A Psychoneuroimmunologic Perspective on AIDS Research: Questions,Preliminary Findings,and Suggestions1

Starting with the premise that research questions emanating from the fields of psychoneuroimmunology and behavioral medicine may provide critical information for understanding and treating acquired immune deficiency syndrome (AIDS), we provide brief backgrounds on psychoneuroimmunology and on AIDS. Previously, Solomon had generated 25 hypotheses based on the thesis that the immune and central nervous systems are intimately linked. Eight hypotheses from his list are presented as particularly relevant to AIDS. From these hypotheses, we derived a set of 12 new questions to be addressed in research on AIDS. Evidence and illustrations from studies in the literature, from our own research on psychoimmunologic relationships and psychosocial factors related to outcome, and from clinical examples is discussed for each question. Finally, suggestions are offered to address some of the problems in conducting psychoneurologic research.     

Anomalous dominance in sibling stutterers: Evidence from CT scan asymmetries, dichotic listening, neuropsychological testing, and handedness

Two left-handed siblings with developmental stuttering are comprehensively described. The methods of study included speech and language evaluation, neurological and neuropsychological examinations, dichotic listening, auditory evoked responses, electroencephalogram, and CT scan asymmetry measurements. The data from each sibling showed evidence of anomalous cerebral dominance on many of the variables investigated. The CT scan measurements showed atypical asymmetries, especially in the occipital regions. These findings support the theory that stuttering may be related to anomalous cerebral dominance, both on functional as well as structural bases. Implications of anomalous dominance and the resultant effect of hemispheric rivalry on speech fluency are discussed.     

Personality and motivation: Sources of inefficiency in cognitive performance

Impulsivity and anxiety are two dimensions of personality which have strong effects upon the efficiency of cognitive performance. The effects of these two variables depend upon characteristics of the task as well as upon four types of tradeoffs between psychological resources. Tasks may be characterized in terms of their relative requirements for sustained information transfer (SIT), short-term memory (STM), and long-term memory (LTM). Resource tradeoffs may be automatic, strategic, directional, or stylistic. Impulsivity effects on performance involve an automatic arousal-induced tradeoff between SIT and STM, strategic tradeoffs of speed for accuracy, and stylistic differences in persistence. Anxiety effects involve strategic, directional, and stylistic tradeoffs.     

Negative implications of fragmented public perspectives toward local alcohol programs

Strengthening local alcohol programs so as to emphasize primary prevention is an active concern among mental health professionals; yet interventions intended to achieve this aim have produced only modest shifts in program orientation in most communities. An analysis of data obtained from those active in local affairs in a small community, using Q-sort techniques, suggested that contrasting perspectives toward alcohol abuse as a social problem may stand as an unseen barrier to relevant change.     

‘Fundamentalism’ Christian and Islamic

This article seeks to answer the question whether the term ‘fundamentalism’ is an appropriate label for certain Islamic movements by undertaking a detailed comparison with Protestant Christian fundamentalism, for which the term was originally coined. After an effort to identify and characterize the two phenomena, a number of similarities and differences are discussed. Among the differences is the fact that the most obvious defining characteristics in each case (Biblical inerrancy for Protestants and politicalsocial involvement for Muslims) are of little relevance to the other case. Among the similarities is a common opposition to ‘modernism’ and a tendency to stress what has been distinctive to the Protestant and Islamic traditions, respectively. The conclusion is that, while the two phenomena do have much in common, ‘fundamentalism’ is not an appropriate common label. The author prefers ‘Islamic radicalism’ for the Muslim case and tentatively suggests ‘radical neotraditionalism’ as a common label.     

A comparison of the relative efficacy of self-control therapy and a behavioral problem-solving therapy for depression in children

Twenty-nine children 9 to 12 years old who were identified as moderately to severely depressed using the Children's Depression Inventory were randomly assigned to either a self-control, behavioral problem-solving, or waiting list condition. The self-control treatment focused on teaching children self-management skills. The behavioral problem-solving therapy consisted of education, self-monitoring of pleasant events, and group problem solving directed toward improving social behavior. Subjects were assessed pre-and posttreatment and at 8-week follow-up with multiple assessment procedures and from multiple perspectives. At posttreatment, subjects in both active treatments reported significant improvement on self-report and interview measures of depression while subjects in the waiting list condition reported minimal change. Results were maintained at follow-up. The general success of the experimental treatments was discussed and recommendations for further treatment components were provided.Second authorship on this article is shared by Drs. Reynolds and Kaslow. The authors would like to thank Mr. Ed Guzwieski, Principal, and the teachers of Oregon Middle School for their cooperation with this study. The authors also would like to thank Mary Wysopal for conducting the posttreatment and follow-up interviews, and Carol Fairbanks for rating the audiotapes.     

A brief neuropsychological screening battery to detect brain damage in a psychiatric population

Seventy-five patients admitted to the psychiatric unit of a general hospital were administered a brief neuropsychological screening battery. Discharge diagnoses obtained from the medical records revealed that 20% had brainbased pathology. A discriminant function analysis resulted in a five-variable model (Symbol-Digit Modalities Test, educational level, Psychiatric-Organic subscale of the MMPI, and Shipley Vocabulary and Abstraction scores) which correctly classified 84% of the subjects, with 87% correct identification of the brain-damaged group. A jackknife cross-validation procedure resulted in comparable hit rates.