Cynthia Evans

Anniversary Reactions and Due Date Responses Following Abortion

Of 83 women who responded to surveys exploring postabortion coping, 30 women reported anniversary reactions associated with the abortion or due date. Women in the anniversary reaction group more often reported ambivalence about the decision to abort (p less than 0.007). This group also acknowledged fewer suicidal thoughts and attempts, but expressed more concern about verbally abusing their children (p less than 0.04). Strong trends toward dependency and somatoform disorders were present among anniversary group members (p less than 0.06). The authors recommend that physicians be alert to the possibility of hidden anniversary reactions of both physical and emotional nature during patient evaluation.

Rumination in adults: Two case histories

Rumination has been reported to be a relatively rare disorder of eating during infancy. Over the past decade, there appears to be a renewed interest in and recognition of adult rumination. Although some authors believe adult rumination is benign, others have begun to link it with both eating disorders and depressive symptoms. This paper presents two adult cases whose rumination was associated with anorexia and bulimia nervosa. More identification and study of adult rumination is needed to clarify its course and medical significance.

Conflict With Physician Pregnancy Revisited

A 10-year follow-up survey found medical school physicians (N = 200) at one institution were more interested in and accepting of pregnancy among colleagues. A greater number of physicians in 1990 than in 1980 reported that pregnant colleagues maintained their work efficiency and interest in medicine. Fewer physicians in 1990 reported being inconvenienced during a colleague’s pregnancy, and fewer perceived hiring women of childbearing age to be a risk to the optimal functioning of their departments.

Rumination: the eating disorder of infancy.

Rumination is a relatively rare, potentially fatal syndrome in infants. This article reviews the historical and current treatment of rumination. Two cases are presented: a six-month-old who narrowly escaped surgery when the disorder was not recognized, and a complicated case from the neonatology intensive care unit. Environmental changes and enhanced mothering are described as being critical to correction of rumination and appropriate weight gain.

Stress Profiles and Their Implications for Intervention

This study surveyed 222 medical students and found that financial difficulties, single marital status and being farther along in medical school were likely to be associated with increased dysphoria. The lack of available psychiatric faculty to meet all the student needs led to the development of two innovative programs. Psychiatrists recruited and prepared clinicians to serve as mentors for first year medical students. Psychiatric staff also trained and supervised associate deans to lead student support groups as a separate intervention. Program evaluations by both students and faculty have been encouraging.