Aphasia following a right thalamic hemorrhage

A left-handed patient with a right thalamic hemorrhage and disordered speech is described. Sequential examinations and aphasia testing were done during a 1-year follow-up period and the results are reported. This case supports those authors who have described characteristics they feel are helpful in diagnosing disordered speech associated with thalamic lesions. Paucity of speech, reduced voice volume, anomia, some paraphasia, and severe dysgraphia were present, but comprehension and repetition were relatively preserved. She showed modest improvement with time. This case also confirms that thalamic involvement in speech is a dominant, rather than a specifically left hemispheric function.     

Nontraditional careers for women: A prototypical example

A nationwide survey of a stratified sample of 461 Army ROTC college cadets and 470 of their non-ROTC schoolmates was conducted in order to investigate sex and racial differences in military-related perceptions and attitudes. This article focuses on survey findings dealing with sex differences in respondents' military socialization, knowledge of ROTC and the Army, attitudes toward ROTC and the Army, and behavioral intentions with respect to a military career. Female cadets had (1) fewer military socializing influences, (2) less accurate knowledge about ROTC and the Army, (3) more favorable attitudes toward ROTC and the Army, and (4) less favorable intentions regarding military service than male cadets. Findings 2, 3, and 4 were also obtained in the noncadet schoolmate group; however, in this group, there were no significant sex differences in military socializing influences. A model based on these findings is developed as a starting point for attempts to account for the higher attrition rates of women in the military.     

Rhythmic motor behavior of preambulatory motor impaired,down syndrome and nondisabled children: A comparative analysis

The developmental course of rhythmic motor behavior was followed longitudinally for three groups of preambulatory children — normally developing, Down syndrome, and those with profound motor impairment. The groups differed in chronological age but were comparable with respect to motor age. The motor impaired subjects displayed significantly less rhythmic motor behavior than the nondisabled and Down syndrome groups. In comparing particular subtypes of rhythmic motor behavior, differences were found in both the average number of bouts and duration of subtypes among the groups. Longitudinal analyses of the data over the entire observation period revealed that the rhythmic motor behavior of the children with Down syndrome was more similar to that exhibited by the nondisabled children than was the rhythmic motor behavior of the children with motor impairment. However, there was considerable variability among the groups in several particular subtypes.This research was supported by grants from the National Institute of Child Health and Human Development (HD 17650 and HD 07226).The authors acknowledge the assistance of Robert E. Arendt, Grant Youngquist, Michael Hohn, and Charles Lowitzer in obtaining the observational data and thank the families of the subjects for their enthusiasm and dedication to the project.This study was presented at the 23rd Annual Gatlinburg Conference on Research and Theory in Mental Retardation and Developmental Disabilities, April 21, 1990.     

Some comments on the role of cotherapists in group psychotherapy with borderline patients

This paper points out examples of patients in a psychotherapy group who meet DSM-III criteria for the diagnosis of borderline personality disorder and who are treated by cotherapists utilizing object relations theory. Interpretations of phenomena shown by borderline patients—splitting, projective identification and denial—are illustrated. How cotherapy lends itself to the recognition and management of the problems these patients bring to group psychotherapy is illustrated.Hope Aspell assisted in the editing of this paper.     

The role of the church in the community based care of the chronically mentally disabled: Reclaiming an historic ministry

The perplexing circumstance of the chronically mentally disabled in the community poses both a challenging ministry and significant learning opportunity for the church. Historically the church once served as a primary resource in their community life. When care shifted to the hospital in the nineteenth century, chaplains then ministered on behalf of the church. The institutional setting later spawned the clinical training and pastoral care movement, the mental patient an essential teacher and beneficiary. With the locus of care having recently returned to the community, the church can now provide social, pastoral and spiritual resources, collaborate in deinstitutionalization with the mental health delivery system, and return to a ministry of learning with the less resourceful.The Reverend Anderson serves as Chaplain Supervisor, Connecticut Mental Health Center, Box 1842, New Haven, Connecticut 06508, and as a Lecturer in Pastoral Theology at Yale Divinity School. The author wishes to thank Dr. Donald H. Williams and Fr. Henri Nouwen for their advice and encouragement during the preparation of this article.     

How do group meetings make a community Therapeutic?

Summary Following an abrupt shift from a therapeutic community with emphasis on group meetings to a hierarchical medical model on a mental hospital floor, disturbed patients required extensive individual nursing care. This increased work load for the nursing staff resulted in admissions having to be limited to the rare cases who needed little or no nursing care. As patients were discharged, the vacancy rate went up to approximately 20% for a week and remained high for another two weeks. Nursing staff-patient relations deteriorated.Subsequently, it was possible to resume the emphasis on the groups of a therapeutic community and to observe the contrast. The experience showed how groups can effect and support a therapeutic community. It clarified some of the mechanisms by which groups positively affected disturbed patients. Some mechanisms by which the staff, community, and group meetings favorably influenced the nursing staff-patient relationship and intrastaff communications became clear also.     

Empathy and socialization in first and repeat juvenile offenders and normals

The present study examined empathy and socialization in delinquent and non-delinquent juveniles. From 32 first offenders, 16 repeat offenders, and 19 normals who were administered Hogan's empathy scale and the socialization scale of the California Psychological Inventory, groups of 16 subjects matched on age and race were compared. Results indicated that the three groups did not differ on empathy but that each of the three groups differed on socialization. Results are discussed in terms of potentially identifying recidivists and the efficacy of therapist-trained empathy.     

Sex-role identity and male and female homosexuality

The incidences of sex-role outcome within homosexual and heterosexual male and female young adult samples were compared using a fourfold typology (both masculine and feminine, masculine, feminine, neither masculine nor feminine). Sex-role identity disparities between the female groups were more clear-cut; the most striking difference was the high incidence of masculinity (60%) within the homosexual female group. No significant differences for males were found, although a trend was noted toward higher incidence of femininity and lower incidence of masculinity in homosexuals. The second purpose of the study was to search for possible developmental antecedents to heterosexual deficit in unselected college samples. The same key pattern of psychometric indices was identified for males and females. Low heterosexuality and the closest approximation to the modal sex-role identity among homosexuals of their sex were found in females primarily identified with masculine fathers and low in role consistency and in males primarily identified with feminine mothers and low in role consistency.     

Latent roots of random data correlation matrices with squared multiple correlations on the diagonal: A monte carlo study

In order to make the parallel analysis criterion for determining the number of factors easy to use, regression equations for predicting the logarithms of the latent roots of random correlation matrices, with squared multiple correlations on the diagonal, are presented. The correlation matrices were derived from distributions of normally distributed random numbers. The independent variables are log (N–1) and log {[n(n–1)/2]–[(i–1)n]}, whereN is the number of observations;n, the number of variables; andi, the ordinal position of the eigenvalue. The results were excellent, with multiple correlation coefficients ranging from .9948 to .9992.This research was supported by the Office of Naval Research under Contract N00014-67-A-0305-0012, Lloyd G. Humphreys, principal investigator, and by the Department of Computer Science of which Richard G. Montanelli, Jr., is a member.