Brief group psychotherapy in relapse prevention for alcohol dependent patients

The effects of brief group psychotherapy in relapse prevention were tested. The groups focused on the clients' capacity to formulate their own treatment goals, including controlled drinking, programmed relapse, and total abstinence. Twelve months after completion of the eight-week outpatient group treatment, thirty-five clients were followed up. There appeared to be no harmful effects as a result of the treatment. Nobody in the follow-up group had a deteriorated drinking pattern as compared to pretreatment data. The follow-up results were significantly better than before treatment and also than in a comparison group of alcohol dependent patients. It seemed as if those patients who could benefit from the treatment had a shorter duration of abuse and had a later onset of uncontrolled drinking compared to those who continued with a negative drinking pattern and the dropouts. The clients assigned the positive treatment effects to course leaders' encouragement of personal decision making, increased awareness of risk situations, and improved coping skills. The group situation in itself seemed to be of special importance for this result. The degree of structure implemented by course leaders allowed a free and respectful openness to develop between group members.     

The narcissism of Thomas Mann and pathologic interpretation of his homosexuality. On a "new concept" in research on Thomas Mann

On the basis of Morgenthaler's sexual theory, the author reviews Wysling's discussion of Thomas Mann's "narcissistic symptomatology" and attempts to refocus it within the external perspective of pubertal conflict. Societally organized forms of sexuality are invariably aimed at the maintenance of narcissistic equilibrium which has been jeopardized by the dissolution of the mother-infant unit. It follows that the neurotic constitution of many homosexuals results not from any hypothetical developmental disturbance in early infancy, but chiefly from the actual conflict with society.     

Occupational problems of patients with manic-depressive disease

The paper deals with the professional rehabilitation of cyclothymic patients with the aid of a semi-standardized interview of patient and superior direct at the place of employment. Half the patients had considerable professional problems consisting in requirements too low or too high and in lack of understanding on the past of the fellow workers. There is a connection between professional dissatisfaction and the numbers of recidives. Nearly all chiefs and associates wished more information about social manners towards the patient and about questions of his working capability and maximum stress. The results underline the necessity to include in the process of rehabilitation. Individual communication of the physician coworkers and with the patient is recommended as the most efficient form.     

Effect of intermittent acoustic stimuli on mental processes

In a Sternberg experiment, the influence of rhythmic acoustic stimuli on the scanning rate of short-term memory was studied. During the experiment, 60 subjects heard rhythmic or arrhythmic impulse noises with different rates of repetition. Results showed that the scanning rate of short-term memory is lowest if the impulses are arrhythmic. With rhythmic impulses at high rate of repetition, an accelerated scanning rate was obtained. The results can be interpreted as consequences of interference processes and as adaptational effects of internal processing rhythms.     

Effects of alcohol on prolonged cognitive performance measured with Stroop's Color Word Test

24 men and 24 women were randomly assigned in equal numbers to an Alcohol group, a Placebo group, or a Control group. The alcohol dose was 1.0 ml of 100% alcohol/kg of body weight. Subjects were tested three consecutive times using Stroop's Color Word Test. The dependent measures were total time needed to complete the test, number of errors made and number of hesitations. Data were grouped into three blocks of 100 words. Results indicated that number of hesitations was too insensitive a measure to yield any significant effects. On the two first measures alcohol had a detrimental effect in that the Alcohol group needed more time to complete the test and made more errors than the Placebo group. There was also a significant interaction of alcohol dose by sex by blocks on both these measures, indicating that the detrimental effect of alcohol over time was restricted to women. Different implications of the results were discussed.     

Functional headaches in patients of a pediatric and adolescent neuropsychiatric counseling facility

After the evaluation of the anamnestic, clinical, and paraclinical data of 100 children and young persons with functional headache, the conclusion is reached: It is not considered cogently necessary; on clinical, paraclinical, therapeutic, and prognostic grounds, to differentiate between tense headache and migraine (complicated migraine forms excepted) in functional headache in children. A prevalence of girls below the age of 12, as described in literature, was not confirmed. Only from the age of 12 is there an increase in proportion of girls as first sufferers of functional headache. Short-term prognosis suggests effective non-medicamentive treatment.     

Results of a study of glucocorticoid receptors in lymphocytes of patients with endogenous depression

Increased plasma cortisol levels are found not only in patients with Cushing disease but also in patients suffering from endogenous depression. Because patients with endogenous depression fail to show any clinical signs of Cushing disease, it is supposed that the cells of these patients are relatively resistant to increased glucocorticoid levels. To test this hypothesis 20 patients with endogenous depression and 20 healthy controls were examined for plasma cortisol level and modulation of mitogen induced lymphocyte transformation by glucocorticoids. Results point to a relative resistance of patient's T-lymphocyte transformation to the inhibitory effect of glucocorticoids when compared with controls.     

Shape from shading in different frames of reference

It has often been reported that, in the absence of information about the direction of illumination, people interpret surface convexities and concavities in accordance with the assumption that illumination comes from above. However, 'above' could mean with reference to gravity, the head or the retina. Yonas et al reported that four-year-old infants use the head more than gravity as the frame of reference in interpreting surface relief but that seven-year-olds make about equal use of the two frames of reference. The potency of these two frames of reference when acting separately and when pitted against each other was measured on adult subjects. For all subjects the 'assumption' about the direction of illumination was predominantly with respect to the head. The gravitational frame was used only when the headcentric frame was irrelevant, and then not consistently.     

MRI evaluation of the size and symmetry of the planum temporale in adolescents with developmental dyslexia

MRI technique was used to examine the size and symmetry of the plana temporale in 19 dyslexic students in grade 8 and in carefully matched control subjects. The results demonstrated a high frequency of planum symmetry among the dyslexics (70%) whereas symmetry was observed in only 30% of the control subjects. It was not possible to demonstrate any clear association between symmetry/asymmetry of planum temporale and handedness. Word-reading strategies among the dyslexics and control subjects were investigated with computerized tasks where accuracy and naming latency were recorded. All subjects with pure phonological deficits in reading had symmetrical plana temporale indicating a possible neuroanatomical basis for a characteristic symptom of linguistic processing deficiency in developmental dyslexia.     

The role of the left and right thalamus in language asymmetry: dichotic listening in Parkinson patients undergoing stereotactic thalamotomy

Fourteen patients with Parkinson's disease (rigidity and unilateral tremor as main symptoms) were treated with stereotactic thalamotomy. The operation was performed in either the left or right ventrolateral thalamus, depending on which hand (or foot) was most affected with tremor. Nine patients were operated on the left side and four on the right side. All patients were tested for asymmetry of language functioning with dichotic presentations of consonant-vowel (CV) syllables. The patients had to indicate which of the two syllables he/she heard on each trial. Dichotic listening was performed before and after the operation, as well as during electrical stimulation of the VL nucleus just before the lesion was carried out. The results revealed essentially three things: an overall reduced right ear advantage (REA) in the patient group compared to what is known from studies of healthy individuals; an increase in REA during left-sided stimulations; and a marked reduction in REA after left-sided lesions. It is concluded that the present data support the notion put forward by Ojemann (e.g., 1975) of a lateralized activating gating mechanism in the left VL nucleus that gates access for language information to the appropriate cortical areas. The gating mechanism seems to be activated by stimulation, and deactivated after lesions. Dichotic listening may thus be a heuristic instrument in assessment of language functions in Parkinson patients.