A time-limited dynamic approach to adolescent inpatient group psychotherapy

In response to sharply curtailed lengths of stay of adolescents in an inpatient psychiatric program, new therapeutic modalities need to be implemented. A time-limited dynamic approach to adolescent inpatient group psychotherapy is presented. The model integrates psychoanalytic and crisis theory into a group format. The primary focus in this model is upon resolution of problematic interpersonal interactions as they are related to the current crisis state. The group process, as related to the adolescent, involves three phases. These include an initial intake phase, which incorporates an ego-functioning assessment; a second or middle phase which focuses on making actions ego-alien; and the termination phase, which incorporates the learning experience and how it relates to the resolution of precipitators of the admission.     

Quantitative and qualitative analyses of clock drawings in Alzheimer's and Huntington's disease.

Although visuoconstructive impairment has been reported in both Alzheimer's (DAT) and Huntington's (HD) disease, there is little knowledge concerning how this cognitive deficit differs quantitatively and qualitatively in these two progressive dementias. To address this issue, the present study compared performances on the Clock Drawing Test (CDT: command and copy) of 25 DAT patients, 25 equally demented HD patients, and 25 elderly normal controls (NC). In the command condition, both patients groups were significantly impaired compared to the NC group. Although there was no significant difference between DAT and HD patients' total quantitative scores, a qualitative error analysis revealed a number of dissociations between the two patient groups. Graphic difficulties, very common in HD patients, were virtually absent in DAT patients; in contrast, conceptual errors were almost exclusively seen in DAT patients and were related to the severity of their dementia. Perseveration and "stimulus-bound" responses were also more frequent in DAT patients, and both groups made visuospatial errors. In the copy condition, the DAT, but not the HD, patients evidenced a marked improvement in performance. These results indicate that while both DAT and HD patients have significant visuoconstructive difficulties even in the early stages of their disorders, the specific cognitive processes underlying their quantitative impairments are quite different. It is possible that the DAT patients' conceptual errors are yet another indicator of the deterioration of their semantic knowledge.     

Conditioned suppression of proboscis extension in Drosophila melanogaster

Food-deprived Drosophila melanogaster extend their proboscises following sucrose stimulation of the front tarsi (the proboscis extension reflex). Médioni and Vaysse (1975) reported that the inhibition of this response can be conditioned over trials if such proboscis extensions are punished by applying an aversive stimulus to the foreleg tarsi. In this study, Médioni and Vaysse's basic observations of conditioning were replicated, with a different strain of flies and a modified conditioning apparatus.     

REVIEW: Presocratic Philosophy

A discussion of W. K. C. Guthrie, A History of Greek Philosophy, Vol. I, The Earlier Presocratics and the Pythagoreans (xv/538 pp.); Vol. 11, The Presocratic Tradition from Parmenides to Democritus (xvii/553 pp.) Cambridge University Pres F. M. Cleve, The Giants of PreSophistic Greek Philosophy, An Attempt to Reconstruct Their Thoughts, Martinus Nijhoff D. E. Gershenson and D. A. Greenberg, Anaxagoras and the Birth of Physics, Blaisdell Publishing Company G. E. R. Lloyd, Polarity and Analogy, Cambridge University Press, 1966 (v/503 pp.)     

Dynamic operations of thought systems

Our research program focuses on thought systems consisting of a core event that might befall a person and other topics evoked in free associating on this event, mostly its salient antecedents and consequences. We theorize that the pattern of salient antecedents and consequences evoked by the core event are related to its judged desirability and likelihood by several adaptive principles, such that when a change is directly induced in one part of the belief system it produces predictable remote adjustments in other parts. In a first experiment we manipulated the core event's judged desirability or likelihood and tested for predicted remote effects on the salience of antecedents and consequences. A second experiment conversely manipulated the salience of antecedents or consequences and tested for predicted remote effects on the core event's judged desirability and likelihood.     

Prevalence of traumatic brain injury in an inpatient psychiatric population

This study investigated the prevalence of traumatic brain injury (TBI) in an inpatient psychiatric population. We hypothesized increased prevalence of TBI relative to the general population due to a variety of risk factors observed in psychiatric patients. One hundred (mean age = 34) psychiatric inpatients completed the revised Head Injury Questionnaire. Chart review of 17 subjects reporting injuries established whether injuries were documented in medical records. Sixty-eight percent of this psychiatric population reported one or more injuries in which they were unconscious or dazed. This number is higher than the prevalence in the general population. Injuries were generally of mild to moderate severity; multiple injuries were common. Chart review of 17 subjects reporting TBI indicated that histories of TBI had not been noted in the medical record. Finally, 63% of TBI subjects reported that their injury predated the onset of their psychiatric symptoms. These results suggest a possible role of TBI in psychiatric symptomatology and have implications for psychiatric treatment in this population.     

Electrode placement,EMG feedback,and relaxation for tension headaches

Fifteen tension headache subjects were allocated to one of three groups: direct EMG feedback (from a site corresponding to the source of pain), indirect EMG feedback (from a site not corresponding to the source of the pain) and relaxation instructions. There were two base-line, six treatment and one post-treatment sessions. No significant differences were found between base-line and post-treatment EMG levels, for any of the groups; however, some significant reductions in levels were obtained within sessions. EMG levels recorded during headache attacks did not differ significantly from levels recorded during base-line. Frequency and intensity of headaches were significantly reduced, particularly in the relaxation group. At follow-up this improvement was maintained for subjects with forehead pain, but differences between the groups had disappeared.