Nonimpact brain injury: neuropsychological and behavioral correlates with consideration of physiological findings: reply to Lang.
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Biomedical subjects
Publications and source records attributed to H S Gross.
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This retrospective clinical study investigated the neuropsychological, physiological, and behavioral functioning of 32 adult outpatients up to 65 months following nonimpact brain injury (i.e., whiplash). All participants were administered a flexible battery of cognitive tests, and some underwent neurodiagnostic procedures and sleep studies. Compared with published norms, neuropsychological data revealed significant and persistent age-adjusted cognitive deficits, primarily in the area of executive functioning. Participants frequently complained of problems with behavioral control, sleep, and sexuality. Although structural neuroimaging was not sensitive in detecting brain pathology, quantitative electroencephalography was abnormal in all the participants evaluated, showing frontocentral slowing and increased spike wave activity. We propose that whiplash injury can produce wide-ranging circuitry dysfunction and that test selection is critical in identifying cognitive deficits.
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Cardiovascular responses to speaking are compared in schizophrenic and nonschizophrenic psychiatric patients. Schizophrenics show a significantly smaller mean arterial pressure (MAP) response to speaking than nonschizophrenics, and a trend toward significantly smaller heart rate (HR) and diastolic blood pressure (DBP) responses. Previous studies found that normal individuals consistently increase MAP when they speak. Nonschizophrenic psychiatric patients resemble normals, but a significant number of schizophrenics do not increase MAP when they speak. This difference is not explained by baseline differences between the two groups (Law of Initial Value effects). Effects of neuroleptic use cannot be excluded entirely, but the pattern of response is not consistent with a neuroleptic-induced attenuation of response.
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Data on female participation in gang and non-gang delinquent activities were collected from black male delinquents in Los Angeles County Juvenile Hall by Shimota and Klein in the mid-1960s but never published. These data are presented, and are reanalyzed to show how females were systematically excluded from the planning and action phases of delinquent activities. An unexpected finding from the research is that female presence at the site of a delinquent activity had a suppressing effect on that activity. This material forms a baseline for contemporary, post-women's movement studies of female juvenile delinquency.
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