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41.
Stephen A. Appelbaum Ph.D. 《Journal of Contemporary Psychotherapy》1996,26(2):103-116
A person who identified herself as having a multiple personality disorder made remarkable changes after seven psychotherapeutic sessions and two batteries of tests, one on the alter. The case raises such problematic issues as the diagnosis of MPD, the unitary versus discrete theories and treatment of it, change factors in brief psychotherapy and for all psychotherapy, and the use of psychological tests. 相似文献
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D M Michultka E B Blanchard K A Appelbaum J Jaccard M P Dentinger 《Behaviour research and therapy》1989,27(4):411-420
'Analgesic rebound headache' is identified by habituation of an individual to pain reducing medication, the exacerbation of headache pain a few hours after medication consumption and a marked increase in headache frequency and intensity for several weeks after medication is discontinued. We describe three studies undertaken to clarify the existence and characteristics of this proposed headache syndrome. In Study 1 we compared a group of headache sufferers who consume large amounts of analgesic medications to headache sufferers who did not consume excessive analgesics. It was found that the two groups did not differ on age, duration of headache problem or gender. However, the groups did differ on subjective headache pain (with the high medicators experiencing more headache pain than low medicators) and diagnosis (with high medicators being more likely to have a muscle contraction component to their headaches). In an analysis of drug use within the high medication group, it was found that 91% were taking some kind of analgesic and that a majority (84%) were taking more than one type of medication. In Study 2 we found that the group of high medicators were not as successful in reducing headache activity as a result of a self-regulatory behavioral treatment as the matched controls. Furthermore, there was a direct relationship between reduction and treatment success in the high medication consuming population. Lastly, in Study 3 we examined the current psychological functioning of the two groups; no differences were found between the two groups indicating the lack of 'addictive' personality characteristics as an explanation for the high medicating population. These findings all support the existence of a sub-population of headache sufferers who consume excessive amounts of analgesic medication and who are relatively refractory to behavioral treatment. 相似文献
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L. Gregory Appelbaum Matthew S. Cain Julia E. Schroeder Elise F. Darling Stephen R. Mitroff 《Attention, perception & psychophysics》2012,74(8):1681-1691
The visual system has developed to transform an undifferentiated and continuous flow of information into discrete and manageable representations, and this ability rests primarily on the uninterrupted nature of the input. Here we explore the impact of altering how visual information is accumulated over time by assessing how intermittent vision influences memory retention. Previous work has shown that intermittent, or stroboscopic, visual training (i.e., practicing while only experiencing snapshots of vision) can enhance visual?Cmotor control and visual cognition, yet many questions remain unanswered about the mechanisms that are altered. In the present study, we used a partial-report memory paradigm to assess the possible changes in visual memory following training under stroboscopic conditions. In Experiment 1, the memory task was completed before and immediately after a training phase, wherein participants engaged in physical activities (e.g., playing catch) while wearing either specialized stroboscopic eyewear or transparent control eyewear. In Experiment 2, an additional group of participants underwent the same stroboscopic protocol but were delayed 24?h between training and assessment, so as to measure retention. In comparison to the control group, both stroboscopic groups (immediate and delayed retest) revealed enhanced retention of information in short-term memory, leading to better recall at longer stimulus-to-cue delays (640?C2,560?ms). These results demonstrate that training under stroboscopic conditions has the capacity to enhance some aspects of visual memory, that these faculties generalize beyond the specific tasks that were trained, and that trained improvements can be maintained for at least a day. 相似文献
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Studies of young children with unilateral perinatal stroke (PS) have confirmed the plasticity of the developing brain for acquiring language. While recent studies of typically developing children have demonstrated the significant development of language well into adolescence, we know little regarding the course of language development in the PS group as they mature. Will children with PS continue to show the same remarkable plasticity that they exhibited at younger ages? In the present paper we investigate later language and discourse in children with perinatal stroke (ages 7–16) using spoken personal narrative as the discourse context. In contrast to the findings of the discourse studies of younger children with PS, children with left hemisphere lesions made more morphological errors, used less complex syntax and fewer syntactic types than controls; they also produced more impoverished story settings. In contrast, those with right hemisphere lesions performed comparably to controls, except in their impoverished use of complex syntax. The findings provide insight into the nature of later spoken language development in these children, revealing both the nature and extent of neuroplasticity for language as well as potential regional biases. 相似文献
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Jeffrey W. Swanson Ph.D. Nancy A. Sampson B.A. Maria V. Petukhova Ph.D. Alan M. Zaslavsky Ph.D. Paul S. Appelbaum M.D. Marvin S. Swartz M.D. Ronald C. Kessler Ph.D. 《Behavioral sciences & the law》2015,33(2-3):199-212
Analyses from the National Comorbidity Study Replication provide the first nationally representative estimates of the co-occurrence of impulsive angry behavior and possessing or carrying a gun among adults with and without certain mental disorders and demographic characteristics. The study found that a large number of individuals in the United States self-report patterns of impulsive angry behavior and also possess firearms at home (8.9%) or carry guns outside the home (1.5%). These data document associations of numerous common mental disorders and combinations of angry behavior with gun access. Because only a small proportion of persons with this risky combination have ever been involuntarily hospitalized for a mental health problem, most will not be subject to existing mental health-related legal restrictions on firearms resulting from a history of involuntary commitment. Excluding a large proportion of the general population from gun possession is also not likely to be feasible. Behavioral risk-based approaches to firearms restriction, such as expanding the definition of gun-prohibited persons to include those with violent misdemeanor convictions and multiple DUI convictions, could be a more effective public health policy to prevent gun violence in the population. Copyright © 2015 John Wiley & Sons, Ltd. 相似文献
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