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Differentiation of brain damage among low IQ subjects with three projective techniques.

Using a battery of three projective techniques (Rorschach, Hand Test, Bender-Gestalt) only slight discrimination was found between low IQ subjects classified according to the presence or absence of brain trauma (exogenous vs endogenous), while substantial discrimination was obtained between the same subjects categorized in terms of "lower" (60-74) and "higher" (75-89) FS WAIS IQ. All four groups used in this study had been first equated on sex and age. Results were interpreted as supporting the position that some sort of brain impairment underlies most or all retardation. Question was raised concerning the efficacy of projective techniques for diagnosing organicity in subjects of average or better intelligence.

Adolescent

The validity of projective techniques and their research and clinical contribution.

Numerous surveys have alternately demonstrated either a decline or continued vitality of diagnostic assessment and projective techniques in clinical psychology. This paper examines some of the factors which have contributed to the ambivalent attitudes about projective procedures. The first part of the paper considers questions about the limitations and potential contributions of projective techniques in research. The second portion of the paper examines some of the issues which limit the contributions of diagnostic assessment and projective techniques in clinical practice. A proposal is made for conceptualizing diagnostic assessment as a more integral part of the therapeutic process.

Adult

Personality dimensions measured by projective techniques: a formulation based on structural analysis.

It is suggested that a better understanding and more effective use of projective techniques can be achieved by viewing each test in terms of the depth of personality assessed and its unique amalgamation of emotional and intellectual aspects of personality. With these considerations in mind, a refurbished definition of a projective test is presented and implications for the phenomenon of projection are discussed.

Adaptation, Psychological

Vision with isoluminant colour contrast: 1.A projection technique and observations.

An optical technique is described for projecting two-colour pictures with controlled brightness contrast, which may be set to zero-at isoluminance. Colour registration is maintained without adjustment or special setting up. It is suggested that colour-and brightness-contour registration in the visual channel is a problem which may be solved neurally be master brightness signals locking slave colour signals. The projection apparatus allows the supposed master brightness signals to be removed-at isoluminance-when contour disturbances should occur. Observation of this kind are reported.

Color Perception

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

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

[Dose requirements for projection techniques in x-ray diagnosis].

The dose required in x-ray diagnosis depends upon the demands made on a diagnostically optimal x-ray film or in fluoroscopy, and upon the technical quality of the equipment. The actual dose requirement, derived from field studies, is juxtaposed on the basis of representative examples with the maximum permissible dose requirement in accordance with the prescribed minimum sensitivity values of the x-ray film. The ideal dose requirement has been stated by Cohen et al. (1981) by a formula basing on parallel beam, maximum quantum yield and Bucky grid effect depending on the signal to noise ratio and object contrast. This was checked by means of contrast detail diagrams measured at the hole phantom, and was additionally compared with measurement results obtained by Wust et al. (1989) with acrylic glass phantoms. The optimal dose requirement is obtained by the maximum technically possible approach to the ideal requirement level. Examples are given, besides for x-ray equipment with Gd2 O2 S screen film systems for grid screen mammography, and new thoracic examination systems for mass screenings. Finally, a few values concerning the dose requirement or the analogous time required for fluorescent screening in angiography and interventional radiology, are stated, as well as for dentistry and paediatric x-ray diagnostics.

Angiography

Projections of the ascending somesthetic pathways to the cat superior colliculus visualized by the horseradish peroxidase technique.

Projections of the somesthetic ascending pathways to the superior colliculus (SC) of the cat have been demonstrated by means of the horseradish peroxidase (HRP) tracing technique. Following HRP injection in one SC, marked neurons were found in the contralateral dorsal horn and in the contralateral dorsal column nuclei, mainly the cuneate nucleus. Moreover, in the contralateral trigeminal complex, the sub-nucleus caudalis of the spinal nucleus of the Vth nerve, and the subnucleus oralis plus the main sensory trigeminal nucleus were labeled. Thus, the anterolateral system and the lemniscal system subserving face and forelimb sensation send afferent fibers to the contralateral SC.

Afferent Pathways

Topographically organized projections from the nucleus subceruleus to the hypoglossal nucleus in the rat: a light and electron microscopic study with complementary axonal transport techniques.

Projections from the nucleus subceruleus (nSC) to the hypoglossal nucleus (XII) were investigated with complementary retrograde and anterograde axonal transport techniques at the light and electron microscopic level in the rat. Injections of WGA-HRP into XII resulted in labeling of neurons in and around the nSC. Labeled nSC neurons were few in number (less than 4 per 40-60 microns sections) and variable in size and shape. Most labeled nSC neurons were medium-sized (mean = 16.89 microns), fusiform, triangular, or oval, with 3-4 dendrites typically oriented dorsomedially and ventrolaterally. These neurons were found throughout the rostrocaudal extent of the nSC but were most numerous medial, dorsomedial, and ventromedial to the motor trigeminal nucleus. Others were observed rostral to the motor trigeminal nucleus and ventral to the parabrachial nuclear complex. Confirmation of retrograde results was obtained following injections of tritiated amino acids or WGA-HRP into the nSC. This resulted in labeling throughout the rostrocaudal extent of XII mainly ipsilaterally. Labeled fibers descended the brainstem in the dorsolateral and, to a lesser extent, in the ventromedial component of Probst's tract. Fibers entered XII mainly rostrally along the lateral border of the nucleus. All regions of XII were recipients of nSC afferents, but the caudoventromedial quadrant contained the greatest density of terminal labeling. Electron microscopic evaluation confirmed that nSC afferents synapsed on motoneurons in XII. Axon terminals containing WGA-HRP reaction product were found contacting dendrites and somata, but primarily the former (81.3% versus 10.6%). Axodendritic terminals synapsed mainly on medium-to-small sized dendrites (less than 3 microns in diameter). The majority of labeled axodendritic terminals (90.1%) contained small, round, and clear synaptic vesicles (S-type: 20-50 nm) and were associated with an asymmetric (60.6%), symmetric (11.4%), or no (18%) postsynaptic specialization. By contrast, most axosomatic terminals contained flattened vesicles (F-type) and formed a symmetric or no postsynaptic specialization (75%). Large dense core vesicles (55-90 nm) were observed within a small proportion of all labeled axon terminals (1.3%). The results from this study demonstrate that the nSC projects to XII, preferentially targets a specific subgrouping of protrusor motoneurons, and synapses on both somata and dendrites, although mainly on the latter. The implications of these data are discussed relative to tongue control.

Afferent Pathways

The Meta-Contrast Technique--a projective test predicting suicide.

Sixty-nine inpatients who had attempted suicide were studied by means of the Meta-Contrast Technique (MCT), a projective test measuring personality factors, especially defensive strategies. The patients were divided into 3 subgroups, one of which was defined as stereotypy only, which denotes stereotypy (perceptual retardation) without any other coded defenses. At follow-up 7 of 8 completed suicides belonged to this subgroup and they matched various main diagnoses according to DSM-III-R. When the MCT findings of all patients were compared with 99 depressed inpatients from a previous study, the latter group more often had mature defensive strategies. In both investigations most completed suicides were found in the stereotypy only group. Our findings indicate that, regardless of psychiatric diagnosis, stereotypy without other defenses in MCT predicts suicide.

Adaptation, Psychological

Projection reconstruction techniques for reduction of motion effects in MRI.

Projection reconstruction (PR) techniques are shown to have intrinsic advantages over spin-warp (2DFT) methods with respect to diminished artifacts from respiratory motion. The benefits result from (1) portrayal of artifacts as radial streaks, with the amplitude smallest near the moving elements; (2) streak deployment perpendicular to the direction of motion of moving elements and often residing outside the anatomic boundaries of the subject; (3) inherent signal averaging of low spatial frequencies from oversampling of central k-space data. In addition, respiratory-ordered view angle (ROVA) acquisition is found to diminish residual streaking significantly by reducing interview inconsistencies. Comparisons of 2DFT and PR acquisitions are made with and without ROVA. Reconstructions from magnitude-only projections are found to have increased streaks from motion-induced phase shifts.

Abdomen

Spinal projections from the lower brain stem in the cat as demonstrated by the horseradish peroxidase technique. II. Projections from the dorsolateral pontine tegmentum and raphe nuclei.

The descending projections to the spinal cord arising from the dorsolateral pontine tegmentum and brain stem raphe nuclei have been investigated by means of the horseradish peroxidase (HRP) technique. Particular attention was taken to clarify the cells of origin and the funicular trajectory of these spinal projections. After injections of HRP into the spinal cord, a significant of HRP labeled neurons were observed in the following dorsolateral pontine tegmental structures: (1) an area ventral to the nucleus cuneiformis; (2) principal locus coeruleus; (3) locus coeruleus a; (4) locuse subcoeruleus; (5) Kölliker-Fuse nucleus; and (6) nucleus parabrachialis lateralis. As a rule, the projections are ipsilateral and descendaphe-spinal projections, we have demonstrated that the nucleus raphe dorsalis also sends axons to the cervical segment of the spinal cord. Furthermore, in accord with previous reports, HRP labeled cells were also identified in the nucleus raphe magnus, pallidus and obscurus, but not in the nucleus raphe centralis superior and pontis. On the whole the present study further clarified the organization of spinal projections from the dorsolateral pons and raphe nuclei and provided some additional anatomical data for the physiology of the tegmentospinal and raphe-spinal projections.

Animals

Validation of graphoanalysis by "global" or "holistic" method.

Graphoanalysis is the most systematically developed and best researched of all methods of handwriting analysis (genetically called graphology). This is a projective expressive movement that is neither better nor more poorly validated than most projective techniques as a means of personality assessment, which is inadequate because their subjectivity makes statistical study difficult. With all projective techniques "sign" or trait validation has been minimal, and the best validation has come from "global" or "holistic" methods. The present study presents a paradigm for the latter type of approach to handwriting analysis, using a matching technique with probabilities of 1/5, wherein five subjects were matched by people who knew them to one of five blind Graphoanalyses of the subjects' writing. This design is herein replicated five times, with total data significantly different from chance expectation (p less than .001), supporting the hypothesis that it is possible to evaluate personality through analysis of handwriting.

Female

Basic principles of computed axial tomography.

Computer tomography (CT) is a radiological imaging method which yields transverse tomographic images reflecting with high accuracy the spatial distribution of x-ray attenuation in the part examined. The contrast resolution achieved by CT permits the visualization of soft tissue structure heretofore invisible with conventional radiographic procedure. The CT image is reconstructed by a computer applied algorithm, from a series of x-ray attenuation measurements obtained at different angles around the subject, by means of radiation detectors; The signal to noise ratio for these measurements is optimized by reducing the contribution of scattered radiation and of system noise. The CT principle of image reconstruction is also applicable in nuclear medicine imaging, with the goal of achieving contrast improvement and quantitative assessment of radionuclide distribution over conventional "projection" techniques. In this application, however, the attenuation of the radiation in the tissue interposed between the radionuclide and the detector must be taken into account to yield quantitatively accurate images. Furthermore, the variation of the field of view of the collimator as a function of distance contributes another unwanted variable to the reconstruction process. A mathematically rigorous tomographic reconstruction which would account for these variables is unavailable for gamma ray-emitting radionuclides, although approximate solutions of that problem have led to the satisfactory images of the head. Images of larger inhomogeneous organs are less quantitative. The detection of coincidence annihilation counting of positron-emitting radionuclides allows the accurate correction for the attenuation of that radiation in tissues and permits depth independent collimation which renders these radionuclide particularly suitable for their imaging by CT. A number of CT devices designed for the imaging of positron emitting radionuclides are yielding nuclear medicine images of quality and potential clinical usefulness unequaled by more conventional projection techniques.

Radionuclide Imaging