Neuropsychological Functioning in Children with Medium Chain Acyl Coenzyme A Dehydrogenase Deficiency (MCADD): The Impact of Early Diagnosis and Screening on Outcome

Children with medium chain acyl coenzyme A dehydrogenase deficiency (MCADD) have been reported to be at high risk for neurocognitive deficits. However this has not been systematically studied and little is known about the exact nature of neuropsychological sequelae or of the impact of early diagnosis and screening on outcome. We examined cognitive and adaptive outcome in children with MCADD (N?=?38, age range: 2 years, 2 months – 10 years, 3 months) diagnosed either through a newborn screening program (tandem mass spectrometry/MSMS) or upon clinical presentation. There was no evidence of overall intellectual impairment in either groups but there was some suggestion of poorer verbal and specific executive functioning (i.e., planning) abilities in the unscreened cohorts. Adaptive functioning was relatively intact with the exception of reduced Daily Living Skills in both our screened and unscreened groups. Early diagnosis and greater number of hospitalizations were related to higher verbal, communication, and socialization skills. Overall, our results highlight the importance of early diagnosis and management for children with MCADD.     

Cognitive-behavioural Treatment of a Patient Suffering from Menière's Disease

Abstract

Vertigo and dizziness may cause considerable discomfort and feelings of uncertainty. It is no surprise that vertigo is the most disabling symptom in Menière's disease, an inner ear disorder. The other two cardinal symptoms are tinnitus and hearing impairment. In this study, one severely disabled woman was treated with a cognitive-behavioural treatment comprising, among other components, relaxation training, stabilization of gaze, cognitive restructuring and behavioural task setting. The patient responded well to the treatment, during which her vertigo attacks disappeared. During the follow-up period, she experienced vertigo attacks again, but after two booster sessions the vertigo attacks vanished for the rest of the follow-up period. The results are further discussed.     

First Impressions: Exploring the Structure of Titles for Nonformal Public Interpretive Programs

ABSTRACT

Visitors considering attending an interpretive program open to the public at a zoo, historic site, park, or museum may have no more information available to them than the title of the program and its location and date. This research investigated how the structure of a program title helped or hindered people from inferring the topic of the program, whether it is for adults or children, level of formality, and interestingness. Ninety-six college students at 2 universities rated 18 titles for interpretive programs on 4 dimensions. Interestingness of the program topic was related to reported intention to attend the program. Being able to infer whether the program was for adults or children and whether it was formal or informal was related to interestingness. Program titles should be strategically constructed as potential program participants make inferences about the program from the title.     

Interpersonal constructs and communicative ability in a police environment: A preliminary investigation

Abstract

This study investigates the relation between indexes of the development of interpersonal construct systems and the qualities of messages generated in response to persuasive tasks within the context of an urban police force. Hypotheses assuming that length of service as a line officer would predict less developed construct systems, and that more developed construct systems would predict message strategies that acknowledge the unique qualities of receivers found general support. In addition, the possibility of further relations between length of service and message variables was explored, but no substantial evidence was found for such effects. These results show the importance of environmental influences on construct development, and suggest that interpersonal perception and message behavior functionally adapt to the needs of organizational participation.     

Visual agnosia and prosopagnosia in childhood: a prospective case study.

Selective impairments in visual processing are well documented in adults but rarely reported in children. The few childhood cases reported are mostly retrospective accounts with little attention paid to developmental, assessment or management issues. We report a prospective case study of a boy with prosopagnosia and visual processing deficits of presumed developmental origin. At the age of 4 years, AL presented with a range of cognitive and visual recognition deficits. Subsequent assessments revealed an evolving pattern in visual recognition and dissociations between developing skills. At the age of 7 AL has impairments in early perceptual analysis, visual organisation and in complex visual processing. Although he can identify facial features and match faces he is unable to recognise familiar faces. His reading and spelling are developing normally. The nature of his deficits and his progress are discussed within a cognitive neuropsychological framework.     

Parenting after trauma: Supporting parents and caregivers in the treatment of children impacted by violence

The deleterious impact of trauma on parents and their capacity to parent their children seems well recognized in the clinical community, although not sufficiently studied empirically. The purposes of this article are to present an overview of current knowledge about trauma and parenting, to provide an illustrative clinical case study, and to offer recommendations for systemic treatment modalities, multidisciplinary program design, and empirical evaluation. The preponderance of evidence from both the available literature and clinical observations indicates the crucial need for caregiver support in families who have experienced violence. The case study provides an exemplar of the overlapping and interrelated clinical needs of families experiencing trauma. The authors conclude that future empirical study should focus on delineating the processes through which parent functioning following trauma affects children, as well as establishing the effectiveness of treatment and the links between improvement in parent mental health and subsequent enhanced functioning in children. ©2003 Michigan Association for Infant Mental Health.     

RECONSIDERING RESEARCH ON DIVORCE, FAMILY LIFE CYCLE, AND THE MEANING OF FAMILY

This article analyzes functionalist and normative assumptions about marriage, divorce, family, and gender in developmental models of family life cycle. An interdisciplinary review of the literature in family development, family sociology, and family therapy reveals how a deficit comparison model implicitly informs the discourse in the study of single-parent families, women who are alone, and the adjustment of women and children to divorce. A feminist critique of family life cycle as the prevailing conceptual model in family development and therapy is presented, and postmodern definitions that deconstruct the concept of family are discussed. Future perspectives for research on family life and form are considered in terms of new action theory that considers divorce as a mode of resistance and change for women and families.