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The authors have explored the compositional patterns and thematic imagery in mandala drawings by a large group of patients diagnosed with multiple personality/dissociative identity disorder (MPD/DI...

The make-up of communities has been changing at an increased rate, especially the demographic make-up. For libraries the ability to recognize and respond to these changes is crucial. Rather than waiting for a full scale community assessment, techniques such as focus groups, targeted surveys and partnerships can be used to maintain a library's ability to adequately respond to community needs and tailored to work with multicultural populations.

The goal of the present study was to compare the effectiveness of three therapeutic formats: Standard Couple Therapy, Group Therapy, and Minimal Contact Bibliotherapy (self-help) in the treatment of 23 couples in which the wife was suffering from secondary orgasmic dysfunction. The results indicate that a cognitive-behavioral sex therapy program is clearly effective in changing a wide range of subjective satisfaction and behavioral measures, with concurrence of the husbands' and wives' data providing further strength to these findings. Differences in outcome which were elicited in the three experimental treatment conditions were mainly in favor of the Standard Couple condition. Since such differences were neither frequent nor great, practical issues related to increasing the effectiveness of less time-consuming treatment formats are discussed. In addition, the theoretical implications of using global versus specific therapy outcome criteria are explored.

The bacterium Hemophilus influenza, also known as the Pfeiffer bacillus, is generally regarded as a disease of infancy and early childhood. An occurrence in adulthood is rare. A 43-year-old woman developed septic arthritis of more than one joint caused by Hemophilus influenza. The infrequency of this infection and the degree of difficulty in diagnosis is confirmed by a review of the literature.