Treatment Foster Care in a System of Care: Sequences and Correlates of Residential Placements

We examined Treatment Foster Care (TFC) in residential trajectories for youth with psychiatric disorders and aggressive behavior. We analyzed residential placements of a statewide sample of youth during the 12 months preceding and following admission to TFC. Prior to TFC, the majority of youth were residing in more restrictive settings (group homes or residential treatment). Two-thirds of youth remained in TFC throughout the follow-up year. Of those who left, nearly half returned home, and slightly fewer were discharged to group homes. By the end of the 12-month follow-up period, rates of group home use were similar to those seen in the pre-TFC period. Movement out of TFC during the year was associated with being older at placement and with increased problem behavior (particularly externalizing behaviors). TFC serves as a step-down placement for a substantial number of youth. However, this is not the only way it is used, and models based on short-term transitioning or reunification with families may not be widely implemented or relevant in practice. Additional research is needed to understand current functions of TFC in residential trajectories and to maximize its utility in systems of care.     

Putting order in the impossible

The class of visual illusions called 'impossible figures' (illusory spatial interpretations of pictures) is analyzed in order to introduce an ordering into the great variety of such figures. Such an ordering facilitates reference, unifies terminology, and establishes a conceptual framework for further investigations of the subject, making easier the choice and systematic generation of various types of figures (for example, in systematic psychological experiments). First, the notion of 'impossible figure' is defined and certain other related classes of figures (so-called 'likely' and 'unlikely' figures) are distinguished. Second, the fundamental 'impossibility sources' are identified as elementary 'building blocks' of all impossible figures. Finally, two broad classes of impossible figures, multibars (or 'impossible polygons') and striped figures, are briefly described.     

Auditing the quality of care of a crisis center

The purpose of this paper is twofold: First, it defines and describes different types of audits and areas of patient care which lend themselves to a quality of performance review. Second, it describes an audit application at a hospital-based crisis intervention center and the corrective action taken on the basis of the findings. The major emphasis of the audit was to determine the quality of medical-psychiatric consultation and to develop criteria for its initiation.     

Oculographic assessment of workload influence on flight performance

Presented are specific parameters of visual information intake in pilots on the job. The role of eye movements in the process of visual stimulus reception is discussed. Our own study on a MIG-23 flight simulator is presented. The method of oculographic testing of pilots performing professional assignments differing in workload is presented, and the practical implications of oculographic research are discussed.     

Teaching the Bible in the Context of General Education

Three conceptions of general education developed under the titles ‘general,’‘generalist,’ and ‘generalizing’ are matched with appropriate strategies for teaching the Bible. These provide the basis for two points relevant to teaching the Bible in colleges and universities: first, that the prime object of attention is not the Bible, but rather a corporate agreement regarding an educational project; and second, that the ways in which the Bible might be taught will vary, appropriately, according to the ways in which that educational enterprise is understood. A corollary is stated: teachers of the Bible need to be as informed about research in teaching as they are in biblical research.     

A Search for the Optimal Stimulus

How do stimulus size and item number relate to the magnitude and direction of error on center estimation and line cancellation tests? How might this relationship inform theories concerning spatial neglect? These questions were addressed by testing twenty patients with right hemisphere lesions, eleven with left hemisphere lesions and eleven normal control subjects on multiple versions of center estimation and line cancellation tests. Patients who made large errors on these tests also demonstrated an optimal or pivotal stimulus value, i.e., a particular size center estimation test or number of lines on cancellation that either minimized error magnitude relative to other size stimuli (optimal) or marked the boundary between normal and abnormal performance (pivotal). Patients with right hemisphere lesions made increasingly greater errors on the center estimation test as stimuli were both larger and smaller than the optimal value, whereas those with left hemisphere lesions made greater errors as stimuli were smaller than a pivotal value. In normal subjects, the direction of errors on center estimation stimuli shifted from the right of true center to the left as stimuli decreased in size (i.e., the crossover effect). Right hemisphere lesions exaggerated this effect, whereas left hemisphere lesions diminished and possibly reversed the direction of crossover. Error direction did not change as a function of stimulus value on cancellation tests. The demonstration of optimal and pivotal stimulus values indicates that performances on center estimation and cancellation tests in neglect are only relative to the stimuli used. In light of other studies, our findings indicate that patients with spatial neglect grossly overestimate the size of small stimuli and underestimate the size of large stimuli, that crossover represents an “apparent” shift in error direction that actually results from normally occurring errors in size perception, and that the left hemisphere is specialized for one aspect of size estimation, whereas the right performs dual roles.     

Aspects of biochemical differentiation in the central nervous system

A demonstration of cell-specific patterns of development in the immature CNS is provided by examples of characteristic, cellspecific time-courses of enzyme development in different classes of brain cells isolated in highly purified form by bulk-separation from the cerebral and cerebellar cortex of the growing rat. The enzymatic analysis was carried out at the level of the nerve and glial cell lysosomes and mitochondria, two subcellular organelles crucial to the economy of all cells. The findings reveal rather similar developmental patterns for the lysosomal hydrolase N-acetyl-β-D-glucosaminidase in neurons and glial cells of the cerebral cortex as well as in two different cerebellar nerve cell types, the Purkinje and the granule cell. However, significant differences in the post-natal chronology of development of the mitochondrial enzyme α-glycerophosphate dehydrogenase were noted between cortical nerve and glial cells, the glial enzyme exhibiting 6-fold higher levels of activity than the neuronal one throughout the first month of postnatal life. The findings emphasize the feasibility as well as the necessity of studies aimed at the elucidation of the cell-specific aspects of the biochemistry of developing nerve and glial cells.