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Biomedical subjects

G Andrews

Publications and source records attributed to G Andrews.

At least 199 records · Page 11Linked to original sources

Asthenic personality, myth or reality.

One hundred and seventy five subjects admitted to hospital for neurotic conditions were assessed as to their personality types. Forty seven percent were judged as having personality traits consistent with the diagnosis of asthenic personality disorder. Thirteen of the 138 symptom, life history and psychological test items examined were found to be associated with the asthenic traits. Condensation of these thirteen items by factor analysis showed that two features--anxiety proneness and inability to cope with stress--together defined the disorder.

Anxiety↗

The relation of social factors to physical and psychiatric illness.

A study in social factors associated with illness status was conducted in an Australian suburban community. Forty six per cent of adults reported a chronic physical condition and twenty four per cent were psychiatrically impaired. Life event stress, adverse childhood experience and poor social support were related to both physical psychiatric illness. Low occupation status was associated with poor physical health and a poor coping style was associated with psychiatric illness. Twenty per cent of the physical illness and thirty seven per cent of the psychiatric impairment could be attributed to the presence of social factors.

Adult↗

Cerebral dominance for language in cerebral palsy.

A test of cerebral dominance for language was administered to 51 cerebral palsied adults. The test consisted of dichotically presented words and in normal speaking adults had previously demonstrated very marked right ear superiority, interpreted as left cerebral dominance. The group of cerebral palsied subjects did not show the predicted right ear superiority. This finding may represent a chance maldistribution of side of cerebral injury within the 51 subjects. If substantiated, however, it would suggest either that the cortical damage in cerebral palsy is commonly widespread or else that the inherent left cerebral dominance of neonates is less tenacious than is generally assumed.

Adolescent↗

Neurological stuttering-a clinical entity?

Stuttering associated with neurological pathology in normal adult speakers is uncommon, has no consistent clinicopathological picture, and its significance is too easily dismissed. A case is reported showing that stuttering may be a presenting symptom of progressive neurological disease, and another case demonstrates that a speech disorder which is indistinguishable from common stuttering may follow cerebral follow injury in adulthood.

Adult↗

A scale to measure the cause of life events.

An increase in life event stress has been shown to occur prior to the onset of a number of psychiatric illnesses. This paper describes the construction of a scale to measure the cause of this increased life event experience. One hundred and five normal adults were asked to judge the extent to which any particular event might have occurred by pure chance, by one's own behaviour or by the behaviour of others. These three perceived causative factors are conceptually distinct and together comprehensive. Scalings on these three perceived causative factors for each of 67 life events were derived. The utility of such a scale is discussed.

Adolescent↗

The general practitioner's identification and management of emotional disorders.

In summary, a systematic survey of Sydney metropolitan general practice consultations revealed an appreciable level of emotional disorder in one sixth of the patients. Doctors noted a similar number of patients in whom emotional and social factors were important in that day's consultation. There was concordance of assessment in only one third of the patients and as there are reasons for believing that the questionnaire is valid, inspection of the age and sex differences suggests that the doctors' perception of emotional problmes may be affected by cultural stereotypes of who is likely to be emotionally ill. In contrast, once cases are recognized, the provision of appropriate treatment such as counselling and drugs appears to be prudently and rationally prescribed.

Adolescent↗

A scale to measure the stress of life events.

A comprehensive life event inventory suitable for questionaire or interviewer administration has been constructed. Two sets of matched scalings of these life events have been derived from the responses of an Australian urban population. Each of the scalings were consistent across the sociodemographic groups in the population. The two scales allow the significance of life events to be scaled in conceptually different ways. The first follows Holmes concept of the extent of life change produced by the event, the second the Paykel concept of the amount of distress caused by the event. The inventory and the scalings are suitable for use in an Australian urban population.

Adult↗

An analysis of a token economy in stuttering therapy.

A stuttering therapy program in which adult stutterers were hospitalized and treated in small groups (n = 4) under token economy conditions is described. The Token System reinforced reductions and penalized increases in stuttering during conversation. The therapy program was divided into three stages. Initially, subjects were treated by the token system, which was then integrated with a delayed auditory feedback schedule designed to instate and shape a prolonged speech pattern into normal fluent speech. Finally, subjects passed through a speech situation hierarchy while under token control conditions. Experiments conducted in the first two stages of treatment are described. The first-stage experiments examined the design of the token system; the second-stage experiment assessed the effect of a contingent punishment schedule integrated with the delayed auditory feedback procedure in order to shape rate of speaking as well as fluency.

Journal Article↗

Stuttering: an investigation into cerebral dominance for speech.

Over the past decade research has suggested that stutterers have bilateral cerebral motor or auditory speech areas. Three typical adult stutterers showed normal unilateral left cerebral dominance for speech on the intracarotid sodium amylobarbitone (amytal) test, but one 'dysphatic' stutterer had bilateral cortical speech representation. The latter is a very rare finding in right handed individuals and presumably is a consequence of the head injury induced aphasia that preceded the onset of stuttering.

Adult↗