Locked-in syndrome.
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Two aspects of "disordered thinking", overinclusion and transactional thinking were studied on the Object Sorting Test responses of 20 young schizophrenic patients and 20 comparable nonschizophrenic patients. Patients' parents were also studied for comparison. In addition, idiosyncratic responses from WAIS Comprehension items were assessed for comparison of another measure on another test. Transactional thinking and idiosyncratic responses were greater in schizophrenic patients. Conceptual overinclusion and bizarre responses also tended to be more frequent in schizophrenics, but behavioral overinclusion showed no differences. Conceptual overinclusion was consistently correlated with transactional thinking and idiosyncratic responses, while behavioral overinclusion showed an inconsistent pattern. The differences were attributed to the differences in the specificity of measures of disordered thinking.
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The demented patient's caregivers often feel powerless when confronted with the loss of autonomy and seek advice. The family physician's implication is an important asset to help solve the difficulties associated with the evolution of the disease. This article addresses the most frequent problems encountered and suggests ways to adapt the patient's environment to compensate for cognitive deficits and to improve safety.
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The notion of Systems Therapy subsumes two different although closely interrelated issues. On the one hand Systems Therapy implies a systemic Eco-Anthropology based upon Systems Science, i.e., a Systems Theory of man in and with his environment. On the other hand Systems Therapy is a theory and a practice of the therapeutic transformation of human systems, based upon a systemic Eco-Anthropology. Three basic concepts of Systems Therapy are presented here: the concept of the organism as a system, the concept of the eco-system, and the concept of the transactional field with its basic organization and its corresponding transactional patterns. These concepts are illustrated by many examples taken from case histories of schizophrenic patients and systems. The status quo of the scientific epistemic process in the field of schizophrenia is evaluated from the perspective of Systems Therapy in 1983. With rare exceptions English notions are not translated into German in order to avoid terminological errors and lack of precision.
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Traditionally, Ego-state Therapy has been conducted with parts of the personality that have been activated hypnotically and that present themselves for verbal interaction. This paper presents two cases in which ego states communicate through symbolic and sensory signals at significant points in therapy. Recognition of the meaning and usefulness of these phenomena allows otherwise enigmatic material to provide crucial information about the patient's deepest struggles. Failure to identify this material can often precipitate therapeutic stalemates when the patient's most creative expressions go unnoticed. Effective utilization of these states can often bring about dramatic resolution of inner conflict and achieve symptom relief.
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Fluency disorders are communicative disabilities that can lead to psychosocial and emotional issues. The most prevalent of these disorders is stuttering. People who stutter may cope with stigmatization and discrimination throughout their lives as a result of misconceptions and misinformation about the disability's etiology and manifestations. Mental health professionals have contributed to these negative experiences by their lack of knowledge about stuttering. This article provides information on the physical, psychological, and social causal factors and implications of fluency disorders, so that social workers can engage in ethical practice to alleviate the mental anguish of their clients who stutter and enable them to reach their full potential. An advocacy role with other professionals, such as educators and speech-language pathologists, is described.
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The first section of this report focuses on those factors that influence augmentative and alternative communication (AAC) use by adults with acquired disability, including the natural course of the acquired neurogenic condition, use of multiple modes of communication, changing capabilities, communication patterns of adults, changing social roles, transitioning among environments, attitudes of AAC users and others, and instructional constraints. The second section provides recommendations about future technical and intervention innovations involving message management, alternative access strategies, and learning demands.
Separate lines of investigation have shown the increased risk of dysfunction for children of depressed women and impaired interaction between depressed mothers and their children. The link between the two was examined in 57 children at high and low risk for depression. Children of unipolar depressed, bipolar depressed, chronically medically ill, and normal mothers were evaluated at a 6-month follow-up. Hierarchical regression analyses suggested a relation between maternal interaction behavior on two dimensions, task focus and affective quality, and children's subsequent depression and school behavior; academic performance was related only to affective quality of interaction. Chronic stress was predictive of more negative, critical maternal behavior, whereas depressed mood was associated with less task involvement. Maternal interactions are viewed as a marker of a complex, mutual process involving interpersonal relationships in an adverse environmental context.