Psychiatric illness and behavioural problems in adults with learning disability and epilepsy

We retrospectively collected data on the rate and type of psychiatric illness and behavioural problems on 143 adults with learning disability and epilepsy. 55% behavioural problems. 19% verbal aggression and temper tantrums, and 13% injurious behaviour. The overall rates of behavioural problems and different types of behaviours found in the current study cohort are similar to what was found before in learning disabled adults in general, as well as in epileptic and non-epileptic learning disabled adults. Psychiatric diagnosis was made in 12.6% combined diagnosis of schizophrenia, delusional disorder and schizo-affective disorder was most common (5%) diagnosis of depressive episode (3%) bipolar affective disorder.     

The Boundaries of the Analytic Encounter: Clinical and Ethical Dimensions: A Roundtable Discussion: January 15, 1998

The American Journal of Psychoanalysis -     

Book Reviews

The American Journal of Psychoanalysis -     

An approach to families of acting-out adolescents--a case study.

Certain types of acting-out in the adolescent express the feelings of deprivation of the parental pair in a maladaptive aggressive way. Family therapists have attempted to convert the acting-out behavioral disorders into an effective state, i.e., make the family aware of their feelings of deprivation by focusing on the aggressive component. In many instances, the family becomes depressed and then interrupts or terminates treatment. The authors feel that this is due to the therapist's interpretations which bring about the depressive state via guilt provocation. The family understands the interpretations as meaning "You are bad to have your adolescent offspring behave in such a way". The therapist is thus seen as the family's collective super-ego. In order to prevent premature termination, the therapist should instead help the members of the family to become more conscious of their loving, "welfare" feelings for one another. In this way the self-esteem of the family is increased, which then permits more verbal action of aggressive feelings--thus a decrease in the acting-out, and ultimately an increase in the capacity to mourn. It should be pointed out, however, that in certain families, the technique described is not applicable. In these cases, although there is acting-out, the families are unable to draw on sufficient good experiences together which are necessary to elicit positive feeling for one another. The absence of readily available "welfare" feelings is of diagnostic and prognostic significance and differentiates the disorganized, sociopathic or schizophrenic family from the acting-out of parental deprivation as illustrated in this paper.     

Dual processes in reasoning?

Previous results have shown that the introduction of negatives into the sentences used in a deductive problem affected behavior in a systematic way which was independent of the logical structure of the problem. In the present investigation, the subjects were asked to justify their responses when reasoning about such sentences. In accordance with previous results, the responses were dominated by the terms in the sentences regardless of whether they were negated. However, the justifications did vary when negatives were introduced in accordance with the logical consequences of the responses. The interpretation of these justifications as causes of behavior seemed implausible. It was suggested that they were rationalizations, or that there was at least some form of dual processing between behavior and conscious thought.     

Sex-role stereotypes of feminists and nonfeminists

In light of recent attempts by feminists to upgrade the status of women by stressing the positive aspects of femininity, a comparison of sex-role stereotyping by women who endorse women's liberation with those who do not was made. Feminists showed a more positive perception of women; both groups stressed positive feminine traits in describing an ideal woman, but feminists would like to see more dominance in women. Two negative stereotypes, not previously documented, emerged from this analysis: the depiction of men as cooler, more boastful, awkward, and insensitive by the feminists and women's liberationists as more boastful, excitable, and unattractive by the nonfeminists.