…

Presents interview with Dame Cicely Saunders, founder of international hospice care movement. Saunders describes her background and experiences that led her to form the hospice movement and discusses the need for pain control for terminally ill patients. Saunders also notes her opposition to euthanasia and physician-assisted suicide. (NB)

Examined whether early individual differences in look duration were related to general mechanisms of the infant nervous system combining attention and emotion. Found significant positive correlations between attention measures and duration of facial expressions of pain/distress after vaccinations at 3, 5, and 11 months. Concluded that individual…