A two-year follow-up study of a preventive mental health program for preschoolers

The long-term effects of a preschool intervention program for high-risk experimental children were assessed and compared to a high-risk placebo control group and low-risk normal controls. Seventy first-grade children were involved in this 2-year follow-up. The experimental treatment group was superior to that of the placebo control group at follow-up on the criteria measures of behavioral adjustment and achievement. The low-risk normal control group was significantly different from that of the placebo control groups, but generally not significantly different from that of the experimental groups, suggesting that the intervention had boosted the high-risk experimental treatment children to the point where their performance was comparable to that of children who had not experienced behavioral or learning difficulties.The study was supported by grants from the McGregor Fund and the Eloise and Richard Webber Foundation, and by the Detroit Public Schools, for which the authors express grateful appreciation. A version of this paper was presented at the Annual Meeting of the American Psychological Association, New York, September 1979.     

The treatment of epilepsies with Convulsofin

The testing of Convulsofin carried out in 220 patients at 14 clinics over a period of six months confirms the international experience gained with valproic acid and sodium valproinate. The main field of application of Convulsofin according to the experience gained will again be the treatment of fits in generalised primary epilepsy for which it permits to carry out a monotherapy to a remarkable extent. The favourable effect of the preparation in photosensitivity could be confirmed. Also in generalised secondary epilepsy and in fits of partial epilepsy. Convulsofin is partly effective, so that it can recommended as a co-medication in the treatment of therapy-resistant forms of these epilepsies which are difficult to treat. Decrease in thrombocytes, transient increase in serum transaminases, gastrointestinal disorders, loss of hair and undesired increases in body-weight were the more frequently occurring side-effects.     

EDP (electronic data processing)-oriented special documentation in neurology--extension to a computer epicrisis

The contribution describes a final neurological documentation system for in-patients that permits the computerized print-out of an epicrisis. The computer automatically summarizes the elementary findings and presents them as a number of important neurological syndromes. The structure of the documentation and the experience gained in the course of many years of routine application are described. The system has proved to be basically sound under the conditions existing at a university hospital and a specialized hospital for psychiatry and neurology and has proved applicable for a large proportion of the patients without major restrictions.     

Clinical, electroencephalographic and computer tomographic studies of children with West and Lennox-Gastaut syndrome

The results of clinical, electroencephalographic and repeated computed tomographic examination of 14 children suffering from epileptic seizures in connection with the West and Lennox-Gastaud syndrome are analyzed and compared. Computed tomography yields little information regarding the etiology of such forms of epilepsy. Distinct clinical and electroencephalographic findings were accompanied by normal computed tomographic results in a large proportion of the cases. To avoid misinterpretation of computed tomographic findings and consequent prognostic errors in these epileptic cases it is necessary to take possible side effects of ACTH and corticosteroid treatment into account. At the climax of hormone treatment computed tomography revealed imposing changes in the form of generalized atrophy in 10 of the 14 children examined. These receded completely upon termination of hormone treatment.     

Conditioning of a discriminative drug stimulus: Overshadowing and blocking like procedures

Interactions between a drug discriminative stimulus ( D , 17.5 mg/kg of pentobarbital vs. N , saline) and exteroceptive stimulus conditions (light vs. dark) were examined in a T-maze, shock-escape task using conditioning procedures pertaining to the phenomena of "overshadowing" and "blocking". From an operational point of view, in the "overshadowing" procedure the stimulus compound is introduced from the outset of the training, whereas in the "blocking" procedure the stimuli components are introduced sequentially. When the compound discriminations were established, dose-generalization tests with various doses of pentobarbital (range 5.6–17.5 mg/kg) as well as saline (1 ml/kg) were carried out under both elements (light and dark) of the exteroceptive stimulus dimension. Prior training with drug ( D vs. N ) neutralized the potential influence of the exteroceptive dimension (light vs. dark); conversely training with the exteroceptive stimuli prior to the drug training accentuated the control over behavior by the visual stimuli. Dose-generalization results intermediate to those described above were observed in the group trained to discriminate the stimulus compound ( D plus light vs. N plus dark) from the outset of training. It may therefore be concluded that exteroceptive stimuli can compete with interoceptive drug stimuli for associative strength in the procedure used. Thus, the formal similarities between drug discriminative stimuli and more conventionally studied exteroceptive, sensory signals are furthered by the data.     

Hierarchical factor solution of coding and planning processes: Any new insights?

Hierarchical factor solution was used in the present paper in order to examine if two coding processes, simultaneous and successive, would load on a general 2nd level factor. It was further used to test if the coding processes and a factor representing planful behavior will not share the same general factor, revealing their relative independence as expected from a theoretical model of cognitive functions. Results supported the grouping of the coding tasks within a general factor, as well as the emergence of two general factors, one each for coding and planning. Further correlational evidence supported the relative independence of these two kinds of cognitive processes. These findings were discussed in the context of a general factor of intelligence.     

Processing of threat-related information in rape victims

We investigated selective processing of threat information in persons with posttraumatic stress disorder (PTSD) by using a modified Stroop procedure. Subjects were 15 rape victims with PTSD, 13 rape victims without the disorder, and 16 nontraumatized control subjects. They were asked to name the color of four types of words: specific threat (rape-related) words, general threat (related to physical harm and death) words, neutral words, and nonwords. Rape victims with PTSD evidenced a longer response latency for color naming of rape-related words than for other target-word types. Response latencies of non-PTSD victims and nonvictim control subjects did not differ across word types. Possible mechanisms underlying the selective processing of threat material are considered, and clinical implications are discussed.     

Dealing with labyrinths. General practice and research in psychoanalysis--an evaluation

If psychotherapy research is to yield results relevant for therapeutic practice, it must broaden its receptiveness for the peculiarities of this field and for the methods employed by therapists. The therapist works on-line, while the researcher enjoys the advantage of working off-line. Research in psychotherapy has addressed the world of images and affects, the interactive process, the dependence on models, and the specific manner of information processing characteristic of therapy. The author compares the different ways in which the therapeutic and the empirical settings handle suspicion and error.     

Simultaneous effects and aftereffects of the intensity and success aspect in coping with stresses

Intensity and success of coping processes in achievement-related situations are very often tightly connected. Therefore, the specific empirical status of each of the two aspects is unclear. In the current study a technique is introduced which allows orthogonal variation of both components. 64 subjects were confronted with a simple perceptual-speed task in which objective success rate was held constant by a computer-based adaptive process. Graphic feedback was provided about the objective success rate in relation to one of two different success criteria. For half of the subjects the criterion was above (failure condition) and for the other half it was below (success condition) the adaptively controlled success rate. Intensity, the second between-subjects factor, was manipulated by presenting either a high or a low number of items per time unit. As an additional quasi-experimental factor, the degree of action- vs. state-orientation (Kuhl, 1983) was included. The results showed highly specific effects for both the intensity and the failure/success dimension: High intensity resulted in an increase of electrodermal activity which could be observed throughout a one hour post-stressor phase. The failure/success variation had effects mainly on subjective variables representing appraisal of controllability and produced no after-effects. Especially strong effects on subjective variables could be observed when state-oriented subjects were confronted with both failure and high intensity.     

The job climate for women in traditionally male blue-collar occupations

Rapid growth has been observed in recent years in the number of women entering traditionally male blue-collar occupations, yet researchers have paid little attention to this pioneering group. The present study undertook a comparison of the job conditions of two groups of nontraditional women workers, tradeswomen (N=71), and transit workers (N=151); a third group, school secretaries (N=389), was studied as a comparison group of traditionally female workers. Results from a 16-page mail questionnaire revealed that women in traditionally male occupations encountered significantly more adverse working conditions than did their traditional counterparts, and, in addition, reported significantly less satisfaction and more stress at work. Tradeswomen were the most likely to experience sexual harassment and sex discrimination, and black tradeswomen to experience race discrimination. The degree of job satisfaction expressed by the secretaries was unexpected, since most evidence suggests that clerical workers lack autonomy, and encounter boredom and routinization on the job. These findings are discussed in terms of gender segregation and the need to focus future research efforts on specific occupational groups in order to make appropriate policy recommendations as well as to provide help for women in these jobs.This research was supported by grants from the National Institute for Occupational Safety and Health (Grant No. 1 RO1 OH02162-01A1) and the College of Health and Human Development, The Pennsylvania State University. The authors wish to acknowledge the invaluable contributions of Patty Lambert, Ming Qi Wang, Mary Harmon, Joseph Vasey, Gina Jay, Darrell Harvey, and Haleh Rastegary.