Results of modifying the standard program of insight and relaxation psychotherapy

The inventory of methods used in insight and relaxation psychotherapy were taken as a basis for elaborating three additional psychotherapy programmes with the aim of better satisfying the needs of groups with different indications in respect of outpatient psychotherapy. The results obtained with these programmes were tested statistically, using groups of appropriate control subjects, by means of the pre- and post-test data of the MMPI, PAULI, d2 and a five-point self-estimation scale. The trend shown by the results achieved so far confirms that this differentiated therapeutic approach is correct. Further tests with large samples are necessary.     

Parents' teaching strategies with their children: The effects of parental and child status variables

The intent of the study was to examine the effects of parental (mother and father) and child (gender and communicative status) status variables on the teaching strategies used by parents in a paper-folding task. The linguistic and nonverbal strategies of 120 parent-child groupings were analyzed during paper-folding tasks. Parents' strategies were coded according cognitive demand and directiveness. Results indicated that strategies varied as a function of children's communicative status. Parents were less directive and more demanding of nonhandicapped children compared to handicapped children. Parents' strategies seemed to be determined by children's ability to sustain discourse. Results are discussed in terms of Vygotsky's notion of the zone of proximal development.This research was partially supported by a grant from the U.S. Office of Education, Office of Special Education (Grant No. G007902000) to I. Sigel and A. McGillicuddy-DeLisi at Educational Testing Service, Princeton, and from the Biomedical Research Support Grant Program, Division of Research Resources, N.I.H. (Grant No. BRSG 507RR07025-17) to the first two authors. We acknowledge the helpful comments of two anonymous reviewers.     

Treatment of chronic global aphasia with a nonverbal communication system

Four chronic global aphasics were treated with Blissymbols (C. K. Bliss, 1965, Semantography-Blissymbolics, Sydney: Semantography Pub.). As soon as possible the therapeutic communication was based solely on the use of the symbols. Three patients seemed to benefit from therapy. In one case therapy had to be discontinued because of massive perseveration. In one patient expression of needs relied solely on the use of the symbols. In another, expressive speech could be restored to such an extent that communication by the use of symbols was discontinued.     

Gay women,men, and families in rural settings: Toward the development of helping communities

The urban biases of empirical research on gay men, women, and families have resulted in minimal knowledge about gay people in rural settings. The diversity of lives of rural gay women and men and the variety of patterns of meeting the challenges of rural living are described. Processes of help-seeking and help-giving are discussed and the need for a helping community of family, friends, and caring others is affirmed. Collaboration between rural gay people and rural community psychologists is suggested to promote the development of helping communities for gay people and thereby initiate a process of change in rural settings.     

Further observational data on the behavioral and social world of institutions for the aged

This study is an extension of previous observational work on the social ecology of dependence and independence in the institutionalized elderly. Observations of everyday, naturally occurring interactions between elderly residents of two different long-term institutions and their social partners were extended such that, aside from the identification of type of behavior, the dyadic form and continuity of each behavior was specified. The following were among the major results: (a) Previously found interaction patterns between elderly residents and their social partners, replicated in both a nursing home and a home for the chronically ill, supported the notion of discrepant social ecologies for dependent versus independent behaviors of residents: (b) specification of each behavioral act as to its dyadic form underscored the fact that the interactions were controlled largely by social partners and not by the elderly residents; (c) coding continuity or discontinuity of behavior suggested that independent behaviors were maintained by chaining; and (d) elderly residents in the home for the chronically ill evinced, as expected, more dependence-related behaviors.     

Interventions with care givers of dementia patients: comparison of two approaches

We compared the effect of two approaches, family counseling and support groups, for relieving the stress and burden experienced by care givers of dementia patients. Both treatments are designed to implement features of a stress-management model that have been identified in prior research with this population: providing information about the patient's disease and its effects on behavior, teaching behavioral problem solving for managing difficult behavior, and identifying potential support for care givers. Subjects were primary care givers of dementia patients living in the community; they included husbands, wives, daughters, and other relatives. Although subjects in the treatment groups made significant gains over time, they did not differ from wait-list subjects who showed similar improvements. One-year follow-up interviews indicated that gains made during the treatment period were maintained.     

Incontinentia pigmenti as the leading symptom

It is reported on four girls aged 8 to 20 with Incontinentia pigmenti (Ip) The ectodermal dysplasia was associated with oligophrenia, therapy resistant epilepsy with severe psychorganic syndromes and dementia, Lennox syndrome, lability of emotion with severe disorders of social adaptations, spasticity, hypo- and areflexia, hemiathetosis, choreiform unrest, pathological EEG findings, including spike-potentials; relations to cleidocranial dysostosis, dysraphia, Poland's, Greig's and Chotzen's syndrome were found. Ip means unfavourable prognosis and progression of neuropsychiatric disorders.