Psychological and Physychological Changes with the Menstrual Cycle: Implications for Counselling

Throughout the reproductive years, from around age 13 to about 5o, the menstrual cycle provides continual, mainly positive, changes in the internal environment of women. This cycle of change is an integral and influential part of normal existence. Knowledge of the reproductive cycle and of its effects is essential to a full understanding of women. This paper describes each phase of the cycle in terms of broad psychological and physiological changes. Although personal and social events will clearly affect each woman's experience, it is clear that a background climate is set by the cycle which predisposes towards certain feelings and behaviour.With information and advice, not only can there be great benefit from the whole menstrual cycle, but any distress in the premenstrual days can be alleviated. More serious menstrual disorder should be appropriately investigated, preferably with continued counselling support.The counsellor must first discover whether any menstrual disorder is a central problem, or possibly an exacerbating factor. Occasionally the cycle is made a focus for problems which have a quite different basis. In all cases the counsellor can help women to turn to good account a biological cycle which is predominantly favourable.     

THE MEETING OF TWO CULTURES: ETHNIC IDENTITY AND PSYCHOSOCIAL ADJUSTMENT OF ITALIAN-AUSTRALIAN ADOLESCENTS*

The present study was designed to explore both the predictors of ethnic identity and the relationship between ethnic identity and psychosocial adjustment. Perceptions of ethnicity and ethnic identity and measures of psychosocial adjustment were obtained from 82 Italian-Australian adolescents. Parents' maintenance of cultural ties was associated with a strong sense of ethnic identity, however ethnic identity was relatively unimportant in predicting psychosocial adjustment. Cultural variables such as parents' embeddedness in the Italian community, the desire to assimilate into the Australian culture, and the perception of problems arising from minority group membership were of greater significance.     

Child and adolescent psychopathology research: Problems and prospects for the 1990s

In November 1990 the National Institute of Mental Health (NIMH) convened a special conference of over 100 scientists and leaders to outline specific strategies and research initiatives that should be developed to implement the recently released National Plan for Research on Child and Adolescent Mental Disorders.Participants included journal editors, educators from psychology and psychiatry, representatives from private foundations, and leaders of research program areas in public funding agencies. Critical knowledge gaps were identified in five areas of child and adolescent psychopathology, including depression, attention deficit hyperactivity disorder, conduct disorder, the anxiety disorders, and the developmental disorders. For each of these areas, special emphasis was placed on developing new ideas and obtaining critical input from other areas of investigation. This report summarizes the identified research gaps and recommends research initiatives to implement the National Plan, as outlined by the conference participants.     

Exploring the sexual world of the unemployed adolescent

Unemployed adolescents may be at substantial risk of the negative consequences of sexuality. This study investigated the sexual perceptions and practices of 125 unemployed adolescents. Gender, but not age, differences were found in sexual perceptions and practices. Overall, this sample was engaging in high levels of sexual activity with a low rate of condom use.     

Adolescents' perceptions of friends' and parents' attitudes to sex and sexual risk-taking

This study investigated the association between adolescents' perceptions of parental and peer attitudes towards sexuality and AIDS precautions, and the risky sexual behaviours of 1008 sexually active, heterosexual undergraduate students aged 17-20 years. Students were asked to rate the extent to which their mothers, fathers and friends would agree or disagree with 16 statements reflecting support of the adolescent engaging in sexual behaviour and using sexual precautions, including precautions against AIDS. The adolescents also indicated whether they were sexually active and their level of condom use in both ‘regular’ (or steady) and ‘casual’ relationships. Results indicated that adolescents perceived their parents as non-liberal in their sexual attitudes and relatively unlikely to discuss sex or precautions with them. Parents were viewed as more accepting of their sons' sexual behaviours than of their daughters'. Adolescents believed that peers were more likely to discuss sexuality and precautions than parents, and were more liberal in their sexual attitudes. Adolescent sexual risk-taking was related to the perceived attitudes of significant others in ways which varied across gender and type of relationship. Implications for interventions are discussed.     

Impairment of nonverbal oral movements in aphasia

Thirty-six patients with unilateral cerebral vascular damage were required to perform a number of oral motor tasks, both verbal and nonverbal. Nonfluent aphasics were impaired in the imitation of single oral movements, as previously reported. However, on the imitation of complex nonverbal oral movements fluent aphasics were impaired as well as nonfluents. This impairment was not explicable on the basis of visual memory or perceptual deficits, nor on the basis of sensory thresholds as measured on the tongue. The findings suggest that deficits in coordinating oral movements are fundamental to most aphasic impairments, the meaningfulness of the responses not being a critical factor in the appearance of the defect.     

Sex differences in recall of real or nonsense words

Women perform better than men on tests of verbal memory, but the nature of this advantage has not been precisely established. To examine whether phonemic memory is a factor in the female advantage, we presented, along with other verbal memory tasks, one containing nonsense words. Overall, there was the expected female advantage. However, an examination of the individual tests showed female superiority in recall of the real words but not the nonsense words.     

Topiramate in the preventive treatment of episodic migraine: a combined analysis from pilot,double-blind,placebo-controlled trials

The safety and efficacy of medications for preventive treatment of migraine is the subject of current concern and investigation in health care. Two single-center, double-blind, placebo-controlled studies were conducted to evaluate the efficacy and safety of topiramate for migraine prophylaxis. Seventy patients with a diagnosis of migraine were randomly assigned to topiramate-treated and placebo groups. The studies consisted of a 4-week baseline phase, a 6-8 week titration, and 8-12 weeks of maintenance. Topiramate was titrated from an initial dose of 25 mg/day to a target dose of 100 mg BID. The primary efficacy measure, the mean 28-day migraine frequency, was lower in topiramate-treated patients than in the placebo group (3.2 versus 3.8, P=.001). Similarly, topiramate treatment resulted in a significantly greater mean reduction in migraine frequency than did placebo (1.55 versus 0.47, P=.001) and a significantly higher responder rate (35.3% versus 8.3%, P=.008). Paresthesia was the most common side effect reported with topiramate treatment. Other topiramate-associated adverse events included altered taste, memory impairment, diarrhea, and appetite suppression/weight loss. The rates of discontinuation were similar for the topiramate group (n=10) and the placebo group (n=8). These results suggest that topiramate is effective and well tolerated in the preventive treatment of migraine headaches.     

Assessing interpersonal functioning: Views from within and without

In order to better integrate research on personality pathology, interpersonal problems, and social skills, we applied the traditional methods of these three research strands (questionnaires, interviews, and interpersonal role-plays) to the same sample. Participants who attributed higher levels of interpersonal problems to themselves in general were also more critical of their own role-play performances, but these impressions were not mirrored by observer-ratings. Self-observer agreement in judging overall role-play performance was essentially zero. Interviewer-ratings of personality pathology had incremental validity over self-ratings in predicting observer-rated role-play performance. Self-reports of interpersonal functioning leave relevant behavioral variance untapped and thus should be complemented by other sources of information.