Dual diagnosis: Clinical issues in the treatment of substance abuse,and affective,personality, and psychotic disorders

Co-morbidity of alcohol and substance with the spectrum of other psychiatric diagnoses is examined with specific emphasis on diagnostic indicators for anxiety and mood disorders. Diagnostic issues for the chemically dependent person are examined with the context of borderline personality disorder, schizophrenia and other psychiatric disorders. Clinical research related to the dually-diagnosed patient is explored     

Characteristics and consequences of help-giving practices in contrasting human services programs

Relationships between human services program models and help-giving practices, and between both program models and help-giving practices and help-seeker control appraisals were examined in a study of 107 low socioeconomic background families. Three kinds of human services agencies were included in the study, each of which differed in terms of their implicit and explicit assumptions about the families they served and the roles professionals and families played as part of helping relationships. Results support the hypotheses that (a) a program philosophy that was family centered would be associated with more empowering help-giving practices compared to more professionally centered philosophies and (b) a family-centered program philosophy and empowering help-giving practices would be related to an enhanced sense of personal control over needed supports and resources from a target help-giver.     

Field articulation and working memory

This experiment assessed the proposal that performance differences associated with field independence/field articulation reflect differential efficiency in the use of a limited capacity information-processing system termed working memory. Extreme scores on a group-administered version of the embedded figures test were used to identify subjects “high” and “low” in degree of field articulation. The task required that a subject retain a series of digits for subsequent report while performing a semantic modification of a target phrase. Concurrent information load on working memory was varied in two ways: by increasing memory load from 3 to 6 digits, and by increasing the complexity of the semantic processing required. In low information load conditions no differences were found between high FA and low FA groups. In high information load conditions low FA subjects made more errors in digit recall and took longer to perform the difficult semantic modification.     

The morphological asymmetry of the hemispheres and cerebral dominance for speech: A possible relationship

The asymmetry of the posterior Sylvian branches of the middle cerebral artery was examined on the carotid angiograms of 59 patients in whom the lateralization of speech representation was known from sodium amobarbital (Amytal) studies. The usual asymmetry of these vessels was found to be present in the group of patients with left-hemisphere speech representation but significantly reduced in patients with atypical cerebral dominance for speech. A model of the inheritance of handedness and cerebral dominance is extended to take account of these results.     

The computer psychiatrist: How far have we come? Where are we heading? How far dare we go?

The use of computers in psychiatry and psychology is reviewed. It is noted that computers are already being used successfully for consultation, interviewing, and continuing education. Issues related to the usage of computers in mental health are discussed. Guidelines for future work in the area are suggested.     

A computerized infrared monitor for following movement in aquatic animals

Reliable monitoring of the movement of small aquatic animals presents some unique problems. In the case of the larval salamander, the animal may be less than an inch long and move in sporadic short bursts. A device is described that utilizes infrared emitters and wide-band sensors inter-faced to a computer for monitoring location and movement of animals between light and dark environments over extended periods of time. The system employs a multiplexed digital input, is inexpensive, and can be easily expanded to deal with a range of monitoring problems that may occur with a wide range of both aquatic and terrestrial species.     

FROM GOD TO INFINITY, OR HOW SCIENCE RAIDED RELIGION'S PATENT ON MYSTERY

The efforts of theologians in the last few decades to adapt their discipline to the methodological constraints of the “empirical sciences” have become obsolete. Just as many theologians have reached a tentative rapproachment with the “secular” mentality, the elements of mystery hitherto shepherded by religious thinkers have been appropriated in the cosmological models of the “new physics.” The paper explores revolutionary developments over the last ten years within quantum physics. It points to an imminent convergence between scientific and religious concepts within a larger framework of speculation termed synholism (from Friedrich von Weizsácher), and examines theoretical implications of such hypotheses in high-energy physics as a “cosmic consciousness” and “multiple universes.”