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Biomedical subjects

L C Hartlage

Publications and source records attributed to L C Hartlage.

At least 19 recordsLinked to original sources

Neuropsychological and emotional sequelae of eosinophilia-myalgia syndrome.

In recent years there has been an increasing number of cases presenting with a newly recognized multiple systemic disorder, Eosinophilia-Myalgia Syndrome (EMS), in the United States. This report documents demographic data and scores from intelligence, memory, neuropsychological, and achievement testing from eight patients, and Minnesota Multiphasic Personality Inventory-2 (MMPI-2) profiles obtained by nine patients, all of whom were referred to a doctoral level neuropsychologist in private practice. Intelligence scores revealed a Full Scale Mean IQ of 90.6, with a Verbal IQ Mean of 92.3, and a Performance IQ Mean of 90.9 for the Wechsler Adult Intelligence Scale--Revised. For the Wechsler Memory Scale, the patients earned a mean Memory Quotient of 80.5. On the Halstead-Reitan Neuropsychological Test Battery, the patients earned a mean Impairment Index of .82, and Achievement Test scores on the Wide Range Achievement Test--Revised ranged from a grade level of 4th grade to a grade level of above 12th grade for reading, and from a grade level of 5th grade to a grade level of above 12th grade for arithmetic. Both the modal and mean MMPI-2 profiles had 2-3/3-2 two point codes suggesting feelings of depression, tension, nervousness, fatigue, helplessness, somatic complaints and overcontrol. In all, the neuropsychological, intellectual, memory and achievement test scores suggested a pattern of moderate to severe impairment and the MMPI-2 test scores suggested a pattern of moderate emotional disturbance.

Adult

Pseudoseizures: diagnostic evaluation.

A prospective study of pseudoseizures using prolonged video-electroencephalographic (EEG) recording was carried out in 60 patients. Of 33 patients with episodes of uncertain mechanism, a diagnosis based on recorded episodes was made in 18 (55%). Twelve (36%) had pseudoseizures; 6 (18%) had epileptic seizures. Ten additional patients had epileptiform EEGs compatible with epilepsy. Of 27 patients with presumably uncontrolled epileptic seizures, 4 (15%) had recorded pseudoseizures. Prediction of the nature of the episode by the admitting neurologist was accurate in 67% of cases. Determination from observations of unit personnel and neurologists was correct in less than 80% of episodes. These data suggest that pseudoseizures occur frequently in patients being evaluated for epilepsy or suspected epilepsy. The clinical differentiation between epileptic seizures and pseudoseizures is often inaccurate. This differentiation is facilitated by prolonged video-EEG recording.

Adolescent

Patient preferences with regard to ideal therapist characteristics.

Sixty patients seen at a VA Outpatient Mental Hygiene Clinic described their perceptions of ideal therapist characteristics on a 128-item checklist and subsequently described their own therapist on the same checklist. Patients then rated satisfaction with treatment on a 5-item questionnaire. There was good agreement among patients on both characteristics of the ideal therapist and satisfaction with various aspects of therapy. Data suggest that there is consensus on what patients expect in a therapist and also suggest a relationship between how well therapists meet these expectancies and how effective patients consider their therapy.

Adult

MMPI correlates of looking left or right during mental tasks.

Correlated directionality of eye movements during mental tasks with MMPI profiles of 22 women and 16 men evaluated for mild neurotic disorder. Directionality of eye movements was correlated with MMPI scales at above chance levels, which suggests that the phenomenon of eye movement directionality relates to objective measures of personality.

Adult

Spatial vs. nonspatial reasoning ability in chronic schizophrenics.

Forty chronic male VA schizophrenics were matched with veterans who were seeking educational counseling, and both groups were tested on a 32-item measure of spatial and matched nonspatial reasoning questions. Schizophrenics were inferior in spatial reasoning not only when compared to controls, but also when compared to their own level of functioning on nonspatial reasoning, which suggests that spatial reasoning may be selectively more impaired than general reasoning ability in male chronic schizophrenics.

Adult

Psychological responses to genetic counseling for Down's syndrome.

To assess some of the emotional aspects of why parents seek genetic counseling and to measure the effect of genetic counseling in parents of children with Down's syndrome, pre- and post-counseling measures of anxiety, hostility, depression, and self-concept were obtained from 43 parents. Pre-counseling responses were compared with those of normative controls, and pre- and post-counseling scores were compared for areas of significant change. Anxiety, hostility and depression levels were significantly higher in parents seeking counseling than in normative controls (both P less than 0.002). Following genetic counseling, there was a significant lowering of anxiety (P less than 0.0005) and depression (P less than 0.05) along with a significant increase in overall self-concept (P less than 0.01). The study documents the importance of looking at factors related to emotional needs and self-image of parents in genetic counseling.

Adolescent

Development of spatial concepts in visually deprived children.

110 blind children in Grades 2 through 12 were matched with sighted controls for age, sex, and verbal reasoning ability. Spatial reasoning was compared with nonspatial reasoning ability for the two groups. At each age level, blind children were inferior to sighted children on spatial reasoning, although the two groups did not differ on nonspatial reasoning. Data further support the likelihood that certain interactions with the perceptual environment may be crucial to specific aspects of cognitive functioning in humans.

Adolescent

Differential correlates of Bender-Gestalt and Beery visual motor integration test for black and for white children.

The Bender-Gestalt and Beery Developmental Test of Visual Motor Integration were administered to 58 black and 33 white children, aged 10-5, mean IQ of 81, of comparable socioeconomic class. WISC, Peabody, Raven Matrices, and Wide Range Achievement Test scores were correlated separately for each racial group. No test appeared to have unique value in helping alleviate possible racial differences in test performance, correlated with achievement test scores at levels exceeding correlation of the WISC with such scores.

Achievement