Arthur MacNeill Horton

Posttraumatic stress disorder and mild head trauma: follow-up of a case study

A current conceptual conundrum is the question of whether it is possible to have a co-occurrence of both Posttraumatic Stress Disorder and head trauma. The current report describes the results of behavior therapy and a series of neuropsychological tests for a man who suffered Posttraumatic Stress Disorder and neuropsychological deficits after an automobile accident. A series of neuropsychological test batteries documented considerable improvement. The patient was also treated for Posttraumatic Stress Disorder with behavior therapy so symptoms abated much earlier than the neuropsychological deficits.

Neuropsychometric Correlates of the Mini-Mental State Examination: Preliminary Data

The present study investigated the neuropsychometric correlates of the Mini-Mental State Examination. 12 consecutive neurological referrals were administered the Mini-Mental State Examination, the Wechsler Memory Scale, and the WAIS—R. Pearson product-moment correlations suggest moderate association between scores on the Mini-Mental State Examination and Wechsler Memory Scale but less robust relationships between scores on the Mini-Mental State Examination and WAIS—R Full Scale, Verbal, and Performance IQs.

BEHAVIORAL TREATMENT OF THE TRAUMATICALLY BRAIN-INJURED: A CASE STUDY

The present case illustrates the application of behavioral modification methodology with a traumatically brain-injured adult. Such a treatment regime utilizing a report-card system and a response-cost procedure was implemented to decrease behaviors of using foul language and biting staff members. Dramatic improvement was demonstrated.

The treatment of homicidal obsessional ruminations by thought-stopping and covert assertion

Abstract Combining thought-stopping with covert assertion was first proposed by Rimm (1973). This paper describes the use of this method in the treatment of a 38-year-old male, who had pervasive and uncontrollable thoughts about killing his estranged wife. After four one-hour sessions, the patient was no longer troubled by his homicidal obsessive ruminations. A seven month follow-up showed no relapse.

Diagnostic parameters of an odd-even item short-form of the Luria-Nebraska neuropsychological battery

The current study examined the concurrent validity of a new short form of Luria-Nebraska Neuropsychological Battery (LNNB). LNNB profiles of 100 subjects of a mixed brain damaged, psychiatric and normal pool were obtained from previously published sources. Levy corrected correlations among both the odd and even number short-forms with the full test ranged from.81 to.90. For the entire sample, absolute numbers of scales above the critical level, number of cases following within a given range of the critical level, and number of cases within each subscale exceeding the critical level were computed. Chi square values revealed significant differences only for the visual, reading, and memory subscales exceeding the critical level.

Separation of brain-damaged from psychiatric patients: value of the Wiggins MMPI Content Scales.

The value of the 13 Minnesota Multiphasic Personality Inventory Wiggins Content Scales for the separation of brain-damaged from psychiatric patients was investigated. A sample of 40 males, evenly divided between brain-damaged and psychiatric patients, was administered the MMPI. Statistical analysis yielded a significant difference only for the phobia content scale. Practical implications of the results are discussed.

Identification of Neuropsychological Deficit: Levels of Assessment

A problem frequently confronting the clinical neuropsychologist is that of adjusting assessment methods to the clinical question asked and available resources of time and technical expertise. Suggestions are made for selecting clinical instruments for neuropsychological assessment at three levels, namely, screening, classification, and selection of treatment. Brief neuropsychological test batteries are proposed for each level.

Effects of Lateralized Brain Damage on Factor Scales of the MMPI

The present study examined the effects of lateralized brain damage on factoral scales of the Minnesota Multiphasic Personality Inventory (MMPI). Twenty subjects (ten with left hemisphere brain damage, ten with right hemisphere brain damage) closely matched on age, education, race and sex variables were administered the MMPI. t-tests on four factorial scales of the MMPI were computed between groups. None of the factor scale comparisons were statistically significant. Theoretical implications are discussed.

Behavior Modification with Brain-Injured Children: A Brief Note on Directions for Research

Research on behavior modification needed with brain-injured children is briefly noted. Previous studies indicate that the procedures of behavior modification work well with selected brain-injured children. The designs of most studies, however, have used small Ns or a single subject to evaluate interventions with brain-injured children. Some suggestions for research needed with this population are provided.

Evaluation methodology and the formulation of public policy

This paper makes two suggestions for the improvement of public policy evaluations, to incorporate into all public policy evaluations a multitrait-multimethod analysis and self-report and behavioral measures. Specific advantages of these suggestions are discussed.