ROBERT M FACTOR | University of Wisconsin-Madison (original) (raw)

Papers by ROBERT M FACTOR

PubMed, Jul 1, 1985

Community Mental Health Journal, 1986

This paper presents a conceptual approach for leading various types of groups of chronically ment... more This paper presents a conceptual approach for leading various types of groups of chronically mentally ill patients. Although these groups may have a concrete, task-oriented purpose, with skillful leadership they also function as psychotherapy groups. The developmental deficits in ego functions, object relations, and social skills that severely impair such groups can be compensated by non-interpretative actions of the therapists. The group leader must actively work to provide for the structure, stability, and safety of the group when group members are unable to provide these for themselves. Groups of various kinds have become a vital element in the comprehensive treatment of severely ill psychiatric patients, both within hospitals and in community settings [ 1-2]. Such groups have the potential of supplying precisely the sort of human contact which is so tragically missing from the lives of these patients [3-5]. Although such groups may meet expressly for psychotherapy, more often gr...

American Journal of Psychiatry, 1989

In this paper a group of knowledgeable individuals with expertise in psychiatric education presen... more In this paper a group of knowledgeable individuals with expertise in psychiatric education present their recommendations for a basic psychiatric residency curriculum concerning the chronically mentally ill. The proposed curriculum consists of knowledge, skill, and attitude educational objectives, as well as clinical experiences, faculty supervision, didactics and seminars, and evaluation mechanisms. Recommendations are also made concerning changes in the Accreditation Council for Graduate Medical Education&amp;#39;s Special Requirements for Residency Training in Psychiatry, which would require residency programs to place more emphasis on training to meet the needs of the chronically mentally ill. Obstacles to the implementation of the proposed recommendations are presented and possible solutions are discussed.

Psychosomatic Medicine, 1975

Community Mental Health Journal

Community Ment Health J, 1993

Sports Medicine, Jan 11, 2010

Sport psychiatry focuses on diagnosis and treatment of psychiatric illness in athletes in additio... more Sport psychiatry focuses on diagnosis and treatment of psychiatric illness in athletes in addition to utilization of psychological approaches to enhance performance. As this field and its research base are relatively new, clinicians often deliver psychiatric care to athletes without a full understanding of the diagnostic and therapeutic issues unique to this population. In this systematic review, we discuss published findings relating to psychiatric diagnosis and medical treatment of mental illness in athletes. There have been several studies looking at the prevalence of some psychiatric disorders in various athlete populations. Eating disorders and substance abuse are the most studied of these disorders and appear to be common problems in athletes. However, to provide informed understanding and treatment, we especially need more research on overtraining syndrome, bipolar disorder, suicidality, anxiety disorders, attention-deficit hyperactivity disorder (ADHD) and psychosis in athletes. Research is needed in the areas of prevalence, risk factors, prognosis and the unique experiences facing athletes with any of these disorders. Additionally, there have not been any large, systematic studies on the use of psychotropic medications in athletes. Small studies suggest that some medications may either be performance enhancing or detrimental to performance, but we need larger studies with rigorous methodology. Higher level athletes suffering from psychiatric symptoms often have reservations about taking medications with unknown performance and safety effects, and methodological issues with the current literature database preclude any definitive conclusions on performance effects of psychiatric medications. We need many more, higher quality studies on the use by athletes of antidepressants, mood stabilizers, anxiolytics, stimulants and other ADHD medications, sedative-hypnotics and antipsychotics. Such studies should utilize sensitive performance measures and involve longer term use of psychotropic medications. Furthermore, study subjects should include athletes who actually have the psychiatric disorder for which the medication is proposed, and should include more women.

Journal of Experimental Biology, Aug 1, 1971

Sports medicine (Auckland, N.Z.), Jan 28, 2015

Medication treatment of adult athletes with attention-deficit/hyperactivity disorder (ADHD) is co... more Medication treatment of adult athletes with attention-deficit/hyperactivity disorder (ADHD) is controversial. Some articles and guidelines support the use of stimulant medications in this population, while others advise against it. We believe that the important issues regarding the use of stimulant medications in athletes include the likelihood of performance enhancement, poor inter-rater reliability of ADHD diagnosis in relation to therapeutic use, policies of sport-governing bodies, psychiatric treatment of mental illness, and dangerous consequences of use. We review the literature on these five issues and conclude by discussing the ethical principle of fairness, and suggest some proposals regarding the use of stimulants by athletes that balance these five issues and fairness. Our ultimate recommendation is that stimulants should not be used by high-level adult athletes.

An International Perspective, 2013

Hospital & community psychiatry, 1994

The Journal of experimental biology, 1971

Hospital & community psychiatry, 1991

Available data do not support the claim that moonlighting, or employment outside psychiatric resi... more Available data do not support the claim that moonlighting, or employment outside psychiatric residency programs, is a dangerous activity for residents, patients, or employers of moonlighters. Moonlighting may beneficially supplement the education of a psychiatric resident as well as be important to residents economically. The author contends that the role of psychiatric educators is to assure the competence of graduates of psychiatric residency programs to practice psychiatry. How residents use their free time is their own concern, not the concern of psychiatric educators, as long as residents fulfill their educational and training responsibilities.

Sports Medicine, 2010