Right-hemisphere speech representation and comprehension of syntax after left cerebral injury

Comprehension of language and visuo-spatial abilities were studied in 12 surgical patients with left cerebral lesions and right-hemisphere speech representation verified by sodium amobarbital tests. When left-hemisphere symptoms preceded the acquisition of speech, impaired understanding of syntactically complex sentences was associated with an early, but not late, onset of convulsive seizures. Other behavioral measures did not show a similar effect of age at seizure onset. Sparing or loss of comprehension could not be related to any aspects of the neurological histories in cases with right-hemisphere speech acquired before the onset of left-hemisphere symptoms. Factors which may have influenced the development of right-hemisphere language comprehension are discussed.     

Reality therapy: Icing on the cake of behavior modification

The paper presents a conceptual model for therapeutic intervention based on a behavioral orientation. Behavioral therapy is viewed on a continuum ranging from basic operant techniques to cognitive strategies applied to human interaction. It is hypothesized that the elements of reality therapy, with its emphasis on human interaction, are needed to provide closure to the therapeutic intervention and to help maintain new coping behaviors. Utilizing the context of an institutionalized client, suggestions for how this process might occur are discussed.     

Forest lights: Notes on the conceptualization of the unconscious

Using the metaphor of lights appearing unexplained in the night, the author argues for a conceptualization of the unconscious based on a posture of trust and acceptance rather than one of fear and explanation.His last book,Idea and Experience, dealt with Husserl's project of phenomenology inIdeas I. He has recently completed another book,The Embers and the Stars: A Philosophical Inquiry into the Moral Sense of Nature.     

Engagement and recruitment for family therapy research in community settings

Based on the recruitment experience in a family therapy research project with heroin addicts, this paper explores the difficulties of researcher networking with other social service agencies. Concepts from contextual family therapy are used to explore four general areas that contribute to successful intra-agency relationships: 1) Evaluating the nature of larger system relationships; 2) identifying the resources and needs of a clinic; 3) joining with the counseling staff; and 4) addressing the impact of public policy and ideology on clinic life. A case of engaging one clinic is presented and nine guidelines for engaging large community settings for participation in family therapy research are offered. These areas are considered in light of the relational dynamics that arise when working with multiple social service systems.An earlier version of this paper was presented at the American Family Therapy Association conference in Washington, DC, June 1986. The authors are grateful to the recruitment staff of the Intergenerational Family Therapy Project: Guillermo Lopez, Bart Rubin, Sharara Godfry, and Armando Chenyek. This research was supported in part by a grant to Guillermo Bernal from the National Institute on Drug Abuse (DA03543).     

Midlife divorce initiation: From crisis to developmental transition

The midlife phase in the marital relationship is a complicated transition period, challenging the flexibility and coping skills of every couple. Separation-Divorce Initiation (S/DI) at this time can serve a special function in the change process required in this stage. A comprehensive therapeutic model for S/DI couples is described. It includes (1) assessment of the relationship's stamina and the function of the S/DI; (2) treating symptoms and reactions to the traumatic event in an emergency intervention mode; (3) steps and techniques to help the couple overcome the traumatic effects of the SD/I and to rebuild their relationship on a more appropriate basis.