Neuroleptic malignant syndrome--3 case reports

An account is given of three patients who exhibited a malignant neuroleptic syndrome after the administration of neuroplegics. Like other authors, we identified typical elicitation factors and clinical characteristics. In one case a catatonic dilemma with lethal issue was observed. In the final case dealt with in this paper, the renewed application of neuroplegics following the termination of the malignant neuroleptic syndrome was tolerated without complications, whereas in the case of an epileptic patient with damage to the brain, the malignant neuroleptic syndrome returned upon dosage increase.     

Is eye movement dysfunction a biological marker for schizophrenia? A methodological review

There is a high prevalence of eye movement dysfunction (EMD) in persons with schizophrenia and their first-degree relatives. Studies addressing the prevalence, stability, familial transmission, and psychological correlates of EMD in persons from both psychiatric and general populations offer suggestive evidence that this abnormality may serve as a biological marker for schizophrenia. Although these findings are promising, their significance for elucidating the diagnostic bandwidth, pathophysiology, and genetics of this disorder remains to be determined. More precise characterization of ocular motility, perhaps when used in conjunction with global measures of pursuit adequacy, may be essential for clarifying the pathophysiological and genetic significance of EMD for schizophrenia. Recent research efforts are beginning to identify particular abnormalities that could serve as more specific biological markers for schizophrenia.     

Alcohol challenge with sons of alcoholics: a critical review and analysis

Studies are reviewed in which response to acute administration of alcohol was compared between individuals with and without family histories of alcoholism (FH+, FH-). This research represents a search for a psychobiological marker for alcoholism. A methodological critique of the procedures reported in this literature is then presented. Finally, a conceptual model is suggested in which differences in the response to alcohol between FH+ individuals and FH- individuals must be understood in relation to time after drinking alcohol. This Newtonian differentiator model proposes that sons of alcoholics exhibit acute sensitization as blood alcohol level rises and acute tolerance as blood alcohol level falls, compared with sons of nonalcoholics. Therefore, FH+ subjects find alcohol more rewarding because they accentuate the pleasurable, excitatory aspects of initial intoxication and attenuate the feelings of anxiety and depression that predominate as blood alcohol levels drop.     

Attributions in marriage: review and critique

The prevailing behavioral account of marriage must be expanded to include covert processes. This article therefore examines the attributions or explanations that spouses make for marital events. A review indicates that dissatisfied spouses, compared with satisfied spouses, make attributions for the partner's behavior that cast it in a negative light. Experimental, clinical outcome, and longitudinal data suggest further that attributions may influence marital satisfaction. Rival hypotheses for these findings are examined. Because continued empirical development in this domain depends on conceptual progress, a framework is presented that integrates attributions, behavior, and marital satisfaction. This framework points to several topics that require systematic study, and specific hypotheses are offered for research on these topics. It is concluded that the promising start made toward understanding marital attributions holds considerable potential for enriching behavioral conceptions of marriage.     

Perceived parental inconsistency as a factor in the emotional development of behaviour-disordered children

55 English-speaking institutionalized adolescents (37 boys and 18 girls between ages of 14 and 19 yr.) were given questionnaires measuring perceived parental inconsistency and different components of emotional development. Canonical correlation analysis indicated that a significant proportion (51%) of the variation in emotional adjustment was accounted for by parental inconsistency. It is suggested that the efficiency of using parents as agents of change for their behaviour-disordered children can be enhanced by including theory on parenteral inconsistency in program content.     

The Ways of Coping instrument: reliability and temporal stability for a sample of employees

Convergent support is demonstrated for the use of seven empirically derived scales of the Ways of Coping instrument developed by Lazarus and his colleagues. While the instrument is widely used, until now the internal consistency of the coping measures and stability of the factor structure have yet to be shown for a sample of employed adults. While type of job and type of coping incident reported are not dependent, analysis indicates that work and nonwork groups differ across several coping dimensions. Research implications and directions are addressed.     

Athletic self-concept and mathematics achievement in girls

Several researchers have suggested that girls' mathematics performance may be mediated by an assertive sex role or "masculine interest." The present study made the assumption that girls' athletic self-confidence reflects "masculine interest" so girls' test scores for perceived athletic competence would be related to their mathematics achievement scores. A total of 207 boys and girls in Grades 4, 5, and 6 were tested for their perceived athletic ability using the Athletic Competence subscale of Harter's 1985 Self-perception Profile, and these scores were correlated with their mathematics achievement as measured on the Metropolitan Achievement Test and term grades. A low but significant correlation with Athletic Competence scores was found for girls on both measures of mathematics achievement. Although boys scored higher on the Athletic Competence subscale, there were no sex differences on either measure of mathematics achievement. Results are discussed in terms of both sex-role theory and cognitive development.     

Distorted body image as a risk factor in anorexia nervosa: replication and clarification

This study replicated the results of an earlier one in which college women showing psychological similarities to anorexics indicated an unrealistically larger body-image relative to controls but only if they were relatively thin. This kind of perceptual enhancement was not found when inanimate objects were rated. The proposal that an enhanced body image plays a dynamic role in motivating food restraint (and may increase the risk of becoming anorexic) was supported by an analysis of dieting strategies.