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Jokes as a projective technique: the humor of psychiatric patients.

Jokes were obtained from psychiatric patients during the course of diagnostic testing and interviewing. The material was subjected to a content analysis which included the nature of the main characters and their relationships, the situations presented, and the major overt and concealed themes. This paper discusses and gives examples of the projective and psychodynamic value of humor in professional practice. The jokes helped in the understanding of diagnosis, symptoms, and basic conflicts. They provided guidelines for treatment and the treatment plan. They depicted the struggles of the participants to cope with relationships, problems, crises, and change. None of these struggles were unique to patients. Jokes cut through professional distinctions and diagnostic classifications, and present the person behind the label. They reflect the nature of the self especially in its more troubling and problematic aspects; yet they also reveal the healthy and intact part of the person. Jokes were valuable as a projective method because they constituted a non-threatening vehicle for revealing otherwise threatening and concealed truths about the person; they communicate those aspects of the human condition that are most anxiety provoking; and last, but not least, they end the interview on an enjoyable and positive note.

Adult↗

Children's drawings as a projective technique.

Body image is the constantly changing mental picture of one's body. The examination of children's drawings provides an insight into cognitive and psychosocial functioning, which are important aspects in their development of self-concept.

Art↗

Prediction of success in an accelerated BS/MD medical school program using two projective techniques.

Two successive classes of accelerated medical students were administered a variety of tests in an effort to find predictors of medical school grades. Through an innovative combination of the Hand Test and Rorschach, a single index of maladjustment, Daubney Index, was derived. This correlated--.55 with medical school grades for 23 students. Similar approaches may be especially useful for high powered programs which stress the students' adaptive mechanisms.

Adolescent↗

Alexithymia in patients with eating disorders: an investigation using a new projective technique.

The concept of alexithymia was scrutinized in a group of female patients with eating disorders: 15 anorectics and 13 bulimics (mean age of 27 yr.), plus a control group of 21 (mean age 38 yr.). Subjects were interviewed and tested. In the main test an ambiguous face was flashed briefly on a screen opposite the viewer who had to describe her impressions. To enhance the ego-involvement, subliminal words (I, I ILL, I WELL) were presented before each exposure. Contrary to expectations the present patients used more emotional words than controls. Instead, they employed alternative strategies to avoid empathizing. The results were interpreted as indicating a pronounced incapacity for emotional understanding.

Adult↗

Performance of persons with Down's syndrome on two projective techniques.

A comparison was made of the Rorschach responses and the Human Figure Drawings of a group of 21 Down's syndrome subjects and the responses of a group of 21 other mentally retarded persons (non-Down's syndrome group). Statistically significant differences on the Rorschach were indicative of a better differentiated visual perceptual ability in the Down's syndrome group. The traditional stereotype of the person with Down's syndrome as having a better self-concept and being more affectionate and cooperative was supported by the Rorschach results. This was not substantiated by the Human Figure Drawings, in which the non-Down's syndrome group performed significantly better than the Down's syndrome group.

Adult↗

Sex and generational differences in Senior Apperception Technique projections.

A major purpose of this study was to compare the projections of 50 young and 50 elderly subjects to the Seniors Apperception Technique. Specifically, the emotional contents of stories told to the test were compared for sex and generational differences. The results showed, in general, that, while the themes contained more negative than positive feelings, many individuals gave unhappy stories happy conclusions. In addition, the projections of elderly and female respondents were more positive than those of younger and male subjects. The findings were interpreted in light of Neugartin's disengagement theory.

Adolescent↗

Verification of the integral transformation of the projections technique for scatter correction in positron tomographs.

A scatter correction algorithm, based on the integral transformation of the projections, has been implemented when using the C.N.R. positron tomograph in Pisa. The performance of the method has been evaluated by measurements on ad hoc phantoms. The technique allows a significant average reduction of the reconstructed scatter fraction. The limitations of this approach have also been investigated.

Algorithms↗

MR angiography of the head and neck: value of two-dimensional phase-contrast projection technique.

MR angiography is commonly performed by using two- and three-dimensional time-of-flight and three-dimensional phase-contrast techniques. These procedures require long examination times and processing of imaging data by computing maximum intensity projections. Two-dimensional phase-contrast projection angiography has neither of these disadvantages. We analyzed the value of this technique for head and neck MR angiography in 84 patients and 15 control subjects. Patients were examined to resolve specific clinical questions such as the presence of arteriovenous malformations (20 cases), patency of carotid and vertebral arteries (35 cases), patency of the superior sagittal sinus (14 cases), patency of saphenous vein bypass grafts (11 cases), and vascularity of masses (four cases). Conventional angiograms were available for correlation in 22 patients. Two-dimensional phase-contrast projection angiograms were generated by using a gradient-recalled-echo sequence sensitized to flow with the use of flow-encoding gradients. Projection MR angiograms were obtained in approximately 3.5 min by combining images obtained with flow-encoding gradients applied along the axes defining the image plane. MR angiograms were subjectively evaluated by three observers without reference to routine MR images or conventional angiograms. High-quality studies were obtained in 93% of control subjects and 90% of patients examined. The findings based on phase-contrast angiography were confirmed with conventional angiography in 21 of 22 patients for whom conventional angiograms were available. Evaluation of vascular grafts and of the patency of major cranial vessels was easily done with two-dimensional phase-contrast angiography and was useful in postoperative follow-up examinations. We also advocate its use for superior sagittal sinus thrombosis and follow-up examinations in patients with arteriovenous malformations.

Arteriovenous Malformations↗

The effect of supplemental lecture, evaluation method and instructional type on student performance in a preclinical technique project.

This study examined two types of instruction, two methods of evaluation, and the effects of a supplemental lecture in teaching a laboratory technique exercise. Students were randomly assigned to one of four groups: (1) self-instruction, self-evaluation; (2) self-instruction, teacher-evaluation; (3) teacher-aided instruction, self evaluation; and (4) teacher-aided instruction, teacher-evaluation. In addition, half of the students in each of the four groups received a supplemental lecture. Ratings of technical performance, a didactic posttest, and project completion time, were used as outcome measures. Of 27 main treatment effects tested, 25 demonstrated no significant differences. This study fails to demonstrate any major advantage of using self versus traditional forms of instruction and evaluation when student performance is the primary consideration.

Composite Resins↗

A SOM projection technique with the growing structure for visualizing high-dimensional data.

The Self-Organizing Map (SOM) is an efficient tool for visualizing high-dimensional data. In this paper, an intuitive and effective SOM projection method is proposed for mapping high-dimensional data onto the two-dimensional grid structure with a growing self-organizing mechanism. In the learning phase, a growing SOM is trained and the growing cell structure is used as the baseline framework. In the ordination phase, the new projection method is used to map the input vector so that the input data is mapped to the structure of the SOM without having to plot the weight values, resulting in easy visualization of the data. The projection method is demonstrated on four different data sets, including a 118 patent data set and a 399 checical abstract data set related to polymer cements, with promising results and a significantly reduced network size.

Algorithms↗

Measurement of two-dimensional blood velocity vectors by the ultrasonic speckle projection technique.

A technique has been developed for measuring the two in-plane components of blood velocity using ultrasound. The principle is based on analyzing a time sequence of successive images of the speckle pattern, and forming spatial projections of the resulting three-dimensional data set. The mathematics may be understood in terms of sections through a three-dimensional Fourier transform of the original data. The technique has been tested with data from a computer-controlled scanner using a tissue-mimicking phantom, and with data from a commercial ultrasound scanner using images of flowing blood in a jugular vein. In both cases, velocity vectors with many different orientations were measured, demonstrating the feasibility of the method. A less restrictive real-time implementation is suggested.

Blood Flow Velocity↗

The Rorschach: projective technique or psychometric test?

Various approaches to the Rorschach Technique are described in terms of the idiographic-nomothetic axis and the perceptual-content axis. It is suggested that it is most productive to view the Rorschach as a projective tool, with perceptual scoring a secondary factor. Current efforts at objectification of the Rorschach are not seen as useful as efforts to enhance its projective qualities. Some possible ways are discussed in which the projective value of the instrument can be maximized.

Journal Article↗

Optimum split-half reliabilities for the Rorschach: projective techniques are more reliable than we think.

A new technique for optimizing split-half reliability estimates yielded substantial and comparable increases in indexes of internal reliability for some major Rorschach variables across two diverse samples. Practical suggestions for applying this method to other projective tests were advanced. The inadvisability of computing odd-even reliability coefficients without regard to split-half distributional anomalies is addressed.

Adult↗

[Three-dimensional reconstruction on facial soft tissue using three-dimensional grating projection technique].

PURPOSE: The purpose of this study is to establish a method to reconstruct the facial soft tissue three-dimensionally. METHODS: By ATOS three-dimensional opticalmetry, which used in industry, 3D data on facial profile of a patient with mandibular hyperplasia was achieved quickly. RESULTS: Three-dimensional data of facial profile was accurate and the images were reconstructed with verisimilitude. CONCLUSIONS: Traditional device of grating projection was modified by using two CCD cameras to obtain grating images.3D data on facial profile were achieved quickly and accurately.

Adult↗

Computed tomography diagnosis of acute appendicitis: advantages of reviewing thin-section datasets using sliding slab average intensity projection technique.

OBJECTIVES: We sought to compare sliding slab mode and standard stack mode in the computed tomography (CT) diagnosis of acute appendicitis. MATERIALS AND METHODS: Contrast-enhanced CT was performed in 85 patients, 35 of whom had appendicitis. Four readers retrospectively reviewed 5-mm thick transverse sections (4-mm increment) using the stack mode and 2-mm thick sections (1-mm increment) with the sliding slab, average intensity projection. The sliding slab mode started with a 5-mm thick transverse slab, but the readers were encouraged to change the viewing angle and the slab thickness. RESULTS: In sliding slab mode, the readers changed the viewing angle in 89 of 340 observations (24%) and decreased the slab thickness in 26 observations (8%). Although the receiver operating characteristic analysis did not show a significant difference (P = 0.18), the sliding slab mode enhanced the pooled sensitivity (93.6% vs. 98.6%, P = 0.02), specificity (92.0% vs. 97.5%, P = 0.01), and mean confidence for the diagnosis (P < 0.001) or exclusion (P = 0.002) of acute appendicitis; reduced inconclusive interpretations (5.6% vs. 1.8%, P = 0.01); and visualized the appendix more clearly (P < 0.001). CONCLUSIONS: Compared with the stack mode, the sliding slab mode enhances diagnostic confidence and more clearly visualizes the appendix.

Acute Disease↗

3D radial projection technique with ultrashort echo times for sodium MRI: clinical applications in human brain and skeletal muscle.

(23)Na MRI has the potential to noninvasively detect sodium (Na) content changes in vivo. The goal of this study was to implement (23)Na MRI in a clinical setting for neurooncological and muscular imaging. Due to the biexponential T(2) decay of the tissue Na signal with a short component, which ranges between 0.5-8 ms, the measurement of total Na content requires imaging techniques with echo times (TEs) below 0.5 ms. A 3D radial pulse sequence with a TE of 0.2 ms at a spatial resolution of 4 x 4 x 4 mm(3) was developed that allows the acquisition and presentation of Na images on the scanner. This sequence was evaluated in patients with low- and high-grade gliomas, and higher (23)Na MR signals corresponding to an increased Na content were found in the tumor regions. The contrast-to-noise ratio (CNR) between tumor and white matter increased from 0.8 +/- 0.2 to 1.3 +/- 0.3 with tumor grade. In patients with an identified muscular (23)Na channelopathy (Paramyotonia congenita (PC)), induced muscle weakness led to a signal increase of approximately 18% in the (23)Na MR images, which was attributed to intracellular Na(+) accumulation in this region.

Adult↗