Abstracted from The Medical Press

..‘..rI-’

‘,,

Abstracted Grinker. R. ( Homoclites) 30:

Werble,

to

Grinker

group

tested

in

1969

1972,

be

social

and

more

ego a

Washington tween

the

Geii.

a very

unique

group

of

134

healthy years

than

half

of

and

Men

from

1960 37

gives

paper

to

1964.

some

were

be

helpful

for

normal

controls

gators,

which

The

to

family,

are

comparisons

Comparisons 97

were

attended were

subjects

future

about

made

in

studies.

“welcome

They might

to

this

use

feel

they from

with

30

J. H.

Rau,

turbances

with

have

patients successfully

patients

were

group

of

for

The

child

a compulsive

who

nervosa,

underweight

who

were

of

This

cessful

with

treatment

ceased

the

finding

with

overweight

and

had

abnormal

together

with

the

diphenylhydantoin

dysregulation

may

be

one

ten of

two

B. T.,

and

once

daily.

This

the

factor

in

weeks and

Nikoomanesh, of

Fecal

improvement

P.,

and

6 patients

with by

Anorexia

Nervosa.

Two

case

gastric

studies

distension

two due

hospital

patient

“dining

sponse

of

The

the

patients

a)

produce

severe

Miller

which

M.

at

M. : Operant the

Treatment 1646-1649,

diminished

sphincter

to

taught

sphincter

sphincter

normal

appearing

neu-

years

contraction

in

Feedback

viewing

of

showed

of

a total

the

responses.

duration

inflation

4

patients

to

absent

re-

the

of

balloon.

4 sessions

was

provided and

of

6

remaining

with the

praise

on

not

least

her

12

to

continent

due

etiology

centered might

resulting

in

effect

food

into

the

believe

that

these

of

on

two to

might

complications

U.

Kiawans,

H.

Headache

13:

181-187,

1974.

Fourteen

cases,

associated

both

sexes,

with

intercourse.

being

hours

deserves

to

by

amounts

is stressed.

JulyAugust/September,

Headaches 1974

its

Although differ,

eight

year

old

a

by

article

related

to

B.

medi-

BURNETT

Orgasmic

Cephalgia.

in which

R.,

Minuchin,

S.

Family

Therapy

in the

Am.

I.

orgasm

of

Psychiatry

Asthma, an

The

a

allergic

especially dynamic

Boy

with

Child

27:

boy The

hour day

is

treated report

discussion

is

of

techniques

beautifully

of

the

defense

descriptive

G.

and

M.D.

GOLDSTEIN,

seven

ing

to

the

PA.

not

had

any

535-540,

of

illness

unresolved

and

of intractable

techniques acute

Struc-

Asthma.

which

conflicts

intrafamilial

program with

of

1974.

profoundly these

Use

Intractable

complicated

of

further

L. : The

is

children concepts

Baker, Treatment

psychosomatic

A successful

of

and

chronic nature

Six have

131:

major

disorder,

in detail.

headache

nature

by

NC.

classic.

tural

They

1’EXAS

precipitated

i/ic

present

the

become

an

hour

Liebman,

of

dilatation.

benign

Latency of

JOEL

and

HOUSTON,

presented

BRIDGE

factors:

large cause

a

neurodermatitis.

and

dilatation;

were

The

of

a severe of

progression. might

force-fed

gastric

L. : Benign are

follow-up

because

factors.

W.,

syndrome

noteworthy case’s

of Studs’

PHILADELPHIA,

GORDON

Paulson,

year

for

analysis

cation.

occurs

is a 20

second

colic.

interrelated

unaccustomed

stomach

to

Psychoanalysis Psvc/ioana!yiic

dilatation.

react

2

1972.

This

and

48

abdominal

gastric

acute

The

D. :

psychoanalytically

admitted

diet.”

M.

Neurodermatitis.

acute vomit-

pain

presented

with to

5

and

DURHAM,

in

been

when

months

husband

patients

hyperosmolar and

at

for

months

improved.

529-564,

abdominal

a light

to

synchrony

polygraph

Follow-up

were

attached or

during

relaxation.

direct

incontinence balloon

M.D.

for

had

dilatation

C.

M!NN.

treated

patient

the

N.

290:

fecal

Abbott

showed

then

external

definitely

of

of

external

suc-

1974.

were

the

eating

abdomen

vomiting

b ) the

gastric

with

anorexic

self-induced

fluid

be-

movements

in

J. Med.

Eng/.

histories

were

via

Dilatation

477-478.

developed

into for

tender

discussion

case, She

acute

Gastric

nervosa

first

“coaxed

out’

a distended

J. 2:

anorexia the

anorexia

: Acute

Mcd.

months.

to

and

with

after

did

of In

about

A. M.

Brit.

dilatation. for

A

and

POTKON

Responses

N.

means

devices

Schechter,

K. P.. Klidjian,

Jennings,

viz.

affection hyperactive

PETER

ROCHFSTER,

ignore

remained

Schuster,

Rectosphinteric

Incontinence.

patient

eating

A. GRAF,

JOHN

the

to

bowel

disorders.

ing

daily.

inst:ucted

12

parents

colitis

vomiting

abundant

After the

of

were

provide

activi:ies. concern

Conditioning

of

a

Psy-

HILLSBOROUGH,

internal

with electro-

that

etiologic

were

the

observed

suggests

in Exp.

ulcerative

episodes

STEVE

evaluated

diagnosis

patients

Hyperactivity

Thzer. &

1974.

nine

a

M.D.

ARK.

developed

5

parents

to

to

Engel,

Psychiatry

disorder,

but

behavior

followup.

Dis-

Among

were

four Nine

encephalograms.

eating

diphenylhydantoin.

of

who

and

seen

sedentary

13

PA.

I.

not

decreased

M.D.

Eating

Ant.

III.

HENKER,

J. Be/tat’.

boy

movements

hyperactive

month

such

1973.

a 6 year

of

was

for

though

ROCK,

a

their

SADWIN.

Compulsive

Medication.

with

weight.

0.

Treatment Colitis.

183-185,

polygraph

with

four

lesions

investi-

1974.

treated

rological

: Treatment

Anticonvulsant

428-431,

normal

structural

way.

Ulcerative

bowel

havior

latter which

benefit precious

report

praise

be-

this

questionnaires

which

4:

Case

all

George

PHLADELPHIA,

R. S.,

anorexia

this

K. : Parental

with

(bziai.

numincreased

ARNOLD

ten

of

in

Lloyd,

Child

researches.”

Of

present

LITrLE

re-

a significant

who

and

advice

of

131:

indicative

can

Daniels,

were

demonstrated

students

subjects

group

Green,

Press

who

evaluated

they

regard

Further

of

men

responded.

with

maturing.

would

own

‘tlt

necessarily

lesions

group. This

-

Medical

not

P,svcl,iat.

first

When

subjects

which

group

original

65 There

items

large

when

ago.

information

backgrounds.

growth

with

of

mentally

corresponding

healthy made

Arc/i.

sought

cultural

of

The

Young

Later.

fourteen

questionnaire

ber

Healthy

Years

-

FRED of

considered the

from

--

1974.

is a follow-up

were

B. : Mentally

Fourteen

701-704,

This by

R.,

,‘

attacks

is by in

the

conflicts

family described

requiring

family.

is discussed

therapy asthma

primarily emotional

is described. treated by

accord-

the

authors,

hospitalization.

A.

the

JOHN

are

ROCHESTER,

GRAF,

M.D.

MINN.

143

PSYCHOSOMATICS Fernston, J. D., Wurtman, R. J.: Nutrition and the Brain. Sci. Amer. 230: 84-91, 1974. This is a review of current knowledge concerning the reo lationship between food intake and CNS mechanisms that probably control hunger. The authors report experiments in laboratory rats that demonstrate increased synthesis of serotonin in the brain after ingestion of a meal rich in carbohydrate. In addition, blood tryptophan levels exhibit rhythmic changes which parallel brain tryptophan levels with a normal diet. Serotonin levels in the CNS and hence hunger are influenced by these tryptophan levels. By using diets of varying types, serotonin levels are shown to vary through a complex interaction of tryptophan, fatty acids, insulin and albumin. Similar but less complete studies in man are reviewed. GARY S. NYE, M.D. SAN FRANCISCO, CALIF.

Grinker, J., Hirsch, J. and Levin, B.: The Affective Responses of Obese Patients to Weight Reduction: A Differentiation Based on Age of Onset of Obesity. Psychosomatic Medicine 35: 57-62, 1974. The affective responses to weight reduction of five severely obese subjects with adult onset of obesity were studied during a long-term hospitalization. AlI subjects were studied prior to, during and folIowing weight loss. Behavioral changes were measured both by independent observers and by self-ratings. These symptoms did not increase with weight loss in contrast to earlier findings by the authors of disturbances in affective responses folIowing weight loss in patients with juvenile onset of obesity. These results suggest that behavioral response to weight loss is related to age at onset of obesity. JERRY WEISFOGEL, M.D.

NEW YORK, N.Y. Hanley. F. W.: Individualized Hypnotherapy of Asthma. Am. J. Clill. Hypnosis 16: 275-279, 1974. Hypnosis is shown to be useful in treatment of certain cases of asthma. Patients are hypnotized by eye fixtion and relaxation techniques. Analysis of precipitating factors is attempted and suggestions of confidence that patients can learn to control their own breathing are given. The patients are then asked to p~oduce and stop attacks through use of autohypnosis. Two cases are presented in detail. FRED O. HENKER, III, M.D. LITTLE ROCK, ARK.

Kolodny, R. C, Masters, W. H., Kolodner, R. M., et at. Depression of Plasma Testosterone Levels after Chronic Intensive Marijuana Use. N. Engl. J. Med. 290: 872-874, 1974. This is a comparison study of 20 heterosexual men with age matched controls for intensive use of marijuana. The user group showed significantly lower plasma testosterone levels which responeded both to abstention from marijuana and to stimulation by human chorionic gonadotropin. Data may suggest that marijuana may produce alteration in male reproductive physiology through a central action. PETER BRIDGE DURHAM, N.C

Pilowsky, I., Spalding, D., Shaw, J., and Korner, P. I.: Hypertension and Personality. Psychosomatic Medicine 35: 50-56, 1973. 144

The haemodynamics of twelve male subjects with essential hypertension was studied before and after autonomic blockade. Blood pressure, heart rate and total peripheral resistance levels at rest were correlated with scores on several psychological tests designed to assess anxiety level and aggressive feelings. Significant correlations support previous studies which have emphasized the role of suppression of emotions in the genesis of hypertension. JERRY WEISFOGEL, M.D. UEW YORK,

N.Y.

Blanchard, E., Young, L.: Clinical Applications of Biofeedback Training, Review of Evidence. Arch. of Gen. Psyc!liat. 30: 573-589, 1974. This is a critical overview of the present status in biofeedback training and its practical application. In an effort to encourage further investigation utilizing sound scientific methods of study and to avoid premature widespread adoption of this clinical technique, the authors classify the experimental procedures and evaluate their validity. On this basis they concluded that the most reliable studies were in the area of EMG feed hack training. Some p~omise was also shown in sensorimotor rhythm feedback training on various kinds of seizures. Control of cardiac arrhythmias, blood pressure, hypertension and peripheral vascular problems have varying degrees of validity. The authors feel it is premature to consider biofeedback training as a cure-all. They suggest more widespread use of sound objective scientific methods of research. ARNOLD

S.... DWIN.

M.D.

PH IL....DEL PH I"" , PA.

Liebman, R., Minuchin, S. and Baker, L.: An Integrated Treatment Program for Anorexia Nervosa. Am. J. Psychiatry 131: 432-436, 1974. , The program described has a series of phases of both illpatient and outpatient therapy with specific goals. Inpatient treatment was by operant conditioning. Outpatient treatment consisted of family therapy. Each phase of the treament program is described in some detail. JOHN A. GRAF, M.D. ROCHESTER. MINN.

Waizer, J., Hoffman. S. P., Polizos, P. and Engelhardt. D.: OUIpatient Treatment of Hyperactive School Children with Imipramine. Am. J. PsychiatlY 131: 587-591, 1974. Imipramine was effective in reducing hyperactivity in a group of hyperkinetic ~chool children treated as outpatients. Four children also had enuresis which was suppressed during imipramine treatment. Both the hyperactivity and enuresis returned during a period of placebo treatment. JOHN A. GRAF, M.D. ROCHESTER, MINN.

Benson, H., Klemchuk, H. P. and Graham, J. R.: The Usefulness of the Relaxation Response in the Therapy of Headache. Headache 14: 49-52, 1974. Seventeen migraine and four cluster headache patients.:were evaluated. Patients were then trained to induce relaxation through Transcendental Meditation 20 minutes twice 'jaily. After at least four months they were reevaluated. Six <,: We 17 migraine patients were clinically improved. One of the four cluster headache patients had a remarkable clinical recovery. FRED

O.

HENKER,

III,

'1.D.

LITTLE ROCK, ARK.

Volume XV