Listeriosis of the central nervous system in children beyond the neonatal period

Observations on three children with neurolisteriosis (one case of meningitis, two cases of meningoencephalitis, each Serovar 4 b), show that even after the neonatal period, listeriosis must not be ignored in the process of diagnosis and therapy. It is the bacteriological examination of the cerebrospinal fluid, together with the blood culture, and not clinical symptoms and serology that guarantee a timely diagnosis and therapy (ampicillin and gentamicin).     

Is anorexia nervosa a neuropsychological disease?

Evidence for central nervous system, and more particularly cortical, etiology of anorexia nervosa is reviewed. Topics covered are neuropsychiatric comorbidity, inheritance patterns, the neurobiology of body-image disturbance and of the eating function, perinatal and alcoholic insult to the brain, neurochemical and neuroelectric disturbance, anatomic and metabolic brain imaging, and neuropsychological impairment. It is concluded that there is indeed an important neuropsychological etiological dimension to anorexia nervosa. The profile most frequently associated with anorexia nervosa is right posterior hypometabolism, followed by right anterior hypermetabolism, both associated with right-sided abnormal electroencephalogram spiking. It is also proposed that bulimia consists of a positive neurological subtype and that restricting anorexia represents a negative neurological subtype. Priorities for further research into anorexia nervosa are specified to include twin adoption studies, brain electrical topography studies, postmortem histological studies, and experimentally inspired neuropsychological studies.     

Visual attention and perceptual grouping

Perceptual organization is thought to involve an analysis of bothtextural discontinuities andperceptual grouping. In earlier work, we found that textural discontinuities were detected normally even when visual attention was engaged elsewhere. Here we report how perceptual grouping is affected when visual attention is engaged by a concurrent visual task. To elicit perceptual grouping, we used the Gestalt demonstrations of grouping on the basis of proximity and of similarity. Four tasks were investigated, some requiring the observer to discriminate between horizontal and vertical grouping, and some requiring the observer to merely detect the presence or absence of grouping. Visual attention was engaged at the center of the display by a form identification task. The detection of a textural discontinuity served as a control task. Concurrent form identification conflicted with all four grouping tasks, resulting in a significant reduction of grouping performance in each case. No performance reduction was observed when either form identification or grouping discrimination was combined with the detection of a textural discontinuity. These results suggest that perceptual grouping and form identification compete for visual attention, whereas the detection of a textural discontinuity does not.     

Emotional disturbance and the development of self-consciousness in adolescence

The development of self-consciousness and its relationship to emotional disturbance was examined in early and late adolescence. The Imaginary Audience Scale was administered to emotionally disturbed and nondisturbed adolescents. As predicted, results indicated that self-consciousness decreased with age in nondisturbed adolescents. For the emotionally disturbed adolescents, the development of self-consciousness in temporary situations did not follow consistent patterns, as indicated by interaction effects. A significant negative relationship was found between intelligence test scores and self-consciousness in the disturbed group. The findings support the premise that social-cognitive shifts found in early to late adolescence are disrupted in disturbed populations. The mediating role of social experience as a factor in cognitive and emotional development is discussed.