Therapist-controlled exposure in vivo versus self-controlled exposure in vivo: A comparison with obsessive-compulsive patients

Fourteen obsessive-compulsive clients were given treatment consisting of ten sessions of gradual exposure in vivo With half the clients, the exposure in vivo was therapist-controlled; with the other half, the exposure in vivo was self-controlled.

The results of the posttest showed that both versions of the treatment resulted in a significant improvement on the in vivo measurement, anxiety and avoidance scales, Leyton Obsessional Inventory, Self-Rating Depression Scale and anxious mood. Neither the posttest nor the follow-ups one month and 3.5 months later indicated a difference between the effects of the two conditions. Self-controlled exposure in vivo proved to be as effective as therapist-controlled exposure in vivo, in spite of the fact that in the latter condition each treatment session lasted twice as long as in the former condition.     

UCS duration and conditioned suppression: Acquisition and extinction between-groups and terminal performance within-subjects

Two experiments demonstrated a positive monotonic relation between UCS duration and conditioned suppression ranging from no suppression at 0.05 sec to nearly complete suppression at 3.0 sec. In Exp 1, 5 acquisition groups were run at 0.5 mA. No suppression occurred at the shortest duration, approximately 50% suppression by Session 3 in two intermediate groups (0.2 and 0.5 sec) and nearly complete suppression by Session 3 at the two longest durations (1.0 and 3.0 sec). The relation between UCS duration and recovery of responding during extinction followed a parallel pattern. In Exp 2, terminal performance was studied within-subjects and the same relation was replicated.     

Some analyses of the verbal encoding deficit of alcoholic Korsakoff patients

Two experiments were designed to assess Korsakoff patients' ability to encode verbal information on the basis of its physical, nominal and semantic properties. The first investigation employed Wickens' release from proactive interference (PI) technique; a procedure that allows an assessment of a subject's ability to encode verbal information on the basis of its semantic properties. It was discovered that on tasks involving only a rudimentary verbal analysis, such as the ability to discriminate letters from numbers, the Korsakoff patients demonstrated a normal release from PI. However, on tasks that required a more sophisticated level of semantic encoding, such as those based on taxonomic class inclusion, the patients failed to show release from PI. The second investigation employed Posner's reaction time technique which assesses a subject's ability to encode the physical and nominal properties of simple verbal materials (letters). The results of this study showed that Korsakoff patients are impaired on even these rudimentary encoding tasks, which led to the proposal that Korsakoff patients' semantic encoding deficit might stem from an initial impairment in the speed at which physical and nominal properties of verbal information are analyzed.     

Language and speech recovery in a case of viral encephalitis

The speech and language recovery course of a 47-year-old man with viral encephalitis is described. Over a 3-month period, the patient was evaluated six times using the same selected battery of tests. Results show that viral encephalitis can deleteriously affect communicative performance and that improvement in medical status is accompanied by rapid and dramatic gains on most standard speech and language measures. For this case changes appeared related to improved auditory attention and retention, increased efficiency in word retrieval, and improved mental status.     

Enhancing children's attitudes toward disabled peers using a multi-media intervention

Interventions are being developed to enhance children's attitudes toward disabled peers and thereby facilitate mainstreaming in schools. This study evaluates the impact of Feeling Free, a multi-media program of disability-related films, activities, discussions, and books. Participants were children from 16 classrooms, grades 3 through 6. Two classes at each grade level (N = 8) were randomly assigned to the six-session program and were compared on five outcome measures to the eight remaining classrooms. Treatment children demonstrated increased knowledge about disabilities, more positive perceptions of disabled persons, and greater awareness of appropriate behavioral responses to disabled peers. There were no long-lasting treatment effects on two measures of children's acknowledged willingness to interact with disabled peers, although treatment girls demonstrated short-term gains on one measure. Suggestions are made for increasing program impact and providing services to other participants in the mainstreaming process.     

Lexical knowledge in anterior and posterior aphasics

A semantic categorization task was used to assess the structure of lexical knowledge in anterior and posterior aphasics. In general responses were faster for typical category members than for atypical ones and slower for semantically related nonmembers than for unrelated ones. Both groups performed at a high level of accuracy when classifying typical category members and semantically unrelated nonmembers. Their performance diverged at the category boundary. Anterior aphasics maintained relatively high levels of accuracy when classifying atypical category members and semantically related nonmembers while posterior aphasics did not. These results point to differences in the status of lexical knowledge for anterior and posterior aphasics.     

Regional cerebral blood flow measurements by 133Xe-inhalation: Methodology and applications in neuropsychology and psychiatry

This review describes methodological improvements of the ¹³³Xe-inhalation technique for measurement of regional cerebral blood flow (rCBF) comprising correction routines both for scattered radiation from air passages and for remaining activity from previous measurements, as well as a new index of curve fit exactness. Measurements in normals are described showing new characteristics of the resting flow pattern and localized flow changes during activation with a variety of mental tasks. Our clinical applications in psychiatry are reviewed demonstrating the ability of the rCBF technique for differential diagnosis of dementia, for the evaluation of treatment by drugs, ECT, or psychosurgery, as well as for following, cases of toxic influence. The paper finally discusses the potentials as well as the limitations and artifacts of the technique.