A prospective study of the distribution of illness within the menstrual cycle

The cyclic physiological variations during the menstrual cycle are thought to be associated with change in emotional state, in susceptibility to illness, and in frequency of illness-related behavior. Variations in frequency of illness with the phases of the menstrual cycle were examined using data from a 3-year prospective study of social and psychological antecedents of viral illness in 94 student nurses. Reported illnesses, accidents, medical consultations, and hospital admissions were randomly distributed throughout the menstrual cycle. Subjects took more medication on the 1st day of menses than on any other day of the cycle; howeverreported menstrual symptoms were infrequent, with only 4% of the population reporting two or more such episodes. It was concluded that there was an increase in discomfort on the data of onset of menses which was self-medicated but not defined as illness. There was no discernible relationship of illness or disability to any phase of the cycle.This work was supported in part by Center for Oral Health Research (COHR) grant DEO 2116, and Oral Medicine Training Grant ST01-DE-77. The authors wish to recognize the contribution of Carol Ram, R. N., who was the administrator of this study and responsible for the collection and organization of the large bank of information from which the material for this paper was abstracted. Without her care, diligence, and intelligent management, this study could not have been completed. We also wish to acknowledge the consultive advice of Dr. Larry Laster, Director, Division of Biometrics, School of Dental Medicine, in choice of analytic techniques, and the help of Dr. Arthur Segal in the early stages of data analysis.     

Violent offenses associated with co‐occurring substance use and mental health problems: Evidence from CJDATS

The present study examines the relationship between substance use, mental health problems, and violence in a sample of offenders released from prison and referred to substance abuse treatment programs. Data from 34 sites (n = 1,349) in a federally funded cooperative, the Criminal Justice Drug Abuse Treatment Studies (CJDATS), were analyzed. Among parolees referred to substance abuse treatment, self‐reports for the six‐month period before the arrest resulting in their incarceration revealed frequent problems with both substance use and mental health. For most offenders with substance use problems, the quantity of alcohol consumed and the frequency of drug use were associated with a greater probability of self‐reported violence. Mental health problems were not indicative of increases in violent behavior, with the exception of antisocial personality problems, which were associated with violence. The paper emphasizes the importance of providing substance abuse treatment in relation to violent behavior among offenders with mental health problems being discharged to the community. Copyright © 2009 John Wiley & Sons, Ltd.     

A cry unheard: sudden reductions in blood pressure while talking about feelings of hopelessness and helplessness.

This paper describes sudden extreme drops in blood pressure in both experimental and clinical situations when a person is talking about or describing situations of hopelessness and helplessness. These changes are discussed in the context of historical perspectives about the cardiovascular system. A new perspective is introduced, one in which these blood pressure changes are seen as part of an unheard cry for understanding. It is hypothesized that such changes do not occur in response to a person's attempts to communicate a sense of hopelessness, but rather are the biological foundations of the hopelessness itself. Viewed from such a context an entirely new therapeutic approach is outlined regarding the treatment of patients suffering from a wide variety of psychosomatic as well as psychological disturbances.     

A cry unheard: Sudden reductions in blood pressure while talking about feelings of hopelessness and helplessness

This paper describes sudden extreme drops in blood pressure in both experimental and clinical situations when a person is talking about or describing situations of hopelessness and helplessness. These changes are discussed in the context of historical perspectives about the cardiovascular system. A new perspective is introduced, one in which these blood pressure changes are seen as part of an unheard cry for understanding. It is hypothesized that such changes do not occur in response to a person’s attempts to communicate a sense of hopelessness, but rather are the biological foundations of the hopelessness itself. Viewed from such a context an entirely new therapeutic approach is outlined regarding the treatment of patients suffering from a wide variety of psychosomatic as well as psychological disturbances.     

Sentence comprehension and working memory limitation in aphasia: a dissociation between semantic-syntactic and phonological reactivation

The relation between working memory (WM) limitation and sentence comprehension was assessed in Hebrew-speaking aphasics, three conduction aphasics and three agrammatics. The study compared sentences that required different types of reactivation-syntactic-semantic reactivation, in relative clauses, and word form/phonological reactivation, in sentences with reanalysis of lexical ambiguity. The effect of phonological memory load, manipulated by number of words intervening between the activation and the reactivation, on comprehension of the two sentence types was examined. The findings were that agrammatic aphasics failed in the comprehension of object relatives but not on subject relatives irrespective of their antecedent-gap distance. Conduction aphasics, on the other hand, who showed severe WM limitation, comprehended well all types of relative clauses and were unaffected by antecedent-gap distance. The conduction aphasics failed to understand the sentences that required phonological reactivation when the phonological distance was long. These results suggest that the type of reactivation required by the sentence, as well as the type of memory overload are crucial in determining the effect of WM limitation on sentence comprehension.     

Multicultural Education and Perceived Multicultural Competency of School Counselors

A national survey of practicing school counselors (N = 755) revealed significant differences between participants’ perceived multicultural competence based on the type of multicultural training received. Participants who took infused multicultural coursework had significantly higher mean scores in multicultural awareness, knowledge, and skills than participants who reported taking a single multicultural course. Una encuesta nacional de consejeros escolares en activo (N = 755) reveló diferencias significativas en la competencia multicultural percibida de los participantes según el tipo de capacitación multicultural recibida. Los participantes que tomaron cursos que incluían contenidos multiculturales obtuvieron puntajes medios significativamente más altos en consciencia, conocimientos y habilidades multiculturales que aquellos participantes que indicaron haber tomado un único curso multicultural.     

Patterns of visual dyslexia

This study reports two Hebrew-speaking individuals with acquired visual dyslexia. They made predominantly visual errors in reading, in all positions of the target words. Although both of them produced visual errors, their reading patterns crucially differed in three respects. KD had almost exclusively letter substitutions, and SF also made letter omissions, additions, letter position errors, and between-word migrations. KD had difficulties accessing abstract letter identity in single-letter tasks, and in letter naming, unlike SF, who named letters well. KD did not show lexical effects such as frequency and orthographic neighbourhood effects and produced nonword responses, whereas SF showed lexical effects, with a strong tendency to produce word responses. We suggest that these two patterns stem from two different deficits - KD has letter identity visual dyslexia, which results from a deficit in abstract letter identification in the orthographic-visual analysis system, yielding erroneous letter identities, whereas SF has visual-output dyslexia, which results from a deficit at a later stage, a stage that combines the outputs of the various functions of the orthographic-visual analyzer.