Hostname: page-component-76fb5796d-zzh7m Total loading time: 0 Render date: 2024-04-25T15:17:22.802Z Has data issue: false hasContentIssue false

Psychological Aspects of Isolator Therapy in Acute Leukaemia

Published online by Cambridge University Press:  29 January 2018

Alistair M. Gordon*
Affiliation:
Department of Psychological Medicine, Royal Postgraduate Medical School; now Senior Lecturer, Department of Psychiatry, St. Mary's Hospital, Harrow Road, London, W.9

Summary

Treatment under conditions of gnotobiotic isolation can augment the stress of adaptation to a diagnosis of leukaemia. Identification of the psychological problems experienced in isolator treatment can contribute to the effective maintenance of therapy. Individual patterns of adjustment to treatment relate to the psychological defence mechanisms employed to contend with the dependent position enforced by isolation. Psychiatric assessment can assist both patients and nursing staff with the management of their separate difficulties in this unfamiliar treatment situation. Psychological features of isolator treatment in ten patients with acute leukaemia are described and suggestions proposed for psychological management of patients under isolator conditions.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1975 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Fine, L., Wachspress, M., Graubert, D. et al. (1969) Psychological adaptation of patients during treatment of acute leukaemia in life island isolator. In Advances in Experimental Medicine and Biology, Vol. 3. Plenum Press.Google Scholar
Holland, J., Harris, S., Plumb, M. et al. (1970) Psychological aspects of physical barrier isolation. Proceedings of the XIII International Congress of Haematology, Munich.Google Scholar
Jameson, B., Gamble, D. R., Lynch, J. & Kay, H. E. M. (1971) Five-year analysis of protective isolation. Lancet, i, 1034.Google Scholar
Kohle, K., Simons, C., Weidlich, S. et al. (1971) Psychological aspects in the treatment of leukaemia patients in the isolated-bed system ‘Life Island’. Psychother. Psychosom., 19, 85.Google Scholar
Levine, A. S., Siegel, J. E., Schreiber, A. D. et al. (1973) Protected environments and prophylactic antibiotics. New Eng. J. Med., 288, 477.Google Scholar
Lidwell, O. M. & Towers, A. G. (1972) Unindirectional (laminar) flow ventilation system for patient isolation. Lancet, i, 347.CrossRefGoogle Scholar
Penland, W. Z. & Perry, S. (1970) Portable laminar air-flow isolator. Lancet, i, 174.Google Scholar
Robertson, A. C., Lynch, J., Kay, H. E. M. et al. (1968) Design and use of plastic tents for isolation of patients prone to infection. Lancet, ii, 1376.Google Scholar
Trexler, P. C. (1973) An isolator system for the maintenance of aseptic environments. Lancet, i, 91.Google Scholar
Ziskind, E. (1965) An explanation of mental symptoms found in acute sensory deprivation. Amer. J. Psychiat., 121, 939.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.