Status of perfusion scintigraphy in the diagnostic strategy in cerebrovascular disorders and space-occupying lesions

The results of an evaluation of the perfusion scintigraphy findings of 350 hospitalised neurological patients and 55 more strictly selected neurosurgical patients with cerebrovascular complaints, revealed an accuraty of 83%, a sensitivity of 89%, and a specificity of 83%. The selection of the patients had no influence on the results as a whole. Compared with contrast-medium angiography, incorrect diagnosis must be expected in 17% of the cases. This includes erroneous negative findings in 10% of the cases. Grounds for misinterpretations are suggested, and the biological and methodological limitations of the method are set forth.     

Diagnostic value of myelography as an expanded clinical study method

The paper investigates 54 myelograms and their influence on diagnostic thinking efficacy, on patient management efficacy, and on ultimate outcome efficacy, using statistical methods. Conventional myelography contributes to diagnostic thinking efficacy having a LLR- value of approximately 0.9. With an accuracy value of 0.95 it can be regarded as a reliable method of diagnosis. It alters diagnostic thinking efficacy in no less than 83% (94%) of the cases and patients management efficacy in 89%. Thus, by definition, myelography may be said to affect the state of health of the myelographed patients in 94.4%.     

A view of aggression in phobic states

This article attempts to apply a theory of aggression as motivation to overcome obstacles to the understanding of phobic states and their formation. The role of aggression in the genesis of phobic conditions is discussed, and the traditional analytic view of aggression as instinctual drive is contrasted with a motivational approach. The motivational view offers the advantage of a clearer understanding of the stimulus contexts, representational connections, and both real and imaginary object connections that are lacking in the more traditional understanding of aggression as a biological drive.     

Psychopathology of progressive paralysis. Remarks on some personal cases

Four of our own cases that presented a clinical picture of dementia are discussed. A study of the relative literature has failed to reveal any "swing" in the pattern of the clinical condition: Just as it did ninety years age, paralytic dementia accounts today for well over 60% of all cases, those clinical pictures erroneously regarded as "typical" "classic", accounting for a mere 10%-15% of cases. The need for routine lues serology is pointed out.     

Validation studies of a multifactor cognitive-behavioral Anger Control Inventory

Two studies are reported on a new Anger Control Inventory based on a cognitive-behavioral person-situation interaction model. In Study 1, the inventory responses of 118 clinical subjects and 190 normal subjects were correlated with an anger problem criterion based on observable signs. Factor analyses were conducted to clarify the construct base of the inventory. In Study 2, comparisons were made between the inventory responses of 100 spouse batterers and 96 normal subjects. Significant differences between the pretreatment and posttreatment scores of 65 batterers given treatment in anger control were obtained on the inventory scales, which were found to be correlated with the problem criterion and discriminating between the clinical and normal groups. The construct validity and clinical utility of the Anger Control Inventory are discussed.     

Love deprivation, Wechsler performance greater than verbal discrepancy, and violent delinquency

This study explored the relationship among love deprivation, Performance greater than Verbal discrepancy, and violent crime in a sample of juvenile probationers. Love deprivation and P greater than V discrepancy was significantly related to violent delinquency after adjusting for the effects of both race and social class, two variables often closely associated with violent delinquency. Also, love deprivation was strongly related to P greater than V discrepancy. We speculated that high performance IQ scores relative to verbal scores are a function of a lack of disruption in the short-term memory mechanisms of high P greater than V subjects, that this nondisruption is a function of hyporeactive autonomic nervous systems, and that this hyporeactivity could itself be a function of early love deprivation.     

Age differences in adolescent body satisfaction

The purpose of this study was to explore differences in body satisfaction among female adolescents 14 to 18 years of age. Principal components analysis of a body cathexis measure completed by 751 high school cheerleaders indicated that six factors defined the adolescents' attitudes toward their bodies: satisfaction with the midsection and overall appearance, peripheral body parts, hair and face, mouth, hands, and height. An Age X Body Satisfaction multivariate analysis of variance (MANOVA) was conducted; a Bonferroni adjusted alpha of .007 was established for subsequent ANOVAs. Satisfaction with the mouth increased significantly as age increased, and a similar but nonsignificant trend was found for peripheral body parts. The findings contradict previous research reporting no age differences in the body satisfaction of adolescents. Role demands and physical maturation of the cheerleaders may explain differences based on age.