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Synopsis: Presents a rich assortment of the author's psychoanalytic contributions. He ably integrates the work of Winnicott, Bion, Klein, Kernberg and Kohut with that of Lacan, Bouvet and McDougal, to present an integrated treatise on object relations and its interface with structuralism. 380 pages. Description: André Green occupies a unique position in psychoanalysis today, and his work represents a synthesis of the traditions of Lacan, Winnicott and Bion. This volume collects fourteen of his papers together with a substantial introduction. The papers range widely across clinical and theoretical issues including borderline states, the true and false self, and narcissism. On Private Madness has achieved the status of a modern psychoanalytic classic, and this new impression will be welcomed by all those admirers of Dr. Green who wish to have these seminal papers collected together. André Green has served as Director of the Paris Psychoanalytic Institute, and was also Vice President of the International Psychoanalytic Association between 1975-77. He was appointed as Freud Memorial Professor at University College, London in 1979-80, and has written a number of books including Le Travail de Négatif and Les Chaînes d'Éros. Dr. Green lives and works in Paris.

Psychoanalysis. --- Analysands. --- Psychoanalysis patients --- Psychotherapy patients --- Psychology --- Psychology, Pathological

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Leprosy --- Missions to leprosy patients --- Brotherliness

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Heart rate monitoring. --- Heart --- Cardiac pacemakers. --- Diseases --- Patients.

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When Congress designed and implemented the prospective payment system (PPS), the best available method to adjust for differences in case mix was the diagnosis-related groups (DRGs). The DRG system classified all patient cases, and had already been implemented in New Jersey's prospective payment system. While some of the problems in an earlier version of the DRGs have been resolved, concern remains that DRGs may need to be refined or replaced to better reflect variation in patient condition. This report was prepared as background to a report that the Congress requested from the Health Care Financing Administration. It compares the structure and performance characteristics of case mix adjustment measures being considered as replacements for or refinements to the diagnosis-related groups. The authors reviewed published papers, prepublication drafts, and technical reports on five case mix systems: APACHE II, Disease Staging, MEDISGRPS, Patient Management Categories, and Severity of Illness Index. The alternative systems differ in classification structure, data requirements, and stage of development. The findings suggest that, at present, no system appears to perform better than the DRGs.

Hospitals --- Hospital patients --- Diagnosis related groups --- Prospective payment. --- Classification --- Evaluation.

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Family Practice --- Physician-Patient Relations --- Physicians, Family --- Patients