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This reprinted article originally appeared in American Journal of Orthopsychiatry, 1979, Vol. 49, No. 2, 240-245. (The following abstract of the original article appeared in record 2013-43131-006.) The fourth follow-up study of adolescent delinquent boys treated in a community-based program that combined job placement, remedial education, and psychotherapy indicates that the better overall adjustment of the treated group, compared to untreated controls, is maintained well into adulthood. It reaffirms the importance of developing sound, innovative means of reaching adolescents in crisis, and suggests the value of a fullscale replication of the original program.

Two siblings affected with congenital dyserythropoietic anemia type I are described. They are the sixth familial occurrence reported. Particularly interesting is the comparison between the course and laboratory data of our cases. An unusual finding is the presence of the antigen 'i' on the erythrocytes of both patients.

The PHA-responsiveness in cell-culture of mononuclear cells obtained in acute leukemia from different sources, such as blood, bone marrow, lymph-nodes, leukemic pleural effusion and spinal fluid were investigated. The peripheral blood lymphocytes of all but 2 of 28 untreated patients showed extents of blastogenesis from 48 to 90%. The bone-marrow cells of 18 of the 28 patients gave high extents of blast-like cells (52 to 88%) in 5. In fact, the marrow cells of 9 patients showed blast extents only from 1 to 14%, whereas the remaining 4 patients had no marrow-cell transformation at all. Also the lymphocytes from lymph-nodes of 2 patients show low extents of blastogenesis (8.5–12.3%). Again, the mononuclear cells obtained from the spinal fluid in 7 patients affected by meningeal leukemia, and from the pleural effusion in 1 patient did not undergo any blastic transformation. The question arises whether the PHA-responsive cells from the acute leukemia peripheral blood are normal immuno-competent lymphocytes circulating in the blood, independent from the cell type of leukemia. As a consequence, it comes up whether the bone-marrow cells are PHA-responsive in the lymphocytic type of acute leukemia and PHA-nonresponsive in other cell-types of leukemia (myelo-monocytic). Thus, the PHA-cell culture of both the peripheral blood and the bone-marrow cells could aid in recognizing the cell types of leukemia one is dealing with.

Analyses of thematic stories applied to selected pictures by delinquent and nondelinquent adolescent boys reveal that the delinquents apparently are more concerned with interpersonal relationships. This concern is primarily hostile (either moving against or protecting oneself from people). Delinquents also rarely see authority figures as passively cooperative. This suggests that delinquents may develop a cognitive awareness and sensi tivity to people with many adaptive aspects. This may reflect the object hunger and desire for relationships, hostility and fear of such relationships, and the intense need to manipulate others in order to obtain gratification, all of which have been found to be delinquent characteristics.

This is the second in a continuing series of followup studies of adolescent delinquent boys successfully treated in an experimental program five years ago. Few legal difficulties, stable employment, and personal growth were shown in those treated. On the other hand, three of the untreated youth were in adult correctional institutions, employment was irregular, personal rewards few. Contact with usual rehabilitative agents of society seemed unable to reverse the deterioration in the untreated group.

The spleen is the least common intra-abdominal site for the development of cystic disease. A lymphangioma of the spleen was first reported in 1885 by Fink; since that time 47 cases of lymphangioma or lymphangectasia have been reported. Up to now, no CT study has been published. This report concerns a case of cystic lymphangioma of the spleen consisting of a large splenic cyst with associated multiple small subcapsular cysts and lymphangectasia. The utility of CT in diagnosis is presented.