A GROUP-ORIENTED CONTINGENCY TO INCREASE LEISURE ACTIVITIES OF ADULTS WITH TRAUMATIC BRAIN INJURY

An interdependent group-oriented contingency and graphic feedback were used to increase the activity levels of residents of a group home for persons with traumatic brain injury. Results showed that the intervention was effective for 4 of the 6 subjects. Individual performances must be examined when implementing group contingencies because all subjects may not respond.     

Involvement of reactive oxygen species in emotional stress: A hypothesis based on the immobilization stress-induced oxidative damage and antioxidant defense changes in rat brain,and the effect of antioxidant treatment with reduced glutathione

We examined the oxidative damage and antioxidant defense changes with immobilization-induced emotional stress in the rat brain. Though superoxide dismutase activity remained unchanged, brain peroxidation was significantly accelerated by the immobilization stress. Membrane fluidity study with spin labeling in brain cortical membrane showed that immobilization stress induced an increase in microviscosity of membrane layer near the surface and in the ordering of membrane proteins but a decrease in microviscosity at the core of the membrane bilayer. The Na, K-ATPase activity decreased whereas the levels of some monoamines and their metabolites increased along with their metabolic rate. The administration of reduced glutathione showed a protective effect on the immobilization stress-induced stomach bleeding, oxidative damage and abnormal changes in the brain antioxidant defenses. Based on these results and on previous reports, we hypothesize that immobilization stress may induce the formation of reactive oxygen species which weakens the brain antioxidant defenses and induces oxidative damage. The antioxidant administration of reduced glutathione provides further evidence to support the above hypothesis, and also may provide clues in the search for a rational therapy to emotional stress. A possible correlation of emotional stress to aging is also discussed.     

Histological data: Hollard and Davison (1971)

As Mogenson and Cioé (1977) have assumed that our electrodes aimed at the ectostriatum (Hollard and Davison, 1971) were actually located there, we feel that a presentation of the histological data is necessary. Following termination of further experiments (Hollard, 1974) the pigeons, numbered 93, 95, and 119, were sacrificed and perfused with saline followed by 10% formalin. Sections, 50 microns thick, were cut on a freezing microtome. Prints were made by mounting each unstained section of a microscope slide and placing them in a standard photographic enlarger. The electrode tips of Pigeons 93 and 119 were located in the paleostriatal complex. The sections of Pigeon 95 were damaged and precise localization was not possible. Further work in this laboratory has also found that, using the same coordinates, electrode tips tend to fall in the paleostriatum, rather than in the more dorsal ectostriatum at which they are aimed. The paleostriatal placements tended to sustain self-stimulation, whereas others located in the ectostriatum sustained relatively low or unstable rates.     

IDENTITY AND THE BRAIN: THE BIOLOGICAL BASIS OF OUR SELF

This article reviews the neuroscientific understanding of the self and personal identity, focusing on various elements of inclusivity and exclusivity as well as engaging religious and spiritual perspectives. We will also consider how the identity is comprised of biological, social, and ideological or spiritual aspects, and how they are interconnected. We will consider how the brain helps us to construct and maintain our representation of the self and what happens when we have self-transcendent experiences. Such an evaluation will have implications for understanding the intersection between consciousness and the self. This information will be helpful from both the psychological and spiritual perspective for understanding human identity.     

Psychobiological Treatment Response to a Two-Week Posttraumatic Stress Disorder and Mild Traumatic Brain Injury Integrated Treatment Program: A Case Report

Posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) demonstrate high prevalence and comorbidity among post-9/11 veterans. Veterans with this comorbidity often present with multiple co-occurring healthcare needs and increased clinical complexity. The current case report describes the clinical presentation of a veteran with mild TBI and PTSD, both before, during, and after treatment within a multidisciplinary 2-week intensive outpatient program involving prolonged exposure, evidence-based PTSD treatment, and Cognitive Symptom Management and Rehabilitation Therapy, evidence-based treatment for postconcussive symptoms. Mr. A was a 25-year-old White, transgender male who presented with a complex mental health history. At intake, presenting complaints included anxiety, panic attacks, nightmares, and depression secondary to military sexual trauma, as well as reported cognitive difficulties secondary to a concussion. He met current criteria for PTSD as well as panic disorder with agoraphobia. Head injury history consisted of a motor vehicle collision with less than 30 seconds loss of consciousness, brief posttraumatic amnesia, and alterations of consciousness. Mr. A demonstrated habituation during individual exposure sessions as assessed via skin conductance during imaginal exposures and decreased subjective ratings during in vivo exposures, as well as a decrease in trauma-potentiated startle response to trauma cues. Posttreatment data indicates significant reduction in neurobehavioral, posttraumatic stress, and depression symptoms and significant improvement in subjective cognitive functioning. The current findings support the feasibility and efficacy of short-term integrated treatment for complex clinical presentations and the need for larger scale research investigating combined PTSD and TBI intervention.     

“Shame: The Misplaced Debt of Structural Sin”

Although sexual violence and economic distress are often understood and responded to as individual problems, they are rooted in and must be understood within the social systems of patriarchy and advanced global capitalism, both of which normalize these traumas. The problem is that social systems divert guilt for structural sin onto individuals in the form of shame, which I argue is the misplaced debt of structural sin. Through narrative and analysis, I demonstrate the problems of silence, judgement, and death associated with the misplaced debt of shame in structural sin. Preliminarily, I suggest that the theology of the cross enables Christians to name structural sin for what it actually is; judge who or what is truly guilty; and remove shame and guilt from survivors to foster flourishing.     

The International Significance of Human Rights

A comparative examination of four alternative ways of understandingwhat human rights are supports an institutional understanding assuggested by Article 28 of the Universal Declaration: Human rightsare weighty moral claims on any coercively imposed institutionalorder, national or international (as Article 28 confirms). Any suchorder must afford the persons on whom it is imposed secure accessto the objects of their human rights. This understanding of humanrights is broadly sharable across cultures and narrows the philosophical and practical differences between the friends ofcivil and political and the champions of social, economic, andcultural human rights. When applied to the global institutionalorder, it provides a new argument for conceiving human rights asuniversal – and a new basis for criticizing this order as tooencouraging of oppression, corruption, and poverty in the developing countries: We have a negative duty not to cooperatein the imposition of this global order if feasible reforms ofit would significantly improve the realization of human rights.     

Traumatic Brain Injury in School-Age Children Academic and Social Outcome

School-aged children with a traumatic brain injury (TBI) require extraordinary effort and energy from individuals in their school, home, and community. The purpose of this study was to examine the academic, behavioral, and social outcomes of a cohort of children and adolescents following TBI. A comprehensive assessment of cognitive functioning, achievement, and adaptive behavior was administered to 43 school-aged children 2 years after their TBI. Premorbid functioning for each participant was obtained from state-mandated test scores assessed prior to the TBI. The predictive utility of premorbid functioning, TBI severity, and age at injury were examined. Findings revealed that premorbid functions were significant predictors of reading and spelling achievement and adaptive functioning. Severity of injury was predictive of adaptive functioning. Implications of findings include program development, reintegration into school, and educating parents and teachers.     

汉字识别早期知觉过程中的整体优先效应

以7画、10画、13画上下、左右结构低字频宋体汉字为材料,以整字或成字部件为检测目标,在0～1.5、0～2.0、0～2.5、0～3.0周/度空间频率条件下探讨整体-局部加工的关系.结果发现,空间频率一定时,整字辨别的正确率更高,反应时更短.汉字识别过程中存在着明显的整体优先效应.作者认为,知觉过程由整体加工水平向局部加工水平的转换使部件辨别时间延长、正确率下降;刺激图像中整体性空间信息比较丰富,细节信息相对不足,进一步促成了知觉辨别的整体优先效应.     

Is sexual-aggressive vocal communication related to asymmetric mechanisms in the brain?

In Mongolian gerbil males, a reliable asymmetric relationship has been discovered between a stereotyped ultrasonic vocalizattion and the volume of a discrete nucleus within the preoptic-anterior hypothalamic area, the sexually dimorphic area, pars compacta (SDApc). The steroid-sensitive ultrasonic, emitted at high levels during courtship interactions, is associated with the absence of aggressive encounters and appears to be necessary for the formation and maintenance of pair-bonds with females. Interactions between unfamilliar, non-pair-bonded adult male and estrous female gerbils result in male aggression, reduction of male ultrasonic calling, and disruption of normal female dartmale follow sociosexual sequences. Castration further reduces ultrasonic calling, inhibits normal sociosexual sequences, and increses aggression in interaction between unfamiliar compared to pair-bonded individuals. Bothg brain structure and lateralization of vocal function in males depend on the action of sex steroids during sexual differentiation and in adulthood. Thus, the gerbil provides a new model to study steroid-dependent lateralization of brain mechanisms of vocal behavior mediating aggressive-sexual relationships. © 1994 Wiley-Liss, Inc.