Abstract
Spinal cord injury may produce both immediate and long term stress and disability. The liaison psychiatrist may have an important role in dealing with the problems of the spinal cord injured patient, his family and the medical team. Problems occurring may cause or be exacerbated by psychological difficulties. Problems occurring during rehabilitation and long term adjustment have not been systematically studied. Many assumptions concerning the psychological responses to injury have been made. Such assumptions have important implications for both the short and long term treatment of patients. This paper examines some of these areas.
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Berger S, Garrett J 1952 Psychological problems of the paraplegic patient. Journal of Rehabilitation 18: 15–17
Bors E 1951 Phantom limbs with spinal cord injury. Archives of Neurology and Psychiatry 66: 610–631
Bracken M B, Shepard M J 1980 Coping and adaptation following acute spinal injury. A theoretical analysis. Paraplegia 18: 74–85
Cogswell B E 1968 Self-socialisation-The adjustment of paraplegics in the community. Journal of Rehabilitation 34: 11–13
Comarr A E 1962 Marriage and divorce among patients with spinal cord injury. International Journal of Indian Medical Profession 4353–4359
Conomy J 1973 Disorders of body image after spinal cord injury. Neurology 23: 842–850
Crewe N M, Athelston G T, Krumberger J 1979 Spinal cord injury: A comparison of preinjury and postinjury marriages. Archives of Physical Medicine and Rehabilitation 60: 252–256
Davis R 1975 Pain and suffering following spinal cord injury. Clinical Orthopedics and Related Research 112: 76–80
Elton D, Stanley G, Burrows G 1983 Psychological control of pain. Grune and Stratton, pp. 25–44
Engel G L 1959 Psychogenic pain and the pain prone patient. American Journal of Medicine 21: 899–918
Engel G L 1962 Psychological development in health and disease. W. B. Saunders Company, pp. 288–305
Erickson E H Childhood and Society. Norton, New York 1965. pp. 222–251
Feighner J Benzodiazepines as antidepressants. In: Ban T (Ed) Modern Problems of Pharmacopsychiatry. Basal S. Kruger 1982. 18: 196–212
Felton J S, Litman M 1965 Study of employment of 222 men with spinal cord injury. Archives of Physical Medicine and Rehabilitation 46: 809–814
Fullerton D T, Harvey R F, Klein M H, Howell, T 1981 Psychiatric disorders in patients with spinal cord injuries. Archives of General Psychiatry 38: 1369–71
German A 1980 The shaping of a psychiatrist. Australian and New Zealand Journal of Psychiatry 14: 291–298
Gunther M Emotional aspects In: spinal cord injuries. 1969. Ed. R. Reuge, Springfield Ill Charles C. Thomas pp. 127–142
Gunther M S 1977 The threatened staff: a psychoanalytic contribution to medical psychology. Comprehensive Psychiatry 18: 385–394
Guttmann L 1964-65 Married life of paraplegics and tetraplegics. Paraplegia 2: 182–188
Guttmann L Spinal cord injuries-comprehensive management and research. Blackwell Scientific Publications Oxford 1976. pp. 42–54
Harris P, Patel S, Greer W, Naughton J 1973 Psychological and social reactions to acute spinal paralysis. Paraplegia 11: 132–136
Heilporn A, Noel G 1968 Reflections on the consciousness of disability and somatognosis in cases of acute spinal injuries. Paraplegia 6: 122–27
Hopkins G 1971 Patterns of self destruction among the orthopedically disabled. Rehabilitation Research and Practice Review 3: 5–16
Hohmann G 1975 Psychological aspects of treatment and rehabilitation of the spinal injured person. Clinical Orthopedics 112: 81–88
Kalucy R 1980 Commentary on “Why Psychiatry is a Branch of Medicine”. Australian and New Zealand Journal of Psychiatry 14: 279–290
Kaplan L, Powell B R, Grynbaum B B, Rush H A Comprehensive follow-up study of spinal cord dysfunction and its resultant disabilities 1966. New York Institute of Rehabilitation Medicine, New York University Medical Centre. pp. 27–35
Katz V, Gordon R, Iverson D, Myers S J 1978-79 Past history and degree of depression in paraplegic individuals. Paraplegia 16: 8–14
Kemp G, Vash C 1971 Productivity after injury in a sample of spinal cord injured persons. A pilot study. Journal of Chronic Disease 24: 259–275
Kerr W, Thompson M 1972 Acceptance of disability of sudden onset in paraplegia. Paraplegia 10: 94–102
Lawson N 1978 Significant events in the rehabilitation process: The spinal cord patients point of view. Archives of Physical Medicine and Rehabilitation 59: 573–579
Lipowski Z J 1974 Consultation-liaison psychiatry: An overview. American Journal of Psychiatry 131: 623–630
Mueller A D, Thompson C E 1950 Psychological aspects of the problems in spinal cord injuries. Occupational Therapy & Rehabilitation 29: 86–95
Nagler B 1950 Psychiatric aspects of cord injury. American Journal of Psychiatry 107: 49–55
Nickerson E 1971 Some correlates of adjustment by paraplegics. Perceptual and Motor Skills 32: 11–23
Nyguist R, Bors, E 1967 Mortality and survival in traumatic myclopathy during 19 years from 1946-1965. Paraplegia 5: 22–48
Pilowsky I, Bassett D G 1982 Pain and depression. British Journal of Psychiatry 141: 30–36
Pinkerton A C, Griffin M L 1983 Rehabilitation outcomes in females with spinal cord injury: A follow-up study. Paraplegia 21: 166–175
Richards B 1982 A social and psychological study of 166 spinal cord injured patients from Queensland. Paraplegia 20: 90–96
Richards J, Hirt M, Melamedi L 1982 Spinal cord injury: a sensory restriction perspective. Archives of Physical Medicine and Rehabilitation 63: 195–199
Roberts A H 1976 Spinal cord injury—some psychological considerations. Minnesota Medicine 55: 1115–1117
Roth M Future developments in psychiatry. In: Future directions for psychiatric research. Melbourne Health Commission of Victoria publication No. 10, 1982. pp. 1–8
Siller J 1969 Psychological situation of the disabled with spinal cord injuries. Rehabilitation Literature 30: 290–96
Solomon P, Kleeman S T Sensory deprivation. In: Comprehensive Textbook of Psychiatry 1985. IV Ed. Kaplan H. I., Sadock, B. J. pp. 621–626
Stein E, Murdoch ?, MacLeod J 1969 Brief psychotherapy of psychiatric reactions to physical illness. American Journal of Psychiatry 8: 76–83
Stewart T D 1977a Spinal cord injury: a role for the psychiatrist. American Journal of Psychiatry 134: 538–541
Stewart T D 1977b Coping behaviour and the moratorium following spinal cord injury. Paraplegia 15: 338–342
Steinglass P, Temple S, Lisman S A, Reiss D 1982 Coping with spinal cord injury. The family perspective. General Hospital Psychiatry 4: 259–264
Strain J H, Gross S . Psychological care of the medically ill. A primer in liaison psychiatry. 1975. Appleton-Century-Crofts/New York pp. 23–37
Thorn D A, Von Salzen C F, Frommer A 1964 Psychological aspects of the paraplegic patients. Medical Clinics of North America 30: 473–481
Trieschmann R B Spinal cord injuries. Psychological, social and vocational adjustment. Pergamon Press, 1981. pp. 35–86
Tucker S J 1980 The psychology of spinal cord injury: patient staff interaction. Rehabilitation Literature 41: 114–119
Turk R, Turk M, Assejev V 1983 The female paraplegic and mother-child relations. Paraplegia 21: 186–191
Verwoerdt A 1972 Psychopathological responses to the stress of physical illness. In: Psychosocial aspects of physical illness. Ed. Lipowski, Z. J. Vol. 8 of Advances in Psychosomatic Medicine Series. S. Krager Basel.
Weiner M, Lovitt R 1979 Conservation—withdrawal versus depression. General Hospital Psychiatry 4: 347–349
Whitlock J A Death on the road: A study in social violence. Tavistock Publications in association with Hicks, Smith & Sons London 1971. p. 212–214
Wilcox N, Stauffer, E 1972 Follow-up of 423 consecutive patients admitted to the spinal cord centre Rancho Los Amigos Hospital, 1 January to 31 December, 1967. Paraplegia 10: 115–122.
Witthower E, Gingras G, Megler L, Widgor B, Lepine A 1954 A combined psychosocial study of spinal cord lessons. Canadian Medical Journal Association Journal 71: 109–15
Woodrich F, Patterson J B 1983 Variables related to acceptance of disability in persons with spinal cord injuries. Journal of Rehabilitation 49: 26–30
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Judd, F., Burrows, G. Liaison psychiatry in a spinal injuries unit. Spinal Cord 24, 6–19 (1986). https://doi.org/10.1038/sc.1986.3
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DOI: https://doi.org/10.1038/sc.1986.3