The Headache Symptom Questionnaire: Discriminant classificatory ability and headache syndromes suggested by a factor analysis

A brief Headache Symptom Questionnaire was administered to 129 chronic headache Sufferers. The questionnaire accurately classified 68.42% of headache subjects in their proper diagnostic category, comparable to, but statistically less accurate than, the 86.4% agreement between expert headache diagnosticians using clinical interviews. Results of a factor analysis of the Headache Symptom Questionnaire lend support for their being two commonly accepted global headache categories—vascular/migraine and muscle contraction—and one headache dimension concerned with duration of headache pain. Combined migraine-muscle contraction headache was found to be related more to migraine than to muscle contraction headache, and cluster headaches emerged as a separate clinical entity, not loading positively on any factor and loading negatively on all three.This research was supported in part by Grant NS-15235 from the National Institute of Neurological and Communicative Disorders and Stroke.     

Alcohol-induced state-dependent learning: Differentiating stimulus and storage hypotheses

State-dependent effects of alcohol have been demonstrated in animals and man. Most studies have used tasks for which accurate performance typically requires that stimulus input was adequately stored initially and that the items were retrieved at the time of testing. Thus an alcohol-induced decrement in performance could be due to impaired storage, impaired retrieval, or both. The purpose of this experiment was to distinguish between stimulus and storage hypotheses of state-dependent learning (SDL). Sixteen subjects were used in a 2×2 design in which the task involved the learning and recall of a 19-item ‘route’ map. During initial learning, all subjects were sober. Immediately after learning, half the subjects were given a moderate dose of alcohol. Twenty-four hours later, all subjects were tested for recall under the same or different conditions. Greater retention was found for those subjects whose drug states were the same in memory storage/consolidation and retrieval. Thus an alcohol state effective during the memory consolidation interval following acquisition appears to be a sufficient condition for producing SDL. In this context, SDL might be better termed state-dependent memory storage and retrieval. The implications of these results for the aetiology and treatment of alcohol dependence are discussed.     

An automated eye movement laboratory for on-line electrooculography

This paper describes an automated eye movement laboratory that uses electrooculography (EOG) to study people’s eye movements while they read. An on-line minicomputer processes bioelectric potentials that correspond to saccadic eye movements. Horizontal saccades larger than 1.5 deg of visual angle are detected and analyzed in real-time as they occur. The laboratory is designed for prolonged yet unobtrusive observation of human eye movements during sustained reading periods of minutes or hours. All important functions regarding data collection and data reduction are performed automatically, according to simple procedures that can be applied uniformly and without bias to nearly all subjects that we study. Results from three experiments are cited in order to quantify the performance of the laboratory with respect to four criteria: saccade detection accuracy, measurement accuracy, sensitivity, and the uniformity of these measures over different subjects.     

Power functions of loudness magnitude estimations and auditory brainstem evoked responses

The correspondence between subjective and neural response to change in acoustic intensity was considered by deriving power functions from subjective loudness estimations and from the amplitude and latency of auditory brainstem evoked response components (BER). Thirty-six subjects provided loudness magnitude estimations of 2-sec trains of positive polarity click stimuli, 20/sec, at intensity levels ranging from 55 to 90 dB in 5-dB steps. The loudness power function yielded an exponent of .48. With longer trains of the same click stimuli, the exponents of BER latency measures ranged from -.14 for wave I to -.03 for later waves. The exponents of BER amplitude-intensity functions ranged from .40 to .19. Although these exponents tended to be larger than exponents previously reported, they were all lower than the exponent derived from the subjective loudness estimates, and a clear correspondence between the exponents of the loudness and BER component intensity functions was not found.     

Creative thinking and juvenile delinquency: a study of delinquent and nondelinquent youth on the Torrance Tests of Creative Thinking.

Using the T.T.C.T. this study examined the creative thinking of 32 delinquent and 32 nondelinquent adolescent males. The delinquent group was composed of juveniles on parole status. The nondelinquent group was composed of public school students. On the variables of IQ, age, and socioeconomic class, t-test results indicated no significant differences, except on socioeconomic class, between the groups. Analysis of variance procedures were performed to determine the possibility of an interaction between levels of intelligence and delinquent status with regard to verbal and figural creativity test scores. There were no significant main effects or interaction between IQ and adjudication status with respect to figural creativity. There was a significant main effect due to adjudication status for the dependent variable of verbal creativity scores, respectively while blocking on the intelligence variable. The results were parallel to the ANOVAS which did not specifically control for the intelligence variable between the two groups.     

Encopresis in adolescence: two case studies.

Encopresis is an underreported psychopathological symptom of adolescence, not necessarily defining a specific diagnostic entity. The two cases presented offer an opportunity to evaluate encopresis occurring in markedly different adolescent pathological entities and developmental backgrounds. The first patient presented a longitudinal life course wherein toilet training and fecal considerations were prominent throughout his development. Indeed, this young man had such areas of cohesive functioning, as to be appropriately considered within the range of characterological pathology, severe, though it may be. In marked contrast, the second patient's encopresis represented but a small part of a totally encompassing psychotic disintegration.     

A group behavior modification approach to adolescent obesity

This article describes a group weight control project with severely obese adolescent girls in a medical setting. Behavior modification and nutritional principles were utilized with peer group interaction. Significant others were included through separate group meetings. This approach produced small amounts of net weight loss for the girls. The drop-outs continued to have a net gain. As a treatment method, this program was more effective for these girls than previous individual clinic contacts had been. When losing weight, the girls tended to use behavior modification techniques more often, and their diets became more adequate nutritionally. Development of group cohesion was tenuous and temporary. Girls who were functioning more independently appeared to do better in weight loss. Disinterested significant others were preferable to nonsupportive ones. A predictive factor was identified, the girls' perception of control. This was measured by the I-E test. Those with a more internalized perception of control were more likely to continue with the program and more likely to lose weight. Because the patient group was small, findings are tentative. However, this program helped to define particular areas that deserve further exploration.     

Discussion of “time and timekeeping in psychoanalysis and psychotherapy”

The American Journal of Psychoanalysis -