Torticollis spasmodicus and addiction

From a random sample of 49 patients suffering from torticollis spasmodicus and dependence on alcohol or medicaments, 6 have been selected and are discussed with i view to findings possible mutual influences between the disorders. In particular, premorbid accentuation of personality presented itself as a potential risk factor leading to both tortocollis and alcoholism. In various cases, the patient makes use of alcohol for self-treatment of extrapyramidal-motor symptoms. But such phenomenological developments are preceded by varied constellations of conditions, that have to be taken into account in the treatment.     

The practice of psychotherapy and spiritual direction

The author compares and contrasts insight-oriented psychotherapy, supportive psychotherapy, and spiritual direction in relation to goals and methods; management of resistance, transference, and countertransference; and selection criteria. The enhancement of spiritual formation through insight-oriented psychotherapy and supportive psychotherapy is also discussed.     

Residential and community treatment services utilized by a sample of youth with severe emotional disturbances

Analyzed case records to determine the costs and service usage patterns for a group of 25 youth randomly selected from the case load of a regional mental health agency. Study participants had extensive histories of publicly supported psychiatric hospitalizations. An average of 36.2 contacts per youth (905 total contacts) with human services providers were documented. Approximately 2 out of every 5 contacts resulted in out-of-home placements. The estimated cost of providing services to the 25 youth exceeded 3 million dollars. The types and costs of treatment services provided to study participants are discussed.     

The perception of temporal deviations in isochronic patterns

In a study of perceptual synchronization with an isochronic sequence, subjects were given the following task: They heard an isochronic sequence of tones in which the last interval was either correct or too long. Their task was to detect irregularity. The independent variables were the number of tones heard and the time interval between them. The dependent variable was the difference limen (DL) for the detectability of the irregularity. Two experiments were performed in this study, differing in the way in which the trials were blocked: In Experiment 1, stimuli with the same period were presented in blocks, whereas in Experiment 2, the period of the stimulus was randomized. The results show that in Experiment 1 the number of tones in the stimulus did not affect the detectability of the anisochrony. In Experiment 2, the number of the DL was a decreasing function of the number of tones heard. Moreover, the decrease of the DL was larger than one would expect from a simple model of information integration, which assumes that subjects improve their performance by averaging their percepts of the first intervals in the sequence. The difference between this task and experiments on the discrimination of temporal intervals is discussed.     

The effect of early childhood experiences on neurotic disorders in the adult

"Empiricists" and "clinicians", in especial those in the field of psychoanalysis, have reached divergent views on the significance of early childhood experiences for neurotic affections in the adult. The present paper discusses the need to resolve such "apparent" differences. To be effective, models of psychological development should, besides taking into account biological hereditary influences and the psychosocial conditions of childhood, also consider the ongoing perpetualisation of neurotic behavior through social feedback.     

Relationship of testosterone to men's family functioning at mid-life: A research note

Sociobiological theory suggests that aggression coupled with altruism is highly adaptive for males in all social systems, including the family, whereas sex-role convergence theory indicates that lower levels of aggression are most adaptive for men, particularly at mid-life. The purpose of this study was to determine the role that testosterone, as a proxy for aggression, plays as an adaptive mechanism in the lives of middle-aged males. The sample used in this study consisted of 37 middle-aged (39–50 years of age) males employed in professional occupations in a midwestern metropolitan area. Testosterone levels were regressed on factors typically found to be related to male satisfaction with family life at mid-life: marital satisfaction, parent-adolescent communication, amount of emotional expressiveness, and androgynous characteristics; recent positive and negative stressors and trait anxiety were statistically controlled. Results of step-wise multiple regression analysis indicated that low levels of testosterone were significantly (R = .34, P < .01) related to enhanced marital and parental relationships and androgynous behaviors; however, emotional expressiveness was significantly related to high levels of testosterone.     

Terms of empowerment/exemplars of prevention: Toward a theory for community psychology

In order to develop theory any community of scientists must agree as to what constitutes its phenomena of interest. A distinction is made between phenomena of interest and exemplars. The concept "prevention" is viewed as an exemplar, whereas the concept "empowerment" is suggested as a leading candidate for the title "phenomena of interest" to Community Psychology. The ecological nature of empowerment theory is described, and some of the terms of empowerment (definitions, conditions, and periods of time) are explicated. Eleven assumptions, presuppositions, and hypotheses are offered as guidelines for theory development and empirical study.     

Predicting child behavior problems in maritally violent families

Previous research indicates that children from violent marriages are more likely to suffer from conduct problems and/or anxiety disorders than children from nonviolent, satisfactory marriages. However, knowledge regarding specific factors present in violent marriages relating to child problems is limited. The present study examined the relationships involving interspousal aggression, parent-child aggression, and child behavior problems in a sample of 45 children from maritally violent families. Mothers indicated how often their children witnessed interspousal aggression and were victims of parent-child aggression. Mothers also rated their children's problem behaviors while children reported on their own depressive symptoms. The witnessing of interspousal aggression was highly associated with parental aggression directed toward children. Parent-child aggression related to attention problems, anxiety-withdrawl, motor excess, and conduct problems in children. However, the witnessing of interspousal aggression was not significantly related to child behavior problems. These results are consistent with theoretical predictions linking marital problems to child behavior by virtue of their association with parenting.This research was supported in part by a Grant-in-Aid of Research awarded to the first author by Sigma Xi, the Scientific Research Society, and NIMH Grant No. MH35340 awarded to the third author. The authors wish to thank Martha Wray and her staff at VIBS for their help throughout this project.     

Psychopathologic symptoms in torticollis spasmodicus

The paper presents the results of detailed diagnosis of 51 patients with torticollis spasmodicus. A discussion of the results would seem to indicate the possibility of there being one group with prior neuroses, one group compulsive in nature, and one group whose diminished performance arises from the condition of the brain. Reliable diagnosis is only possible when both mental and physical parameters have been taken into consideration.     

Intelligence and age as predictors of motor performance

The Yule-Oseretsky test of motor performance was administered to 10 ‘undifferentiated’ mentally-retarded adults, 10 normal children and 10 normal adults. In accordance with Denny's (1964) 3-group design, the children were matched on mental age with the retardates, the normal adults were matched on chronological age with the retardates, and the children and normal adults were matched on intelligence quotient. The results showed that mental age predicted performance on both fine and gross motor tasks, with the children and retarded adults both obtaining similar relatively-low scores.