Clinical multiplicity of cerebrovascular disorders in childhood

A group of 107 children with vascular diseases of the nervous system aged 3-14 years have been studied. In 100 children of the study group acute disturbances of the brain blood circulation have been found, out of which 37 children were with transitory ischemic attacks; 29 were found to be with brain ischaemia; 22-with haemorrhages (7 cases with subarchnoidal, 9 cases with intracerebral and 6 cases with subarachnoidal-parenchimatose); 5 children had wenous thromboses; 7 children were with spinal strokes. In other 7 children we found the presence of Sturge-Weber syndrome. Congenital vascular malformations have been found in 32 children (30%), out of which 16 children (15%) with loops and stenosis of the extracranial segments of the internal carotid artery, and another 16 children (15%) with AV-malformations. Congenital and acquired heart diseases are found to be primary cause for the strokes in 12 children (11%). Considerable is the rate of the epileptic seizures in the acute stage of the strokes as well as of the residual epileptic syndromes.     

Concentration camp imprisonment and psychological traumatization

The author reports on a Norwegian investigation extending over more than 30 years, which showed that, apart from a few exceptions, all former concentration camp inmates and prisoners in Nazi jails manifest permanent physical and psychic damage. On the basis of these findings the Norwegian government has established a generous statutory compensation program. Unlike its counterpart in the Federal Republic of Germany, this program does not require applicants to demonstrate the cause of illness or its consequences in each case. The method of the investigation is presented in detail.     

Dealing with (bypassing) the difference

The author presents different psychoanalytic conceptualizations of gender difference. She reviews the controversy between Freud and Jones and discusses in detail the views put forward by Montrelay, a student of Lacan, who relates early linguistic development to gender-specific differences in closeness between the child and the "mother's body".     

Psychoses in epilepsy

The heterogenous psychoses in epilepsies, caused by well known conditions, are not rare but associated with regularly a few of seizure-types not with the nature and development of attacks. Polar transitional ranks and converging courses of schizophrenic (accentuated) syndromes in epilepsies and idiopathic schizophrenias are rather frequent. Also (sub-)acute schizophrenic psychoses are corresponding to the complete palette of first and second rank symptoms (K. Schneider) of idiopathic schizophrenias. After manifestations of epilepsy these syndromes can appear at any time. It is given a profile of risks. Progressive avoidance of a. phenylaceturea, b. mixtures of antiepileptics did not put an end to psychotic syndromes: Long-term therapies with 1. Polytherapy, 2. Primidone and Phenytoin (dosedependant) as well as 3. Ethosuximide (-monotherapy) cause a disorder of feed back mechanisms, especially a disturbed regulation of vigilance and sleeping-waking-cycle and their psychological correlates. Carbamazepine and Sodium Valproate are, plasma-level-controlled of preventive antipsychotic effect. Selected neuroleptics of rather slight epileptogenic potency are of going down importance. Benzodiazepines are required mostly in prepsychotic syndromes, Lithium compounds in selected cases. There is no more alternative seizures or psychosis.     

Aspects of family-oriented diagnosis in compulsory legal family expert assessment

In forensic psychology, recommendations that courts request when granting one of the parents the right of child upbringing after a divorce pose a problem for the person who is required to give such expert judgment. The authors describe the difficult situation he faces when having to decide for and, at the same time, against one of the parents. A good knowledge of family psychology and pathopsychology is essential, and for drawing up the expertise and stating his reasons, the expert requires methodical resources. The authors describe four procedures of relational diagnosis and recommend the combined use of these in conjunction with methods that have been employed so far.     

Family satisfaction with medical care after traumatic brain injury

Ratings during acute and follow-up care by 35 families having members with traumatic brain injury showed none of the medical facilities met families' needs though some aspects of patients' care were rated higher in hospitals. Findings suggest comprehensive surveys are needed.     

Attention and disordered eating behavior: II. Disattention to turbulent inner sensations as a risk factor in the development of anorexia nervosa

The Slade model for development of anorexia nervosa proposes that the female may seek success and control in her life by pursuing a thin body through dieting when faced with serious personal problems. Extending upon this model, the present program of research has sought to identify those characteristics of women generally at-risk for anorexia nervosa that would make dieting behavior especially successful, permitting the progression from food restraint into food aversion. The present studies considered whether heightened and stress-related inner stimulation could interfere with the at-risk woman's sensitivity to hunger sensations, thereby decreasing her motivation to eat. A series of analyses conducted within two studies indicated: (1) a relationship between elevated daily stress, concern over being over-whelmed by inner feelings, and a loss of discrimination regarding sources of inner feelings, (2) a tendency to narrow attentional focus when overloaded with excessive internal stimulation, and (3) diminished sensitivity to hunger sensations for women generally at-risk for anorexia nervosa given a narrowed attentional focus.     

Tachistoscopic and questionnaire methods for the measurement of psychological defences

Only few attempts have been made to compare different methods aiming at quantifying defensive strategies. In this study the tachistoscopic Defence Mechanism Test (Kragh, 1960b and 1985) is compared to paper-and-pencil tests of defence. There were virtually no correlations between the DMT and the other measures of defence. This may indicate that the concept of defence is a highly complex one. It is suggested that the Defence Mechanism Test may be measuring primary defence while defence questionnaires may be assessing more secondary forms of defence. The two questionnaires used for assessing defence correlated significantly, while a scale for social desirability showed no correlation with DMT or the two defence questionnaires.     

Smiling of preschool children in performance-oriented situations: assessment of the emotional significance in relation to other facial expressions

The goal of the reported experiment was to study how adults judge the meaning of different kinds of smiling and laughing by preschool children, and the role played by other facial movements in determining this meaning. Videotapes and photographs of spontaneous facial expressions of children in a play situation served as stimuli. The results show that different kinds of smiling were judged by the adult subjects as being significantly different from each other. In order to find subgroups within the stimuli, cluster analyses were performed, and the resulting clusters indicated different mixtures of positive and negative emotions contained within the pictures. Regression analyses showed that the adults' judgements were dependent on the number of indicators for positive and negative emotions which could be seen in the pictures. The most important indicator movement for the judged strength of the positive emotion expressed in the smile was the raising of the cheeks and, for negative emotions, the lowering of the lip corners. The significance of the components of the expressions as well as the strength of the expressed emotion were, however, dependent on the mode of presentation (video/photo).     

Converging operations on a basic level in event taxonomies

Research on object concepts has identified one level of abstraction as "basic" in cognition and communication. We investigated whether concepts for routine social events have a basic level by replicating the converging operations used to investigate object concepts. In Experiment 1, subjects were presented with event names from a taxonomy and were asked to list the actions comprising the event. Many more actions were listed at the middle than at the highest taxonomic level, without a further increase at the most specific level, paralleling the pattern of superordinate-, basic-, and subordinate-level object concepts. From these action lists, brief stories were composed for each event. In Experiment 2, subjects made pairwise similarity judgments on the stories. The mean similarity of events increased with specificity, as expected. But differentiation of categories (within-category similarity compared to between-category similarity) was highest for super-ordinates, contrary to results with object categories. In Experiment 3, subjects were fastest in recognizing actions as belonging to events named at the basic level. In Experiment 4, subjects predominantly chose basic-level terms to name stories. We conclude that event taxonomies do show basic-level structure, albeit a less sharply defined and less stable structure than in object taxonomies. The benefits and hazards of extending models of object concepts to other entities, such as social events, are discussed.