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A systematic mental status exam often can differentiate accurately patients with organic brain disease from normal persons and those with functional disorders. The present study attempts to validate the memory portion of the Strub-Black Mental Status Exam by comparing it to the Wechsler Memory Scale. Twenty-five brain-damaged and 25 routine medical patients were given Form I of the Wechsler Memory Scale and the memory portion of the Strub-Black Mental Status Exam at their hospital bedside. Results indicate significant differences in almost all scores between the brain-damaged and normal groups on both the Wechsler Memory Scale and Mental Status exam; the Mental Status Exam differentiated between groups at a higher level of significance of ANOVA and ANCOVA comparisons of total memory scores, as well as several subtests. In these samples, age, more than education, was an important factor that affected memory test performance. The Mental Status Examination appears valid for the differentiation of clinical samples and for the documentation of specific aspects of memory dysfunction in individual brain-damaged patients. This study represents a beginning step in providing normative data on components of the Strub-Black mental status examination.

Digit repetition was investigated in samples of unilaterally (N = 87) and bilaterally (N = 75) brain-damaged adults. The study was designed to investigate the hemispheric and neuropsychological factors that underlie performance on these two dissimilar tasks. Digit repetition was disproportionately depressed in such patients, especially those with left hemisphere lesions. The incidence of individually impaired digit repetition performance, especially of digits backward, was significantly higher than in normals, again particularly within the left hemisphere sample. However, impaired digit repetition was not invariably associated with brain dysfunction. The data suggest, but do not confirm, a differential function hypothesis, as well as a unilateral hemispheric hypothesis that underlies the ability to repeat forward and backward digits; this finding is consistent with some previous literature. Group performance showed considerable overlap, which limited the possibility of demonstrating a double dissociation between digits forward and verbal measures, and digits backward and nonverbal factors. Digit repetition in brain-damaged patients appears to have some theoretical value, but limited clinical utility.

Explored the relationship between attribution of control and the fear of death in a medical student population. Ss were 50 first-year students at the LSU School of Medicine at New Orleans, with a mean age of 24.7 years. Instruments included the Rotter Internal-External Locus of Control Scale and the Templer Death Anxiety Scale. Ss were divided into two groups (internal or external) based upon scores on the Locus of Control Scale, and a one-way analysis of variance was computed between the groups. The dependent variable was level of death anxiety. The results revealed that the internally oriented group obtained a significantly lower mean score on the Death Anxiety Scale when compared to the externally oriented group (F = 2.28, p less than .02). Two additional ANOVAs that used sex and age as the independent variables revealed no significant differences on the death anxiety measure, thus strengthening the apparent relationship between locus of control and fear of death.

Investigated the effects of discrete brain lesions on MMPI performance in well-matched samples of patients with anterior and posterior injuries. Because of the nature of the samples and careful matching for potentially confounding variables, particular emphasis could be given to the study of brain-behavior relationships. Patients with posterior lesions produced a significantly more abnormal composite MMPI profile, had a consistent tendency to produce elevated (70+) individual MMPI scales, and had individual profiles that were universally rated as abnormal using standard criteria. The differential MMPI patterns exhibited by these two samples were compatible with traditionally held clinical hypothesis with regard to distinct personality differences secondary to focal lesions in the caudal plane. It is our conclusion that lesion caudality does have a differential effect upon MMPI performance when factors such as cognitive, motor, and sensory defects are controlled adequately. The implications are that this effect is locus specific and is not necessarily related to the degree of other neurobehavioral impairment, as has been hypothesized previously.

Investigated digit repetition performance in learning-disabled children in an effort to assess its clinical and theoretical significance. Clinically, learning-disabled children were found to demonstrate a higher than expected incidence of large verbal-performance discrepancies, although mean overall digit repetition performance did not differ appreciably from that expected on the basis of intelligence (N = 100). Children with large discrepancies did not differ from those with no such discrepancies when compared on a variety of psychometric and neurobehavioral factors. Theoretically, a hemispheric specialization model and a neuropsychological function model have been proposed to underlie performance on the two somewhat different digit repetition tasks (forward and backward repetition). Some support was found for the neuropsychological function model, with significant correlations obtained between digits forward and a measure of language function and between digits backward and a test of visual constructional ability. Stronger evidence that could have been provided by a double dissociation of correlational findings was limited by a smaller, but significant, correlation between digits forward and Bender Gestalt errors. However, the results are consistent with previous research in suggesting that digit repetition can be an avenue to the study of brain-behavior relationships.

The findings of this study may be summarized as follows: (1) No significant general cognitive impairment occurred in S samples with unilateral frontal lobe lesions; (2) Impairment of cognitive performance was greater in Ss with lesions posterior to the Fissure of Rolondo than in well-matched Ss with frontal lobe lesions; (3) Specific cognitive deficits are infrequent in Ss with frontal lobe lesions; (4) No significant differential impairment of cognitive performance was associated with hemispheric lateralization of frontal lesions; and (5) No significant differential impairment of verbal and nonverbal performance was associated with hemispheric lateralization of frontal lesions. Language: en

Presents a table that provides a simplified procedure for obtaining WISC-R factor scores expressed as IQ equivalents. Three factors, based on Kaufman's recent analysis of the 1974 Revised WISC, were included: (1) Verbal Comprehension (Information, Similarities, Vocabulary, and Comprehension); (2) Perceptual Analytic (Picture Completion, Picture Arrangement, Block Design, Object Assembly, and the optional subtest, Mazes); and (3) Attention Concentration (Arithmetic, Digit Span, and Coding). The techniques for deriving the factor score equivalents and the use of the table, both procedurally and clinically, are discussed.