Risk factors for spontaneous superior ophthalmic vein thrombosis are multifactorial. MRI and MRV confirm the diagnosis of SOVT. Despite urgent intervention devastating visual loss may occur.
Surgical repair of blow-out fractures of the orbit occurring more than 6 weeks or more from injury can achieve marked improvement in both the functional and cosmetic aspects. The likelihood of induced diplopia is low. Orbital floor fracture repair should be considered to successfully treat enophthalmos or diplopia in patients with delayed clinical presentation, even decades postinjury.
Reconstruction of periocular defects following excision of cutaneous malignancy can present difficulties for oculofacial and reconstructive surgeons. The intricate anatomy of the eyelids and face requires precise restoration in order to avoid postoperative functional anesthetic concerns. Various reconstructive procedures based on common principles, location and size of the defect, can be applied to achieve restoration with the best possible functional and aesthetic outcomes.
Three behavior therapists and three analytically oriented psychotherapists treated a total of CO neurotic outpatients for 4 months. Measures of Rogers-Truax factors, nonlcxical speech characteristics, therapist informational specificity, and a content analysis of therapist activity were taken from recordings of the fifth interview. Therapists rated their feelings toward their patients, and patients completed the Relationship Questionnaire and the Lorr Inventory. In psychotherapy, patients who were most liked by their therapists and those with greater total speech time showed greatest symptomatic improvement. Patients who used longer average speech durations improved most in both treatments. It was concluded that patient improvement was more a function of patient characteristics than of specific therapist interventions.Controversy over the effective ingredients of psychotherapy has long been a characteristic feature of the field. Clinical beliefs predominate since research studies have not isolated those therapist behaviors that lead to improved outcome with sufficient consistency or precision. Even the apparently wellestablished triumvirate of accurate empathy, unconditional positive regard, and therapist self-congruence is currently undergoing critical reevaluation (Bergin & Suinn, 1975;Mitchell, Truax, Bozarth, & Krauft, 1973).The question is confounded by the plethora of different therapies, each with idiosyncratic treatment strategies. Do the different therapies share some common features that lead to success regardless of theoretical differences? Or has each grasped some unique therapeutic truth sufficiently potent by itself to produce improvement?We found behavior therapy and analyti-
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