These findings suggest that baclofen is reasonably tolerated in an alcohol-dependent population, although the high dropout rate in the study is of concern. Baclofen may be effective for the reduction of drinking, anxiety, and craving for some alcohol-dependent individuals. A larger-scale placebo-controlled study is needed to further explore these effects and to determine the characteristics of those who respond to this medication.

All three groups surveyed rated the majority of items as Important or Very Important, indicating that they value professional behavior. Resident physicians had the highest mean score in every category measured. Overall, medical students rated most items related to professionalism as less important than the two other groups surveyed.

Almost any diagnosis of cancer, but particularly those primarily affecting areas related to sexual function, can lead to sexual impairment. Multiple phases of sexuality are impacted, and various dysfunctions result. Both biological and psychosocial mechanisms are involved in sexual difficulties after cancer. This chapter principally focuses on the detrimental effects of breast, cervical, vulvar, ovarian, prostate and testicular cancer on the sexual health of survivors. When applicable, pharmacologic and psychosocial treatment for sexual dysfunction is discussed.

Implementation of a formal curriculum will signal to residents that patients' sexuality is an important topic to address.

Genetic counselors (GCs) are trained to identify and attend to distress; however, GCs may have patients with distress better managed by mental health professionals (MHPs). To understand the GCs' role in mental health care, we explored patient cues prompting GCs to refer to MHPs and where GCs thought their expertise in managing patient distress ended. We recruited GCs who have referred a patient for mental health services within the last year to participate in an interview study. A twelve-question interview guide explored GC demographics, reasons for referrals to MHPs, the obstacles to referrals, and perceived differences in counseling competencies between GCs and MHPs. Twenty-eight semi-structured interviews were conducted, recorded, and transcribed verbatim. Transcripts were analyzed using an inductive approach, consisting of reading a subset of transcripts and assigning codes to meaningful segments of text. Common reasons for referral included the GC's perception of the patient having limited social support, or when the patient indicated significant anxiety related to their at-risk status or recent diagnosis. GCs felt they referred when they were limited by time and training to provide adequate psychosocial services. The participants in this study acknowledged that their scope of practice is limited to short-term, client-centered counseling. Our findings are a first step in helping increase GCs' awareness of factors that contribute to the referral process to MHPs.